The Eligibility Specialist serves as a patient advocate by conducting screenings and guiding patients through complex financial assistance applications for programs like Medicaid and Medicare. They manage high caseloads, coordinate with hospital staff and agencies, and ensure accurate documentation to secure coverage for patients.
The Pro Fee Coder reviews clinical documentation to accurately assign and sequence diagnostic and procedural codes for billing and reimbursement. They also abstract clinical data and act as a resource for client staff to ensure data integrity and compliance with coding practices.
Review clinical records and assign and sequence ICD-10 and CPT/HCPCS codes for designated patient types, ensuring accurate billing, reimbursement, and regulatory compliance. Abstract clinical data, validate APC or Evaluation and Management coding as applicable, and support clients and providers with coding clarification and compliant practices.
Review clinical records and assign and sequence ICD-10 and CPT/HCPCS codes for designated patient types, supporting accurate billing, reimbursement, and regulatory compliance. Abstract clinical data, validate APC or Evaluation and Management coding as applicable, and assist clients and providers with coding clarification and compliant practices.
The Pro Fee Coder reviews clinical documentation to assign and sequence diagnostic and procedural codes for billing and reimbursement purposes. They also perform documentation assessments to ensure accurate abstracting of clinical data and compliance with regulatory requirements.
Review clinical records and documentation, assign and sequence ICD-10 and CPT/HCPCS codes, and abstract clinical data to support accurate billing, reimbursement, and regulatory compliance. Validate APC assignments or Evaluation and Management codes as applicable, and support client staff and providers with coding clarification and compliant practices.
The manager will oversee complex clinical denials and lead efforts to improve revenue cycle performance for healthcare clients. They are responsible for problem-solving and delivering services that support financial results and patient care.
The AR Specialist is responsible for the timely collection of government and commercial healthcare insurance receivables. This includes verifying patient eligibility, researching denied claims, and communicating with payers to resolve payment issues.
The Billing Specialist II is responsible for the timely submission of technical or professional medical claims to insurance companies. They must utilize hospital systems to verify patient information, perform compliant billing functions, and resolve claim rejections.
The auditor is responsible for reviewing claims and payment information to identify potential underpayments and trends. They must analyze data to remove false positives and collaborate with team members to pursue lost revenue.
The Coding Specialist III reviews clinical documentation to assign accurate ICD-10 and CPT codes for inpatient and physician claims. They also validate MS-DRG and APC assignments while mitigating coding-related claims scrubber edits.
Code same-day surgery, observation, and emergency department records, including injections and infusions. Handle some recurring records.
The Accounts Receivable Specialist II is responsible for the timely collection of outstanding government or commercial healthcare insurance receivables. This includes verifying patient eligibility, researching denied claims, and communicating with payers to resolve payment issues.
Review clinical records and documentation, assign and sequence appropriate diagnostic and procedural codes, and abstract clinical data for billing, reimbursement, and compliance. Validate APC assignments or Evaluation and Management codes as applicable, support client staff with coding clarification and queries, and maintain confidentiality and current coding knowledge.
Follow up on government and commercial healthcare insurance receivables by researching unpaid or denied claims, contacting payers, resolving billing and payment issues, and preparing technical appeals. Verify eligibility and authorizations, update account information, obtain required documentation, and follow applicable compliance and confidentiality requirements.
Review clinical records and assign and sequence ICD-10 and CPT/HCPCS codes for designated patient types, ensuring accurate billing, reimbursement, and compliance. Abstract clinical data, validate APC or evaluation and management coding as applicable, and support clients with coding clarification and compliant practices.
Collect outstanding government and commercial healthcare insurance receivables by researching unpaid or denied claims, contacting payers, and submitting reconsiderations and appeals. Verify eligibility and authorizations, obtain required medical documentation, update account information, and follow claim deadlines, confidentiality rules, and productivity expectations.
Conduct inpatient coding audits for facility reporting and provide education to clients, coders, and providers based on audit findings. Analyze results to identify trends and improvement opportunities while maintaining current coding knowledge, confidentiality, and professional client service.
The Pro Fee Coder reviews clinical documentation to assign and sequence diagnostic and procedural codes for billing and reimbursement purposes. They also abstract clinical data to ensure compliance with regulatory requirements and support accurate APC calculations.
The AR Specialist is responsible for the timely collection of government and commercial healthcare insurance receivables. This includes researching denied claims, submitting appeals, and verifying patient eligibility and authorization.
The coder is responsible for reviewing clinical documentation to assign and sequence diagnostic and procedural codes for facility inpatient records. They also validate MS-DRG calculations and ensure accurate abstracting of clinical data to meet regulatory and billing requirements.
The coder reviews clinical documentation to accurately assign and sequence diagnostic and procedural codes for facility inpatient records. They also validate MS-DRG calculations and abstract clinical data to ensure regulatory compliance and billing accuracy.
The coder is responsible for reviewing clinical documentation to accurately assign and sequence diagnostic and procedural codes for facility inpatient records. They also validate MS-DRG calculations and abstract clinical data to ensure regulatory compliance and support billing accuracy.
The coder is responsible for reviewing and submitting 64 encounters per day, including evaluation and management, procedures, and hospital services. They must also collaborate with providers to discuss coding guidelines and resolve documentation issues.
The Coding Specialist III reviews clinical documentation to assign accurate ICD-10 and CPT codes for inpatient and professional claims. They also validate MS-DRG and APC calculations while mitigating coding-related claims scrubber edits.
The Accounts Receivable Specialist II is responsible for managing healthcare insurance receivables, including verifying patient eligibility and resolving denied or unpaid claims. They must also conduct research on EOBs, prepare appeal letters, and ensure compliance with healthcare regulations like HIPAA.
The Lead HIM Technician oversees daily health information management operations, including chart processing, workflow coordination, and quality audits. They also serve as a subject matter expert to support team training, development, and departmental process improvements.
The Billing Specialist is responsible for the timely submission of technical or professional medical claims to insurance companies. They must also research and resolve billing rejections and utilize provider billing manuals to ensure compliance.
The specialist is responsible for the timely collection of outstanding government or commercial healthcare insurance receivables. They must research unpaid or denied claims, verify patient eligibility, and communicate with payers to secure payments.
The AR Specialist will research and resolve denied or unpaid claims by contacting payers and securing necessary medical documentation. They are responsible for updating patient demographics, verifying eligibility, and adhering to state and federal appeal guidelines.
The Project Coordinator oversees coding audit projects by establishing timelines, monitoring team progress, and ensuring client understanding of audit findings. They also provide mentorship to auditors, perform quality reviews of reports, and support the growth of coding audit services.
The role involves reviewing documentation to assign ICD-10-CM and CPT codes for hospital and physician-based claims. Responsibilities include validating APC calculations, abstracting clinical data, and mitigating claims scrubber edits.
