e4health

Auditor

• The Inpatient Auditor is responsible for completing quality assurance reviews on internal and external inpatient coders.
• This includes onboarding audits and training of newly hired e4health inpatient coders.
• The role validates that coders accurately abstract data into client electronic medical record systems, following Official ICD-10-CM and ICD-10-PCS Guidelines, UHDDS guidelines, and CMS directives.
• The auditor also validates Present on Admission (POA) indicators per AHA POA guidelines and identifies missing or inappropriate provider queries.
• The Inpatient Auditor plays a key role in reporting quality results, tracking educational opportunities, responding to client needs, and providing educational support and training.

Inpatient Auditor

Consultant

• Provide timely reviews of patient medical records to ensure accurate and complete documentation
• Work with providers and coders to ensure documentation reflects complexity of the patient
• Ensure inpatient clinical documentation accurately reflects severity of illness (SOI) and Risk of Mortality (ROM)
• Conduct regular audits using standardized methodology to ensure compliance with documentation
• Track and trend data for use by the HIM Documentation Quality and Education Manager

CDI Consultant

Technical Project Manager

• Knowledge and experience in overall Project Methodology in the creation of the project plans, defining schedules and managing budget limitations
• Defines required roles and tasks, as well as standard PMI PMBOK project management activities
• Develops weekly status reports and modifies schedules
• Work with client team to manage and achieve program and project level goals
• Explore and summarize health system data to provide insight for strategic decisions
• Plans, manages, and coordinates project activities to ensure goals and objectives of multiple and large projects are accomplished within prescribed time-frame and funding parameters
• Establishes timelines and ensures project deadlines are met
• Maintains integrity and cost containment of projects
• Plans, manages, and coordinates projects and ensures project initiatives and timelines are met
• Liaise with service lines and technical teams to translate complex business and technology specifications into relatable concepts to expedite communications and project execution
• Develops project initiation process by defining project scope, determining action items, assigning ownership, creating project timetables, and tracking execution and workflow; prepares, presents and distributes project status reports
• Evaluates, plans, and monitors project implementation for clinical systems; manages project and project delivery teams, ensures deadlines are met, escalates issues for appropriate, timely resolution and adheres to standardized project management methodologies
• Develops interdisciplinary project teams in coordination with clinical community to ensure deployment of systems; serves as liaison to project sponsors, project teams and stakeholders; works with internal, external groups to optimize success of project deployment
• Communicates with user departments and project teams on project activities; confers with project staff and vendors to provide support and resolve problems; collaborates with clinical, financial and quality teams to define and develop metric goals
• Partners with management to develop tools and metrics to evaluate performance of target initiatives; assists with planning monitoring criteria and methodology
• Ensures availability of performance measurement data for review and analysis; evaluates and drives risk management process improvements, efficiencies and workflow enhancements
• Partners with management, identifies end user education, training program and services; assists in the development and maintains department policies and procedures
• Provides subject matter expert support in the development of clinical information systems and integration to improve the timely completion of projects
• Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action
• Recommends innovative ideas, processes, and/or procedures for enhancements, additions, and modifications to improve existing systems
• Work with other members of the team to implement solutions to meet business operation needs
• Performs related duties as required

Senior HIT Project Manager

Director

• Develop and lead the organization’s revenue integrity strategy across all service lines
• Identify and reduce revenue leakage through audits, analytics, and process improvement
• Monitor key performance indicators (KPIs) related to charge capture, denials, and reimbursement
• Collaborate with finance, compliance, coding, and clinical departments to ensure accurate revenue cycle processes
• Oversee the maintenance, accuracy, and compliance of the hospital chargemaster
• Ensure CDM alignment with coding updates (CPT, HCPCS, ICD-10) and payer requirements
• Lead regular CDM reviews and updates to reflect regulatory and operational changes
• Ensure adherence to regulations from Centers for Medicare & Medicaid Services (CMS), Office of Inspector General (OIG), and other governing bodies
• Lead internal and external audit responses related to billing and revenue integrity
• Work closely with clinical & coding teams to ensure accurate documentation and code assignment
• Improve charge capture processes across inpatient, outpatient, and procedural areas
• Lead and mentor revenue integrity and CDM teams

Interim Revenue Integrity Director

• Completing quality assurance reviews of patient medical records to ensure accurate and complete documentation
• Audit records previously reviewed by Customer CDS consultants
• Review charts for missed opportunities to capture greater specificity or clarify inconsistencies
• Evaluate queries from a compliance perspective using ACDIS/AHIMA Practice Brief as the standard
• Review accounts not previously reviewed by Customer CDS to identify opportunities for improvement
• Work within Customer systems and e4health Audit software to identify areas of risk
• Assist with report writing as appropriate
• Interact with the Customer and other team members

CDI Auditor

Project Manager

• Coordinate day-to-day activities for Epic-related clinical projects
• Support project managers with timelines, deliverables, and documentation
• Collaborate with clinicians, analysts, and stakeholders to gather requirements
• Track project progress and provide status updates to leadership
• Assist with workflow analysis and process improvement initiatives
• Schedule and facilitate meetings, training sessions, and communications
• Maintain project documentation (plans, reports, issue logs, etc.)
• Help manage risks, issues, and change requests
• Support testing phases (unit testing, integrated testing, user acceptance testing)
• Assist with go-live planning and post-implementation support

Clinical Project Coordinator

• The Application Analyst is primarily responsible for designing, developing, deploying, and providing post-implementation technical support for the Maestro Care (MC) Electronic Health Record (EHR) across service access and revenue cycle workflows
• Responsibilities include planning, performing, managing, and supporting identified Maestro Care EHR users within the client Health environment
• This support extends to MC Professional Billing (PB) Claims, Benefits Engine, Cheers CRM, Charge Router and Cash Management PB Remittance, Hospital Billing (HB) Remittance, and MyChart modules
• Working closely with Epic and other Maestro Care application teams to create and execute deployment tasks, interpret revenue cycle workflows, and participate in the build, testing, and support of the MC PB application
• Advising and assisting with educational issues, including cross-training team members, trainers/SMEs, and the client Service Desk through face-to-face interactions and phone or email communications

Professional Billing Consultant

Medical Billing and Coding

• The Outpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems
• Performing data entry of required abstracted patient information into the client’s information system
• Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements
• Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards
• Assigns appropriate ICD-10-CM, CPT, HCPCS codes and modifiers to facility-based Ancillary, Emergency Department, Observation, and/or Outpatient Surgery Accounts as per designated workflow
• Abstracts and enters coded data and/or charges for hospital statistical and reporting requirements
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
• Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts
• Maintains required productivity and quality requirements
• Maintains coding credential requirements

Outpatient SDS Coder

• The Inpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems
• Performs data entry of required abstracted patient information into the client’s information system
• Assigns Present on Admission (POA) indicators according to AHA POA guidelines
• Queries physicians when appropriate and interacts with Clinical Documentation staff
• Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards

Inpatient Coding Specialist

• The Inpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems
• Performs data entry of required abstracted patient information into the client’s information system
• Assigns Present on Admission (POA) indicators according to AHA POA guidelines
• Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements
• Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards