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

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

Assigns ICD 9 and CPT codes for inpatient and/or outpatient episodes of care as well as performs medical record audits as required. This position is essential to the success of the facility. Encompasses all aspects of medical coding for hospital services including office, outpatient hospital and inpatient services. Understands ICD 10, CPT, HCPCS codes and the rules and re

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

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

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

Responsible for supporting the Utilization Management team by assisting with obtaining documentation/signatures needed for insurance purposes and the ability to explain the documents to patients in our care. Monitors and records utilization activities of patients under the direction of Utilization Management. Ensures documentation is provided of insurance company requests

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

Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco

This is a remote based position. Applicants can be located nationwide Career Opportunity ABOUT YOU You are a person loves to help people help people! We need someone thrives when assigning accurate Evaluation and Management (E&M) ICD 10 CM, ICD 10 PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities

This is a remote based position. Applicants can be located nationwide Career Opportunity ABOUT YOU You are an experienced Inpatient Medical Coder, looking for meaningful work and to be part of a team of high performing coding professionals. You want to work from home, and you have clinical coding experience, thrive in a challenging environment, and are motivated by financi

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

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

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