The AR Specialist is responsible for managing outstanding government and commercial healthcare insurance receivables, including resolving denials and following up on unpaid claims. They will interact with insurance plans, patients, and providers to verify eligibility, update demographics, and secure necessary documentation for claim resolution.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various professional fee specialties. They are responsible for interpreting coding guidelines, calculating E/M levels, and ensuring compliance with documentation and ethical standards.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various professional fee and facility specialties, with a specific focus on Interventional Radiology. Responsibilities include calculating E&M leveling, ensuring documentation compliance, and maintaining high productivity and quality standards.
The Coding Specialist will provide professional fee coding services for various specialties using CPT, HCPCS, and ICD-10-CM standards. Responsibilities include calculating E/M levels, coding inpatient charts, and ensuring compliance with ethical coding standards and documentation requirements.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various medical specialties. They are responsible for interpreting coding guidelines and ensuring documentation supports accurate code assignment and reimbursement.
The Coding Specialist will perform facility-based CPT and ICD-10-CM coding for emergency department charts to ensure accurate reimbursement. They are responsible for maintaining high productivity and quality standards while adhering to ethical coding guidelines and privacy regulations.
Educate, coach, and support physicians and clinical team members by developing and delivering engaging training content. Serve as a clinical subject matter expert and mentor while collaborating with clinical and operational teams.
The specialist will resolve hospital outpatient and professional fee denials while ensuring coding accuracy and revenue integrity. They will research payer policies, manage medical necessity edits, and maintain high productivity standards within an autonomous remote environment.
Manage the full recruitment lifecycle for clinical and non-clinical healthcare roles, including sourcing, screening, and offer facilitation. Partner with hiring managers to understand staffing needs while ensuring compliance with healthcare regulations and organizational policies.
The PMO Director leads a team of project managers to plan and execute cross-functional initiatives, including system integrations and operational process standardization. They serve as a strategic liaison across departments to ensure project alignment with organizational goals and provide executive-level reporting.
The Coding Specialist is responsible for accurately assigning CPT, HCPCS, and ICD-10-CM codes for various specialties including hospitalist and professional fee services. They must maintain high productivity and quality standards while ensuring compliance with ethical coding guidelines and privacy regulations.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for multiple specialties across various client facilities. They are responsible for calculating facility E/M levels, identifying critical care cases, and maintaining high quality and productivity standards.
The CDI Specialist collaborates with physicians and coding staff to improve the accuracy and completeness of clinical documentation. They perform chart reviews and issue queries to ensure valid DRG assignment and accurate reporting of patient outcomes.
Register patients and maintain accurate demographic, insurance, and electronic health record information while verifying eligibility and obtaining authorizations. Schedule appointments, collect patient payments, respond to inquiries, and follow HIPAA and clinic policies.
Register patients, maintain accurate demographic, insurance, and EHR records, verify insurance eligibility, obtain authorizations, and schedule or update appointments. Collect patient payments, respond to inquiries, direct requests appropriately, and follow HIPAA and clinic policies.
The Patient Services Representative manages patient registration, scheduling, and insurance verification while ensuring accurate financial transactions. They serve as the primary point of contact for patients, maintaining records and providing excellent customer service within the revenue cycle.
Register patients and maintain accurate demographic, insurance, and electronic health record information while verifying eligibility, obtaining authorizations, and scheduling appointments. Collect patient payments, respond to inquiries, and support revenue cycle operations while protecting patient confidentiality and providing excellent service.
Resolve complex unpaid or denied insurance claims by utilizing proprietary software, client systems, and carrier portals. Identify and report billing trends, perform financial account assessments, and manage medical record submissions.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various professional fee and facility specialties. They are responsible for interpreting coding guidelines, identifying documentation needs, and maintaining high productivity and quality standards.
The Clinical Reviewer performs comprehensive clinical reviews to validate medical necessity and documentation accuracy for prior authorization requests. They also support quality assurance initiatives and collaborate with cross-functional teams to ensure compliance with CMS and organizational standards.
Review, analyze, and code patient medical records according to client-specific guidelines and ICD-10-CM standards. Maintain high quality and productivity standards while ensuring compliance with privacy and security regulations.
