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.
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.
Analyze medical records to validate ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS II coding and MS-DRG assignment on acute inpatient and outpatient claims.
Conduct in-depth claims analysis using coding principles and electronic health information systems to ensure assigned codes are supported by documentation.
Meet quality and production standards and ensure compliance with quality management systems and ISO requirements.
Empower AI provides AI for government, helping federal agencies transform their workforce. With three decades of experience in Health, Defense, and Civilian missions, it is headquartered in Reston, VA and recognized as a 2024 Military Friendly Employer.
Review and abstract professional medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes.
Maintain coding quality metrics, participate in audits, and stay current with coding guidelines.
Ensure confidentiality and adhere to HIPAA and compliance standards while working independently.
Sprinter Health reimagines how people access care by bringing it directly into their homes, using technology to deliver care where people are. Backed by over $125M from top investors like a16z, General Catalyst, GV, and Accel, the team of clinicians, technologists, and operators has supported 2 million patients across 22 states with a 92 NPS.
Reviews inpatient and outpatient medical records for documentation, abstracting, and assigning codes to the highest level of specificity.
Assigns procedural and diagnosis codes following ICD-10-CM, CPT, HCPCS guidelines, and payer regulations.
Collaborates with Clinical Auditors to improve coding quality and resolves coding-related denials per payer policies.
UnityPoint Health is a healthcare system providing patient services and medical care. It is recognized as a Top 150 Place to Work in Healthcare, with a culture that champions belonging and offers competitive benefits.
Review and analyze diagnostic and procedural information from patient medical records using established coding principles.
Abstract and compile patient data for medical research, care evaluation, and administrative decision-making.
Ensure compliance with coding guidelines, reimbursement policies, regulations, and accreditation standards.
Henry Ford Health is an academic health system serving millions across Michigan and globally. With 12 hospitals and hundreds of ambulatory locations, they foster a collaborative culture focused on innovation, community impact, and career growth.
Accurately assigns ICD-10-CM and PCS codes for inpatient CABG, Ortho, and Med cases.
Uses 3M 360 Encoder HDM to streamline coding and billing processes.
Creates compliant physician queries and reviews claims for medical necessity.
TruBridge provides innovative solutions that support both the financial and clinical sides of healthcare delivery. They foster a remote work culture that encourages employees to push boundaries and think differently.
Conduct coding audits to ensure accuracy and compliance with ICD-10, CPT, and HCPCS guidelines.
Document findings with authoritative references and support corrective actions and education.
Stay current on payer rules and flag compliance risks to senior leadership.
Alteva RCM provides expert revenue cycle management and strategic solutions for healthcare providers. They foster a collaborative team culture committed to excellence, seeking passionate professionals to grow their careers.
Review and interpret medical records to assign ICD-10-CM and CPT codes accurately.
Collaborate with physicians and clinical teams to improve documentation and coding standards.
Maintain productivity, quality, and compliance with payer requirements and regulatory guidelines.
The company provides medical coding services for complex orthopedic and procedural services. They offer a collaborative healthcare environment with opportunities for professional development and career growth.
Review and interpret medical records to assign accurate ICD-10, CPT, and modifier codes for inpatient and outpatient encounters.
Collaborate with physicians and providers to resolve documentation gaps and strengthen coding accuracy.
Support audits, provider education, and revenue cycle performance through quality reviews and consistent productivity.
Jobgether uses AI-powered matching to connect candidates with hiring companies. They operate globally and focus on efficient recruitment through technology.
Review and validate medical codes for diagnoses, procedures, and services to ensure accuracy and compliance with ICD-10, CPT, and HCPCS coding systems.
Provide expert coding guidance to clinicians and departments, serving as a resource for complex coding questions.
Conduct coding audits and quality reviews, generate productivity reports, and collaborate with IT and billing teams to resolve system issues.
Mission Healthcare is the largest home health and hospice company in the western United States, serving patients across seven states. The company fosters a culture of collaboration, compassion, and commitment, with core values of Compassion, Accountability, Respect, Excellence, and Service.
