Innovaccer Analytics

Role Description Innovaccer is redefining how health systems operate their revenue cycle. Innovaccer Flow is our agentic, EHR-integrated RCM automation platform — spanning prior authorization, denial management, autonomous coding, CDI, and HCC/risk adjustment. The Director of Services Product Management will drive the integration of the Innovaccer Flow platform with the commercially operationalized services business, to create an outcomes focused services offering. This is a high-visibility, high-ownership role at the intersection of product strategy, services commercialization, and AI-enabled operational transformation. You will define how Innovaccer sells and delivers managed services and you will be the internal force driving the adoption of AI and automation across the services organization itself. Qualifications - 7+ years in health IT product management, services strategy, or RCM operations - Deep familiarity with revenue cycle workflows: prior authorization, medical coding & CDI and denial management - Working knowledge of payer operations, including EDI X12, FHIR R4, and DA Vinci implementation guides - Hands-on experience with services commercialization — pricing, SKU design, SOW development, or go-to-market - Outcomes-based commercialization and growth enablement - Demonstrated experience documenting workflows for automation development or AI-assisted automation - Human in the loop design experience a plus - Ability to evaluate automation feasibility and articulate trade-offs between RPA, rule-based logic, and ML approaches - Experience driving adoption of new technology within clinical or operational teams - Proven ability to lead cross-functional initiatives without direct authority — influence as the primary lever - Executive-level communication skills; equally effective in a board room and a sprint review - Strong written skills for producing SOWs, service descriptions, workflow specs, and business cases - Strong project management instincts with a track record of delivering complex, multi-stakeholder programs - Disciplined in reporting, tracking, and escalation — nothing falls through the cracks - Comfortable operating in a high-growth, fast-moving environment where structure is built, not inherited Requirements - Own end-to-end commercialization of Innovaccer's managed services offerings - Develop and maintain a comprehensive services catalog, including service descriptions, scope parameters, and delivery expectations - Author and manage SKU definitions aligned to how sales teams configure and quote services deals - Draft and maintain Statement of Work (SOW) templates that accurately reflect deliverables, timelines, and responsibilities - Define pricing structures and models, including per-transaction, per-claim, and outcome-based constructs - Partner with marketing to develop positioning, messaging, and collateral that drives services attach and pipeline - Develop a structured adoption roadmap for AI and automation tooling across services operations - Build internal business cases that quantify efficiency gains, error reduction, and capacity impact - Drive change management by working directly with services team leads to build comfort with AI-assisted workflows - Establish adoption metrics and report on AI utilization, impact, and ROI to senior leadership - Conduct structured reviews of services workflows to surface inefficiencies in coding, authorization, documentation, and billing processes - Prioritize operational improvement opportunities by impact, feasibility, and strategic alignment - Translate discovered gaps into actionable requirements that can feed the automation development roadmap - Map current-state workflows for coding, prior authorization, and billing processes at the step level - Identify and document decision points, business rules, and exception handling logic within each workflow - Prepare workflow specifications formatted for consumption by automation developers and AI/ML engineers - Validate documented workflows with clinical and operational SMEs before handoff to development - Own the services automation capability roadmap, ensuring backlog reflects both strategic priorities and operational demand - Coordinate requirements gathering across services delivery, engineering, clinical informatics, and compliance - Lead sprint reviews, UAT planning, and go-live readiness for new automation releases - Manage post-launch performance monitoring and continuous improvement cycles for deployed capabilities - Maintain weekly status reporting across commercialization and automation workstreams - Track activity, milestones, and blockers across cross-functional teams; escalate proactively - Build and manage project plans with clearly defined owners, timelines, and dependencies - Prepare executive-level updates for senior leadership and cross-functional stakeholders Benefits - Generous Paid Time Off: 20 days of fixed time off per year, in addition to company holidays - Best-in-Class Parental Leave: One of the industry’s most generous parental leave policies - Recognition & Rewards: Monetary incentives and company-wide recognition for your impact and dedication - Comprehensive Insurance Coverage: Medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance - Optional perks include discounted legal aid and pet insurance

