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Responsibilities:
- Drive greenfield concept ideation by researching clinical literature and billing trends.
- Author precise logic parameters and validate hypotheses using data analysis.
- Pitch concepts to executives and lead cross-functional approval.
Qualifications:
- Active RN license and professional coding certification (CPC, CCS, etc.).
- 5+ years of payment integrity experience as primary author of net-new edits.
- Expert understanding of Medicare rules and multi-setting billing.
About the role:
- High-autonomy individual contributor role with outcomes-driven focus.
- Operate across inpatient, outpatient, ASC, and professional settings.
- Utilize modern AI tools for data analysis and rule development.
Benefits:
- Employer-sponsored health, dental, and vision with low premiums.
- Generous paid time off, monthly mobile stipend, and stock options.
- Parental leave program and 401K eligibility.
Devoted Health
Devoted Health is a healthcare company on a mission to improve the health and well-being of older Americans by providing a seamless care platform. Founded in 2017, it fosters a culture of innovation and collaboration, with a focus on data and AI to deliver exceptional member experiences.