The Rev Audit Contract Appeals RN reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards. Using clinical knowledge and evaluation of documented patient treatments, this position receiv

Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims. Consistently

This is a Hybrid role to include working remote 1 2 days a week and traveling to client sites in and around Indianapolis the remainder of the week. The Account Services Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines an

Collects and analyzes data, identifies expected outcomes, develops and implements an individualized plan, coordinates care delivery and evaluates progress toward attainment of outcomes. Directs care and determines the appropriate utilization of any assistant involved in providing direct patient care. Collaborates with patient, family, physicians and ancillary staff. Creat

Develops curriculum and materials for documentation training programs. Assesses coder comprehension. Conducts quality assurance reviews. Reviews, researches, and responds to coding questions. Resolves coding questions from patient inquiries or denied services from insurance companies. Performs focused quality assurance reviews on coded services. Communicates updates on co

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

General Technical Skills Maintains solid technical competence for assigned services and systems while grasping the integration and interaction of all supported services and systems. Provides technical leadership and support for computing systems and systems integration. Conducts, analyzes, recommends and presents performance and/or capacity analysis to assure systems reli

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Has deep understanding of disease process, A&P and pharmacology. Acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patients service. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core fu

Performs phlebotomy and other lab specimen collections per age related standards. Provides appropriate post phlebotomy patient care. Identifies need for patient medical assistance and call code as appropriate. Reviews/Records refrigerator temperature(s) and QC/QA records. Areas of concern are recorded through the Corrective Action Log and reported to maintenance for repai

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to acute rehab cases and inpatient OB and Newborn discharges. Complexity is measured by a Case Mix Index (CMI) and IP Coder Associate's typically see average CMI's of 0.5759 with the OB and Newborn population. This index score demonstrates lower patient complexity and acuity. Utilizes

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres