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PRIDE Health is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Bronx, New York. Job Description & Requirements • Specialty: ED - Emergency Department, • Discipline: RN, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable]. Pay range: $15.00 hrly -$21.00 hrly Pride Health Job ID #3-36542319. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. About PRIDE Health PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations. Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Benefits • Weekly pay, • Holiday Pay, • Guaranteed Hours, • 401k retirement plan, • Cancelation protection, • Referral bonus, • Medical benefits, • Dental benefits, • Vision benefits

Certification Details • CCSJob Details, • Medical coding in an acute care setting, • Must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder), • Knowledge of coding guidelines, payor guidelines, federal billing guidelines, • Knowledge of anatomy, physiology & disease processes, • Ability to research coding related issues, • Competence in coder training, • Must have CCS and knowledgeable with 3M/HDS coding application, • Outpatient and ED experienceJob Requirements, • Three years experience, • Knowledge of ICD10, • Must have CCS certification

Job title Certified Medical Coders Job location Bronx, NY 10461 Shift: 8:00 AM-4:00 PM Pay: $30 - $36hr Length: 3 months, Possible Extension Education: High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS, Skills: Three years of experience, Knowledge of ICD-10 Job Summary: Experience with EPIC and 3M is required, Candidate with both in/out-patient coding experience will be ideal. CCS Certification is required. Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; Ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application. Inpatient and ED experience. Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Primarily remote with 10% travel expectation (twice a year to New York City office) Position Purpose: • Responsible for developing, conducting, administering, and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fidelis Care and assist in development of training and audit tools., • *The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. * Responsibilities: • Develop and maintain complex audit processes and audit tools related to inpatient coding, • Develop and conduct clinical education courses for existing and new employees, • Audit established guidelines for medical necessity, • Analyze training needs and identify, select, or develop appropriate training programs including training aids and materials, • Audit staff in accordance with established auditing processes, work with staff to identify and resolve errors, and present findings and recommendations for improvement to management, • Evaluate effectiveness of training programs, • Research, analyze, and recommend internal/external training programs, • Maintain records of training activities and employee progress, • Assist with revisions to Policy and Procedure and/or work process development for inpatient coding, • Travel may be required Education/Experience: • 4+ years of experience in nursing, training, or auditing in a managed care healthcare setting., • Experience in a lead or supervisory role preferred. License/Certification: • Current state nursing license., • Driver’s license may be required for certain positions. Must-haves • Bachelor’s degree in Nursing, related clinical field or equivalent experience., • Current state nursing license Inpatient Coding Experience (valid/current CPC, CIC, or CCS Certification).

Do you have experience with EPIC and 3M systems as a Medical Coder. We at HirePower are working with a top ranked clinical provider to help them find the right person , and that could be you. See below if you are interested in learning more. About the Role Possess proficient computer skills (e.g., MS Word, Excel, ICD-9-CM, CPT-4, Encoder). Apply knowledge of coding guidelines, payor guidelines, and federal billing regulations. Demonstrate understanding of anatomy, physiology, and disease processes. Responsibilities • Research and resolve coding-related issues as needed., • Provide coder training, • Serve as a resource for coding staff., • Utilize 3M/HDS coding applications effectively., • Perform coding for both outpatient and emergency department (ED) cases. Qualifications • High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS., • Minimum of three (3) years of experience., • Proficient in ICD-10 coding., • Experience with EPIC and 3M systems is required., • Candidate with both in/out-patient coding experience will be ideal. “We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law”. JOB-10045334

Job Title: Certified Medical Coder – Outpatient & Emergency Department (ED) Location: Bronx, NY 10461 Schedule: Monday – Friday, 8:00 AM – 4:00 PM (40 hours per week) Pay Rate: $35 – $38 per hour Duration: 3 months (with possible extension) Position Overview: We are seeking an experienced and detail-oriented Certified Medical Coder to join our team in an acute care setting. The ideal candidate will possess strong outpatient and emergency department (ED) coding experience, advanced knowledge of ICD-9-CM, CPT-4, and HCPCS coding systems, and hands-on experience using EPIC and 3M/HDS applications. This position requires strict adherence to federal billing and coding guidelines to ensure accurate and compliant claim submission. Required Qualifications: • Certification: Certified Coding Specialist (CCS) – Required, • Education: High School Diploma/GED required; AHIMA credentials (RHIA, RHIT, or CCS-P) preferred, • Experience:, • Minimum 2–3 years of coding experience in an acute care setting, • Strong background in Outpatient and ED coding, • Experience with both Inpatient and Outpatient coding highly preferred, • Proficiency with EPIC and 3M/HDS systems – Required, • Technical Skills: Proficient in MS Word, Excel, and Encoder software., • Knowledge Base: Strong understanding of anatomy, physiology, disease processes, and medical terminology., • Ability to research and resolve complex coding issues independently. Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors

Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds. Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned. Extensive knowledge of coding /documentation requirements.

M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We are seeking a multi-specialty Medical Coder. Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a cons

Job Title: Certified Medical Coders - Inpatient Job Location: Bronx, NY 10451 Job Duration: 3 Months+ (Possibility of extension) Shift time : 9:00 AM – 5:00 PM, any 5 days in a week Pay Range: $30 - $35/hr. on w2. (Negotiable) Job Description: · Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines. · Knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application. Inpatient and ED experience.

