Supports the management, maintenance, and troubleshooting of network infrastructure while assisting in the implementation and optimization of network systems. Collaborates with senior engineers and IT teams to ensure reliable connectivity and provides day-to-day technical support.
Verify insurance coverage, benefits, and patient responsibility; accurately document findings and insurance priorities in the EPIC patient billing system. Obtain and document required pre-certifications and prior authorizations, and communicate or correct insurance system issues according to departmental guidelines.
The Patient Financial Specialist performs financial assessments and interviews patients to ensure accurate demographic and insurance information for revenue cycle optimization. They also facilitate the collection of payments and coordinate with external agencies to secure appropriate payor sources for patient care.
Manages and maintains supply chain contract files, data, and systems to ensure price accuracy and maximize contract penetration. Facilitates contract negotiations, monitors supplier performance, and collaborates with clinical staff to drive cost-saving initiatives.
The Financial Project Analyst manages financial components of managed care contracts and supports contract negotiations. They also provide financial modeling and analysis to assist in achieving the company's strategic and budgetary goals.
Reviews medical records to identify documentation opportunities and ensure accurate representation of patient severity and quality metrics. Collaborates with providers and coding departments to facilitate complete and accurate clinical documentation.
The role involves leading coding teams, performing prebill and second-level coding audits, and ensuring accurate DRG and ICD code assignment. Additionally, the auditor will mentor staff, manage work queues, and collaborate with clinical documentation teams to resolve coding issues and denials.
The analyst monitors daily charge capture, revenue reconciliation, and work queues to ensure compliant documentation and revenue integrity. They also advise departmental staff on charge code usage and collaborate with IT and revenue cycle teams to resolve billing issues.
Abstract and validate CPT, ICD-10, and HCPCS codes from medical records for assigned providers and specialties, following coding, compliance, and payer guidelines. Resolve pre-billing edits and coding concerns, communicate billing issues, and support education and training for providers and coding team members.
The Ambulatory Coder III is responsible for abstracting and validating medical codes for inpatient, outpatient, and clinic settings while ensuring compliance with billing guidelines. They also serve as a subject matter expert, mentor team members, and resolve pre-billing edits to improve overall billing accuracy.
Responsible for validating, reviewing, and assigning accurate CPT, ICD-10, and HCPCS codes for various medical settings. Communicates with providers to resolve coding issues and participates in billing process improvements.
The Trauma Registry Analyst is responsible for the abstraction, entry, and coding of complex clinical data to support trauma program verification and quality improvement initiatives. They ensure data accuracy and compliance with national and state trauma standards while identifying trends and complications for performance reporting.
The Trauma Registry Analyst is responsible for the accurate abstraction, entry, and coding of trauma patient data to support clinical quality and research initiatives. They ensure compliance with state and national trauma standards while performing data validation and reporting to improve patient care outcomes.
Leads and manages complex pharmacy systems and special projects to ensure successful delivery within scope, quality, and schedule constraints. Collaborates with cross-functional teams to evaluate operational workflows and implement process improvements that enhance clinical performance.
The Pharmacist-System Specialist leads and manages pharmacy projects and systems to ensure they meet quality, schedule, and cost constraints. They also evaluate operational workflows and develop process improvement initiatives to enhance productivity and clinical performance.
The Ambulatory Coder III is responsible for abstracting and validating medical codes for inpatient, outpatient, and clinic settings while ensuring compliance with billing guidelines. They also serve as a subject matter expert, mentor team members, and resolve pre-billing edits to improve overall billing accuracy.
Codes medical information into billing systems using established regulatory guidelines for inpatient records, including major traumas and NICU cases. Collaborates with clinical documentation specialists to ensure accurate DRG assignment and compliance with coding policies.
The Ambulatory Coder III is responsible for abstracting and validating CPT, ICD-10, and HCPCS codes for various healthcare settings while ensuring compliance with billing guidelines. They also serve as a subject matter expert, mentor team members, and resolve pre-billing edits to improve overall billing accuracy.
Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes across various healthcare settings. Serves as a subject matter expert for the ENT specialty and mentors other coding team members.