The Clinical Documentation Nurse supports quality improvement by abstracting and analyzing medical records and hospital billing codes. They also educate clinical teams on documentation needs to ensure accurate reporting and evidence-based care.
The Senior Programmer will design, develop, and maintain enterprise web applications and automated solutions using Python and modern web frameworks. They will collaborate with cross-functional IT teams to translate business requirements into secure, scalable technical solutions while supporting deployment pipelines.
The Senior Surgical Clinical Reviewer ensures reliable data collection and submission to the ACS NSQIP database for adult and pediatric programs. They also facilitate clinical quality improvement initiatives, analyze outcomes, and provide educational resources to surgical teams.
The PFS Representative is responsible for the collection and final resolution of insurance claims while maintaining accurate records in accordance with hospital procedures. This role involves processing claims, managing denials, and communicating with third parties to ensure timely payments.
The Clinical Pharmacist Specialist will lead the development and optimization of the claim denials program and perform drug reimbursement analyses. They will also provide support for appeal letters and present data findings to pharmacy, finance, and managed care leadership.
The Referral Specialist manages internal and external referrals to ensure they are converted into scheduled visits and financially cleared. They provide patient support via telephone and MyChart while coordinating with clinics and revenue cycle operations.
Responsible for collecting patient demographic and insurance information and managing the preauthorization and precertification process. The role involves educating patients on financial options and coordinating revenue flow between hospital and physician services.
Develop and maintain SOAR playbooks to automate security tasks and streamline incident response workflows. Investigate security threats, analyze logs and network captures, and enhance SOC operational efficiency using AI-driven workflows.
The analyst assists in defining systems scope and objectives through research and analysis of business and user needs. Responsibilities include documenting requirements in BRDs and revising application configurations and logic.
Manage the design, implementation, and operation of Epic Hospital Billing and HIM applications while overseeing departmental budgets and project deadlines. Lead and mentor a technical team, providing performance goals and coordinating with project sponsors and the user community.
