Provides oversight of coding teams, holding them accountable to enterprise established KPIs, including DNFC.
Manages staff to ensure coding team meets productivity and quality standards, developing performance improvement plans as needed.
Acts as a liaison between CDI, physicians, clinical quality, and patient financial services to ensure accuracy and integrity of inpatient medical records.
CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, it has more than 157,000 employees and operates across 24 states, delivering over 20 million patient encounters annually.
Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or technical outpatient accounts.
Utilizes ICD-10-CM, PCS, HCPCS, CPT, and other coding references for accurate coding.
Supports Revenue Cycle goals for timely billing.
Cooper University Health Care is committed to providing extraordinary health care. We offer competitive rates, comprehensive benefits, and opportunities for career growth.
Conduct coding audits to ensure accuracy and compliance with ICD-10, CPT, and HCPCS guidelines.
Document findings with authoritative references and support corrective actions and education.
Stay current on payer rules and flag compliance risks to senior leadership.
Alteva RCM provides expert revenue cycle management and strategic solutions for healthcare providers. They foster a collaborative team culture committed to excellence, seeking passionate professionals to grow their careers.
Serves as a mentor for the coding team, assisting with training and escalated cases.
Interacts with clinicians on documentation deficiencies and collaborates with other departments.
Abstracts medical record documentation into surgical CPT codes and crosswalks to ASA codes.
US Anesthesia Partners provides anesthesia and healthcare revenue cycle management services. They employ a large team of coders and clinical staff, with a focus on quality and compliance.
CommonSpirit Health is one of the largest nonprofit Catholic healthcare organizations in the US, providing integrated health services across 24 states with over 157,000 employees. It is driven by innovation and faith, committed to creating a just, equitable healthcare system.
Manage and grow a team of RCM associates, handling hiring, training, and performance management.
Own daily execution of the revenue cycle, including claims, coding, denials, and A/R follow-up.
Track KPIs like clean claim rate and days in A/R, flagging trends and recommending improvements.
We are a venture-backed startup building the future of eye care with AI-powered software. We recently raised our Series A and are growing quickly with a passionate, remote team.
Own end-to-end RCM operational performance across eligibility, claim submission, follow-up, denials, contracts, and authorizations.
Assess and evolve team structure as the org scales, including span of control and role design.
Operationalize AI and automation tools across RCM workflows in partnership with Grow's Operations AI Center of Excellence.
Grow Therapy is a three-sided marketplace connecting therapists, patients, and insurance payors in mental healthcare. The company has raised over $328M, valued at $3B, and fosters a mission-driven, entrepreneurial culture with a team of go-getters.
Oversee multiple functional areas within the RCM department including scheduling, eligibility, prior authorizations, and billing.
Review daily and monthly performance metrics to ensure service level agreements are met.
Collaborate with regional and line management to provide seamless interface with patients and external customers.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering advanced O&P solutions and clinically differentiated programs. With 160 years of clinical excellence, Hanger's employees touch thousands of lives daily, helping people achieve new levels of mobility and freedom.
Manage the complete revenue cycle for Wisconsin payors, including claim submission, denial resolution, and follow-up.
Investigate and resolve claim denials and payment discrepancies by collaborating with internal teams and payors.
Prepare weekly AR reports and support departmental KPIs to optimize reimbursement.
LEARN Behavioral is a national organization dedicated to nurturing children with autism and special needs through evidence-based applied behavior analysis. With 20 years of clinical insights, the company focuses on personalized treatment plans and is an Equal Opportunity Employer.
Validate accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
Apply CMS guidance, coding guidelines, and industry standards during claim review, including hospital bill audits and itemized bill reviews.
Prepare appeal responses using applicable coding guidance and maintain required certifications and continuing education.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. They are a dynamic growing organization promoting a collaborative and innovative work environment.
Supervise daily revenue recovery team activities to ensure SLAs, quality, and performance goals are met.
Lead, coach, and mentor team members to strengthen capabilities and support professional growth.
Monitor operational metrics, prepare reports, and identify opportunities to reduce risk and improve processes.