Translate patient medical records into standardized codes for diagnoses and treatments, ensuring accuracy and compliance.
Apply coding principles consistent with government regulations and payer-specific guidelines for Primary Care, Radiology, and Hospitalist charges.
Review ICD, E&M, CPT, and HCPCS codes, query providers on documentation, and educate staff on coding practices.
Dignity Health Medical Foundation is a California nonprofit public benefit corporation providing comprehensive health care services throughout California. It is part of Dignity Health, one of the largest health systems in the nation, with a culture focused on purposeful work and staff development.
Strategically coordinate and optimize the flow of coded medical record information to ensure accurate billing and reimbursement.
Review surgical coding submissions and manage denials to maximize revenue capture and compliance.
Design and deliver impactful educational programs that elevate documentation practices and coding quality.
Henry Ford Health is an academic health system providing comprehensive care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, the organization is a large, purpose-driven team committed to innovation and community impact.
Perform comprehensive chart reviews to ensure documentation supports accurate HCC reporting.
Identify claims correction opportunities and submit them for processing.
Provide provider education and analyze coding trends for assigned medical groups.
Dignity Health Medical Foundation is a California nonprofit providing comprehensive health care services across the state. As part of Dignity Health, one of the largest U.S. health systems, it emphasizes purposeful work and staff growth.
Reconciles clinic or provider visits and codes multiple specialty services.
Interacts with providers and staff on billing issues and resolves claims.
Serves as a mentor and assists in training Level I Coders.
University of Utah Health is a patient-focused organization enhancing health through patient care, research, and education. It is a Level 1 Trauma Center with five hospitals and eleven clinics, nationally ranked for research and quality.
Code and abstract complex inpatient records for data retrieval, analysis, reimbursement, and research.
Use the 3M encoder and EMR to assign diagnostic and procedure codes accurately.
Meet advanced quality and productivity standards across all facilities.
CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, home-based care, and virtual care services. It is a large healthcare organization committed to building healthy communities and advocating for the poor and vulnerable.
Review clinical documentation and assign ICD-10, CPT, and HCPCS codes.
Maintain 95% coding accuracy while meeting production standards.
Collaborate with providers and clients to ensure compliant billing.
This company provides healthcare revenue cycle services, including professional medical coding. It offers a fully remote, collaborative work environment with a focus on quality and continuous learning.
Review inpatient claims to identify missed reimbursement opportunities based on ICD-10 coding accuracy.
Analyze hospital billing files and medical records to optimize DRG reimbursement.
Collaborate with leadership on case prioritization and workflow management.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using intelligent automation. They are a multi-year Top Workplaces award recipient and have been on the Inc. 5000 list of fastest-growing private companies for eleven years.
Code outpatient E/M services, procedures, and diagnoses based on clinical documentation
Review medical records and assign appropriate CPT, HCPCS, and ICD-10 codes
Query providers when documentation is incomplete or requires clarification
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. It is a small to mid-sized organization focused on accuracy and compliance in a remote work environment.
Accurately assigns ICD-10-CM and CPT codes to professional fee inpatient and outpatient records for reimbursement and data collection.
Reviews medical records for documentation discrepancies and queries physicians for additional information when needed.
Maintains coding quality and productivity expectations, collaborating with Patient Financial Services to resolve edits promptly.
Vail Health is a nonprofit community healthcare system in Colorado's high country, operating a 56-bed hospital with advanced mountain healthcare services. The organization offers 24/7 emergency care, cancer care, surgery, and more, with a focus on community health and a culture of collaboration and excellence.
Review and assign accurate ICD-10-CM, CPT, and HCPCS codes based on clinical documentation.
Ensure coding compliance with CMS guidelines and state/federal regulations, and assist with claim reviews and audits.
Maintain up-to-date knowledge of coding guidelines and meet productivity and quality standards.
Optima Medical is an Arizona-based medical group with 30 locations and 130+ medical providers, caring for over 200,000 patients statewide. They offer a supportive culture with growth opportunities, a fun work environment, and comprehensive benefits.