The representative is responsible for resolving credit account balances by coordinating with insurance companies and patients to ensure accurate claim adjudication. They also perform daily payment posting, document discrepancies, and prepare refunds to maintain manageable accounts receivable.
Performs daily billing and follow-up activities for government and non-government accounts to ensure accurate revenue cycle operations. Provides training and guidance to colleagues while resolving billing discrepancies and investigating payment delays.
The representative performs daily billing and follow-up activities to ensure accurate revenue cycle management for government and non-government accounts. They are responsible for researching claim rejections, resolving billing discrepancies, and proactively contacting payers to secure timely payments.
The specialist is responsible for ensuring accurate CPT/HCPCS documentation and charge capture for surgical and specialty service lines. They also provide education to clinical staff and ancillary departments to ensure revenue optimization and compliance with coding guidelines.
Provides regional administrative and recruitment support, including applicant tracking, pre-screening, and interview coordination. Assists hiring managers and the Talent Acquisition team with technical support and recruitment process inquiries.
The representative manages patient credit account balances by researching root causes, processing refunds, and rebilling claims within the revenue cycle. They also coordinate with customer service teams to communicate overpayments and ensure accurate cash posting and reconciliation.
The representative is responsible for processing credit account balances for patients and insurance providers within the revenue cycle. They perform daily payment posting, research root causes of credit discrepancies, and coordinate with customer service to resolve overpayments.
The auditor performs medical record audits to validate diagnosis and procedure codes while ensuring compliance with CMS guidelines. They also partner with leadership to provide education to practitioners and coders to improve documentation and revenue operations.
The Clinical Charge Analyst performs detailed audits of medical accounts by comparing clinical documentation and billing practices to ensure accuracy. They collaborate with clinical and revenue cycle teams to identify discrepancies and support timely resolution of charging issues.
The specialist manages complex facility-based diagnostic testing schedules across multiple states while ensuring accurate insurance verification and patient financial clearance. They also serve as a peer influencer and project lead, utilizing data analysis to support organizational strategic objectives.
The representative manages daily customer service activities related to hospital revenue operations, including billing inquiries and payment plan setup. They are responsible for documenting interactions, resolving complaints, and ensuring accurate follow-up on patient accounts.
The specialist is responsible for ensuring accurate CPT/HCPCS documentation and charge capture for cardiology services to support revenue integrity. They also educate clinical staff on documentation requirements and perform coding audits to ensure compliance with federal and payer guidelines.
The Clinical Documentation Specialist reviews medical records to ensure accurate representation of patient severity of illness and risk of mortality. They collaborate with physicians, nursing, and coding staff to improve documentation quality and ensure regulatory compliance.
The Triage RN will respond to symptom management calls from patients and caregivers during evenings, overnights, and weekends. They will provide clinical guidance, emotional support, and care coordination in collaboration with the on-call hospice team.
The Risk Adjustment Coding Specialist will create educational materials and conduct coding and documentation training for providers and staff. They will also perform medical record audits to ensure compliance with risk adjustment and quality measures.
The Strategic Sourcing Category Manager leads complex sourcing initiatives to achieve financial value, product standardization, and improved supplier service levels. They are responsible for conducting competitive sourcing processes, managing contract negotiations, and performing detailed cost-benefit analyses to support organizational goals.
The RN Intake Coordinator performs utilization reviews to ensure medical necessity and proper reimbursement for acute care hospitalizations. They collaborate with the healthcare team to evaluate levels of care and facilitate effective discharge planning.
The Nurse Auditor coordinates revenue integrity and charge-related denials while ensuring compliant clinical documentation. They perform routine chart reviews, identify revenue optimization opportunities, and provide education to clinical staff regarding trends.
The analyst is responsible for auditing department information, ensuring accurate CPT and ICD-10 documentation, and performing charge capture functions to support operational efficiency. They also synthesize data to identify trends, resolve charge discrepancies, and provide educational support to clinical departments and providers.
