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Job Description CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards. Ability to code and a clear understanding of the coding principles and guidelines for various specialties including Neurosurgery, Intervention Radiology, ENT, General Surgery, Cardiology, Anesthesia, Emergency Department. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at HIM facility coding for both inpatient and outpatient accounts. Performs annual performance, randomized and quality assurance reviews to assess comprehension of training efforts. Also assists in CHAN and other external audits. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs. Assists with Task Force, CDE and quality department related education. Creates presentations, develops learning material, handbook and other educational materials. Edits/Denials/Coding - Assists with edits, denials and appeals. Also assists with coding and working holds on an as needed basis. Training - Assists with training new and existing staff. Develops all training materials and coding aids for both formal training and use by coders in daily work. Identifies coders to be cross-trained and suggests areas for training improvement. Assists in the implementation and administration of effective systems, processes, and procedures. Coordinating - Coordinates the presentation of ongoing professional seminars and materials via audio-conferences, webinars, and other publications. Maintains education records on all staff to include attendance records for all coding related educational activities. Resource - Serves as a technical resource for all involved personnel; ensures that information is accurate and current, meeting professional coding standards. Performs miscellaneous job-related duties as assigned. Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW (Included Provider verbiage). Assists with the creation of various documents and reports as requested. Immediately provides reports related to compliance risks when requested. Experience We Love: 5+ years of coding experience. 3+ years of auditing experience. Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite. Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information. Consistently achieves quality and productivity standards. Ability to organize and complete work in a timely manner. Ability to read, write and effectively communicate in English. Ability to understand medical/surgical terminology. Above average written and verbal communication skills. Position may require 20-40% travel to client sites. Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: Associates Degree or Equivalent Experience Required Certifications: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): CPC (Certified Professional Coder) CCS-P (Certified Coding Specialist-Phys Based) CCS (Certified Coding Specialist) CMPA (Certified Professional Medical Auditor) RHIA (Registered Health Information Administrator) RHIT (Registered Health Information Technician) #LI-HB1 #LI-REMOTE

Job Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Coding Manager / HIM Coding Leader Type: Contract Compensation: $80/hour Location: Remote Role Responsibilities • Oversee professional fee and facility inpatient coding operations to ensure accuracy, productivity, and compliance with coding guidelines., • Evaluate AI-generated coding assignments for ICD-10-CM/PCS, CPT/HCPCS, and DRG assignments to ensure accuracy and compliance., • Conduct coding quality audits and provide targeted feedback to coding staff and AI systems., • Monitor coding KPIs such as coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors., • Manage coding workflow queues, work distribution, and ensure turnaround time compliance., • Collaborate with CDI, billing, and compliance teams to address coding-related revenue integrity issues., • Annotate AI-generated coding outputs and provide structured feedback to support AI training datasets. Qualifications Must-Have • 5+ years of experience in medical coding, with at least 2 years in a coding manager or HIM leadership role., • Expert knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Official Coding Guidelines., • Proficiency in professional fee coding and/or facility inpatient coding with DRG assignment experience., • Experience conducting coding audits and developing coding quality improvement programs., • Proficiency with coding software (3M, Nuance, Optum360, TruCode) and EHR platforms., • Exceptional written and verbal English communication skills., • High attention to detail with the ability to identify coding errors, compliance risks, and AI output inaccuracies. Preferred • CPC (Certified Professional Coder), CCS (Certified Coding Specialist), RHIA, or RHIT credential., • Experience with computer-assisted coding (CAC) tools and NLP-based coding platforms., • Background in inpatient facility coding with DRG optimisation experience., • Familiarity with AI coding tools and comfort evaluating AI-generated coding assignments., • Experience presenting coding performance data and quality metrics to leadership. Application Process (Takes 20–30 mins to complete) • Upload resume, • AI interview based on your resume, • Submit form Resources & Support • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome, • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Seeking a full-time Inpatient Audit Specialist with 3+years' experience. Experience with Streamline evaluator, Cerner, 3M a plus. Will be responsible for onboarding and monthly IP coding QA;CCS certification* You Will: • Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment., • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment., • Provide coder education through the auditing process., • Prepare preliminary results for review by the facility or CCS HIM director., • Review disagreements on APC/DRG changes with the appropriate manager., • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings., • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments., • Attend coding workshops as necessary., • Stay current with regulatory changes., • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution., • Demonstrate versatility and exceptional work across a wide range of coded services., • Meet with client facility representatives to discuss issues and trends identified in audits., • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation., • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession., • Conduct audits on external coding staff as needed and provides reports to the manager as directed., • Handle a high complexity of work functions and decision-making., • Demonstrate strong organizational, teamwork, and leadership skills. Seeking a full-time Inpatient Audit Specialist with 3+years' experience. Experience with Streamline evaluator, Cerner, 3M a plus. Will be responsible for onboarding and monthly IP coding QA** What you will bring to the table: • 3+ years experience coding and auditing, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Preferred: CCS, RHIT, or RHIA credentials., • Recent experience in academic/level 1 trauma centers, • Experience coding and auditing inpatient and outpatient records for various facilities, • Track record of acceptable productivity standards, • Maintain 95% accuracy rate for APC assignment and 95% productivity rate, • Experience with various software including EMR, Encoder and Auditing software Perks: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) We are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job DescriptionMedical Biller (Multispecialty Private Practice – On-Site, NYC Location: Manhattan, New York City (on-site) Salary Range: $60,000 – $80,000 per year (commensurate with experience) About the Role:A busy multispecialty private practice in New York City is seeking an experienced Medical Biller to oversee all aspects of revenue cycle management (RCM). The ideal candidate is detail-oriented, self-motivated, and skilled at optimizing reimbursement processes while maintaining accuracy and compliance. You will work closely with a team of physicians and administrative staff to ensure efficient billing operations and high-quality patient communication. Key Responsibilities:Revenue Cycle Management: • Manage the complete billing process, from patient registration to payment posting., • Ensure proper coding accuracy (CPT, ICD-10) and adherence to payer and compliance guidelines., • Handle claim submissions, denials, and appeals to reduce rejections and improve collections., • Analyze billing trends and provide regular reports to leadership on financial performance. Front Office & Documentation: • Partner with front-desk staff to ensure accurate insurance verification and patient information., • Support referral and authorization processes for procedures and testing. Billing & Collections: • Submit clean claims in a timely manner., • Monitor accounts receivable, follow up on unpaid claims, and resolve billing inquiries., • Implement strategies to improve cash flow and reduce days in A/R. Compliance & Reporting: • Stay current with billing regulations, payer requirements, and coding standards., • Generate financial reports and performance summaries for management review. Patient Communication: • Provide clear explanations of patient financial responsibilities., • Address billing concerns professionally and empathetically. Qualifications: • Minimum 3 years of experience in medical billing or revenue cycle management (private practice experience preferred)., • Strong understanding of CPT and ICD-10 coding, insurance verification, and payer guidelines., • Proficient in billing software and Microsoft Office (Excel, Word)., • Excellent communication, organizational, and problem-solving skills., • Certified Professional Coder (CPC) credential is a plus. Why Join Us: • Competitive salary commensurate with experience., • Supportive, team-oriented environment., • Direct collaboration with practice leadership., • Room for professional growth and advancement., • Opportunity to make a meaningful impact in a dynamic, patient-centered practice. To Apply: Please submit your résumé and a brief cover letter describing your relevant experience and availability.