Job Description Now Hiring: Risk Adjustment Coder Location: NYC | Schedule: Hybrid, Mon–Fri (Flexible Hours) Pay: $28–$30/hr | Type: Long-Term Temp Are you an experienced coding professional with a passion for accuracy and compliance? Join our team as a Risk Adjustment Coder and make a direct impact on quality outcomes in healthcare. What You’ll Do: * Conduct ICD-10/HCC coding reviews & audits * Ensure compliance with CMS/Medicaid guidelines * Engage with providers & support training * Collaborate across departments to improve documentation accuracy What You’ll Bring: * Associate’s Degree or equivalent experience * 2+ years of coding/medical records experience * Strong knowledge of ICD-10, HCPCS, CPT-4, and claims processes * Excellent communication & organizational skills Why Apply? * Hybrid role (work from home + office days) * Mon–Fri, flexible hours * Competitive pay: $28–$30/hr (long-term temp role)

Job Description Position Overview: Coding Specialists are responsible to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physician’s documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing. Essential Functions: • Assign ICD-10-CM and CPT codes with modifiers for services provided in the professional fee environment., • Review the medical records and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses., • Ensure diagnosis codes meet the local and national medical necessity guidelines., • Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all assigned services., • Follow all HIPPA regulations and uphold a higher standard around privacy requirements., • Review and resolve coding edits and denials. Assists with rebilling claims when necessary., • Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding., • Must meet all coder productivity and quality goals., • Identifies issues and patterns related to coding., • Participates in ongoing mandatory compliance training., • Participates in monthly departmental meetings., • Strong critical thinking skills with an ability to apply creative approaches to complicated questions., • Other assigned duties/tasks PREFERED SKILLS & EXPERIENCE • Must have an AAPC CPC certification., • Knowledge of CPT, ICD-10, and medical terminology anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage., • Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations., • Ability to read and interpret medical procedures and terminology., • Ability to exercise independent judgment., • Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff., • Ability to maintain confidentiality., • Experience working in a medical billing environment where compliance with protected health information and HIPAA compliance is strongly enforced., • Demonstrate proficiency in Microsoft Office Suite, including Word, Excel, Outlook, and Teams, • Experience level: 3+ years. Work environment: • A standard business environment exists with moderate noise levels., • Ability to lift and move approximately thirty (30) pounds non-routinely., • Ability to sit for extended periods., • Extended periods of computer usage, • Handling – seizing, holding, grasping, and fingering of objects, tools, and controls., • Vision – close vision, • Hearing- the ability to receive detailed information through oral and telephonic communication.

Job DescriptionBenefits: • 401(k) matching, • Bonus based on performance, • Competitive salary, • Employee discounts, • Opportunity for advancement, • Paid time off, • Profit sharing, • Signing bonus, • Training & development Lens Lab has been serving New York for over forty years and has a deep history of promoting from within which is exactly what we plan on doing for this role. Responsibilities • Assist processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Maintains the highest level of confidentialityDesired Qualifications, • Previous experience with medical coding and billing portals such as Versant, Eyemed, Trizetto, Availity, Eyesynergy and others, • Strong organization skills, • Excellent attention to detail

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 Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! * The ideal candidate will have an interest in mentoring new and existing coders.* You Will: • Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment., • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment., • Provide coder education through the auditing process., • Prepare preliminary results for review by the facility or CCS HIM director., • Review disagreements on APC/DRG changes with the appropriate manager., • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings., • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments., • Attend coding workshops as necessary., • Stay current with regulatory changes., • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution., • Demonstrate versatility and exceptional work across a wide range of coded services., • Meet with client facility representatives to discuss issues and trends identified in audits., • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation., • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession., • Conduct audits on external coding staff as needed and provides reports to the manager as directed., • Handle a high complexity of work functions and decision-making. What you will bring to the table: • 3-5 years experience auditing, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Preferred: CCS, RHIT, or RHIA credentials., • Recent experience in academic/level 1 trauma centers, • Experience coding and auditing inpatient and outpatient records for various facilities, • Track record of acceptable productivity standards, • Maintain 95% accuracy rate for APC assignment and 95% productivity rate, • 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 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! Seeking an experienced Same day surgery and Observation Coder with 3–5 years of hands-on outpatient coding experience. The ideal candidate will have demonstrated expertise in the following specialties: Interventional Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes Technical proficiency with Epic, 3M 360, and Computer-Assisted Coding (CAC) systems is required. This role demands a detail-oriented professional with a strong understanding of outpatient coding guidelines and the ability to ensure accurate and compliant coding practices across multiple specialties.* 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. What You Need to Succeed: • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)., • 2+ years of coding experience in a hospital and/or coding consulting role., • Proficiency with most or all of these coding specialties (Same Day Surgery, Observation, Injections/Infusions), • Proficiency with most or all of these coding specialties (Ancillary, Emergency Department, Injections/Infusions, E/M leveling), • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills., • Experience in computerized encoding and abstracting software., • Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually, • Experience in computerized encoding and abstracting software What We Offer: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Benefits for PRN employees: 401k savings plan w/match, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC), • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. 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 Professional Coder: General Surgery 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. This is a full-time, remote position. We are currently looking for candidates with experience specializing in General Surgery. Key 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., • Other duties as assigned by leadership. Qualifications • 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. Salary This position offers a salary range of $27 to $35 per hour, commensurate with experience. 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 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. Under the direction of the DRG Operations Department leaders, the DRG Reviewer will conduct reviews of inpatient claims for both coding accuracy as well as perform screening referrals for clinical support of coded diagnoses. Responsibilities: • Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing., • Demonstrates the ability to perform a comprehensive initial review as outlined in the standard operating procedures and departmental guides., • Collaborates with physician reviewers, as needed., • Ability to prioritize and organize workload and complete tasks independently., • Required attendance of all departmental team meetings and/or training., • Report productivity daily utilizing department productivity report., • Meet/exceed daily productivity expectations., • Maintains 95% accuracy in claim reviews., • Required to work a 7.5-hour workday within the company’s core hours., • Coding Certification required (at least one of the following is required and must be maintained as a condition of employment)., • Certified Coding Specialist (CCS), • Certified Inpatient Coder (CIC), • Registered Heath Information Technician (RHIT), • College level courses in medical terminology, anatomy, pathophysiology, pharmacology, and medical coding courses., • At least 3 years’ experience in MS-DRG and APR-DRG validation in acute care inpatient coding, auditing. Payment integrity DRG validation is a plus., • Adherence to the Official Coding and Reporting guidelines, AHA Coding Clinic determinations, and CMS and other regulatory compliance guidelines and mandates., • Requires working knowledge of applicable industry-based standards., • Proficiency in Outlook, Word, Excel, and other applications., • Excellent written and verbal communication skills., • Maintain professional credentialed status with approved continuing education programs, • Ability to work independently and can multi-task or transition to different tasks easily. Remote Work Requirements: • 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. IsCqOBvtBa

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 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 Eastern half of the United States, • Must be able to travel up to 75% of the tim 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 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. 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: An experienced FT auditor (at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience with SMART software tool preferred.*** 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 Preferred: An experienced FT auditor (at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience with SMART software tool preferred.* • 5+ years of facility inpatient coding experience and/or auditing., • CCS (preferred), RHIA or RHIT preferred, • Maintain 95% DRG 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 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 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. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. 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. 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 Privacy Policy.

