Conduct training and education on risk adjustment documentation and coding guidelines for providers.
Perform comprehensive medical record chart audits to validate ICD-10-CM coding and HCC assignments.
Analyze claims data and audit error rates to identify trends and recapture opportunities for chronic conditions.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and exceptional physician leadership, with scalable operations and cloud-based technology.
Perform advanced coding for outpatient surgical and observation records with 95% or above accuracy.
Monitor compliance with federal and state coding laws and coordinate billing information.
Serve as a resource and mentor to coding staff on billing policy and procedure issues.
OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance within a system of hospitals and clinics across Oregon and Southwest Washington.
Assess physician educational needs regarding coding and documentation, and develop training programs.
Conduct coding and billing training for billing specialists and physicians.
Perform coding and data quality reviews to ensure compliance with standards and regulations.
Piedmont Healthcare is a healthcare organization focused on providing comprehensive medical services. They offer wellness programs and benefits, fostering a supportive culture for employee growth and recognition.
Lead advanced coding education for providers and groups, including E/M and Medicare Preventive services.
Analyze coding performance indicators to identify training needs and improve accuracy.
Develop and refine coding presentations and materials reflecting latest industry standards.
Privia Health is a technology-driven, national physician enablement company that optimizes physician practices and improves patient experiences. The company is led by top industry talent and physician leadership, with scalable operations and cloud-based technology.
Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types.
Reviews medical records thoroughly using all available documentation to code appropriate diagnoses and procedures.
Sends appropriate physician queries when required for documentation clarification with focus on complex outpatient encounters.
Northwestern Medicine is a leader in the healthcare industry with a patient-first approach. The organization provides competitive benefits including tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits, striving to take care of its employees.
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.
Piedmont Healthcare is a healthcare organization providing medical services across multiple hospitals in the US. They offer comprehensive benefits and wellness programs, and emphasize a supportive culture where leaders invest in employee success.
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement.
Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations.
Cohere Health provides an AI-powered clinical intelligence platform that streamlines access to quality care by improving payer-provider collaboration and cost containment. The company works with over 660,000 providers, handles over 12 million prior authorization requests annually, and has been named to the Inc. 5000 list and a Top 5 LinkedIn Startup for 2023 and 2024.
Auditing claims for medically appropriate services in inpatient and outpatient settings using medical review guidelines.
Documenting findings with reference to appropriate policies and rules.
Generating letters articulating audit findings.
Machinify is a healthcare intelligence company delivering value and efficiency to health plan clients across the US. Deployed by over 85 health plans representing over 270 million lives, the company uses an AI-powered platform and best-in-class expertise to reimagine healthcare cost reduction.
Responsible for coding procedures and entering charges to comply with federal/state regulations.
Coordinate with Practice Coordinator and Revenue Integrity to ensure documentation supports procedure codes.
Participate in audits to evaluate code accuracy and develop methodologies to improve coding issues.
Northside Hospital is an award-winning, state-of-the-art healthcare provider in Atlanta, Georgia. It is continually growing, offering opportunities for healthcare professionals in a supportive environment.
Apply correct coding, regulatory and compliance guidelines, including ICD-10-CM, CPT, APC, and E&M codes.
Maintain 95% coding accuracy while meeting department productivity standards.
Participate in staff discussions and provide valuable input to the coding team.
Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, it is the only National Cancer Institute-designated cancer center in Washington, with eight clinical care sites and a reputation as one of the world's leading cancer research centers.
Review medical records and clinical documentation to ensure accurate, compliant coding per CMS, federal, state, and payer policies.
Conduct routine and focused coding audits, collaborate with clinical leadership and revenue cycle teams, and provide actionable recommendations.
Serve as a subject matter expert on pediatric, Medicaid, telehealth, and behavioral health coding, interpreting state-specific billing requirements.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual and in-home medical, behavioral, and social care, and are a remote-first, high-growth environment.
Responsible for accurate and timely assignment of ICD-10-CM/PCS and HCPCS/CPT codes for various record types.
Performs coding and abstracting to support billing, data quality, and severity-of-illness reporting.
Serves as a mentor to newer coders and works within service line structures as needed.
ChristianaCare is one of the largest health care providers in the Mid-Atlantic Region, operating hospitals in Delaware and Maryland. With over 1,100 beds and ANCC Magnet Recognition across its facilities, it is committed to delivering health through values of love and excellence.
Codes and abstracts patient encounters for diagnostic and procedural information, analyzing data for reimbursement needs.
Completes final checks on charts ensuring all reports are signed and NCCI edits, CMS, and Joint Commission rules are followed.
Participates in continuing education and communicates with the Manager on training needs.
Plumas District Hospital provides essential health care services to the Quincy, California area and surrounding mountain community. With a population of 5,000 residents, PDH offers an inclusive work environment, competitive compensation, and perks like shift differentials and holiday pay.
Review and accurately code E/M cases for IP/OP/ER services to maximize reimbursement.
Meet daily production goals and maintain a 95% accuracy rate on a consistent basis.
Stay current on coding guidelines and maintain professional credentials, with flexibility to expand into other specialties.
Alteva RCM helps healthcare providers thrive through expert revenue cycle management and innovative solutions. The company fosters a collaborative culture focused on excellence and professional growth.
Support quality assurance and audit planning for the WTC Health Program
Analyze claims data to identify trends and recommend improvements
Maintain health plan codebook and ensure accurate medical coding standards
Advanced Technologies & Laboratories International, Inc. (ATL) provides expertise in quality assurance, claims processing, medical coding, and audit activities for the WTC Health Program. The company offers a competitive total compensation package and invests in professional growth through tuition reimbursement and certification programs.
Interpret health record documentation using ICD-10 and CPT 4 coding systems for diagnoses and procedures.
Assign and sequence codes accurately, reconcile edits, and maintain 95% coding quality.
Act as a key liaison for physicians on coding compliance and documentation improvement.
Shriners Children’s is an organization that provides excellence in pediatric specialty care, multi-disciplinary education, and research with global impact. Named the 2025 best mid-sized employer by Forbes, they foster a learning environment that values evidence-based practice 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.
Analyze and audit inpatient claims for DRG validation, coding accuracy, and clinical appropriateness without a medical record.
Utilize proprietary auditing systems to make determinations and generate audit letters, meeting productivity and quality standards.
Identify new claim types and suggest process improvements while maintaining expert ICD-10 and DRG coding knowledge.
Cotiviti is a healthcare analytics and auditing company that helps payers and providers improve financial performance and clinical outcomes. It is a large organization with a culture focused on accuracy, compliance, and collaboration.