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Job DescriptionDescription: Join Carina Health Network and help us make Colorado communities healthier! Are you passionate about population health and interested in improving patient experience and outcomes? If so, we support several community health organizations (CHO), and this company is for you! At Carina Health Network, we are transforming community health by delivering proactive, data-informed, and whole-person care that drives measurable impact. Our work helps people stay healthier longer, by supporting community health organizations who have patients with chronic conditions like diabetes and high blood pressure, ensuring regular check-ups for older adults, and identifying mental health needs early. We help community health organizations prevent costly ER visits by connecting people with the right care at the right time. Through our value-based care programs, we empower frontline care teams to improve outcomes while earning fair, sustainable reimbursement. By saving money and reinvesting in community services, we strengthen the systems that care for the most vulnerable, making a real difference in the lives of patients and providers alike. Join us in reimagining the future of health care, where your work truly matters. What You’ll Do The Value Based Coding Advisor will interact with operational and clinical leadership to assist in the identification of Risk Adjustment/HCC coding opportunities, and will provide targeted education to CHC providers, billers, coders, and support staff to support value-based contract initiatives. Risk Adjustment/HCC Coding Support and Education • Educates providers and staff on coding regulations and changes as they pertain to risk adjustment and quality reporting to ensure compliance with federal and state regulations., • Assist the department, direct supervisor and Carina in the development of education tools related to risk adjustment/HCC coding and gap closure., • Supports the creation of education that will train CHC providers, billers, coders, and support staff, as well as Carina staff, for risk adjustment/HCC coding opportunities., • Performs weekly Pre-Visit Planning reviews for assigned CHC’s and will query providers or other identified team member to further, • Holds monthly meetings with identified coding champions, provide education and training to CHC providers, billers, coders, and support staff in proper coding guidelines; and documentation education based on PVP observations and monthly topics., • Reviews patient charts to identify areas for quality gap closures and provide compliant documentation to appropriate payers resulting in gap closures for assigned CHC’s., • Ensures that providers understand CPT II coding for the purposes of quality gap closure and reporting. What We’re Looking For • High School diploma or equivalent., • Minimum 2 years coding experience, • The American Academy of Professional Coders (AAPC) Certified Risk Adjustment Coder (CRC) or AHIMA certification is required; Certified Professional Coder (CPC) Certification will be considered with Risk Adjustment/HCC Coding experience and willingness to obtain CRC within 1 year of employment, • Risk Adjustment experience required., • FQHC billing experience is highly preferred, • Experience with clinic billing and coding required, • Knowledge of several EHR systems preferred (ECW, Athena, Greenway Intergy, Epic)., • Clinical background preferred, • Strong knowledge of CMS coding and quality guidelines., • Strong knowledge of PowerPoint, excel and Microsoft word with the ability to manipulate basic information and data required for preparing reports and delivering training., • Exceptional interpersonal, public speaking, and presentation skills to deliver training and education is preferred., • Ability to facilitate group discussions that challenge participants and promote discussion of new approaches and solutions based on data and value-based care initiatives., • Ability to travel to and within the state of Colorado- 25% travel within the state of Colorado with an unrestricted driver’s license and an insured vehicle. Working Environment • Work from home with 25% travel responsibilities within the state of Colorado, • Prolonged periods of sitting at a desk and working on a