Source Job

• Assign diagnostic and procedure codes using designated systems and review inpatient records for accuracy.
• Identify and resolve coding edits and discrepancies to ensure claim accuracy and compliance.
• Communicate effectively and meet productivity metrics to optimize revenue cycle management.

CommonSpirit Health is building a healthier future through integrated health services as one of the nation's largest nonprofit Catholic healthcare organizations. They deliver over 20 million patient encounters annually with more than 157,000 employees across 24 states, contributing over $4.2 billion annually in charity care and community benefits.

• Manages a remote team of behavioral health coding auditors, ensuring audit quality and team performance.
• Serves as subject matter expert in behavioral health CPT coding, DSM-5 diagnostic coding, and payer requirements.
• Drives operational strategy including capacity planning, staffing, and quality standards for behavioral health audit operations.

Machinify is a leading healthcare intelligence company delivering value and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing over 270 million lives, they offer a flexible and trusting remote work environment.

• This advanced inpatient coder codes and abstracts medical records for reimbursement, research, and data analysis.
• Uses 3M encoder and demonstrates competency in ICD-10, CPT-4, and HCPCS coding systems.
• Meets quality and productivity standards while working in a remote, collaborative environment.

CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, and virtual care services. With a focus on building healthy communities and advocating for the vulnerable, they employ a supportive, team-oriented workforce.

• Provide executive oversight for HIM, coding, and CDI operations, ensuring alignment with strategic priorities and regulatory compliance.
• Establish and enforce documentation quality standards and coding accuracy to optimize reimbursement and maintain medical record integrity.
• Manage vendor performance for HIM, coding, CDI, transcription, and ROI services, ensuring adherence to quality and regulatory requirements.

CommonSpirit Health is one of the nation's largest nonprofit Catholic healthcare organizations, delivering more than 20 million patient encounters annually through over 2,300 clinics and 158 hospital-based locations across 24 states. With more than 160,000 employees, 45,000 nurses, and 25,000 physicians, they provide over $5 billion in charity care and community benefits each year.

• Provide day-to-day operational leadership and subject matter expertise for a team of CDI specialists, ensuring documentation accuracy and regulatory compliance.
• Serve as a clinical and coding resource, assisting with complex cases, DRG validation, and performance oversight.
• Foster collaboration across multidisciplinary stakeholders to enhance communication and achieve accurate clinical documentation.

CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services. With over 157,000 employees and 25,000 physicians across 24 states, the organization fosters a culture of innovation and humankindness.

• Assign ICD-10-CM, CPT, and E/M codes for hospital-based encounters with high accuracy.
• Review clinical documentation to ensure compliance with coding guidelines and payer requirements.
• Collaborate with internal teams and client stakeholders while managing multiple assignments.

The partner company provides medical coding services for hospital-based care, ensuring accurate documentation and revenue cycle management. The team emphasizes compliance, accuracy, and a quality-focused culture.

• Serves as a mentor for the coding team, assisting with training and escalated cases.
• Interacts with clinicians on documentation deficiencies and collaborates with other departments.
• Abstracts medical record documentation into surgical CPT codes and crosswalks to ASA codes.

US Anesthesia Partners provides anesthesia and healthcare revenue cycle management services. They employ a large team of coders and clinical staff, with a focus on quality and compliance.

• Manage and grow a team of RCM associates, handling hiring, training, and performance management.
• Own daily execution of the revenue cycle, including claims, coding, denials, and A/R follow-up.
• Track KPIs like clean claim rate and days in A/R, flagging trends and recommending improvements.

We are a venture-backed startup building the future of eye care with AI-powered software. We recently raised our Series A and are growing quickly with a passionate, remote team.

• Oversee the entire claims submission and follow-up process, ensuring accuracy and timeliness.
• Lead and manage large payer projects and care center support, updating leadership on opportunities.
• Manage accounts receivable, analyze denial patterns, and implement process improvements.

Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. The company is led by top industry talent and exceptional physician leadership, and fosters an inclusive work environment.

• Responsible for accurate and timely assignment of ICD-10-CM/PCS and HCPCS/CPT codes for various record types.
• Performs coding and abstracting to support billing, data quality, and severity-of-illness reporting.
• Serves as a mentor to newer coders and works within service line structures as needed.

ChristianaCare is one of the largest health care providers in the Mid-Atlantic Region, operating hospitals in Delaware and Maryland. With over 1,100 beds and ANCC Magnet Recognition across its facilities, it is committed to delivering health through values of love and excellence.

