Review and interpret medical records to assign accurate ICD-10, CPT, and modifier codes for inpatient and outpatient encounters.
Collaborate with physicians and providers to resolve documentation gaps and strengthen coding accuracy.
Support audits, provider education, and revenue cycle performance through quality reviews and consistent productivity.
Jobgether uses AI-powered matching to connect candidates with hiring companies. They operate globally and focus on efficient recruitment through technology.
Partner with hospital leadership and clinical teams to analyze and optimize EHR clinical workflows.
Serve as a bridge between clinical operations and technology, translating needs into IT solutions.
Support system optimization, training, and cross-functional collaboration within the Healthcare IT team.
Intelligent Technical Solutions (ITS) is an MSP that provides healthcare IT services, partnering with hospital leadership to optimize EHR workflows. Emphasizing core values and cultural fit, the company offers comprehensive benefits and promotes from within.
Manage incoming phone calls and fax requests to schedule outpatient tests, ensuring a seamless patient experience.
Complete pre-registration of scheduled patients and verify all valid provider orders are accurately obtained.
Maintain scheduling system, check insurance eligibility, and demonstrate knowledge of medical insurances.
CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, and virtual care services. With a large workforce, they are committed to building healthy communities and advocating for the poor and vulnerable.
Serve as a primary resource for clinicians, hospitals, and referral partners across the region.
Develop and maintain strong professional relationships with behavioral healthcare providers.
Provide ethical, clinically appropriate placement guidance and consultation on complex cases.
Altior Healthcare operates distinct mental health treatment programs, including a specialized program for US Veterans. With over 15 locations and 500+ employees, they provide compassionate, evidence-based care across five states.
Performs clinical evaluations on disability claims to substantiate medical necessity for absence.
Communicates with employees and providers to discuss clinical status and provides follow-up recommendations.
Acts as a clinical resource to claims examiners, ensuring accurate medical terminology and claim decisions.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with AI-enabled technology and expertise. With over 33,000 colleagues and 10,000 clients across 80 countries, they've been recognized as a Great Place to Work and offer a caring culture.
Act as a trusted liaison between patients and healthcare providers, providing expert guidance on pharmacy benefits.
Own patient cases end-to-end, resolving coverage, prior authorization, and appeals issues.
Collaborate with stakeholders to ensure members navigate the healthcare system with confidence.
AffirmedRx is a pharmacy benefit management company on a mission to improve healthcare outcomes by bringing clarity, integrity, and trust to the industry. They are a mission-driven organization committed to patient-centered care and ethical practices.
Eligibility Review: Review patient records and clinical documentation to determine eligibility for Form Health.
Record Collection: Manage requesting, faxing, and tracking medical records from external providers while ensuring HIPAA compliance.
File Communication: Maintain clear communication with patients and colleagues to keep them updated throughout the eligibility process.
Form Health is a virtual obesity medicine clinic that provides multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, it is a venture-backed startup with an experienced clinical and leadership team, committed to a culture of inclusion and patient-first values.
Act as the clinical and administrative lead for Cooper 365, handling phone matters, patient check-in/out, and appointment scheduling.
Provide medical assistant support including vital screening, EHR maintenance, document scanning, and ensuring patient paperwork is completed.
Manage referrals, recertifications, prior authorizations, and escalate and resolve patient complaints independently.
Cooper University Health Care is a healthcare provider committed to delivering extraordinary care through clinical innovation and advanced technologies. It offers a comprehensive benefits program and opportunities for professional growth, positioning itself as a top employer in South Jersey.
Understand clients: listen deeply and build trust with older adults who feel lost in the healthcare system.
Educate and empower: help clients understand their Medicare benefits, care options, and community resources.
Solve problems: help seniors access affordable meals, transportation, find specialists, or understand options to stay independent.
EZ Health helps older adults navigate the complex healthcare system, empowering them to get healthier and live better. It is a small, fast-growing startup with a mission-driven culture and a focus on direct, compassionate communication.
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.