Acts as a clinical liaison to coordinate complex patient referrals for home health and hospice services. Manages referral documentation, ensures regulatory compliance, and facilitates the admissions process while maintaining positive relationships with referral sources.
This position coordinates the intake and setup of clinical research studies within the OnCore CTMS, including protocol shells, calendars, and budgets. The specialist acts as a liaison between study teams and vendors while implementing quality control processes to ensure data integrity.
The Certified Professional Coder will perform cardiology coding, assign PQRS codes, and manage physician queries to ensure accurate documentation. They are also responsible for resolving reimbursement issues, providing staff training, and maintaining coding accuracy and productivity standards.
The Coder II is responsible for accurately assigning ICD-10-CM and CPT codes for diagnoses and procedures to ensure proper reimbursement. They must also maintain coding accuracy standards, participate in department meetings, and perform physician queries to clarify incomplete medical documentation.
The Retrospective Appeal Coder initiates the appeal process for coding denials by assessing medical criteria and payor regulations. They serve as a liaison between coding departments, physicians, and payors to ensure accurate reimbursement and process improvement.
The Research Specialist is responsible for developing and maintaining clinical trial budgets, conducting coverage analyses, and ensuring financial compliance with Medicare and commercial payer regulations. They collaborate with clinical research teams, finance departments, and sponsors to negotiate budgets and resolve billing discrepancies.
The Territory Marketing Manager is responsible for achieving financial goals for the Workers' Compensation business by managing distribution and executing sales strategies. They will develop and maintain effective relationships with independent brokers and monitor territorial market conditions to maximize business opportunities.
Responsible for the investigation, evaluation, and disposition of lost time workers' compensation claims across several US jurisdictions. The role involves managing litigation activities, setting reserves, and coordinating with medical experts and legal counsel.
