The Oncology Data Specialist will identify, code, and abstract cancer cases while ensuring data accuracy in accordance with accreditation standards. They will also collaborate with team members to support cancer research and program development.
Conduct comprehensive audits of professional fee inpatient and outpatient coding to ensure accuracy, compliance, and reimbursement integrity. Provide constructive feedback, coaching, and education to coding professionals while monitoring quality trends and identifying root causes of errors.
The Collections Specialist manages an assigned accounts receivable portfolio by investigating payment delays and resolving unpaid pharmacy and infusion claims. They are responsible for evaluating denials, preparing appeals, and coordinating with internal staff to ensure accurate reimbursement.
Review multispecialty encounter documentation and assign appropriate diagnoses, CPT charges, and applicable modifiers. Maintain required productivity rates and meet high-quality coding standards.
Perform comprehensive audits of inpatient and outpatient medical records to ensure accurate code assignment and regulatory compliance. Develop actionable audit reports and provide education to coding staff to improve documentation quality and performance metrics.
The Professional Fee Rural Health Clinic Coder is responsible for accurately coding professional services across clinic visit encounters. They must apply E/M, ICD-10-CM, CPT, modifiers, and HCPCS Level II codes while meeting quality standards.
The Authorization Representative is responsible for initiating, submitting, and tracking prior authorization requests across various payers while verifying patient eligibility and benefits. They also manage concurrent reviews, handle denials and appeals, and maintain accurate documentation within the EHR system to ensure revenue integrity.
The coder will review medical charts to assign accurate CPT, HCPCS, and ICD-10 codes for primary care encounters. They are responsible for maintaining high-quality coding standards while meeting productivity expectations of 12-15 charts per hour.
The Validation Coder performs secondary reviews of coded medical records to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes. They identify coding discrepancies, documentation gaps, and provide feedback to maintain quality and compliance standards.
Conduct comprehensive audits of professional Emergency Department coding to ensure accuracy in E/M leveling, procedure coding, and regulatory compliance. Collaborate with coding teams and providers to communicate findings, provide actionable feedback, and support quality improvement initiatives.
The Inpatient Facility Coder is responsible for reviewing medical documentation and assigning accurate ICD-10-CM, ICD-10-PCS, and CPT codes. They must also abstract clinical data while maintaining high standards of productivity and compliance with coding regulations.
The coder is responsible for accurately assigning ICD-10-CM and CPT-4 codes for Emergency Department outpatient encounters. They must maintain production minimums, ensure data integrity, and stay updated on client-specific coding policies.
The professional coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes to ensure documentation integrity and regulatory compliance. They review clinical documentation to support appropriate reimbursement and minimize claim denials in outpatient and professional settings.
The professional coder is responsible for accurately assigning medical codes to physician services to ensure documentation integrity and compliance. They review clinical documentation to support appropriate reimbursement and minimize claim denials.
The coder will review provider documentation to apply accurate CPT, ICD-10, and modifier codes for OBGYN, Urology, and Primary Care specialties. They are responsible for working through EPIC work queues to resolve charge reviews, claim edits, and post-bill denials.
The coder is responsible for reviewing medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes for orthopedic surgical procedures. They must ensure compliant charge capture and maintain high standards of coding accuracy and productivity.
The Pharmacy Intake Specialist manages the end-to-end prescription referral process, including data entry, insurance verification, and coordination with healthcare providers. They serve as a primary liaison to ensure accurate documentation and timely fulfillment of patient prescriptions while maintaining strict HIPAA compliance.
The Billing Specialist is responsible for the accurate preparation, review, and submission of medical and pharmacy claims across various infusion and specialty pharmacy services. They must monitor claim transmission, resolve rejections, and collaborate with internal teams to ensure successful reimbursement outcomes.
The role involves performing comprehensive inpatient coding audits to ensure regulatory compliance and quality standards. Additionally, the lead will manage daily audit operations, mentor staff, and prepare performance metrics for leadership.
Perform professional fee coding for internal medicine outpatient and clinic encounters. Ensure accurate assignment of CPT, modifiers, and ICD-10 codes while meeting productivity and quality standards.
