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

A 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. • 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 Typescript, • 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

The Coding Manager is responsible for the professional development of the coding staff and assisting management with providing educational program to support coders in continued coding and documentation education, perform quality assurance reviews of inpatient and outpatient records to assess and re

A 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! \n 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., • Ability and interest in traveling up to 25%, as needed to client sites, but flexible based on personal preferences. \n Salary The estimated salary range for this position is estimated to be $135,000 - $200,000/year. Total compensation for this position may also include Restricted Stock units, sign-on bonus and other potential future incentives. Further note that total compensation for this position will be determined by each individual’s relevant qualifications, work experience, skills, and other factors. This estimate excludes the value of any potential sign-on bonus; the value of any benefits offered; and the potential future value of any long-term incentives. 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 • Employees (and their eligible dependents) can enroll in medical, dental, and vision insurance as well as voluntary life insurance, • Employees are automatically covered by Palantir’s basic life, AD&D and disability insurance, • Commuter benefits, • Take what you need paid time off, not accrual based, • 2 weeks paid time off built into the end of each year (subject to team and business needs), • 10 paid holidays throughout the calendar year, • Supportive leave of absence program including time off for military service and medical events, • Paid leave for new parents and subsidized back-up care for all parents, • Fertility and family building benefits including but not limited to adoption, surrogacy, and preservation, • Stipend to help with expenses that come with a new child, • Employees can enroll in Palantir’s 401k plan Life at Palantir We want every Palantirian to achieve their best outcomes, that’s why we celebrate individuals’ strengths, skills, and interests, from your first interview to your longterm growth, rather than rely on traditional career ladders. Paying attention to the needs of our community enables us to optimize our opportunities to grow and helps ensure many pathways to success at Palantir. Promoting health and well-being across all areas of Palantirians’ lives is just one of the ways we’re investing in our community. Learn more at ___ and note that our offerings may vary by region. In keeping consistent with Palantir’s values and culture, we believe employees are “better together” and in-person work affords the opportunity for more creative outcomes. Therefore, we encourage employees to work from our offices to foster connectivity and innovation. Many teams do offer hybrid options (WFH a day or two a week), allowing our employees to strike the right trade-off for their personal productivity. Based on business need, there are a few roles that allow for “Remote” work on an exceptional basis. If you are applying for one of these roles, you must work from the state in which you are employed. If the posting is specified as Onsite, you are required to work from an office. If you want to empower the world's most important institutions, you belong here. Palantir values excellence regardless of background. We are proud to be an Equal Opportunity Employer for all, including but not limited to Veterans and those with disabilities. Palantir is committed to making the application and hiring process accessible to everyone and will provide a reasonable accommodation for those living with a disability. If you need an accommodation for the application or hiring process, please ___ and let us know how we can help.

