Assigning accurate medical codes to procedures and diagnoses per government and insurance regulations.
Reviewing patient charts and documents for completeness, and clarifying ambiguous information with staff.
Tracking chronic conditions and preparing monthly reports using EMR systems and coding software.
NeueHealth is a value-driven healthcare company that makes healthcare accessible and affordable through coordinated care. It operates clinics and provider partnerships across the ACA Marketplace, Medicare, and Medicaid, with a focus on transforming the care experience.
Partner with Clinical, Claims, and SIU teams to review claims for billing and coding issues.
Leverage internal AI tools and predictive models to identify anomalous billing patterns and support prepayment audits.
Collaborate with Data Science and Engineering to validate AI-flagged claims and refine machine learning models.
Clover Health is reinventing health insurance by combining the power of data with human empathy to keep members healthier. It is a fast-growing, remote-first startup with a mission-driven, collaborative culture focused on improving healthcare.
Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers.
Track and resolve denials, rejections, and underpayments with follow-up and resubmission.
Collaborate with providers and operations to optimize coding, documentation, and billing workflows.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. It is a startup delivering 24/7 virtual-first and in-home care, with a culture centered on innovation, diversity, and compassion.