Assigns ICD-10-CM, CPT/HCPCS codes and modifiers for outpatient encounters such as clinic, diagnostics, and EMS.
Ensures compliance with official coding guidelines, payer policies, and facility requirements while meeting quality benchmarks.
Collaborates with CDI, billing, and revenue integrity teams to improve documentation and optimize reimbursement.
Capital Health is a dynamic healthcare network that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. With more than 600 physicians and providers, the organization is accredited by DNV and emphasizes attracting top talent through competitive compensation and a collaborative culture.
Coordinate denial and appeal follow-up activities to ensure timely resolution of insurance denials and appeals.
Investigate payment issues with insurance carriers, maintain tracking systems, and document follow-up actions.
Analyze performance data and collaborate with revenue integrity teams to improve billing accuracy and recovery.
This healthcare organization specializes in pediatric care and research, focusing on operational excellence. The team fosters a collaborative culture centered on quality, accountability, and continuous improvement.
Own the full revenue cycle function for MSO clients, from coding and claim submission through payment posting and denials management.
Lead a large distributed team of coders and billing staff, overseeing quality, compliance, and payor relationships.
Deliver monthly financial reports to practices, identify revenue leakage, and drive process improvements that impact financial health.
Oasis Health Partners is building healthier communities by advancing primary care, partnering with patients, providers, and plans to deliver personalized, local care for seniors. They are a growing organization focused on value-based care, with a culture that values listening, doing the right thing, and collaborating while having fun.
Post payments, adjustments, and denials from ERAs, EOBs, and lockbox files into customer PM systems.
Balance daily batches, reconcile to bank deposits, and resolve missing or mismatched ERAs.
Flag underpayments and denials, resolve unapplied cash, credit balances, refunds, and transfer balances.
Amperos is healthcare's first AI-native denial management and revenue recovery platform, using agentic AI to resolve claims end-to-end. Backed by a $16M Series A, it remains a small, early-stage team tackling a $260B+ problem with a mission-driven culture.
Conduct detailed audits of medical claims, billing records, coding, and clinical documentation.
Partner with healthcare system clients to resolve billing discrepancies and improve reimbursement.
Serve as a subject matter expert on Medicare, Medicaid, and commercial payer billing requirements.
Jaan Health is an AI-based care management company serving healthcare providers with its Phamily platform to deliver proactive care. It is a fast-growing, early-stage company built on five principles: care, curiosity, clarity, co-creation, and craftsmanship.
Assign and verify CPT, ICD-10 CM coding and modifiers based on documentation, ensuring compliance with official coding guidelines.
Resolve claim edits and denials, monitor charge capture volumes, and work with providers and clinic staff to ensure accurate charge capture.
Act as a subject matter expert in one or more specialties, identify trends and educational opportunities, and may train other coders.
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 from routine visits to life-saving treatments. The organization fosters a diverse and inclusive culture and seeks individuals committed to its vision of the healthiest kids in the country.
Reviews and codes medical records for general surgical specialties using ICD-10, CPT, and HCPCS codes.
Abstracts demographic and coding data, audits orders and claims, and reviews documentation for medical necessity.
Provides technical guidance to physicians and staff and develops stakeholder relationships.
Piedmont Healthcare is a healthcare system providing medical services across Georgia. It fosters a shared purpose and recognition, with wellness programs and comprehensive benefits for employees.
Serve as the reimbursement expert on coding and coverage for Medicare and commercial payers.
Build provider and payer relationships to reduce access barriers.
Educate customers on billing, coding, and audit processes.
Inspire Medical Systems develops an FDA-approved implantable device to treat Obstructive Sleep Apnea. The company fosters a fast-growing, people-first culture with an emphasis on innovation and respect.
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.
Post charges and claims accurately using clinical documentation and customer PM systems.
Verify coding, modifiers, and medical necessity before submission to prevent denials.
Track claims through posting and adjudication, resolving payment discrepancies and denials.
Amperos is healthcare's first AI-native denial management and revenue recovery platform, using agentic AI to resolve claims end-to-end. We are a small, early-stage startup backed by a $16M Series A, focused on tackling a $260B+ problem with a collaborative culture.