The coder is responsible for accurately assigning CPT, ICD-10-CM, and HCPCS codes to medical diagnoses and procedures across various specialties. They also collaborate with billing teams to resolve denials and ensure compliance with regulatory guidelines.
Assigns ICD-10-CM, CPT, and HCPCS codes for various specialty service accounts and abstracts key data for billing and regulatory purposes. Collaborates with providers to clarify documentation and resolves claim edits to ensure compliant billing.
The specialist is responsible for following up on outstanding insurance claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity standards.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity standards within the revenue cycle.
The coder is responsible for applying appropriate classification standards to medical records and assigning accurate ICD-10-CM/PCS codes for diagnoses and procedures. They must also resolve documentation discrepancies through provider queries and perform quality assessments to ensure coding accuracy.
The Manager of Accounts Receivable oversees hospital billing, collections, and reimbursement processes to optimize revenue cycle performance. They lead a team of specialists, monitor financial metrics, and implement strategies to reduce denials and improve cash flow.
The Director leads the daily operations of healthcare finance and reimbursement, focusing on cost reporting, regulatory compliance, and financial analysis. They provide technical leadership, develop reimbursement strategies, and partner with stakeholders to ensure accurate financial performance and process improvement.
The Outpatient Coder is responsible for assigning ICD-10-CM codes and abstracting key data elements from medical records to ensure accurate billing and quality reporting. They also communicate with providers to clarify documentation and resolve claim edits to maintain compliant billing practices.
The SDS coder is responsible for reviewing medical records for same-day surgical procedures and assigning accurate diagnostic and procedural codes. They must also perform quality assessments, resolve documentation discrepancies, and ensure compliance with coding guidelines.
The Emergency Department Coder is responsible for accurately coding and abstracting diagnoses and procedures from medical records to ensure optimal reimbursement and quality reporting. They also communicate with providers to clarify documentation and resolve claim edits to maintain compliant billing.
The Coding Manager provides strategic and daily operational management for client coding services, ensuring productivity and quality standards are met. This role involves managing on and offshore resources, mentoring staff, and maintaining positive relationships with clients and internal stakeholders.
The coder is responsible for reviewing medical records to determine appropriate billing codes and investigating payer denials to perform necessary charge corrections. They will also draft appeal letters and collaborate with facility liaisons to resolve reimbursement issues.
The Follow Up Specialist is responsible for resolving denied or unpaid insurance claims by researching, correcting, and resubmitting them through various portals and communication channels. They must also identify denial trends and coordinate with other departments to ensure accurate claim processing and revenue recovery.
The Follow Up Specialist is responsible for resolving denied or unpaid insurance claims by researching, contacting carriers, and submitting appeals. They will also identify denial trends and coordinate with other departments to ensure accurate claim processing.
The coder is responsible for assigning ICD-10-CM and CPT/HCPCS codes to medical records to ensure accurate reimbursement and quality reporting. They also communicate with providers to clarify documentation and resolve claim edits to maintain billing compliance.
The specialist is responsible for following up on outstanding insurance claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity standards.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity and quality standards.
The Manager, Clinical Value Analysis leads evidence-based evaluations of clinical products to ensure alignment between patient safety, clinical outcomes, and financial goals. This role facilitates Value Analysis Committees and collaborates with cross-functional teams to drive standardization and cost-effective solutions.
The Billing Specialist manages daily billing operations, ensuring the accuracy of claims and compliance with insurance policies and regulations. They resolve claim edits, reconcile patient accounts, and collaborate with internal departments to address billing disputes and improve cash flow.
The Team Lead manages daily coding operations, monitors team efficiency, and ensures service-level agreements are met for assigned clients. They also provide mentorship to staff, oversee quality reviews, and collaborate with internal departments to improve processes.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity and quality standards.
The Billing Specialist manages daily billing operations, ensuring accurate claim submissions and resolving claim edits in compliance with insurance policies. They also reconcile patient accounts, address outstanding balances, and collaborate with internal departments to improve organizational cash flow.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity standards.
The specialist will investigate, analyze, and resolve technical claim denials and contractual underpayments to maximize revenue for hospital clients. They will also document findings, identify trends, and collaborate with internal teams to prevent future revenue leakage.
The specialist is responsible for following up on outstanding insurance claims to resolve obstacles and accelerate cash collections. They also manage appeals for denials and document account activity within the company's workflow tools.
The Patient Account Resolution Specialist serves as the primary point of contact for patients, managing inbound and outbound calls to resolve account balances and billing inquiries. They are responsible for maintaining accurate records, meeting collection goals, and ensuring high-quality customer service through effective problem-solving.
The Coding Supervisor coordinates daily coding operations, monitors team productivity and accuracy, and ensures compliance with regulatory standards. They also perform direct coding for various specialties and provide mentorship and training to coding staff.
The Specialist will resolve denied or unpaid insurance claims by researching, correcting, and resubmitting them through various portals and communication channels. They are also responsible for identifying denial trends and coordinating with other departments to ensure proper claim handling.
The Billing Specialist is responsible for managing daily billing, ensuring the accuracy of claims, and resolving billing edits in compliance with insurance policies. They also collaborate with internal departments to address account disputes and assist in reducing accounts receivable days.
The Revenue Cycle Consultant will manage projects to enhance revenue and drive cost reductions while leading workflow redesign and process improvement initiatives. They will also analyze operational trends and implement data-driven solutions to optimize revenue cycle performance.
The Billing Specialist is responsible for managing charging, billing, collections, and cash management functions for rural and facility-based healthcare settings. This role involves resolving claim errors, performing follow-ups on unpaid claims, and mentoring staff on complex billing scenarios.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activities, write appeals for denials, and maintain productivity and quality standards.
The Client Operations Representative manages day-to-day client workflows, including accounts receivable management and issue resolution. They act as the primary liaison between clients and internal departments to ensure seamless service delivery and accurate reporting.
Review medical records to determine appropriate billing codes and handle advanced coding and appeal activities for denied claims. Collaborate with clinical staff and facility liaisons to resolve reimbursement issues and ensure timely filing of appeals.
Provide strategic and operational financial leadership across multiple client hospitals to drive performance and operational efficiency. Partner with hospital executives to manage budgeting, forecasting, and revenue cycle performance within a shared services model.
Review medical records to determine appropriate billing codes and manage the appeal process for denied claims. Collaborate with facility liaisons and clinical staff to resolve coding issues and ensure accurate reimbursement.
The Coding Manager provides strategic and operational management for assigned clients, overseeing both on-shore and off-shore coding resources. Key duties include monitoring productivity and quality standards, managing SLAs, and implementing process improvements to enhance efficiency.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity and quality standards.
The Interim CEO will provide administrative oversight to all business, administrative, and executive functions of the hospital, subject to the governing board's policies and ultimate authority. Key duties include developing short and long-range administrative and financial plans, overseeing department heads, and managing contract negotiations.
The Inpatient Coder will review hospital patient medical records to assign accurate diagnostic or procedural codes (ICD-10-CM/PCS, DRGs) for proper reimbursement and compliance. Responsibilities include applying classification standards, submitting provider queries for documentation discrepancies, and performing quality assessments of records.
