The specialist assesses medical documentation to accurately assign diagnosis and procedure codes while ensuring proper charge capture for hospital billing. They also facilitate clinical documentation improvements through query interaction to support accurate risk adjustment and revenue integrity.
The specialist is responsible for obtaining and updating authorizations for hospital-based services while verifying patient eligibility and benefits. They must also collaborate with various departments to ensure timely processing and accurate documentation of all payer interactions.
The Technical Data Analyst performs advanced, investigative analysis of raw data at the source-system level to support audit, compliance, and operational needs. They act as a bridge between raw data and business analytics by reconciling system differences and developing custom datasets for complex inquiries.
The radiologist will provide state-of-the-art diagnostic and interventional pediatric radiology services across the Nemours health system. Responsibilities include participating in multi-site conferences, shared worklists, and after-hours coverage.
The Professional Fee Abstractor is responsible for 100% charge capture by reviewing physician documentation and applying accurate medical codes. They must also manage EPIC charge review work queues and participate in physician education regarding documentation guidelines.
Ensure 100% charge capture by reviewing physician notes and assigning correct CPT and ICD-10 codes. Act as a liaison between providers and the billing office to resolve claim issues and provide coding education.
Provide 100% pediatric diagnostic imaging services as a remote nighthawk radiologist. Work in a paired overnight model to support multiple pediatric hospitals across several states.
The coordinator ensures compliance with research protocols, federal regulations, and ICH-GCP guidelines through internal monitoring and data review. They are also responsible for developing training programs and providing educational opportunities for clinical research associates.
