• Assign appropriate diagnosis codes (ICD-10-CM) and procedure codes (CPT/HCPCS) to medical records and encounters. • Review and analyze clinical documentation to ensure accurate code assignment and appropriate documentation specificity. • Stay current with coding guidelines and regulations to ensure compliance with healthcare coding standards. • Implement coding changes based on updates and revisions to coding systems. • Conduct periodic coding audits to identify coding errors or discrepancies and recommend corrective actions. • Participate in quality assurance programs to maintain accurate and consistent coding practices. • Work closely with healthcare providers, billing specialists, and other healthcare professionals to resolve coding-related issues and discrepancies. • Communicate coding updates and changes to the healthcare team effectively. • Accurately enter coded data into electronic health records (EHR) and billing systems. • Generate coding-related reports and statistics to support decision-making and revenue cycle management.

Role Description Seven Starling is revolutionizing women's mental healthcare, and we're looking for an Enrollment Specialist to help scale our world-class clinical team during a period of tremendous growth. You will own the full enrollment and credentialing cycle for psychotherapists (LCSWs, LPCs, Psy.D, etc.), psychiatric mental health nurse practitioners (PMHNPs), and physicians. Joining our small but mighty Network Access team and reporting to the Network Access Manager, you'll have the opportunity to scale our credentialing and enrollment function while making a significant impact on women's mental healthcare. This isn't just another enrollment specialist role – you'll be a key player to support a rapidly growing clinical team that's transforming how women access mental health support. You'll help evolve our strategies, implement new processes, and have a direct impact on thousands of women's lives through the providers you credential and enroll. What you’ll do - Submit accurate enrollment applications to multiple public and private payers across Commercial and Medicaid plans - Manage enrollments across multiple states and provider types, ensuring timely follow-up for enrollments that have not yet been approved - Utilize Salesforce for enrollment management and tracking - Maintain up-to-date provider information in CAQH and other relevant databases - Resolve enrollment discrepancies and support claims disputes with the Revenue Cycle Management team - Prepare and organize enrollment metrics and provider data using Google Sheets and Salesforce - Communicate effectively with internal teams and external payer contacts - Develop and improve enrollment workflows using best practices - Generate and submit rosters as requested by various payers to remain compliant Qualifications - 3+ years of credentialing and enrollment experience in behavioral health - NAMSS enrollment certification a plus! - Proven experience successfully enrolling providers with Commercial and Medicaid plans - Exceptional attention to detail and organizational skills - Strong written and verbal communication skills - Proficient in Google Suite - Experience with Salesforce or comparable CRM tools (preferred) Requirements - Full time position - Salary: $65,000 - Remote Benefits - Competitive paid time off - Competitive parental leave policy - One-time stipend to enhance your work from home experience - Medical, dental, and vision insurance - 401K - Bereavement leave, including for miscarriage and pregnancy loss - Annual stipend for your choice of wellness benefits - Annual professional development stipend - Virtual team events Company Description Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of motherhood. Seven Starling's holistic clinical model combines specialized therapy, peer support, and medication management to effectively treat common perinatal mood disorders like postpartum depression and anxiety, with 94% of patients seeing a clinically significant improvement in their symptoms after completing the program. Seven Starling partners with OBGYN clinics across the country and leading health plans including UnitedHealthCare, Cigna, Blue Cross Blue Shield, and Aetna to make care easily accessible and affordable.

