Conduct audits of professional fee medical records across multiple specialties and support consistent, accurate coding through quality assurance activities. Explain audit findings and coding rationale, identify trends, and provide actionable education and individualized coaching to coders and auditors.
Conduct professional fee coding audits across a range of specialties, assess coding accuracy, and support audit findings with authoritative guidelines and regulatory references. Translate audit results and trends into actionable education and individualized coaching, while contributing to peer review, calibration, and quality assurance activities.
Conduct inpatient facility coding audits and quality reviews, analyze findings and trends, and provide defensible recommendations for corrective action and improvement. Educate and coach coders and auditors, participate in calibration and peer-review activities, and contribute to coding education and quality projects.
The Coding Audit and Client Manager is responsible for overall client management, ensuring client satisfaction, retention, and growth. They will lead project delivery, monitor quality and profitability, and collaborate with sales teams to identify new business opportunities.
Perform coding audits on various facility outpatient record types to ensure accuracy and quality. Identify coding trends and formulate final reports with recommendations and corrective action plans.
The Inpatient Coding Specialist will perform accurate inpatient coding in an acute care setting while meeting client productivity and quality targets. The role requires maintaining a committed regular schedule and utilizing various office software for communication and data management.
Review and evaluate medical record documentation to ensure completeness, accuracy, and regulatory compliance. Collaborate with healthcare providers to identify documentation improvement opportunities that support coding accuracy and clinical outcomes.
The Nurse Auditor performs comprehensive charge audits and billing validation to ensure accuracy, compliance, and revenue integrity. They collaborate with clinical and billing teams to identify discrepancies and provide actionable insights to prevent recurring audit issues.
The Resource Optimization Specialist will manage capacity forecasting, real-time resource utilization, and staffing alignment across client engagements. They will also monitor productivity KPIs and collaborate with internal teams to identify staffing risks and improve resource deployment.
Review and evaluate medical record documentation for completeness, accuracy, and compliance with regulatory requirements. Collaborate with physicians and coding professionals to identify documentation improvement opportunities that support quality care and reimbursement.
The specialist performs prospective medical record reviews to validate chronic conditions and ensure coding accuracy and HCC capture. They also monitor documentation trends and report outcomes to support program goals and regulatory compliance.
Perform accurate code assignments for facility outpatient, same day surgery, and observation records. Maintain a coding quality rate of 95% or greater while meeting client productivity targets.
The role involves performing inpatient medical coding for diagnosis and procedure codes in an acute care setting. The specialist must meet client productivity targets while maintaining a coding quality accuracy of 95% or greater.
Perform accurate code assignments for Emergency Department facility and professional fee records. Maintain a coding quality rate of 95% or greater while meeting client productivity targets.
The CDI Auditor performs high-level secondary case reviews to ensure clinical documentation is accurate, complete, and compliant with regulatory standards. They identify documentation gaps and provide education to staff to improve coding accuracy and reimbursement integrity.
Perform inpatient coding audits and reviews for client sites remotely to identify trends and formulate corrective action plans. Provide educational seminars and in-service training to clients and staff based on audit findings.
Perform accurate code assignments for inpatient and outpatient professional fee records across various specialties. Maintain a coding quality rate of 95% or greater while meeting client productivity targets.
Perform professional billing and CPT coding for surgical cases in both inpatient and outpatient settings. Maintain a coding quality rate of 95% or greater while meeting client productivity targets.
