Review referred accounts to validate underpayments and analyze reimbursement variance reports.
Request additional payment from insurance companies and perform timely follow-up on all assigned accounts.
Escalate unresolved appeals, prepare monthly denial logs, and collaborate to recover underpayments.
Lucile Packard Children's Hospital Stanford provides world-renowned pediatric care, combining advanced technologies and breakthrough discoveries with family-centered care. We support our caregivers with continuing education and state-of-the-art facilities, fostering a caring and committed team culture.
Assigns ICD-9 and/or ICD-10 codes to inpatient encounters with the highest accuracy following official coding guidelines.
Works closely with physicians, clinical documentation specialists, quality, and patient finance teams to ensure accurate DRG assignment and data extraction.
Plays a key role in billing, research, regulatory compliance, and reporting to support patient acuity and quality outcomes.
Emory Healthcare is a comprehensive health system providing patient care, research, and education across multiple hospitals and clinics. They foster a supportive culture with mentorship, leadership programs, and a focus on professional growth, serving a large and diverse workforce.
Process referrals and prior authorizations, ensuring accurate and timely documentation.
Collaborate with clinical teams, physician offices, and insurance companies to resolve authorization issues.
Monitor denial reports, manage referral tracking, and communicate decisions to providers, staff, and patients.
Baystate Health is an integrated healthcare system serving western Massachusetts. With 12,000 employees and a community-focused culture, it includes five hospitals and offers career growth.
Review and abstract medical records for new patients, ensuring charts are complete and accurate before initial appointments.
Analyze medical documentation to identify relevant clinical information and serve as a resource for moderately complex cases.
Collaborate with intake leadership to support departmental goals, quality standards, and continuous improvement.
The hiring company supports healthcare teams by providing accurate medical record abstraction and patient intake services. It fosters a remote, collaborative culture that values professional development and meaningful patient impact.
Process incoming medical referrals, enter accurate data into medical management systems, and assign appropriate healthcare providers.
Review referrals for benefits and medical necessity, escalate sensitive cases for clinical assessment, and apply ICD-10 and CPT codes.
Communicate with military treatment facilities and civilian providers, respond to inquiries, and manage referral tasks within established timelines.
This position is listed on behalf of a partner company that manages all applications and next steps. The company supports healthcare service delivery by ensuring medical referrals are processed accurately and efficiently within a structured, collaborative remote team.
Communicate with patients regarding appointments, treatment plans, and follow-ups.
Coordinate patient care between providers, specialists, and insurance companies.
Maintain accurate and confidential patient records in EHR/EMR systems.
SnappyCX provides remote clinical care coordination and administrative support to U.S.-based healthcare practices. The company values independence and professionalism, with a small, distributed team focused on HIPAA compliance and patient-centered care.
Coordinates utilization review and prior authorization requests, ensuring accurate entry into the UM platform.
Provides customer service to providers and members, confirming benefits and answering authorization questions.
Facilitates communication between reviewers, hospitals, and physicians to ensure timely decisions.
University of Utah Health Plans is a patient-focused organization that enhances health through patient care, research, and education. It is part of a nationally ranked academic medical center with five hospitals and eleven clinics, fostering a culture of collaboration and excellence.
Conduct outbound calls with patients in English and Spanish to gather detailed medical and injury histories.
Document information accurately using structured templates and review medical records for completeness and consistency.
Organize and standardize medical information and partner with operations to improve processes and quality.
Indigo builds the best care experience in healthcare, helping physicians achieve independence by making it easier to start, operate, and grow their practices. The company is about 30 people and growing rapidly, with a culture that values deep thinking, speed, craftsmanship, and putting customers first.
Code inpatient services with 95% or above accuracy following ICD-10 guidelines.
Abstract medical records and assign accurate diagnosis and procedure codes using Epic and 3M 360.
Collaborate with coding leadership and CDI reviewers to resolve coding issues and support compliance.
Oregon Health & Science University (OHSU) is Oregon's only public academic health center, providing patient care, leading research, and training healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance across hospitals and clinics in Oregon and Southwest Washington.
Review inpatient and outpatient records and assign accurate ICD-10, CPT, and HCPCS codes.
Maintain a minimum coding accuracy of 95% while meeting turnaround and quality standards.
Work fully remotely within the US supporting multiple medical facilities.
This position is listed on behalf of a partner company within a large healthcare network. They focus on health information management and clinical coding accuracy, offering a fully remote environment.