Job Description Certified Professional Coder (CPC) – Medical-Legal Review | Growing Company Location: Remote (New York-based preferred) Company: Precision MedReview Solutions Job Type: Independent Contractor / Part-Time to Full-Time Opportunity Are you a Certified Professional Coder (CPC) looking to expand your career beyond standard billing into the world of medical-legal review? Join a rapidly growing company that provides expert coder affidavits and clarification of medical bills for New York No-Fault, NYS Workers’ Compensation, and major medical claims. At Precision MedReview Solutions, we combine medical accuracy with legal precision — helping law firms, insurance carriers, and healthcare providers strengthen their case reviews and claim determinations. Responsibilities * Review and analyze medical bills and records for accuracy and compliance. * Prepare clear, detailed affidavits and supporting reports. * Collaborate with legal and medical professionals to clarify complex billing issues. * Maintain confidentiality and uphold the highest professional standards. Qualifications * Current CPC certification (required) — CCS or other coding credentials a plus. * Strong knowledge of New York No-Fault, Workers’ Comp, and major medical billing. * Excellent written communication and attention to detail. * Prior experience with legal reports or insurance claim reviews preferred. If you’re a certified coder with a sharp eye for accuracy and a desire to make your expertise count, we’d love to hear from you. Apply today and be part of our expanding medical-legal review team! Company DescriptionAccurate Certified Medical Billing Audits. Trusted Medical Peer Reviews. Expert Legal Support. Comprehensive Expert Testimony & Affidavits.

