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

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

Ensures all scheduled visits are pre registered and accounts are appropriately certified / authorized in advance of the service date. Initiates, obtains, and documents referrals/authorizations/pre certifications in appropriate systems. Answers incoming external/internal telephone calls, determines purpose of calls and schedules appropriately or routes to physician practic

Assigns or verifies CPT, ICD 10 CM coding and modifiers based upon documentation. Subject matter expert in one or more specialties and may also cover multiple surgical/medical specialties for abstraction, ambulatory and/or surgical/procedural coding. Ensures compliance with official coding guidelines. Resolves edits for various charges, following established policies and

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family res

This role will have all responsibilities of coder I, II and III in addition to reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD 10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations

Essential Duties and Responsibilities Clerical Answers incoming telephone calls, determines purpose of callers, and forwards calls to appropriate personnel and routes Epic Messages to nursing and provider as appropriate. Retrieves messages from voice mail and forwards to appropriate personnel. Answers questions about organization, physicians, and available services, provi

This Transplant Coordinator position provides primary clinical management and coordination of care for all post transplant adult kidney, pancreas, and liver transplant patients. The Transplant Coordinator interacts with all necessary disciplines to coordinate patient services across the continuum of care. The person in this position must have exemplary customer service sk

Coordinates tests and treatments with and between various departments for patients on nursing units. Maintains working knowledge of functions and services offered by all diagnostic and treatment departments to facilitate the scheduling of tests and treatments. Facilitates communications required to support patient care including multiple line telephone, unit/site paging a

Audits documentation for appropriate coding and reimbursement and provides education to all partners, including provider/s, clinical, billing and coding staff. Provides comprehensive research to new program initiatives to ensure compliancy and assist in the coding/billing workflow. Conducts provider coding orientation and education sessions and documents all information p

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

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