Partner with physician offices to translate healthcare documentation into standardized codes, ensuring accurate billing and regulatory compliance.
Conduct audits and issue queries to clarify ambiguous documentation, and provide ongoing education to clinical staff on best practices.
Analyze complex medical records, stay updated on coding guidelines, and collaborate with departments like compliance and revenue cycle to optimize processes.
Evergreen Nephrology partners with nephrologists to deliver value-based, person-centered kidney care aimed at improving patient outcomes and quality of life. The company fosters a collaborative culture focused on innovation and holistic patient support, with a team dedicated to transforming the healthcare delivery model.
Provides leadership and expertise to coding teams, ensuring daily operations and compliance are met.
Serves as a mentor and resource for staff, assisting with training, complex coding questions, and workflow improvements.
Balances hands-on coding with auditing and oversight to maintain accuracy and timeliness in coding practices.
Rochester Regional Health is an integrated health services organization serving people in Western New York and beyond with a network of hospitals, practices, and laboratories. The organization emphasizes a collaborative environment focused on enabling healthier lives for its community members.
Perform comprehensive medical record and claims review to make payment determinations for Medicare Durable Medical Equipment.
Conduct in-depth claims analysis utilizing ICD-10-CM, AMA-CPT, and HCPCS Level II coding principles.
Make clinical judgment decisions based on clinical experience when applicable.
Empower AI provides AI tools for government to elevate workforce potential. They have three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.