Perform clinical validation and medical record abstraction to ensure accuracy and compliance with CMS quality measures.
Identify and resolve data discrepancies in collaboration with internal teams and external vendors like Oracle Health.
Support timely regulatory submissions and cross-train across validation and abstraction functions for workload flexibility.
Banner Health is a large, nonprofit health care system in the US, providing hospital services, primary care, and research across multiple communities. With a network of hospitals and clinics, they employ skilled professionals using advanced technology to improve patient care.
Perform daily audits on client data for completeness and accuracy of coding using clinical knowledge.
Respond to provider appeals and meet client turnaround time and KPI goals.
Utilize coding validation training to become familiar with claims payment policies and regulations.
Cotiviti is a healthcare analytics company that uses data-driven solutions to improve payment accuracy and quality in healthcare. The company offers a competitive benefits package and fosters a collaborative, fast-paced work environment.
Review inpatient and outpatient medical records to ensure accurate and compliant clinical documentation.
Collaborate with physicians and clinical teams to clarify diagnoses and support proper coding.
Maintain productivity targets and contribute to provider education initiatives to improve documentation quality.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It processes applications using AI to ensure fair review and shares top candidates with employers.
Perform quality assurance reviews of patient identity management work and provide feedback to improve performance.
Monitor remote team quality results and provide summary reporting to leadership teams.
Collaborate on project procedure testing and review client-specific processes with remote teams.
The company specializes in healthcare data quality and patient identity management services. It fosters a culture of innovation, collaboration, and continuous improvement, with a focus on AI-enabled solutions.
Lead daily CDI operations, including staffing, workload balancing, and training for clinical documentation improvement.
Conduct real-time clinical reviews for complex cases and analyze data to ensure quality and accuracy.
Collaborate with physicians and staff to enhance documentation quality and compliance with coding guidelines.
Adventist HealthCare is a faith-based, not-for-profit healthcare organization providing comprehensive services including acute-care hospitals, rehabilitation, outpatient centers, and home care. With over 6,000 employees, they are the largest healthcare provider in Montgomery County, Maryland, focused on extending God's care through physical, mental, and spiritual healing.
Lead all medical records and release of information operations, ensuring compliance with HIPAA and state regulations.
Design and implement scalable HIM workflows, policies, and tracking systems to improve efficiency and accuracy.
Partner with Compliance, Legal, Clinical Operations, Technology, and Quality teams to support organizational growth.
Backpack Healthcare transforms access to behavioral healthcare for children, adolescents, and families. As a fast-growing company expanding across multiple states, we focus on building scalable systems and fostering a collaborative, mission-driven culture.
Provide executive oversight for HIM, coding, and CDI operations, ensuring alignment with strategic priorities and regulatory compliance.
Establish and enforce documentation quality standards and coding accuracy to optimize reimbursement and maintain medical record integrity.
Manage vendor performance for HIM, coding, CDI, transcription, and ROI services, ensuring adherence to quality and regulatory requirements.
CommonSpirit Health is one of the nation's largest nonprofit Catholic healthcare organizations, delivering more than 20 million patient encounters annually through over 2,300 clinics and 158 hospital-based locations across 24 states. With more than 160,000 employees, 45,000 nurses, and 25,000 physicians, they provide over $5 billion in charity care and community benefits each year.
Reconcile daily payment batches in Candid against bank deposits and resolve unapplied items.
Audit claim and payment data for accuracy, proper denial status, and correct payer assignment.
Validate reimbursement amounts against contracted fee schedules and expected payments.
Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services. Since 2019, we have served thousands of clients and are a fast-growing, fully remote team dedicated to parent-focused intervention and improving outcomes.
Manage customer inquiries and process healthcare information requests accurately and confidentially.
Provide excellent customer support via phone, email, and written communication while documenting all interactions.
Maintain strict confidentiality of healthcare data and comply with HIPAA and privacy standards.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It operates remotely and focuses on efficient, fair recruitment processes.
Receive, review, and process requests for patient health information according to established policies and HIPAA regulations.
Respond to inbound and outbound calls from patients, insurance companies, and attorneys regarding medical record status.
Maintain accurate documentation across multiple platforms and electronic health record systems, ensuring data accuracy and privacy.
This partner company provides healthcare information management services, focusing on processing medical record requests and ensuring patient privacy. They offer a structured, high-volume environment with training, mentorship, and dedicated tools for temporary employees.
This advanced inpatient coder codes and abstracts medical records for reimbursement, research, and data analysis.
