Commence

The Arbiter is responsible for deciding payment disputes and jurisdictional issues by analyzing documentation and summarizing case facts. They must research federal and state laws, specifically the No Surprises Act of 2020, to draft defensible and accurate determinations.

The HSCRC Coding Reviewer performs compliance audits and clinical data abstraction to ensure accurate payment methodologies based on medical records. They are responsible for generating audit work papers, writing reports, and providing feedback to hospitals regarding audit findings.