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.
The Registered Nurse will coordinate care and provide disease management for enrolled members to improve health outcomes. They will collaborate with an interdisciplinary team to develop patient-centered care plans and ensure compliance with regulatory standards.
Supports the design, administration, analysis, and governance of executive compensation and benefit programs. Partners with internal and external stakeholders to ensure programs are market competitive, compliant, and aligned with organizational priorities.
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.
Accurately abstract information from medical records to assign professional codes in compliance with established guidelines. Perform charge reconciliation and manage accounts receivable and denials for professional charges.
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.
