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

Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medica

Are you an LPN seeking clerical and patient care work?

Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according

for the role will include Maintain a working knowledge and understanding of DMEOPS CPT and ICD 10 codes Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contract

UW Hospital and Clinics benefits

UW Hospital and Clinics benefits

UW Hospital and Clinics benefits

UW Hospital and Clinics benefits

UW Hospital and Clinics benefits

UW Medical Foundation benefits

UW Medical Foundation benefits

UW Hospital and Clinics benefits

UW Hospital and Clinics benefits

100 FTE%, day shift, 40 hours per week, Monday Friday 8 00AM 5 00PM or may work 4 x 10s. You will work at University Hospital and University Rowe in Madison, WI. After initial onboarding hybrid or fully remote. Several weeks onboarding. Work Schedule 100% FTE, day shift. Monday Friday 8 00AM 5 00PM, or may work 4 x 10 hour shifts. Hours may vary based on the operational n