The Coding Specialist is responsible for providing accurate CPT, HCPCS, and ICD-10-CM coding for various professional fee and facility specialties. They must ensure compliance with coding guidelines, maintain high productivity and quality standards, and protect confidential patient information.
The Coding Specialist will perform CPT, HCPCS, and ICD-10-CM coding for various specialties, including professional fee and facility chart types. They are responsible for calculating E/M levels, identifying critical care cases, and ensuring accurate code assignment while maintaining high productivity and quality standards.
The Patient Communications Representative is responsible for managing medical account receivables by contacting patients to secure payments or establish arrangements. They must also provide customer service, resolve account issues, and ensure all activities comply with federal and state 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 developer will be responsible for performing development tasks as a contingent worker. They must complete the onboarding process through the Workday HR system.
The CDI Specialist collaborates with healthcare providers to improve the accuracy, specificity, and completeness of clinical documentation. They perform medical record reviews to ensure valid DRG assignment and appropriate severity of illness and risk of mortality reporting.
The Coding Specialist is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for professional fee and facility services. They must maintain high productivity and quality standards while ensuring compliance with ethical coding guidelines and privacy regulations.
The Medical Reimbursement Specialist is responsible for resolving outstanding insurance balances through research, follow-ups, and appeals. They will also perform maintenance on Medicare claims and ensure patient accounts are monitored for accurate payment.
The recruiter will manage the full recruitment lifecycle for clinical and non-clinical healthcare roles, including sourcing, screening, and offer facilitation. They will also partner with hiring managers to provide consultative support and ensure all recruitment activities comply with healthcare regulations.
The Project Manager oversees the coordination and completion of revenue cycle healthcare projects within scope and on time. They are responsible for establishing deadlines, monitoring progress, managing project risks, and maintaining comprehensive documentation.
The auditor is responsible for performing DRG (Diagnosis Related Group) audits to ensure accurate medical coding and billing. This role involves reviewing clinical documentation to verify the appropriateness of assigned codes.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various medical specialties. They are responsible for calculating outpatient E/M levels and ensuring compliance with ethical coding standards and documentation requirements.
The Inpatient Coding Specialist is responsible for providing accurate ICD-10, CPT, and HCPCS coding for multiple specialties and facilities. They must maintain high quality and productivity standards while ensuring compliance with coding guidelines and privacy regulations.
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 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 coordinator will manage peer-to-peer calls with medical directors and document case information in proprietary systems. They will also support various departmental functions including case entry and appeals while maintaining strict confidentiality.
The coordinator will manage payer communications to schedule and follow up on Peer to Peer calls while documenting case information in proprietary systems. They will also support various departmental functions including case entry and appeals support while maintaining strict confidentiality.
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 role involves managing medical records as part of a contingent worker process. Responsibilities include entering information into the Workday HR system.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for multiple specialties across various client facilities. They are responsible for maintaining high quality and productivity 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 E/M levels, identifying critical care cases, and maintaining high quality and productivity standards.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various professional fee specialties. Responsibilities include calculating E/M levels, identifying critical care cases, and ensuring compliance with documentation and ethical coding standards.
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 Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for professional fee and facility charts across various specialties. They are responsible for calculating E/M levels, identifying critical care cases, and ensuring compliance with coding guidelines and ethical standards.
The Claim Review Specialist performs complex concurrent and retrospective audits of hospital inpatient and outpatient claims to ensure coding accuracy and documentation compliance. They also provide coding education to clients, analyze claim data for revenue cycle improvements, and prepare detailed audit reports.
The DRG Appeals Nurse performs comprehensive reviews of inpatient medical records to validate DRG assignments and clinical documentation. They are responsible for formulating professional, fact-based appeal response letters to address payer denials within specified timeframes.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various specialties while maintaining high quality and productivity standards. They are responsible for calculating E/M levels, identifying critical care cases, and ensuring compliance with ethical coding standards and privacy regulations.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various professional fee specialties, specifically focusing on radiology diagnostic services. They are responsible for interpreting coding guidelines, ensuring documentation compliance, and maintaining high productivity and quality standards.
The Coding Specialist is responsible for accurately assigning ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes to outpatient facility and professional fee charts. They must maintain high standards of coding accuracy and compliance while meeting productivity targets.
The Supervisor manages a team of coding professionals to ensure accurate diagnosis and procedure code assignment while maintaining client service level agreements. They also drive client meetings, resolve coding issues, and collaborate with internal teams to improve products and services.
The Manager of Coding Solutions oversees coding workflows, optimizes revenue cycle processes, and manages a team of coding staff to ensure accuracy and compliance. They are responsible for performance management, executive reporting, and collaborating with various departments to improve coding products and services.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various specialties including professional fee and facility charts. They are responsible for maintaining high accuracy and productivity standards while ensuring compliance with ethical coding guidelines and privacy regulations.
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 Data Analyst is responsible for loading client chargemaster data into databases using SQL and Excel while validating results for accuracy. The role also involves answering client inquiries, managing project tasks, and collaborating with the Financial Analytics team to support pricing projects.
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.
The Coding Specialist will provide accurate CPT, HCPCS, and ICD-10-CM coding for various specialties while maintaining high productivity and quality standards. They are responsible for interpreting coding guidelines, identifying documentation needs for reimbursement, and ensuring compliance with privacy and ethical 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 Senior Business Systems Analyst acts as a liaison between business stakeholders and the technical team to manage project lifecycles and enhancement requests. They are responsible for gathering requirements, creating technical specifications, and overseeing testing processes to ensure effective system performance.
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.
Perform complex concurrent and retrospective medical record audits to validate coded data against official guidelines. Develop and deliver educational content to clients based on audit findings to improve coding accuracy and compliance.
Perform concurrent clinical case reviews to establish appropriate admission status and provide recommendations to client hospitals. Identify process improvements and inefficiencies while interacting with attending physicians to ensure compliance and appropriate payment.
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.
