Monitor patient equipment usage data to verify compliance milestones.
Initiate timely outreach to troubleshoot issues and provide encouragement.
Maintain detailed compliance logs and prepare monthly reports.
Sleep Doctor is on a mission to help millions get a full night's rest. As the most trusted name in sleep health, they combine clinical expertise with consumer-first experiences to help people understand their sleep, tackle real challenges, and wake up to healthier, more energized lives. They embody rapid, sustainable growth.
Act as the primary point of contact and care advocate for patients, families, facility partners, and providers.
Proactively manage patient care coordination, including appointment scheduling, follow-up care, and interdisciplinary communication.
Maintain comprehensive and accurate patient documentation within our Electronic Medical Record system.
Pine Park Health is a value-based primary care practice redesigning how residents of senior living communities get or stay healthy. They aim to dramatically improve healthcare for seniors by building a new model of care designed around everyone involved.
Assist clinicians with gathering medical information for patients.
Report any medical concerns monthly for patients.
Completion of PCM as assigned and as needed.
MTC Care is the nation’s leading telemedicine provider of behavioral health care to skilled nursing, assisted living and independent living facilities. Their clinical team includes trained psychiatry and psychology providers, and they are committed to delivering top-notch behavioral health services.
Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition.
Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed.
Works with Coders and CDSs to draft and initiate physician queries.
Emory Healthcare is a healthcare system in Atlanta, GA. We fuel professional journeys with benefits, resources, mentorship, and leadership programs, fostering a supportive environment.
Perform comprehensive medical record and claims review to make payment determinations for Medicare Durable Medical Equipment.
Conduct in-depth claims analysis utilizing ICD-10-CM, AMA-CPT, and HCPCS Level II coding principles.
Make clinical judgment decisions based on clinical experience when applicable.
Empower AI provides AI tools for government to elevate workforce potential. They have three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.
Negotiate pharmacy agreements across retail, mail, and quality-based channels.
Create and manage network contracting campaigns, analyzing performance metrics.
Work with analytics teams to assess network adequacy and compliance.
Jobgether is a company that uses AI to power the job application process. They ensure applications are reviewed quickly, objectively, and fairly against a role's core requirements.
Oversee day‑to‑day clinical operations for UM, CM, and DM teams.
Ensure operational workflows meet productivity, quality, and turnaround time expectations.
Partner with the VP of Care Management on operational priorities and process improvements.
Personify Health created the first and only personalized health platform bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. It serves employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes.
Identify, implement, and evaluate information systems and operational processes.
Collaborate with diverse stakeholders to elicit, analyze, communicate, and validate requirements.
Determine resource needs and ensure efficient and effective use of resources to support the EMR.
CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually. CommonSpirit has more than 157,000 employees and contributes more than $4.2 billion annually in charity care.
Lead complex customer implementations and develop clinical workflows.
Build customer relationships to ensure programs meet requirements.
Train and educate customers on product offerings and value proposition.
BioIntelliSense is decoding human physiology and pioneering proactive monitoring to improve healthcare outcomes. They are a remote-first, lean start-up with a global BioTeam that is growth-oriented, collaborative, and passionate about their mission.
Monitors work volume and work distribution to maintain optimal efficiency.
Reviews and reconciles reports and assigned work queues, troubleshooting problem accounts.
Researches coding questions and provides coding training as needed.
Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children, providing a wide range of care and support. As the region's only independent healthcare system dedicated to children, they offer rewarding career opportunities and encourage employees to be their best.