The Billing and Claims Specialist II manages the end-to-end claim process, including accurate creation, submission, and resolution of claim edits and payer rejections. They also provide support to provider sites, assist with staff training, and collaborate with IT to troubleshoot system issues and improve revenue cycle performance.
The Schegistrar CAC is responsible for scheduling patient appointments, gathering demographic and insurance information, and entering data into the health information system. They also provide visit-specific information to patients, verify insurance benefits, and triage patient inquiries.
The CDI Auditor evaluates the quality and accuracy of clinical documentation to ensure it reflects patient severity and service levels. They also perform audits, provide feedback to staff, and assist in developing educational materials to improve financial and quality metrics.
The analyst is responsible for the support, optimization, and enhancement of clinical and revenue cycle applications, with a primary focus on Epic. Key duties include troubleshooting system issues, configuring workflows, and collaborating with cross-functional teams to improve end-user efficiency.
The CDI Education Lead collaborates with stakeholders to train providers and clinical documentation specialists on best practices to improve documentation and coding accuracy. This role utilizes data trends and audit results to identify educational needs and enhance the skills and competencies of the CDI team.
The Clinical Charge Audit Analyst performs daily charge reconciliation, medical record reviews, and coding compliance audits for cardiovascular procedures. They also collaborate with clinical staff and supply chain departments to ensure accurate billing and documentation for new procedures and technologies.
The specialist assesses, plans, and implements educational programs to improve healthcare practice and professional competence. They also serve as a clinical resource and mentor to support interdisciplinary teams and ensure high-quality patient care.
The Senior Application Analyst provides advanced system-level support for clinical or financial applications, including installation, configuration, and maintenance. They also lead project planning sessions, manage project milestones, and collaborate with cross-functional teams to ensure successful software implementation.
Conduct independent audits of professional fee coding to ensure compliance with federal regulations and organizational standards. Provide education and training to physicians regarding ICD-10-CM documentation and coding accuracy.
