Trinity Health

Analyze physician documentation to determine diagnoses and procedures. Utilize encoder software for accurate coding. Communicate effectively with diverse groups and exercise independent judgment while prioritizing workload.

Perform day-to-day tasks related to patient accounts, ensuring accurate data management and compliance. Deliver excellent service while meeting established standards and regulatory requirements to support optimal patient account operations.

The Intake Coordinator communicates, coordinates, and documents patient transitions to home-based services, while also identifying care appropriateness and gathering necessary medical and insurance data. This role involves processing all home care referrals and distributing referral information to relevant business entities daily.

The Registered Professional Nurse utilizes the nursing process to diagnose and treat human responses to actual or potential problems of individuals or groups, working within the mission of St. Peter's Healthcare Services to achieve patient outcomes. Responsibilities include patient intake, vital sign documentation, medication list review, managing referrals, processing electronic prescriptions, obtaining consent, and performing pre-visit planning.

This role involves supervising and supporting a hybrid Tier 2 HRSS operations team, focusing on benefits administration excellence, performance metrics, and handling complex case escalations. Key duties include managing benefits programs like COBRA and HSA/FSA, ensuring regulatory compliance, and leading annual Open Enrollment activities.

Position Title: Referral Coordinator Department: GHG Referrals Location: Remote Purpose: To provide care and contribute to the welfare of patients and families through support of the standards and philosophies of Genesis. Manages patient referrals and tests for specific providers...

Coding Specialist role analyzing health records documentation for a Medical Group

The Vice President is responsible for payer contracting across several Regional Health Ministries, focusing on fee-for-service contracts and Alternative Payment Models (APM) based on quality and total cost of care. This role involves leading the full negotiation cycle, coaching teams on advanced negotiation methods, and implementing strategies to advance APMs in support of the Triple Aim.

The specialist is responsible for coding and abstracting patient records for professional billing, reviewing medical records for coding and sequencing of diagnoses and procedures for reimbursement. They also interact with billers, serve as a resource for difficult coding questions, and assist with insurance denials.

This role is responsible for data capture, analysis, and reporting to support operational efficiency for leadership, which includes auditing department information and suggesting process improvements. A key function involves ensuring accurate CPT and/or ICD-10 documentation for patient billing and educating colleagues on appropriate code usage.