Responsible for organizing and analyzing clinical data to support process improvement initiatives. Tasks include abstracting data into databases, generating outcome reports, and acting as an educational resource for the clinical data registry.
Support pre-award and post-award financial activities for clinical research departments, including oversight of research-related hospital and physician bills, revenue and expense accuracy, clinical trial modeling, and accounts receivable. Develop management reports, assist with research budget preparation and negotiation, and collaborate with research, entity, and Finance teams to provide insights for decision-making.
The associate serves as front-line support for the Patient Connection Center by pre-registering and scheduling moderately complex procedures. They are also responsible for coordinating multiple resources to facilitate patient services.
The associate serves as front-line support for the Patient Connection Center, handling pre-registration and scheduling for moderately complex procedures. They are responsible for coordinating multiple resources to ensure efficient patient services.
The associate serves as front-line support for the Patient Connection Center by reviewing hospital service accounts for completeness. They are responsible for verifying insurance, obtaining authorizations, and calculating patient financial liability prior to arrival.
Provide timely patient triage and clinical support by assessing needs, documenting care, coordinating with clinical teams, and scheduling visits as needed. Educate patients on care, medications, prevention, diet, exercise, and health promotion, and serve as a clinical resource for non-clinical contact center staff.
The RN provides timely and accurate patient triage, documentation, and coordination within a contact center setting. They also provide patient education on medications, health promotion, and preventative services while acting as a clinical resource for the team.
Answer incoming calls as front-line support for Piedmont Healthcare’s Patient Connection Center and resolve inquiries on the first call by determining the appropriate next steps. Pre-register and schedule patient encounters for provider services while delivering excellent customer service.
This role focuses on optimizing revenue cycle technology and Epic functionality to improve efficiency and automation. The specialist will plan and execute technical system implementations while providing ongoing support and training to end-users.
The Application Coordinator is responsible for the design, build, testing, and ongoing support of clinical and revenue cycle applications. They also provide tier III level support and collaborate with interdisciplinary teams to implement system configuration changes.
Review and analyze outpatient medical record documentation, then assign appropriate codes for medical, diagnostic, and procedural information. The primary coding areas are diagnostic/clinical, emergency room, recurring, and specimen patient types.
Assess providers’ education needs and develop and deliver training on coding, documentation, and billing for providers and coding and billing specialists. Conduct coding and data quality reviews, prepare reports, support audits and monitoring, and ensure coding activities comply with clinical billing standards and government regulations.
Review and code medical records for diagnostic and complex surgical procedures using ICD-10, CPT, and HCPCS codes, and accurately enter demographic and coding information. Review medical necessity, audit orders and claims for accuracy, prepare reports, and provide coding guidance to physicians and departmental staff.
Review medical records and code diagnostic and complex procedural information across medical and surgical specialties using ICD-10, CPT, modifiers, and HCPCS. Abstract accurate information, review medical necessity, audit orders and claims, prepare reports, and guide physicians and staff in resolving coding issues.
Audit and validate hospital coding and abstracted information for specified patient types, and educate coding staff on identified improvement areas. Support CDI staff with documentation, coding, and regulatory compliance education, and maintain hospital coding policies to improve quality and accuracy.
Review and analyze hospital outpatient medical record documentation, then assign appropriate codes according to coding guidelines and criteria. The primary coding focus is diagnostic and clinical, emergency room, recurring, and specimen patient types in an acute hospital setting.
Design, build, test, validate, and support Epic clinical or revenue cycle applications, including implementing approved configuration changes and providing periodic 24/7 on-call Tier III support. Collaborate with clinical and financial teams to design future-state workflows, configure Epic to support them, and maintain relationships with users across the organization.
The consultant is responsible for leading and facilitating revenue cycle operational effectiveness and performance improvement initiatives. They will scope projects, develop project plans, and conduct root-cause investigations to drive revenue opportunities and improve patient experiences.
The RN Appeals Writer is responsible for reviewing and analyzing clinical medical records to draft effective narratives for Medicare and Medicaid appeals. They also assist in research for beneficiary hearings and collaborate with legal resources to ensure optimal outcomes for denied cases.
The Application Coordinator is responsible for the design, build, testing, and ongoing support of clinical and revenue cycle applications. They also provide tier III support and collaborate with interdisciplinary teams to implement system configuration changes.
The manager will provide system-level oversight of utilization management activities. This includes ensuring effective review processes and managing professional staff.
The Application Coordinator is responsible for the design, build, testing, and ongoing support of Epic clinical or revenue cycle applications. They work with interdisciplinary teams to design future-state workflows and provide tier III support for the system.
Responsible for triaging Tier 2 clinical calls and resolving application issues for healthcare staff. Documents all troubleshooting steps and resolutions within the ticketing system while providing just-in-time training for clinical users.
Review, analyze, and assign accurate ICD-10-CM and CPT-4 HCPCS codes for outpatient medical records. Focus primarily on hospital outpatient surgery, wound care, and observation documentation.