by Irma Moore | Mar 25, 2024 | Uncategorized
Reviews all practitioner notes types documented in EPIC for abstraction of billable inpatient and outpatient services to include evaluation and management (E/M) services, tests, and procedures. Assists other divisions in coding and billing as needed to ensure appropriate lag time is maintained.
Reviews practitioner documentation to ensure accuracy, compliance, timely completion and electronic signatures. Confirms adequate teaching physician documentation.
Responsible for charge data entry into EPIC while ensuring clean claim submission to include working any edits that Charge Review may generate.
Resolves all denials in a timely manner by responding to UFP’s information requests.
Provides feedback to practitioners regarding documentation issues which can impact reimbursement or do not meet compliance requirements. Reviews and validates that practitioner note templates are compliant. Works with the practitioners to resolve issues to ensure accurate coding.
Schedules and facilitates educational sessions with practitioners.
Creates and maintains coding/documentation training materials and participates in providing guidance and education to practitioners individually or in groups in regards to documentation, reimbursement, and compliance.
Researches coding and reimbursement issues through all available resources, including but not limited to professional associations, federal and private payor guidelines, college/department policy, and coding networks. Assists in designing and implementing billing procedures.
Informs supervisor, divisional administrators, and faculty of important changes in coding and reimbursement.
by Irma Moore | Mar 25, 2024 | Uncategorized
- Maintains a neat, clean, and professional personal appearance and observes the dress code established.
- Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
- Maintains working knowledge of the existing state laws and fee structure
- Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
- Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
- Maintains confidentiality, security and standards of ethics with all information.
- Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.
Qualifications:
- High School Diploma (GED) required
- A minimum of 2 years prior experience in a medical records department or like setting preferred
- Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
- Excellent organizational skills a must
- Must be able to type 50 wpm
- Must be able to use fax, copier, scanning machine
- Must be willing to learn new equipment and processes quickly.
- Must be self-motivated, a team player
- Must have proven customer satisfaction skills
- Must be able to multi-task
by Irma Moore | Mar 25, 2024 | Uncategorized
- May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
- Maintains a neat, clean, and professional personal appearance and observes the dress code established.
- Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
- Maintains working knowledge of the existing state laws and fee structure
- Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
- Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
- Maintains confidentiality, security and standards of ethics with all information.
- Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.
Qualifications:
- High School Diploma (GED) required
- A minimum of 2 years prior experience in a medical records department or like setting preferred
- Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
- Excellent organizational skills a must
- Must be able to type 50 wpm
- Must be able to use fax, copier, scanning machine
- Must be willing to learn new equipment and processes quickly.
- Must be self-motivated, a team player
- Must have proven customer satisfaction skills
- Must be able to multi-task
- Internet speed must be minimum of 5Mbps
by Irma Moore | Mar 25, 2024 | Uncategorized
- Work closely with a Senior Payor Partnerships Manager to support multiple health plan partners from implementation through ongoing value delivery
- Assess and analyze data to develop high quality reporting content that demonstrates clinical outcomes and Equip’s impact
- Quarterback reporting needs across multiple health plan partners, including maintaining and optimizing reporting workflows
- Accountable for working with cross functional partners to optimize payor operations and ensure best in class service
- Assist in documentation of Equip’s Payor Relations strategy framework and content library to lay the groundwork for standard, scalable processes that promote excellence and Equip’s values
Required Experience and/or skills:
- Bachelor’s degree from an accredited institution
- Previous experience in healthcare, finance, consulting or a related field, and experience working with Managed Care Organization is a bonus
- Proven experience managing and driving projects forward independently. Must be process driven, extremely detail oriented and highly organized.
- Strong interpersonal skills, adept at building collaborative working relationships, understanding roles and responsibilities within complex organizations
- Systems thinker who is highly data-driven, has experience driving complex analyses and translating data into actionable insights.
- Strong understanding of health care landscape, specifically payer and provider focused
- A passion for living our mission and values
by Irma Moore | Mar 25, 2024 | Uncategorized
- Lead the creation and maintenance of data models that enhance our ability to understand and predict behavior, engagement and performance
- Design and maintain dashboards, ad-hoc, recurring, and on-demand reports and data solutions, as well as or presentation-ready materials using analytics visualization tools
- Use your analytical superpowers to interpret and analyze people data, uncover trends, patterns, and correlations related to People metrics, then in turn, present data in a clear, compelling way, facilitating easy interpretation at various levels
- Empower and guide stakeholders across the people team on best practices, utilization of self-serve data tools and how to interpret and apply insights, through support tools, coaching and training
- In partnership with People Tech and Operations, ensure the accuracy, integrity, and security of data in source systems by contributing to data governance practices within the people analytics function
In addition to the responsibilities outlined above, at Webflow we will support you in identifying where your interests and development opportunities lie and we’ll help you incorporate them into your role.
About you
You’ll thrive as a People Analytics Lead if you:
- Possess 5+ years hands-on people analytics experience, with a strong focus on predictive modeling and developing reporting frameworks for employee lifecycle metrics, employee experience and survey data
- Have the ability to think strategically and translate business needs into actionable analytics solutions
- Possess a strong understanding of scalability with people analytics and can successfully manage projects that span across the People function
- Can use strong analytical and technical skills to manipulate, organize, and analyze large datasets, including the ability to write formulas, macros and pivot tables, with attention to detail and accuracy
- Are proficient at using data visualization tools (e.g. tableau or similar) and data analysis tools (e.g. SQL)
- Are able to leverage past experience with people technology (Workday strongly preferred) and employee experience and survey tools (e.g. Qualtrics)
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