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 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 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 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 Coding Specialist reviews inpatient medical records to assign accurate ICD-10 and DRG codes while ensuring compliance with official coding guidelines. They also identify documentation gaps to query physicians and maintain productivity and quality standards for health information reporting.
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.
The Cancer Registrar Tech Specialist abstracts information from medical records to maintain a computerized cancer registry database. They also prepare reports, monitor patient follow-up, and ensure compliance with regulatory standards.
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.
The Senior Analyst serves as a strategic partner to leadership, providing operational and financial analysis for clinical service lines. They are responsible for driving business planning, monitoring budgets, and implementing initiatives to improve revenue and efficiency.
The Trauma Registrar is responsible for the accurate collection, abstraction, and entry of clinical data for trauma patients into the TraumaOne database. They ensure compliance with ACS, Joint Commission, and NTDB standards through precise coding and data validation.
The specialist reviews outpatient clinical documentation to assign accurate ICD-10-CM and CPT codes while ensuring documentation supports the assignments. They are responsible for resolving claim edits and collaborating with physicians for clarification to maintain productivity and quality standards.
Manages the administrative, financial, and regulatory aspects of research clinical trials, including contract and budget negotiations with pharmaceutical sponsors. Conducts staff training on Medicare coverage and monitors post-award expenses and revenue to ensure program sustainability.
Coordinates credentialing processes for primary care providers, including medical licensing, insurance carrier applications, and hospital privileges. Maintains provider profiles in databases and collaborates with billing departments to resolve payment issues related to credentialing.
The clinical pharmacist is responsible for the remote interpretation, evaluation, and dispensing of medication orders while collaborating with multidisciplinary teams to ensure safe and cost-effective therapy. They also oversee pharmacy technicians and participate in quality improvement and medication management initiatives.