Role Description Innovaccer is seeking a proven healthcare leader to serve as Partner, Customer Success, responsible for executive ownership of Innovaccer’s most strategic client relationships and ensuring the successful delivery, adoption, and measurable outcomes of both Innovaccer’s population health platform and the AI platform. - Serve as the senior executive partner to health system clients, engaging directly with C-suite stakeholders. - Manage and expand long-standing client relationships built on Innovaccer’s population health platform. - Accountable for the successful deployment, adoption, and scaling of Innovaccer’s enterprise AI platform. - Own a portfolio of strategic accounts and be accountable for core growth and retention metrics including Committed ARR (CARR), ARR expansion, churn, NPS, and CSAT. - Ensure clients continue to realize value from the population health platform while expanding the AI Solutions. - Mentor Associate Partners, Project Managers, and other members of the Account management team. - Serve as the executive accountable for ensuring consistent delivery excellence, platform adoption, and long-term strategic partnership and account growth. A Day in the Life - Strategic Ownership of Population Health and AI Platform Clients: Serve as the executive owner for a portfolio of strategic accounts, ensuring continued success, retention, and expansion. - Platform Delivery and Adoption Leadership: Ensure successful deployment, operationalization, and scaling of the enterprise platform. - Account Growth: Build a partnership-focused account growth strategy and ensure region growth targets are achieved. - C-Suite Partnership: Serve as a trusted advisor to CIOs, CFOs, COOs, CMIOs, and CEOs. - Strategic Account Leadership: Own and deliver on CARR, ARR growth, churn reduction, NPS, and CSAT. - Delivery Accountability: Partner closely with delivery, product, engineering, and AI teams. - Customer Success Leadership: Mentor and develop Customer Success Leaders. - Cross-Functional Alignment: Work closely with Sales, Product, Engineering, AI, and Delivery teams. - Platform Adoption and Expansion: Drive expanded adoption across multiple domains. - Executive Presence and Client Engagement: Maintain consistent executive engagement with client leadership. Qualifications - Proven experience delivering enterprise software platforms, population health platforms, data platforms, analytics platforms, or AI-enabled platforms in healthcare provider organizations. - 15+ years of experience in healthcare provider services or enterprise healthcare technology. - 5–10+ years in customer success, enterprise account leadership, or platform delivery leadership roles. - Experience managing strategic client relationships at the C-suite level. - Strong understanding of population health platforms, enterprise data platforms, and AI-enabled workflow solutions. - Exceptional executive communication and presence. - MBA, MHA, MD, PhD or equivalent advanced degree preferred. Requirements - Experience supporting deployment and adoption of enterprise AI platforms, workflow automation platforms, or large-scale data platforms. - Ability to guide clients through platform evolution—from an initial beachhead to enterprise-wide use. - Proven track record delivering strong performance across CARR, ARR expansion, churn, NPS, and CSAT. - Ability to translate platform capabilities into measurable financial and operational outcomes. - Ability to collaborate effectively with Product, Engineering, AI, and Delivery teams. - Ability to influence senior executives internally and externally. - Experience mentoring senior Customer Success Leaders. Benefits - Generous Paid Time Off: 20 days of fixed time off per year, in addition to company holidays. - Best-in-Class Parental Leave: One of the industry’s most generous parental leave policies. - Recognition & Rewards: Monetary incentives and company-wide recognition for your impact and dedication. - Comprehensive Insurance Coverage: Medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance.

