Analyzes medical records to accurately assign diagnostic and procedural codes in accordance with national guidelines. Abstracts clinical information into electronic medical records and ensures compliance with regulatory standards.
The Coding Educator develops and coordinates training materials for Health Information Management staff and providers to ensure accurate documentation and coding. They also conduct skill assessments, provide technical support for information systems, and ensure compliance with regulatory standards.
The Healthcare Scheduler is responsible for managing inbound and outbound calls to schedule, reschedule, and cancel patient appointments across various medical departments. They must also verify insurance information, obtain necessary authorizations, and provide patients with pre- and post-test instructions to ensure a seamless experience.
The Director is responsible for the strategic leadership, engineering, and operational management of enterprise cloud and infrastructure platforms. This role drives cloud adoption, infrastructure modernization, and ensures the reliability, security, and cost-efficiency of cloud-enabled delivery capabilities.
The Health Services Assistant verifies insurance eligibility, conducts outreach to members post-discharge, and coordinates care referrals. They also manage patient data, facilitate appointment scheduling, and bridge communication gaps between patients and the clinical team.
The Data Scientist I provides data and analytic support by working with large databases and applying quantitative methodologies to produce data-driven solutions. They collaborate with stakeholders and functional teams to improve business outcomes and troubleshoot complex data issues.
Performs complex professional coding for specialty physician practices by analyzing medical records and assigning accurate diagnostic and procedure codes. Mentors less experienced staff and ensures compliance with national coding guidelines and regulatory requirements.
The Senior Systems Specialist supports reporting, analytics, system administration, and application support functions within the Supply Chain organization. This role acts as a liaison between business users and IT teams to improve operational efficiency and support strategic decision-making.
The coordinator manages the intake, investigation, and resolution of member and provider grievances, appeals, and claim disputes. They ensure all actions comply with regulatory timelines and maintain accurate documentation within the CRM system.
The role involves managing complex IT vendor relationships, negotiating high-value contracts, and driving operational efficiencies. The analyst will also develop metrics and KPIs while collaborating with finance and legal teams to ensure compliance and cost-effectiveness.
The Major Incident Coordinator manages the operational response to critical IT service disruptions by monitoring systems and maintaining accurate incident documentation. They also support operational readiness and ensure adherence to established processes during and between high-severity incidents.
The Registered Dietitian provides comprehensive nutrition assessments, evidence-based education, and personalized care plans for members via telephonic and video visits. They collaborate with an interdisciplinary team to monitor patient progress and contribute to program initiatives and quality improvement activities.
The DevOps Engineer III will analyze, design, configure, and support PaaS solutions, integrations, and processes to improve operational efficiency. They will also develop tools to automate production support and ensure systems are properly instrumented for monitoring and management.
The Director of Accounting Operations supervises daily financial accounting, reporting, and general ledger maintenance for specific business segments. They are responsible for leading a team, ensuring regulatory compliance, and coordinating with business-line finance staff.
The specialist manages claims and litigation documentation, including medical records and evidence, to support the organization's self-insurance program. They coordinate with outside counsel on discovery, legal holds, and subpoenas while ensuring compliance with state and federal regulations.
The representative serves as the first point of contact for patients, managing administrative intake, registration, and insurance verification. They are also responsible for financial counseling, generating patient estimates, and ensuring accurate documentation within the electronic health record system.
The analyst is responsible for the day-to-day management, vendor coordination, and cybersecurity compliance of laboratory medical device instrumentation. They also design system specifications, create technical documentation, and provide strategic guidance for clinical application projects.
Evaluates medical records to assign accurate clinical diagnosis and procedure codes following national guidelines. Collaborates with providers to clarify documentation and ensures compliance with regulatory agencies like CMS and OIG.
The intern will expand their knowledge of healthcare practices and procedures by participating in various projects and work teams. Responsibilities include performing research, preparing reports, and providing service to internal and external customers.
The intern will expand their knowledge of healthcare practices by participating in various projects and work teams. Responsibilities include performing research, preparing reports, and providing service to internal and external customers.
Evaluates medical records to assign accurate clinical diagnosis and procedure codes following national guidelines. Collaborates with medical providers to clarify documentation and ensures compliance with regulatory agencies like CMS and OIG.
Lead accessibility efforts for digital products by establishing standards, conducting audits, and providing expertise to Scrum teams. Collaborate with cross-functional teams to ensure digital experiences are inclusive and compliant with accessibility laws.
Evaluates medical records to provide clinical and surgical abstraction for complex cardiology professional services. Ensures accurate diagnostic and procedural coding in compliance with national guidelines and reimbursement requirements.