Job Description We are a boutique Durable Medical Equipment Company that supplies enteral nutrition formulas including medical foods for inborn errors of metabolism. We are seeking a remote experience medical biller collections specialist, preferably with a DME and enteral supplies background. Hearts Enteral is the sister company of our non-profit organization Compassion Works Medical. Our mission is to help fight the challenges of healthcare reimbursement for people who struggle with rare diseases and conditions that require enteral nutrition and medical foods to sustain and prolong their lives. The position is based on a 1099 (W-9) and not a W-2. There are full-time and part-time positions. Hearts Enteral DME is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion, or national origin. MUST have 3 years minimum experience with medical billing with HCPCS codes and claims submissions. STRONG ATTENTION TO DETAIL A MUST JOB: Navigate between patients, healthcare providers, and insurance companies (also known as payers) to arrange for reimbursement of healthcare services. The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, and posting adjustments and collections of Medicare, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and an understanding of Medicare, and Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments based on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with the billing system to ensure all functionality is utilized for the utmost efficient processing of claims. MAJOR DUTIES & RESPONSIBILITIES: • Responsible for charge and payment entry within Electronic Health Records., • Responsible for correcting, completing, and processing claims for all payer codes;, • Analyze and interpret that claims are accurately sent to insurance companies;, • Perform follow-up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports;, • Process appeals online or via paper submission;, • Assist in reconciling deposit and patient collections;, • Assist with billing audit-related information;, • Process refund requests;, • Attend weekly meetings to streamline work performance and action plans;, • Communicate with the billing and credentialing coordinator to identify and resolve audit review issues;, • Identify trends, and carrier issues relating to billing and reimbursements. Report findings to the Team Lead and/or Supervisor;, • Research, record findings, and communicate effectively with the Manager to achieve optimum performance;, • Pursue and participate in education to remain current with changes in the Healthcare industry;, • Maintain patient confidence and protect medical office operations by keeping patient information confidential; HIPAA Compliance., • Contribute to team effort by accomplishing related results as needed;, • Promote effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives;, • Demonstrate respect and regard for the dignity of all patients, families, and fellow employees to ensure a professional, responsible, and courteous environment;, • Perform other duties as assigned to support Hearts Enteral's Mission, Vision, and Values. QUALIFICATION REQUIREMENTS: • Minimum of three years of related experience in medical billing or any collections industry. Preferred but not required in a DME industry., • STRONG ATTENTION TO DETAIL A MUST ***, • Previous experience with an Electronic Medical Record a plus, eClinical Works, Office Ally, Availity, Navinet, and all EMR-related experience preferred;, • Customer service driven, • Understanding of medical terminology and insurance laws/guidelines;, • Excellent organization and time management skills along with excellent oral and written communication skills;, • Strong team player;, • Ability to learn quickly, build and maintain long-term relationships, and work with minimal supervision;, • Strong written and verbal communication skills; strong analytical, organizational, and time management skills required EDUCATION and/or EXPERIENCE: High School Diploma equivalent required, Associate Degree preferred. Certified Biller and Coder strongly preferred. REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. LEADERSHIP RESPONSIBILITIES: No supervisory or direct people management responsibilities. May provide occasional work guidance, technical advice, and training staff. WORK COMPLEXITY/INDEPENDENT JUDGEMENT: Work tasks are often straightforward, routine, structured, and guided by established policies and procedures. Little, if any, independent judgment is required, outside of making basic choices in the selection and application of established methods. The job received frequent, ongoing supervision. PROBLEM-SOLVING: Decisions are made on routine matters affecting a few individuals and usually within the confines of the job's own department. Specific job activities and results are typically reviewed closely. There are limited requirements for developing new ideas or changes in methods, procedures, or services. COMMUNICATION/INTERACTIONS: Information sharing - gives and receives information such as options, technical direction, instructions and reporting results. Interactions are mostly with customers, own supervisors, and coworkers in their own and other departments. IMPACT OF DECISIONS: Follow rules and procedures. Decisions can have minimal or no impact on Hearts Enteral. Errors can be readily detected, usually by the employee, and, if made, would result in minor expense for correction. STRONG ATTENTION TO DETAIL: Attention to detail refers to the ability to notice and focus on the small elements and nuances that contribute to the overall quality of work. It involves being meticulous and thorough in tasks, ensuring accuracy, and avoiding mistakes. Owning up to mistakes is the biggest learning advantage. This skill is essential in our DME company. Key aspects of attention to detail include: • Accuracy: Ensuring that all information is correct, including numbers, facts, and data., • Thoroughness: Completing tasks fully, without overlooking any steps or components., • Consistency: Maintaining uniformity in style, formatting, and quality across projects., • Critical Thinking: Evaluating information critically to identify errors or inconsistencies. OTHER: THE POSITION STARTS ON A 3-MONTH PROBATION PERIOD WITH FULL OPPORTUNITIES FOR GROWTH ** Company DescriptionHearts Enteral DME is the sister company of our non-profit organization Compassion Works Medical. Our mission is to help fight the challenges of healthcare reimbursement for people who struggle with rare diseases and conditions that require enteral nutrition and medical foods to sustain and prolong their lives. Web. www,heartsenteral.com. Enteral DME is the sister company of our non-profit organization Compassion Works Medical. Our mission is to help fight the challenges of healthcare reimbursement for people who struggle with rare diseases and conditions that require enteral nutrition and medical foods to sustain and prolong their lives. Web. www,heartsenteral.com. .

