Medical Billing and Coding

• Accurately code diagnoses and procedures per ICD-10-CM and assign impairment and CMS 13 group codes.
• Extract information from medical records and input data into PATCOM and UDS Proware, establishing a comprehensive database within professional standards and regulatory guidelines.
• Uphold JCAHO standards and our policies while ensuring precise medical record abstraction.

Virtual HIMS Coder

Consultant

• Acts as a trusted organizational effectiveness consultant to senior leaders, RHRVPs, HRDs, and executives, providing insight, challenge, and recommendations grounded in organizational development (OD) and change management best practices.
• Diagnoses organizational and team effectiveness issues using qualitative and quantitative data, including engagement results, focus group findings, and operational insights.
• Leads or supports organizational change and design initiatives from design through implementation, evaluation, and sustainability.
• Provides consultative guidance to HR, Talent Management, Learning & Development, and other enterprise partners to shape and execute strategic initiatives such as performance management, talent calibration, succession planning, and leadership development.
• Leads the design, governance, administration, analysis, and executive level reporting of employee listening processes, including engagement, onboarding, and exit surveys.
• Prepares clear, compelling insights and reports for senior leadership that highlight trends, root causes, risks, and organizational impact.
• Designs customized facilitation guides and interventions aligned to engagement data, organizational context, and specific employee populations.
• Facilitates senior leadership team sessions, focus groups, and strategy alignment discussions, ensuring psychological safety and productive dialogue.
• Debriefs senior leadership teams on research findings and consults on practical, sustainable actions to improve performance, engagement, and culture.
• Translates data into actionable recommendations and advises leaders on prioritization and execution of action plans.
• Builds strong internal networks and partnerships; influences stakeholders through credibility, data, and sound judgment.
• Manages projects to completion on time and within budget, ensuring quality outcomes and measurable impact.
• Monitors adoption and effectiveness of programs and provides feedback to HR Strategy & OD leadership to support continuous improvement.
• Supports leaders in building high‑performing, cohesive teams by clarifying purpose, goals, roles, and operating norms.

Organizational Effectiveness Consultant

Auditor

• Uses techniques to effectively document, evaluate, and assess business processes at a basic level.
• Identifies improvements in the efficiency and effectiveness of business processes at a basic level.
• Draws appropriate conclusions based on analyses performed.
• Adheres to standards as set forth in the Audit Manual.
• Uses knowledge of business/financial concepts and the company to be effective at a basic level.
• Maintains competency in risk and control assessment.

Internal Auditor

Manager

• Files Medicare and Medicaid cost reports; oversees assigned cost report, including add-on payments.
• Participates in audit/reviews conducted by governmental agencies, contractors, and audit firm(s).
• Ensures audit impacts are calculated and accounted for, while contesting disputed adjustments.
• Supports personnel in identifying and resolving reimbursement issues.
• Conducts complex research independently with high accuracy and efficiency.
• Monitors compliance with Medicare and policies related to reimbursement; resolves concerns.
• Leads projects to obtain results while managing productivity/development of staff.
• Oversees projects which may include LIP, DTDF, Home Office, Review Tool, and hospital onboarding.
• Stays current on cost reports, LIP/bad debt, state reimbursement, and provider enrollment.
• Understands cost report drivers and operational impacts; communicates technical information upward.
• Reviews work; constructively review strengths and opportunities to develop direct reports.
• Possesses detailed working knowledge of all software applications and reports.
• Uses technology applications to accomplish department goals.
• Researches, analyzes, and reconciles data and complete complex hospital cost reports and assigned projects.
• Completes day-to-day responsibilities; identifies and resolves issues; follows chain of command.
• Possesses industry, organizational, and position knowledge and skills.
• Stays current in job knowledge through departmental regulation summaries, CMS/state/hospital association websites, MediRegs, and other industry related materials.
• Uses company resources where appropriate; shares information and resources with peers.

Reimbursement Manager

Engineer

• Participates in interface projects and provides technical input on interface design and development.
• Works with clinical business analysts and system engineers to understand functional requirements and translate them into interface specifications.
• Conducts interviews with end users and partners to gather business and technical requirements.
• Develops interface specifications, data flow diagrams, and related documentation.
• Performs data conversion, unit testing, regression testing, and interface validation.
• Supports interface deployment and go live activities.
• Executes interface updates and modifications as needed.
• Monitors interface performance and ensures adherence to established SLAs.
• Provides Tier 2/Tier 3 troubleshooting and issue resolution for interface-related incidents.
• Collaborates with senior team members on interface reviews and development standards.
• Assists in maintaining interface development frameworks and best practices.
• Supports and mentors support specialists in interface troubleshooting.

Interface Engineer

Risk

• Reviews, refers and serves as primary contact for auto claims.
• Assists hospitals and HPL/WC staff with information used for analysis of occurrences/incidents.
• Issues litigation hold on appropriate claims and performs follow-up with hospitals and ITG.
• Completes referrals to TPA/defense counsel/other entities in a timely manner.
• Prepares and submits assigned required reports.
• Completes filing for HPL/WC staff and performs data entry.
• Stays informed via periodicals, industry-related materials and associations.
• Understands and utilizes company resources where appropriate.
• Maintains Monthly Incident Summary Database.
• Serves as departmental liaison with document storage companies.
• Understands different depts. and their role in the corporate office.
• Develops strategies and aligns work to achieve goals.

Risk Management Coordinator

Claims Specialist

• Manages assigned claims for multiple jurisdictions.
• Works with defense counsel and third-party administrator to investigate and resolve claims.
• Helps facilitate questions regarding departmental policies.
• Assists hospitals with loss prevention programs.
• Assists in educating hospitals on state and federal agency standards and regulations.
• Prepares assigned reports.
• Has awareness of the Texas non-subscription program.
• Stays current via newspapers, periodicals, industry materials, associations, etc.
• Understands and utilizes company resources where appropriate.
• Networks with co-workers to share best practices.
• Understands different depts. and their role in the corporate office.
• Develops strategies and aligns work to achieve goals.

EHC