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Supervise DRG coding audits, ensuring compliance with coding guidelines, provide training, conduct quality assurance, and generate reports for clients.

Manage the authorization process, maintain documentation in EMR, verify eligibility, act as a liaison between hospital staff and payers, and ensure compliance with healthcare regulations.

Manage and resolve outstanding insurance balances on hospital and physician accounts by researching accounts, navigating patient accounting systems (including Prism), preparing appeals, documenting actions, meeting cash and quality targets, and ensuring compliance with federal and client regulations.

The CDI Reconciliation Auditor performs quality reviews of clinical documentation and coding, ensuring compliance with DRG standards and resolving discrepancies.

Lead and support the CDI program by auditing documentation, educating clinicians and coders, analyzing data, maintaining CDI workbooks, performing pre-bill compliance audits, and providing day-to-day support and QA for CDI specialists to improve documentation quality and reimbursement.

The Client Analyst will analyze large healthcare datasets, produce strategic reports, assist in market research, and support strategic advisors to address client needs.

Consulting role evaluating coding assignments and conducting audits in medical facilities. The role involves producing reports, educating clients, and maintaining compliance with coding standards.