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 WHO WE’RE LOOKING FOR Spectrum Vision Partners (“SVP”) and OCLI Vision (“OCLI”) work together to provide world class eye care to our patients to improve lives. SVP, the management services team, supports OCLI vision, one of the largest multi-specialty ophthalmology networks in the U.S. Our unique model and collaborative culture differentiate us in the marketplace and in our service to our patients. We build our culture one hire at a time. We want to build a great team that helps us focus on delivering exceptional eye care: the kind of team people want to be a part of, and the kind of team our patients can’t live without. We want to learn more about you and the kind of team culture you can help us create. We’re interested in your relevant skills and what you can do. We’re even more interested in your positive attitude and flexible mindset! THE OPPORTUNITY AT HAND The Manager, Compliance Audit oversees, monitors, audits and conducts education activity for clinical services related to billing activity across the enterprise in accordance with the Compliance Program. You’ll ensure accurate and complete documentation, real-time monitoring, regulatory based education, and corrective action plans. You’ll ensure ongoing compliance with federal and state regulations and provide guidance and tools to assist departments in developing monitoring programs. You’ll serve as a front-line resource to our clinics and be their role model for ethical behavior and will promote an awareness and understanding of the corporate compliance program. OUR EXPECTATIONS OF YOU Identify trends in revenue cycle activities, including payments, denials, billing, coding and/or documentation errors and recommend action plans to address deficiencies Conduct prospective and retrospective compliance documentation audits. Designs tools and methodologies for conducting audits. Tracks and trend result of audits. Track and analyze physician coding patterns and documentation. Prepares and presents reports on audit results, and maintains adequate documentation related to such and maintains integrity of the documentation whether in paper or electronic format Prepare written reports summarizing billing compliance investigations/inquiries, for review, and approval Develop, prepare and present reports related to billing trends, corrective actions, and compliance metrics Perform routine and special compliance audit and monitoring as deemed necessary, including but not limited to, the management sanction/exclusion screening, OMIG, CMS, and OIG compliance, and payer compliance Participate in the development and implementation of the annual compliance risk assessment and work plan as it relates to coding, billing, documentation initiatives Manage Specialist, Billing Compliance Audit Reviews the implementation of corrective action plans. Identifies trends in billing, coding and documentation errors and recommends corrective action plans. Monitors implementation and effectiveness of corrective action plans Develops compliance policies and procedures related to billing, workflows and training materials, and orients and trains employees and providers on such Stays abreast of industry developments pertaining to billing compliance, including OIG, OMIG, CMS WHAT YOU’LL NEED TO SUCCEED Bachelor's Degree or equivalent combination of education and related experience (10 years) Must have 5+ years of experience in medical coding and 3+ years of auditing experience Must have at least 2 years of experience in compliance department Must have at least 2+ years of experience managing staff Must be detail oriented and skilled at Microsoft Office Suite of products Ability to prioritize and plan work independently with strong project management skills Knowledge of Fraud Waste and Abuse Laws Proficiency in auditing providers and auditors and conducting education feedback sessions. Proficiency in identifying regulatory source for documentation guidance. Must be analytical, trustworthy, and be a strong team player Certified Professional Coder Certificate (CPC) required Certifications in healthcare compliance and/or health care privacy, preferred WHO WE ARE Our globally recognized healthcare team is comprised of some of the top minds in ocular medicine. Our senior management team has a combined 200 years of eye industry experience collaborating with some of the most recognized practices in the nation. While our providers have the expertise to diagnose and treat complex ocular, oculoplastic, and retinal conditions, we’re also uniquely qualified to provide care for our patients from childhood though adulthood. We build relationships with our patients that last a lifetime With nearly 1,400 employees, we support over 50 clinic locations, five state-licensed ambulatory surgery centers, and over 110 surgeons, doctors, and other medical professionals. Our brands include OCLI Vision, Island Eye Surgi-center, New Vision Cataract Center, AIO, and others. At Spectrum Vision Partners we know that cultivating diversity and fostering an inclusive work environment is critical to our impact and success. We create an environment where no individual is advantaged or disadvantaged because of their background. We offer equal opportunity employment regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status. With a commitment to maintaining a bias-free environment in which harassment is prohibited, we respect cultural diversity and comply with the laws of the places in which we operate. We expect our business partners, suppliers, clients, and all of our team members to uphold these commitments.

