Manage administrative and scheduling support for the CareMind Inpatient practice, including provider onboarding, training, and credentialing.
Develop staffing models, create 90-day schedules, and coordinate with payroll for accurate provider pay.
Track provider PTO, oversee FPPE/OPPE reviews, and ensure performance against outcome measures.
CareMind Health is a captive clinical services entity of Mindoula Health and a national provider of virtual psychiatry and behavioral health care. We are a patient-centered team focused on supporting mental health and delivering comprehensive solutions for hospitals and partners.
Lead quality program management activities to ensure compliance with state, federal, and NCQA requirements.
Oversee complex quality deliverables including audits, accreditation surveys, and performance reports.
Collaborate with quality leadership and cross-functional teams to monitor performance and drive continuous improvement.
This organization partners with health plans to implement quality improvement programs and ensure compliance with regulatory standards such as NCQA and HEDIS. The culture emphasizes collaboration, regulatory excellence, and continuous improvement, with a remote work environment for professionals based in Michigan.
Act as a subject matter expert on coding, coverage, and payment requirements for Medicare and commercial payers.
Educate healthcare providers and facilities on reimbursement resources, processes, and support programs.
Collaborate with field sales and internal teams to resolve access issues and execute strategic market access priorities.
The company is a medical technology organization focused on improving patient access to innovative therapies through comprehensive reimbursement and market access support. It operates in a fast-paced environment with a strong emphasis on cross-functional collaboration and patient-centered outcomes.
Lead patient access implementation and optimization across new and existing Intuitive Health sites.
Drive process improvement initiatives for point-of-service collections and registration accuracy.
Partner with frontline staff and site leadership to standardize workflows, monitor performance, and address operational gaps.
Intuitive Health pioneered the combined emergency room and urgent care model, setting a new standard for ambulatory care. Serving more than 1 million patients annually, the company partners with leading health systems to operate retail facilities that integrate urgent care and emergency services under one roof.
Support scheduling and reminder calls for Complex Care Navigators and collaborate with health plan clinicians.
Ensure proper documentation of patient contacts and assist with non-clinical operational tasks.
Deliver a patient-centered experience by answering patient calls and resolving escalated issues empathetically.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. Their interdisciplinary care teams focus on alleviating symptoms and improving quality of life, and they pride themselves on a dynamic, inclusive, and mission-driven culture.
Assigns ICD-10-CM and CPT-4 codes to complex outpatient encounters, including Observation stays and Same Day Surgery.
Reviews medical records thoroughly to ensure accurate diagnosis and procedure codes with at least 95% accuracy.
Resolves NCCI edits, queries physicians for documentation clarification, and utilizes 3M Encoder for coding accuracy.
Northwestern Medicine is a healthcare system focused on providing patient-first care and improving healthcare outcomes. As a large employer, it offers competitive benefits and a culture centered on taking care of its employees.
Apply senior-level expertise to code inpatient and outpatient professional fee services across multiple specialties, assigning CPT, HCPCS, and ICD-10 diagnosis codes.
Review documentation to resolve edits in work queues and analyze denials for corrected claims or appeals.
Collaborate with clinic supervisors, providers, and Revenue Management to resolve coding issues and ensure compliance.
CommonSpirit Health is a nonprofit health system with more than 700 care sites across the U.S., serving nearly one out of every four U.S. residents. The organization is committed to building healthy communities and innovating healing both inside hospitals and in the community.
Verify insurance eligibility, coverage, and behavioral health benefits for new and existing patients.
Coordinate prior authorizations, referrals, and coverage resolution with insurance carriers and internal teams.
Manage high-volume requests through EHR systems with strong attention to detail and problem-solving.
Blackbird Health is a clinician-founded provider of virtual and in-person mental health services for children across Pennsylvania, Virginia, New Jersey, and Maryland. The team is collaborative, supportive, and innovative, taking a whole-child approach to care.
Interpret clinical documentation to accurately assign diagnosis and procedure codes for outpatient encounters.
Maintain current knowledge of ICD-10 and CPT coding systems and ensure documentation supports assigned codes.
Manage daily work queues and perform data and charge entry within patient accounting systems.
This partner company operates within an academic medical environment, providing healthcare services and supporting accurate outpatient coding. Their culture is supportive and collaborative, with a focus on high-quality healthcare operations and continuous learning.
Support development of APD narratives, budgets, and CMS submission materials for state Medicaid agencies.
Assist with Outcomes-Based Procurement activities, including research, requirements gathering, and document development.
Collaborate with project teams to create client deliverables, presentations, and reports while tracking project milestones.
BerryDunn is a professional services firm that helps businesses, nonprofits, and government agencies solve their challenges through tax, advisory, and consulting services. The firm emphasizes a client-centered, people-first culture with a focus on learning, development, and well-being.