The Pharmacy Medication History Technician Specialist is responsible for remotely obtaining and compiling accurate home medication histories and allergy information for hospital admissions. They document this data in the electronic medical record and communicate discrepancies to providers and pharmacists to ensure patient safety.
The Coding Specialist is responsible for the accurate review, interpretation, and assignment of medical codes to support appropriate reimbursement and compliance. They collaborate with clinical teams and providers to ensure documentation integrity and resolve coding edits.
The role involves researching and updating coding documentation guidelines while developing and delivering educational training materials for staff. Additionally, the reviewer performs internal audits, analyzes coding metrics, and assists with external audit feedback sessions.
The Professional Coding Specialist is responsible for the accurate review, interpretation, and assignment of medical codes to ensure compliance and appropriate reimbursement. They collaborate with clinical teams and providers to resolve coding edits and maintain documentation standards.
The Contracting Analyst produces financial and statistical reports to support payer contract negotiations, modeling, and reimbursement structures. They also identify revenue opportunities, manage contract performance, and collaborate with clinical and financial leadership to ensure organizational goals are met.
The role coordinates academic departmental research activities, including budget planning, grant proposal development, and space management. It also facilitates communication between research administration, faculty, and hospital departments to ensure regulatory compliance and operational efficiency.
The Claims Follow Up Representative is responsible for reviewing, correcting, and appealing denied claims to ensure accurate reimbursement. They also analyze denial trends, maintain compliance with HIPAA guidelines, and communicate with internal departments and third-party payers to resolve adjudication delays.
The specialist is responsible for reviewing, correcting, and resubmitting denied medical claims to ensure accurate reimbursement. They also analyze denial trends and communicate with internal departments and third-party payers to resolve adjudication delays.
The employee will manage the follow-up process for outstanding and denied claims for a multi-specialty physician practice. Responsibilities include analyzing denial trends, correcting claims in the system, and communicating with third-party payers to resolve adjudication issues.
The role involves reviewing, correcting, and appealing denied medical claims while identifying denial trends to resolve payer errors. The incumbent will also communicate with internal departments and third-party payers to ensure accurate claim adjudication and maintain compliance with HIPAA guidelines.
The Applications Analyst provides analysis and programming to assist in the selection, implementation, and ongoing support of application software. They are responsible for designing, coding, testing, and maintaining software applications and interfaces to meet organizational needs.
The Principal Security Architect establishes and governs secure technology architecture across hybrid and multi-cloud environments while partnering with infrastructure and application teams. They lead architecture review activities, define security standards, and drive the remediation of security gaps across identity, network, and data platforms.
The Director is responsible for strategic planning, IT architectural development, and the management of information services across the health delivery system. They oversee system implementation, application development, and ensure that information services align with organizational goals and customer needs.
The professional is responsible for reviewing, correcting, and resubmitting denied medical claims to ensure accurate reimbursement. They must also analyze denial trends, maintain compliance with HIPAA guidelines, and communicate effectively with internal departments and third-party payers.
The Coding Specialist reviews outpatient clinical documentation to assign accurate ICD-10-CM and CPT codes while resolving claim edits. They also monitor uncoded reports and confer with physicians to ensure documentation supports the assigned codes.
Responsible for implementing ABA treatment plans and providing direct care to children aged 2-8+ in their homes. Duties include documenting patient progress, managing aggressive behaviors, and assisting with daily living activities.
Responsible for implementing ABA treatment plans and providing direct care to children aged 2-8+ in their homes. Duties include documenting patient progress, managing aggressive behaviors, and assisting with daily living activities.