Job Description Job Title: Medical Risk Adjustment Coder Job Summary WE HAVE AN IMMEDIATE OPENING FOR A MEDICAL CODER with RISK ADJUSTMENT EXPERIENCE 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 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: The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate. This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance, and optimizing service outcomes in both hospitals and alternative care settings. Seeking Profee coders with a strong background in (E/M) coding across diverse specialties. Proven experience with E/M coding in both Primary Care and at least one specialty area. Strong understanding of TP, Incident-To, and Split/Shared encounters, including related coding rules and compliance standards (highly preferred); Familiarity with coding edits for diagnoses and modifiers on E/M encounters, radiology, and laboratory services. Surgical coding knowledge is a plus, though not required. A detail-oriented, adaptable coder with a solid understanding of profee coding guidelines who can accurately code a variety of encounters while maintaining compliance and productivity standards. What You Will Do: • Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS)., • Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines., • Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Demonstrate strong written and verbal communication skills, • Identify documentation improvement opportunities and coding issues, • Use VPN access to ensure productive and flexible task completion, • Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency., • Track continuing education credits, maintaining a high standard of professional expertise., • Attend mandatory sponsored in-service and educational meetings, ensuring alignment with industry best practices for continual improvement., • 1+ year of coding experience., • 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., • Full Benefits including a 401k Savings Plan, • Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development, • Compensation for AAPC/AHIMA dues, • Company-provided equipment including computer, monitor, mouse, etc, • 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. 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! *Seeking Outpatient Auditor proficient in SDS, I&I, Observation, ED. Plus if proficient in Profee ED 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, • Strong organizational, teamwork, and leadership skills What You Need to Succeed: *Seeking Outpatient Auditor proficient in SDS, I&I, Observation, ED. Plus if proficient in Profee ED • 5+ years of outpatient facility coding experience and/or auditing, • CCS (preferred), RHIA or RHIT preferred, • Maintains 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 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! * 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. What You Need to Succeed: • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)., • 2+ years of coding experience in a hospital and/or coding consulting role., • Proficiency with most or all of these coding specialties (Same Day Surgery, Observation, Injections/Infusions), • Proficiency with most or all of these coding specialties (Ancillary, Emergency Department, Injections/Infusions, E/M leveling), • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills., • Experience in computerized encoding and abstracting software., • Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually, • Experience in computerized encoding and abstracting software What We Offer: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Benefits for PRN employees: 401k savings plan w/match, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC), • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. 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. 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! 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, • 5+ years of facility inpatient coding experience and/or auditing., • CCS (preferred), RHIA or RHIT preferred, • Maintain 95% DRG accuracy rate, • Experience with various software including Epic, Cerner, and other prevalent EMRs. 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, • 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. 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, • A minimum of 3 years of inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • 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, • 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 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 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 PRN employees: 401k savings plan w/match, • 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. 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! 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, • 5+ years of facility inpatient coding experience and/or auditing., • CCS (preferred), RHIA or RHIT preferred, • Maintain 95% DRG 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 AUD 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! * 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 (preferred), RHIA or RHIT preferred, • Maintains 95% accuracy rate, • 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, • 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. As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! You Will: • Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment., • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment., • Provide coder education through the auditing process., • Prepare preliminary results for review by the facility or CCS HIM director., • Review disagreements on APC/DRG changes with the appropriate manager., • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings., • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments., • Attend coding workshops as necessary., • Stay current with regulatory changes., • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution., • Demonstrate versatility and exceptional work across a wide range of coded services., • Meet with client facility representatives to discuss issues and trends identified in audits., • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation., • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession., • Conduct audits on external coding staff as needed and provides reports to the manager as directed., • Handle a high complexity of work functions and decision-making. What you will bring to the table: • 3+ years experience coding and auditing, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Preferred: CCS, RHIT, or RHIA credentials., • Recent experience in academic/level 1 trauma centers, • Experience coding and auditing inpatient and outpatient records for various facilities, • Track record of acceptable productivity standards, • Maintain 95% accuracy rate for APC assignment and 95% productivity rate, • 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 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 Position Title: Site Coordinator – PS 19 EVCS Department: Youth Services Reports To: Youth Services Director Job Location: New York, NY 10012 FLSA: Non-Exempt Job Status: Full-Time Availability: Monday-Friday, 10am-6pm Department Head Approval: Chief Health and Human Services Officer Benefits: Medical, Dental & Vision Insurance, Commuter Benefits, Flexible Spending Account, 403b Retirement Plan, Worker’s Compensation, Short- & Long-Term Disability Insurance, Life Insurance, Holidays, Personal Time Off, Vacation Leave, Sick Leave, Competitive Remuneration. About Greenwich House Founded in 1902 as a settlement house to help New York’s increasing immigrant population adjust to life in a new country, Greenwich House today offers a variety of programs and approaches that continue to provide thousands of New Yorkers with health and wellness support, education, personal enrichment, skills building and cultural experiences. Position Summary The Site Coordinator at PS 19 EVCS is the on-the-ground leader responsible for the daily execution of the Youth Services afterschool program. This role ensures smooth operations, high-quality programming, student safety, and strong collaboration with school staff, families, and the Youth Services team. Responsibilities Program Operations & Leadership • Supervise daily operations of the afterschool program, ensuring a safe and enriching environment, • Oversee and support afterschool staff, providing guidance and ensuring proper coverage and engagement, • Serve as the liaison with the school community, including attending school events and coordinating with the Principal and APs, checking in daily and meeting weekly/biweekly, • Ensure safety protocols are followed, • Step into youth programming or activities as needed to ensure continuity and quality, • Establish a mix of enrichment, arts, and wellness programming aligned with student needs and academic support as identified by parents, • Plan, organize, and oversee culminating events and culturally enriching field trips, • Build strong relationships with parents, caregivers, and the broader school community Family & Community Engagement • Communicate with families regarding student progress, program updates, and upcoming events, • Encourage parent participation in events, trips, advocacy, and day-to-day program operations Staff Support & Development • Conduct monthly staff meetings and support ongoing professional development, • Ensure team culture aligns with youth-centered values and the goals of the program, • Approve staff time sheets Program Quality & Strategy • Collaborate with school leadership to align programming with school goals, • Capture and share success stories, photographs, and highlights with the Youth Services team, • Represent the afterschool program at community meetings and school-based events Compliance & Reporting • Oversee the submission of weekly site reports and receipts to the Youth Services Director, • Prepare monthly statistics, principal reports, grant documentation, and event flyers/newsletters, • Ensure all Youth Services onboarding and staff background checks are completed and documented, • 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 for PS 19, • Maintain incident report logs and fire drill records, • Prepare monthly event flyers/newsletters and all parent and academy communications Enrollment, Payments & Financial Tracking • Oversee registration and enrollment systems, • Manage ACS vouchers, Sawyer tuition, refunds, and discounts/scholarships for Youth Services, • Coordinate scholarship requests and responses after decisions are made by the Director Qualifications • College degree or 3 years of experience as an after-school coordinator, • Use of online databases, Excel, Word, and other programs prior experience with DYCD Online and/or Youth Services, • Attention to detail, • Reliably meets commitments and accomplishes tasks on a timely basis, • Minimum of two years of work-related skill, knowledge, or experience is required, • Must have passion for Greenwich House mission and demonstrated interest in the field of education and youth development, • Able to work late afternoons and/or evenings, • Experience or knowledge of working with neurodivergent populations, • Must pass pre-employment background investigation including but not limited to employment history and criminal background check Reasonable Accommodations Statement To perform this job successfully, a successful candidate must be able to perform satisfactorily each essential duty. Reasonable accommodations may be made to enable qualified candidates with disabilities to perform these duties. Equal Employment Opportunity Greenwich House is strongly committed to the principle of equal employment opportunity for all individuals. All employment decisions and administration of all personnel policies are without regard to an applicant or employee’s actual or perceived race, religion, sex, age, national origin, creed, color, gender, sexual orientation or affectation, gender identity or expression (including transgender status), predisposing genetic characteristic, genetic information, pregnancy, ancestry, ethnicity, citizenship, alienage, military or veteran’s status, physical or mental disability, status as a victim of domestic violence, stalking offense and sex offenses, marital status, partnership status or any other status protected by federal, state or local law. For more information regarding Greenwich House and our EEO statement, please visit

Job Description Job Title: Certified Medical Coder – Outpatient & Emergency Department (000296) Pay Range: $32 - $36 Job Summary The Certified Medical Coder is responsible for accurately assigning medical codes for diagnoses, procedures, and services in an acute care setting. This role requires strong knowledge of outpatient and emergency department (ED) coding guidelines, advanced understanding of anatomy and physiology, and the ability to ensure compliance with federal and payor-specific billing regulations. The ideal candidate will demonstrate strong analytical skills, proficiency with coding systems and software, and the ability to research and resolve coding-related issues. Essential Duties & Responsibilities Medical Coding & Compliance • Assign accurate ICD-9/ICD-10-CM, CPT-4, and HCPCS codes for outpatient and ED records., • Ensure coding and billing meet federal, state, and payor-specific guidelines., • Maintain compliance with official coding guidelines and organizational policies., • Validate accuracy and completeness of coded data for reimbursement and statistical purposes., • Review clinical documentation to verify coding accuracy and completeness., • Query providers as needed to clarify documentation and ensure proper code assignment., • Support quality improvement initiatives by identifying documentation gaps and trends., • Use MS Word, Excel, and related applications for coding productivity and reporting., • Conduct research on complex coding issues and provide detailed findings., • Apply specialized coding knowledge for high-volume outpatient encounters., • Code ED services, diagnostic testing, minor procedures, and ancillary department visits. Skills & Qualifications • Minimum 3 years of experience in medical coding, specifically in acute care outpatient and ED settings., • Proficiency in:, • ICD-10-CM, • CPT-4, • MS Word & Excel, • Encoder applications (3M/HDS), • Knowledge of:, • Federal billing guidelines, • Payor-specific rules, • Medical terminology, anatomy, physiology, and disease processes, • Strong analytical, research, and problem-solving skills., • Ability to train and mentor other coders as needed. Education & Certification Requirements • High School Diploma or GED (required), • AHIMA credentials (any of the following):, • CCS (Certified Coding Specialist) – required, • RHIA (Registered Health Information Administrator), • RHIT (Registered Health Information Technician), • CCP or additional AHIMA certifications Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Company DescriptionPride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

