Review, obtain data extracted remotely and on site physician medical records to analyze quality and outcome of health management programs, quality, pharmacy, Financial, claims, coding, helping to locate where providers need to close gaps, information missing to maintain highest ratings and help with SDS/attestation submission. Knowledgeable with many different EMR systems, HHCS, RAF, HEDIS, CMS DRG CPT II, Coding guidelines. Our goal is to see that the physician receives any and all monies available to them and to help them provide the best possible healthcare to our members. We provide training to the offices where they may need help in closing these gaps
Performed daily charge entry, review and obtained codes using MS-DRG, VBP, HCC, RAF, HEDIS quality auditing/guidelines, Coding for all office visit, inpatient hospital visits, tests, ER admits, Echo's/Vascular, Nuclear stress Testing, PET Scan and all nursing home, home health visits. Query physician and tech for any missing or incomplete documentation, maintaining a high productivity standard with 95%+ accuracy, working denials, letters of appeals. Assisting the front desk whenever needed, answering phones, scheduling appointments, verifying insurance's, obtaining authorizations. Ali 239 303 9550
Check in/check out, scheduling, phone triage, insurance verification, insurance authorizations, Medical assisting, room patients, obtain vitals, chart documentation, Reviewed and code entry using MS-DRG, VBP, HCC, RAF, HEDIS quality/guidelines, answering high volume calls, data entry in Nex Gen *EMR, managing medical records, surgical boarding, collecting copays, deposits and provide quality customer service.
800 367 2884 Ann Marie.
Reviewed and corrected Coding using the MS-DRG, VBP, HEDIS quality auditing/ guidelines for all the high cost surgical procedures, verified and authorized insurance, quote patient pricing, answer any patient questions regarding insurance, pricing or procedure, data entry in EMR system, team player and provide excellent customer service. Stacy 704-660-4584.
Answered high volume patient's questions, insurance verification, data entry in Meditech, work insurance collections, 3rd party follow up, query physicians and tech for missing or clarification of documentation, corrected coding issues, performed paper and electronic billing, correct ICD-9 CPT coding using MS-DRG, VBP, HCC, RAF, HEDIS quality auditing/guidelines for accounts receivables, and provide excellent customer service.
Was a rehire Tawyna Scott 303-715 7000.
Triage and room patients, provided assessment of injury/wounds, removed sutures, dressings, applied casts and splints, assisted with surgical procedures, and performed data entry in EMR and provide excellent customer service.
Kim Beard 303 744 7078.
High volume phone triage, greet and room patients, obtained vitals, performed data entry in EMR system, in room scribe, assisted with office surgical procedures, ICD-9, CPT coding, transcription, injections, biopsies, cultures, lab and radiology orders, Team player and performed excellent customer service.
Diana Mcleron 303 744 1961
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