The Epic Reimbursement Contract Specialist is responsible for building and maintaining the HB (Hospital Billing) and PB (Professional Billing) expected reimbursement contracts in Epic while acting as a subject matter expert in variance reporting and reimbursement analysis. This position will work incoming flagged underpayments and overpayments, collaboratively appeal confirmed underpayment instances, and continuously build and maintain system contract configuration to ensure accuracy against payer reimbursement terms.

As a Care Coordinator, play a vital role in ensuring members receive seamless and efficient care through their childbirth journey. Assist all Pacify departments with support as the Pacify Doula Program is re-released in 2025 and onward. Conduct member intake, schedule appointments, and provide ongoing support and resources to families throughout their pregnancy, birth, and postpartum period.

Accurately and efficiently access a wide range of specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services, while working fully remotely in FL, GA, AZ, TX, AL.

The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. Reviews claims, requests additional information, and initiates claim investigations. Maintains production and quality standards and participates in training.

This role is a unique opportunity for an experienced medical coder with robust risk adjustment auditing experience. You will review medical records, prepare audit results reports, and provide coding insights to Fathom engineering and client success teams to accelerate product development. You should have a current AAPC CRC certification or AHIMA RAC microcredential.