The RN Case Manager provides discharge planning and coordinates continuity of care between patients, families, and interdisciplinary healthcare teams. They utilize management techniques to ensure medical necessity and efficiency of healthcare services while facilitating payer authorizations.
Inova
16 Remote Job Openings at Inova
Implement and maintain EpicCare systems and databases to ensure optimum performance and workflow efficiency. Manage complex IT projects, facilitate system updates, and conduct technical reviews to meet business needs.
Responsible for the timely editing, submission, and follow-up of insurance claims across multiple payer types. Provides guidance to team members and resolves complex billing issues to ensure departmental productivity and quality standards.
The specialist is responsible for coding and reviewing medical records, specifically focusing on complex and simple surgeries and E/M assignments. They ensure billing accuracy through internal audits and communication with healthcare providers for documentation clarification.
Implements and maintains EpicCare systems and databases to ensure optimum performance and workflow efficiency. Manages complex IT projects, system enhancements, and technical reviews to meet business needs.
Responsible for the timely editing, submission, and follow-up of Medicaid and other payer claims to ensure accurate reimbursement. Provides guidance to team members and resolves complex billing issues in the absence of management.
The developer will design and develop BI content, data mapping, and governance processes to support internal leaders and external community organizations. They are responsible for creating interactive visualizations and maintaining community programs using tools like Epic and PowerBI.
Oversees the Epic Applications department by managing team performance, hiring, and implementing business strategies. Leads the development of detailed project plans and ensures technical accuracy and adherence to Epic standards.
Responsible for the timely editing, submission, and follow-up of Medicare and other payer claims to ensure accuracy and productivity. Provides guidance to team members and resolves complex billing issues in the absence of management.
Patient Financial Services Representative 4 - Customer Service (Bilingual)
Inova
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Full Time
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a month ago
Inova
Responsible for the timely editing, submission, and follow-up of healthcare claims across multiple payer types. Provides guidance to team members and resolves complex billing issues to ensure departmental productivity and quality standards.
Oversees the inpatient medical coding team, ensuring documentation compliance and quality standards are met. Analyzes coding trends, manages direct reports' performance, and resolves complex compliance issues.
The analyst implements and maintains EpicCare systems and databases to ensure optimum performance and business alignment. They manage complex IT projects, facilitate system updates, and conduct technical reviews to determine feasibility and cost.
The specialist is responsible for the design, architecture, installation, and maintenance of complex voice and video telecommunications systems. This includes managing VoIP and PBX systems, leading disaster recovery efforts, and providing high-level technical support for network issues.
Assign ICD-10-CM/PCS codes and Diagnosis Related Groups for inpatient medical records. Ensure accurate discharge dispositions, admission sources, and Present on Admission status indicators while meeting productivity and quality standards.
The role involves implementing and maintaining EpicCare systems and databases to ensure optimum performance and business alignment. It also includes managing complex IT projects, facilitating system updates, and conducting technical feasibility reviews.
The Director will lead and direct a specialized financial analytics team, driving outcomes to optimize the health system's financial performance through advanced data analysis and modeling. This role involves overseeing specialized projects, ensuring quality and deadlines are met, and mentoring analysts to provide strategic insights to decision-makers.