IKS Health

Revenue Operations

• Collaborate with health system clients on a range of complex assignments to provide practical and innovative solutions
• Assess the current performance of their acute revenue cycle operations by conducting interviews, observations, document review, data-driven insights, and processes
• Building relationships with clients and seeking opportunities to expand the scope of their business and financial outcomes
• Proactively identifies opportunities for financial, operational, and delivery performance enhancement
• Spearheads the successful implementation of our product and service suite with new and existing clients, driving exceptional business and financial outcomes through RCM transformation
• Partner closely with our technology teams to deploy & implement our suite of products/workflow engines to drive best operational outcomes
• Analyze business metrics trends, potential issues & escalations, client feedback & business strategy

Senior Vice President – Acute Revenue Operations

Vice President

• Own the broader commercialization strategy for the IKS Platform across our business segments.
• Collaborate with the various product & operations teams from each business segment along with sales, marketing, and customer success teams.
• Facilitate revenue growth, market penetration, and product adoption for the IKS solution platform.
• Identify strategic partnerships, alliances, and expansion opportunities to differentiate offerings and capture market share.
• Develop and execute a scalable go-to-market strategy that aligns with customer needs, and regulatory requirements.

VP Platform Commercialization

Auditor

• Conducts clinical coding audits as defined by client contracts
• Manage the performance of all quality for assigned clients
• Provide project status reports to operational leadership, as requested
• Ensure adherence to State and National Practice Standards for coding

Inpatient Auditor

• Conduct clinical coding audits as defined by client contracts
• Coordinate and oversee the coder onboarding process for assigned clients
• Manage the performance of all quality for assigned clients
• Monitor and enforce compliance and quality program
• Ensure adherence to State and National Practice Standards for coding
• Serve as an official resource for coding related questions from the coding staff
• Provide project status reports to operational leadership
• Monitor employee coding accuracy rates on a weekly basis
• Work directly with coding management team to ensure educational needs of coder are met
• Provide coaching, as needed
• Assures internal coding audits are completed accurately and timely
• Conducts coding audits adhering to nationally recognized coding guidelines and standards
• Provides input and advice regarding educational topics based on audit trends
• Represents company via professional meeting attendance and communication
• Interacts with audit peers, manager, coding staff and operations team
• Abides by the Standards of Ethical Coding as set forth by AHIMA
• Maintains appropriate QA/QI and/or productivity logs or record entries
• Attend internal and external meetings, as needed and requested to provide input and act as a coding information resource/expert

Medical Coding Auditor

• Conducts clinical coding audits as defined by client contracts.
• Coordinate and oversee the coder onboarding process for assigned clients.
• Monitor and enforce compliance and quality program.
• Ensure adherence to State and National Practice Standards for coding.
• Provide project status reports to operational leadership, as requested.
• Assures internal coding audits are completed accurately and timely.
• Conducting coding audits adhering to nationally recognized coding guidelines and standards.

Medical Facility Outpatient Auditor

Recruitment

• Maintain accurate candidate records and statuses.
• Collaborate with HRBPs, Recruiters, and HRIS to obtain job descriptions and salary details.
• Review resumes and conduct initial phone screenings to build a strong talent pipeline.
• Coordinate assessments, background checks, and offer letters.
• Process recruitment invoices, candidate travel expenses, and vendor payments.
• Prepare recruitment reports and analyze metrics like time-to-fill to optimize workflows.
• Assist with Talent Acquisition projects as assigned.

Talent Acquisition Coordinator

Account Executive

• Lead growth efforts within IDNs & Health Systems
• Engage with CEOs, CMOs, CFOs to understand strategic priorities
• Leverage knowledge of the IDN landscape to identify high-value targets
• Own the full sales cycle—from prospecting to close
• Cultivate relationships within the largest health systems in the U.S.

