The Revenue Integrity Liaison leads complex revenue integrity initiatives and analyzes professional billing workflows to drive enterprise-wide performance improvements. They also provide targeted education to providers and departments while monitoring performance metrics to identify opportunities for revenue cycle optimization.
The Case Manager evaluates the medical necessity and appropriateness of healthcare services while coordinating with interdisciplinary teams and payors to secure authorizations. They also monitor utilization patterns, ensure regulatory compliance, and advocate for patient care needs to optimize financial outcomes.
The specialist will perform complex professional coding across multiple specialties and settings while ensuring documentation alignment and correct modifier usage. They are also responsible for resolving coding-related denials and identifying root causes to improve future billing accuracy.
Independently performs complex professional coding across multiple clinical specialties and healthcare settings. Resolves coding-related edits and denials while ensuring documentation alignment and compliance with payer policies.
Provide technical support and maintain the EHR system, including troubleshooting, updates, testing, and configuration to support approved healthcare workflows. Collaborate with clinicians, administrators, IT teams, and vendors, while documenting system configurations and building strong relationships with customers and facility leadership.
Collect, validate, and analyze healthcare quality, safety, and patient experience data, and develop and maintain dashboards, reports, and analytic products. Interpret performance trends, support regulatory reporting, and partner with quality and operational stakeholders to turn findings into actionable improvement insights.
The Clinical Documentation Specialist reviews inpatient medical records to ensure accurate, complete, and compliant clinical documentation. They collaborate with providers and interdisciplinary teams to improve documentation related to patient conditions, severity of illness, and risk of mortality.
The auditor ensures accurate and compliant inpatient facility coding through pre-bill and retrospective reviews of coder work. They also provide targeted education to staff to improve documentation quality and consistency across the organization.
Lead the design, implementation, and maintenance of the Enterprise Data Platform and Information Architecture Framework. Collaborate with clinical and administrative stakeholders to deliver scalable, secure data solutions and governance protocols.
Design, develop, and implement integrations between Epic and third-party applications using Corepoint and Epic Bridges. This includes documenting data flows, troubleshooting interface issues, and collaborating with vendors and clinical staff.
The analyst is responsible for the development, support, and optimization of the Epic Beaker EHR system to improve healthcare workflows. They serve as a primary point of contact for resolving complex technical issues and providing mentorship to junior analysts.