Job DescriptionAt Morning Brew Inc., we mix what you need to know with our unique brand of wit to attract, and build real relationships with, the next generation of business leaders. We speak to them like people, ensuring they get the context and insight needed to make decisions every day. Loyalty and trust are our most valuable currencies. Whether scrolling, reading, watching, or listening, our audience trusts us for credible, entertaining business content that makes an impact on their personal and professional lives. The Morning Brew team is clever, creative, and growing fast. Want in? Read on. OVERVIEW We are looking for a Sr. Director, Revenue Technology to serve as the technical engine behind our global revenue operations. Reporting to the SVP of Infrastructure & Studios, you will be responsible for the “pipes and power” of our revenue cycle, ensuring that our lead-to-cash process is seamless, automated, and intelligent. This is an individual contributor (IC) role with no direct reports. You will operate as a deep specialist and internal expert, owning the architecture and execution of our revenue technology stack end to end. WHAT YOU'LL DO • Salesforce Core Management: Serve as the primary architect for our Salesforce instance. You will manage the full lifecycle of the CRM, including the creation of custom objects and fields, the development of complex Flows, and the implementation of validation rules that ensure business logic is followed without slowing down the team., • Data Integrity & CRM Hygiene: Own the “source of truth.” You will establish and enforce strict data hygiene standards, managing deduplication, data mapping, and mass uploads to ensure the revenue tech stack remains clean and reliable for executive decision-making., • Workflow Architecture: Design and optimize the end-to-end integration between Salesforce (CRM), Outreach (sales engagement), ZoomInfo (enrichment), Placements.io (OMS), and Sage Intacct (ERP). You are the Architect of our internal revenue stack, ensuring data flows correctly from a lead to booked revenue., • Reporting & Insights: Build and maintain sophisticated reports and dashboards within the tech stack that track KPIs across the Revenue team. You will turn raw system data into actionable insights for key stakeholders., • Automation & AI: Build and maintain workflow automations using Claude Code, n8n (or similar orchestration tools) and workflow tools like Mastra and Inngest. Identify opportunities to automate manual tasks such as auditing contract verbiage, summarizing media plans, flagging pricing discrepancies, and connecting systems that don’t natively talk to each other. You will be building with these tools, not just evaluating them., • Enablement & Training: Lead the rollout of new system features. You will be responsible for creating documentation and enabling the team through training sessions, ensuring that everyone knows how to use our tools effectively., • Systems Strategy: Serve as the technical lead for Placements.io. You will partner with respective parties to manage the product catalog, rate cards, and the mapping logic that ensures our inventory is always accurate, sellable, and properly synced with Salesforce. WHAT YOU'LL BRING • The “Stack”: Expert-level proficiency in Salesforce Administration (Advanced Flows, Complex Data Modeling, Security/Permissions) and experience with Placements.io (or similar Media Order Management Systems). Familiarity with Outreach, ZoomInfo, or comparable sales engagement and enrichment tools is a plus., • Infrastructure Mindset: You treat a CRM like a piece of infrastructure. You are obsessed with clean data, well-documented processes, and scalable automation., • AI Fluency: You don’t need to be a data scientist, but you must know how to apply AI tools to automate workflows or extract insights from unstructured data. Experience with Claude Code, Codex, or similar tools in a production workflow context is strongly preferred, • Low-Code/No-Code Mastery: You are a “Power User” who can build high-functioning systems using platform tools, APIs, and automation builders (n8n, Zapier, Make, or similar) rather than manual workarounds., • AdTech & Media Knowledge: You understand the language of media: flighting, impressions, eCPMs, and the nuances of how a media plan translates into an invoice. WHY THIS ROLE IS DIFFERENT This isn’t a “back-office” IT role. You are embedded in the Revenue team, directly impacting how we go to market. You have the mandate to keep the foundation rock-solid while using the latest AI and automation technology to build a world-class revenue engine. QUALIFICATIONS • 4+ years in revenue operations, systems architecture, or CRM administration, • Specifics: At least 2 years managing a complex Salesforce instance experience in the AdTech/Media space. Hands-on experience with Order Management Systems (Placements.io, ADvendio, Operative, or similar) is strongly preferred., • Expertise & Certifications, • Salesforce: Certified Administrator (Strongly Preferred). Platform App Builder or Advanced Admin (Highly Preferred)., • Technical Literacy: Ability to read/write basic JSON and work with REST APIs. You don’t need to be a coder, but you need to know how to “talk” to different software to make them connect., • AI Practicality: Demonstrated experience using AI productivity tools (e.g., building GPTs for internal use, using AI for data cleansing, or implementing Salesforce AI features). Bonus: experience with Claude Code, MCP integrations, or LLM-driven workflow automation.HOW WE TREAT EACH OTHERRespectful Candor -- We believe that engaging in timely, constructive, and open discourse is an act of respect that makes for a more transparent and productive work environment.Empathy -- We establish a strong partnership of trust with our co-workers and partners. We build human connections in order to understand each other.Inclusivity -- Morning Brew Inc is deeply committed to fostering a transparently inclusive workplace environment, and people of color, women, people with disabilities, veterans, and LGBTQIA+ candidates are strongly encouraged to apply. HOW WE TREAT OUR WORKCuriosity -- We learn every day through deliberate inquiry and exploration. We re-examine assumptions to be a better company, offer better products, and become better colleagues.Accountability -- We celebrate our successes and own our failures. Taking responsibility for our actions allows us to learn from our experiences.Bias Toward Action -- We know speed matters in business so we embrace quick and calculated risk-taking. We understand that many actions are reversible and therefore we are solutions-oriented, even when facing obstacles and challenges.Challenger Mentality -- We don’t allow ourselves to be comfortable with our success. We are hungry to become the best and create more value for our audience.Clarity of Purpose -- We understand the “why” in our work, which helps us to operate at our highest level of performance and efficiency. PERKSWhile being surrounded by a bunch of cool people who look great in crewnecks is its own reward, we have plenty more to offer. Brew’s HQ: Pick an adjustable standing desk or cozy corner and load up on free coffee (duh) and snacks at our new two-story office space in NYC’s Flatiron District.401(k) employer match: We want to help you prepare for the future, now. Premium health, vision, and dental plans: Your health matters!Mental health benefits: Personalized plans and programs to promote your mental well-being.Extra help when you need it: Including a care concierge, plus free access to One Medical and the Calm app.Family planning: Want to join #brewparents? Generous paid parental leave and fertility coverage for eligible employees.Employee Resource Groups: Black Coffee, LGBTQ Brew, AAPI Brew, Cafe Con Leche, and GroundedGym and workout class reimbursements: It pays to be healthy.Annual learning credit: Want to learn something new? We'll reimburse you. BRIEF BREW HISTORYMorning Brew Inc. was founded in 2015 by two entrepreneurial college students who noticed their peers were not consuming legacy media resources about business and finance news, but had a high desire to learn about those topics. What started as a small on-campus email has since evolved into a multi-channel media company that operates 20+ unique content franchises. All while maintaining our witty, honest and engaging tone that millions of loyal MBI audience members rely upon daily to better navigate the world. In 2020 a majority stake in MBI was acquired by Axel Springer SE and in February 2025 that position was increased to full ownership of the business. Axel Springer SE is a family-owned, transatlantic media company headquartered in Berlin and New York that is committed to the values of a free and informed society. To learn more about Axel Springer SE and what defines us, visit http://axelspringer.com/en/what-defines-us. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Seeking: PRN IP Audit Specialist 3+years' experience. Experience with Streamline evaluator, Cerner, 3/m a plus. Will be responsible for onboarding and monthly IP coding QA; CCS certification. You Will: • Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment., • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment., • Provide coder education through the auditing process., • Prepare preliminary results for review by the facility or CCS HIM director., • Review disagreements on APC/DRG changes with the appropriate manager., • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings., • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments., • Attend coding workshops as necessary., • Stay current with regulatory changes., • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution., • Demonstrate versatility and exceptional work across a wide range of coded services., • Meet with client facility representatives to discuss issues and trends identified in audits., • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation., • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession., • Conduct audits on external coding staff as needed and provides reports to the manager as directed., • Handle a high complexity of work functions and decision-making., • Demonstrate strong organizational, teamwork, and leadership skills. Seeking: PRN IP Audit Specialist 3+years' experience. Experience with Streamline evaluator, Cerner, 3/m a plus. Will be responsible for onboarding and monthly IP coding QA. What you will bring to the table: • 3+ years experience coding and auditing, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Preferred: CCS, RHIT, or RHIA credentials., • Recent experience in academic/level 1 trauma centers, • Experience coding and auditing inpatient and outpatient records for various facilities, • Track record of acceptable productivity standards, • Maintain 95% accuracy rate for APC assignment and 95% productivity rate, • Experience with various software including EMR, Encoder and Auditing software Perks: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) We are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description CAREER OPPORTUNITY OFFERING: • Bonus Incentives, • Paid Certifications, • Tuition Reimbursement, • Comprehensive Benefits, • Career Advancement, • This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines. Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: • Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess coders’ comprehension and further assess ongoing education. Also assists in special project audits, as assigned., • Educating - Assesses the educational needs of coding staff based on individual coder audit results and overall trends. Creates presentations, develops learning material, handbook and other educational materials., • Edits/Denials/Coding - Assists operational coding team with initial coding, edits, and denials and appeals on an as needed basis., • Training - Assists with training new and existing staff. Develops all training materials and coding aids for both formal training and use by coders in daily work. Identifies coders to be cross-trained and suggests areas for training improvement. Assists in the implementation and administration of effective systems, processes, and procedures., • Resource - Serves as a technical resource for all involved personnel; ensures that information is accurate and current, meeting AMA, CMS, and professional coding standards. Performs miscellaneous job-related duties as assigned., • Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Assists with the creation of various documents and reports as requested. Immediately provides reports related to compliance risks when requested. Experience We Love: 5+ years of coding experience. 3+ years of auditing experience. Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite. Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information. Consistently achieves quality and productivity standards. Ability to organize and complete work in a timely manner. Ability to read, write and effectively communicate in English. Ability to understand medical/surgical terminology. Above average written and verbal communication skills. Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: • Associates degree or equivalent experience Required Certifications: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): • CPC (Certified Professional Coder), • CCS-P (Certified Coding Specialist-Phys Based), • CCS (Certified Coding Specialist), • CMPA (Certified Professional Medical Auditor), • RHIA (Registered Health Information Administrator), • RHIT (Registered Health Information Technician) #LI-HB1 #LI-REMOTE

