Perform daily audits of RCM accounts to ensure accuracy and compliance with policies.
Review documentation, billing records, and account activity to identify errors and process gaps.
Communicate quality issues and provide constructive feedback to staff and department leaders.
Our partner focuses on revenue cycle management services for healthcare organizations. They foster a remote culture centered on accuracy, accountability, and continuous improvement, with a team dedicated to quality and compliance.
Ensure coding accuracy and compliance for radiology, PET, and Nuclear Medicine services through audits and quality reviews.
Collaborate with coding leadership, revenue cycle teams, and vendors to improve reimbursement outcomes and operational efficiency.
Leverage advanced auditing skills and AI-assisted coding platforms to drive continuous improvement in coding quality.
SimonMed Imaging is a medical imaging company that provides radiology, PET, and Nuclear Medicine services. The company emphasizes coding accuracy, compliance, and revenue integrity, and fosters a collaborative culture with cross-functional teams.
Schedule appointments and coordinate care between VA and community providers.
Process community care consults and update patient demographics.
Respond to telephone inquiries and maintain proficiency in VA software.
CVP is an award-winning healthcare and technology consulting firm that solves critical problems for healthcare, national security, and public sector clients. They foster a work environment that encourages fairness, teamwork, and respect among all associates.
Eligibility Review: Review patient records and clinical documentation to determine eligibility for Form Health.
Record Collection: Manage requesting, faxing, and tracking medical records from external providers while ensuring HIPAA compliance.
File Communication: Maintain clear communication with patients and colleagues to keep them updated throughout the eligibility process.
Form Health is a virtual obesity medicine clinic that provides multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, it is a venture-backed startup with an experienced clinical and leadership team, committed to a culture of inclusion and patient-first values.
Serves as a subject matter expert in clinical documentation quality, risk adjustment, and HCC coding integrity.
Performs prospective reviews of medical records to validate chronic conditions and ensure documentation accuracy.
Utilizes Epic and OurPractice Advisories to support accurate coding, HCC capture, and compliance.
UASI is a clinical documentation improvement consulting firm dedicated to improving the quality and accuracy of clinical documentation. They offer a collaborative, mission-driven environment with opportunities for professional growth.
Lead and coach a team of Patient Access Case Managers to achieve departmental KPIs and service levels.
Oversee daily operations, coordinate with vendors and internal teams, and ensure compliance with reimbursement workflows.
Drive process improvements, develop training materials, and foster a patient-focused culture.
Noctrix Health develops clinically validated therapeutic wearables for chronic neurological disorders. Their team combines medical device specialists, neuroscientists, and engineers to deliver prescription-grade, drug-free therapy.
Review and assign diagnostic and procedural codes from medical records with 95% accuracy.
Serve as a liaison between billing and clinical sites to resolve coding discrepancies.
Train new employees and act as an expert resource for coding compliance questions.
Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents. They emphasize a culture of excellence, teamness, positivity, and creativity with over 5,000 employees.
Support daily provider and coach assignments based on licensure and operational requirements.
Monitor care team panels and ensure compliance with program type and changes.
Provide prompt responses to assignment requests and resolve discrepancies with stakeholders.
Twin Health empowers people to improve and prevent chronic metabolic diseases like type 2 diabetes and obesity using AI Digital Twin technology. With over $100 million raised and a team passionate about metabolic health, Twin Health is recognized as an innovator and a top most loved workplace, scaling rapidly across the U.S. and globally.
Lead strategic initiatives to improve STARS, CAHPS, PWP, and HEDIS performance across the health plan.
Manage a team of 3-6 direct reports and collaborate with cross-functional teams.
Design and evaluate outreach programs to enhance member experience and close care gaps.
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. It is part of Sentara Health, a not-for-profit integrated healthcare provider with nearly 30,000 employees and a family-friendly culture.
Serve as the primary client relationship lead, ensuring alignment on goals, scope, deliverables, and outcomes.
Provide OP HCC CDI subject matter expertise and oversee project execution, quality, and client satisfaction.
Monitor project performance, manage risks and scope changes, and ensure successful delivery of contracted services.
UASI improves the quality and accuracy of clinical documentation through expert CDI consulting. We are a growing team with a collaborative, mission-driven environment that values continuous learning and professional growth.