Conduct targeted risk-based audits of high-risk diagnoses and HCCs to ensure clinical documentation supports reported diagnoses.
Deliver peer-level education and feedback to providers to improve documentation accuracy, specificity, and defensibility.
Collaborate with coding, compliance, and clinical leadership to reduce documentation risks and enhance audit readiness.
WellBe Senior Medical provides senior-focused healthcare services with an emphasis on risk adjustment and documentation integrity. The company fosters a remote, collaborative work environment and values compliance, education, and high-quality patient care.
Audit inpatient medical records to validate ICD-10-CM/PCS coding, DRG assignments, and compliance.
Identify documentation gaps and develop compliant physician queries while collaborating with physicians.
Maintain productivity of at least three chart reviews per hour and complete accurate audit workpapers.
The hiring company provides clinical documentation improvement consulting services to healthcare organizations, focusing on accurate coding, compliance, and reimbursement. It fosters a collaborative, people-first environment and has been recognized as a Great Place to Work for three consecutive years.
Lead and manage the coding team, setting productivity and quality standards for documentation and coding operations.
Oversee pre-encounter review workflows, query auditing, and vendor performance to drive compliance and risk adjustment outcomes.
Collaborate with clinical, operations, compliance, and finance stakeholders on program objectives and process improvements.
WellBe Senior Medical provides healthcare services focused on seniors, with an emphasis on documentation accuracy, coding compliance, and risk adjustment. The company operates in a remote, cross-functional environment and values compliance, quality, and continuous improvement.
Accurately assign and sequence ICD-10-CM, CPT, and HCPCS codes for outpatient medical records and encounters.
Ensure coding compliance with legal, regulatory, and organizational standards while initiating physician queries for documentation clarity.
Maintain productivity, quality, and confidentiality standards while supporting team collaboration and professional development.
CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services. With more than 157,000 employees, 45,000 nurses, and 25,000 physicians across 24 states, it fosters a culture of compassion, innovation, and community service.
Develop and implement education programs to improve coding and documentation practices.
Audit clinical documentation for compliance with AMA and CMS guidelines.
Provide training and guidance to providers, clinical staff, coders, and billing specialists.
UnityPoint Health is a healthcare system serving Iowa, Illinois, and Wisconsin. It is recognized as a top workplace in healthcare and promotes a culture of belonging, support, and professional development.
Conduct documentation checks with QM and application support before training and go-live for Vivendi PD/NG or MediFox DAN.
Advise customers on configuration to streamline care workflows, translating nursing requirements like SIS and care planning into system settings.
Support implementations remotely and on-site alongside Customer Success, and contribute to playbooks and enablement materials.
voize builds AI companions that automate digital care documentation, giving nurses more time for people. With a $50M Series A, over 2,000 facilities and 200,000 users, it is a fast-growing startup with an open, collaborative culture.
Audit medical claims for government payers, applying medical review guidelines and documenting findings.
Generate letters articulating audit findings and support them during the appeals process.
Collaborate with the audit team and clients to improve medical policies and minimize appeals.
Machinify is a healthcare intelligence company providing AI-powered payment solutions for health plans. It serves over 85 health plans and more than 270 million lives, with a culture focused on innovation and reducing healthcare costs.
Perform complex concurrent and retrospective audits of inpatient and outpatient medical records to validate coded data.
Analyze findings, identify root causes, and prepare summary reports for clients.
Develop and deliver educational content to clients on audit findings and coding compliance.
CorroHealth helps clients exceed their financial health goals through revenue cycle solutions and clinical expertise. The company prioritizes automation and scalability while investing in professional development and long-term careers.
Audit skilled nursing facility (SNF) medical claims for medically appropriate services using applicable guidelines and policies.
Document findings, generate audit letters, and support audit findings during the appeals process.
Work collaboratively with the audit team, clients, and contractors to improve medical policies and audit workflows.
Machinify is a healthcare intelligence company with expertise across the payment continuum, delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans representing more than 270 million lives, the company combines an AI-powered platform with best-in-class expertise to drive down healthcare costs.
Assign ICD-10 and CPT/HCPCS codes to patient encounters based on medical documentation.
Analyze medical records to extract pertinent coding information.
Ensure compliance with AMA, CMS, and other regulatory coding guidelines.
Mass General Brigham is a not-for-profit integrated health care system supporting patient care, research, teaching, and community service. We believe high-performing teams drive groundbreaking medical discoveries and foster a welcoming community focused on changing lives.
Manages systems and operations for inpatient coding, ensuring accurate and compliant ICD-10 code assignments and DRG determinations.