Role Description As Payment Specialist, you will report to the Director, Clinical Transformation and work closely with the Payer Account Management and Accounting teams to ensure accurate, timely invoicing and payment distribution across PQS Enhanced Services programs. You will be responsible for end-to-end payment operations—from invoice review and revenue tracking to disbursement coordination with PSAOs, chain pharmacies, and independent pharmacy organizations. Invoice Review & Coordination - Collaborate with Payer Account Managers to review monthly invoices for Enhanced Services programs for accuracy. - Collaborate with Payer Account Managers to review invoicing monthly, quarterly and bi-annually. - Send finalized pharmacy and PQS invoice details to the accounting department for each payer on a monthly basis. - Work with the payer team to ensure new program invoices are generated as programs go live. Payment Processing & Distribution - Coordinate on Payment process with Finance and Accounting teams including the following tasks: - After payments are received, verify independent pharmacy affiliations to ensure the most current organization is paid. - Send the accounting department revised payment details for disbursement at the end of each month. - Send a monthly payment breakdown by organization to the appropriate enterprise pharmacy contacts. - Collect W-9 and EFT information from organizations and follow up on outstanding items as needed. - Follow up with accounting and payer account managers on in-progress and delayed invoice payments. Revenue Tracking & Pharmacy Support - Track PQS revenue for Enhanced Services payments. - Track payments by payee to support timely and accurate disbursement to pharmacies. - Answer all payment-related tickets and inquiries from organizations and pharmacies. - Work collaboratively with all PQS staff and its parent companies to ensure that PQS’ mission and plans are carried out successfully. Qualifications - A Bachelor’s degree in Accounting, Finance, Business Administration, or a related field. - 2+ years of experience in billing, accounts receivable, payment operations, or financial coordination—preferably in a healthcare or healthcare technology environment. - Strong organizational skills with the ability to manage multiple recurring deadlines simultaneously. - Proficiency with Microsoft Excel and data management tools; experience with healthcare provider data is a plus. - Excellent communication skills and the ability to build and maintain professional relationships across internal teams and external partners. - Excellent work ethic, including the ability to achieve results with minimal supervision. - Ability to observe high levels of business protocol and to maintain confidentiality. - Must be able to work under pressure and meet sensitive, recurring timelines. Requirements - Prior experience with payment operations, billing, or payer invoicing in a healthcare environment. - Familiarity with pharmacy industry identifiers including NPI, NCPDP, and Tax ID numbers. - Experience with EFT and ACH disbursement processes. Benefits - Health Care Plan (Medical, Dental & Vision) - Retirement Plan (401k, IRA) - Life Insurance (Basic, Voluntary & AD&D) - Paid Time Off (Vacation, Sick & Public Holidays) - Family Leave (Maternity, Paternity) - Short Term & Long Term Disability - Training & Development - Work From Home - Free Food & Snacks - Wellness Resources - Stock Option Plan

Role Description We are hiring a Director Partnerships and Alliances to own one of Innovaccer’s strategic GSI partnerships end-to-end. This is a quota-carrying, US-based role for an alliances operator who can stand shoulder-to-shoulder with GSI sales leaders, get in front of end customers, and turn a signed partnership into joint revenue — quarter after quarter. You will be the face of Innovaccer to your GSI partner — managing stakeholders on both sides, driving joint pipeline, accelerating Gravity license consumption, and expanding the partnership into new revenue streams. Preferred Location: North East (Remote with Travel) A Day in the Life - Own stakeholder management end-to-end. - Set and manage expectations across both organizations. - Build deep, trust-based relationships with GSI leadership. - Orchestrate Innovaccer’s executive sponsorship. - Diffuse friction early and surface issues at the right altitude. - Keep both sides aligned on shared outcomes. - Drive the joint pipeline and hit joint revenue commitments. - Build, qualify, and close partner-sourced opportunities. - Sit in on partner sales calls, run executive demos, handle objections. - Own the partnership scorecard against shared commitments. - Represent Innovaccer at end customers. - Land the platform narrative and scope the right Gravity capabilities. - Maximize Gravity consumption, drive renewals, and grow the partnership. - Open net-new logos and cross-sell Innovaccer’s broader portfolio. - Build joint solutions and new monetization streams. - Stand up the Partner Center of Excellence and run sales enablement at scale. - Run a satellite deal desk for the GSI. - Carry the voice of the partner into Innovaccer. Qualifications - 8–12 years of enterprise SaaS experience in alliances, partnerships, channel sales, or strategic accounts — with meaningful time spent working with Global Systems Integrators. - A track record of carrying and hitting a partner-sourced revenue number, with a strong bias toward expansion and renewal growth. - US healthcare domain experience — payer, provider, or life sciences (preferred). - Comfort selling complex enterprise platforms to senior buyers (CIO, CDO, CMO, COO). - Exposure to partner Centers of Excellence, certification programs, or enablement engines. - Fluency with deal mechanics — pricing, contracts, deal registration, and channel rules of engagement. - Executive presence and credibility in front of GSI leadership and end customers. - Bias for action, comfort with ambiguity, and the maturity to operate independently in a fast-moving partnership. - Comfortable with travel (~30%) for QBRs, SKOs, customer engagements, and internal meetings. Benefits - Generous Paid Time Off: 20 days of fixed time off per year, in addition to company holidays. - Best-in-Class Parental Leave: One of the industry’s most generous parental leave policies. - Recognition & Rewards: Monetary incentives and company-wide recognition for your impact and dedication. - Comprehensive Insurance Coverage: Medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. - Optional perks include discounted legal aid and pet insurance.

