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Job DescriptionPosition Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. We are seeking a registered nurse with experience in clinical validation to work within our coding department. Candidate should be highly motivated, with strong clinical and coding background. This individual must have excellent communication skills and an analytical mindset to achieve and maintain high-level performance in a fast-paced environment. This is a fulltime position (40 hours per week) Monday – Friday. You’ll enjoy the flexibility to telecommute from anywhere within the United States. Training will be conducted virtually from your home. If you are interested in this role with MedReview, please let us know. Here is what we are searching for: Responsibilities: • Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record, • Must be able to interpret clinical guidelines/criteria and apply to clinical review, • Solid understanding of anatomy and physiology, diagnostic and surgical procedures developed from specialized training and extensive experience with ICD-10-PCS code assignments, • Demonstrates the ability to accurately interpret the medical record, • Writes clear, accurate and concise rationales in support of findings, • Maintains and manages case reviews with a high emphasis on quality, • Demonstrates the ability to work in a high – volume production environment, • Minimum of two years’ experience in clinical validation in a payment integrity setting required, • May consider nurses with inpatient claims auditing experience or case management experience., • Unrestricted Registered Nurse with active RN licensure required, • CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification preferred, • CCDS or CDIP Certification preferred, • Knowledge of ICD-10 coding, • Basic Knowledge of DRG validation and coding, • High speed internet (100 Mbps per person recommended) with secured WIFI., • A dedicated workspace with minimal interruptions to protect PHI and HIPAA information., • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents., • 401(k) with Employer Match - Join the team and we will invest in your future, • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays., • Wellness - We care about your well-being. From Commuter Benefits to FSAs, we’ve got you covered. Powered by JazzHR aBDzJ1rwvQ

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient 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! What You Will Do: • Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes, • Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation, • Oversee and audit the work of Level 1 & 2 Coders, where applicable, • Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders, • Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments, • Maintain site-specific productivity benchmarks, • Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues What You Need to Succeed: • A minimum of 3 years of inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • Strong verbal and written communication skills What Helps You Stand Out: • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AHIMA/AAPC with a preference for CCS, • Minimum of 3 years of inpatient coding experience at a Level I Trauma Center, preferably within an academic medical facility., • Experience with significant level of coding quality review feedback, • 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, • 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. The estimated base pay range per hour for this role is:$32—$42 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 Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: 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, 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: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have experience with onboarding QA, SLA. Streamline Evaluator experience a plus. Must have experience providing formal monthly education topics.* What You Will Do: • Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs., • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc., • Keeps abreast of regulatory changes., • Organizes and prioritizes multiple cases concurrently to ensure optimal workflow and turnaround time, • Provides coder education via the auditing process, • Function in a professional, efficient, and positive manner, • Adhere to the American Health Information Management Association's code of ethics., • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession., • High complexity of work function and decision making What You Need to Succeed: • 5+ years of facility inpatient coding experience and/or auditing., • CCS (required), RHIA or RHIT preferred, • Maintain 95% DRG accuracy rate, • 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!) 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 an hour. 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 Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. 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: SDS/OBV coder for highly complex ambulatory surgery procedures. Must have a CCS. Experience in EPIC/3M360 preferred. Attention to detail critical as looking for total quality.* 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., • Be willing and able to travel when necessary if applicable. Preferred: SDS/OBV coder for highly complex ambulatory surgery procedures. Must have a CCS. Experience in EPIC/3M360 preferred. Attention to detail critical as looking for total quality.* • Excellent written and verbal communication skills, • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)., • 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, • Proficiency with most or all of these coding specialties (Emergency Department, Same Day Surgery, Ancillary, Observation, Injections/Infusions, E/M leveling), • Must be able to communicate effectively in the English language., • 2+ years of coding experience in a hospital and/or coding consulting role., • Experience in computerized encoding and abstracting software, • 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 The estimated base pay range per hour for this role is: $20 - $35 an hour. 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 Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: As an Outpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, 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: Candidate needs a strong skill set in SDS, ED, Observation and I&I What You Will Do: • Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment, • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc, • Keeps abreast of regulatory changes, • Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution, • Provides coder education via the auditing process, • Function in a professional, efficient and positive manner, • Adhere to the American Health Information Management Association (AHIMA)'s code of ethics, • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession, • High complexity of work function and decision making What You Need to Succeed: • 5+ years of outpatient facility coding experience and/or auditing, • CCS (required), RHIA or RHIT preferred, • Maintains 95% accuracy rate, • 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!) 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 an Hour 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 Medical Coder: OBGYN and Urology M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We’re looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply. Key Responsibilities -Surgical procedures performed by OB/GYN physicians such as hysterectomy, biopsies, colpopexy, etc. -Endometriosis • Review and accurately code E/M visits and office procedures., • Able to work independently and research coding scenarios., • Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis., • Attend conference calls as necessary to provide information and/or feedback., • Communicate with leadership on coding or documentation issues/trends., • Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary., • Participate in coding department and education meetings., • Flexible to expand coding skill set into other specialties altogether., • Maintain confidentiality and protect sensitive information., • Other duties as assigned by leadership. Education/Experience Requirements • High School diploma required. Associates or BS degree preferred. Benefits M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Company DescriptionM&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.M&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.

