The auditor will perform charge capture reconciliation audits to ensure compliance with health system policies and facilitate corrective action plans for non-compliant departments. They are also responsible for maintaining expertise in third-party billing regulations and analyzing charge data to support revenue integrity.
The Denials Management Supervisor analyzes, tracks, and prevents denials while collaborating across revenue cycle departments to ensure accurate reimbursement. They provide staff oversight, develop process improvements, and manage complex audits to optimize financial performance.
The Billing Specialist is responsible for managing pre and post-billing edits, generating and transmitting claims, and resolving billing-related issues to ensure optimal reimbursement. They must also monitor billing indicators, handle denials, and maintain accurate documentation in compliance with government and commercial regulations.
The Oncology Data Abstractor is responsible for reviewing medical records and abstracting cancer-related data to ensure compliance with national registry standards. They perform detailed research to determine staging and treatment information while maintaining accurate patient records for quality improvement and regulatory reporting.
The Lead Billing Specialist provides operational oversight and leadership to the billing team to ensure accurate, compliant, and timely claim submission. This role monitors performance indicators, identifies trends, and implements process improvements to optimize reimbursement and clean claim rates.
The analyst is responsible for the implementation, enhancement, and support of Epic Resolute Hospital Billing applications. Key duties include defining requirements, system configuration, testing, and providing ongoing support for end-user workflows.
The analyst is responsible for the implementation, configuration, and ongoing support of Epic Resolute Professional Billing software. They will collaborate with end users to define requirements, perform system testing, and manage defect patches and upgrades.
The Lead Code Edit Analyst provides operational leadership and technical oversight to the coding team to ensure compliant and efficient claims processing. This role monitors performance KPIs, conducts quality audits, and drives process improvement initiatives to optimize revenue integrity.