Job Description Job Summary At Carewell Health, we rely on powerfully insightful data to ensure the delivery of excellent healthcare services, and we are seeking an experienced medical coding Manager to deliver this insight daily. The ideal candidate will have thorough knowledge of anatomical and medical terminology, as well as natural curiosity and an analytical mindset. As the coding Manager oversees production, quality, and consistency of the inpatient/outpatient/ED/SDS and other cases coded by the internal and external coding teams. mines and interprets patient medical records, transcriptions, test results, and other documentation; we will rely on them to ask questions, connect the dots, and uncover information that may be difficult to find — all to ensure a smooth billing process. The medical coding manager will abide by standard protocols of the profession while using their own methods to compile the most accurate information and promote organizational growth. Essential Functions Manage high-quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-10, CPT-4, and HCPCS classification systems. Strong knowledge of DRG's. Reviews coding queries, when necessary, to determine if impactful. Exceptional knowledge of ICD, CPT, and HCPS coding guidelines. Advanced knowledge of medical terminology, anatomy, and physiology. Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results. Manages the DNFB as it relates to Coding. Corrects coding related edits, issues and questions that come from the Revenue Cycle Department. Develop and execute policies and procedures that affect immediate operations and may also have organization-wide impact Analyze issues in which the situation or data requires in-depth knowledge of organizational objectives Implement strategic policies by selecting methods and evaluation criteria for accurate results Responsible for day-to-day coding operations, productivity, quality, data analytics, dashboards and reports, education, employee management and development, and clients within a specific client group or geography of clients. Perform Quality Assurance Audits on Coders. Maintains productivity benchmarks, assists in the development of productivity benchmarks. Is responsible for weekly productivity log management, tracking, trending, and dashboard creation. Provide feedback and mentoring as needed to achieve productivity standards. Prioritizes, schedules, assigns, and monitors work to optimize operational services. Strong organizational skills and oral and written communication skills. Advanced computer skills including the use of Microsoft office products, especially Excel, electronic mail, including experience with electronic coding systems and applications. Possess strong organizational skills and attention to detail. Ability to multi-task and meet multiple deadlines. Audits inpatient and outpatient cases on a consistent basis to ensure continued quality. Consistently reviews coded cases for accuracy. Other Duties Gather physician background information from various resources for reporting purposes Analyze medical malpractice claims by identifying issues, events, diagnoses, and procedures that led to result Prepare summaries and assign the appropriate codes Review claims to formulate a synopsis of facts, and collaborate with claims examiners as needed Make corrections to draft reports after physician review and submit approved reports to managers in a timely fashion. Codes cases as needed. Provides Education and ongoing training for medical coders. Interact with claims staff, attorneys, physicians, and many other hospital related stakeholders regarding reports. Performs related duties, as required. Minimum Education/Certifications Bachelor’s degree (or equivalent) in health information systems or related field Must have the following certification: Certified Coding Specialist (CCS). Must have one of the following certifications: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) Minimum Work Experience Experience: Minimum five years medical office hospital experience in coding preferred required. Management or lead experience preferred. Some auditing experience preferred. Position Type/Expected Hours of Work: 8AM-4PM, 40 hours per week. Hybrid. Physical Demands Analysis: Long periods of sitting may be required. Repetitive motion of wrists required. Lifting requirements are minimal to none. Corrected vision and hearing to normal range is required. CareWell Health provides a salary/hourly rate range for all open positions to comply with New Jersey Law. The rates listed for each position is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range does not include bonuses/incentives, differential pay or other forms of compensation which can be discussed in detail with your talent acquisition specialist. The salary/hourly rate range for this position is: $80,000-$90,000 Salary ranges shown on third-party job sites may not accurately reflect ranges provided by CareWell Health. Candidates should discuss salary/hourly compensation and details of our comprehensive benefits with our talent acquisition specialist if selected for an interview. We offer an excellent benefit package including but not limited to the following benefit offerings: Health, Dental and Vision Insurance Basic Life and Disability Insurance Whole Life, Accident, Critical Illness and Hospital Indemnity Insurance Flexible Spending Accounts Employee Assistance Program 401(k) Paid Holidays and a generous Paid Time Off Plan

Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. 1,500 Sign on Bonus We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Preferred: An experienced Outpatient Coder SDS/OBS for heavy processing. A CCS certification is required, and systems used are Cerner and 3M360 systems. What You Will Do: • Review medical records and assign accurate codes for diagnoses and procedures., • Assign and sequence codes accurately based on medical record documentation., • Assign the appropriate discharge disposition., • Abstract and enter the coded data for hospital statistical and reporting requirements., • Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution., • Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards., • Be responsible for tracking continuing education credits to maintain professional credentials., • Attend Datavant Health sponsored education meetings/in-services., • Demonstrate initiative and judgment in the performance of job responsibilities., • Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Be customer-service focused and exhibit professionalism, flexibility, dependability, and a desire to learn., • Handle a high complexity of work function and decision-making., • Possess strong organizational and teamwork skills., • Comply with all HIM Division Policies. Preferred: An experienced Outpatient Coder SDS/OBS for heavy processing. A CCS certification is required, and systems used are Cerner and 3M360 systems. What You Need to Succeed: • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)., • 2+ years of coding experience in a hospital and/or coding consulting role., • Proficiency with most or all of these coding specialties (Same Day Surgery, Observation, Injections/Infusions), • Proficiency with most or all of these coding specialties (Ancillary, Emergency Department, Injections/Infusions, E/M leveling), • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills., • Experience in computerized encoding and abstracting software., • Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually, • Experience in computerized encoding and abstracting software What We Offer: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Benefits for PRN employees: 401k savings plan w/match, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC), • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$20—$35 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job DescriptionJob Title: Billing & Credentialing Manager (hybrid), MDLand/iClinic EMR experience A BIG PLUS Location: Hybrid - 3 days a week across offices in Manhattan, New York City with option for 2 work from home days. Salary: $100,000 - $120,000 (Dependent on Experience). Hours: 40 hours/week. About Us: Join our dynamic outpatient medical practice specializing in primary care, endocrinology, psychotherapy, and dermatology. Located in the heart of New York City, we are committed to providing exceptional care to our diverse patient population. Our dedicated team thrives on professionalism, innovation, and a patient-centric approach. Position Overview: We are seeking an experienced Billing Manager to oversee our billing and collections process for 2,000-4,000 claims per month. This role is integral to maintaining the financial health of our practice while ensuring compliance with policies and regulations. The ideal candidate will have at least 5 years of experience in medical billing & credentialing, including supervising a billing team, and will ideally possess expertise in MDLand EMR. If you are detail-oriented, organized, and ready to make an impact, we want to hear from you! Key Responsibilities: • Manage the billing and collections processes for all services rendered, ensuring accuracy and timeliness., • Ownership of provider credentialing with all our contracted payors for new applications and maintenance of existing ones, including Medicare and NYS Medicaid, • Supervise and mentor the billing team, fostering a collaborative environment and promoting best practices in the billing workflow., • Oversee the submission of insurance claims and follow up on outstanding claims., • Analyze billing data and generate reports to identify trends and discrepancies., • Work closely with healthcare providers and office managers and staff in daily operations to resolve billing issues and ensure optimal revenue cycle management and clinical workflows, • Maintain compliance with billing regulations and guidelines., • Provide training and support to staff on billing procedures and software usage., • Develop and implement strategies to enhance billing efficiency and collections. Qualifications: • Certified Professional Coder (CPC) certification required., • Proven experience (minimum of 5 years) in medical billing and collections, including supervising a billing team., • Billing experience with primary care practice in NYC is a big plus, • Strong understanding of medical coding, billing regulations, and reimbursement processes., • Experience with MDLand is a big plus, • Excellent analytical and problem-solving skills., • Exceptional communication and interpersonal skills., • Ability to work independently in a remote environment while managing multiple tasks effectively. What We Offer: • Competitive salary and benefits package., • A supportive remote work environment with flexible scheduling., • Opportunity to be part of a dedicated team focused on patient care and satisfaction., • Professional development and growth opportunities within the organization. How to Apply: If you are interested in this exciting opportunity, please submit your resume along with a cover letter outlining your relevant experience. We look forward to welcoming a new member to our team who shares our commitment to quality healthcare!

