2000 16th St,Denver,Colorado,80202 5117,United States of America TheClinical Transformation Analyst, Clinical Quality Auditing will support the evaluation of DaVita's integrated care strategy and enable thoughtful assessment of the organization's shift to value based care. In an integrated care environment, we aim to provide the comprehensive and preventative care each pat

Schedules all follow up appointments in the practice management system following the provider order and/or office protocol in a high volume clinic setting. Cancels/reschedules appointments according to patient or physician scheduling changes; notifies appropriate clinic personnel. Arranges for patients to have financial counseling as needed. Demonstrates an understanding

Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev

Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev

Under indirect supervision performs a variety of basic to complex processing tasks related to ensuring timely and accurate billing and reconciliation of discrepancies in accordance with Concentra Medical Compliance Administration practices, policies and procedures. Works closely with the Central Billing Office to report monthly financials. Responsibilities Process monthly

The Data Specialist coordinates the process of collecting, entering, and submitting data. This position may support a department or program and may interact with internal and external resources to read, interpret, and electronically enter data into various applications. Reviews patient charges for errors. Collects and enters Physician charges. Assists withpatient charge i

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

Schedules all follow up appointments in the practice management system following the provider order and/or office protocol in a high volume clinic setting. Cancels/reschedules appointments according to patient or physician scheduling changes; notifies appropriate clinic personnel. Arranges for patients to have financial counseling as needed. Demonstrates an understanding

This position is responsible for validating and entering patient and insurance information into proprietary billing software. The ideal candidate will be well versed in billing guidelines, insurance guidelines, and responding to patient and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality and accurately inputting pat

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

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

Work with patient records to improve data capture of demographic information to limit the number of unbillable trips and associated write offs. Work to identify areas of improvement within the revenue cycle as a function of trip enrichment. Collaboratively create and work new processes that will enhance trip information and will yield improvement in overall revenue. Commu