The coder will review clinical documentation to accurately assign and sequence diagnostic and procedural codes for billing and reimbursement purposes. They will also abstract clinical data to ensure compliance with regulatory requirements and support data integrity through provider interaction.
The Accounts Receivable Specialist II is responsible for the timely collection of outstanding healthcare insurance receivables by verifying eligibility and researching denied claims. They also manage patient demographics, resolve payment discrepancies, and prepare technical appeals while maintaining compliance with HIPAA and other relevant regulations.
The Director of Analytics will lead the strategy, delivery, and continuous improvement of analytics and reporting capabilities while partnering with business leaders to drive data-informed decision-making. They are responsible for managing a team of analysts and developers, ensuring data integrity, and overseeing end-to-end analytics projects.
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 representative is responsible for accurately posting payments, adjustments, and write-offs to the billing system while managing insurance explanation of benefits. They also investigate unidentified cash, resolve misdirected payments, and ensure compliance with internal controls and company policies.
The Pro Fee Coder reviews clinical documentation to accurately assign and sequence diagnostic and procedural codes for billing and reimbursement. They also ensure data integrity by abstracting clinical information and maintaining compliance with regulatory and coding standards.
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 Registry Associate is responsible for abstracting oncology data with high accuracy and productivity while maintaining compliance with HIPAA and other regulatory standards. They participate in quality reviews, attend department meetings, and submit data to state and national cancer databases.
The Coder III reviews clinical documentation to assign accurate ICD-10 and CPT codes for inpatient and professional claims. They also validate MS-DRG and APC assignments while mitigating coding-related claims scrubber edits.
The Coder III reviews clinical documentation to assign accurate ICD-10 and CPT codes for inpatient and professional claims. This role also validates MS-DRG and APC calculations while mitigating coding-related claims scrubber edits.
The Medical Insurance Accounts Receivable Representative 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 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 Pro Fee Coder reviews clinical documentation to accurately assign and sequence diagnostic and procedural codes for billing and reimbursement. They also abstract clinical data to ensure compliance with regulatory requirements and support data integrity for healthcare providers.
The specialist is responsible for the timely collection of government and commercial healthcare insurance receivables by verifying eligibility and resolving denied claims. They must also conduct research on unpaid claims, prepare appeal letters, and maintain accurate documentation in compliance with HIPAA and other relevant regulations.
The Manager of Enterprise Applications will serve as the primary technical owner for platforms including Workday, Salesforce, and Freshworks while driving product roadmaps. They will also lead and develop a technical team of four while managing vendor relationships and cross-functional operational support.
The specialist will verify patient eligibility and insurance authorization while managing the research and resolution of unpaid or denied claims. They are responsible for maintaining accurate patient demographics and securing necessary medical documentation to facilitate successful claim payments and appeals.
The supervisor is responsible for the day-to-day management of a team, focusing on performance metrics, quality audits, and staff training. They act as a technical expert on denials and payer policies while collaborating with leadership to improve revenue cycle processes.
The Coding Specialist III reviews clinical documentation to assign accurate ICD-10-CM, PCS, and CPT codes for inpatient and professional claims. They also validate MS-DRG and APC calculations while mitigating coding-related claims scrubber edits.
Resolve patient healthcare accounts by negotiating payments and acting as a liaison between patients, clients, and government agencies. Perform daily account functions including researching, reconciling, and documenting encounters to optimize the revenue cycle.
The specialist reviews clinical documentation to assign diagnosis and procedure codes for inpatient hospital-based claims. They are also responsible for validating MS-DRG and APC calculations and mitigating claims scrubber edits.
Supervise a team of Accounts Receivable Specialists focusing on productivity, quality metrics, and performance improvement. Act as a technical expert in denials and payer policies while managing daily operations and staff training.
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.
Manage remote cancer registry operations, ensuring compliance with CoC and state standards for abstracting, case-finding, and reporting. Supervise registry staff, monitor productivity, and coordinate data submission to national and state databases.
Responsible for completing clinical data abstraction for reportable and non-reportable cancer sites according to CoC, SEER, and State Registry guidelines. This includes reviewing EMRs, tracking patient outcomes, and ensuring data accuracy within specialized medical software.
The Coder III is responsible for researching, reviewing, interpreting, and processing coding and billing charges specifically for Interventional Radiology (IR), Vascular, and Neurosurgery departments. This role involves performing charge capture, applying diagnoses and modifiers, and ensuring compliance with regulatory requirements like NCCI edits.
The Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding healthcare insurance receivables. This includes verifying eligibility, researching unpaid claims, and contacting payers to secure payment.
