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.
Conduct targeted telephonic outreach to patients and families to educate them on palliative care.
Complete structured eligibility screenings to identify patients with chronic illness and functional decline.
Schedule eligible patients for an initial visit with a nurse practitioner and coordinate logistics.
Vynca provides comprehensive care for individuals with complex needs, aiming for more quality days at home. They are a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity.
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.
Provide professional fee coding services across one or more medical specialties, accurately assigning codes.
Review clinical documentation and assign diagnosis and procedure codes to the highest level of specificity.
Work independently in a remote environment while maintaining required productivity and accuracy standards.
The company provides professional fee coding services across medical specialties. They seek a detail-oriented coding specialist to work independently in a remote environment.
Develop and maintain relationships with healthcare professionals and key stakeholders in the Gulf Territory.
Serve as a credible source of medical and scientific information, educating providers and gathering insights.
Lead cross-functional collaborations and contribute to medical strategy, including congress planning and content development.
BridgeBio uses a 'moneyball for biotech' approach to pool early-stage research and develop treatments for rare diseases. The company fosters a culture of innovation and curiosity, empowering small teams of experts to push boundaries.
Engage Thyme Care members to identify health and social needs, discuss goals, and connect them to resources and support. - Work within a structured phone queue handling inbound and outbound calls in a high-volume, metrics-driven environment. - Collaborate with an interdisciplinary team to provide holistic care coordination and help members navigate their cancer journey.
Thyme Care is a tech-native value-based oncology care enabler that partners with health plans and providers to deliver better outcomes and lower costs for people with cancer. The company is a growing organization with a culture that blends human support with technology and AI, aiming to create a more connected and compassionate experience for members.
Lead and mentor CDI team members to drive documentation excellence and quality outcomes.
Support CDI program operations including policy implementation, education, and compliance monitoring.
Perform clinical documentation reviews to ensure accuracy of patient severity, quality, and reimbursement.
R1 is a leading provider of technology-driven solutions transforming patient experience and financial performance of hospitals and health systems. With over 20 years of experience, the company partners with 1,000 providers and handles over 270 million payer transactions annually, fostering a collaborative and innovative culture.
Apply specialized clinical knowledge to categorize, code, and interpret registry data from patient medical records.
Ensure quality submission of data in specified registries, maintaining high accuracy standards.
Prioritize tasks, meet tight deadlines, and troubleshoot technical issues with EMR systems.
Q-Centrix partners with hospitals to deliver quality clinical data solutions, specializing in cancer registry and data abstraction. With a remote-first culture and employee-centric leadership, the company has earned the Great Place to Work distinction multiple years.
Conduct initial PT evaluations, develop home exercise programs, and provide follow-up virtual visits for MSK patients.
Collaborate with physicians, coaches, and clinicians to ensure favorable outcomes and refine clinical protocols.
Educate patients on condition management, ergonomics, and pain science while identifying red flags for escalation.
Protera Health is a health-tech startup transforming musculoskeletal care through virtual orthopedic services. As a small, collaborative startup founded by surgeons and value-based care experts, it fosters an innovative, patient-centered culture.
Serve as a trusted clinical advisor and subject matter expert for internal and external stakeholders.
Communicate evidence-based product information to support treatment guidelines and brand strategies.
Build and sustain strong professional relationships with veterinary professionals and industry leaders.
PBI-Gordon Companies is an employee-owned organization focused on pet and animal health products. They prioritize integrity, innovation, and partnership, fostering a collaborative culture.