Review inpatient claims to identify missed reimbursement opportunities based on ICD-10 coding accuracy.
Analyze hospital billing files and medical records to optimize DRG reimbursement.
Collaborate with leadership on case prioritization and workflow management.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using intelligent automation. They are a multi-year Top Workplaces award recipient and have been on the Inc. 5000 list of fastest-growing private companies for eleven years.
Guide a remote team of Billing Associates in day-to-day billing operations, claims submission, and denial management.
Oversee coding accuracy, payer-specific requirements, and AR aging to ensure clean claim rates.
Develop and maintain billing workflows, stay current on regulations, and support audits.
Dreem Health is America's leading digital sleep clinic, offering home-based sleep testing and telehealth visits. They are part of an international team across the US, France, and Belgium, valuing trust, collaboration, and optimism.
Validate accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
Review medical records and supporting documentation to confirm appropriate billing and apply CMS guidance, coding guidelines, and MUE/NCCI edits.
Prepare appeal responses using applicable coding guidance and assist with new concept development and claim selection criteria.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. It is a dynamic growing organization with a collaborative and innovative work environment.
Review inpatient coding (ICD-10-CM/PCS) to ensure accuracy and completeness for multiple clients.
Validate DRG assignments and optimize reimbursement while maintaining compliance with regulatory standards.
Collaborate with service line teams and client departments to improve documentation and meet production goals.
Kodiak Solutions specializes in healthcare finance, unclaimed property, risk management, and revenue cycle management. They use technology-driven solutions to help healthcare organizations streamline operations and improve patient care.
Perform comprehensive chart reviews to ensure documentation supports accurate HCC reporting.
Identify claims correction opportunities and submit them for processing.
Provide provider education and analyze coding trends for assigned medical groups.
Dignity Health Medical Foundation is a California nonprofit providing comprehensive health care services across the state. As part of Dignity Health, one of the largest U.S. health systems, it emphasizes purposeful work and staff growth.
Analyze medical records to validate ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS II coding and MS-DRG assignment on acute inpatient and outpatient claims.
Conduct in-depth claims analysis using coding principles and electronic health information systems to ensure assigned codes are supported by documentation.
Meet quality and production standards and ensure compliance with quality management systems and ISO requirements.
Empower AI provides AI for government, helping federal agencies transform their workforce. With three decades of experience in Health, Defense, and Civilian missions, it is headquartered in Reston, VA and recognized as a 2024 Military Friendly Employer.
Conduct coding audits to ensure accuracy and compliance with ICD-10, CPT, and HCPCS guidelines.
Document findings with authoritative references and support corrective actions and education.
Stay current on payer rules and flag compliance risks to senior leadership.
Alteva RCM provides expert revenue cycle management and strategic solutions for healthcare providers. They foster a collaborative team culture committed to excellence, seeking passionate professionals to grow their careers.
Perform detailed DRG validation and quality audits of inpatient medical records to assess coding accuracy and clinical validity.
Review ICD-10-CM/PCS code assignment, POA indicators, SOI/ROM, HCC capture, and other reimbursement-related elements.
Support clinical documentation improvement initiatives by identifying documentation and physician query opportunities.
The partner company specializes in healthcare revenue integrity and DRG auditing. It operates with a remote team and values accuracy, compliance, and independent work.
Apply deep clinical, coding, and reimbursement expertise to enhance AI-enabled claim selection tools.
Partner with data science teams to validate AI outputs and improve model performance.
Serve as a coding subject matter expert to support audit concept development and optimization.
Cotiviti is a healthcare analytics company specializing in payment integrity and data-driven solutions. The company fosters a collaborative culture and emphasizes innovation in healthcare audit and analytics.
Manage charge entry, claim submission, and payment posting for assigned clients
Work first-pass denials and resubmit or appeal claims as appropriate
Monitor and report on denial rates and billing performance for your assigned accounts
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company is an equal opportunity employer committed to diversity and inclusion.
Assign accurate CPT, ICD-10, and HCPCS codes for outpatient encounters based on provider documentation.
Post insurance payments, adjustments, and denials accurately based on EOBs/ERAs.