Job Description Hi, we're Oscar. We're hiring a Senior Specialist, Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist works to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to audit prepayment and/or post payment claims. The Senior Specialist runs and coordinates activities across Oscar to reduce the incidence and effect of fraud, waste, and abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit Post-Pay. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a remote position, open to candidates who reside in the following location(s): Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. While your day-to-day work will be completed from your home office, occasional travel may be required for key team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $63,200 - $82,950 per year. The base pay for this role in all other locations is: $56,800 - $74,655 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Develop and maintain a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements., • Perform complex policy updates or audits of assigned documentation (i.e. medical records or claims) on both a prepayment and/or post payment basis to determine accuracy of claims submitted to Oscar., • Document findings including reference to sources used to support decision-making and in a way that can be easily understood by non clinicians or coders., • Create reports and reference guides that can be used by other team members to communicate findings or more effectively perform similar reviews., • Help draft written communications to providers to convey findings., • Participate in educational calls with providers., • Help train new team members., • Develop and document processes to improve the efficiency of the team., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • 1+ years of auditing experience across multiple specialties., • Certified Professional Coder (CPC) designation or similar certification (required for SIU), • Bachelor's degree or 4+ years of work experienceBonus Points, • Certified Professional Medical Auditor, • Additional certification applicable to this work such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), other coding certifications or similar, • Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity, • Demonstrated experience translating technical jargon to non-technical end users., • Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting., • Experience with HIPAA, data privacy, and/or data security processes At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Description Job Title: Medical Risk Adjustment Coder Job Summary WE HAVE AN IMMEDIATE OPENING FOR A MEDICAL RISK ADJUSTMENT CODER FOR A HYBRID ROLE IN MIDTOWN MANHATTAN. The Medical Risk Adjustment Coder is responsible for reviewing and abstracting diagnosis codes from medical records to ensure accurate and complete capture of patient risk profiles. This role supports risk adjustment programs (e.g., Medicare Advantage, ACA, Medicaid) by identifying and coding Hierarchical Condition Categories (HCCs) in compliance with official coding guidelines, payer requirements, and CMS regulations. Key Responsibilities • Review medical records to identify, abstract, and assign accurate ICD-10-CM diagnosis codes for risk adjustment, • Ensure coding is in compliance with CMS, HHS, and official coding guidelines (ICD-10-CM, HCC, and MEAT criteria), • Validate documentation supports submitted diagnosis codes for risk adjustment models (HCC, CDPS, etc.), • Collaborate with providers and clinical teams to clarify documentation and support accurate coding, • Meet or exceed productivity and accuracy benchmarks as set by the organization, • Maintain current knowledge of coding guidelines, risk adjustment models, and payer policies, • Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent (e.g., CCS, CCS-P), • 2+ years of ICD-10-CM coding experience, preferably in risk adjustment or outpatient setting, • Strong understanding of risk adjustment methodologies (e.g., CMS-HCC, HHS-HCC, CDPS), • Proficiency in EHR and coding software systems, • Strong attention to detail and analytical skills, • Ability to work independently and meet deadlines in a production-based environment