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 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! 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, • 5+ years of facility inpatient coding experience and/or auditing., • CCS (preferred), RHIA or RHIT preferred, • Maintain 95% DRG accuracy rate, • Experience with various software including Epic, Cerner, and other prevalent EMRs. 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, • 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. As an ProFee Audit 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! * For this position, we are seeking an auditor with a broad range of experience across multiple specialties, with strong expertise in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus.* You Will: • Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment., • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment., • Provide coder education through the auditing process., • Prepare preliminary results for review by the facility or CCS HIM director., • Review disagreements on APC/DRG changes with the appropriate manager., • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings., • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments., • Attend coding workshops as necessary., • Stay current with regulatory changes., • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution., • Demonstrate versatility and exceptional work across a wide range of coded services., • Meet with client facility representatives to discuss issues and trends identified in audits., • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation., • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession., • Conduct audits on external coding staff as needed and provides reports to the manager as directed., • Handle a high complexity of work functions and decision-making., • 3-5 years experience auditing, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Preferred: CCS, RHIT, or RHIA credentials., • Recent experience in academic/level 1 trauma centers, • Experience coding and auditing inpatient and outpatient records for various facilities, • Track record of acceptable productivity standards, • Maintain 95% accuracy rate for APC assignment and 95% productivity rate, • 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 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, I&I, and eValuator experience is a plus 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, • Strong organizational, teamwork, and leadership skills What You Need to Succeed: *Preferred: Candidate needs a strong skill set in SDS, ED, Observation, I&I, and eValuator experience is a plus • 5+ years of outpatient facility coding experience and/or auditing, • CCS (preferred), RHIA or RHIT preferred, • Maintains 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 Position: Remote Medical Billing & Coding Specialist Company Overview: Evolution Sports Group is a leading sports management company that provides comprehensive services to professional athletes, teams, and organizations. Our team is dedicated to helping our clients achieve their goals and reach their full potential both on and off the field. Job Summary: We are seeking a highly skilled and detail-oriented Medical Billing & Coding Specialist to join our team on a full-time basis. The ideal candidate will have a strong background in medical billing and coding, as well as a passion for sports and helping athletes succeed. This position will be responsible for accurately and efficiently coding and billing medical services provided to our clients, ensuring timely reimbursement and compliance with all relevant regulations and guidelines. Key Responsibilities: • Review and accurately code medical procedures and services provided to clients using ICD-10 and CPT coding systems, • Verify insurance coverage and obtain necessary authorizations for medical services, • Submit claims to insurance companies and follow up on outstanding claims, • Resolve any billing discrepancies or denials in a timely manner, • Maintain up-to-date knowledge of coding and billing regulations and guidelines, • Communicate with healthcare providers and insurance companies to resolve any billing issues, • Assist in developing and implementing billing and coding policies and procedures, • Collaborate with the finance team to ensure accurate and timely billing and collections, • Maintain strict confidentiality of all patient and client information Qualifications: • High school diploma or equivalent; associate's or bachelor's degree in medical billing and coding preferred, • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification preferred, • Minimum of 2 years of experience in medical billing and coding, preferably in a sports medicine or healthcare setting, • Strong knowledge of ICD-10 and CPT coding systems, • Familiarity with medical terminology and procedures, • Proficient in using electronic medical records (EMR) and billing software, • Excellent attention to detail and accuracy, • Strong organizational and time-management skills, • Ability to work independently and as part of a team, • Excellent communication and interpersonal skills, • Ability to maintain confidentiality and adhere to HIPAA regulations, • Passion for sports and helping athletes succeed Working Conditions: This is a full-time and a part-time position (3040 hrs/week) or Part-time (20 hrs/week). The Medical Billing & Coding Specialist will primarily work in an office setting, with occasional travel to attend meetings or conferences. The role may also require some evening or weekend work, depending on the needs of the company. If you are a highly organized and detail-oriented individual with a passion for sports and a strong background in medical billing and coding, we encourage you to apply for this exciting opportunity with Evolution Sports Group. We offer a competitive salary, benefits package, and a dynamic and supportive work environment. Join our team and be a part of helping athletes achieve their dreams!

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 DescriptionAbout ReKlame Health Sixty million adults experience mental health challenges in the United States, yet one-third lack access to proper care. Opioid overdose is the number one cause of death for people under 50 in the United States. We are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Our vision at ReKlame Health is to create a future where individuals who have historically been unable to access the care they deserve can readily obtain high-quality behavioral health and addiction care. At ReKlame Health, it goes beyond mere employment; it's about becoming a part of a formidable movement transcending individuality. Let's unite and forge a world where health equity and effortless access to exceptional mental healthcare can co-exist. About the Role We are seeking a Medical Billing Manager to take charge of our billing and coding functions, ensuring accuracy, compliance, and adaptability within the complexities of the American healthcare system. This role requires a leader who understands the intricacies of coding, Medicare, Medicaid, and state-specific regulations while fostering education and mentorship in a collaborative team environment. This role is not only technical but also strategic. You will guide the team, enhance processes, and empower others to deliver results that align with our mission to improve health equity. The ideal candidate will thrive in navigating the rapidly evolving healthcare landscape while enabling ReKlame Health to scale efficiently. Key Responsibilities * Billing Operations Management * Lead and oversee all aspects of the billing process, including claims submission, payment processing, and account reconciliation, ensuring accuracy and efficiency. * Ensure accurate, compliant coding with ICD-10, CPT, and HCPCS systems to optimize first-pass claim submissions and maximize revenue for patient care and procedures. * Establish scalable workflows to address multi-state billing complexities, with a focus on state-specific Medicaid requirements and streamlined reimbursements. * Compliance and Adaptability * Monitor and implement changes in Medicare, Medicaid, and other regulatory guidelines, ensuring full compliance across all billing and coding processes. * Conduct regular audits to uphold coding standards, identify gaps, and ensure accurate documentation and billing practices. * Collaboration and Team Leadership * Partner with providers, administrative teams, and payers to address documentation gaps, efficiently resolve coding challenges, and reduce claim denials. * Identify skill gaps and develop tailored training initiatives, such as workshops, coaching sessions, and resource playbooks, to enhance team capabilities. * Subject Matter Expertise and Innovation * Serve as the expert in coding and billing complexities, particularly in navigating multi-state Medicaid and Medicare nuances. * Leverage emerging technologies and automation tools to optimize billing operations, enhance team performance, and support long-term cost efficiency. You will love this role if: * Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification in medical coding is mandatory. * Experience: Minimum of 3-5 years of professional experience in medical coding and billing, including expertise with Medicare and Medicaid systems. * Strong preference for candidates with experience in behavioral health coding. * Leadership Skills: Demonstrated experience leading and mentoring a team, with a history of improving performance and operational workflows. * Technical Skills: Advanced proficiency with ICD-10, CPT, and HCPCS coding systems and experience with EHR and medical billing software. * Detail-Oriented: Exceptional accuracy and attention to detail in coding/billing and documentation. * Regulatory Knowledge: Strong understanding of HIPAA and healthcare compliance guidelines, with the ability to adapt to changing regulations. * Communication Skills: Exceptional written and verbal communication abilities to effectively collaborate with stakeholders at all levels. * Problem-Solving Expertise: Analytical mindset with the ability to address complex challenges, identify solutions, and implement improvements with speed and accuracy. Compensation Package: * Annual Compensation: $50,000-$70,000 * Full Health Benefits: Medical, dental, and vision * Paid Time Off (PTO): 21 days of paid time off, including vacation and sick leave. * Professional Development: Unlock growth opportunities within a purpose-driven early-stage organization dedicated to creating a positive impact. ReKlame Health considers several factors to ensure a fair and competitive offer when evaluating compensation packages. These include the scope and responsibilities of the role, the candidate's work experience, education, and training, as well as their essential skills. Internal peer equity is also examined to maintain balance within the organization. Additionally, current market conditions and overall organizational needs are crucial in shaping the final offer. Each aspect is thoughtfully reviewed before extending an offer, ensuring a comprehensive and equitable approach. ReKlame Health is an equal opportunity employer. We celebrate diversity and are committed to creating a supportive and inclusive environment for all employees. If you’re hungry for a challenge in 2025, love solving problems, and want to be a part of something transformational, we’d love to hear from you! Learn more about us at *We never ask for money or sensitive personal information during the job application process. If you receive an email or message claiming to be from us that requests such information, please do not respond and report it as a scam. Compensation Range: $50K - $70K

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. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. 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. 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 DescriptionA World-Changing Company Palantir builds the world’s leading software for data-driven decisions and operations. By bringing the right data to the people who need it, our platforms empower our partners to develop lifesaving drugs, forecast supply chain disruptions, locate missing children, and more. The Role Forward Deployed AI Engineers work directly with customers owning Gen AI strategy and implementation. On a daily basis, you will build end-to-end workflows, take them to production, and solve real world problems at the largest scale. You will have ample opportunity to contribute learnings from the field back to the Palantir AIP product suite. You will be on the forefront of extending Palantir's existing footprint and strategy into new markets and problem spaces opened up by Gen AI. Core Responsibilities Forward Deployed AI Engineers’ responsibilities look similar to those of a hands-on AI startup CTO: you’ll work in small teams to own delivery of high stakes projects with clients. A day’s work may include building LLM workflows on a large scale, interacting with customers to understand their needs and set their AI strategy, but the most impact will be driven by implementing solutions into the real world of our partner's organizations. Do you aspire to be an entrepreneur or an Applied AI leader? We believe Palantir is the best place — with the best colleagues — to learn how!What We Value • Engineering mindset, focused on delivering production solutions with Gen AI, data processing pipelines, and advanced analytics tools., • Solving real business problems, not academic benchmarks., • Ability to collaborate efficiently in teams of technical and non-technical individuals., • Comfort working in a dynamic environment with evolving objectives and direct iteration with users.What We Require, • Past experience building solutions with LLMs and a deep understanding of overall Gen AI landscape., • Strong foundation in Machine Learning basics (Evaluation, Training, Problem Decomposition)., • Strong engineering background. Preferred fields include but are not limited to Computer Science, Mathematics, Software Engineering, Physics, and Machine Learning., • Strong coder with demonstrated proficiency in programming languages such as Python, Java, C++, TypeScript/JavaScript, or similar.

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.

