Trend Health Partners

2 open remote positions

Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. It is a dynamic growing organization with a collaborative and innovative work environment.

Salary Distribution 2 of 2 jobs

Benefits Overview 2 of 2 jobs

401(k) (1) 401(k) with match (1) Health Insurance (1) Health insurance (1) Paid parental leave (1) Parental Leave (1)

Open Positions

  • Validate accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
  • Review medical records and supporting documentation to confirm appropriate billing and apply CMS guidance, coding guidelines, and MUE/NCCI edits.
  • Prepare appeal responses using applicable coding guidance and assist with new concept development and claim selection criteria.

  • Provide physician-level clinical oversight and strategic guidance across DRG validation, hospital bill audits, and itemized bill reviews.
  • Act as a clinical authority and escalation point for payer-facing clinical discussions and appeals, including peer-to-peer review.
  • Analyze appeal outcomes and sign off on clinical validation concepts to improve review guidelines and outcomes.