Job Description About us LifeMD is a leading digital healthcare company committed to expanding access to virtual care, pharmacy services, and diagnostics by making them more affordable and convenient for all. Focused on both treatment and prevention, our unique care model is designed to optimize the patient experience and improve outcomes across more than 200 health concerns. To support our expanding patient base, LifeMD leverages a vertically-integrated, proprietary digital care platform, a 50-state affiliated medical group, a 22,500-square-foot affiliated pharmacy, and a U.S.-based patient care center. Our company — with offices in New York City; Greenville, SC; and Huntington Beach, CA — is powered by a dynamic team of passionate professionals. From clinicians and technologists to creatives and analysts, we're united by a shared mission to revolutionize healthcare. Employees enjoy a collaborative and inclusive work environment, hybrid work culture, and numerous opportunities for growth. Want your work to matter? Join us in building a future of accessible, innovative, and compassionate care. About the role The Revenue Cycle Management Specialist will be responsible for the day-to-day monitoring of billing operations, including coding, charge entry, claims filing, and payer & patient accounts receivable follow-up, denials, and payment posting. The Specialist will work to resolve issues to maximize collections and enhance patient satisfaction. Responsibilities • Monitor the day-to-day flow of recorded visits, coding, charge entry, and claims filing, • Perform payer accounts receivable follow-up, work denials, and handle patient collections, • Process and post payments to patient accounts, • Troubleshoot and resolve billing issues to maximize collections, • Communicate with patients when it pertains to insurance, billing or patient account related questions, • Collaborate with the Revenue Cycle Manager, Finance team and other departments to ensure smooth revenue cycle operations, • Ensure compliance with current healthcare regulations and standards, including HIPAA, Medicare, and Medicaid requirements, • Stay up-to-date with industry trends and changes in regulations, • Assist in creating and monitoring effective revenue cycle KPIs and standardized reporting Basic Qualifications: • Bachelor’s degree in business administration, healthcare administration, or a related field, or equivalent experience, • 3+ years of experience in medical billing, coding, denial management and reimbursement, • 1+ years of experience with Medicare, especially telehealth, • Proven experience in payment posting, working denials, and accounts receivable follow-up, • Strong understanding of healthcare billing, coding, and collections processes, • Certified Professional Coder (CPC) via AAPC or CCS, CCS-P or CCA via AHIMA, • Proficiency with revenue cycle management software such as Availity, commercial and Medicare payer portals and Google Suite Preferred Qualifications: • Excellent analytical skills with the ability to interpret and act on complex data, • High level of proven communication skills, including written and verbal, • Ability to work in a fast-paced, dynamic growth environment, • Creative problem solver and team player who thrives in a collaborative environment, • Salary Range: $55,000-$65,000 annually, • Health Care Plan (Medical, Dental & Vision), • Retirement Plan (401k, IRA), • Life Insurance (Basic, Voluntary & AD&D), • Unlimited PTO Policy, • Paid Holidays, • Short Term & Long Term Disability

Job DescriptionSalary: Engineering Technical Lead CreatorFi (Platform/Infra) Remote must align with 9:00am5:00pm Eastern Time (New York) core hours Position Overview Insomnia Labs is hiring anEngineering Technical Lead for CreatorFi, our on-chain credit platform for creators and rights-holders. This role leads a 48 person squad and focuses on Platform/Infrastructure and technical delivery leadership. Youll partner closely with Product to turn business goals into resilient, secure, and scalable systemswhile still coding on the most critical paths (~20%). Reporting line: Partners day-to-day with the Head of Product; reports into the CreatorFi Engineering leadership. Emphasis: Platform/Infra leadership with preferred experience across payment systems, data platforms, and Web3. Key Responsibilities Technical Direction (hands-on but leveraged) • Own target architecture, patterns, and guardrails for CreatorFi platform services (auth, data, orchestration, observability)., • Write and/or review design docs; spike tricky pieces; set code-quality bars; merge complex PRs., • Convert product asks into a cohesive Work Breakdown Structure (WBS), estimates, sequencing, and risk plan., • Run the engineering side of delivery: daily flow, unblocking, dependency management, and predictable on-time releases., • Define and own SLIs/SLOs and error budgets; instrument dashboards and alerts., • Enforce CI/CD gates, automated testing thresholds, code-review standards, and security scanning., • Lead operational readiness and incident response; drive fixes to completion., • Auditability & SOC 2: ensure structured logging, change control, access reviews, evidence collection, and control ownership., • Key custody: design and operate secrets, KMS/HSM integration, and least-privilege patterns across services., • Mentor engineers; raise the bar on PRs and design docs; pair where it matters., • PM brings the problem, user context, and success metrics; TL owns how we build and run it., • Co-author a plan/roadmap with clear milestones, exit criteria, and risk mitigation. Required Qualifications • 610 years total software experience, including 3+ years as a Tech Lead over a 48 engineer squad., • Proven track record leading platform/infra initiatives for SaaS or fintech-like systems (availability, scale, security)., • Deep AWS expertise (professional-level certification preferred) and hands-on with core services (e.g., IAM, VPC, ECS/EKS/Lambda, KMS, RDS/aurora, S3, CloudWatch)., • Strong systems design skills; excellent written design docs and crisp verbal walkthroughs., • Pragmatic coder capable of owning the critical 20% (TypeScript/Node, Python, or Go preferred)., • Comfortable leading in a distributed, async-friendly environment; fluent English communication., • Ability to work 9am5pm ET core hours, regardless of location. Preferred Qualifications • Payments or financial systems (idempotency, reconciliation, ledgers, PSP integrations)., • Data platforms (eventing, Kafka/Kinesis, CDC, warehouse/Lakehouse, DBT, schema governance)., • Web3 stack familiarity (Solidity/Foundry/Hardhat, custodial vs. non-custodial flows, chain interaction patterns)., • Infra-as-code (Terraform), containers (Docker/Kubernetes), observability (OpenTelemetry, Datadog/Prometheus)., • Security and privacy patterns (threat modeling, least privilege, client-side encryption). Working Model • 30% design & architecture (docs, reviews, spikes), • 30% delivery leadership (planning, unblocking, cross-team dependencies), • 20% hands-on coding of critical paths, • 20% reliability/security/quality (SLOs, audits, on-call, controls) remote work

