The RN is responsible for obtaining prior authorizations for medications and procedures by coordinating with insurance companies, patients, and healthcare providers. They also document approval statuses and resolve denial issues to ensure patients receive necessary care.
The role involves assigning facility charge codes and modifiers for emergency department records to ensure optimum reimbursement. It also requires monitoring accuracy metrics and coordinating with medical staff to obtain necessary documentation.
Oversees day-to-day financial operations, including revenue cycle management, provider compensation, and budget preparation. Acts as the primary financial contact for the division and coordinates workload among other financial coordinators.
The Coding Auditor - Professional is responsible for auditing coding assignments and training coding staff. They interact with various medical staff to ensure appropriate documentation and coding quality.
