Logan Health

Develop and implement strategic initiatives to expand air and ground ambulance services through proactive outreach and partnership building. Collaborate with internal quality teams and represent EMS programs at community events to improve regional access to emergency care.

Design, develop, and maintain application and data integrations to ensure secure and efficient data flow across clinical and operational systems. Collaborate with stakeholders to build data pipelines, optimize API connections, and resolve integration issues.

The role involves accurately assigning ICD-10-CM and CPT-4 codes to outpatient records and abstracting clinical data for reimbursement and reporting. Responsibilities include reviewing medical records for deficiencies, ensuring medical necessity, and coordinating with providers to ensure adequate documentation.

The specialist is responsible for processing insurance claims, monitoring payment statuses, and investigating rejections or denials to ensure financial health. They also handle appeals, refund requests, and maintain accurate patient account documentation.