The MedInsight team develops an industry leading data warehouse and analytics suite for major healthcare companies including insurers, providers, and public entities. We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Sr. Healthcare Data Analyst to join our team. This position

Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco

Health Information Specialist I (HYBRID Boise ID 83712) Job Locations US ID Boise Requisition ID 2024 35687 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logi

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

The MedInsight team develops an industry leading data warehouse and analytics suite for major healthcare companies including insurers, providers, and public entities. We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Sr. Healthcare Analyst to join our team. This position focu

About your Role As a Medical Technician you will focus on providing direct medical and programmatic nursing care to clients who are experiencing a behavioral health crisis. This position works with clients during the admission process to determine continued eligibility and develop a goal directed plan of care for any minor medical issues. The Crisis Medical Technician wil

About your Role As a Medical Technician you will focus on providing direct medical and programmatic nursing care to clients who are experiencing a behavioral health crisis. This position works with clients during the admission process to determine continued eligibility and develop a goal directed plan of care for any minor medical issues. The Crisis Medical Technician wil

About your Role As a Medical Technician you will focus on providing direct medical and programmatic nursing care to clients who are experiencing a behavioral health crisis. This position works with clients during the admission process to determine continued eligibility and develop a goal directed plan of care for any minor medical issues. The Crisis Medical Technician wil

About your Role As a Medical Technician you will focus on providing direct medical and programmatic nursing care to clients who are experiencing a behavioral health crisis. This position works with clients during the admission process to determine continued eligibility and develop a goal directed plan of care for any minor medical issues. The Crisis Medical Technician wil