computer Why You’ll Love Working Here • Insured group health, dental, & vison plans (Employer covers 100% cost for dental and vision), • Medical and dependent care flexible spending account options, • *$900 Employer Contributions towards your choice of a Health Reimbursement Employer (HRA) or Health Savings Account (HSA), • 401k retirement plan with up to a 4% employer contribution match, • 100% Employer-Paid Life, AD&D, Short-Term and Long-term disability plans paid for employees, • Free 24/7 access to confidential resources through an Employee Assistance Program (EAP), • Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, and hospital indemnity coverage, • 17 days of paid vacation within 1 year of service, • 12 paid sick days accrued by 1 year of service, • 14 paid holidays (which includes 2 floating holidays), • 1 Paid Volunteer Day, • Employer-paid programs/courses for staff’s growth and development, • Cell phone and internet reimbursement, • Competitive salary and full benefits, • Annual, all expenses paid Staff Retreat, • Flexible work (remote or hybrid), • Supportive, mission-driven team, • Opportunities to learn and grow Carina Health Network is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Requirements:

Job Description Amaze Health delivers concierge-style virtual care that feels like having a trusted “doctor friend” on call 24/7, for everything from sudden illnesses to chronic conditions and mental health. As a true partner, we simplify the healthcare maze, guiding patients with clarity, compassion, and confidence while empowering them to take control of their health. Beyond treatment, we provide partnership, helping people feel heard, supported, and cared for throughout their journey. Join us as we transform healthcare, one patient at a time. Amaze is seeking a compassionate and skilled Patient Advocate to join our dedicated team at our Denver office. We welcome professionals who are driven by empathy, continuous learning, and delivering patient-first solutions while working collaboratively in our dynamic office environment. As a Patient Advocate, you guide patients through the twists and turns of the healthcare system, making complex insurance and care processes clear, accessible, and less stressful every step of the way. This role is perfect for someone who finds purpose in helping others navigate complex systems, enjoys meaningful connections, and thrives in a collaborative, office-based environment. Responsibilities • Make insurance understandable: Explain insurance coverage and costs in everyday language., • Denials and appeals: Support patients through denials and appeals, managing paperwork and updates., • Referrals: Coordinate referrals and prior authorizations for smooth access to care., • Collaborate as a team: Offer empathetic support by phone, chat, or email, collaborating with teams to resolve patient issues., • Experience: At least 4 years working in a hospital or health insurance setting with direct experience in insurance processes, including financial counseling, patient financial services, and insurance follow-up., • Certification: Certified Professional Biller (CPB) or Certified Professional Coder (CPC) preferred., • Education: High school diploma or equivalent required; Associate’s degree preferred., • Language: Bilingual (Spanish/English) strongly preferred., • Key Attribute: Tech-savvy and confident, with excellent communication skills to explain details clearly and calmly in a fast-paced office environment., • Workspace: Ability to maintain a professional, focused environment and manage sensitive information with care., • An inclusive, team-driven culture where your voice is valued and collaboration is the norm., • Opportunities to deepen your expertise in patient advocacy, insurance processes, and healthcare operations., • A sense of mission—be part of a team that helps patients find clarity, access, and peace of mind at critical moments., • A comprehensive benefits package that includes medical, dental, and vision coverage, paid time off, and a 401(k) plan., • Pay range for this position is $58,000 – $75,000 annually. If you’re ready to help patients overcome obstacles and simplify the healthcare journey, we’d love to meet you. Join us and see the difference you can make—one conversation at a time.

