Review and validate medical codes for accuracy and compliance.
Provide expert coding guidance and support to clinicians.
Conduct coding audits and quality reviews to ensure adherence to regulatory guidelines.
Mission Healthcare is the largest home health and hospice company in the western United States, located in seven states. They provide comprehensive services to meet the needs of patients and families, delivering care with Compassion, Accountability, Respect, Excellence, and Service (CARES).
Reviews, analyzes, and codes medical record documentation for surgical specialties using ICD-10, CPT, and/or HCPCS codes.
Abstracts demographic and coding information into the information system accurately and completely; reviews documentation for medical necessity.
Provides technical guidance to physicians and staff, identifies and resolves issues, and develops effective working relationships with stakeholders.
Piedmont Healthcare aims to provide real career change. They value diverse teams and offer schedule flexibility, recognizing contributions to patient outcomes and investing in employee success.
Perform complex coding for CPT, HCPCS, and ICD-10 with a focus on high-impact, payer-sensitive services.
Lead expansion and validation of new and underutilized codes, ensuring accurate reimbursement.
Support analysis of coding-related denials and rejections, identifying root causes and driving upstream fixes.
Cartwheel is building a mental health program for kids that puts schools at the center, collaborating with school staff to provide earlier intervention and better coordination. They are backed by top investors and are looking for mission-driven teammates to join their team.
Analyzes and Audits Claims; Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities.
Effectively Utilizes Audit Tools; Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.
Meets or Exceeds Standards/Guidelines for Productivity and Accuracy/Quality.
Cotiviti is a company that focuses on Coding & Clinical Chart Validation for Inpatient audits. They offer a competitive benefits package to address a wide range of personal and family needs.
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.
Lead advanced coding education for individual providers and large provider groups, utilizing remote methods such as E/M and Medicare Preventive services.
Design, implement, and lead specialty-specific documentation and coding training programs to address unique needs and challenges.
Monitor market trends and emerging issues related to documentation and coding, ensuring timely and relevant updates to training programs.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. They optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care. Their platform is led by top industry talent and consists of scalable operations and end-to-end, cloud-based technology.
Help hospitals and health systems understand how AI-powered CDI can improve documentation, boost revenue, and drive quality care.
Work closely with Customer Success to refine documentation workflows and help clients maximize their CDI programs.
Help design, implement, and refine comprehensive educational materials, guidelines, and curricula for CDI specialists, ensuring they can accurately review AI-driven query recommendations and maintain compliance standards.
SmarterDx builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, their platform connects clinical context with revenue intelligence, helping health systems recover millions in missed revenue, improve quality scores, and appeal every denial.
Accurately translate patients’ medical records into standardized codes for diagnoses and treatments.
Ensure compliance with legal, regulatory, and organizational standards with your expertise and training.
Review patient medical record information via population health tools to identify, assess, monitor and review network coding opportunities.
Dignity Health Management Services Organization (Dignity Health MSO) aims to build a system-wide integrated physician-centric, full-service management service organization structure. They provide management and business services, leveraging economies of scale and leading efforts in developing Medicaid population health care management pathways.