Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for various purposes.
Abide by the Standards of Ethical Coding and official coding guidelines, staying updated on coding changes and interpretations.
Perform detailed reviews of Inpatient records, assign diagnosis and procedure codes, and meet established productivity guidelines with high accuracy.
Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond. The system includes nine hospitals; primary and specialty practices, rehabilitation centers, ambulatory campuses and immediate care facilities; innovative senior services, facilities and independent housing; a wide range of behavioral health services; and Rochester Regional Health Laboratories and ACM Global Laboratories, a global leader in patient and clinical trials.
Responsible for the performance, scalability, and continuous improvement of enterprise clinical programs.
Translate clinical strategy into scalable operating models, workflows, technology requirements, and performance management systems.
Improve outcomes, reduce total cost of care, strengthen care coordination, and ensure patients receive the right care at the right time.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life. They listen to the needs of their patients, employees and client partners.
Perform retrospective medical chart reviews to pinpoint areas for improvement.
Interpret performance data to uncover learning opportunities.
Lead diagnosis documentation education for clinical audiences.
Aledade empowers independent primary care practices. Founded in 2014, they are the largest network of independent primary care in the country, focusing on value-based care and a collaborative, inclusive, remote-first culture.
Oversee the Care Navigation program, ensuring efficient operation and successful implementation of new programs.
Manage relationships with health plan partners and oversee internal policies and procedures for care navigation activities.
Provide telephonic care navigation services to individuals receiving services through various programs as needed.
Mom's Meals is a provider of home-delivered meals. They focus on delivering medically tailored meals to individuals with chronic health conditions. The company values its team members and strives to show it through benefits and other offerings.
Lead, manage, and hold accountable the team of GUIDE Program Coordinators.
Own day-to-day compliance with the CMS GUIDE Model, ensuring eligibility and alignment.
Monitor and operationalize new and updated CMS GUIDE rules into clear workflows.
Ceresti Health provides personalized coaching, care coordination, and care planning to families. They are a quickly scaling company, focused on innovation and supporting caregivers of people living with dementia.
Provide customers with onsite & remote consulting initiatives designed to implement da Vinci Surgery best practices.
Work with hospital leadership, Sales, Marketing, Training, and Tech Support to ensure successful robotic surgery programs.
Independently manage territory and conduct educational initiatives with targeted customers, managing complex engagements.
Intuitive is a global leader in robotic-assisted surgery and minimally invasive care. Our technologies, like the da Vinci surgical system and Ion, have transformed how care is delivered for millions of patients worldwide. We’re a team of engineers, clinicians, and innovators united by one purpose: to make surgery smarter, safer, and more human.
Communicating with providers regarding claims, service issues and general network provider complaints.
Developing an adequate provider network in assigned geographical areas (currently Texas metroplex areas).
Building and maintaining relationships with contracted providers, including inquiries related to contract status, roster corrections and information accuracy.
Evry Health, a Globe Life company, aims to bring humanity to health insurance. They are a high-technology health plan expanding benefits and access, and feature a personalized, human approach. Globe Life has 16.8 million policies in force, with more than 3,000 corporate employees and 15,000 agents.
Participate in end-to-end implementation activities.
Develop an understanding of Experian Health's product suite and apply best‑practice workflows.
Facilitate requirements gathering, workflow mapping, configuration reviews, and user acceptance testing.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange, they have a team of 23,300 people across 32 countries.
Guide providers through complex payer landscapes to ensure patient access to Omnipod® technology.
Identify access barriers and develop tailored support strategies alongside the field team.
Translate patient access information into clear, actionable solutions, tools, or learnings.
Insulet Corporation simplifies life for people with diabetes and other conditions through its Omnipod product platform. The company is an innovative medical device company known for its tubeless, wearable, Pod-based insulin management systems.
Lead Headway's clinical quality strategy, developing protocols and processes that uphold safety, efficiency, and effectiveness standards for the practice.
Build and scale our Professional Practice Evaluation programs, directly improving clinical outcomes across our provider network of NPs and MDs/DOs.
Conduct routine chart reviews and monitoring, providing feedback to clinicians and creating remediation plans for documentation concerns
Headway is building a new mental healthcare system everyone can access by solving the biggest barrier to care: insurance. They are a Series D company with $325M+ in funding, looking for exceptional people to help them achieve their mission.