Job Description Medical Coder: OBGYN and Urology • Review and accurately code OB/GYN Urology procedures including but not limited to: • Obstetric services including antepartum care, deliveries and postpartum care, • Surgical procedures performed by OB/GYN physicians such as hysterectomy, biopsies, colpopexy, etc. • Review and accurately code E/M visits and office procedures., • Able to work independently and research coding scenarios., • Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis., • Attend conference calls as necessary to provide information and/or feedback., • Communicate with leadership on coding or documentation issues/trends., • Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary., • Participate in coding department and education meetings., • Flexible to expand coding skill set into other specialties altogether., • Maintain confidentiality and protect sensitive information., • High School diploma required. Associates or BS degree preferred.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: • Assign diagnostic and procedural codes using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes, • Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation, • Oversee and audit the work of Level 1 & 2 Coders, where applicable, • Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders, • Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments, • Maintain a minimum production of 1 chart per hour or site-specific productivity benchmarks, • Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues, • Occasionally travel for professional development or meetings, if required What You Need to Succeed: • A minimum of 3 years of inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • Strong verbal and written communication skills What Helps You Stand Out: • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Level 1 trauma facility experience, • Experience in computerized encoding and abstracting software What We Offer: • Benefits for PRN employees: 401k savings plan w/match, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description We are currently looking for candidates with experience specializing in the following area: Neurosurgery/Spine Responsibilities: • Review and accurately code cases to maximize reimbursement in a timely manner., • Review and accurately code E/M visits and office procedures., • Able to work independently and research coding scenarios., • Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis., • Attend conference calls as necessary to provide information and/or feedback., • Communicate with leadership on coding or documentation issues/trends., • Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary., • Participate in coding department and education meetings., • Flexible to expand coding skill set into other specialties altogether., • Maintain confidentiality and protect sensitive information., • High School diploma required. Associates or BS degree preferred.

Job Description Professional Coder General Surgery (2) This is a full-time, remote position that offers a flexible schedule. We are currently looking for candidates with experience specializing in the following area: General Surgery. Responsibilities: • Review and accurately code cases to maximize reimbursement in a timely manner., • Review and accurately code E/M visits and office procedures., • Able to work independently and research coding scenarios., • Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis., • Attend conference calls as necessary to provide information and/or feedback., • Communicate with leadership on coding or documentation issues/trends., • Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary., • Participate in coding department and education meetings., • Flexible to expand coding skill set into other specialties altogether., • Maintain confidentiality and protect sensitive information., • High School diploma required. Associates or BS degree preferred.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! ** What You Will Do: • Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs., • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc., • Keeps abreast of regulatory changes., • Organizes and prioritizes multiple cases concurrently to ensure optimal workflow and turnaround time, • Provides coder education via the auditing process, • Function in a professional, efficient, and positive manner, • Adhere to the American Health Information Management Association's code of ethics., • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession., • High complexity of work function and decision making What You Need to Succeed: • 5+ years of facility inpatient coding experience and/or auditing., • CCS (required), RHIA or RHIT preferred, • Maintain 95% DRG accuracy rate, • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager 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 We are currently looking for candidates with experience specializing in the following area: Plastic reconstruction and Breast Responsibilities: • Review and accurately code cases to maximize reimbursement in a timely manner., • Review and accurately code E/M visits and office procedures., • Able to work independently and research coding scenarios., • Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis., • Attend conference calls as necessary to provide information and/or feedback., • Communicate with leadership on coding or documentation issues/trends., • Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary., • Participate in coding department and education meetings., • Flexible to expand coding skill set into other specialties altogether., • Maintain confidentiality and protect sensitive information., • High School diploma required. Associates or BS degree preferred. M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Company DescriptionM&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.M&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.

