Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Provide clerical, secretarial, word processing, and other support services as assigned. Demonstrate understanding of applicable business departments' operations, drivers, and/or procedures Receive information (e.g., medical records; physician letters; general correspondence) from stakeholders (e.g., providers; clients) Verify information (e.g., member information; type of

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Understand the Medicare Ambulatory Payment Classification (APC) codes Abstract additional data elements during the Chart Review proc

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Acute Interventional Radiology services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) code

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting. Obtains referral, authorization and pre certification information and documents this information in system. Identifies outstanding

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Understand the Medicare Ambulatory Payment Classification (APC) codes Abstract additional data elements during the Chart Review proc

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) codes Abstra

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting. Obtains referral, authorization and pre certification information and documents this information in system. Identifies outstanding

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity accounts Understand the Medicare Ambulatory Payment

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when c

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity accounts Understand the Medicare Ambulatory Payment

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.AZ Blue offersa variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. Resp

In your job, you will have the ability to make a difference in a patient's journey by Answer all incoming calls; assess the callers needs and direct them to the appropriate person. Schedule new patients, patient referrals and returning patients in our computer system. Cancel/reschedule appointments according to physician schedule changes; notify appropriate clinic personn

In your job, you will have the ability to make a difference in a patient's journey by Transcribe the physical examination, clinical impression, and plan, between the patient and physician, in real time. Provide diagnosis specific new patient educational handouts, edit existing handouts, and create new educational information as needed. Prep new patient information into ap

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