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. • Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses., • Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements., • Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission., • Utilize EHR/EMR platforms (such as Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows., • Research and resolve billing discrepancies or claim denials., • Prepare and submit insurance appeals, ensuring compliance with payer guidelines., • Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage., • Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.)., • Collaborate with clinical staff and providers to ensure accurate coding and documentation within electronic systems., • Track accounts receivable and follow up on outstanding claims to maximize revenue. Requirements Qualifications: • High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Billing & Coding, or related field preferred., • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification strongly preferred., • Minimum of 2 years of experience in medical billing, coding, insurance follow-up, and working within EHR/EMR systems., • Strong knowledge of ICD-10, CPT, and HCPCS coding systems., • Hands-on experience with electronic health record (EHR) and electronic medical record (EMR) systems, including Epic, Meditech, and/or PrognoCis., • Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations., • Experience creating cost estimates for medical procedures., • Skilled in preparing and submitting appeals for denied claims., • Proficiency with medical billing software and electronic health record (EHR) systems., • Strong attention to detail, problem-solving, and organizational skills., • Excellent written and verbal communication skills. Preferred Skills: • Experience with Medicare/Medicaid billing and commercial insurance., • Advanced knowledge of EHR/EMR workflows and system navigation., • Ability to work independently and manage multiple tasks in a fast-paced environment., • Customer service experience in a healthcare setting.