Job Description We are currently looking for candidates with experience specializing in the following area: Orthopedic Hand/Upper Extremity and Lower Extremity Surgery Responsibilities: · Review and accurately code cases to maximize reimbursement in a timely manner. • Review and accurately code E/M visits and office procedures., • Able to work independently and research coding scenarios., • Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis., • Attend conference calls as necessary to provide information and/or feedback., • Communicate with leadership on coding or documentation issues/trends., • Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary., • Participate in coding department and education meetings., • Flexible to expand coding skill set into other specialties altogether., • Maintain confidentiality and protect sensitive information., • High School diploma required. Associates or BS degree preferred., • Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. A CPC or CCS-P certification is required. CPC-A is not accepted., • Minimum of 3 years physician coding experience (recent hands-on production) in Expertise in professional general surgery coding & procedural coding in at least one of the following areas: Neurosurgery, General Surgery (SDS), Plastics, Podiatry required with the specialty of Orthopedics, specifically for hand/upper extremity and lower extremity surgical coding, including E/M leveling and office procedures (joint injections, fracture care)., • Must have proficient knowledge of anatomy and physiology, medical terminology, CPT, ICD-10 coding, modifiers, disease processes, surgical techniques, and Medicare and Medicaid billing policies for professional services., • Additional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and electronic healthcare record information and billing systems. Company DescriptionM&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.M&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.

Job Description We are currently looking for candidates with experience specializing in the following area: Plastic reconstruction and Breast Responsibilities: • Review and accurately code cases to maximize reimbursement in a timely manner., • Review and accurately code E/M visits and office procedures., • Able to work independently and research coding scenarios., • Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis., • Attend conference calls as necessary to provide information and/or feedback., • Communicate with leadership on coding or documentation issues/trends., • Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary., • Participate in coding department and education meetings., • Flexible to expand coding skill set into other specialties altogether., • Maintain confidentiality and protect sensitive information., • High School diploma required. Associates or BS degree preferred. M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Company DescriptionM&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.M&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.

Job Description Professional Coder-Interventional Radiology and Cardiovascular Key Responsibilities: • Review and accurately code Cardiovascular and Interventional Radiology procedures including but not limited to: • Diagnostic angiography, • Non-vascular interventions (biliary procedures, biopsies, ablations, spine interventions, etc.), • Percutaneous vascular interventions, • Diagnostic cardiac catheterization, • Basic coronary arterial interventions • Review and accurately code E/M visits and office procedures., • Able to work independently and research coding scenarios., • Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis., • Attend conference calls as necessary to provide information and/or feedback., • Communicate with leadership on coding or documentation issues/trends., • Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary., • Participate in coding department and education meetings., • Flexible to expand coding skill set into other specialties altogether., • Maintain confidentiality and protect sensitive information., • High School diploma required. Associates or BS degree preferred., • Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. A CPC or CCS-P certification is required. (CIRCC) Certified Interventional Radiology Cardiovascular Coder preferred. CPC-A is not accepted., • Minimum of 3 years physician coding experience (recent hands-on production) in professional general surgery coding & procedural coding in at least one of the following areas: Neurosurgery, General Surgery (SDS), Plastics, Podiatry required with expertise in Interventional Radiology and Cardiovascular. Benefits: M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Company DescriptionM&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.M&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.