Role Description The Market Leader, Sales- Life Sciences will be responsible for leading and scaling Innovaccer’s Life Sciences business. This role owns the end-to-end success of the Life Sciences vertical, including: - Strategic planning - Business development - Product strategy and roadmap influence - Operational execution to drive sustained growth The primary responsibility of this role is to accelerate Innovaccer’s Life Sciences business across pharma, biotech, and medical device organizations. The Market Leader will work closely with Innovaccer’s senior product and technology leadership to shape market-aligned solutions and strengthen Innovaccer’s position in the Life Sciences ecosystem. The ideal candidate brings deep expertise in the Life Sciences industry, a strong understanding of healthcare and data/AI-driven platforms, and a proven track record in leadership and business management. A Day in the Life - Strategic Leadership: - Define and execute the overall strategy for Innovaccer’s Life Sciences business, aligned with company vision, goals, and growth objectives. - Identify growth opportunities across the Life Sciences market, including expansion of existing solutions and development of new products, services, and partnerships. - Lead the creation and execution of business plans that drive revenue growth, market share, and profitability within the Life Sciences vertical. - Business Development: - Build and maintain executive relationships with key Life Sciences stakeholders, including pharmaceutical companies, biotech firms, CROs, and medical device organizations. - Identify and pursue new business opportunities, including strategic partnerships and alliances, to expand Innovaccer’s Life Sciences footprint. - Lead complex negotiations and commercial discussions with strategic clients and partners. - Product and Solution Portfolio: - Bring a strong point of view on customer needs, competitive landscape, and regulatory requirements (e.g., FDA, GxP) to inform product strategy and differentiation. - Jointly define product direction and business plans for Life Sciences-focused solutions, ensuring alignment with market demand and compliance requirements. - Partner with Product, Engineering, and Marketing teams to ensure successful launch, adoption, and scaling of Life Sciences solutions. - GTM Operations and Channel Strategy: - Own OKRs and financial metrics (CARR, NPV + CARR) for the Life Sciences business. - Oversee GTM planning, resource allocation, and performance management. - Lead, mentor, and develop a high-performing Life Sciences team, fostering a culture of excellence, accountability, and continuous improvement. - Provide regular updates to executive leadership on business performance and progress. - Engage and grow C-level relationships across Life Sciences clients and partners. - Leverage strategic partnerships to drive new client acquisition and expand client value delivery. Qualifications - Bachelor’s degree in Business Administration, Life Sciences, Healthcare Management, or a related field; MBA or advanced degree preferred. - 10–15+ years of experience in Life Sciences, healthcare technology, or related industries, with 5+ years in senior leadership roles. - Proven track record of driving growth, building vertical-focused strategies, and leading large, complex business units. - Experience managing cross-functional teams and executing GTM strategies at scale. - Strong understanding of the Life Sciences ecosystem, including pharma, biotech, clinical research, and regulatory environments. - Exceptional leadership, communication, and executive presence, with the ability to influence across stakeholders. - Excellent interpersonal skills, with the ability to build and maintain relationships with key stakeholders and develop a strong culture of growth. - Strong analytical and strategic thinking capabilities with a results-oriented mindset. - Ability to operate effectively in a fast-paced, evolving environment. Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance. - Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments. - Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed. - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.

