The Claims Processor determines covered medical insurance benefits and resolves claims by approving or denying them. They are also responsible for documenting processes and ensuring compliance with company policies and federal regulations.
The specialist conducts concurrent and retrospective medical record reviews to ensure documentation accuracy and compliance with coding guidelines. They collaborate with healthcare providers to address documentation gaps and facilitate accurate risk capture for outpatient services.
The clinician will provide evidence-based trauma-informed intake evaluations and mental health treatment to older adults via telehealth or in-person settings. Additionally, the role requires active participation in individual and group clinical supervision to ensure quality care.
Assign accurate codes to diagnoses, procedures, and conditions documented in inpatient, outpatient, and emergency medical records. Follow official coding guidelines and the Health Information Management Department’s and MUSC’s approved policies and procedures.
The Process Owner leads optimization governance and collaborates with leaders to manage complex, integrated processes that support clinical system optimization. They are responsible for defining key performance indicators, reporting process metrics, and driving operational improvements through standard operating procedures.
The Care Coordinator facilitates health care delivery by identifying patients who need chronic care management and ensuring they meet clinical goals. They also coordinate care team communication, manage referrals, and address psychosocial barriers to care.
Integrate the perspectives of crime victims, survivors, and first responders into mass violence preparedness plans, response protocols, training, services, and informational products. Develop educational materials and provide consultation, training, and technical assistance to community leadership teams nationwide.
The role serves as the primary resource for clinical research metrics, reporting, analytics, and data visualization across the research enterprise. Responsibilities include developing dashboards, reconciling financial data, and providing system support for clinical trial management systems.
Lead projects and ePMO initiatives across academic, research, and healthcare portfolios, managing scope, schedules, budgets, resources, stakeholders, vendors, risks, and changes. Maintain project plans and documentation, report progress and metrics, support implementation and decision-making, and drive customer satisfaction and process improvements.
Coordinates the University’s contract lifecycle, including intake, record maintenance, review and redlining, approvals, electronic signature, and tracking through execution. Supports process improvements and training, maintains contract databases and dashboards, prepares reports, and facilitates communication among internal teams and external suppliers.
Process insurance claims accurately and on time, correct claim errors, maintain accounts, and resolve denied or unanswered claims through electronic billing systems, payer websites, and direct payer or patient contact. Research accounts, monitor payer rule changes, meet quality and productivity standards, and escalate slow-payment issues and operational trends to management.
The Senior Data Architect will lead the design and sustainability of an enterprise research data repository by integrating data from disparate systems across the research lifecycle. They will also partner with leadership to develop scalable data environments that support metric tracking, reporting, and continuous quality improvement.
The Digital Analytics Specialist manages the implementation, governance, and optimization of digital measurement tools across the organization's web ecosystem. They translate complex data into actionable insights to support patient acquisition, marketing effectiveness, and strategic decision-making.
The adjunct faculty will deliver asynchronous online instruction with an emphasis on artificial intelligence and digital tools while facilitating student engagement. They will also collaborate with program leadership to ensure curriculum alignment and provide mentorship to adult learners.
The analyst evaluates complex technical issues and drives value-based savings program results by identifying trends and insights from data. They lead projects, collaborate with operational leadership, and develop business analysis using vendor-supplied platforms like Epic Cogito.
The processor is responsible for researching, analyzing, and resolving undistributed and credit transactions within the Epic system. They must verify insurance and patient information while maintaining productivity and accuracy standards.
The Director of Ambulatory Nursing provides leadership over clinical staff across 100+ clinic locations to ensure centralized support and efficient operational processes. They are responsible for optimizing quality performance, developing clinical policies, and managing budgets while collaborating with senior leadership to achieve business results.
The specialist directs programs to evaluate the cost and consequences of drug therapy using pharmacoeconomic analyses to optimize medication use. They collaborate with clinical and population health teams to design economic models and support formulary decision-making.
The adjunct faculty will design and deliver high-quality graduate-level instruction for the MHA Online program while facilitating discussions and assessing student performance. They will also collaborate with program leadership to ensure course content remains evidence-based and aligned with accreditation standards.
This position coordinates industry-sponsored clinical research invoicing, billing, and reconciliation activities to ensure earned revenue is realized. It also provides training and guidance to study teams on the use of clinical trial management systems for financial tracking.
The adjunct faculty will deliver high-quality asynchronous online instruction and facilitate discussions for graduate-level healthcare quality and safety courses. They will also collaborate with program leadership to ensure curriculum alignment, provide student feedback, and mentor students on applied quality improvement projects.
The Social Worker coordinates the discharge process and performs patient assessments to ensure successful transitions and targeted health outcomes. They identify post-discharge risk factors and implement interventions to reduce the likelihood of undesirable events.
The provider will conduct virtual assessments for emergency department lobby patients and collaborate with on-site teams to relay critical information. They are responsible for assigning treatment locations, placing diagnostic orders, and ensuring high-quality clinical care and customer service.
Conduct monthly telephonic outreach to patients with chronic conditions to manage care plans and improve health outcomes. Coordinate services, monitor patient status, and document all interactions in the electronic health record for billing compliance.
Serves as a technical expert and lead resource for revenue cycle problem resolution and strategic planning. Develops internal policies, conducts research on sensitive matters, and recommends improvements to interdepartmental workflows.
Responsible for the accurate assignment of diagnosis and procedure codes for inpatient, outpatient, and emergency services. Ensures all coding adheres to official guidelines from the AMA, AHA, and AHIMA.
Conduct monthly telephonic outreach to patients with chronic conditions to manage care plans and improve health outcomes. Coordinate services, monitor patient status, and document all interactions in the electronic health record for billing compliance.
Acts as the primary liaison between executive leaders and Information Solutions to manage complex business and clinical domains. Responsible for workflow design, implementation, and facilitating organizational change across a multi-site health system.
Responsible for accurate code assignment of inpatient, outpatient, and emergency service diagnoses and procedures. Ensures all coding follows official guidelines from the AMA, AHA, and AHIMA.
The role involves evaluating and resolving complex technical issues for clinical applications while serving as a subject matter expert. The analyst will lead projects, maintain system updates, and provide educational plans to support operational end users.
The Data Engineer III provides expertise in resolving complex technical issues and serves as a subject matter expert for the analytics program. They lead projects, develop decision support tools, and facilitate communication to support organizational strategy and performance improvement.
The school clinical counselor provides assessment, counseling, education, and safety planning for patients while collaborating with the clinical and school teams. This role identifies treatment needs and risk factors to apply appropriate interventions and skill-building techniques.
