Conduct targeted risk-based audits of high-risk diagnoses and HCCs to ensure clinical documentation supports reported diagnoses.
Deliver peer-level education and feedback to providers to improve documentation accuracy, specificity, and defensibility.
Collaborate with coding, compliance, and clinical leadership to reduce documentation risks and enhance audit readiness.
WellBe Senior Medical provides senior-focused healthcare services with an emphasis on risk adjustment and documentation integrity. The company fosters a remote, collaborative work environment and values compliance, education, and high-quality patient care.
Audit inpatient medical records to validate ICD-10-CM/PCS coding, DRG assignments, and compliance.
Identify documentation gaps and develop compliant physician queries while collaborating with physicians.
Maintain productivity of at least three chart reviews per hour and complete accurate audit workpapers.
The hiring company provides clinical documentation improvement consulting services to healthcare organizations, focusing on accurate coding, compliance, and reimbursement. It fosters a collaborative, people-first environment and has been recognized as a Great Place to Work for three consecutive years.
Provide virtual, remote diagnostic care for after-hours and weekend clinical calls.
Assess, diagnose, treat, and document patients' physical and psychosocial health status.
Collaborate with physicians and care teams to ensure safe, high-quality telehealth outcomes.
ChenMed is a family-owned, physician-led primary care provider transforming healthcare for seniors. The growing, family-oriented team emphasizes compassion, innovation, and superior patient outcomes.
Perform clinical reviews to evaluate medical necessity, level of care, and benefit coverage for members.
Apply internal policies, MCG, and NCCN guidelines to deliver timely and compliant utilization management decisions.
Escalate complex cases and build audit-ready documentation for Medical Director review.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. Their mission-driven culture empowers diverse perspectives to drive real impact on people's health.
Provide timely, efficient, and accurate triage response and documentation according to nursing standards and physician protocols.
Evaluate patient needs, coordinate with clinical team members, and schedule patients for visits as needed.
Act as a clinical resource to non-clinical personnel and provide patient education on care, medications, and health promotion.
Piedmont Healthcare is a comprehensive healthcare system serving patients across Georgia. It operates as a large corporate organization supporting multiple ambulatory practices and contact center operations with a focus on patient-centered care.
Lead and manage the coding team, setting productivity and quality standards for documentation and coding operations.
Oversee pre-encounter review workflows, query auditing, and vendor performance to drive compliance and risk adjustment outcomes.
Collaborate with clinical, operations, compliance, and finance stakeholders on program objectives and process improvements.
WellBe Senior Medical provides healthcare services focused on seniors, with an emphasis on documentation accuracy, coding compliance, and risk adjustment. The company operates in a remote, cross-functional environment and values compliance, quality, and continuous improvement.
Serve as a clinical point of contact for referring providers and internal teams.
Coordinate and validate clinical documentation for authorizations.
Partner with Business Development Managers to support account planning and satisfaction.
IVX Health is a national provider of infusion and injection therapy for patients with complex chronic conditions. They are a growing company focused on collaboration, innovation, and employee development.
Provide direct patient care, symptom triage, and care navigation for oncology patients over virtual platforms.
Collaborate with an integrated Care Team to coordinate care, education, and support across the cancer journey.
Address clinical and social needs while building trusting relationships with patients and their care networks.
Daymark Health is a value-based oncology company redefining the cancer care experience through a personalized care platform. The company is backed by leading investors and led by CEO Dr. Justin Bekelman, with a mission to improve outcomes for patients, providers, and health plans.