SUMMARY OF RESPONSIBILITIES The Client Manager is responsible for managing the revenue cycle processes for physician practices and ambulatory surgical centers. The Client Manager will analyze the financial health on a monthly basis to identify reimbursement trends, patterns of denials, and develop an intimate understanding of the factors that are contributing to the financial performance. ESSENTIAL FUNCTIONS • The Client Manager is responsible for the coordination of the Revenue Cycle Department, which includes billing and collection activities., • Responsible for overseeing eligibility, pre-authorization, time of service collections of co-pays and deductibles, coding of services, and reporting., • Reviews, revises, and/or implements policies and procedures within the department to ensure that best practices are followed in both the billing and collections functions, while remaining in compliance with federal/state laws, rules, and regulations as well as third party contracts., • Oversight of charge entry, claim submission, payment posting, denials management, bad debt and collections, appeals processing, credit balance resolution, and accounts receivable management. This includes being responsible for monitoring the productivity of all staff members- in person and those who work remotely., • Generates billing and collections data that supports finance and business operations and produces pricing and coding feedback that will optimize reimbursement., • Provides strategic guidance and analysis of the revenue cycle service line., • Reviews, designs, and implements processes surrounding third party payer relationships, collections, and other financial analyses to ensure clinical revenue cycle is effective and properly utilized., • Ensures all billing and collection practices are appropriate and align with payer policies and guidelines., • Identifies payer trends and reimbursement issues that can negatively impact the revenue cycle., • Utilizes data analysis, report writing and electronic data retrieval skills to extract, compile and present clear and concise information., • Maintains an understanding of coding rules and guidelines; utilizes coding and claims processing knowledge and resources to identify possible risks and revenue opportunities related to coding., • Collaborates with the Company’s external CPAs and Chief Legal Officer to ensure compliance with regulatory requirements., • Identify and correct workflow issues to help optimize revenue., • Works with Director of Practice Management and ASC Administrator regarding any front desk or clinical workflow issues that may impede revenue cycle., • Works with collection vendors on accounts that are deemed delinquent., • Monitors A/R to include oversight of days in A/R, gross billings, gross collections, net revenue, percent of collections to net revenue, monitoring and management of denial rates and denial categories related to activity., • Develop metrics and benchmarks for billing and accounts receivable., • Oversees and directs the creation and continual improvement of departmental procedures and best practice tools for billing, reimbursement, and collections., • Responsible for departmental specific training of employees; planning, assigning, and directing work; appraising performance; disciplining employees; addressing complaints and resolving problems., • Adheres to professional standards, company policies and procedures, and federal, state, and local laws and regulations., • Works to reduce charge holding, rejections, missing information, and denials reports., • Prepares billing reports summarizing billings, adjustments, and revenues received., • Evaluates clients billing needs., • Responsible for creating and educating clients on best practice workflow., • Responsible for data base setup content in the software to ensure best billing practices workflow., • Responsible for coordinating all practice billing activities with physician practice and RCM billing teams., • Works closely with the Implementation Team assigned to ensure proper system build and billing set up., • Responsible for processing clearing house enrollment and assisting the physician practice to set up EFTs as desired., • Ensures that the client’s system is set up correctly and trains staff on PrognoCIS software based on their workflow using billing best practices., • Responsible for daily tracking of operational elements of physician practice to include encounters (open/closed), timely claims processing, accurate payment posting, monitoring of un-posted payments, billing questions, clearinghouse reports, weekly go-live follow up., • Establishes and maintains working relationships with physician practice., • Makes workflow recommendations to both customer and internal RCM team to improve back-office operation., • Responsible for denial management process and reporting for assigned practices., • Responsible for accounts receivable process and reporting for assigned practices., • Creates Month End Reporting and submission to provider practices., • Responsible for researching, documenting, and training billing teams on specific insurance, coding, and documentation requirements., • Responsible for researching and sharing billing information pertinent to States and Insurances. Requirements CORE COMPETENCIES • Excellent oral, written, interpersonal, communication and presentation skills., • Ability to communicate effectively in a variety of settings and with a wide variety of people and different organization levels., • Highly organized with the desire and ability to effectively track projects from start to finish., • Must be able to manage multiple projects simultaneously., • Ability to work in a team environment as well as independently and with little to no supervision., • Demonstrate consistent reliability, integrity, and dependability., • Setting and achieving high goals and standards of performance., • Strong eye for detail, accurately inputting data., • Knowledge of Medicare, Medicaid, commercial paper and electronic claims processing., • Knowledge of ICD, CPT, HCPC coding, ability to read EOBs, familiarity with HIPAA rules. REQUIRED EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS • Minimum 3-5 years medical billing experience., • Certified Professional Coder., • Family Practice experience required., • Pain Management Experience is a plus., • ASC billing is a plus., • Experience in eligibility verification, ERA, familiarity with HIPAA rules., • Knowledge of billing workflow., • Ability to work in a fast-paced work environment., • Sound analytical and problem – solving skills., • Ability to make decisions and work independently., • Basic computer skills and familiarity with Microsoft Office Tools.

Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. 2,500 Sign on Bonus* As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Preferred: In need for a FT IP auditing specialist. Auditing specialist will be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care. Interest in coding IP charts in the event the contract ends. Must be able to work 40 hours/week M-F. Systems: Cerner PowerChart, 3M360; CCS certification. You Will: • Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment., • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment., • Provide coder education through the auditing process., • Prepare preliminary results for review by the facility or CCS HIM director., • Review disagreements on APC/DRG changes with the appropriate manager., • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings., • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments., • Attend coding workshops as necessary., • Stay current with regulatory changes., • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution., • Demonstrate versatility and exceptional work across a wide range of coded services., • Meet with client facility representatives to discuss issues and trends identified in audits., • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation., • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession., • Conduct audits on external coding staff as needed and provides reports to the manager as directed., • Handle a high complexity of work functions and decision-making., • Demonstrate strong organizational, teamwork, and leadership skills. Preferred: In need for a FT IP auditing specialist. Auditing specialist will be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care. Interest in coding IP charts in the event the contract ends. Must be able to work 40 hours/week M-F. Systems: Cerner PowerChart, 3M360. What you will bring to the table: • 3+ years experience coding and auditing, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Preferred: CCS, RHIT, or RHIA credentials., • Recent experience in academic/level 1 trauma centers, • Experience coding and auditing inpatient and outpatient records for various facilities, • Track record of acceptable productivity standards, • Maintain 95% accuracy rate for APC assignment and 95% productivity rate, • Experience with various software including EMR, Encoder and Auditing software Perks: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) We are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on level, responsibilities, skills, and experience for a specific job. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. 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Job DescriptionDescription: We are seeking a detail-oriented and experienced Billing and Coding Specialist to join our healthcare team. This role is vital in ensuring accurate and timely processing of medical claims, supporting our commitment to efficient patient care and revenue cycle management. If you have a strong understanding of medical billing and coding procedures, we invite you to become a key part of our organization’s success. Key Responsibilities: • Review and accurately code medical diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems., • Prepare and submit insurance claims in a timely manner, ensuring compliance with payer requirements., • Verify patient insurance coverage and obtain necessary authorizations., • Follow up on unpaid or denied claims to facilitate prompt resolution., • Maintain detailed and organized records of billing and coding activities., • Stay updated on changes in coding regulations and insurance policies., • Collaborate with healthcare providers and administrative staff to resolve billing issues., • Ensure compliance with all relevant healthcare laws and regulations. Benefits Available: • Multiple medical and prescription coverage options, • Dental and vision care plans, • Health Savings Accounts (HSAs), where applicable, • Flexible Spending Accounts (FSAs), • Voluntary critical illness, cancer, and accident insurance, • Voluntary hospital indemnity coverage, • Voluntary short-term and long-term disability insurance, • Voluntary term life insurance and AD&D (Accidental Death & Dismemberment), • 401(k) retirement savings plan, • Paid time off (PTO), • Commuter benefits, • Group Auto and Homeowners Insurance Discounts Join our dynamic team where we value accuracy, efficiency, and continuous learning. We offer opportunities for professional growth, a collaborative work environment, and learning experience to support your career development. Requirements: Skills and Qualifications: • Proven experience in medical billing and coding, preferably in a healthcare setting., • Certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is preferred., • Strong knowledge of ICD-10, CPT, HCPCS coding systems, and medical terminology., • Familiarity with electronic health records (EHR) and billing software., • Excellent attention to detail and organizational skills., • Ability to work independently and as part of a team., • Strong communication skills and problem-solving abilities., • Knowledge of healthcare regulations and compliance standards.

