Review clinical documentation for accuracy and compliance.
Evaluate CDI program effectiveness and identify gaps.
Provide feedback to improve documentation quality.
UASI has over 40 years of experience and enduring partnerships with its valued clients. They are proud of the stability they've built and the long-term success of their dedicated team.
Creates and delivers education to improve documentation quality.
Collaborates with CMOs to ensure integrity of the health record.
Monitors the clinical dashboard to demonstrate improvement.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.
Responsible for Clinical Chart Validation (CCV) audit operation and talent management.
Oversee process improvement initiatives and the Natural Language Processing program.
Provide supervision and direction to audit Team Leads.
Cotiviti is focused on payment accuracy, helping clients avoid unwarranted payments in the complex healthcare environment. They offer a competitive benefits package and are an equal opportunity employer that values diversity and inclusion.
Responsible for coding procedures and entering charges to comply with regulations and internal policies.
Coordinate with Practice Coordinator and Revenue Integrity to assure necessary documentation is present.
Participates in audits to evaluate code accuracy and develops methodologies to improve coding issues.
Northside Hospital is an award-winning and state-of-the-art healthcare provider that is continually growing. By constantly expanding the quality and reach of our care we hope to create even more opportunity for the best healthcare professionals in Atlanta and beyond.
Stand up and run the daily clinical operations for PIN/CHI delivery.
Define the care team structure, supervision ratios, and operating cadence.
Ensure billing-ready documentation is completed correctly every time. Partner with Compliance + RCM support to prevent leakage/denials caused by ops errors.
Carewell is focused on providing the most trusted and reputable retail source for caregiving products. They have been recognized as one of the fastest-growing companies in the US.
Performs final reconciliation on clinic/provider visits, resolving documentation issues.
Reviews, abstracts, and codes multiple services and complex cases, assigning classifications.
Researches/resolves high volume accounts/claims and educates staff on guidelines.
University of Utah Health is a patient-focused organization with a mission to enhance the health and well-being of people through patient care, research, and education. They have five hospitals and eleven clinics and are known as a Level 1 Trauma Center, nationally ranked for academic research and patient experience.
Responsible for conducting medical records and coding related reviews to validate the integrity of coded procedures.
Works closely with clinical departments and Revenue Cycle Services to ensure compliance with coding guidelines, government, payer and internal charge capture policies.
Provides education and training to clinical providers and staff within the practices on proper documentation and coding guidelines, practices and procedures.
They are committed to diversity and inclusion, welcoming all as valued members. They focus on providing the highest level of care by taking care of their incredible teams.
Provide executive leadership and strategic oversight for enterprise operations and quality initiatives.
Own enterprise-wide HEDIS strategy, execution, and performance outcomes.
Build and lead a centralized PMO delivering weekly performance metrics across all sites.
Vanna Health aims to improve overall health and wellbeing for individuals with serious mental illness by fostering a sense of belonging. They promote collaboration across healthcare providers through innovative payment models and technology and are committed to culturally competent care.
Lead CCP operations across multiple service provider groups.
Manage a clinical workforce of 25–35 Care Managers and LVNs/LPNs.
Serve as Evergreen’s operational point of ownership for practice partners.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They believe patients living with kidney disease deserve the best care and are committed to improving patient outcomes.
Accurately codes inpatient conditions and procedures using ICD guidelines.
Reviews medical record documentation and assigns ICD CM and PCS codes.
Collaborates with Clinical Documentation Improvement Specialists to address documentation concerns.
Marshfield Clinic Health System is dedicated to enriching lives through accessible and compassionate healthcare. They prioritize the needs of patients and customers and value innovation and teamwork.
Own our flagship leadership development program, evolving it from a static framework into a living practice embedded in the flow of work.
Design and launch our "Manager 101" program, focusing on managing remotely, effective 1:1s, team rituals, and operational excellence—leveraging AI to provide just-in-time coaching and prompts.
Partner with People Partners to manage bi-annual upward feedback cycles, ensuring insights lead to actionable development for managers.
Chainguard is the secure foundation for software development and deployment. They provide guarded open source software, built from source and updated continuously, and helps organizations eliminate threats in their software supply chains. Founded by the industry's leading experts on open source software, security and cloud native development.
Lead statistical programming efforts for clinical studies.
Oversee and coordinate activities with Contract Research Organizations (CROs).
Collaborate closely with statisticians and cross-functional study teams to deliver results in a timely and accurate manner.
Kailera is developing therapies that give people the power to transform their lives and elevate their overall health. Rooted in an entrepreneurial spirit and a team-oriented culture, they are working together to advance novel therapies for obesity and related conditions.
Lead, coach, and develop a team of Ops Associates.
Oversee the design and implementation of payor builds or process improvements.
Work closely with the Managers to identify process breakdowns and implement solutions.
Grow Therapy aims to be the trusted partner for therapists growing their practice, and patients accessing high-quality care. They are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients, and have empowered more than ten thousand therapists and hundreds of thousands of clients across the country.
Facilitate team alignment by running meetings, coordinating agendas, and driving accountability.
Enable communication and change management across teams through overseeing communication mechanisms.
Lead research program management by overseeing timelines and deliverables for research projects.
Omada Health is dedicated to inspiring and engaging individuals in lifelong health improvement. They address lifestyle and behavior changes for those managing chronic conditions, using a multi-condition platform and connected devices to deliver personalized care.
Performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record.
Trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function.
Demonstrates expertise to resolve Optum coding edits.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.
Function as lead programmer to produce and/or validate tables, listings, figures, and analysis datasets.
Develop/review TFL shells, SDTM and ADaM specifications in collaboration with biostatisticians and other clinical development colleagues.
Work closely with Data Management and Biostatistics to ensure final databases, analyses, and reports are accurate.
Nuvalent is working to create selective medicines designed with the goal to address the needs of patients with cancer using its expertise in chemistry. Nuvalent is an early-stage company bringing together experienced scientists and industry veterans with a proven track record in oncology drug development.
Lead, mentor, and manage a team of clinical managers and clinicians to deliver mental health support.
Serve as a Subject Matter Expert, collaborating with teams to optimize programs and processes.
Develop strong relationships with customer success partners and other internal stakeholders.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies, from startups to multinational Fortune 500 corporations, providing care for 10 million people and are valued at $3.3 billion.
Lead the business strategy and execution for HEDIS outcomes.
Establish and manage incentive structures and provider engagement models.
Develop and oversee cross-functional initiatives that translate measure logic into actionable programs.
Clover Health is dedicated to improving the lives of seniors through high-quality, data-driven physician enablement technology. They have built an innovative technology platform designed to put actionable clinical insights into the hands of physicians at the point of care.
Oversee full operational execution of the Thera Nurse Navigator Program, ensuring alignment with program goals, compliance standards, and client expectations.
Deliver high‑quality patient education on therapy, disease state, expectations, and adherence support.
Provide coaching, guidance, and ongoing mentorship to Nurse Navigators to ensure adherence to program protocols, SOPs, and quality standards.
EVERSANA is committed to creating and delivering next-generation commercialization services to the life sciences industry, serving more than 650 clients. Their global team of more than 7,000 employees are grounded in their cultural beliefs and dedicated to improving patient lives around the world.