Job Description About Cleerly We're Cleerly – a healthcare company that's revolutionizing how heart disease is diagnosed, treated, and tracked. We were founded in 2017 by one of the world's leading cardiologists and are a growing team of world-class engineering, operations, medical affairs, marketing, and sales leaders. We raised $223M in Series C funding in 2022 which has enabled rapid growth and continued support of our mission. In December 2024 we received an additional $106M in a Series C extension funding. Most of our teams work remotely and have access to our offices in Denver, Colorado, New, York, New York, Dallas, Texas, and Lisbon, Portugal with some roles requiring you to be on-site in a location. Cleerly has created a new standard of care for heart disease through value-based, AI-driven precision diagnostic solutions with the goal of helping prevent heart attacks. Our technology goes beyond traditional measures of heart disease by enabling comprehensive quantification and characterization of atherosclerosis, or plaque buildup, in each of the heart arteries. Cleerly's solutions are supported by more than a decade of performing some of the world's largest clinical trials to identify important findings beyond symptoms that increase a person's risk of heart attacks. At Cleerly, we collaborate digitally and use a wide variety of systems. Our people use Google Workspace (GMail, Drive, Docs, Sheets, Slides), Slack, Confluence/Jira, and Zoom Video, prior experience in these areas is a plus. Role or department specific technology needs may vary and will be listed as requirements in the job description. While we are mostly a remote company, travel is required for some team meetings and cross function projects typically once per month or once per quarter, for some roles like sales or external facing roles travel could be up to 90% of the time. About the Opportunity The Field Reimbursement Manager (FRM) role will function as a reimbursement resource for current and future Cleerly customers. This position will collaborate closely with the Cleerly Sales and Implementation Teams to provide remote and in-person customer support. The FRM will educate and support customer billing staff on coding, reimbursement, market access, prior authorizations, appeals, and a variety of other reimbursement related topics in all sites of service. The FRM will also work with clients to provide education on payor policies, coverage criteria, reimbursement, and patient access. About the Team The FRM position will report directly to the Vice President of Market Access and Reimbursement. The Market Access Team consists of three Directors of Market Access, who are responsible for commercial and governmental payor coverage engagement and relationship management. In addition, the team will also include two FRM positions divided between the East and West regions. Responsibilities • Direct customer engagement through in-person or on-line meetings., • Maintain a detailed understanding of all market access and reimbursement related information related to all Cleerly products and related services in all settings of care., • Maintain a detailed knowledge of and ability to utilize all Cleerly resources and tools for customer assistance., • Educate internal stakeholders, such as sales, marketing, etc., on nuances to coding, coverage, and reimbursement and how to communicate to customers in accordance with compliance standards, • Cross functional collaboration with Sales, Marketing, and Client Success teams to meet customer reimbursement needs across all phases of the sales process, • Cross functional collaboration with Sales and Implementation Teams to educate new and potential customers on patient access, reimbursement, and coding Cleerly products, • Regularly assess payor coverage policies for changes and communicate to internal and external stakeholders, • Identify, cultivate and maintain client relationships leading to KOL development for payor engagement, • Collaborate with Market Access Directors to engage KOLs for payor coverage engagement, • Assist Directors of Market Access with maintaining payor policy data, • Educate clients (including third party billers) on payor coverage topics, patient selection criteria, billing, coding, and reimbursement, • Work directly with new customer billing and coding teams to educate on prior authorizations, coding, coverage criteria, and other reimbursement related topics., • Initiate regular, scheduled communications with customers and billing staff to assess any issues and educate accordingly., • Assist customers with utilization of Cleerly tools and resources for prior authorizations and appeals, • Assess customer payor mix and perform claim reviews to ensure proper billing and coding, • Develop and share best practices with internal team regarding billing, coding and reimbursement processes, • Provide feedback to internal stakeholders regarding real-world access barriers and market dynamics Requirements • Associates degree in a medical or science related field, Bachelor's degree preferred, • Billing and coding expertise in radiology or cardiology, • Certified Professional Coder (or similar) certification preferred, • Minimum of 5 years of billing and coding experience in either office, hospital outpatient, or IDTF, • Experience interpreting medical coverage policies to understand and communicate clinical criteria as well as billing and coding requirements, • Outstanding knowledge of US billing and coding system for both commercial