The Patient Finance Representative manages complex billing, insurance workflows, and financial estimates for oncology patients. They act as a liaison between patients and healthcare providers to ensure accurate payment collection and financial support.
The specialist maintains accurate and complete clinical documentation to improve healthcare system integrity. They serve as a resource for physicians and the healthcare team regarding coding, compliance, and regulatory standards.
The Coder I is responsible for accurately assigning ICD-10-CM and ICD-10-PCS codes for inpatient and outpatient accounts to ensure proper reimbursement. They also communicate with clinical staff regarding documentation issues and utilize 3M encoder software to group discharges.
The Finance & Accounting Representative is responsible for accurate billing of claims, resolving claim edits, and managing claims follow-up and collections. They also act as a resource by providing support for Patient Account Representative positions within the department.
The supervisor provides administrative support, productivity monitoring, and quality assurance for a team of coders. They are also responsible for onboarding new staff and providing ongoing training to ensure workflow efficiency.
The Coder II is responsible for coding inpatient accounts, including DRG assignment and abstracting medical records to ensure accurate reimbursement. They also communicate with physicians and clinical staff to resolve coding and documentation issues.
The senior coder is responsible for accurate ICD-10 coding, DRG assignment, and abstracting medical records for reimbursement and statistical purposes. They also serve as a liaison between the coding team and the clinical documentation specialists to resolve documentation issues.