Provides onsite and remote clinical documentation integrity support to CDI programs as part of the System Office CDI Float Pool.
Reviews and audits medical records to ensure accurate documentation of medical necessity, severity of illness, and level of services.
Trains end users on CDI software systems and communicates with healthcare teams to improve documentation practices.
Trinity Health is a large not-for-profit, faith-based health care system with 121,000 colleagues and nearly 36,500 physicians and clinicians serving communities across 27 states. The system includes 101 hospitals and invests heavily in community benefit programs.
Perform medical necessity reviews of clinical documentation to determine appropriateness of inpatient and outpatient services.
Develop relationships with medical providers and health plans to confirm adherence to policies and guidelines.
Stay updated on technology changes, regulatory issues, and medical practices through ongoing training.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve healthcare access. It promotes a collaborative and innovative work environment as a dynamic, growing organization.
Perform retrospective and concurrent Quality Assurance audits of inpatient encounters for accuracy and compliance.
Identify areas of educational opportunities and provide feedback to Coding Leadership.
Audit scope includes both government and commercial payors including RAC and ACHA.
Baptist Health is a faith-based, not-for-profit health system providing preventive and specialty care in Northeast Florida through over 200 locations and six hospitals. Recognized as a top workplace and most preferred provider for more than 25 years, it was recently named a top employer for diversity by Forbes.
Support quality assurance and audit planning for the WTC Health Program
Analyze claims data to identify trends and recommend improvements
Maintain health plan codebook and ensure accurate medical coding standards
Advanced Technologies & Laboratories International, Inc. (ATL) provides expertise in quality assurance, claims processing, medical coding, and audit activities for the WTC Health Program. The company offers a competitive total compensation package and invests in professional growth through tuition reimbursement and certification programs.
Auditing claims for medically appropriate services in inpatient and outpatient settings using medical review guidelines.
Documenting findings with reference to appropriate policies and rules.
Generating letters articulating audit findings.
Machinify is a healthcare intelligence company delivering value and efficiency to health plan clients across the US. Deployed by over 85 health plans representing over 270 million lives, the company uses an AI-powered platform and best-in-class expertise to reimagine healthcare cost reduction.
Serve as an expert in coding guidelines and perform audits to ensure compliance.
Develop and deliver role-specific training and educational materials for coding staff.
Analyze billing/coding behavior and recommend improvements.
UW Medicine is Washington’s only health system with a top-rated medical school and an internationally recognized research center. Nearly 29,000 healthcare professionals, researchers, and educators work within its family of organizations.
Oversee clinical/coding DRG audits to ensure accuracy and compliance with internal policies and industry standards.
Maintain strong client relationships through accurate audits, understanding client needs, and reporting denial trends.
Coach, develop, and mentor clinical staff to achieve quality performance using servant leadership principles.
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. The company offers a dynamic, innovative environment with a competitive compensation package including health insurance, 401(k) with match, and paid parental leave.
Design and deliver scalable training programs for Customer Service Representatives across voice, chat, and email channels.
Partner with leadership to identify skill gaps and align learning solutions with operational and customer experience goals.
Measure training effectiveness using KPIs, learner feedback, and quality assurance data to drive continuous improvement.
Colibri is a pioneer in online professional education, offering web-based courses since 2001. The company serves over 1 million customers annually and employs more than 1,500 mission-aligned professionals, fostering a culture of love, joy, boldness, teamwork, and curiosity.
Deliver engaging, learner-centred training both in person and online.
Design and update practical, evidence-based learning resources.
Work with subject matter experts to ensure training remains current and relevant.
Change Grow Live is a health and social care organization that supports individuals dealing with drug and alcohol issues. They employ a national team and foster a culture where learning is valued and applied in practice every day.
Manage multiple parallel roadmaps with strategic speed and tight daily execution.
Build and optimize enablement systems, content repositories, and reporting to ensure trainer consistency.
Own the onboarding experience for new Trainers and lead product change communications for customer adoption.
Dandy is transforming the dental industry—worth over $400B—by building an operating system for dental offices. Backed by leading venture capital firms, the company is scaling globally with a focus on technology, innovation, and world-class support.
Conduct training and education on risk adjustment documentation and coding guidelines for providers.
Perform comprehensive medical record chart audits to validate ICD-10-CM coding and HCC assignments.