Uses 3M encoder and demonstrates competency in ICD-10, CPT-4, and HCPCS coding systems.
Meets quality and productivity standards while working in a remote, collaborative environment.
CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, and virtual care services. With a focus on building healthy communities and advocating for the vulnerable, they employ a supportive, team-oriented workforce.
Manage and maintain participant medical records in the EHR system, ensuring accuracy, completeness, and HIPAA compliance.
Coordinate release of information and follow up with external providers for timely record retrieval and care transitions.
Support care teams and operations by identifying opportunities to improve workflows and ensuring records are accessible across settings.
Habitat Health empowers older adults to age in place through the Program of All-Inclusive Care for the Elderly (PACE), providing coordinated medical and social care. Backed by major investors including Kaiser Permanente and Town Hall Ventures, the organization is scaling its model with a mission-driven team.
Abstracts and codes physician professional services and diagnosis codes (inpatient admissions, outpatient procedures, diagnostic services).
Assigns appropriate CPT and ICD9 codes and completes coding and billing worksheets.
Trains physicians and other staff regarding documentation, billing and coding, and resolves pre-accounts receivable edits.
Northwestern Medicine is a healthcare organization dedicated to providing patient-first care and advancing better health. As a large healthcare system, it offers competitive benefits including tuition reimbursement, loan forgiveness, and 401(k) matching, fostering a supportive culture focused on employee well-being.
Identify, analyze, and resolve clinical data quality issues across a multi-vendor EHR ecosystem to ensure accuracy and standardization.
Map clinical data elements to standardized code systems and validate mapping accuracy across clinical domains.
Support quality measure programs by ensuring data completeness and accuracy, and serve as clinical subject matter expert for AI-assisted data extraction and interoperability initiatives.
Aledade is a public benefit corporation that empowers independent primary care practices to thrive in value-based care, forming the largest network of its kind in the US since 2014. The company fosters a collaborative, inclusive, and remote-first culture focused on strengthening continuity of care and aligning incentives for patient health.
Assign accurate medical codes for inpatient/outpatient professional fee records with 95% or greater quality.
Work independently from a remote home office while meeting client productivity targets.
Maintain technical proficiency with VPN, multi-factor authentication, and office software.
UASI is a medical coding and auditing company with over 40 years of experience in the healthcare information management industry. They have been recognized as a Top Workplace for three consecutive years and emphasize professional growth and a supportive team culture.
Responsible for case finding, data abstraction, and follow-up of patients with a cancer diagnosis.
Performs clinical data abstraction capturing complete patient history, diagnosis, staging, and treatment information.
Utilizes cancer data collection principles and assigns codes based on established coding systems to ensure compliance.
Winship Cancer Institute of Emory University is Georgia's only National Cancer Institute-designated Comprehensive Cancer Center, dedicated to discovering cures for cancer and inspiring hope. They are a leading research university fostering excellence and attracting world-class talent to innovate today and prepare leaders for the future.
Assign and sequence ICD-10-CM, ICD-10-PCS, and CPT-4 codes for inpatient, outpatient, ambulatory, and emergency room records.
Review medical records for DRG/APC assignment, verify charge accuracy, and abstract clinical data.
Collaborate with providers and hospital departments to ensure proper documentation and regulatory compliance.
Logan Health is a growing health system in Northwest Montana that provides quality, compassionate care through connection, service, and innovation. As a healthcare organization, they employ a team-oriented staff and value kindness, trust, collaboration, and excellence.
Assign ICD-10-CM, CPT, and E/M codes for hospital-based encounters with high accuracy.
Review clinical documentation to ensure compliance with coding guidelines and payer requirements.
Collaborate with internal teams and client stakeholders while managing multiple assignments.
The partner company provides medical coding services for hospital-based care, ensuring accurate documentation and revenue cycle management. The team emphasizes compliance, accuracy, and a quality-focused culture.
Review and abstract professional medical records to ensure accurate code assignment.
Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers following national and payer-specific guidelines.
Maintain coding quality metrics and participate in coding audits.
We reimagine how people access care by bringing it directly into their homes. We have supported over 2 million patients across 22 states, completed over 130,000 in-home visits, and raised over $125M from top investors.
Lead analysis and delivery of coding, billing, and policy solutions from requirements to implementation.
Translate complex medical coding concepts into clear documentation and actionable deliverables.
Act as a key liaison between operations, technical teams, and client stakeholders to ensure alignment.
Partner company focused on healthcare operations, medical coding, and policy. They offer a fully remote environment with comprehensive benefits and professional development opportunities.