Job Description Location: San Francisco or New York (hybrid) Work Model: Flexible hybrid (onsite collaboration encouraged) Industry: AI / Data Infrastructure / SaaS Compensation: $140,000+ About the Company We are a fast-growing, venture-backed SaaS startup building AI-driven data tools that help companies unlock insights and accelerate decision-making. Our team is made up of builders who thrive at the intersection of technology and go-to-market innovation. Backed by leading investors, we’re scaling rapidly and looking for entrepreneurial talent eager to shape a new category. The Opportunity We’re seeking a Growth Engineer to join our team at the ground floor. This is a highly creative and technical role where you’ll blend lightweight engineering with brand-building. You’ll design and launch small but powerful apps using our proprietary data, turning them into lead magnets and viral content that sparks awareness across the industry. This role is perfect for someone who’s both a coder and a creator—comfortable “vibe coding” quick experiments, posting and iterating publicly, and finding ways to generate buzz around technical insights. You’ll work directly with company leadership, shaping both product and narrative, while playing a visible role in how our brand grows. Responsibilities • Build and launch lightweight data-driven applications that function as lead magnets., • Conceptualize and prototype new app ideas based on company and industry use cases., • Create and distribute engaging technical content across social platforms., • Support brand awareness initiatives, including newsletters, influencer partnerships, and community engagement., • Act as a builder-marketer—shipping experiments quickly and amplifying them through creative distribution. Requirements • Technical skills with the ability to “vibe code” (CS background or equivalent preferred)., • Strong interest in marketing and content creation, with a knack for virality., • Demonstrated creativity, persistence, and willingness to experiment publicly., • Excellent written and verbal communication skills., • 10k+ social following on LinkedIn, Twitter, TikTok, or similar platforms., • Experience as a founder or track record of launching side projects/products., • Proven ability to grow an online presence or community.

Job Description Revenue Cycle Manager Our client, a dedicated healthcare organization committed to community development, is hiring a Revenue Cycle Manager to lead their billing and reimbursement operations. This pivotal role ensures the financial health of the organization by streamlining revenue cycle processes, supervising billing staff, and ensuring compliance with industry standards and regulations. Responsibilities: • Supervise daily activities of the billing department and foster workflow enhancements through automation and standardization., • Conduct regular team meetings to ensure alignment with revenue cycle management (RCM) plans, programs, and deadlines., • Identify and address challenges in the revenue cycle to maximize collection efficiency and reimbursement., • Apply strong analytical skills to leverage data for performance monitoring, trend identification, and revenue integrity improvements, • Bring deep expertise in Revenue Cycle Management, including team leadership and operational oversight, • Develop and refine policies, procedures, and workflows for billing, coding, and collections., • Manage key performance indicators and departmental goals, providing status reports and analytics to senior leadership., • Develop and execute strategies to enhance revenue cycle performance and support sustainable growth, • Keep abreast of Medicare/Medicaid, third-party payers, and regulatory updates, integrating changes into internal systems and staff education., • Oversee coding accuracy, claim transmission, payment posting, and denials management, ensuring adherence to guidelines like ICD-10, CPT, and HCPCS., • Recruit, train, and evaluate billing personnel, fostering a high-performing team environment., • Bachelor’s degree and a minimum of 5 years of experience in healthcare finance or revenue cycle management, supervising claims and reimbursement processes., • In-depth knowledge of revenue cycle management, medical billing, coding, managed care products, and regulatory compliance;, • An active Certified Coder (CPC) is a must, • Strong understanding of healthcare administration, HIPAA, insurance practices, and payer credentialing., • Effective leadership, communication, and organizational skills; ability to manage staff and projects efficiently., • Proficiency in billing practice management systems, Microsoft Office Suite, and internet research skills., • Preferred Qualifications, • Familiarity with Pay-for-Performance (P4P) incentive programs, • Opportunity to lead a vital component of a community-focused healthcare organization., • Collaborative work environment with professional growth prospects. Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Company DescriptionWe provide full-service Healthcare Recruitment solutions. We identify, attract, engage, and connect the best possible talent with quality healthcare professionals. We build teams, provide executive recruitment solutions and discover high-performance candidates on behalf of our client partners. Our strength lies in our proven recruitment strategies, leadership in the larger healthcare community (regional and national), and networking.We provide full-service Healthcare Recruitment solutions. We identify, attract, engage, and connect the best possible talent with quality healthcare professionals. We build teams, provide executive recruitment solutions and discover high-performance candidates on behalf of our client partners. Our strength lies in our proven recruitment strategies, leadership in the larger healthcare community (regional and national), and networking.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health stats, You will: • Provide education through detailed feedback within audits., • Provide coders' on-going education for any identified missed/incorrect ICD-10 codes or incorrect/missing/inappropriate client-based notes., • Maintain communication with both Coders as well as management on errors, trends, educational opportunities, etc., • Minimum 3 years of HCC coding experience, • Minimum 2 years of HCC Auditing experience, • High school diploma or GED equivalent, • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)., • Proficient in ICD-10 coding., • Experienced in HCC coding across Medicare, commercial, and Medicaid sectors., • In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes., • Ability to excel in a fast-paced production environment while upholding high-quality standards., • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills., • Comprehensive health, dental, and vision insurance, • Paid time off (PTO) plan, • Retirement savings plan, • Flexible work arrangements, • Opportunities for career growth and development 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 Professional Coder General Surgery (2) This is a full-time, remote position that offers a flexible schedule. We are currently looking for candidates with experience specializing in the following area: General Surgery. Responsibilities: • Review and accurately code cases to maximize reimbursement in a timely manner., • Review and accurately code E/M visits and office procedures., • Able to work independently and research coding scenarios., • Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis., • Attend conference calls as necessary to provide information and/or feedback., • Communicate with leadership on coding or documentation issues/trends., • Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary., • Participate in coding department and education meetings., • Flexible to expand coding skill set into other specialties altogether., • Maintain confidentiality and protect sensitive information., • High School diploma required. Associates or BS degree preferred.