and government payors, • Excellent written and interpersonal communication skills, • Comprehensive understanding of billing and coding workflow in all sites of care including knowledge of EMRbilling software, etc., • Must live near a major airport in the Western half of the United States, • Must be able to travel up to 75% of the time TTC*: $127k - $164k *Total Target Compensation (TTC): Total Cash Compensation (including base pay, variable pay, commission, bonuses, etc.). Each role at Cleerly has a defined salary range based on market data and company stage. We typically hire at the lower to mid-point of the range, with the top end reserved for internal growth and exceptional performance. Actual pay depends on factors like experience, technical depth, geographic location, and alignment with internal peers. Working at Cleerly takes HEART. Discover our Core Values: • H: Humility- be a servant leader, • E: Excellence- deliver world-changing results, • A: Accountability- do what you say; expect the same from others, • R: Remarkable- inspire & innovate with impact OUR COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER. We do not discriminate on the basis of race, color, national origin, ancestry, citizenship status, protected veteran status, religion, physical or mental disability, marital status, sex, sexual orientation, gender identity or expression, age, or any other basis protected by law, ordinance, or regulation. By submitting your application, you agree to receive SMS messages from Cleerly recruiters throughout the interview process. Message frequency may vary. Message and data rates may apply. You can STOP messaging by sending STOP and get more help by sending HELP. For more information see our Privacy Policy (). All official emails will come from @cleerlyhealth.com email accounts. #Cleerly

Job Description Company Summary: We are a rapidly growing, fully remote Intelligent Document Processing company that drives unmatched efficiency in the medical equipment, healthcare, and financial services industries. Leveraging techniques like optical character recognition, machine learning, and large language models, our platform empowers our customers to transform complex, unstructured data into actionable insights, expediting their revenue cycle and lowering their costs. Ultimately, this helps patients get the care they need more quickly while reducing frustration with both their provider and their insurance company. While we currently focus primarily on the HME (Home Medical Equipment) and DME (Durable Medical Equipment) industries, we are exploring and developing additional applications of our solutions to broader problems within healthcare, finance, and beyond. Position Summary: We are seeking a detail-oriented and experienced Medical Reimbursement Analyst with expertise in ankle, foot, knee, and spine orthotics to join our team. Reporting to the Manager of Healthcare AI Solutions, you will play a crucial role in maintaining the accuracy of our proprietary payor criteria rule system by creating and updating payor rules for DME and HME products. Job Duties: Rules Development • Identify and review government and payor coverage criteria policy associated with clients’ needs and requests., • Analyze payor policy guidelines and break them down into comprehensive rule sets, capturing dependencies and nuances., • Interpret and document coverage criteria policy guidelines by HCPC, ICD10, and other written requirements., • Collaborate with customers to understand their specific requirements, exceptions and interpretations to apply to the policy., • Collaborate with a team of software coders to convert the documented rules into code-based rules., • Perform extensive testing of the implemented rules to ensure adherence to payor policies and accurate medical necessity determination., • Prepare test files including redacting, merging and splitting PDFs, TIFs, and CSV files as needed., • Create testing plans per product category to ensure comprehensive testing and rule set accuracy., • Stay up-to-date with healthcare policies, compliance, industry trends, and best practices related to DME and HME products., • At least 3 years of experience (within the last five years) in claims billing to Medicare for foot, ankle, knee, and spine orthotics., • Deep familiarity with Medicare coverage criteria for foot, ankle, knee, and spine orthotics., • Strong written and verbal communication skills., • Demonstrated ability to work cross-functionally., • Outstanding analytical skills with the ability to interpret complex policy guidelines and break them down into actionable data., • Strong knowledge of HIPAA and PHI compliance., • Proficient in Microsoft Office and Google Suite., • Ability to thrive in a fast paced environment., • High School degree or equivalent., • Must live in the U.S. or U.S. Territories., • Experience in claims billing to Medicare for hip orthotics., • Experience working with software development teams., • Bachelor’s degree. The salary range for this job is $65,000 - $80,000 per year. Benefits: We offer comprehensive and competitive benefits, including: • 10 company holidays per year, • 4 weeks of vacation per year, • 8 sick days per year, • Health/dental/vision insurance, • 401K with company match, • Smartphone: Must have a smartphone, as we use multi-factor authentication for logging in to our system, so you will need to download an app to your phone., • Equipment: Company laptop and optional external monitor will be provided. 5nd8Lo4wbN