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

Why This Role is Important to Us Under the guidance of the Manager of Health Information Management, the HIM Specialist I is responsible for following processes to ensure compliant release of records, request for records and accurate data entry into CCA's Electronic Medical Record (EMR) Request and review EMR from partnering organizations to obtain pertinent member docume

Under the direction of the Medical Records Supervisor, the HIM Specialist I provides support to the Medical Records department by scanning documents into the Electronic Medical Record (EMR) and routing scanned information to the appropriate provider. In addition, the HIM Specialist I will respond to requests for medical records by releasing/obtaining records when appropri

Responsible for reviewing, entering, and updating data into the electronic health record (EHR). Maintain a standardized process for monitoring timely and accurate completion of client documentation. Assist in providing client registration/health information functions. Essential Responsibilities Meet with clients as assigned to collect and data enter client registration in

The DRG Validation Nurse Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

Massachusetts Eye and Ear is proud to be an equal opportunity employer and is committed to providing a workplace free from harassment or discrimination. All employment decisions are made without regard to race, color, age, gender, gender identification, sexual orientation, religion, marital status, sex, pregnancy or conditions related to pregnancy, national origin/ancestr

Data manager for multi center clinical trials coordinated through the Neurological Clinical Research Institute. Specific responsibilities include Development/design of Electronic Case Report Forms (eCRFs) Testing and validating study specific Electronic Data Capture System (EDC) Developing programs to check the integrity of the data, including range, error, and logic chec

The Spaulding Outpatient Informatics Lead is responsible for leading, participating in, and moderating the development, standardization, coordination, and maintenance of clinical and revenue cycle content for the Spaulding Rehabilitation Network (SR). In this role, the incumbent will, in concert with MGB Digital and SR informatics staff, facilitate and lead business and w

Assign ICD 10 CM and/or CPT codes, in accordance with coding and reimbursement guidelines Notify HIM Director if there is insufficient information to code medical records Approriately queries physicians as needed for more specific information to code to the highest level of severity and chronicity Verifies and abstracts specific clinical and demographic Data Discharge Dep

1. Quality 0= 1.1 Achieve and maintain a Department registration information completeness/accuracy of 95% as defined and measured on the individual work plan. 2. Support customer satisfaction initiatives as defined in the annual individual work plan. 2.1 External Customers (Patients, Families, Guests, Visitors) 3. Finance. 0= 3.1 Facilitate Time of Service (TOS) Collectio

The Senior Home Hospital Data Analyst specializes in MGB's innovative Home Hospital (HH) program. The Home Hospital program aims to improve the care of patients in their homes while increasing hospital capacity and reducing total costs of care. The Sr Data Analyst will partner with other members of the Enterprise Analytics team to represent the priorities and needs of the

The Senior Healthcare Data Analyst will principally support MGB Spaulding Rehabilitation, a world leader in advanced rehabilitation treatment and research. The Sr Data Analyst will partner with other members of the Enterprise Analytics team to meet the data and analytic needs of the Spaulding site operations teams, and will be the go to expert for the Spaulding domain. Th

Lab Assistant I Marlborough, MA Monday Friday 3 00pm 11 00pm (Rotational Weekends) Pay Range $18.61+ per hour Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive a