The Coder II is responsible for accurately abstracting medical record information and assigning Profee codes using ICD-10-CM, CPT, and HCPCS guidelines. They also perform charge reconciliation and manage denials to ensure compliance with third-party payer and NCCI policies.
The Registered Nurse will coordinate care and provide disease management for enrolled members to improve health outcomes. They will collaborate with physicians and interdisciplinary teams to develop patient-centered care plans and ensure compliance with regulatory standards.
The Project Manager III oversees the IT components of large-scale construction projects and enterprise-level initiatives using Waterfall or Agile methodologies. This role involves strategic leadership, stakeholder and vendor management, and mentoring junior project managers to ensure project delivery within scope and budget.
This role is responsible for modernizing analytics and streamlining reporting assets from legacy systems to Epic native reporting and Tableau. The incumbent will maintain reporting environments, collaborate with data architects, and ensure high-quality, actionable data delivery.
The specialist will draft, review, and manage physician contracts within the Icertis platform to ensure legal and regulatory compliance. They will also collaborate with internal stakeholders and provide training to users to maintain accurate contract records.
Reviews health record documentation to accurately assign primary and secondary diagnoses, procedures, and MS-DRGs for inpatient billing. Collaborates with physicians and Clinical Documentation Specialists to ensure documentation accuracy and compliance with coding guidelines.
Develop design solutions that integrate with existing products and ensure secure architectures. Act as a consultant in diagnosing application failures and developing strategies that provide value to key customers.
