The Clinical Data Abstractor is responsible for collecting, validating, and reviewing patient-level clinical data to support national quality initiatives and registries. They also translate clinical documentation into actionable data and collaborate with stakeholders to improve clinical care outcomes.
Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes for various healthcare settings while adhering to compliance guidelines. Acts as a subject matter expert, mentors team members, and resolves pre-billing edits to ensure accurate revenue cycle management.
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.
The representative is responsible for accurate and timely follow-up on billed accounts receivable, including managing denials and payer variances. They must collaborate with internal departments and external payers to resolve payment issues and ensure account resolution.
The specialist performs data analysis and interpretation of hospital accounts to resolve denials, non-payments, and overpayments. They are responsible for billing, follow-up with government payers, and ensuring all activities comply with HIPAA and regulatory standards.
The Registered Nurse conducts post-discharge outreach calls to assess patient recovery, medication adherence, and understanding of discharge instructions. They coordinate follow-up care, schedule appointments with primary providers, and escalate potential complications to the clinical team.
The lead developer will design, test, and deploy complex Workday integrations, dashboards, and system enhancements while providing technical leadership. They will also collaborate with business users and vendors to ensure system solutions meet organizational needs and support ongoing maintenance.
The auditor performs routine and specialty reviews of medical coders to ensure accuracy and compliance with official guidelines. They also provide training, assist in preventing coding denials, and present findings to leadership.
The Epic Analyst is responsible for analyzing workflows, configuring Epic application content, and implementing solutions to meet departmental needs. They also provide end-user support, participate in training delivery, and ensure system functionality through thorough testing and documentation.
Reviews medical records to ensure accurate documentation of patient severity, risk of mortality, and hospital quality metrics. Collaborates with providers and coding departments to facilitate precise code assignment and documentation completeness.
Performs operational and financial analysis to evaluate managed care projects and ensure contract performance and compliance. Resolves reimbursement issues and maintains relationships with managed care organizations while providing education to staff and providers.
Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes across inpatient, outpatient, and clinic settings. The role involves serving as a subject matter expert, resolving pre-billing edits, and mentoring other coders.
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.
The Pharmacist-System Specialist leads and manages projects and systems to ensure successful delivery within defined constraints. They collaborate with various teams to enhance operational productivity and performance.
Responsible for coding medical information into billing systems using ICD and ICD-PCS guidelines for inpatient records, including NICU and major traumas. Ensures accurate DRG assignment and validates documentation for complications, comorbidities, and quality indicators.
Lead the analysis and development of Epic Radiant modules to meet clinical and business requirements. Oversee system upgrades, manage project timelines, and mentor junior analysts while serving as the primary technical liaison for vendors.
