Provides telephonic and as needed in-home assessments of members’ medical, psychosocial, physical and spiritual needs. Develops, implements, and monitors person centered service plan, and ensures continuity of care across all healthcare settings by collaborating with the interdisciplinary team, PCP, member/member’s representatives, and specialists. Educates members on disease processes, preventative health, and quality of life interventions.

Provides professional comprehensive care management services to patients of the Strong Memorial Hospital, Health, and Health Home Care Management Program. Collaborates with health, behavioral health and social service providers and is responsible for assessing patient’s needs, developing and managing care plans with patients enrolled in care management. Special focus will be serving the most complex, high utilizing patients that need comprehensive care management services.

Assumes responsibility for regulatory coding and documentation audit and education activities with providers, clinical and ancillary staff. Performs audit and education duties, acts as primary resource to clinical sections on regulatory coding and related documentation rules and regulation. Provides regulatory coding and documentation education, including developing the Annual Education Plan and coordinating coding education activities in assigned departments.

Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. The coder serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. They also analyze, code and abstract complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.

Make a difference in students' lives as a Remote School Speech-Language Pathologist in Texas for the 2025-2026 school year! Conduct comprehensive assessments of students' speech, language, and communication abilities. Develop individualized therapy plans and provide direct therapy services, collaborating with teachers and parents to support students' communication goals.

The supervisor of Clinical Documentation Improvement (CDI) brings subject matter expertise related to clinical documentation improvement, and works closely with the CDI Manager to implement and manage a concurrent CDI program. The CDI Supervisor executes programs which capture appropriate clinical documentation through extensive interaction with physicians, nursing leadership and staff, other patient care givers and HIM coding staff.

The Medical Coder-Professional reviews, analyzes and assigns current international classification of disease (ICD) diagnosis codes, current procedural terminology (CPT) codes and other charges as appropriate based on clinical documentation for various practices in the hospital ER/outpatient/observation/inpatient and clinic settings. The Medical Coder-Professional understands and applies applicable medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes.

This role involves on-site monitoring in Vaccine studies, primarily working with sites in NSW/VIC, serving as the main point of contact for study escalations. You will maintain up-to-date CTMF, complete timely trip reports, and work remotely within a growing team across Australia, embedded with one client committed to developing treatments and vaccines.

The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, and interprets ICD-10-CM coding conventions. Meets established minimum coding productivity per departmental protocol and guidelines.

Play a vital role in shaping clinical service delivery for pediatric clients by providing direct and indirect interventions, including assessments, treatment planning, therapeutic interventions, staff training, coaching, and case consultation. This position offers flexibility, with time split between program sites and remote work. Be part of a team that’s committed to excellence in care and service delivery!