Samaritan

The Clinical Informatics Specialist acts as a liaison between clinical areas and the IT department to manage the implementation and optimization of clinical systems. They are responsible for training staff, developing policies, and providing technical support to ensure efficient use of healthcare software.

The specialist coordinates and secures prior authorizations for hospital and clinic services, manages outgoing referrals, and ensures compliance with payer requirements to support patient care and reimbursement. This role acts as a liaison between providers, patients, payers, and internal departments to minimize denials and care delays.

The specialist coordinates and secures prior authorizations for hospital and clinic services, manages outgoing referrals, and ensures compliance with payer requirements to support patient care and reimbursement. This role acts as a liaison between providers, patients, payers, and internal departments to minimize care delays and documentation errors.

The Certified Medical Coder reviews medical records to apply appropriate diagnosis and procedure codes for billing, reporting, research, and compliance, ensuring accuracy according to official guidelines for ICD-10-CM/PCS, CPT, and HCPCS.