R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global
As a DATA MINING IDEATION SPECIALIST, you will leverage your expertise in medical coding requirements, claim adjudication processes, and reimbursement methodologies to develop Data Mining audits that promote payment accuracy across our Clients’ Medicaid, Medicare, and
The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clovers provider Network, Claims, and Tech teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular
Come work at the best place to give and receive care! Job Description: Who We Are: Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home.
Position Overview The Senior Lead of Payment Integrity is responsible for the end‑to‑end performance, satisfaction, and operational excellence of the company’s carrier network. This role develops, manages, and strengthens strategic carrier relationships while ensuring accuracy, compliance, service
About Snorkel At Snorkel, we believe meaningful AI doesn’t start with the model, it starts with the data. We’re on a mission to help enterprises transform expert knowledge into specialized AI at scale. The AI landscape
Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. Wilshire will take the time to get know you and your employment history. We will then place you in a
Overview Nira Medical is a national partnership of physician-led, patient-centered independent practices committed to driving the future of neurological care. Niras mission is to enable clinicians to provide access to life-changing treatments so you can provide
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have
Department: 13246 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Denials Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Will support: Hospital Based Inpatient Coding or Hospital Outpatient Surgical Coding. Desired experience:
The Clinical Documentation Specialist (CDS) provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of acute care services. Includes facilitation of appropriate physician documentation of care to accurately reflect patient
Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to
The Clinical Documentation Specialist (CDS) provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of acute care services. Includes facilitation of appropriate physician documentation of care to accurately reflect patient
Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education,
Position Overview: The Pharmacy Payment Integrity Analyst plays a critical role in analyzing and interpreting Pharmacy data to provide actionable insights for improving patient outcomes, optimizing clinical workflows, and supporting healthcare decision-making. This position ensures accurate claims
At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in mental
For the past 25 years, ProPharma has improved the health and wellness of patients by providing advice and expertise that empowers biotech, med device, and pharmaceutical organizations of all sizes to confidently advance scientific breakthroughs and
At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to