Role Description We are looking for a Data Analyst to help our customers explore their healthcare data, understand how to improve the health of the population and bring down the cost of healthcare. - Guide and mentor the team in best practices for handling the data. - Review and provide feedback before the deliverables are shared with the customer. - Play with and transform data. - Work towards creating easy-to-digest analytical reports for US healthcare customers. - Design and build workflows on the Data Activation Platform that pull data from client systems as scoped while complying with respective internal standards and industry best practices. - Review team deliverables and ensure quality and accuracy. - Monitor and tune the configuration of workflows for high availability once deployed in production environments. - Understand Innovaccer data warehousing concepts and implement best practices. Qualifications - 1-3 years in an analytics role in a data services/product firm. - Data modeling ability - knowledge of different data modeling concepts. - Strong knowledge of SQL for ETL; knowledge of scripting languages like Python will be a plus. - Exposure to AI/ML concepts, including predictive modelling, classification. - Ability to effectively leverage AI-assisted development tools (e.g., Copilot, LLM-based coding assistants) while maintaining rigorous standards for code quality and correctness. - Self-starter, curious, accountable, enjoys a healthy level of autonomy, strong work ethic, able to succeed in a fast-paced, high-intensity startup environment. - Extensive experience relaying technical and non-technical information in a clear and concise manner. - Demonstrated expert problem-solving and analytical skills. - Excellence in multitasking and managing multiple high-priority customer engagements at once. - Ability to assess complex client requirements and arrive at integration solutions that will satisfy seamless experience between our platform and theirs. - Competence to mentor junior team members and introduce industry expertise and best practices across data engineering. - Bachelor’s degree in engineering, Computer Science. Advanced degree in any of the areas above would be a plus. Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance. - Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments. - Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed. - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.

Role Description Story Health Partners is seeking an Advanced Practice Nurse to contract with our team. You will work directly with patients to optimize their medical therapy and serve as the liaison with other healthcare providers. This is a unique opportunity to work in an innovative health tech company. - Conduct synchronous telehealth patient visits to assess patients with chronic diseases such as hypertension, dyslipidemia, diabetes, obesity, and early stage kidney disease. - Order lab tests and other diagnostics as needed to assess the status of chronic conditions. - Provide treatment recommendations back to the referring provider. - Review and respond to remote patient monitoring (RPM) data, lab results, vital signs, and patient reported symptoms. - Prescribe and optimize patient medical therapy according to clinical practice and evidence based guidelines for patients not meeting clinical outcomes targets. - Achieve clinical outcomes and KPIs for a panel of patients. - Serve as the interface between the patients and others in the healthcare system, including providers, clinics, pharmacies, etc. - Support the internal growth of clinical programs in a fast paced and dynamic team environment. - Participate in program building and operational workflows during growth and implementation phases. Qualifications - Minimum 3+ years of experience treating patients with cardiovascular/cardiometabolic/cardiorenal diagnoses, diabetes and/or obesity in an outpatient setting. - Must reside in a nurse compact state and hold an active multistate RN license. - Completion of an accredited graduate-level Advanced Practice Registered Nurse (APRN) program. - Active licensure as an Advanced Practice Nurse in a minimum of 5 states and willingness to obtain additional state licensures as needed. Must be licensed in at least one of the following states at the time of hire: Arizona, Colorado, Georgia, Illinois, Indiana, Michigan, Ohio, South Carolina, or North Carolina. - National certification as an APRN with an Adult, Adult-Gerontological, or Family focus. - Current enrollment as a Medicare Part B provider. - Prior experience working in digital health and remote/virtual patient management. - Passion for helping patients improve cardiovascular health through the application of clinical practice guidelines and evidence based medicine. - Interested in implementing technology to improve healthcare and able to quickly learn and use new software and tools. - Strong customer service skills, with ability to identify hurdles and formulate solutions. - Proven ability to think critically and make decisions under pressure. - Ability to handle conflict resolution and remain tolerant/flexible in all situations. - High-speed home internet access. - Quiet home office space, free of distractions. Requirements - Board Certified - Advanced Diabetes Management (BC-ADM) or Certified Diabetes Care and Education Specialist (CDCES). - 10 or greater state licenses as an Advanced Practice Nurse. - Prior experience in designing and implementing new clinical programs at the population level. - Prior experience in a nursing leadership or management role. Benefits - Generous Paid Time Off: 20 days of fixed time off per year, in addition to company holidays. - Best-in-Class Parental Leave: One of the industry’s most generous parental leave policies. - Recognition & Rewards: Monetary incentives and company-wide recognition for your impact and dedication. - Comprehensive Insurance Coverage: Medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. - Optional perks include discounted legal aid and pet insurance.

