Conduct objective medical case reviews using standardized assessment criteria.
Evaluate the timeliness and appropriateness of care provided.
Identify quality improvement opportunities.
Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. It is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB).
Review medical records to identify clinical information and flag missing documentation.
Coordinate medical record requests and track case pipelines to ensure timely receipt.
Support provider and patient outreach and contribute to operational improvement projects.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.
Review and audit clinical documentation for accuracy, timeliness, and regulatory compliance.
Ensure documentation meets Medicare Conditions of Participation, state regulations, and accreditation standards.
Lead and support Quality Assurance and Performance Improvement initiatives, tracking key clinical and operational indicators.
They are fixing US healthcare by building an AI-native physical care platform, starting with home health. The company is automating administrative work with AI to create a fundamentally different cost structure than incumbents, enabling them to serve more patients.
Responsible for the systematic review of anesthesia records to ensure accuracy, completeness, and compliance with regulatory and institutional standards.
Verifies that all required documentation, provider signatures, and charges are present and appropriately supported.
Plays a key part in supporting quality assurance and regulatory compliance within the anesthesia department and assists with other auditor duties.
Shriners Children’s respects, supports, and values each other. They provide excellence in patient care, embracing multi-disciplinary education, and research with global impact. They were named the 2025 best mid-sized employer by Forbes, fostering a learning environment that values evidenced based practice, experience, innovation, and critical thinking.
Focuses on ensuring accuracy, compliance, and integrity of medical coding across healthcare records.
Conducts detailed audits, reviews clinical documentation, and identifies discrepancies impacting billing and compliance.
Collaborates with clinicians, revenue cycle teams, and leadership to improve documentation quality and coding consistency.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They process applications and share shortlists with employers, focusing on objective and fair review.
Primarily responsible for performing compliance reporting reviews and audits to ensure compliance with federal and state regulations, NCQA, URAC and client contractual requirements.
Assist with data collection, analysis and reporting for process improvement efforts.
Plan, coordinate, and conduct compliance reporting audits at the direction of the Manager, Compliance Programs, the Chief Compliance Officer and the Quality, Security and Compliance Committee.
Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health has a supportive, growth-oriented environment and diverse, inclusive teams.
Conduct audits of medical coding to ensure compliance with standards.
Develop and deliver education to improve documentation quality and coding accuracy.
Assist with internal and external audit preparation and response.
Sprinter Health reimagines how people access care by bringing it directly into their homes. They have supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS.
Evaluate and present audit results and educational instruction to physicians, coders, and staff.
Review clinical documentation to ensure adherence to billing guidelines and internal coding policies.
Provide instruction on documentation standards and correct use of CPT‑4 and ICD‑10 codes.
Pediatrix Medical Group is a leading provider of specialized healthcare for women, babies, and children. Since 1979, they've grown into a national, multispecialty medical group with a commitment to coordinated and compassionate care, bolstered by investments in research, education, and safety.
Deal directly with internal and external customers via telephone and electronic channels.
Track sample collection kits and answer questions regarding test status.
Assist CLS/MLS Data Reviewers in answering questions from clinics and customer support.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women’s health, and organ health. Natera's team consists of statisticians, geneticists, doctors, laboratory scientists, business professionals, and software engineers from world-class institutions.
Supervise daily activities of QA specialists across multiple operational areas.
Review completed audits for accuracy and consistency.
Conduct calibration sessions to ensure scoring alignment.
Machinify is a leading healthcare intelligence company delivering unmatched value, transparency, and efficiency to health plan clients. They are deployed by over 85 health plans and are reimagining what’s possible in the industry to maximize financial outcomes and drive down healthcare costs.
Provide structured, clear, clinically relevant feedback on ~90 articles.
Flag inaccuracies, outdated information, and missing high-risk content.
Optional: Lead 1–2 brief educational sessions focusing on clinical decision-making.
AMBOSS empowers medical professionals to provide the best possible care. They are committed to fostering an inclusive, respectful, and supportive environment where everyone is valued and given equal opportunity to thrive.
Leads a team of clinicians and serves as a senior clinical owner for care delivery workflows.
Provides clinical support for program development and customer-facing clinical work.
Partners closely with Operations, Product, Member Success, Clinical Outcomes, Legal, Commercial, Customer Success, Solutions Consulting, and Marketing.
Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through many of life's most memorable moments. Its award-winning products serve all populations, from preconception care through pregnancy, IVF, male factor infertility, adoption, gestational carrier care, and menopause.
Ensure accuracy of data in iTransplant and DonorNet through comprehensive donor case reviews and timely submission to OPTN.
Audit clinical documentation against SOPs and regulations using EMR systems to correct deficiencies.
Collaborate with clinical and quality staff to resolve data issues and train staff on proper data entry.
Donor Network of Arizona is dedicated to maximizing life through organ and tissue donation. The organization challenges itself to realize Arizona's potential to save and improve lives, with a culture centered on Positive Energy, Passion, and Eagerness.
Provide supervisory oversight for Physician Assistants in a primary care setting.
Serve in a collaborative, non‑clinical capacity focused on supervision and compliance.
Maintain availability and responsiveness to supervised providers.
Optima Medical is an Arizona-based medical group with 30 locations and over 130 medical providers, caring for more than 200,000 patients statewide. We aim to improve the quality of life throughout Arizona by helping communities live better and longer through personalized healthcare.
Collaborate on program execution and process implementation aligned with overall Medical Education strategy.
Lead all aspects of program planning to execution, including agenda creation and logistics coordination.
Develop and analyze program metrics, attendee feedback, and educational outcomes.
Penumbra, Inc. is a global healthcare company focused on innovative therapies. They design, develop, manufacture, and market novel products and has a broad portfolio that addresses challenging medical conditions.
Conduct coding audits to ensure accuracy and compliance with coding guidelines.
Identify compliance risks and recommend corrective action plans.
Provide education and training to physicians and staff on coding best practices.
Theoria Medical is at the forefront of healthcare innovation and quality, offering a blend of medical excellence and technological advancements, primarily serving the post-acute sector. Their network includes multispecialty physician services across skilled nursing facilities nationwide, fostering a mission-driven culture that values expertise and innovation.