Analyze claims data and audit error rates to identify trends and recapture opportunities for chronic conditions.
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, with scalable operations and cloud-based technology.
Manage and deliver all industry and mechanical-engineering training for every company new hire.
Own discovery and demo certification for Account Executives end to end.
Build and maintain the industry fluency curriculum, refreshing it within two weeks of any major product release.
CoLab is an AI platform that helps mechanical engineering teams bring products to market faster by improving design reviews. Founded in 2019, the company has grown rapidly and been recognized on Deloitte's Fast 50 and Fast 500 lists.
Assess existing training content and align with business objectives and risk reduction goals.
Design and develop engaging training modules using adult learning principles.
Deliver training programs, measure effectiveness, and provide recommendations for improvement.
BRMi is a technology consulting firm that delivers IT solutions to clients. The company fosters a collaborative culture focused on employee growth and cybersecurity awareness.
Identify training gaps and design solutions to fuel growth across partner companies.
Provide virtual field coaching and facilitate weekly calls to share best practices and microlearning.
Travel to partner companies to deliver engaging training sessions and evaluate program success using data-driven metrics.
Guild Garage Group is the fastest growing garage door platform in the home services industry, transforming training and development to drive success. They have a rapidly expanding network and a people-first culture focused on growth and collaboration.
Works as part of the sales team to assist in a consultative sales process focused on understanding prospect needs.
Conducts TeamMate software product demonstrations and contributes to RFP responses.
Attends industry conferences, delivers webinars, and provides feedback to Product Management for feature enhancements.
Wolters Kluwer is a global leader in professional information, software solutions, and services for healthcare, tax and accounting, financial and corporate compliance, legal and regulatory, and corporate performance sectors. The company reported 2022 annual revenues of €5.5 billion, serves customers in over 180 countries, and employs approximately 20,000 people worldwide, fostering a diverse and inclusive culture.
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement.
Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations.
Cohere Health provides an AI-powered clinical intelligence platform that streamlines access to quality care by improving payer-provider collaboration and cost containment. The company works with over 660,000 providers, handles over 12 million prior authorization requests annually, and has been named to the Inc. 5000 list and a Top 5 LinkedIn Startup for 2023 and 2024.
Deliver a quality learning experience and positive client interactions.
Provide workflow-oriented learning solutions and recommendations on best practices.
Explain technical complexities of software in a simple manner for all levels.
Lightspeed provides cloud-based software for dealerships in the Powersport, Marine, RV, and Golf Car industries. With over 4,500 dealers across North America, Lightspeed is designed by dealers for dealers and fosters an inclusive, innovative culture.
Design and deliver role-based learning strategies and training curricula for ERP implementations, including instructor-led materials, eLearning, job aids, and videos.
Partner with organizational change management consultants and client stakeholders to align training with adoption strategies, and support user readiness through UAT, cutover, and go-live.
Serve as a trusted advisor, managing multiple client engagements while contributing to methodology development and continuous improvement within the Digital Transformation practice.
Meridian is a 20+ year consulting firm and certified Workday and SAP Services Partner, delivering enterprise solutions to state and local governments, federal agencies, and K–12 organizations. They have been named to the Inc. 5000 list of fastest-growing small businesses 10 times, and foster a culture rooted in integrity, collaboration, and client-centered service.
Conduct medical claim reviews using clinical information and established criteria to determine medical necessity and appropriate reimbursement.
Educate internal and external staff on medical reviews, coding procedures, and coverage determinations.
Participate in quality control activities and provide guidance to LPN team members.
Palmetto GBA is a healthcare service administrator and one of the nation's largest providers of high-volume medical claims and transaction processing. The company offers a diverse workforce, training programs for leadership, tuition assistance, and financial incentives.
Shape how customers, partners, and employees learn and adopt the Arcadia platform as the highest-level authority for training strategy.
Lead complex training initiatives including new product education and serve as a strategic partner to executive stakeholders.
Build scalable training infrastructure including onboarding curricula, certification programs, and asynchronous learning content.
Arcadia transforms complex healthcare data into a unified foundation for health, helping organizations deliver better care and lower costs. They are a team of fiercely driven individuals committed to making healthcare more sustainable, growing fast as a market leader in population health management.