Abstract and interpret clinical information from medical records, track oncology cases from diagnosis through treatment and follow-up, and enter accurate data into national registries and internal databases. Maintain a workflow of five cases per day and collaborate with oncology leadership and multidisciplinary teams to support quality initiatives and reporting compliance.
The referral coordinator manages the authorization and referral process for various medical services by working with patients, physicians, and insurance companies. They are responsible for verifying eligibility, obtaining prior authorizations, and documenting all status updates within the system.
The coordinator manages the Ongoing and Focused Professional Practice Evaluation processes to ensure practitioner performance meets regulatory and accreditation standards. They also collaborate with medical staff leadership and quality teams to analyze performance data and support survey readiness activities.
The Compliance Auditor will conduct clinical and revenue-focused audits to ensure documentation accuracy and regulatory compliance across hospital service lines. They will also collaborate with leadership to identify process inefficiencies and implement corrective action plans to mitigate organizational risk.
The Physician Coder reviews clinical documentation to accurately assign ICD-10-CM and CPT-4 codes for physician services. They ensure coding compliance with state and federal regulations while resolving documentation discrepancies.
The Senior Coder is responsible for applying accurate ICD-10 and CPT-4 codes across various specialties and surgical procedures while ensuring compliance with regulatory guidelines. They also serve as a subject matter expert to provide guidance on complex coding scenarios and new procedural techniques.
The Business Systems Manager oversees application strategies, operational support, and project initiatives for enterprise systems like Workday and UKG. This role ensures system stability, drives optimization and automation, and manages application teams to support organizational goals and high-quality patient care.
Facilitate the improvement of clinical documentation quality, completeness, and compliance through collaboration with physicians and clinical staff. Conduct initial and concurrent reviews to ensure documentation accurately supports assigned DRG and patient outcomes.
Perform in-depth compliance audits to ensure adherence to local, state, and federal regulatory guidelines. Prepare and share detailed audit reports with physicians, clinical leadership, and revenue cycle teams.
The APRN will consult with patients to diagnose conditions, order and analyze diagnostic tests, and develop treatment strategies including medication management. Additionally, the role involves participating in clinical research and advocating for policies that support the needs of elderly patients.
The analyst is responsible for loading and maintaining managed care and government contracts within the Epic system. They will validate reimbursement functionality and collaborate with stakeholders to ensure accurate contract implementation and compliance.
The APRN consults with patients to diagnose conditions and prescribe treatment strategies, including medications. They may also engage in medical research and advocate for policies benefiting elderly patients.
