Savista

Medical Billing and Coding

• Review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement.
• Validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record.
• Perform documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements.
• May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
• Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines.
• Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
• Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

Pro Fee Coder – Complex Surgeries, Rad Onc Surgery, Neurology Surgery, General Surgery

• Review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement.
• Validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals.
• Perform documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements.
• Interact with client staff and providers as necessary.
• Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types.
• Review and analyze facility records to ensure accuracy in APC assignments and/or Evaluation and Management codes.
• Abstract clinical data from records to support diagnoses and discharge dispositions.
• Maintain patient and provider confidentiality in compliance with HIPAA guidelines.

Pro Fee Coder – Cardiology

Manager

• Serve as the primary operational leader for one or more major clients within multiple regions, managing $3.6M+ in revenue and/or multiple service lines.
• Own day-to-day client relationships, ensuring service level agreements (SLAs), quality standards, and performance expectations are met.
• Lead client meetings as appropriate; prepare, review, and present weekly and monthly operational reports.
• Proactively identify service risks, performance gaps, or potential contractual concerns and escalates appropriately.
• Partner in new client implementations, including operational planning, staffing models, training coordination, and go-live support.
• Drive continuous improvement initiatives to enhance client satisfaction and operational outcomes.
• Act as an escalation point for complex cases, working with internal and external stakeholders to resolve issues promptly.
• Oversee workflow management, productivity, and quality assurance processes to ensure timely and accurate processing of eligibility accounts.
• Ensure adherence to QA standards; review audit results, implement remedial training and/or corrective actions, and monitor sustained improvement.
• Develop, refine, and enforce policies and procedures to align with regulatory, compliance, and client requirements.
• Identify opportunities to improve processes, leverage technology, and enhance eligibility workflows.
• Monitor compliance with HIPAA, Medicaid, Charity Care, Disability, and other regulatory guidelines.
• Accountable for operational financial performance, including revenue, expense management, and margin optimization.
• Review monthly P&L statements and partner with the General Manager or Vice President to address variances and implement improvement strategies.
• Support annual budgeting and forecasting processes.
• Lead, mentor, and develop a multi-layered eligibility team, including several supervisors and managers and their direct reports, ensuring alignment with organizational goals, operational standards, and performance expectations.
• Establish team performance expectations aligned with organizational and client goals.
• Monitor team and individual performance and quality metrics, providing regular feedback and implement corrective action and performance improvement plans as necessary.
• Oversee hiring, onboarding, performance management, coaching, corrective actions, and terminations in partnership with HR.
• Manage workforce planning, scheduling, overtime oversight, travel expenditures, and resource allocation to ensure productivity and coverage standards are achieved.
• Ensure colleagues receive appropriate training, tools, and development opportunities to perform effectively.

Senior Manager, Patient Eligibility

Sales

• Develop and execute a comprehensive territory or domain plan to expand Savista’s market footprint.
• Prospect and build strong relationships with C-Suite and executive-level stakeholders at target and assigned accounts.
• Lead all aspects of the sales cycle, including qualification, discovery, solution design, proposal development, negotiation, and closing.
• Create and position bundled, innovative solution packages that align Savista’s capabilities with customer needs.
• Deliver measurable financial impact for prospects and customers by aligning solutions to their strategic, operational, and financial objectives.
• Coordinate efforts across Savista Operations business units (domestic and global), Strategy, and subject matter experts to support end-to-end solutions and strategic outsourcing deals.
• Partner with internal teams—including Operations, Strategy, Finance, Legal, Implementations and Client Success—to ensure alignment of strategy, pricing, and handoffs.
• Manage accurate forecasting, pipeline development, account planning, and competitive assessments.
• Serve as the executive contact for customers until appropriate transition to the Client Success Manager.
• Maintain expert-level knowledge of Savista’s full-service portfolio, features, benefits, and differentiators.
• Understand customer operations, industry trends, regulatory dynamics, and competitive landscape to inform positioning and strategy.
• Deliver clear, compelling presentations to clients of varying sizes and backgrounds; adapt communication style and tactics based on real-time feedback.
• Translate complex information into concise, compelling value propositions and business cases.
• Lead complex negotiations with both internal and external stakeholders; seek common ground and drive mutually beneficial outcomes.
• Build and maintain trust-based relationships throughout the sales cycle by demonstrating consistency, transparency, and professionalism.
• Identify and pursue expansion opportunities within existing accounts; monitor customer activity and satisfaction to support long-term growth.
• Establish rapport quickly and cultivate constructive, effective relationships with key decision-makers.
• Ensure customer expectations are well defined, achievable, and aligned to Savista’s capabilities.
• Demonstrate exceptional responsiveness to customer inquiries, requests, and concerns.
• Gather customer feedback and use it to inform product enhancements, process improvements, and strategic recommendations.
• Champion customer-centric behaviors internally to reinforce a culture of service excellence.

Vice President, Sales

• This is a Coder III–level position responsible for researching, reviewing, interpreting, and processing Interventional Radiology (IR), Vascular, and Neurosurgery coding and billing charges.
• Support all coding functions for the IR, Vascular, and Neurosurgery departments and communicate regularly via email and messaging with clinic staff to ensure compliant, accurate, and appropriate coding practices.
• Perform charge capture, apply diagnoses and modifiers and demonstrate understanding of NCCI edits or other applicable regulatory requirements.
• Maintain coding knowledge and billing regulations associated with CPT and ICD-10 codes, and modifiers.
• Consult with Coding Managers on any edit discrepancies.
• Demonstrated ability to work independently with minimal supervision.
• Complete assigned work functions utilizing appropriate resources.
• Participate in client and staff meetings, trainings, and conference calls as requested and/or required.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.
• Maintain a 95% coding accuracy rate and client's productivity standards.

Profee Coder III, Radiology, Vascular, Neurosurgery Coding

Accounts Receivable

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Accounts Receivable Specialist

• Review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement.
• Validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals.
• Perform documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements.
• Interact with client staff and providers.
• Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management.
• Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.
• Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
• Complete assigned work functions utilizing appropriate resources.
• Act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
• Maintain strict patient and provider confidentiality in compliance with all HIPAA Guidelines.
• Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
• Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

Profee Coder – Hospitalist

Bilingual

• Conduct advanced eligibility screening in-person
• Facilitate the application process for programs
• Act as a liaison between patients and hospital staff
• Maintain accurate and confidential records
• Identify and assist with complex cases