Oversee inpatient coding teams to ensure adherence to enterprise KPIs and compliance standards.
Act as liaison between CDI, physicians, and other departments to maintain accuracy of medical records.
Monitor daily DNFC and coding work queues, developing action plans for sustained improvements.
CommonSpirit Health is a nonprofit Catholic healthcare organization providing integrated health services. With over 157,000 employees and 45,000 nurses, it operates across 24 states, delivering more than 20 million patient encounters annually.
Participate in end-to-end implementation activities.
Develop an understanding of Experian Health's product suite and apply best‑practice workflows.
Facilitate requirements gathering, workflow mapping, configuration reviews, and user acceptance testing.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange, they have a team of 23,300 people across 32 countries.
Process assigned claims based on client-specified guidelines.
Meet productivity targets and procedural accuracy standards.
Mentor junior team members and collaborate on special projects.
UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. With a global presence and over 4000 employees, they are dedicated to simplicity, honesty, and leadership.
Lead and develop the EMR Success team, managing EMR Integration Specialists and driving customer success across the full integration lifecycle.
Serve as the technical point for triage and escalation, partnering with internal teams to unblock dependencies and improve integration experience.
Build scalable processes, metrics, and cross-functional partnerships to optimize EMR implementation and support workflows.
BillionToOne is a molecular diagnostics company that develops transformative diagnostic tests for prenatal and cancer care using its QCT molecular counting technology. The company is publicly traded on Nasdaq with over 700 employees and a culture of transparency, innovation, and compassion.
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.
Partner with Clinical, Claims, and Payment Integrity peers to review claims for DRG related issues on a prospective and retrospective basis that drive inaccurate payments to providers.
Proactively identify overpayments to ensure accurate claims payments on inpatient services.
Participate in collaborative discussions with MDs to verify the clinical rationale behind billed procedures.
Clover Health is reinventing health insurance by combining the power of data with human empathy to keep its members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care to the people who need it most.
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.
Audit behavioral health documentation and coding (ICD-10-CM and CPT) for accuracy, compliance, and completeness.
Deliver actionable feedback to providers, educating on coding and documentation guidelines.
Serve as a subject matter expert by answering coding-related questions and supporting internal teams.
Headway is building a new mental healthcare system from the ground up—one that’s accessible, effective, and built to scale. They have over 75,000 providers across all 50 states running their practice on their software, serving over 1 million patients.
Provide clinical leadership and subject-matter expertise to support analysis and configuration of medical policy content within claims processing systems.
Ensure accurate implementation of medical policies, review criteria, and authorization requirements while maintaining system infrastructure integrity.
Serve as an expert resource for medical policy configuration and PGE coding, mentoring Coding Specialists and providing training to operational partners.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota. We are motivated by the well-being of our members, not profits, and we are committed to sustainability and innovation.
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.
Manage the delivery of healthcare data integration projects to enable partner practices to use Aledade's population health platform.
Provide strategic planning, roadmap creation, and prioritization for the data integration portfolio.
Coordinate day-to-day activities of the integration project management team and collaborate with internal teams and external vendors.
Aledade empowers independent primary care practices to thrive in value-based care. As the largest network of independent primary care in the country, we foster a collaborative, inclusive, and remote-first culture.
Accurately translate patients’ medical records into standardized codes for diagnoses and treatments.
Ensure compliance with legal, regulatory, and organizational standards.
Ensure claims are processed correctly and on time through clear communication and efficient management of records.
Dignity Health Medical Foundation provides comprehensive health care services. They have care centers throughout California and are affiliated with Dignity Health, one of the largest health systems in the nation. They strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships.
Perform daily audits on provider appeals for completeness and accuracy based on specified coding guidelines.
Stay current on coding guidelines appropriate to the position; learn new appeal categories as production needs require.
Professionally communicate finds, errors, and suggestions to facilitate on-going communications and efficient department operations.
Cotiviti focuses on claims audits for appeals, checking for completeness & accuracy based on coding guidelines. They offer a team-oriented environment and a comprehensive benefits package to address various personal and family needs.
Own end-to-end revenue cycle operations across Medicaid (in-network and out-of-network) within behavioral health programs.
Lead and manage performance of third-party billing vendors and/or internal billing staff, driving improvements in A/R days, denial rates, collections, and first-pass claim acceptance.
Ensure accurate charge capture, documentation alignment, and coding integrity in collaboration with clinical and administrative teams.
We are a mission-driven outpatient behavioral health organization focused on helping individuals and families recover from substance use disorders and co-occurring mental health conditions. Headquartered in North Carolina and expanding across multiple states, we are in a strong growth phase and focused on operational excellence, clinical integrity, and sustainable revenue cycle performance.
Perform accurate code assignments for ED records (facility and profee) while working remotely.
Be flexible, detail-oriented and have the ability to work independently.
Meet client productivity targets while maintaining coding quality of 95% or greater.
UASI is a company that values its employees! They have been awarded the Top Workplace award by the Cincinnati Enquirer in 2022 and 2023. Their 40 years in business contributes to the long tenure of their team.
Lead and manage a team of Credentialing Specialists and Operational Analysts to ensure timely and accurate credentialing file processing.
Oversee credentialing workflows to ensure compliance with NCQA guidelines, state regulatory requirements, and client-specific policies.
Partner with internal stakeholders to resolve escalations, streamline workflows, and improve operational outcomes.
CertifyOS is building the data infrastructure that powers modern healthcare. They value authenticity, accountability, collaboration, results, and openness to feedback, fostering a high-ownership team focused on solving real infrastructure problems.