OF MINIMUM QUALIFICATIONS Education and/or experience equivalent to a bachelor's degree in science, or related field. Four (4) years of clinical data management experience. Knowledge of clinical trials data processing concepts. Demonstrated knowledge of data management processing systems. Demonstrated experience in all areas of data management database build, database main

The Utilization Management Rep (UM Rep) is responsible for completing routine, frontline clerical duties and administrative work necessary to support the daily operations of the Utilization Review Department. Overall, the primary purpose of the UM Rep is to support the mission of Utilization Review Department to ensure the delivery of high quality, cost effective patient

Researches and analyzes denied claims to ensure compliance with payor and/or government rules/regulations and determines appropriateness for appeal. Secures needed medical documentation required or requested by insurance carriers to support appeal process. Reviews and analyzes accounts; determines and writes appeal letters for technical appeals based on medical necessity.

The primary purpose of this position is to be respsonsible for ICD 10 and CPT coding of services provided by physicians and mid level providers for all outpatient services for SIU Family & Community Medicine/Quincy. This position reviews charges to ensure documentation is appropriate for the CPT level of service indicated. In addition, the employee is responsible to ensur

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

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

Duties Lead and manage the design, development, implementation, of an enterprise wide Medicaid and CHIP data analytics suite of products in coordination with DSG divisions. The Director serves as a role model for leadership, including coaching, mentoring, providing ongoing feedback to staff, and providing formal and informal learning opportunities. Collaborate with leader

Serves as the main point of contact between IT and providers, nurses, PT, radiology, and other departments that rely heavily on IT for clinical operations. Develop a partnership with the clinical leadership in developing new initiatives and determine how they fit into the organization's business capability and strategic vision. Develop a process that will promote bidirect

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

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP