Conduct thorough patient chart reviews to identify and validate reportable diagnoses.
Assign accurate ICD-10-CM diagnosis codes and apply MEAT criteria to support risk adjustment.
Collaborate with providers and quality teams to improve HCC documentation accuracy.
Bluestone provides coordinated, proactive care for patients with complex chronic conditions and disabilities. Its culture of Dedication, Excellence, Collaboration, and Caring has earned Top Workplace honors for 14 years.
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.
Perform inpatient coding quality audits and reviews to ensure accuracy and compliance with coding guidelines and regulatory requirements.
Analyze audit results to identify coding trends and provide feedback, education, and coaching to internal coders and clients.
Participate in senior-level projects such as ICD-10 assessment and development of audit tools and training materials.
UASI provides healthcare auditing and consulting services, specializing in inpatient coding quality and education. With over 40 years of experience, the company has been recognized as a Top Workplace and offers a collaborative, remote work culture.
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.
Perform coding audits on professional fee medical records across multiple specialties.
Provide individualized feedback and education to coders and auditors for quality improvement.
Work remotely with a dedicated support team and enjoy competitive benefits and career growth.
UASI is a health information management consulting firm specializing in medical coding auditing and education. They offer a dynamic work environment with opportunities for career growth and top pay.
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.
Provides administrative support to clinical teams including building medical management records and managing authorizations.
Conducts fax and telephonic outreach to members and providers for status updates and engagement.
Supports compliance monitoring and documentation in the medical management system.
Capital Blue Cross is a health insurance provider dedicated to improving the health and well-being of its members and communities. They are recognized as one of the "Best Places to Work in PA" with a culture focused on support, flexibility, and community involvement.
Conduct quality audits and validate provider data to ensure accuracy, integrity, and compliance with regulatory standards.
Analyze trends, investigate discrepancies, and recommend corrective actions to strengthen provider network operations.
Collaborate with cross-functional teams to document evidence, support accreditation reviews, and drive continuous improvement.
Alliance Health is a managed care organization that coordinates services for individuals with complex needs in North Carolina. They foster a collaborative, mission-driven culture focused on quality, compliance, and remote work flexibility.
Review and abstract professional medical records to ensure accurate code assignment.
Assign ICD-10-CM, CPT, HCPCS, and modifiers per national and payer-specific guidelines.
Maintain coding quality, compliance, and productivity standards while staying current on updates.
Sprinter Health reimagines access to care by bringing it directly to patients' homes via technology. It has supported 2M+ patients across 22 states, completed 130,000+ visits, raised over $125M, and maintains a 92 NPS.
Develop and oversee quality programs to ensure HIPAA compliance and implement training based on audit trends.
Tune AWS Auto-QA prompts to flag quality and compliance risks while reducing AI hallucination.
Analyze interaction logs via SQL, manage HITL QA workflows, and lead process improvements using Lean/Six Sigma.
Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions. It is trusted by Fortune 100 companies, major national payers and large providers to enable employees to live their healthiest lives.
Assigns ICD-10-CM and CPT-4 codes to complex outpatient encounters, including Observation stays and Same Day Surgery.
Reviews medical records thoroughly to ensure accurate diagnosis and procedure codes with at least 95% accuracy.
Resolves NCCI edits, queries physicians for documentation clarification, and utilizes 3M Encoder for coding accuracy.
Northwestern Medicine is a healthcare system focused on providing patient-first care and improving healthcare outcomes. As a large employer, it offers competitive benefits and a culture centered on taking care of its employees.
Lead quality assurance, training, and professional development initiatives for medical management teams.
Design and maintain onboarding programs, continuing education, and audit calibration processes.
Analyze operational metrics and audit results to drive process improvements and enhance member support.
This partner company specializes in medical management and healthcare operations, providing quality assurance and professional development for client organizations. It operates as a remote-first organization with a culture focused on employee support, continuous improvement, and cross-functional collaboration.
Audit call quality by reviewing inbound and outbound calls for service quality, accuracy, and compliance.
Coach and support employees through performance feedback, virtual coaching sessions, and training initiatives.
Evaluate compliance with scheduling procedures, organizational policies, contractual requirements, and HIPAA standards.
International SOS Government Medical Services supports healthcare programs that improve patient care and operational readiness. Founded in 1984, the company operates in over 90 countries and delivers healthcare, medical assistance, emergency response, and workforce support worldwide.
Maintain workflow balance and accurately complete re-pricing requests within established timeframes.
Apply medical terminology and coding principles to re-price Medicare and Medicaid claims and meet quality assurance goals.
Manage pre-pay edit requests, adjudicate DME claims, scan records, and follow confidentiality guidelines for PHI and HIPAA.
CoventBridge Integrity Systems is a national leader in the fight against healthcare fraud, waste, and abuse, providing investigative services, technology, and expertise to government and commercial healthcare payers. They are an equal opportunity employer committed to inclusion, diversity, and supporting employees with benefits and accommodations.
Serve as coding lead for the Inpatient Coding Supervisor, supporting daily coding activities like productivity monitoring, scheduling, and edit review.
Ensure coding compliance with regulatory guidelines and assist with charge review and failed claims/follow-up resolution.
Act as primary trainer and mentor for new coders, providing education, training, and research support.
Mercy is a Catholic health system dedicated to improving community health through innovation, technology, and compassion. It is a large, collaborative organization with a heritage spanning over 195 years, offering a supportive culture and growth opportunities.
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.
Partner with Clinical, Claims, and SIU teams to review claims for billing and coding issues.
Leverage internal AI tools and predictive models to identify anomalous billing patterns and support prepayment audits.
Collaborate with Data Science and Engineering to validate AI-flagged claims and refine machine learning models.
Clover Health is reinventing health insurance by combining the power of data with human empathy to keep members healthier. It is a fast-growing, remote-first startup with a mission-driven, collaborative culture focused on improving healthcare.
Assigning accurate medical codes to procedures and diagnoses per government and insurance regulations.
Reviewing patient charts and documents for completeness, and clarifying ambiguous information with staff.
Tracking chronic conditions and preparing monthly reports using EMR systems and coding software.
NeueHealth is a value-driven healthcare company that makes healthcare accessible and affordable through coordinated care. It operates clinics and provider partnerships across the ACA Marketplace, Medicare, and Medicaid, with a focus on transforming the care experience.
Responsible for case finding, data abstraction and follow-up of patients with a diagnosis of cancer.
Performs clinical data abstraction capturing complete patient history, diagnosis, staging, and treatment information.
Utilizes cancer data collection principles and assigns codes based on established systems for compliance with reporting guidelines.
Winship Cancer Institute of Emory University is Georgia’s only National Cancer Institute-designated Comprehensive Cancer Center, dedicated to discovering cures for cancer. It is a leading research university that fosters excellence and attracts world-class talent.