Coder II

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Company Overview:

Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency.

Job Purpose:

The Coder II reviews clinical documentation to code diagnoses and surgical CPT procedures for hospital-based claims and data needs. For either professional or technical claims and data needs, the Coder II reviews clinical documentation to code diagnoses, EM level, and surgical CPT procedures. Additionally, this role also validates APC calculations, abstracts clinical data, mitigates diagnosis, EM level, and/or surgical CPT coding-related claims scrubber edits, and may interact with client staff and providers.

Essential Duties & Responsibilities:

· Assigns ICD-10-CM codes, either professional or technical EM level, and surgical CPT codes at commercially reasonable production rates and at a consistent 95% or greater quality level.

· Validates APC assignments, as applicable.

· Abstracts clinical data appropriately.

· Mitigates diagnosis, EM level, and/or surgical CPT coding-related claims scrubber edits.

· Participates in client and Savista meetings and training sessions as instructed by management.

· Maintains an ongoing current working knowledge of the coding convention in play at client assignments.

· Performs other related duties as required.

Minimum Qualifications:

· An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential

· One year of relevant coding experience for the specific patient type being hired and within the last six months

· Passing score of 80% on specific pre-employment tests assigned

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $28.00 – $33.00 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

Billing Specialist 1

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Essential Duties & Responsibilities: 

  • Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy  
  • Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper and portal submission to payers. 
  • Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission. 
  • Respond timely to emails and telephone messages as appropriate. 
  • Communicate issues to management, including payer, system or escalated account issues. 
  • Participate and attend meetings as requested, training seminars and in-services to develop job knowledge. 
  • Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards. 
  • Enhances billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. 
  • Update patient demographics/insurance information in appropriate systems –  
  • Monitor claims for missing information, authorization and control numbers(ICN//DCN)  
  • Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems 
  • Secure needed medical documentation required or requested by third party insurance carriers  
  • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure 
  • Perform other related duties as required 

Minimum Requirements & Competencies:  

  • High School Diploma or GED  
  • At least one year of experience in healthcare insurance billing, working with or for a hospital/hospital system, working directly with government or commercial payers.  
  • Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials.  
  • Experiences reading and utilizing EOB, 1500 and UB-O4 Forms  
  • Knowledge of CD-10, CPT, HCPCS and NCC  
  • Knowledge and ability to utilize third-party billing guidelines  
  • A minimum of 6 months experience of billing claim forms (UB04/1500)  
  • Understanding payor contracts and the ability to read and interpret them.  
  • Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)  
  • Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices.   
  • Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools.  
  • Demonstrated success working both individually and in a team environment.  
  • Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter.  
  • Demonstrated ability to meet performance objectives.  

Preferred Requirements & Competencies:  

  • Working knowledge of one or more of the following Patient accounting systems –  EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon 
  • Working knowledge of DDE Medicare claim system 
  • Knowledge of government rules and regulations.1 

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $17.00 to $19.50. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

Accounts Receivable Specialist 1

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Essential Duties & Responsibilities: 

  • Verify/obtain  eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers 
  • Update patient demographics/insurance information in appropriate systems –  
  • Research/ Status unpaid or denied claims  
  • Monitor claims for missing information, authorization and control numbers(ICN//DCN)  
  • Research EOBs for payments or adjustments to resolve claim 
  • Contacts payers via phone or written correspondence to secure payment of claims 
  • Access client systems for payment, patient, claim and data info 
  • Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems 
  • Secure needed medical documentation required or requested by third party insurance carriers  
  • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure 
  • Perform other related duties as required 

Minimum Requirements & Competencies:  

  • 1-2 years of medical collections/billing experience 
  • Basic knowledge of ICD-10, CPT, HCPCS and NCCI 
  • Basic knowledge of third party billing guidelines 
  • Basic knowledge of billing claim forms(UB04/1500) 
  • Basic knowledge of payor contracts 
  • Working Knowledge of Microsoft Word and Excel 
  • Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.) 

Preferred Requirements & Competencies:  

  • Working knowledge of one or more of the following Patient accounting systems –  EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon 
  • Working knowledge of DDE Medicare claim system 
  • Knowledge of government rules and regulations 

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $17.00 to $19.00. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

Registry Technician I

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Company Overview:

Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. nThrive serves more than 125 health systems, 3,300 hospitals and 30,000 non-acute care healthcare providers. For more information, visit www.savistarcm.com.

Job Purpose:

The Registry Technician performs administrative and clerical support to the Cancer Registry functions as directed by the Cancer Registry Manager, Team Lead or Regional Operations Manager.

Position Objectives:

Provide support for defined Registry Functions and Cancer Program activities.

Essential Duties & Responsibilities:

  • Assist with screening and case ascertainment/case-finding processes.
  • Initiate and/or maintain follow-up and/or outcome information for all cancer cases in registry in accordance with the Hospital and Commission on Cancer (CoC) requirements.
  • Assist in maintaining data quality assurance.
  • Retrieve and prepare records for Cancer Committee, Tumor Boards or quality reviews.
  • Prepare productivity reports as requested by Team Leader/Cancer Registry Manager.
  • Assist with all other Cancer Program and Registry activities as needed such as data collection, cancer conferences, follow-up, treatment letters, staging forms, reports, presentations, etc.
  • Performs other duties as assigned or requested.

Internal Responsibilities:

  • Remote Registry Technicians must have high speed internet access and experience with remote access, set-up, and troubleshooting technical issues.
  • Supports Savista’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista’s business practices. This includes: becoming familiar with nThrive’s Code of Ethics, attending training as required, notifying management or Savista’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations.

Minimum Qualifications & Competencies:

  • Minimum requirements – high school graduate, associate or college degree preferred.
  • Courses in medical terminology, anatomy and physiology
  • Medical records experience preferred, any work experience in the oncology field a plus.
  • Experience with Microsoft Office preferred – Word, Excel, PowerPoint.
  • Must be detail oriented and have the ability to work independently. 
  • Excellent office skills with knowledge and use of computers and software applications.

Preferred Skills but Not Required:

Certified Tumor Registrar (CTR) or CTR eligible

HIM Credential – RHIT, CCS, CCA, MT

Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The hourly range for this role is from $14.14 to $22.22. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

Accounts Receivable Specialist 2

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Savista partners with healthcare providers to improve their financial strength by implementing integrated spend management and revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency.

The Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables.

Essential Duties & Responsibilities

  • Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers
  • Update patient demographics/insurance information in appropriate systems –
  • Research/ Status unpaid or denied claims
  • Monitor claims for missing information, authorization and control numbers(ICN//DCN)
  • Research EOBs for payments or adjustments to resolve claim
  • Contacts payers via phone or written correspondence to secure payment of claims; reconsideration and appeal submission.
  • Access client systems for payment, patient, claim and data info
  • Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems
  • Secure needed medical documentation required or requested by third party insurance carriers
  • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
  • Perform other related duties as required

Minimum Requirements & Competencies

  • 2-3 years of medical collections, denials and appeals experience
  • Experience with all but not limited to the following denials-
  • DRG downgrades, level of care, coding, medical necessity
  • Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
  • Intermediate knowledge of third party billing guidelines
  • Intermediate knowledge of billing claim forms(UB04/1500)
  • Intermediate knowledge of payor contracts- commercial and government
  • Intermediate Working Knowledge of Microsoft Word and Excel
  • Intermediate knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)
  • Preferred Requirements & Competencies
  • Intermediate knowledge of one or more of the following Patient accounting systems – EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon
  • Intermediate of DDE Medicare claim system
  • Intermediate Knowledge of government rules and regulations

Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $18.00 to $22.00. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.