A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: • 5 years of experience into Project Management, • At least 2 years of experience after CPC or CCS certification, • Bachelor's degree is a must Certifications AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding Client's risk adjustment programs. Primary responsibilities include working with the Risk Adjustment Management Business Analyst to measure commercial risk adjustment performance for the development of education materials. Ongoing responsibilities include communicating and educating Network Management Provider Educators to enable content delivery to specific providers. This role will operate within the Risk Adjustment Management function, but work closely with the Network Management team. Responsibilities : Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insights Works closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysis Collaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider Educators Collaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staff Validates documentation against submitted claims diagnosis codes and prepares detailed reports Supports Risk Adjustment Data Validation audits Drives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressed Provides status reports to management Certifications: AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Knowledge: Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model Mastery of medical coding best practices Project management skills Experience displaying ability to think analytically Strong communications and presentation skills Computer skills: Outlook, Excel, Word & Powerpoint; SAS & Access preferred Education Experience: Bachelor's degree in business, healthcare administration, or other related field Requires a minimum of three (3) years of healthcare experience, preferably with provider focus Requires CPC or CCS certification Requires program/project management experience

Certified Professional Coder - Billing Charge Verifier for a full-time remote position.You will verify E&M, CPT, and ICD 10 CM codes, ensuring compliance and accuracy in charge entries.Qualified candidates must have a Certificate from a Medical Coding & Billing Program and at least 2 years of outpat

Come join us! Role Description Diana Health is seeking a skilled and detail-oriented Medical Biller / Coder to join our Revenue Cycle team. Licensure/Certification: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred. Non‑certified coders with strong experience may be

Qualifications Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist, P from the American Health Information Management (AHIMA). Must demonstrate professional a

Certified Professional Coder (CPC), Accredited Healthcare Fraud Investigator (AFHI), Certified Insurance Fraud Investigator (CIFI), and/or Certified Economic Crime Forensic Examiner (CECFE) preferred (but not required). Conducts investigations into allegations of fraud, waste, or abuse, including pr

The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. Join us and be pa

A remote healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing.The ideal candidate will analyze denials, manage appeals, and ensure compliance with coding guidelines.Applicants should have a CPC certification and a s

Certified Professional Coder (CPC)/ Certified Outpatient Coder (COC).

Performs timely and accurate coding of the visit; ensuring diagnosis to the highest specificity, accurate E/M level and capture of all procedures/modifiers.Reviews the medical record to ensure consistency and accuracy as well as compliance with established third-party reimbursement agencies.Particip

Balance Health is hiring a Certified Professional Coder for a fully remote position. The successful candidate will be responsible for accurately coding clinical documentation for Podiatry services, ensuring compliance with regulations and guidelines. Applicants must have a CPC certification and a mi

ABA Billing Specialist (Medicaid & Commercial Insurance).Colorful Minds ABA is a growing pediatric ABA therapy provider committed to delivering high-quality, ethical, and family-centered services across clinic, home, and community settings.We value accountability, integrity, teamwork, and operationa

Midlige Richter LLC is a client-focused law firm dedicated to providing high-quality legal services with professionalism, integrity, and compassion. Our team values collaboration, accountability, and continuous professional growth, creating an environment where employees can thrive and contribute to

To successfully function as part of a team and to be able to communicate professionally with clients and coworkers.

The Billing Specialist is responsible for managing the billing process, and billing arrangements,for assigned attorney portfolios.Verifying rates with the rate analysts, reviewing, and implementing the outside counsel guidelines, monitoring fee caps, tier discounts and matter budgets; setting-up and

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred.This is not a Remote position; it is in the Office Monday - Friday.This is not an entry-level role and requires independent ownership of revenue cycle processes.Medical Billing Specialist with demonstrated .Revenu

Durable Medical Equipment provider specializing in urology supplies.We are building a structured Medicare revenue cycle team and are hiring an experienced DME Billing & AR Specialist.This role focuses exclusively on claim submission, denial management, and accounts receivable follow-up for Medicare

Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO's.Monitor the progress of insurance claims from submission to payment.Identify and resolve claim denials, rejections, and delays.Follow up with insurance carriers to exp

Easy-going, professional and personable with strong customer service skills in high-stress situations.

The Billing Specialist is responsible for overseeing the invoicing and billing process for all customers.Your duties will include verifying all details pertaining to warehouse, TL and LTL orders, and communicating with customers to obtain approval of additional charges, changes, etc.Assume the respo

This role is ideal for an accounting clerk, billing specialist, accounts receivable professional, or finance administrator who enjoys working with data, maintaining organized records, and ensuring invoices and payments are processed accurately and on time.

Communicate professionally with insurance carriers and internal stakeholders to resolve complex billing issues. Our leadership team understands that strong clinical services must be supported by strong financial systems, and we are committed to investing in experienced professionals who can strength

Ability to clearly communicate in both written and oral form with professionals in the firm and with clients regarding billing issues. Ability to represent the department in a professional and positive manner.

Must have outstanding written communication skills and a professional phone manner.