Job Description Hi, we're Oscar. We're hiring an Associate, Clinical Coding Policy to join our Clinical Policy team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role You will be responsible for ensuring all clinical policy documents, initiatives, and projects have accurate, professional clinical coding. You will report to the Senior Manager, Clinical Policy. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $80,800 - $106,050 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Provide accurate code scoping for all clinical policies and initiatives within the Office of Clinical Affairs supporting policy maintenance, policy development, and policy compliance functions., • Provide subject matter expertise on accuracy and adherence to coding guidelines, policies, and regulations., • Research industry standard coding rules and provide input into clinical policy language and scope., • Use knowledge gained through research and coding review to ideate opportunities. Translate into business requirements and collaborate with internal partners to effectuate change., • Provide code scoping to a variety of projects on an ongoing basis., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • Bachelor's degree or 4+ years of commensurate work experience, • Certified Professional Coder (CPC) or similar designation through AAPC., • 3+ years of coding experience working with ICD-10, CPT and HCPCS coding criteria and hierarchies., • 1+ years experience collaborating with internal and/or external stakeholders to improve business workflows and processes.Bonus points, • Experience working in the healthcare insurance industry, specifically with medical coding guidelines and policies., • Experience clinical policy regulatory compliance., • Process Improvement or Lean Six Sigma training. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient 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! What You Will Do: • Assign diagnostic and procedural codes using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes, • Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation, • Oversee and audit the work of Level 1 & 2 Coders, where applicable, • Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders, • Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments, • Maintain a minimum production of 1 chart per hour or site-specific productivity benchmarks, • Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues, • Occasionally travel for professional development or meetings, if required What You Need to Succeed: • A minimum of 3 years of inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • Strong verbal and written communication skills What Helps You Stand Out: • 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, • Level 1 trauma facility experience, • Experience in computerized encoding and abstracting software What We Offer: • Benefits for PRN employees: 401k savings plan w/match, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager 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 Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. 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: SDS/OBV coder for highly complex ambulatory surgery procedures. Must have a CCS. Experience in EPIC/3M360 preferred. Attention to detail critical as looking for total quality. 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., • Be willing and able to travel when necessary if applicable. Preferred: SDS/OBV coder for highly complex ambulatory surgery procedures. Must have a CCS. Experience in EPIC/3M360 preferred. Attention to detail critical as looking for total quality. • Excellent written and verbal communication skills, • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)., • 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, • Proficiency with most or all of these coding specialties (Emergency Department, Same Day Surgery, Ancillary, Observation, Injections/Infusions, E/M leveling), • Must be able to communicate effectively in the English language., • 2+ years of coding experience in a hospital and/or coding consulting role., • Experience in computerized encoding and abstracting software, • 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 The estimated base pay range per hour for this role is: $20 - $35 an hour. 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 Description Hi, we're Oscar. We're hiring a Senior Specialist to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS), and be active and engaged in establishing Risk Adjustment processes. You will report to the Associate Director, Risk Adjustment. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role. You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $72,800 - $95,550 a year. The base pay for this role in all other locations is: $65,520 - $85,995 a year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts., • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards., • Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits., • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process., • Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business., • Identify process improvements to enhance medical encounter review efficiency., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • Bachelor's degree in a relevant field of study or commensurate work experience., • Certified professional coder (CPC), • 2+ year(s) retrospective risk adjustment coding experience.Bonus points, • Certified Risk Adjustment Coder (CRC) or similar certification, • Experience coding in a variety of different Electronic Medical Record (EMR) systems.Travel At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: As a Profee 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! What You Will Do: • Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment., • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc, • Keeps abreast of regulatory changes, • Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution, • Provides coder education via the auditing process, • Function in a professional, efficient and positive manner, • Adhere to the American Health Information Management Association (AHIMA)'s code of ethics, • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession, • High complexity of work function and decision making, • Strong organizational, teamwork, and leadership skills What You Need to Succeed: • 5+ years of Professional Fee coding and/or auditing, • CPC (required), • CPMA (preferred), • Maintain 95% accuracy rate, • Experience with various software including Epic, Cerner, and other prevalent EMRs 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, • 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!) 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 an Hour 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 Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role. You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $63,200 - $82,950 per year. The base pay for this role in all other locations is: $56,880 - $74,655 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities • Develop a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements., • Perform complex audits of assigned medical records and claims on both a prepayment and post payment basis to determine accuracy of claims submitted to Oscar., • Document findings including reference to sources used to support decision making and in a way that can be easily understood by non clinicians or coders., • Create audit report findings, tools, and reference guide that can be used by other team members to communicate findings or more effectively perform similar reviews., • Help draft written communications to providers to convey audit findings., • Participate in educational calls with providers., • Help train new team members., • Develop and document processes to improve the effectiveness of the team., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • 2+ years of coding or auditing experience across multiple specialties is required, • Bachelor's degree or 4+ years of work experience, • Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC) designation or similar certification, • Experience working in production-based environment, • Experience of both outpatient and inpatient auditingBonus Points, • Certified Professional Medical Auditor (CPMA), • Additional certification applicable to this work such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), other coding certifications or similar, • Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity, • Demonstrated experience translating technical jargon to non-technical end users., • Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting., • Experience with HIPAA, data privacy, and/or data security processes At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Title : Clinical Certified Coder Location : 50 Water St #7, New York, NY 10004, United States Duration : 2-3 Months Shift Details : Hybrid, 9am-5pm Education : Bachelor’s degree in Nursing, Medical Billing/Medical Coding, Healthcare or other related fields