Role Description The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Life - Averages 10 front-end holds per hour - Maintains a minimum of 90% coding accuracy - Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment - Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses - Ensures all diagnosis codes meet local and national medical necessity guidelines - Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services - Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality - Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices - Independently reviews and resolves all assigned front-end claim holds - Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead - Escalates identified client trends to the assigned Coding Team Lead - Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification - Maintains and completes all CEU requirements - Performs other duties or tasks as assigned Qualifications - Must hold a current AAPC or AHIMA Certification for a minimum of 3 years - Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines - Familiarity with proper English grammar, usage, and professional documentation standards - Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues - Ability to read, interpret, and apply policies, procedures, laws, and regulations - Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures - Demonstrated ability to exercise independent judgment in coding and claim resolution - Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff - Strong commitment to maintaining confidentiality and safeguarding protected health information - Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements - Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams) - Minimum of 3+ years of professional coding experience Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance - Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments - Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance Company Description Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure—extending the human touch in healthcare. For more information, visit www.innovaccer.com.

Role Description The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Life - Averages 10 front-end holds per hour - Maintains a minimum of 90% coding accuracy - Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment - Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses - Ensures all diagnosis codes meet local and national medical necessity guidelines - Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services - Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality - Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices - Independently reviews and resolves all assigned front-end claim holds - Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead - Escalates identified client trends to the assigned Coding Team Lead - Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification - Maintains and completes all CEU requirements - Performs other duties or tasks as assigned Pay Range $24-$28/HR. It's a full time non exempt role. Qualifications - Must hold a current AAPC or AHIMA Certification for a minimum of 3 years - Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines - Familiarity with proper English grammar, usage, and professional documentation standards - Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues - Ability to read, interpret, and apply policies, procedures, laws, and regulations - Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures - Demonstrated ability to exercise independent judgment in coding and claim resolution - Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff - Strong commitment to maintaining confidentiality and safeguarding protected health information - Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements - Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams) - Minimum of 3+ years of professional coding experience Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays - Best-in-Class Parental Leave: Spend quality time with your growing family - Recognition & Rewards: Get rewarded with monetary incentives and company-wide recognition for your impact and dedication - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance

Role Description The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Life - Averages 10 front-end holds per hour - Maintains a minimum of 90% coding accuracy. - Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment. - Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses. - Ensures all diagnosis codes meet local and national medical necessity guidelines. - Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services. - Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality. - Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices. - Independently reviews and resolves all assigned front-end claim holds. - Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead. - Escalates identified client trends to the assigned Coding Team Lead. - Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification. - Maintains and completes all CEU requirements. - Performs other duties or tasks as assigned. Qualifications - Must hold a current AAPC or AHIMA Certification for a minimum of 3 years. - Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines. - Familiarity with proper English grammar, usage, and professional documentation standards. - Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues. - Ability to read, interpret, and apply policies, procedures, laws, and regulations. - Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures. - Demonstrated ability to exercise independent judgment in coding and claim resolution. - Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff. - Strong commitment to maintaining confidentiality and safeguarding protected health information. - Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements. - Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams). - Minimum of 3+ years of professional coding experience. Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance. - Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments. - Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed. - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.