The coordinator ensures hospital and professional charges are captured accurately and compliantly within 24 hours of service. They also collaborate with clinical and IT teams to reconcile billing errors and implement process improvements.
The representative is responsible for managing health information operational functions to ensure the completeness, integrity, and privacy of medical records. They perform daily deficiency monitoring, conduct chart audits, and support revenue cycle workflows to meet regulatory requirements.
The specialist is responsible for managing patient registration, verifying insurance eligibility, and collecting financial obligations within the revenue cycle. They also provide price estimates, educate patients on financial options, and mentor staff while maintaining compliance and privacy standards.
Assign and abstract accurate diagnosis, procedure, and service-level codes for outpatient visits and related accounts using ICD-10-CM, CPT-4, and HCPCS. Resolve coding, medical necessity, documentation, and charge capture discrepancies; support timely billing, reimbursement, compliance, and quality through research and provider communication.
The Coder 2 analyzes clinical documentation to assign accurate diagnosis and procedure codes while resolving charge capture discrepancies. They utilize electronic coding software to ensure optimal reimbursement and maintain compliance with regulatory standards.
The analyst will lead the configuration, testing, and maintenance of Epic Cadence and Referrals applications to meet business and clinical needs. They are responsible for troubleshooting production issues, performing root-cause analysis, and mentoring staff on technical methodologies.
The Financial Analyst supports pharmacy services financial performance through data analysis, financial reporting, and contract evaluation. They are responsible for validating reimbursement, reconciling claims, and identifying revenue and cost trends to provide actionable recommendations to leadership.
The Lead Application Analyst serves as a technical and operational lead for the Epic Billing Claims team, balancing hands-on application configuration with team mentorship and project coordination. They are responsible for ensuring team adherence to SDLC methodologies, facilitating issue resolution, and partnering with stakeholders to drive optimal system performance.
The Director of Revenue Cycle Management provides leadership for inpatient and outpatient coding operations to ensure financial health and operational excellence. This role oversees strategic planning, performance metrics, compliance, and staff development to optimize revenue cycle efficiency.
The RN Advisor independently triages patient calls regarding symptoms, medications, and test results using established protocols. They are responsible for assessing patient needs, providing education, and ensuring efficient care management while maintaining high customer satisfaction.
The RN Advisor independently triages patient calls regarding symptoms, medication refills, and test results using established nursing protocols. They are responsible for assessing patient needs, providing education, and ensuring efficient care management while maintaining high customer satisfaction.