VP Market Leader, Sales Executive – Health System Segment

Customer Success Manager

• Oversee all aspects of the revenue cycle across multiple customers within various locations
• Track and analyze key performance indicators (KPIs) such as denial rates, collection rates, and charge lag
• Generate and present detailed reports on revenue cycle performance to senior management
• Identify inefficiencies, implement new strategies, and utilize technology (like EHR systems) to improve workflow, reduce costs, and increase revenue
• Contribute to budgeting, forecasting revenue, and managing expenses related to the revenue cycle
• Build and maintain relationships with external partners to optimize financial performance and resolve issues
• Work with internal departments, such as finance and clinical staff, to ensure accurate documentation and reporting

AVP Regional Revenue Cycle Customer Success Leader

Accounts Receivable

• Focus on the complete revenue cycle for infusion therapy services
• Managing billing for specialty meds
• Handling insurance claims (Medicare, Medicaid, Commercial)
• Posting payments
• Denial management
• Patient collections
• Reconciling discrepancies

Infusion Accounts Receivable Specialist

IT Support

• Oversee the day-to-day operations of all external coding audit processes as well as the coding auditor’s activities.
• Included functions include work distribution to all direct reports, evaluating daily productivity, tracking and monitoring audits outcomes, ensuring medical coding reviews are done in accordance with internal and external regulatory requirements.
• Tracking and monitoring each auditors progress in meeting deadlines; ensure data is reported accurately and completely; evaluate performance improvements in relation to corrective action plans; analyze data collection for patterns and trends to identify opportunities to improve documentation and coding as well as report outcomes & assessments to various internal and external stakeholders as applicable.
• Perform quality assurance reviews of coding analysts' audit findings.
• Frequently communicate effective feedback and provide decision support to reviewers on coding issues, as needed.
• Develop and implement processes and workflows around the execution of audits; maintain documentation and chart review audit results consistent with internal standard operational procedures as well as CMS and other governmental regulations and our company goals and policies.
• Additional duties as assigned.

Medical Coding Audit Manager

• Partner closely with hiring managers to understand business needs
• Provide consultative guidance
• Manage relationships throughout the recruiting process
• Develop and execute strategic, innovative recruiting and sourcing plans
• Build and maintain a strong pipeline of diverse candidates
• Conduct interviews and ensure an exceptional candidate experience
• Effectively negotiate and extend offers to selected candidates
• Provide regular updates and insights on market trends and talent availability.

Senior Executive Recruiter – Temporary

Medical Billing and Coding

• Review medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter.
• Select the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition.
• Ensure appropriate DRG assignment.
• Abstract appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
• Consistently meet productivity and quality performance requirements.
• Responsible for utilizing company applications to enter charts coded in real-time throughout the scheduled shift.
• Solicit clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
• Participate in team meetings and all training required by company staff or the client.
• May be asked to participate in training or shadowing of other coders.
• Flexibility in assignment over multiple clients to ensure meeting required classification hours.
• Participate in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management.
• Maintain current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
• Participate in education modules as assigned.
• Responsible for keeping coding credentials up to date and active.

Facility Claim Edits & Denials Medical Coder

• Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter.
• Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
• Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
• May act as a mentor to training coders and/or new hires by providing education and training.
• Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
• Maintains effective and professional communication skills.
• Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect.

Profee E&M ENT Coder

Operations

• Proactively identifies opportunities for financial, operational, and delivery performance enhancement.
• Spearheads the successful implementation of our product and service suite with new and existing clients, driving exceptional business and financial outcomes through RCM transformation.
• Partner closely with our technology teams to deploy & implement our suite of products/workflow engines to drive best operational outcomes.
• Analyze business metrics trends, potential issues & escalations, client feedback & business strategy.

AVP, Customer Advocacy – Revenue Cycle Management

• providing coding and abstracting services for clients on outpatient SDS CPT records
• using established coding principles, software, and knowledge to assign diagnostic and procedural codes
• reviewing medical records to identify pertinent diagnoses and procedures
• ensuring appropriate DRG assignment
• maintaining current knowledge of information contained in the Coding Clinic, CPT Assistant, and Official Guidelines for Coding and Reporting