Provide remote nursing support for surgical and orthopedic clinic patients, including assessments, point-of-care testing, clinical documentation, patient education, and communication with providers and the care team. Coordinate referrals, testing follow-up, surgical scheduling, prior authorizations, and preoperative and postoperative patient communications.
The scheduler is responsible for managing patient appointments, obtaining prior authorizations, and verifying insurance coverage. They also conduct financial conversations with patients and ensure the accuracy of medical orders and diagnosis coding.
The Patient Access Representative is responsible for the efficient registration of patients, including insurance verification and eligibility checks. They also provide secretarial and receptionist support while ensuring all incoming calls and visitors are handled promptly and courteously.
The coder is responsible for the accurate review of charges, entry of missing charges, and the coding of accounts. They must also perform chart reviews and assign DRGs and CPT codes according to established guidelines.
The HIM Coder II is responsible for reviewing electronic medical records to assign and sequence ICD-10-CM and ICD-10-PCS codes for inpatient, observation, and surgical accounts. The role also involves performing physician queries, managing claim edits and denials, and ensuring compliance with regulatory coding standards.
