Processes paper and electronic claims to payers to ensure accurate and timely reimbursement while preventing denials. Manages assigned work queues and collaborates with internal and external stakeholders to optimize billing operations and revenue cycle quality.
The physician will work within the Radiology department at St Josephs Medical Center. Responsibilities include providing diagnostic radiology services and participating in shift rotations as required.
The Senior Inpatient Coder reviews clinical documentation to assign accurate ICD-10-CM/PCS codes and DRGs for complex inpatient accounts. They collaborate with clinicians and the integrity team to ensure documentation accuracy and assist with coding denial prevention.
The representative manages and resolves high volumes of patient accounts by acting as a primary liaison for billing, insurance, and financial assistance inquiries. They perform routine account analysis, follow up on delinquent accounts, and implement action plans to resolve patient financial responsibilities.
Educate and support physicians and advanced practice providers on clinical documentation and coding, including E/M, CPT, ICD-10, and HCC diagnoses. Conduct concurrent inpatient record reviews, provide feedback, analyze data, and lead improvement projects to strengthen documentation accuracy and related DRG, case-mix, severity, risk, and reimbursement outcomes.
The Senior Revenue Integrity Analyst manages enterprise charge configuration, Epic build integrity, and chargemaster governance to ensure accurate revenue cycle operations. They collaborate cross-functionally to prevent denials, monitor charge capture performance, and implement systemic corrections to optimize financial outcomes.
