The manager oversees end-to-end Electronic Remittance Advice (ERA) processing and leads a remote overseas operations team to ensure accurate payment posting. They are responsible for optimizing team performance, maintaining compliance with HIPAA and payer contracts, and troubleshooting EDI transaction issues.
The Technical Project Manager will coordinate cross-functional teams across operations and technology to ensure project planning, status tracking, and delivery visibility. They are responsible for maintaining project documentation, managing dependencies, and facilitating clear communication between business stakeholders and technical teams.
The Professional Coder is responsible for reviewing clinical documentation and accurately assigning diagnosis and procedure codes to ensure clean claim submission. They must also manage coding production, resolve complex coding scenarios, and maintain compliance with regulatory requirements.
The Professional Coder is responsible for reviewing clinical documentation and accurately assigning diagnosis and procedure codes to ensure clean claim submission. They must also manage coding production targets, resolve complex coding scenarios, and maintain compliance with regulatory requirements.
The Professional Coder is responsible for reviewing clinical documentation and accurately assigning diagnosis and procedure codes to ensure clean claim submission. They must also manage coding production targets, resolve coding scenarios, and maintain compliance with regulatory and payer requirements.
The Professional Coder is responsible for reviewing clinical documentation and accurately assigning diagnosis and procedure codes to ensure clean claim submission. They must also communicate coding issues, maintain productivity targets, and ensure compliance with regulatory requirements.
The Professional Coder is responsible for reviewing clinical documentation and assigning accurate diagnosis and procedure codes to ensure clean claim submission. This role also involves managing coding production, resolving complex coding scenarios, and maintaining compliance with regulatory requirements.
The Professional Coder is responsible for reviewing clinical documentation and assigning accurate diagnosis and procedure codes to ensure clean claim submission. They must also manage coding production, resolve complex coding scenarios, and maintain compliance with regulatory and payer-specific requirements.
The Professional Coder is responsible for reviewing clinical documentation to accurately assign diagnosis and procedure codes for professional services. This role ensures compliance with regulatory requirements and payer policies to optimize revenue cycle performance and minimize claim denials.
The manager will oversee the daily operations of the Claims Resolution function, ensuring accurate and timely processing while managing team performance and development. They will also interpret complex regulatory requirements and translate them into practical operational workflows and training materials.
The Medical Coding Manager provides operational leadership for a team of coders, ensuring coding accuracy, productivity, and regulatory compliance. They serve as the primary escalation point for complex coding issues and partner with cross-functional teams to optimize revenue cycle performance.
The Coding Auditor conducts internal coding audits to assess accuracy, documentation sufficiency, and compliance with guidelines. They also provide corrective feedback to coders and support the department's compliance monitoring efforts.
Review and accurately code E&M cases for inpatient, outpatient, and emergency room services to maximize reimbursement. Maintain a 95% accuracy rate while staying current on coding guidelines and communicating trends to leadership.
Provide operational leadership for medical coding activities to ensure accuracy, productivity, and compliance across various specialties. Partner with billing and clinical teams to reduce denials and protect revenue integrity through audit oversight and KPI management.
Oversee front-end billing operations and claim intake for high-volume enterprise healthcare accounts. Coordinate with account managers and AR teams to resolve complex billing issues and optimize system workflows.