JOB SUMMARY: The primary responsibility of the registrar is to assure that complete and accurate data are collected and maintained for all injured patients admitted to CentraCare designated trauma centers meeting the inclusion criteria for the trauma program. The registrar must work with numerous disciplines to ensure complete case findings. The registrar must keep current with all changes and requirements of the American College of Surgeons National Trauma Data Bank (NTDB) and Trauma Quality Improvement Program (TQIP) and Minnesota Department of Health (MDH) in order to comply with their standards. The registrar will assist with the performance of epidemiology disease-related research as requested for the Minnesota Trauma Registry affiliated with the state trauma program. Schedule - Full-time | 80 hours every two weeks | Remote - Monday – Friday day shift Pay and Benefits: - Starting pay begins at $24.21 per hour and increases with experience - Pay range: $24.21 - $36.35 per hour - benefits: Medical, dental, PTO, retirement, employee discounts and more Education: - Associate’s degree (AAS) in Health Information Management, Health Data Specialist, or other health related field with strong emphasis on anatomy, physiology and medical terminology. - Completion of AAAM Training within 1 year. - ICD10 course completion. - ICD10 refresher course within 5 years. - American Trauma Society Trauma Registry Course within 1 year. EXPERIENCE: - 2 years Previous experience working with trauma registry, cancer registry or other specialized medical registry preferred. - 1 year Previous experience and extensive working knowledge of the ICD-10-CM, CPT-4, DRG's, APR-DRG's coding system and knowledge of the disease process, surgical procedures and pharmacology. LICENSES AND CERTIFICATIONS: - Certified Specialist in Trauma Registries (CSTR) Preferred - Certified Abbreviated Injury Scaling Specialist (CAISS) Preferred - Registered Health Information Technician (RHIT) Preferred CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.

Role Description Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines. Reviews coding and amends coding edits to assure compliance with all applicable regulations. - Codes all outpatient medical records in a timely and accurate manner according to department policy. - Defines and transforms verbal descriptions of diseases, injuries, and procedures into numerical designations (codes) using ICD-10-CM and CPT-4 according to established coding guidelines. - Initiates a physician/department query when there is conflicting, incomplete, or ambiguous documentation in the record or additional information is needed for accurate coding. - Enters all required information accurately into computer system for reimbursement and statistical purposes. - Independently reconciles charges for areas of responsibility based on facility workflow. - Performs ICD-10-CM diagnostic and CPT-4 coding at a minimum accuracy rate of 95%. - Remains abreast of all applicable Federal, State, regulatory and hospital-specific coding guidelines. - Applies applicable guidelines to all cases coded to ensure accuracy of selected codes. - Accesses and researches applicable reference materials to further support decision-making in code selection. - Participates in Performance Improvement/Quality Assurance activities. - Reports on software and hardware problems. - Attends required educational sessions (webinars, conferences etc.) to maintain and enhance coding certification(s). - Maintains and models the organization's values. - Demonstrates regular, reliable and predictable attendance. - Performs other duties as required. Qualifications - Associate degree or equivalent experience. - Knowledge of ICD-10, CPT-4, Disease Pathology, Anatomy, Physiology and Medical Terminology. - Advanced knowledge of Evaluation and Management Coding guidelines. - 2-4 years of coding experience. - Familiarity with MS Office applications. - Usage of coding manuals and regulatory websites for research. - Certification from the America Academy Professional Coders (AAPC) or the American Health Information Management Association (AHIMA): CPC, CPC-H, COC, CCS, CCS-P, RHIA, RHIT, or specialty certification required. Requirements - Basic familiarity with MS Office applications (Word, Excel, Outlook). - Usage of coding manuals and regulatory websites for research. - Certification from the America Academy Professional Coders (AAPC) or the American Health Information Management Association (AHIMA): CPC, CPC-H, CCS, CCS-P, RHIA, RHIT, or specialty certification required. Working Conditions - Manual: significant manual skills/motor coordination & finger dexterity. - Occupational: Some occupational risk. - Physical Effort: Medium to Heavy effort. May exert up to 35 lbs. force. - Physical Environment: Some exposure to dirt, odors, noise, human waste, etc. Company Description With strong hearts and open minds, we’re pushing past boundaries and challenging the expected, all in the name of possibility. We are neighbors caring for neighbors, working together as partners in health to improve the lives of the people we serve. If you share our passion for the health of our communities, advance your career with Nuvance Health!