CPSI

The Coding Advocate abstracts clinical information from medical records to assign accurate ICD-10 and CPT-4 codes. They also manage coding databases, confirm DRG assignments, and maintain data for state reporting requirements.

Perform pre- and post-call analysis to follow up on insurance claims and resolve underpayments or denials. Ensure accurate documentation and compliance with HIPAA and billing procedures to convert denials into payments.

Acts as a liaison for hospitals and clinics to bill insurance companies and pursue the collection of all claims. Responsibilities include submitting claims, processing rejections, and managing denials to ensure maximum reimbursement.

Act as a liaison for hospitals and clinics to bill insurance companies for hospital-based and clinic services. Manage the full claims lifecycle, including submission, follow-up on unpaid claims, and resolution of billing errors.

Conduct compliance audits on medical billing functions to ensure adherence to federal, state, and payer-specific guidelines. Identify needs for corrective actions and provide guidance to staff regarding billing and coding compliance.

The CAH Biller is responsible for managing UB-04 claims in a Critical Access Hospital environment, focusing on Medicare cost-based reimbursement and ensuring claim accuracy. This includes preparing and submitting claims, resolving edits and denials, and collaborating with various teams to maintain compliance.

This role is responsible for driving new business growth, advancing early- and mid-stage deals, and serving as a trusted advisor to clients and internal sales teams across the portfolio. Key duties include sourcing and qualifying new business opportunities, supporting small-transaction sales, and acting as a mentor to junior analysts.

The Enterprise Account Executive acts as the primary commercial owner for an assigned territory, leading full-cycle sales activities including new business acquisition, renewals, cross-sell, and upsell opportunities across the TruBridge portfolio. This role involves developing territory plans, serving as a trusted advisor to clients, and collaborating closely with internal Business Units, Finance, Legal, and the Regional Business Development Executive to drive results.