Job DescriptionA World-Changing Company Palantir builds the world’s leading software for data-driven decisions and operations. By bringing the right data to the people who need it, our platforms empower our partners to develop lifesaving drugs, forecast supply chain disruptions, locate missing children, and more. The Role Warp SpeedWarp Speed builds on years of excellence in manufacturing to resurrect & revitalize the American Industrial Base. FDSEs on Warp Speed work directly with customers from the factory floor to the board room to understand their greatest problems and design and implement solutions using data. As Forward Deployed Software Engineers (FDSEs) you’ll apply your problem solving ability, creativity, and technical skills to help organizations use their data to drive a real impact in the world. You’ll have the opportunity to gain rare insight into and contribute to some of the most important industries and institutions globally! The Original Forward Deployed Software Engineer At Palantir, the Forward Deployed Software Engineer (FDSE) role isn’t just a job title: it’s the blueprint. We pioneered this unique position, embedding talented engineers directly with our customers to tackle their most pressing challenges head-on. As an FDSE, you’ll be at the intersection of world-changing problems and impactful technology, shaping solutions where they matter most. FDSEs work side by side with our customers, rapidly understanding their toughest issues; architecting and building solutions that leverage business-critical data and the latest advancements in AI to solve them. Whether it’s “How do we predict and mitigate wildfire risks to optimize power grids?” or “How can we analyze and adapt a global food supply chain to deliver life-saving aid on time?”, you’ll use your technical expertise, creativity, and problem-solving skills to drive real-world impact. You’ll have the rare opportunity to gain deep insight into and directly influence some of the world’s most critical industries and institutions. By building on Palantir’s powerful platforms leveraging integrated cutting-edge AI, you’ll help organizations unlock the full potential of their data to make smarter, faster decisions. Core Responsibilities As an FDSE, you’ll experience the autonomy of a startup, with the resources, mentorship, and stability of an established tech company. Your contributions will have a direct impact on our customers’ missions and the real world. You’ll work in small, agile teams and own the end-to-end execution and implementation of high-stakes projects, including: • Collaborating with fellow engineers on architecture and design decisions• Wrangling massive-scale data and using AI to accelerate and enhance critical operations• Developing custom applications tailored to customer needs• Engaging directly with customer stakeholders, from technical teams to executives• Shaping team strategy and driving projects from ideation to deployment, increasing your pain threshold to deliver real valueWhat We Value • A highly analytical approach and eagerness to solve technical problems with data structures, storage systems, cloud infrastructure, front-end frameworks, and other technical tools, • Experience or curiosity about working with and using large scale data to take on valuable business problems, • Ability to collaborate efficiently in teams of technical and non-technical individuals, and comfortable working in a dynamic environment with evolving objectives and iteration with usersWhat We Require, • U.S. Person Required, • 1+ years of relevant, post-college work experience, • Strong engineering background, preferred in fields such as Computer Science, Mathematics, Software Engineering, Physics, and Data Science, • Strong coder with shown proficiency in programming languages such as Python, Java, C++, TypeScript/JavaScript, or similar

Job DescriptionA World-Changing Company Palantir builds the world’s leading software for data-driven decisions and operations. By bringing the right data to the people who need it, our platforms empower our partners to develop lifesaving drugs, forecast supply chain disruptions, locate missing children, and more. The Role The Original Forward Deployed Software Engineer At Palantir, the Forward Deployed Software Engineer (FDSE) role isn’t just a job title: it’s the blueprint. We pioneered this unique position, embedding talented engineers directly with our customers to tackle their most pressing challenges head-on. As an FDSE, you’ll be at the intersection of world-changing problems and impactful technology, shaping solutions where they matter most. FDSEs work side by side with our customers, rapidly understanding their toughest issues; architecting and building solutions that leverage business-critical data and the latest advancements in AI to solve them. Whether it’s “How do we predict and mitigate wildfire risks to optimize power grids?” or “How can we analyze and adapt a global food supply chain to deliver life-saving aid on time?”, you’ll use your technical expertise, creativity, and problem-solving skills to drive real-world impact. You’ll have the rare opportunity to gain deep insight into and directly influence some of the world’s most critical industries and institutions. By building on Palantir’s powerful platforms leveraging integrated cutting-edge AI, you’ll help organizations unlock the full potential of their data to make smarter, faster decisions. Core Responsibilities As an FDSE, you’ll experience the autonomy of a startup, with the resources, mentorship, and stability of an established tech company. Your contributions will have a direct impact on our customers’ missions and the real world. You’ll work in small, agile teams and own the end-to-end execution and implementation of high-stakes projects, including: • Collaborating with fellow engineers on architecture and design decisions• Wrangling massive-scale data and using AI to accelerate and enhance critical operations• Developing custom applications tailored to customer needs• Engaging directly with customer stakeholders, from technical teams to executives• Shaping team strategy and driving projects from ideation to deployment, increasing your pain threshold to deliver real valueWhat We Value • A highly analytical approach and eagerness to solve technical problems with data structures, storage systems, cloud infrastructure, front-end frameworks, and other technical tools., • Experience or curiosity about working with and using large scale data to take on valuable business problems., • Ability to collaborate efficiently in teams of technical and non-technical individuals, and comfortable working in a dynamic environment with evolving objectives and iteration with users.What We Require, • 1+ years of relevant, post-college work experience., • Strong engineering background, preferred in fields such as Computer Science, Mathematics, Software Engineering, Physics, and Data Science., • Strong coder with shown proficiency in programming languages such as Python, Java, C++, TypeScript/JavaScript, or similar.