Manage a caseload of patients by conducting comprehensive in-home assessments and coordinating care with an interdisciplinary team. Provide social work support through home visits or virtual/phone-based consultations to help patients remain in their homes.
Responsible for ensuring accurate CPT and ICD-10 documentation for patient billing and educating providers on appropriate coding. Performs charge capture audits, reconciliations, and data analysis to improve operational efficiency and revenue integrity.
The Virtual Care Coordinator RN conducts remote patient assessments and develops individualized care plans in collaboration with an interdisciplinary team. They provide virtual support to patients and families while coordinating care with field staff and physicians.
The medical receptionist manages daily office operations, including scheduling appointments, checking patients in and out, and handling incoming calls. They are also responsible for pre-registration, collecting co-pays, and maintaining accurate provider schedules.
The specialist is responsible for ensuring accurate CPT/HCPCS documentation and charge capture to support revenue integrity. They also analyze data, educate clinical staff on documentation requirements, and resolve billing edits to ensure compliance with coding guidelines.
The Physical Therapy Assistant collaborates with a team of physical therapists to manage a caseload of patients requiring home-based therapy. They are responsible for evaluating and treating individuals with functional deficits secondary to neurologic, orthopedic, and medical conditions.
The Physician Audit Educator performs comprehensive medical record audits to ensure documentation accuracy and regulatory compliance. They also provide targeted education to providers and clinical leaders to improve coding practices and documentation quality.
The Physical Therapy Assistant collaborates with a team of therapists to manage a caseload of patients requiring home-based therapy. They are responsible for evaluating and treating individuals with functional deficits secondary to medical, orthopedic, or neurologic conditions.
The physical therapist will manage a caseload of patients in their homes, evaluating and treating functional deficits related to medical, orthopedic, or neurologic conditions. They are responsible for teaching patients and caregivers self-management techniques to improve independence and optimal functioning.
The Coder/Abstractor II performs advanced medical coding and data abstraction to ensure accurate billing and regulatory compliance. This role also serves as a mentor and resource for junior coding staff to guide them through complex documentation and coding challenges.
Manages daily cash balancing, reconciliation, and internal controls for patient revenue across multiple entities. Oversees the cash posting team, refund processes, and ensures compliance with financial regulations and accounting policies.
The physical therapist will provide home-based therapy services to patients, primarily those in post-acute or subacute recovery. They are responsible for evaluating functional deficits and creating individualized care plans to help patients achieve optimal functioning.
Manage a caseload of patients requiring home-based therapy to help them achieve optimal functioning. Coordinate interdisciplinary care plans with nurses, therapists, social workers, and other medical staff.
The Medical Director will provide clinical leadership for the hospice and palliative care program, overseeing quality initiatives and service delivery. They will work in partnership with the leadership team to support program growth and foster interdisciplinary collaboration.
Provide compassionate, remote clinical services and forensic examinations to survivors of sexual assault via telehealth. Support hospital partners through training, guidance, and full case management in an on-call capacity.
The CDI Specialist reviews clinical documentation to ensure accuracy, clarity, and completeness across various patient encounters. They collaborate with physicians and coding teams to align documentation with clinical acuity and regulatory requirements.
Assign appropriate surgical, procedural, and diagnostic codes to patient health information for the Mount Carmel Medical Group. Review medical records to determine E/M levels and query physicians for documentation clarification.
Supervises daily operations of the Clinical Documentation Integrity program, providing oversight to specialists and coordinators to ensure compliant documentation. Collaborates with clinicians and coding teams to optimize DRG assignment, severity of illness, and risk of mortality reporting.
The supervisor oversees daily operations of the Clinical Documentation Integrity program, managing staff performance and ensuring accurate clinical documentation. They collaborate with clinicians and coding teams to facilitate proper DRG assignment and support quality outcomes.