Conduct AR follow-up on unpaid, denied, or underpaid claims and resolve coding-related issues.
We are building healthier communities by advancing primary care for seniors. We are a growing team that values listening, doing the right thing, and having fun.
Translate patient medical records into standardized codes for diagnoses and treatments, ensuring accuracy and compliance.
Apply coding principles consistent with government regulations and payer-specific guidelines for Primary Care, Radiology, and Hospitalist charges.
Review ICD, E&M, CPT, and HCPCS codes, query providers on documentation, and educate staff on coding practices.
Dignity Health Medical Foundation is a California nonprofit public benefit corporation providing comprehensive health care services throughout California. It is part of Dignity Health, one of the largest health systems in the nation, with a culture focused on purposeful work and staff development.
Reconciles clinic or provider visits and codes multiple specialty services.
Interacts with providers and staff on billing issues and resolves claims.
Serves as a mentor and assists in training Level I Coders.
University of Utah Health is a patient-focused organization enhancing health through patient care, research, and education. It is a Level 1 Trauma Center with five hospitals and eleven clinics, nationally ranked for research and quality.
Own end-to-end claims and revenue-cycle operations, including claim submission, denials, appeals, and collections across Medicaid and commercial payers.
Build and optimize payer-specific billing workflows, including claim configuration, coding, and credentialing.
Drive cross-functional execution with Operations, Partner Success, and Finance to improve processes and achieve over $1M in monthly claims.
Jukebox Health partners with health plans to make homes safer and more accessible for older adults and high-needs populations, combining technology with networks of clinicians, suppliers, and installers. Founded by experienced entrepreneurs, Jukebox Health is a fast-growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot, with a high-trust, collaborative, remote-first culture.
Strategically coordinate and optimize the flow of coded medical record information to ensure accurate billing and reimbursement.
Review surgical coding submissions and manage denials to maximize revenue capture and compliance.
Design and deliver impactful educational programs that elevate documentation practices and coding quality.
Henry Ford Health is an academic health system providing comprehensive care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, the organization is a large, purpose-driven team committed to innovation and community impact.
Perform complete, accurate, and timely processing of reimbursement/payment audits in compliance with policies, payer contracts, and government fee schedules.
Collaborate with operations consultants, RCM AR staff, and management to address Care Center payment performance audits and maximize cash flow.
Identify, monitor, and manage denial management trends, and work closely with Revenue Cycle Teams and payer representatives.
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, focusing on reducing healthcare costs and improving outcomes.
Review and assign diagnostic and procedural codes from medical records with 95% accuracy.
Serve as a liaison between billing and clinical sites to resolve coding discrepancies.
Train new employees and act as an expert resource for coding compliance questions.
Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents. They emphasize a culture of excellence, teamness, positivity, and creativity with over 5,000 employees.
Code across specialties, translating clinical documentation into ICD-10-CM, CPT, and HCPCS codes with heavy dermatology and orthopedic focus.
Own documentation quality by validating provider notes against E/M guidelines and directly communicating with practice managers and physicians.
Resolve denials by researching complex coding-related denials, understanding why claims were denied, and using AI tools to draft appeals.
Clarity RCM is a rapidly growing revenue cycle management company on the Inc. 5000 list. They manage billing, credentialing, and account management for private dermatology practices nationwide, expanding into orthopedics.
Verify patient insurance eligibility and benefits prior to services and document findings accurately.
Post insurance and patient payments, research variances, and follow up on outstanding claims.
Perform provider documentation and coding audits to ensure CPT, ICD-10-CM, and modifier accuracy.
Brightline is a premier national youth mental health provider delivering high quality virtual and in-person care to families. Founded in 2019, Brightline has delivered care to tens of thousands of families and is backed by investors including Google Ventures and KKR.
Manage complete and timely processing of claims, including reviewing daily correspondence and resolving issues through SalesForce.
Oversee accounts receivable functions such as worklists, zero pay, and denials to ensure timely resolution.
Serve as an escalation point and subject matter expert on internal sub-teams, driving toward daily and monthly KPIs.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups and health systems to optimize practices and reduce costs. They are a national organization with top industry talent and a focus on high-value care.