Monitor clinical resources to meet quality scores based on established QA standards.
Collaborate with QA and Training teams to address coding error trends and action plans.
Perform quality checks, track QA scores, and analyze reports to improve outcomes.
Reveleer provides a unified platform for risk adjustment, quality improvement, clinical intelligence, and member management in value-based care. Trusted by 80+ customer organizations, the company emphasizes regulatory expertise, transparent AI, and collaborative, detail-oriented teams.
Manage end-to-end denials and appeals to maximize reimbursement recovery.
Analyze payer policies and medical documentation to develop appeal strategies.
Collaborate with clinical and financial teams to improve revenue cycle performance.
Our partner organization focuses on improving patient outcomes and supporting cancer care. They are a collaborative remote team blending clinical, financial, and administrative expertise.
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.
Responsible for case finding, data abstraction and follow-up of patients with a diagnosis of cancer.
Performs clinical data abstraction capturing complete patient history, diagnosis, staging, and treatment information.
Utilizes cancer data collection principles and assigns codes based on established systems for compliance with reporting guidelines.
Winship Cancer Institute of Emory University is Georgia’s only National Cancer Institute-designated Comprehensive Cancer Center, dedicated to discovering cures for cancer. It is a leading research university that fosters excellence and attracts world-class talent.
Perform complex concurrent and retrospective audits of inpatient and outpatient medical records to validate coded data.
Analyze findings, identify root causes, and prepare summary reports for clients.
Develop and deliver educational content to clients on audit findings and coding compliance.
CorroHealth helps clients exceed their financial health goals through revenue cycle solutions and clinical expertise. The company prioritizes automation and scalability while investing in professional development and long-term careers.
Read and interpret de-identified eye care clinical notes.
Evaluate extracted ICD-10 diagnosis codes for clinical accuracy.
Verify that eye laterality is correctly captured based on the text.
Terac is building the world's largest pool of vetted human experts for AI. It provides a platform for researchers, AI labs, and product teams to recruit, screen, and pay specialized study participants across industries and languages.
Maintain workflow balance and accurately complete re-pricing requests within established timeframes.
Apply medical terminology and coding principles to re-price Medicare and Medicaid claims and meet quality assurance goals.
Manage pre-pay edit requests, adjudicate DME claims, scan records, and follow confidentiality guidelines for PHI and HIPAA.
CoventBridge Integrity Systems is a national leader in the fight against healthcare fraud, waste, and abuse, providing investigative services, technology, and expertise to government and commercial healthcare payers. They are an equal opportunity employer committed to inclusion, diversity, and supporting employees with benefits and accommodations.
Conduct detailed outpatient coding audits for ED, SDS, OBS, and I&I services.
Identify coding discrepancies, root causes, and compliance risks to support appropriate reimbursement.
Provide technical guidance and training to coding staff to improve accuracy and quality.
This healthcare organization specializes in hospital outpatient coding, billing, and compliance services. It emphasizes accuracy, quality, and continuous improvement, with a collaborative culture that supports remote work.
Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for allergy and asthma services.
Prepare and submit clean claims electronically, monitor claim status, and process insurance and patient payments.
Ensure compliance with payer guidelines, HIPAA, and federal regulations while supporting revenue cycle performance.
Modena Health is a leading, rapidly growing physician-led medical practice specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona. The team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research.
Perform line-by-line review of high-dollar facility itemized bills and claim forms to identify billing errors.
Apply coding and reimbursement expertise to validate accuracy and ensure claims are paid correctly.
Serve as a subject matter expert for complex billing issues and drive payment integrity improvements.
Oscar is a health insurance company built on a full-stack technology platform with a focus on serving members. Founded in 2012, it fosters a culture of transparency and collaboration, working to change health care.