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

Job Description 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. This is a hybrid role in our New York office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $72,800 - $95,550 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts., • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards., • Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits., • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process., • Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business., • Identify process improvements to enhance medical encounter review efficiency., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • Bachelor's degree in a relevant field of study or commensurate work experience., • Certified professional coder (CPC), • 2+ year(s) retrospective risk adjustment coding experience.Bonus points, • Certified Risk Adjustment Coder (CRC) or similar certification, • Experience coding in a variety of different Electronic Medical Record (EMR) systems.Travel At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Description Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role. You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $63,200 - $82,950 per year. The base pay for this role in all other locations is: $56,880 - $74,655 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities • Develop a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements., • Perform complex audits of assigned medical records and claims on both a prepayment and post payment basis to determine accuracy of claims submitted to Oscar., • Document findings including reference to sources used to support decision making and in a way that can be easily understood by non clinicians or coders., • Create audit report findings, tools, and reference guide that can be used by other team members to communicate findings or more effectively perform similar reviews., • Help draft written communications to providers to convey audit findings., • Participate in educational calls with providers., • Help train new team members., • Develop and document processes to improve the effectiveness of the team., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • 2+ years of coding or auditing experience across multiple specialties is required, • Bachelor's degree or 4+ years of work experience, • Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC) designation or similar certification, • Experience working in production-based environment, • Experience of both outpatient and inpatient auditingBonus Points, • Certified Professional Medical Auditor (CPMA), • Additional certification applicable to this work such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), other coding certifications or similar, • Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity, • Demonstrated experience translating technical jargon to non-technical end users., • Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting., • Experience with HIPAA, data privacy, and/or data security processes At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

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

Job Description Professional Coder E/M This is a full-time, remote position that offers a flexible schedule. We are currently looking for candidates with experience specializing in the following area: E&M for IP/OP/ER services. Responsibilities: • Review and accurately code cases to maximize reimbursement in a timely manner., • Review and accurately code E&M and office procedures., • Able to work independently and research coding scenarios., • Attend conference calls as necessary to provide information and/or feedback., • Communicate with leadership on coding or documentation issues/trends., • Participate in coding department and education meetings., • Flexible to expand coding skill set into other specialties altogether., • Maintain confidentiality and protect sensitive information., • Other duties as assigned by leadership. Education/Experience Requirements: • High School diploma required. Associates or BS degree preferred., • Minimum of 3 years physician coding experience (recent hands-on production) in Expertise in E&M coding for in-patient, out- patient and emergency room., • Additional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and electronic healthcare record information and billing systems 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.

Job Description ENGLEWOOD ORTHOPEDIC ASSOCIATES JOB DESCRIPTION Department: Billing Title: Medical Biller Location: Englewood Cliffs Supervision Received: Reports to Team Lead Englewood Orthopedic Associates is currently recruiting a Full-Time Medical Biller Individuals must be experienced in medical billing, and initiate & monitor prior authorizations. Candidate Qualifications and Position Responsibilities: • The Medical Billing Specialist applying must have 2 or more solid years of medical billing and authorization experience., • Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed., • The candidate should have excellent oral and writing skills., • Proven experience in insurance verification and obtaining authorizations for office and hospital procedures, • Preparing, reviewing, and submitting claims, • Researching and appealing denied claims, • Ability to multi-task, efficient, while providing high standards of customer service., • Provide account and billing information to patients, explain to patients the reason for their balance., • Other duties as assigned., • Preferred Orthopedic experience but not required, • Preferred Certified Professional Coder (CPC) Typical Physical Demand: Involves sitting for prolonged periods of time. Englewood Orthopedic Associates is an Equal Opportunity Employer. Job Type: Full-time Benefits: • 401(k), • Dental insurance, • Flexible spending account, • Health insurance, • Life insurance, • Paid time off, • Vision insurance Schedule: • 8 hour shift, • Monday to Friday Ability to Commute: • Englewood Cliffs, NJ 07632 (Required)

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: • Assign diagnostic and procedural codes using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes, • Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation, • Oversee and audit the work of Level 1 & 2 Coders, where applicable, • Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders, • Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments, • Maintain a minimum production of 1 chart per hour or site-specific productivity benchmarks, • Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues, • Occasionally travel for professional development or meetings, if required What You Need to Succeed: • A minimum of 3 years of inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • Strong verbal and written communication skills What Helps You Stand Out: • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Level 1 trauma facility experience, • Experience in computerized encoding and abstracting software What We Offer: • Benefits for 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 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.

