Accurately assigning ICD-10, CPT, HCPCS, ASA, and modifiers for infusion services.
Reviewing medical documentation to ensure proper coding and compliance.
Staying up to date with third-party payer regulations and compliance guidelines.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions. They are committed to exceptional care and empower their team to thrive while living their core values.
Own end-to-end revenue cycle performance across claims submission, denial management, and A/R follow-up
Manage and hold external billing vendors accountable to defined KPIs and service expectations
Monitor first-pass resolution rates, denial trends, and aging buckets to proactively mitigate revenue risk
Thirty Madison is a healthcare company that builds specialized healthcare brands that focuses on specific ongoing conditions, and thoughtfully designed to support the unique needs of its community with personalized treatments and care. They have built a number of brands and are continuing to grow rapidly.
Review clinical documentation and assign accurate ICD-10-CM, HCPCS, and CPT codes to encounters
Ensure compliance with CMS, payer, and risk adjustment coding guidelines
Collaborate with clinicians and billing staff to clarify documentation or coding discrepancies
Main Street Health is the nation's largest provider of value-based care exclusively serving rural America. They partner with rural primary care doctors and reinforce the importance of trust and relationship-driven care in rural communities.