Perform quality assurance audits on utilization management reviews to ensure accuracy and compliance.
Analyze data from multiple sources to identify trends, discrepancies, and process improvement opportunities.
Collaborate with leadership and operations teams to develop training materials and support quality initiatives.
HealthEdge provides AI-powered operational infrastructure for health insurance companies to help them compete effectively. The company is experiencing strong growth and is investing in its people to shape the future of healthcare technology.
Strategically coordinate and optimize the flow of coded medical record information to ensure accurate billing and reimbursement.
Review surgical coding submissions and manage denials to maximize revenue capture and compliance.
Design and deliver impactful educational programs that elevate documentation practices and coding quality.
Henry Ford Health is an academic health system providing comprehensive care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, the organization is a large, purpose-driven team committed to innovation and community impact.
Reviews, analyzes, and challenges audit outcomes and clinical decision-making.
Identifies emerging quality themes and contributes to continuous improvement.
Ingeus is a leading human services provider helping people, business and communities thrive through employment, skills and health & wellbeing services. They are a trusted partner to government and industry with a culture built on treating everyone with dignity.
Orchestrate the flow of coded medical record information across inpatient and outpatient settings for billing accuracy.
Champion data quality by monitoring completeness, accuracy, and timeliness of medical documentation and coded submissions.
Design and deliver educational programs for clinical providers and coding staff on best practices, compliance, and documentation improvement.
Henry Ford Health is a leading academic health system providing a comprehensive continuum of care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, they foster a culture of purpose, collaboration, and belonging, empowering team members to grow their careers and make a meaningful difference.
Own the systems that keep Daymark's clinical quality and safety program credible as it scales, including audits and incident investigations.
Partner with clinical leadership to embed quality standards into daily workflows, not layered on top.
Manage external audits and regulatory reviews, and provide clear-eyed analysis when issues arise.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. It is a growing company backed by leading venture capital firms, with a collaborative culture focused on transforming cancer care.
Responsible for case finding, data abstraction, and follow-up of patients with a cancer diagnosis.
Performs clinical data abstraction to capture complete patient history, diagnosis, staging, and treatment information for the cancer registry.
Utilizes cancer data collection principles and assigns codes based on established systems (STORE, SEER, ICD-O3, AJCC Staging 8th Ed) to ensure compliance.
Winship Cancer Institute of Emory University is Georgia's only National Cancer Institute-designated Comprehensive Cancer Center, dedicated to discovering cures for cancer and inspiring hope. As part of Emory University, a leading research university, they foster excellence and attract world-class talent to innovate today and prepare leaders for the future.