• Review medical records within 24-48 hours of admission to evaluate documentation for accurate DRG assignment, severity of illness, and risk of mortality.
• Conduct follow-up reviews every 2-3 days and formulate compliant provider queries regarding missing or conflicting documentation.
• Educate patient care team members on documentation guidelines and collaborate with HIM coding professionals to ensure accuracy and integrity.

CommonSpirit Health is a large nonprofit Catholic healthcare organization delivering integrated health services. It has over 157,000 employees and 45,000 nurses across 24 states.

• Supervises coding functions and corresponding staff to ensure timely and accurate reimbursement.
• Manages auditing, quality control, and improvement initiatives for compliance.
• Works with managers on departmental planning and policy development.

Piedmont Healthcare is a healthcare organization focused on providing medical services and corporate support. They emphasize a shared purpose, employee wellness, and comprehensive benefits, fostering a culture of success and recognition.

• Lead the administration and optimization of Revenue Cycle Management (RCM) applications to ensure stable and efficient system operations.
• Serve as primary liaison between business teams and third-party vendors to coordinate issue resolution and system enhancements.
• Manage team workloads, establish escalation protocols, and ensure performance aligns with SLAs and KPIs.

Partner Company is a healthcare technology organization focusing on revenue cycle management. They foster a collaborative, team-oriented culture with a commitment to innovation and continuous improvement, though company size is not specified.

• Validate accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
• Apply CMS guidance, coding guidelines, and industry standards during claim review, including hospital bill audits and itemized bill reviews.
• Prepare appeal responses using applicable coding guidance and maintain required certifications and continuing education.

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. They are a dynamic growing organization promoting a collaborative and innovative work environment.

• Support accurate risk adjustment coding by performing first-pass reviews of member medical records.
• Maintain compliance with CMS risk adjustment diagnosis coding guidelines and HCC coding standards.
• Collaborate with a remote team and contribute to team success through proactive communication and continuous learning.

BlueCross BlueShield of Tennessee is Tennessee's largest health benefit plan company, helping members since 1945. As a remote-first organization, it fosters a culture of innovation and collaboration with a focus on employee well-being.

• Own day-to-day revenue cycle management across physician-practice operations, including billing, coding, collections, denials, and reporting workflows.
• Diagnose gaps in current processes and create structure, accountability, and escalation paths to resolve issues.
• Manage internal billers and outsourced RCM teams while partnering with physicians and practice teams in a service-minded way.

A growing healthcare platform partners with physician practices to rebuild revenue cycle operations, focusing on podiatry, vascular care, and lower-limb preservation. The company is a growth-stage organization with a hands-on, collaborative culture.

• Assign accurate medical codes for inpatient/outpatient professional fee records with 95% or greater quality.
• Work independently from a remote home office while meeting client productivity targets.
• Maintain technical proficiency with VPN, multi-factor authentication, and office software.

UASI is a medical coding and auditing company with over 40 years of experience in the healthcare information management industry. They have been recognized as a Top Workplace for three consecutive years and emphasize professional growth and a supportive team culture.

• Assign ICD-10-CM, ICD-10-PCS, and DRG codes for inpatient accounts based on medical record documentation.
• Query clinical providers when documentation is unclear and abstract pertinent data.
• Maintain minimum quality and productivity standards while working remotely during core hours of 8:00 AM to 5:00 PM.

Saint Luke’s is a faith-based, nonprofit health system with 18 hospitals in Kansas City. It employs 12,000 people and fosters a collaborative, diverse, and inclusive culture focused on exceptional patient care.

• Perform precise coding of telemedicine visits using CPT, ICD-10-CM, and HCPCS Level II codes in compliance with US healthcare standards.
• Manage insurance claims processing, including submission, tracking, and resolution of denials or rejections.
• Maintain accurate patient billing records and verify insurance eligibility and benefits.

Dr House is a trusted leader in telemedicine, providing high-quality virtual healthcare services across the United States. The company is a dynamic and fast-growing telemedicine firm that seeks to make healthcare more accessible and convenient for patients nationwide.

• Oversee multiple functional areas within the RCM department including scheduling, eligibility, prior authorizations, and billing.
• Review daily and monthly performance metrics to ensure service level agreements are met.
• Collaborate with regional and line management to provide seamless interface with patients and external customers.

Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering advanced O&P solutions and clinically differentiated programs. With 160 years of clinical excellence, Hanger's employees touch thousands of lives daily, helping people achieve new levels of mobility and freedom.