Provide day-to-day operational leadership and subject matter expertise for a team of CDI specialists, ensuring documentation accuracy and regulatory compliance.
Serve as a clinical and coding resource, assisting with complex cases, DRG validation, and performance oversight.
Foster collaboration across multidisciplinary stakeholders to enhance communication and achieve accurate clinical documentation.
CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services. With over 157,000 employees and 25,000 physicians across 24 states, the organization fosters a culture of innovation and humankindness.
Review prospective admissions against approved criteria and schedule assessments for voluntary patients.
Respond promptly to inquiry calls and manage clerical duties including paperwork and data entry.
Coordinate with referral sources and arrange transportation for patients to ensure smooth admissions.
White Deer Run provides mental health and substance abuse treatment services. The organization values compassion and patient safety, operating with a focus on guiding patients through the admissions process.
Work closely with medical directors and clinical operations team to manage healthcare practitioner functionality and strategize for the medical pillar.
Own file management, including consolidating, updating, and maintaining electronic files, labs, and referrals.
Act as liaison between pharmacy and healthcare practitioner communications, and support audio/video consultations.
Felix is a Canadian digital health platform offering on-demand treatment for everyday health needs including mental health, sexual health, and daily health. Founded in 2019, Felix is a growing startup with a patient-centric mission and a virtual-first culture.
You will be the first point of contact for patients and their families over the phone, obtaining and verifying insurance and patient information.
You will schedule patient appointments including return visits, referrals, and diagnostic procedures.
You will greet patients professionally and respond effectively to their needs.
Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents. The company values excellence, teamness, positivity, and creativity, and offers a supportive culture with opportunities for growth and well-being.
Review patient medical records to determine why claims are denied and prepare compelling appeal arguments using clinical evidence and regulatory guidelines.
Search for supporting evidence and analyze insurance denial trends to provide feedback to hospitals and executive leadership.
Ensure compliance with HIPAA regulations and demonstrate excellent written communication skills in crafting appeal letters and hearing testimony.
PAM Health provides specialty healthcare services through over 70 long-term acute care hospitals, rehabilitation hospitals, wound clinics, and outpatient physical therapy locations in 17 states. With a collaborative culture and a focus on compassionate care, the company employs a dedicated team committed to high-quality patient outcomes and professional growth.
Review clinical documentation and assign accurate CPT, ICD-10-CM, and HCPCS codes for diagnoses, procedures, and services rendered.
Monitor outpatient coding work queues and unbilled accounts to support timely filing and claims submission, while resolving coding-related edits.
Collaborate with providers and revenue cycle teams to improve documentation, ensure coding accuracy, and maintain compliance with regulations.
Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We cultivate a caring, fun, honest, and autonomous work environment with a shared mission to create a positive impact.
Review and process prior authorizations for biologics, oncology, and specialty therapies with timely and accurate completion.
Manage clinical documentation, submit and track authorization requests, and resolve issues with insurance providers.
Communicate effectively with patients, clinical staff, and insurance representatives to ensure compliance and workflow efficiency.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. They are a rapidly growing company focused on patient comfort and employee empowerment, with core values of kindness, integrity, and continuous improvement.
Manage referrals and guide participants through the enrollment process with compassion and accuracy.
Provide empathetic communication and support to participants via phone, text, and other channels.
Collaborate with clinical and operational teams to track performance and improve engagement.
The partner company is a healthcare organization that provides participant success services. It offers a supportive, mission-driven culture with a focus on quality and empathy.
You will lead provider relations initiatives and manage a team of specialists to ensure strong collaboration with healthcare providers.
You will serve as the primary escalation point for complex provider issues and educate providers on policies and compliance.
You will monitor provider performance metrics, analyze data, and drive continuous improvement in healthcare delivery.
The partner company operates a large-scale healthcare program, managing provider relationships and improving healthcare delivery. It is a mission-driven organization with a focus on collaboration and continuous improvement, though the exact size is not specified.
Lead the strategic development and optimization of physician and APP compensation programs and contracting processes.
Oversee quality assurance, fair market value assessments, and compliance with regulatory requirements.
Collaborate with executive leaders and cross-functional teams to resolve complex workforce and financial challenges.
The partner company is a healthcare organization that specializes in physician and APP compensation and contracting. It offers a supportive and collaborative work environment focused on employee well-being and professional growth.