Build a scalable operational model capable of supporting rapid volume growth and new care modalities.
Develop and maintain operational processes that support high-quality clinical documentation, regulatory compliance, and risk adjustment accuracy.
Drive continuous improvement across scheduling, provider management, consult flow, and care delivery quality.
Everlywell is a digital health company pioneering the next generation of biomarker intelligence, combining AI-powered technology with human insight to deliver personalized, actionable health answers. Over the past decade, Everlywell has reshaped how and where health happens, transforming care for 60 million people and powering hundreds of enterprise partners.
Responsible for coding procedures and entering charges to comply with regulations and internal policies.
Coordinate with Practice Coordinator and Revenue Integrity to assure necessary documentation is present.
Participates in audits to evaluate code accuracy and develops methodologies to improve coding issues.
Northside Hospital is an award-winning and state-of-the-art healthcare provider that is continually growing. By constantly expanding the quality and reach of our care we hope to create even more opportunity for the best healthcare professionals in Atlanta and beyond.
Responsible for coordinating new intake referrals, gathering medical records, hospice order, and patient insurance information.
Perform data entry, intake into EMR for all referrals received.
Collect data from referral sources, family, and facilities as needed to complete pre-admission information.
Hope Hospice has been a trusted community resource since 1980 with a reputation built on consistency, responsiveness, and quality. As a non-profit, community-led agency, they focus on providing quality care to patients and families when they need it most.
Lead the business strategy and execution for HEDIS outcomes.
Establish and manage incentive structures and provider engagement models.
Develop and oversee cross-functional initiatives that translate measure logic into actionable programs.
Clover Health is dedicated to improving the lives of seniors through high-quality, data-driven physician enablement technology. They have built an innovative technology platform designed to put actionable clinical insights into the hands of physicians at the point of care.
Set the strategic direction for federal and state quality measurement initiatives.
Provide executive oversight across the full measurement lifecycle.
Serve as a senior strategic advisor to federal and state clients.
American Institutes for Research (AIR) is a nonpartisan, not-for-profit institution that conducts behavioral and social science research and delivers technical assistance. They solve urgent challenges in the U.S. and worldwide by generating evidence and applying data-driven solutions, with headquarters in Arlington, VA.
Review clinical documentation for accuracy and compliance.
Evaluate CDI program effectiveness and identify gaps.
Provide feedback to improve documentation quality.
UASI has over 40 years of experience and enduring partnerships with its valued clients. They are proud of the stability they've built and the long-term success of their dedicated team.
Oversee a portfolio of 3-5 active trials, supporting Project Leads to ensure trial success.
Manage commercial matters within agreed SOW parameters, own sponsor account relationships, and play a pivotal role.
Line manage 3-5 Project Leads and Project Associates, providing performance reviews and professional development.
Lindus Health is powering biology's century with faster, more reliable clinical trials. They are transforming how people think about developing new treatments, so patients can access breakthrough treatments faster; Lindus Health has powered 100+ clinical trials involving tens of thousands of patients.
Review daily inpatient and observation admissions to determine appropriate status.
Collaborate with physicians, case management, and insurance partners.
Utilize electronic medical records to support documentation, review, and reporting.
Logan Health aims to deliver quality, compassionate care for all, reimagining health care through connection, service and innovation. They value kindness, collaboration, trust, and strive for excellence in a supportive, mission-driven nursing culture.
Interpret and apply CMS, Medicare, Medicaid, and AMA policies to define claims editing logic.
Analyze claims and edit performance data to confirm accuracy and prioritize enhancements.
Monitor regulatory updates and coding changes to keep edits current and compliant.
Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. They use an AI-powered platform with expertise across the payment continuum, serving over 85 health plans and 270 million lives.
Support the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network–Quality Improvement Organization (QIN-QIO) Program.
Provide hands-on technical assistance and quality improvement (QI) support to healthcare providers.
Collaborate with providers to assess performance, conduct root cause analyses, and co-develop Quality Action Plans (QAPs).
Health Services Advisory Group (HSAG) is dedicated to transforming healthcare delivery in the United States. They are a growing team focused on improving healthcare quality, safety, and outcomes.