Serves as a liaison and coordinator for special projects, interacting with clinical and financial teams to maintain regulatory and revenue integrity.
Trains and monitors coding specialists, setting daily priorities to assure timely billing and compliance.
The Ohio State University is a top-20 public university and one of America's leading academic health centers, focused on education, research and health care. It offers a collaborative culture with a strong sense of community, Buckeye spirit, and abundant resources for employees.
Serve as an expert-level coder for complex inpatient records, ensuring accurate data retrieval and reimbursement.
Resolve billing inquiries, manage DRG denials, conduct audits, and support revenue cycle integrity.
Mentor coding staff and collaborate with management on training, education, and process improvements.
CommonSpirit Health operates more than 700 care sites across the U.S., from clinics and hospitals to home-based and virtual care services. With a mission to build healthy communities and advocate for the poor and vulnerable, they foster a culture of compassion and innovation.
Conduct comprehensive MS-DRG and APR-DRG coding audits to validate assignments and identify overpayments.
Apply advanced ICD-10-CM/PCS coding guidelines and AHA Coding Clinic references to produce defensible audit findings.
Prepare clear audit reports and collaborate with stakeholders to maintain high quality and regulatory compliance.
We're a healthcare auditing company specializing in DRG and inpatient coding reviews, ensuring accuracy and reimbursement compliance for leading healthcare clients. We foster a collaborative, inclusive, and supportive remote culture with mentorship programs and ongoing professional development.
Lead hospital coding and billing programs, develop performance standards and scalable processes across clients.
Optimize revenue cycle processes by analyzing coding accuracy, denials, billing, and payer requirements.
Serve as a trusted advisor to hospital executives and mentor coding, billing, and revenue cycle teams.
This company provides strategic and operational leadership for hospital coding, billing, and revenue cycle optimization programs. It fosters a culture of collaboration, quality, and continuous improvement in a fully remote work environment.
Review inpatient medical records to validate DRG coding accuracy.
Apply clinical judgment to identify discrepancies, coding errors, and overpayments.
Document evidence-based audit findings and meet quality standards.
The company specializes in healthcare claims auditing and analytics, improving accuracy and consistency in payments. It is a collaborative, fully remote environment that values precision, teamwork, and continuous improvement.
Lead the development and launch of Revecore's DRGV service offering, expanding Billing and Coding Optimization capabilities.
Define operating models, workflows, staffing, productivity metrics, and quality standards to scale the service line.
Partner cross-functionally with Product, Data, AI, and Operations to translate DRGV requirements into scalable technology solutions.
Revecore helps hospitals recover revenue they've earned through specialized expertise and proprietary technology. Trusted by more than 1,300 hospitals across 48 states, the company fosters a supportive, innovative workplace where employees are trusted to do their best work.
Conduct routine and targeted coding audits for internal and outsourced vendors across ASC, hospital outpatient, and professional fee services.
Review ICD-10, CPT, HCPCS, and payer policies to ensure coding accuracy, compliance, and documentation support.
Prepare audit reports, identify trends, provide coder education, and support performance improvement initiatives.
Surgery Partners is a healthcare services company operating ambulatory surgery centers and related facilities across the United States. With more than 58 facilities, the company prioritizes compliance, quality, and a diverse, inclusive workplace.
Ensures accuracy, completeness, and compliance of medical coding and clinical documentation.
Reviews patient records and coded data to identify discrepancies and support proper reimbursement.
Conducts chart reviews and audits, provides coding education, and prepares audit reports.
Emory Healthcare is a comprehensive healthcare system based in Atlanta, GA, providing a range of medical services. The organization fosters a supportive culture with mentorship, leadership programs, and comprehensive benefits.
Apply senior-level expertise to code inpatient and outpatient professional fee services across multiple specialties, assigning CPT, HCPCS, and ICD-10 diagnosis codes.
Review documentation to resolve edits in work queues and analyze denials for corrected claims or appeals.
Collaborate with clinic supervisors, providers, and Revenue Management to resolve coding issues and ensure compliance.
CommonSpirit Health is a nonprofit health system with more than 700 care sites across the U.S., serving nearly one out of every four U.S. residents. The organization is committed to building healthy communities and innovating healing both inside hospitals and in the community.
Conduct clinical and billing reviews of claims, itemized bills, and UB-04 forms to ensure accuracy.
Perform utilization reviews to assess medical necessity and validate charges against policies.
Mentor reviewers, meet productivity targets, and maintain active RN licensure with CEUs.
Our partner is a healthcare services company that conducts medical claims and utilization reviews to ensure accurate billing and appropriate care. They offer a collaborative, quality-focused remote environment with opportunities for professional development.