Review patient records to improve quality and completeness of clinical documentation, ensuring accuracy for severity of illness and level of services.
Collaborate with providers, coders, and care team members to ensure comprehensive patient documentation and compliant documentation clarification.
Develop and deliver clinical documentation improvement education to providers, and monitor documentation requests to support revenue cycle integrity.
ProMedica is a mission-driven, not-for-profit health care organization serving communities across nine states with acute and ambulatory care, a dental plan, and academic business lines. The organization employs over 1,300 health care providers and has more than 2,300 physicians with privileges, committed to clinical excellence and addressing social determinants of health.
Monitor and audit quality metrics, access compliance, and clinical workflow adherence across C3, IRC, and AAS.
Analyze access and performance data to identify workflow gaps and scheduling bottlenecks.
Define and maintain access governance standards and lead cross-functional training.
Oregon Health & Science University (OHSU) is a public academic health center that provides patient care, conducts groundbreaking research, and trains healthcare professionals. As Portland's largest employer, it operates a system of hospitals and clinics across Oregon and Southwest Washington, with a focus on diversity and inclusion.
Lead a team delivering longitudinal, patient-centered care for complex chronic conditions.
Oversee daily operations of the care management team to ensure consistent, proactive care.
Drive program performance against KPIs and quality metrics to improve patient outcomes.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are committed to improving patient outcomes and quality of life, and they foster a culture of innovation and collaboration.
You perform telephonic outreach to enroll and engage patients in the clinical program.
You develop and implement care plans addressing unique patient needs in collaboration with nurse care managers.
You connect patients to community resources such as housing, transportation, and food security to address social determinants of health.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. They are a growing company committed to improving patient outcomes and quality of life, fostering a collaborative and innovative culture.
Conduct home and virtual visits to develop wellness coaching relationships with patients, caregivers, and families.
Collaborate with advanced practice clinicians and social workers to develop action plans for better health.
Assist patients with accessing community resources and social services to address social determinants of health.
Alignment Health is a healthcare company dedicated to serving seniors and the chronically ill, breaking the mold in conventional care. They have built a passionate team focused on transforming lives, offering growth opportunities in a fast-growing environment.
Strategically coordinate and optimize the flow of coded medical record information to ensure accurate billing and reimbursement.
Review surgical coding submissions and manage denials to maximize revenue capture and compliance.
Design and deliver impactful educational programs that elevate documentation practices and coding quality.
Henry Ford Health is an academic health system providing comprehensive care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, the organization is a large, purpose-driven team committed to innovation and community impact.
Serve as primary point of contact for patients and families regarding insurance coverage for services.
Obtain, verify, and accurately enter all required patient and insurance information into the registration system.
Identify pre-authorization needs, make insurance eligibility decisions using online systems, and follow up on verification issues in a timely manner.
Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents across 29 counties. The organization values excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for patients and each other.
Communicate with Skilled Nursing Facilities to secure bed offers for patient placements from acute care.
Manage the entire referral-to-bed-offer process, coordinating with case managers and handling patient discharge issues.
Build relationships with SNF accounts to optimize bed availability and document bed flows and discharge calendars.
Southcoast Health is a not-for-profit health system with multiple hospitals and clinics in Southeastern Massachusetts and Rhode Island. They have been voted 'Best Place to Work' for seven consecutive years and foster a culture of well-being and inclusion.
Review and analyze diagnostic and procedural information from patient medical records using established coding principles.
Abstract and compile patient data for medical research, care evaluation, and administrative decision-making.
Ensure compliance with coding guidelines, reimbursement policies, regulations, and accreditation standards.
Henry Ford Health is an academic health system serving millions across Michigan and globally. With 12 hospitals and hundreds of ambulatory locations, they foster a collaborative culture focused on innovation, community impact, and career growth.