The Supervisor of Utilization Management oversees daily department operations, ensuring appropriate staffing levels and educational opportunities for the team. They also manage performance, facilitate internal and external relationships, and ensure compliance with regulatory standards.
The Lead Collections Specialist supervises collection staff to ensure compliant and accurate performance of all collection activities. They also provide training, manage adjustments, and resolve problematic accounts to ensure timely billing and cash posting.
The CDI Education Specialist is responsible for developing and maintaining CDI training content, policies, and reference materials. They lead training sessions, assess staff comprehension, and serve as a subject matter expert on medical terminology and revenue cycle compliance.
The AI Enablement Manager leads the coordination, execution, and oversight of the organization's AI initiatives to ensure safe, compliant, and value-driven adoption. This role manages the AI governance framework, facilitates cross-functional collaboration, and monitors AI performance and risk across the enterprise.
Lead the architectural vision and strategy for data, AI, and automation domains to solve complex business challenges. Act as Product Owner for digital initiatives while ensuring technical standards align with enterprise goals and digital transformation.
Analyze ICD-10 codes and medical records to ensure alignment with official guidelines and determine accurate Diagnosis Related Groups (DRG). Abstract key data elements for billing and participate in performance improvement projects and system testing.
The Physician Office Coding Educator develops training content and conducts coding training for physician office staff. They ensure standardized training practices and provide input on policies and procedures.
Review electronic medical records to accurately assign ICD and CPT codes for hospital emergency room and ancillary services. Abstract key data elements for billing and participate in performance improvement projects and system testing.
Lead and mentor a data engineering team to build scalable data pipelines and models using a medallion architecture. Ensure seamless data integration across cloud and legacy systems to support enterprise reporting and analytics.
Develops and maintains corporate coding education materials, policies, and procedures for hospital outpatient staff. Leads training sessions, analyzes disease classifications, and oversees software system workflows and testing.
The Manager Cost Reporting reviews and prepares third-party cost reports and calculates monthly and annual reserves for all system facilities. This role involves monitoring DRG reimbursement changes and providing financial modeling and recommendations to leadership.