We are seeking a highly qualified candidate for a Clinical Coder role within our client's Special Investigations Unit. The Clinical Coder will support the organization in the detection, prevention and investigation of suspected fraud, waste, and abuse. Scope of Role & Responsibilities: Review medical records and healthcare claims to determine the accuracy and compliance of billed codes with appropriate regulations, standards, policies, and procedures. Conduct audits of high-risk claims and billing patterns to ensure adherence to healthcare regulations and company policy, and detect potential FWA. Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such as over-utilization of services, upcoding, and billing for non-medically necessary services. Create detailed reports with medical review findings that include research, rationale, sources, and corrective action recommendations to the SIU Department. The reports will also validate whether audited claims should be denied, recouped, and if other mitigation strategies are required. Participate as needed on provider calls to discuss findings and rationale of medical review. Present findings to leadership and other stakeholders to facilitate all FWA proceedings. Assist in preparing documentation for audits, recoupments, compliance/legal reviews, and regulatory inquiries. Maintain thorough documentation of investigations, including clinical findings, coding discrepancies, and all communication with healthcare providers and investigators. Stay updated on changes to coding guidelines, healthcare regulations, and fraud detection methods to ensure compliance and effective investigations. Completes special projects and audits as required. Required Education, Training, & Professional Experience: 5 years of experience in healthcare fraud detection, investigation, or auditing. In-depth experience and knowledge of coding regulations including ICD-10, CPT, HCPCS, AMA, etc. AAPC Coding certification preferred - Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS). Bachelor’s degree in Nursing, Medical Billing/Medical Coding, Healthcare, or other related fields. Strong communication skills to interact with providers, medical management, legal teams, and compliance departments. Strong analytical, research, and problem-solving aptitude with attention to detail and accuracy. Preferred candidate will have experience in Medicaid, Medicare, and Marketplace/Exchange. Licensure and/or Certification Required: Registered Nurse (RN) – Required. AAPC Coding certification - Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) - Preferred. Professional Competencies: Integrity and Trust Customer Focus Excellent Microsoft Office Suite skills Written/Oral Communication Please note that the salary range and/or hourly rate range of $60.00 to $65.00 is a good faith determination of potential base compensation offered to applicants at the time of this job advertisement and may be subject to modification in the future. When determining a team member's base salary and/or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). For consideration to this and/or other roles suitable for your background, please submit your most up-to-date resume to join our talent pool. At ATRIA Consulting, LLC, we are a woman-owned business that is fully committed to promoting, cultivating, and maintaining a culture of diversity, equity, and inclusion. We pledge to continue the fight against racism and any other form of bias. We embrace and celebrate our employees' differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make us all unique. We are the collective sum of individual differences, life experiences, knowledge, innovation, self-expression, inventiveness, and talent. We encourage everyone to apply!

Identifies discrepancies, potential quality of care, and billing issues.

