Reviews payor denials and audits for potential lost revenue and writes comprehensive appeal arguments using clinical criteria.
Functions as a hospital liaison with external third-party payors and works with Physician advisor team to facilitate appeals.
Monitors and reports payor trends to management, ensuring compliance with regulatory and accrediting requirements.
Jefferson Health is a nationally ranked not-for-profit health care system reimagining health care and higher education to create unparalleled value. With more than 65,000 employees, it serves patients through millions of encounters annually at 32 hospital campuses and over 700 outpatient locations in the greater Philadelphia region, Lehigh Valley, and southern New Jersey.
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.
Maintain accurate caregiver supervision records within HHA Exchange (HHAX) and ensure proper documentation of nursing supervisory visits.
Update caregiver compliance profiles, upload supervision forms, and verify documentation for accuracy and completeness.
Communicate with clinical staff regarding incomplete documentation and assist with audits and compliance-related tasks.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic healthcare facilities. They leverage a global network to connect clients with qualified professionals, offering tailored services to meet unique business needs.
Assist clinicians with gathering medical information for patients in between visits using various electronic health record systems.
Report medical concerns monthly such as falls, medications, behavioral issues, and hospitalizations.
Complete PCM interventions each month for approximately 15 patients per day.
MTC Care is the nation's leading telemedicine provider of behavioral health care to skilled nursing and assisted living facilities. They are an equal opportunity employer committed to fostering an inclusive workplace.
Support the Genetic Counseling team by collecting follow-up data and liaising with other departments.
Assist with data collection for internal projects, product development, and abstracts.
Coordinate student rotation schedules and handle sample collection kits and patient queries.
Natera is a global leader in cell-free DNA testing for oncology, women's health, and organ health. The team includes highly dedicated professionals from world-class institutions, fostering a hardworking and collaborative culture.
Analyze clinical and operational data to identify trends and drive quality improvements.
Develop and monitor corrective action plans and quality initiatives.
Collaborate with leadership to ensure compliance and enhance care delivery outcomes.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic healthcare facilities. We leverage our global network to connect clients with qualified professionals, offering tailored services to meet unique business needs.