The Revenue Cycle Representative resolves complex billing issues, manages claims, and performs denial management to ensure accurate reimbursement. They also analyze report data to identify trends and process improvements while communicating with patients, providers, and payers.
The Coding Representative is responsible for assigning accurate ICD-10-CM, CPT/HCPCS, and E&M codes for Emergency Department services. They also monitor compliance standards, manage charge review work queues, and communicate with healthcare providers to resolve documentation issues.
The Pharmacy Practice Specialist will design, develop, and implement oncology-related Electronic Medical Record systems and clinical decision support tools. They will also provide technical support, mentor staff, and ensure compliance with medication safety and regulatory standards.
The coder will review medical record documentation to assign accurate ICD-10-CM and ICD-10-PCS codes for hospital inpatient stays. They are also responsible for meeting productivity targets and identifying opportunities for process improvements and denial management.
The case manager will perform follow-up duties for newborn screening programs, including notifying providers of abnormal results and assisting with confirmatory testing. They will also document outcomes in databases, provide education to stakeholders, and participate in quality improvement projects.