Rare Opportunity Alert! Now hiring Warranty Admin/Coder!. Medical, Dental and Vision Plans.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Serves a

We are looking for a certified medical coder with experience in neurosurgical procedures, including craniotomy and spine surgeries. Certified medical coder with AAPC or AHIMA credentials (e.

Profee Only Experience (physician Coding Only). Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate

Reporting to the Assistant Director, Revenue Cycle Education, the Trainer - Certified Coder is responsible for conducting specialized training on coding workflows, compliance standards, and revenue cycle software applications for internal clients within the Clinical Revenue Office and external clien

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining to auditing functions as assigned. The individual will provide superior customer experience by educating internally and externally on opportunities for improvement discovered during auditing. This individual will work closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. You will: • Maintain a quality assurance program, • Play a key role in ensuring coding compliance and accuracy, • Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors, • Provides expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third-party requirements., • Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff., • Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented., • Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as needed., • Assist in the development of an effective training program regarding correct coding techniques/practices, • Assist with training new auditors and training of other staff as needed., • Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum., • Bachelor's degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA., • Expert knowledge of Risk Adjustment ., • Research and problem resolution skills., • Exceptional interpersonal relationship skills., • Must possess strong managerial, financial, and analytical skills., • Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement., • Strong communication skills to effectively interact all levels of the organization, business unit leaders, and staff in a tactful and positive manner., • Experience overseeing remote (Work at Home) operations., • Exceptional interpersonal skills, proven success in complex and ambiguous environments., • Ability to work independently, with high productivity, and regularly meet deadlines., • Demonstrates excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction and professional style. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. 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 their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is:$78,000—$92,000 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.

The University Eye Center (UEC) of the State University of New York College of Optometry, an Article 28 Diagnostic and Treatment Center, is seeking a Certified Professional Coder. Reporting to the Director of Patient Financial Services, the Certified Professional Coder will be responsible for the re

Remote Medical Biller & Coder (Entry-Level & Experienced). Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support fo

