The Medical Records Coder II is responsible for accurately coding primary and secondary diagnoses and procedures using ICD-10-CM and CPT-4 conventions to ensure optimal reimbursement. The role also involves coordinating the work of subordinate employees, conducting audits, and providing education on coding practices to clinical staff.
The Medication Access Specialist manages high-volume medication access requests, including prior authorizations and affordability programs, across multiple ophthalmology subspecialties. They are responsible for documenting all actions in Epic, coordinating with clinical teams, and ensuring patients receive timely access to prescribed treatments.
The specialist will implement compliance programs, conduct internal audits of provider documentation, and educate staff on government regulations. They are responsible for identifying coding and billing risks while collaborating with physicians to improve documentation and compliance capabilities.
The Consultant, IT serves as the BI platform and strategy lead, defining governance, standards, and long-term analytics strategy for the PRMO. This role provides advanced technical guidance to the team and partners with executive leadership to shape high-impact analytical initiatives.
The Medical Coder Specialist performs primary diagnosis and procedural coding for surgical specialties while acting as a liaison for clinical documentation improvement. They provide real-time feedback and education to providers to ensure accurate coding compliance and revenue optimization.
The HIM Supervisor coordinates and monitors daily workflows, standards, and team goals while supervising and training staff within the HIM department. They also collaborate with internal departments to ensure the integrity of electronic health records and meet key performance metrics.