Medical/Health Claims Analyst (Special Risk Claims) Omaha, NE Job no 503132 Work type Full Time Regular Location Nebraska Categories Claims/Claims Processing This role involves processing medical and health claims promptly by examining, assessing, investigating, and deciding on benefits. Additionally, it includes managing larger or intricate claim. The job entails examini

To View A Day In Life Of a Hospital Service Tech Hospital Services Technicians travel between customer healthcare facilities providing on site proactive collection and exchange of waste containers for various Stericycle programs, including but not limited to Sharps Management Service, Pharmaceutical Waste, Controlled Substances, and Document Management. This service is pr

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

Possesses the knowledge and skills to thoroughly review the clinical content of all levels of complexity of Inpatient medical records and assigns appropriate ICD 10 Codes to diagnoses procedures for optimal reimbursement, as well as the knowledge to ensure the coding accurately reflect the severity of illness and risk of mortality for quality reporting. Has knowledge of a

Serves as a patient advocate and resource through the scheduling, pre registration, registration, admitting/discharge and authorization process. Greets, screens and checks in patients, families vendors and visitors in a professional manner while working to exceed customer service expectations. Pre registers current and prospective patients which includes performing verifi

Blue Cross and Blue Shield of Nebraska (BCBSNE) is more than just an insurance company; we exist to be there for people in the best and hardest moments of their lives. Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward thinking profess

Blue Cross and Blue Shield of Nebraska (BCBSNE) is more than just an insurance company; we exist to be there for people in the best and hardest moments of their lives. Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward thinking profess

Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

Health Information Specialist I (Onsite Omaha, NE) Job Locations US NE Omaha Requisition ID 2024 36087 # of Openings 1 Category (Portal Searching) Medical Records Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logi

Assists with the development of education and training of physicians, coders, and CDI specialists for Accuity Healthcare and provides coding component to all education programing, which may include preparation of related educational materials and giving frequent presentations on site and virtual Assists with the orientation programs and online learning module assignments

The BPN Coding Specialist is responsible for assigning diagnostic, procedural, and complication codes to all inpatient, ambulatory surgery, emergency room and outpatient patient records. Ensures that all coded records meet the Federal, State and Payer coding requirements. Job Tasks and Responsibilities ( denotes essential job functions) 1. Commits to the mission, vision a

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Your Piece of the Puzzle As NFM's Data Integrity Specialist, you're responsible for product creation and enrichment through data entry, management of internal partners and vendors data process and consistent evaluation to ensure superior customer and operational experience. This specialist will also contribute to data enhancements, collecting and communicating data issue

Currently recruiting an onsite Medical Coder Outpatient in Bellevue, Nebraska, to provide support to Active Duty heroes, their families, and retirees at Offutt AFB. The full time position is Monday Friday, 8 hours shifts between 7 30am and 4 30pm. Telework is not an option. DUTIES OF THE MEDICAL CODER OUTPATIENT Have practical knowledge of the International Classification