Job DescriptionA World-Changing Company Palantir builds the world’s leading software for data-driven decisions and operations. By bringing the right data to the people who need it, our platforms empower our partners to develop lifesaving drugs, forecast supply chain disruptions, locate missing children, and more. The Role Forward Deployed Software Engineers (FDSEs) understand our customers’ greatest pain points and design end-to-end solutions to address them. FDSEs solicit constant feedback on their work from both customers and colleagues, improving our products over time with rapid iteration cycles. FDSEs deploy ground breaking technical solutions to solve our customers’ hardest problems. Projects often start with a nebulous question like “Why are we losing customers?” or “How can we more effectively identify instances of money laundering?” FDSEs lead the way in developing a solution, from high-level system design and prototyping to application development and data integration. As an FDSE, you leverage everything around you: Palantir products, open source technologies, and anything you and your team can build to drive real impact. You work with customers around the globe, where you gain rare insight into the world’s most important industries and institutions. We help our customers detect insider trading, improve disaster relief, fight healthcare fraud, and more. Each mission presents different challenges, from the regulatory environment to the nature of the data to the user population. You will work to accommodate all aspects of an environment to drive real technical outcomes for our customers. Whether you aspire to be an entrepreneur or an engineering leader, we believe Palantir is the best place — with the best colleagues — to learn how. You’ll learn how to unpack a problem and understand the costs and consequences of its solution. You’ll learn new technologies and languages, and even develop them yourself. You’ll work autonomously and make decisions independently, within a community that will support and challenge you as you grow and develop.Technologies We Use • Core Palantir products provide the foundations for our deployments., • Custom applications built on top of core Palantir platforms., • Postgres, Cassandra, Hadoop, and Spark for distributed data storage and parallel computing., • Java and Groovy for our back-end applications and data integration tools., • Typescript, React, Leaflet, and d3 for our web technologies., • Python for data processing and analysis., • Palantir cloud infrastructure based on AWS EC2 and S3.Our Principles, • Impact: We take on meaningful and challenging projects that change the world for the better., • Ownership: We see projects through from beginning to end, working through any obstacles we may encounter., • Collaboration: We work internally with people from a variety of backgrounds — such as other FDSEs, product teams, and Deployment Strategists. We also work externally with our customers, often on site, to understand and solve their problems., • Trust: We trust each other to effectively manage time and priorities and give people the space to think for themselves., • Growth: We encourage ourselves and our peers to seek new challenges and opportunities for growth, as well as find new ways to innovate and share knowledge., • Learning: We often face entirely novel problems where we need to pick up a lot of new knowledge and learn how to use it to make progress. We believe experiential learning is one of the best teachers.What We Value, • Active US Security clearance, or eligibility and willingness to obtain a US Security clearance., • Strong engineering background, preferred in fields such as Computer Science, Mathematics, Software Engineering, Physics., • Experience with logistics, materiel, sustainment, aviation, or readiness analysis is a plus., • Familiarity with data structures, storage systems, cloud infrastructure, front-end frameworks, and other technical tools., • Understanding of how technical decisions impact the user of what you’re building., • Strong coder with demonstrated proficiency in programming languages such as Python, Java, C++, TypeScript/JavaScript, or similar., • Demonstrated ability to collaborate effectively in teams of technical and non-technical individuals, and comfortable working in a rapidly changing environment with dynamic objectives and iteration with users., • Demonstrated ability to continuously learn, work independently, and make decisions with minimal supervision. Our benefits aim to promote health and wellbeing across all areas of Palantirians’ lives. We work to continuously improve our offerings and listen to our community as we design and update them. The list below details our available benefits and some of the perks that can be enjoyed as an employee of Palantir Technologies. Benefits

Job DescriptionA World-Changing Company Palantir builds the world’s leading software for data-driven decisions and operations. By bringing the right data to the people who need it, our platforms empower our partners to develop lifesaving drugs, forecast supply chain disruptions, locate missing children, and more. The Role As a Frontline Software Engineer at Palantir, you would begin your journey on a short-term assignment where you are embedded with customers. This unique experience lets you work directly with users, gaining firsthand insight into how our products are used and the challenges our customers face. Unlike traditional engineering roles, Frontline immerses you in complex, ambiguous problems, empowering you to deliver impactful solutions across some of the world’s most important industries and institutions. Many of our most successful products have been built through direct engagement with customers, solutions born from real-world problems that not only address specific needs but can also be applied in broader contexts. By working closely with users, you’ll help create products with immediate impact and long-term value. Frontliners operate much like a startup CTO, working in small teams to own the end-to-end execution of high-stakes projects. Your responsibilities will range from discussing architecture and coding custom web apps to strategizing with customer executives. Every day will be diverse and impactful. By witnessing how customers engage with Foundry and seeing these pain points firsthand, you’ll gain unique insights that feed directly back into our development process, helping to refine and enhance our products. Upon the completion of your assignment, you would join one of our Software Engineer teams within our Foundry org. Within Foundry, there is a broad spectrum of teams, each focused on tackling unique technical challenges and delivering impact across a range of domains. You might work on designing and building scalable systems that power data-driven workflows for organizations worldwide, collaborating closely with teammates to deliver robust APIs and high-performance infrastructure. On other teams, you could be developing the foundational building blocks that ensure our platform is secure, reliable, and performant, addressing challenges in distributed systems, data storage, and application security. You may also have the opportunity to architect and deliver end-to-end user experiences, crafting intuitive interfaces and workflows that empower thousands of users to solve complex, real-world problems. It doesn’t matter what languages you know when you join us; what matters is your ability to decompose complex problems into manageable, actionable components, write clean, effective code, and quickly learn new languages, technologies, frameworks, and paradigms. Our software is constantly evolving, so we need adaptable engineers who can evolve alongside it. Whether it's adapting to new technical environments or understanding and integrating into the customer's setup and needs, your adaptability is key. Alongside peers with diverse experiences such as startup founders, industry veterans, university TAs, and more, you'll enhance your skillset to apply the best technology to solve any given problem.Technologies We Use • A variety of languages, including Java, Python, Rust and Go for backend and Typescript for frontend, • Open-source technologies like Cassandra, Spark, Iceberg, ElasticSearch, Kubernetes, React, and Redux, • Industry-standard build tooling, including Gradle for Java, Cargo for Rust, Hatch for Python, Webpack & PNPM for TypescriptWhat We Value, • Strong engineering background in fields such as Computer Science, Mathematics, Software Engineering, or Physics, • Familiarity with storage systems, cloud infrastructure, front-end frameworks, and other technical tools, • Solid understanding of data structures and algorithms, with the ability to effectively solve problems, • Proficient coder with demonstrated expertise in programming languages such as Java, C++, Python, Rust, JavaScript, or similar languages, • Proven ability to collaborate and empathize with a diverse range of individuals. Capable of iterating with users and non-technical stakeholders, understanding the impact of technical decisions on them, • Demonstrated ability to learn and work independently, making effective decisions that drive results, • Passion for developing software that can change the world and for creating intuitive, scalable products that enhance users' ability to work with data