Patient Accounts Specialist Job Description Join the expanding team in our new state of the art 132 bed behavioral health facility! Prairie St. John's has been providing services for children, adolescents, and adults to address behavioral health and substance use challenges since 1997. Prairie offers inpatient hospitalization, day treatment, and intensive outpatient servi

Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

Serve as subject matter expert for all company's auto and equipment insurance coverages Partner with MasTec Risk and MasTec's insurance broker to evaluate and process claims related to auto incidents Review auto and equipment claims for completeness as they are reported, understand information necessary to process claim, and research and gather needed information Administ

Insurance Specialist II Job Locations US ND Fargo Requisition ID 2024 33861 # of Openings 1 Candidate Search Category (Portal Searching) Legal Overview Responsible for oversight of claims management for auto and equipment incidents across the organization. Get units back into commission in a timely matter. Provide support to corporate risk, legal team members, and insuran

Insurance Specialist II Job Locations US ND Fargo Requisition ID 2024 33861 # of Openings 1 Candidate Search Category (Portal Searching) Legal Overview Responsible for oversight of claims management for auto and equipment incidents across the organization. Get units back into commission in a timely matter. Provide support to corporate risk, legal team members, and insuran

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

Assists with the development of education and training of physicians, coders, and CDI specialists for Accuity Healthcare and provides coding component to all education programing, which may include preparation of related educational materials and giving frequent presentations on site and virtual Assists with the orientation programs and online learning module assignments

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

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

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