The role involves evaluating the cost and quality of medical services to ensure appropriate utilization of hospital resources. The nurse will use clinical and analytical skills to interpret diagnostic results and determine the appropriate level of care based on Interqual criteria.
The nurse will evaluate the cost and quality of medical services to ensure appropriate utilization of hospital resources. They will use clinical and analytical skills to interpret diagnostic results and determine the appropriate level of care for patients.
The EHR Application II Analyst is responsible for configuring, testing, and maintaining Epic and other clinical applications to ensure system availability. They provide second-tier support to end users, resolve complex system issues, and collaborate with hospital leadership to facilitate system usage.
The Inpatient Coding Quality Auditor performs second-level coding audits and provides real-time education to ensure compliance with regulatory guidelines. They analyze audit findings to identify risk areas and develop educational materials to improve coding accuracy and reimbursement outcomes.
The Patient Access Representative facilitates the patient intake process by managing registration, scheduling, and insurance verification across multiple systems. They serve as the primary point of contact, ensuring accurate data collection while maintaining compliance with healthcare regulations and providing exceptional customer service.
The position involves performing data entry into trauma and emergency general surgery registries, including injury and procedural coding. Additionally, the role assists with data dictionary maintenance and internal reliability reporting.
The Clinical Triage Nurse provides direct telephonic care to patients by assessing their needs and directing them to the appropriate level of care. They also coordinate patient care using various software applications and collaborate with a multi-disciplinary healthcare team.
The Customer Service Specialist manages a high volume of inbound calls to facilitate patient healthcare needs, including scheduling and insurance inquiries. They are responsible for accurately documenting clinical and financial information within the electronic health record while maintaining patient privacy.
The specialist manages a high volume of inbound calls to facilitate patient healthcare needs, including scheduling appointments and verifying insurance. They also document clinical and financial information accurately within the electronic health record while maintaining patient privacy.
The Clinical Representative provides remote clinical support by managing medication refills, prior authorizations, and patient messages via the electronic health record. They also serve as the initial point of contact for high-volume inbound calls, facilitating patient care coordination and scheduling.
The specialist manages high-volume inbound calls to facilitate patient healthcare needs, including scheduling and insurance verification. They document clinical and financial information accurately within the electronic health record while maintaining patient privacy.
The Outpatient Coder III independently assigns diagnosis and procedure codes for ambulatory surgery encounters while ensuring regulatory compliance. They also collaborate with leadership and various departments to maintain the integrity of medical records.
The EHR Application Analyst III is responsible for planning, designing, testing, and maintaining Epic and other clinical applications. They manage complex configuration tasks, resolve advanced system issues, and facilitate collaboration between hospital leadership and technical teams.
The Senior Compliance Coordinator conducts reviews of specialty provider documentation to ensure billing accuracy and compliance with federal and state regulations. They also develop and present educational training materials to providers and staff regarding coding, documentation, and privacy policies.
The Inpatient Coder I is responsible for accurately assigning diagnosis and procedure codes for inpatient encounters while adhering to regulatory guidelines. They must also collaborate with departments like CDI and HIM to ensure the integrity of medical records and coding compliance.
The Senior Reimbursement Specialist is responsible for preparing and submitting third-party cost reports and other required financial filings. They also coordinate the third-party payer audit process and perform detailed financial and regulatory analyses.
Audit medical records and healthcare claims to assess documentation, coding, billing, and regulatory compliance, and coordinate departmental action plans. Support government audits, conduct appeals for post-payment denials, educate staff on compliance requirements, and identify risks and process improvements.
The Registered Nurse will monitor and analyze patient heart rhythms within a centralized system and communicate changes to bedside staff. They are responsible for admitting patients to the monitoring system and ensuring patient safety by calling codes when lethal rhythms are detected.
The specialist manages the full lifecycle of workers' compensation claims, from initial investigation to final resolution and settlement. They also serve as a subject matter expert, providing support to legal and occupational health departments while ensuring compliance with jurisdictional regulations.
The nurse provides after-hours triage services for pediatric patients by utilizing clinical guidelines and critical thinking to determine appropriate care plans. They also educate families on illness management and collaborate with interprofessional teams to ensure patient safety and quality care.
The Inpatient Coder II is responsible for accurately assigning diagnosis and procedure codes for inpatient encounters while adhering to regulatory guidelines. They must also analyze patient encounters, query providers for clarification, and collaborate with departments like CDI and HIM to ensure medical record integrity.
The EHR Application Analyst III is responsible for planning, designing, testing, and maintaining Epic and other clinical applications. They will manage complex build tasks, resolve advanced system issues, and facilitate collaboration between hospital leadership and technical departments.
The Enterprise Architect provides strategic leadership by translating business strategy into architecture principles, roadmaps, and lifecycle decisions. They guide and govern architectural coherence across the enterprise while collaborating with technical teams to ensure technology solutions meet business requirements.
The Enterprise Architect provides strategic leadership by translating business strategy into architecture principles, roadmaps, and reference architectures. They govern cross-domain alignment and collaborate with technical teams to ensure technology solutions meet long-term business requirements.
The Enterprise Architect provides strategic leadership by translating business strategy into architecture principles, roadmaps, and governance models. They collaborate with technical teams to develop current and future state architectures while mentoring solution architects and identifying technology change drivers.
