PCS Account Specialist-Utilization Review Full Time Days

4 weeks ago


Palos Heights Illinois, United States Northwestern Memorial Healthcare Full time
Job Description

The PCS Account Specialist 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.

Responsibilities:

Responsible for financial processes within Patient Care Services.

Ensures total charge capture.

Monitors documentation/charge trends. 

Handles edit requests.

Documentation QA.

Assists care coordination with correction of patient type and accommodation codes.

Performs charge correction for observation patients.



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