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 a Sr. Client Coding Project Manager, you will plan, forecast, and manage client-facing coding projects. You will work directly with Customer Success Managers to ensure successful implementation, coding, and result delivery of client projects. Additionally, you will oversee the coding phase of client projects and ensure all parties remain on track with project requirements, deadlines, and schedules. You will: • Partner with Customer Success Managers to ensure successful implementation, coding, and result delivery of client projects, including creating and delivering content to clients describing Apixio's products, how to effectively use Apixio's coding and management tools, and ensuring alignment on coding quality., • Oversee the coding phase of client projects to ensure that all parties are on track with project requirements, deadlines, and schedules., • Respond to client needs and proactively identify and resolve coding issues that impact project success metrics., • Prepare and deliver timely project performance reports by gathering, analyzing, and summarizing relevant information., • Ensure project deliverables adhere to quality standards., • Establish effective project communication plans (to coding staff, coding vendors, and clients) and ensure their execution., • Facilitate change requests to ensure that all parties are informed of the impacts on schedule and budget., • Coordinate the development of user manuals, coder training materials, and other documents as needed., • Manage client satisfaction within the project period., • Conduct post-project evaluation and identify successful and unsuccessful project elements., • Ensure effective use of project resources (staffing, budget)., • Define project productivity and accuracy benchmarks and ensure coding teams deliver on them through collaboration with those responsible for coder performance management., • Drive quality assurance and performance improvement activities for coding projects., • Partner with peers in other departments to achieve company goals, develop a mutual understanding of roles, and foster a positive work environment., • Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets., • Minimum Associate's degree, preferably in a healthcare-related field., • Bachelor's degree preferred, preferably in a healthcare-related field., • Minimum 8 years of coding experience., • Minimum 5 years managing coders in an outpatient or inpatient setting., • Current CCS, CRC, or CPC required., • Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience., • Familiarity with HIPAA patient privacy requirements., • Excellent communication and organizational skills., • Keen attention to detail., • Advanced problem-solving skills. 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:$100,000—$125,000 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 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 Description Why work at Greenwich House? At Greenwich House, we believe in empowering communities through transformative programs, we offer more than a job – we offer a mission. When you work with us, you become part of a passionate, collaborative team committed to making a difference in people’s lives. Every initiative, class, and outreach effort we deliver is fueled by a shared commitment to equity and compassion. Founded in 1902 as a settlement house aimed at supporting New York City's growing immigrant population, Greenwich House has since evolved into a dynamic nonprofit organization dedicated to fostering wellness, creativity, and connection across the city. Today, Greenwich House offers a diverse range of programs in health, human services, education, and the arts, serving thousands of New Yorkers each year. Learn more at . The Opportunity The Administrative Assistant provides critical backend support to the Youth Services afterschool program, ensuring compliance, data entry, communications, and financial processes are executed accurately and on time. This part-time role will keep the program running smoothly behind the scenes. This is an exciting opportunity for someone who is passionate about youth development and wants to be part of a mission-driven organization making a lasting impact in New York City. Responsibilities Compliance & Reporting • Input weekly student attendance and coder entries via Doclink and BTQ, • Responsible for school permits, school meal applications for PS 15 & PS 19 EVCS as well as meals for holiday camps at PS 15, • Prepare all reports to include but not limited to Board, CHHSO, marketing, development, principal, • Complete all data entry for QIFolio, • Manage documentation repositories and filing systems on the server, • Maintain incident report logs and fire drill records, • Support site coordinators with capturing and sharing success stories, photographs, and highlights within the Youth Services team, • Prepare monthly event flyers/newsletters and all parent and academy communications, • Maintain rosters and enrollment records Support site coordinators with capturing and sharing success stories, photographs, and highlights within the Youth Services team Enrollment, Payments & Financial Tracking • Send timely updates on program operations, needs, and challenges to the Director of Youth Services each week Education & Experience • High School Diploma, High School Equivalency or College Degree, • 2+ years of experience of work-related skill or experience is required, • Prior experience with DYCD Online and/or Youth Services, • Strong time-management skills and attention-to-detail; reliable and able to accomplish tasks on a timely basis, • Working knowledge of online databases, Excel, Word, and other programs The expected hourly rate range for this position is between $22.00 – $25.00. This range reflects the anticipated compensation at the time of this posting and may be adjusted based on experience, education, and organizational needs. Benefits Greenwich House is committed to supporting the well-being of our employees as a key part of delivering a strong overall workplace experience. Full time employees are eligible for various benefits, including medical/dental/vision insurance, 403(b) plan, generous paid time off, and other benefits in accordance with applicable plan documents. Employees also enjoy exclusive perks and discounts for Greenwich House programs and services, including classes, lessons, and events. Benefits for Union represented employees will be in accordance with the applicable collective bargaining agreement. Equal Employment Opportunity & Accessibility Greenwich House is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, veteran’s status, disability, or any other characteristic protected by applicable law. We are also committed to providing reasonable accommodations to qualified individuals with disabilities to ensure they can successfully perform the essential functions of their roles. If you require assistance or an accommodation during the application or interview process, please contact us.

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