Oversees Clinical Documentation Integrity operations supporting medical staff by-laws and regulatory requirements specific to clinical documentation for DRG assurance, while maintaining a high degree of emphasis on physician engagement.
Compensation
This position starts at: $111,800.00. Final compensation will be determined based on experience
Responsibilities
Develops clinical data reporting and uses analytical assessment of data, data manipulation, and professionally articulate data outcomes to improve operations.
Maintains knowledge of all coding guidelines and regulations and assists in communication to market CDI leaders and associates.
Validates CDI quality assurance measures to support accurate metrics and reimbursement reporting for the CDI department.
Supports DRG assurance efforts by generating and analyzing data and reports to identify opportunities for continuous growth and improvement specific to clinical documentation.
Provides feedback to site CDI leaders and administrators, develops and implements action plans where appropriate.
Conduct data quality monitoring of physician documentation to validate accurate code assignment in accordance with official coding guidelines, clinical documentation, and regulatory requirements.
Compensation
The starting annual salary for this position ranges from $62,712 to $78,390
Responsibilities
Review medical records using primary source materials, including CMS and ICD-10 coding guidelines, to determine accurate assignment of diagnoses and procedures.
Apply ICD-10-CM and CPT codes based on documentation contained within the Electronic Medical Record (EMR).
Ensure coding practices adhere to established Standards of Ethical Coding.
Document review determinations in regional databases to support quality assurance, regional analysis, and training activities.
Identify potential documentation risk areas through medical record reviews.
Requirements
High School Diploma or General Education Development (GED)
Bachelor’s degree in Business Administration, Health Care, Public Health, Finance, Business Medical Records Technology, or a related field
Coordinate physician communications, education, and expertise for the PRC Coding team, performing root cause analysis, leading improvement projects, and providing front-line coding expertise.
Compensation
This position pays between $57,400 to $99,000 annually based on experience
Responsibilities
Coordinate physician communications
Answer telephone and email questions
Provide education and training to physicians and coders
Serve as the primary contact for the specialty
Conduct coder communications reviews
Requirements
Bachelor's degree in Health Information Management, Medical Coding, or equivalent experience
Experienced medical practice professional seeking to oversee day-to-day administrative operations, coordinate workflows, and lead the administrative team in a collaborative environment.
Compensation
$22.00 – $28.00 per hour (Depending on experience)
Responsibilities
Oversee and manage the day-to-day administrative operations of the medical clinic.
Optimize patient scheduling, provider templates, and daily flow to ensure an efficient, productive, and smooth patient experience.
Supervise front desk operations including check-ins/check-outs, copay collection, and patient inquiries.
Oversee medical insurance verification, prior authorizations, claims coding/billing submission, and collections.
Maintain a compassionate, professional, and welcoming environment for both our adult patients.
Supervises daily operations of the Clinical Documentation Integrity program for Health Ministries within the region, overseeing staff, ensuring compliance, and driving quality improvement.
Compensation
(Hourly pay range: $47.2309-$70.8464)
Responsibilities
Supervise daily operations of the CDI team
Ensure compliance with program standards and policies
Coordinate performance improvement initiatives
Provide training and education to CDS staff
Manage scheduling and staffing assignments
Requirements
Bachelor’s Degree in Health Information Management, Healthcare related field or Nursing or equivalent
Nice to have: Certified Clinical Documentation Specialists (CCDS)
Nice to have: Certified Documentation Improvement Professional (CDIP)
Develop and issue compliant physician queries based on clinical indicators, coding guidelines, and documentation gaps.
Review medical records to identify opportunities for clarification that impact DRG assignment, SOI/ROM, and reimbursement integrity.
Ensure all queries adhere to AHIMA and ACDIS standards for compliance and neutrality.
Track and follow up on outstanding queries to ensure timely response and resolution.
Collaborate with CDI professionals and inpatient coders to align documentation with coding and regulatory requirements.
Requirements
Bachelor’s degree or equivalent experience required
Clinical background or training as a Registered Nurse, Nurse Practitioner, Occupational Therapist, Physical Therapist, Physician Assistant, or Physician
Responsible for chart analysis and abstracting CPT, HCPCS, ICD codes and modifiers for surgical specialties, ensuring accurate coding, billing, and reimbursement.
Compensation
Pay Range Minimum: $33.47 hourly
Pay Range Maximum: $47.93 hourly
Responsibilities
Performs chart analysis and abstracts CPT, HCPCS, ICD codes and modifiers
Reviews and resolves coding issues and claim edits in Epic
Consults with physicians and clinical representatives to verify services
Makes coding corrections to resolve issues
Supports PFS by reviewing services for charge accuracy
Requirements
High school diploma or equivalent
Certified Health Information Technician (RHIT) or equivalent certifications
Responsible for accurate and timely medical billing for home infusion services, ensuring compliance with payer contracts and supporting revenue cycle operations.
Compensation
$25—$27 USD
Responsibilities
Prepare and submit insurance claims for home infusion services
Process electronic pharmacy claims for Medicare Part D, Medicaid, and commercial insurance plans
Ensure prescription reimbursement information is complete, accurate, and entered in a timely manner before weekly and month-end close
Review documentation to ensure it aligns with billed services, coding, and expected reimbursement
Review and accurately apply payments to patient accounts through final resolution
Requirements
High school diploma or GED
Nice to have: 5+ years of medical billing and collections experience
Nice to have: Previous home infusion or infusion therapy billing experience
Nice to have: Experience with CareTend, CPR+, or similar healthcare billing systems
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