Job Description Why work at Greenwich House? At Greenwich House, we believe in empowering communities through transformative programs, we offer more than a job – we offer a mission. When you work with us, you become part of a passionate, collaborative team committed to making a difference in people’s lives. Every initiative, class, and outreach effort we deliver is fueled by a shared commitment to equity and compassion. Founded in 1902 as a settlement house aimed at supporting New York City's growing immigrant population, Greenwich House has since evolved into a dynamic nonprofit organization dedicated to fostering wellness, creativity, and connection across the city. Today, Greenwich House offers a diverse range of programs in health, human services, education, and the arts, serving thousands of New Yorkers each year. Learn more at . The Opportunity The Administrative Assistant provides critical backend support to the Youth Services afterschool program, ensuring compliance, data entry, communications, and financial processes are executed accurately and on time. This part-time role will keep the program running smoothly behind the scenes. This is an exciting opportunity for someone who is passionate about youth development and wants to be part of a mission-driven organization making a lasting impact in New York City. Responsibilities Compliance & Reporting • Input weekly student attendance and coder entries via Doclink and BTQ, • Responsible for school permits, school meal applications for PS 15 & PS 19 EVCS as well as meals for holiday camps at PS 15, • Prepare all reports to include but not limited to Board, CHHSO, marketing, development, principal, • Complete all data entry for QIFolio, • Manage documentation repositories and filing systems on the server, • Maintain incident report logs and fire drill records, • Support site coordinators with capturing and sharing success stories, photographs, and highlights within the Youth Services team, • Prepare monthly event flyers/newsletters and all parent and academy communications, • Maintain rosters and enrollment records Support site coordinators with capturing and sharing success stories, photographs, and highlights within the Youth Services team Enrollment, Payments & Financial Tracking • Send timely updates on program operations, needs, and challenges to the Director of Youth Services each week Education & Experience • High School Diploma, High School Equivalency or College Degree, • 2+ years of experience of work-related skill or experience is required, • Prior experience with DYCD Online and/or Youth Services, • Strong time-management skills and attention-to-detail; reliable and able to accomplish tasks on a timely basis, • Working knowledge of online databases, Excel, Word, and other programs The expected hourly rate range for this position is between $22.00 – $25.00. This range reflects the anticipated compensation at the time of this posting and may be adjusted based on experience, education, and organizational needs. Benefits Greenwich House is committed to supporting the well-being of our employees as a key part of delivering a strong overall workplace experience. Full time employees are eligible for various benefits, including medical/dental/vision insurance, 403(b) plan, generous paid time off, and other benefits in accordance with applicable plan documents. Employees also enjoy exclusive perks and discounts for Greenwich House programs and services, including classes, lessons, and events. Benefits for Union represented employees will be in accordance with the applicable collective bargaining agreement. Equal Employment Opportunity & Accessibility Greenwich House is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, veteran’s status, disability, or any other characteristic protected by applicable law. We are also committed to providing reasonable accommodations to qualified individuals with disabilities to ensure they can successfully perform the essential functions of their roles. If you require assistance or an accommodation during the application or interview process, please contact us.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

IMCS GROUP is seeking a travel Medical Assistant for a travel job in New York, New York.Job Description & Requirements Specialty: Medical Assistant Discipline: Allied Health Professional Duration: 13 weeks 37.Shift: 8 hours, days Employment Type: Travel two years of experience working as a medical a

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Finance and Investment firm is looking for an experienced Executive Assistant.In this role, the Executive Assistant will provide comprehensive Administrative assistance to a Senior Executive and his team.This position is 4 days in office and 1 day work from home.Provide comprehensive administrative

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Medical Receptionist-Adult Primary Care.Foster Avenue Brooklyn, NY 11230.Monday, Tuesday: 1:00 PM-9:00 PM.Thursday: 1:00 PM-Closing (~9:00 PM).Premium Health is looking for outstanding candidates for the Medical Receptionist position at our Internal Medicine practice.Premium Health, located in the h

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

CMA (Certified Medical Assistant ).BLS from the American Heart Association.Fluency in Cantonese and Mandarin.Flexibility for some weekends/holidays.Reliable, compassionate, and team-oriented.Medical Assistant fluent in Cantonese and Mandarin.You'll be a key part of a compassionate care team assistin

We pride ourselves on being an organization that embraces differences, encourages the sharing of ideas, and thinks being successful should be both challenging and enjoyable.Our 6 tri-state branch locations are only the start of what we're building here, and we want to invest in your future to help u

We're Hiring: Nurse Practitioner (NP) or Physician Assistant (PA) – Regenerative & Pain Medicine.Location: Ospina Medical, New York, NY.Type: Part-Time (Flexible) | Full-Time Considered | In-Person.Specialty: Regenerative Medicine | Orthopedics | Pain Medicine.Ospina Medical is a boutique rege

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn't your average doctor's office.We're on a mission to transform healthcare, which means improving the experience for everyone involved - f