The Utilization Review Nurse develops and implements individualized care plans while coordinating care across the continuum to ensure optimal patient outcomes. They also manage patient alerts, perform triage, and document all workflows within the EPIC system to maintain quality standards.
The Team Lead oversees daily operations for the Run Squad, including queue management, workload distribution, and service quality. They are responsible for coaching analysts and maintaining strong partnerships across Revenue Cycle operations, Epic, and IT leadership.
The Senior Collector is responsible for the accurate and timely submission of professional insurance claims and the management of electronic billing files. They also serve as a mentor to billing staff, identify process improvements, and ensure compliance with state and federal healthcare billing regulations.
Assign accurate diagnostic and procedural codes and determine MS-DRG or APR-DRG classifications for inpatient records across multiple specialties, while supporting other coding functions as needed. Review documentation and charges, resolve coding issues, communicate with clinical teams, and meet established quality and productivity standards.
The posting does not provide specific duties for the RN Clinical Educator Intake Coordinator role. It describes LCMC Health’s care-focused culture and notes that responsibilities may change to meet organizational needs.
The Charge Integrity Coordinator oversees charge review workflows, audits clinical documentation, and resolves complex charge-related issues to ensure revenue accuracy. This role acts as a subject-matter expert, collaborating with clinical and financial departments to maintain regulatory compliance and optimize charge capture processes.
The Senior Business Intelligence Developer will manage and develop reporting solutions related to healthcare surveys and rankings. This role involves analyzing complex data sets to support organizational performance and strategic decision-making.
The Coding Educator Auditor coordinates coding audits and education functions while managing coding work queues for inpatient and outpatient services. They provide feedback to staff, develop educational programs, and ensure compliance with regulatory requirements and coding standards.
The Lead Inpatient DRG Coder is responsible for accurately coding complex inpatient and outpatient records while mentoring and training coding staff. They ensure compliance with coding guidelines, validate charges, and facilitate communication between clinical staff and documentation specialists.
The Coding Educator Auditor coordinates coding audits and education functions while managing work queues for inpatient, outpatient, and ambulatory services. They provide coding feedback, develop educational programs, and ensure compliance with regulatory requirements and documentation standards.
The specialist reviews and validates patient charges against clinical documentation to ensure billing accuracy and regulatory compliance. They collaborate with coding and clinical departments to resolve discrepancies and identify trends to prevent revenue leakage.
