The auditor evaluates the accuracy and quality of medical records by conducting routine and targeted audits to ensure adherence to coding guidelines and regulatory standards. They also provide constructive feedback to coding staff, identify trends for process improvement, and support organizational compliance and revenue integrity.
The supervisor oversees the Revenue Cycle Team by delegating tasks, monitoring performance, and ensuring compliance with policies and procedures. They also manage customer contracts, identify denial trends, and coach team members to improve financial outcomes and operational efficiency.
The Manager, Coding leads a team to ensure accurate and timely medical record coding while maintaining compliance with healthcare regulations and internal standards. They are responsible for team development, performance management, and streamlining coding workflows to support precise billing and reimbursement.
The Facets Configuration Analyst is responsible for designing, configuring, testing, and maintaining the Facets core claims processing system. They collaborate with stakeholders to translate business requirements into system configurations that support health plan administration and claims processing.
Configure and maintain provider reimbursement and pricing structures within the TriZetto Facets and NetworX platforms. Collaborate with cross-functional teams to translate provider contract terms into accurate system configurations for claims adjudication.
The Epic HB/PB Analyst will work closely with customers to implement deliverables and ensure project success. Responsibilities include mentoring, documenting outcomes, and maintaining project plans for Epic go-lives and upgrades.
The role involves transforming care, technology, and operations to improve healthcare for patients and providers. Candidates will work alongside a team to tackle meaningful challenges and contribute to impactful projects.
The role involves working closely with customers to implement deliverables and outcomes, serving as an Epic liaison, and ensuring project success. Responsibilities also include mentoring customer counterparts and documenting measurable outcomes.
The role involves working closely with customers to implement deliverables and outcomes, serving as a liaison between IT and operations groups, and mentoring customer counterparts. Additionally, the analyst will create and maintain project plans, evaluate current-state processes, and document measurable outcomes.
The Director of Revenue Cycle Transformation leads a team in managing client engagements and ensuring successful project implementations. This role also involves business development and maintaining strong relationships with C-suite clients.
