Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and completely.
Maintain coding quality of 95% or higher while meeting established productivity requirements based on encounter type.
Identify trends in documentation deficiencies and communicates areas of improvement opportunities to leadership and/or providers.
Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact.
Performs the final reconciliation on clinic or provider visits.
Reviews, abstracts, and codes multiple or sub specialty services and complex or unusual cases, and assigns appropriate coding classifications.
Interacts with coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues.
University of Utah Health is a patient-focused organization that enhances the health and well-being of people through patient care, research, and education. They are a Level 1 Trauma Center and are nationally ranked and recognized for their academic research and quality standards.
Oversee and manage regional operational activities of global pivotal trials.
Develop and oversee procedures for troubleshooting and problem solving.
Maintain effective communication with vendors and internal departments.
Prilenia is a private biopharmaceutical company focused on developing transformative medicines for neurodegenerative diseases. With a highly committed and talented global team, they are developing pridopidine, an investigational neuroprotective therapy for ALS and Huntington’s disease.
Develop and execute a global training strategy tailored to cell therapy programs across clinical and commercial stages.
Build role-specific onboarding, certification, and continuous learning pathways for Medical and Commercial teams and other teams as appropriate.
Independently design and develop training content while overseeing and leveraging support from external vendors.
Kyverna Therapeutics is a patient-centered, clinical-stage biopharmaceutical company developing cell therapies for patients suffering from autoimmune diseases. Guided by our core values, they are committed to transforming the future of treatment for autoimmune disease.
Review and analyze data to assess validity of data and clinical risk.
Act as a strategic partner to underwriting by applying evidence-based criteria and sound clinical judgment to evaluate complex clinical and claims data.
Develop, maintain, and manage strong relationships with internal and external clients, Third-Party Administrators (TPAs), and vendors.
Crum & Forster’s Accident & Health division offers specialty insurance and reinsurance products. They focus on product development, creative distribution methods, client service and support and recorded $741M in gross premium written at year-end 2023.
Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel.
Provides guidance and counseling to coordinators and Clinical Supervisors to assist them in continually improving all aspects of home health care services.
Assists the Executive Director in the preparation and administration of the organization's budget.
Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. They provide services that meet the needs of patients and families across the healthcare continuum and believe their people deserve care delivered with Compassion, Accountability, Respect, Excellence and Service.
Lead the development of rigorous economic analyses to quantify the impact of Twin’s model on healthcare costs, utilization, and outcomes.
Participate in payer and employer discussions to explain and defend Twin’s methodology for calculating PMPM savings, cost offsets, and ROI.
Lead the development of economic and outcomes analyses that strengthen the evidence base supporting Twin’s clinical and financial impact.
Twin Health empowers people to improve and prevent chronic metabolic diseases with a new standard of care using AI Digital Twin technology. With recent funding, Twin is scaling rapidly across the U.S. and globally, building a passionate, talented team united by a shared purpose.
Review daily inpatient and observation admissions across the system.
Evaluate physician documentation and patient data to determine admission status.
Collaborate with interdisciplinary teams for authorizations and medical necessity reviews.
Jobgether is a company that uses AI to help candidates get hired. They use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.
Partner with physicians, surgeons, and operational leaders to analyze productivity, access, utilization, quality, and financial performance.
Conduct feasibility analyses for new programs, service line expansions, and strategic initiatives.
Extract and analyze data from EHR systems (EPIC preferred), financial systems, and operational databases.
Shriners Children's is the premier pediatric burn, orthopedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties healthcare system. With multiple hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, they provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status.
Accurately translate patients’ medical records into standardized codes for diagnoses and treatments.
Ensure compliance with legal, regulatory, and organizational standards.
Ensure claims are processed correctly and on time with efficient management of records.
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. As an affiliate of Dignity Health, they work hand-in-hand with physicians and providers throughout California to provide comprehensive health care services.