The RN Medication Management role is responsible for reviewing and assessing patient medication refill requests by evaluating patient charts. They collaborate with patients, providers, and pharmacies to ensure that refill requests follow proper medication protocols.
The coordinator manages complex non-clinical denials by understanding payer requirements and the appeal process to secure payment. They also identify root causes of denials and provide solutions to leadership for prevention and training purposes.
The Coding Auditor performs quality and integrity reviews of coding data to ensure compliance with ICD-10, CPT, and governmental guidelines. They also manage external audits and DRG billing denials by writing appeals and defending coded data based on provider documentation.
The eICU Registered Nurse provides continuous tele-nursing and vigilance for critically ill patients across multiple hospital ICUs. They utilize clinical decision support to provide proactive monitoring, early intervention, and patient advocacy.
The telehealth cardiologist will provide virtual consults for facilities across Illinois, including critical access and rural hospitals. The role involves managing patient care through the Epic EMR system on a 7-on, 7-off schedule.
The Coder assigns accurate ICD-CM/PCS and CPT/HCPCS codes to diagnoses and procedures for billing and statistical purposes. They work closely with the revenue cycle team to ensure appropriate reimbursement and compliance with coding guidelines.
The psychiatrist will oversee the Behavioral Health Partial Hospitalization and Intensive Outpatient programs by conducting psychiatric and psychological assessments. They will provide ongoing weekly care for patients while working collaboratively with on-site therapists and nurses.
The Managed Care Strategist develops and negotiates managed care agreements while managing payer relationships across the health system. They collaborate with leadership to ensure effective contract implementation and resolve operational challenges related to payers.
The Lead Coding Specialist oversees the coordination of accurate and compliant medical coding to ensure adherence to governmental and third-party payer policies. They serve as a coding expert for the revenue cycle division and provide support for coding quality and productivity standards.
The Digital Care Medical Assistant is responsible for handling non-acute triage clinical calls and providing care to patients in various environments. They work collaboratively with patients, caregivers, providers, and nurses to ensure patient care needs are met.