The Insurance Specialist manages outstanding hospital-based insurance balances to ensure cash recovery goals are met. They are responsible for researching accounts, preparing appeals, and documenting actions within the Epic and Prism systems.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various specialties including surgery and observation facilities. They are responsible for maintaining high accuracy and productivity standards while ensuring compliance with ethical coding guidelines and privacy regulations.
The Coding Specialist will perform professional fee and facility coding across multiple specialties using CPT, HCPCS, and ICD-10-CM standards. They are responsible for accurately assigning diagnosis and procedure codes while maintaining high quality and productivity standards.
The Coding Specialist provides accurate CPT, HCPCS, and ICD-10-CM coding for multiple specialties and facilities. They are responsible for maintaining quality and productivity standards while ensuring compliance with privacy regulations and ethical coding practices.
The Coding Specialist provides accurate CPT, HCPCS, and ICD-10-CM coding for various medical specialties to support client reimbursement goals. They are responsible for calculating E/M levels, identifying critical care cases, and maintaining high quality and productivity standards.
The Director oversees the strategy, operations, and financial performance of the pre-bill DRG validation program while managing a multidisciplinary team of clinical and coding professionals. They act as the primary executive contact for clients, ensuring compliance, high-quality service delivery, and the achievement of revenue integrity goals.
The CDI Specialist collaborates with healthcare providers to improve the accuracy, completeness, and specificity of clinical documentation. They perform chart reviews and issue queries to ensure valid DRG assignment and accurate reporting of patient outcomes.
The specialist performs complex concurrent and retrospective medical record audits to validate coded data against official guidelines. They also develop and deliver educational content to clients based on audit findings to improve coding accuracy and compliance.
The Production Support Specialist maintains the operational integrity of internal business applications by troubleshooting issues and managing service requests. They are also responsible for system configuration, user access management, and monitoring automated processes to ensure system stability.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various medical specialties including primary care, trauma, neuro, and ortho. They are responsible for calculating ProFee levels, identifying critical care cases, and ensuring compliance with ethical coding standards.
Review, analyze, and code patient medical records to accurately capture diagnoses for HCC, RxHCC, and ESRD models. Maintain high quality and productivity standards while adhering to ICD-10-CM guidelines and privacy regulations.
The auditor is responsible for reviewing the accuracy of HCC and RxHCC coded records to ensure compliance with Medicare and ICD-10-CM guidelines. They will also provide feedback to coding team members and assist in the creation of training materials.
The HCC Coding Quality Specialist is responsible for auditing HCC coded records to ensure accuracy and compliance with Medicare and ICD-10-CM guidelines. They also provide feedback to coders, assist with training materials, and maintain high quality and productivity standards.
The Medical Director reviews clinical records and case files to ensure Medicare services comply with CMS regulations and clinical guidelines. They also lead peer-to-peer discussions with providers regarding prior authorization requests and drive quality improvement initiatives.
Review and analyze patient medical records to abstract ICD-10 codes specifically mapping to HCC, RxHCC, and ESRD models. Ensure compliance with Medicare guidelines, client-specific requirements, and privacy regulations.
The role focuses on auditing medical documentation for coding accuracy and performing root-cause analysis on insurance denials to maximize reimbursement. It involves collaborating with physicians to improve documentation specificity and ensuring compliance with medical coding guidelines.
Performs complex retrospective analysis of medical records to identify coding and billing errors while ensuring compliance with legal and procedural policies. Provides technical support, training, and quality assurance monitoring for internal coding staff to optimize reimbursement.
Perform accurate analysis of medical records to assign appropriate ICD-10, CPT, and HCPCS codes across multiple specialties. Maintain high quality and productivity standards while ensuring compliance with ethical coding standards and privacy regulations.
The Medical Director will assess the quality of clinical services provided to Medicare beneficiaries, ensuring compliance with clinical guidelines and regulations after mentored training. Daily work involves reviewing clinical records to ensure practices meet the highest standards of care and adhere to CMS policies.
CDI Specialists will collaborate with healthcare professionals to improve the quality and accuracy of clinical documentation. They will conduct chart reviews and issue queries to ensure compliance with documentation standards.
