The Registered Nurse coordinates patient care delivery by assessing patient needs, developing individualized care plans, and implementing nursing interventions. The role also involves proactive patient outreach, coaching for self-management, and remote monitoring of patient alerts within a virtual call center environment.
The Coding Specialist III is responsible for assigning accurate diagnosis and procedure codes for inpatient encounters to ensure proper DRG assignment and reimbursement. They also provide guidance and coaching to other coding staff to maintain coding integrity and accuracy standards.
The Medical Practice Assistant provides patient-centered care and operational support to ensure smooth clinical flow and an optimal patient experience. Responsibilities include patient registration, data collection, health system navigation, and performing administrative tasks such as charge capture and cash collections.
The specialist reviews coding quality alerts and billing edits for various encounters, ensuring accuracy before final billing, and evaluates coding denials to identify areas for revenue cycle improvement. Responsibilities also include assigning appropriate diagnosis and procedure codes according to ICD conventions and guidelines, and assisting in resolving billing edits holding patient claims.
