The Data Integrity Specialist maintains an accurate Master Patient Index and coordinates chart corrections within the electronic medical record. They analyze and resolve data issues across multiple applications to ensure the integrity of patient demographic and clinical data.
The Patient Account Representative is responsible for auditing billing charges, managing accounts receivable, and resolving medical claim denials. They also handle patient billing inquiries, payment posting, and coordinate financial assistance.
The Charge Audit Specialist is responsible for obtaining, submitting, and tracking authorizations for Radiation Oncology procedures and imaging. They must coordinate closely with clinical teams to navigate complex payor coverage policies and time-sensitive treatment plans.
This position manages the System HIPAA privacy program and chairs the System Privacy Committee to ensure regulatory compliance. The role also involves developing privacy education initiatives and implementing the System Ethics and Compliance Program across the organization.
Provides IT support for Epic applications, including system build design, documentation, and end-user training. Collaborates with subject matter experts to develop test plans and ensure system integrity for Revenue Integrity and Charge Management users.
The Reimbursement Coordinator verifies payor eligibility, insurance benefits, and obtains precertifications for billing purposes. They also manage point of service collections and interact with patients, payors, and medical offices.
Review medical record documentation for lower acuity inpatients to assign appropriate ICD-10-CM, ICD-10-PCS, and DRG codes. Responsibilities include abstracting pertinent data and querying clinical providers to ensure billing and regulatory compliance.