The company provides healthcare revenue recovery and operational performance improvement services. It fosters a collaborative culture focused on innovation, inclusion, and employee development.
Monitor denial volumes, aging, and identify trends to improve coding quality processes.
Develop and implement new programs, processes, and standards to streamline workflows and enhance efficiency.
Collaborate with leadership to support annual and long-term strategy planning and execute departmental goals.
UnityPoint Health is a healthcare system dedicated to providing quality care and has been recognized as a Top 150 Place to Work in Healthcare. They foster a culture of belonging and offer support and development opportunities for their team members.
Abstracts and codes physician professional services using CPT and ICD-9 codes.
Provides documentation feedback to physicians and trains staff on billing and coding.
Resolves pre-accounts receivable edits and ensures charge capture through reconciliations.
Northwestern Medicine is a healthcare leader with a patient-first approach. They offer competitive benefits like tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits, supporting a diverse team dedicated to better healthcare.
Manage and resolve claims rejections and denials, escalating trends as identified.
Verify patient eligibility and benefits, and coordinate with insurance payers.
Maintain compliance with HIPAA regulations and meet productivity standards.
Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care for addiction. They are a growing company with a dedicated team passionate about making judgment-free care accessible.
Act as a subject matter expert on medical payment policy, analyzing client data and presenting new policy opportunities to health plans.
Collaborate with Client Medical Directors and internal teams to develop and advocate for adoption of medical policies that maximize value.
Prepare presentations, coordinate reviews, and inspire trust as a trusted advisor for the Health Plan's medical payment strategy.
Cotiviti is a healthcare analytics company that partners with health plans to optimize payment accuracy and medical policy through data-driven solutions. The company employs a global workforce and fosters a collaborative, client-focused culture.
Lead a specialized RCM SWAT team focused on rapid assessment and stabilization of underperforming functions across billing, collections, and financial counseling.
Manage relationships with third-party vendors, conduct performance reviews, and drive continuous improvement to maximize vendor efficiency and financial returns.
Collaborate with internal teams and vendors to optimize billing and collections workflows, ensuring compliance, reducing denials, and improving cash performance.
The Oncology Institute is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. With over 180 employed and affiliate clinicians and over 100 clinics across five states, TOI is changing oncology for the better.
Conducts baseline, routine, and focused audits comparing medical record documentation to reported CPT/HCPCS and ICD-10-CM codes.
Researches, interprets, and communicates federal and state laws and guidelines pertaining to CMS and Medicare.
Acts as an internal expert on coding issues to ensure compliance with state and federal regulations.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and focuses on scalable operations and cloud-based technology to reduce healthcare costs.
Lead daily collections operations and supervise a team to achieve performance goals.
Optimize processes, ensure compliance, and collaborate with internal and external stakeholders.
Drive continuous improvement in billing, collections, and revenue cycle management.
The company is a healthcare-focused partner organization that manages revenue cycle operations. It fosters a supportive remote work culture with an emphasis on employee well-being and career growth.
Develop and implement enterprise-wide revenue cycle strategy, leveraging AI and automation to optimize performance and reduce denials.
Build and lead a high-performing team, fostering accountability and continuous improvement across billing, collections, and patient intake operations.
Partner cross-functionally with Sales, Market Access, and Commercial Operations to ensure seamless revenue cycle integration and maximize reimbursement.
Freenome is a precision diagnostics company that develops AI-enabled automated revenue cycle infrastructure. The company fosters a culture of accountability, continuous improvement, and deep customer focus, and is an equal-opportunity employer.
Review and abstract medical records for surgical CPT and ICD10 coding, ensuring accuracy and compliance.
Serve as a mentor for junior coders and handle escalated cases requiring complex coding expertise.
Work with multiple platforms including MD Cloud, Medaxion, and EMRs to manage edits, denials, and charge corrections.
US Anesthesia Partners is a healthcare company specializing in anesthesia services and revenue cycle management. They are a large employer with a focus on coding accuracy and compliance, fostering a collaborative and mentoring culture.