Company Mission Duo Health is a new type of medical group designed around the needs of patients with chronic kidney disease and their physicians. Our unique Health Mobilization™ platform partners multidisciplinary care teams with community nephrologists and activates all the other clinicians, facilities and community organizations necessary to treat the whole patient on their own terms. Our team is comprised of leaders in value-based health care, technology and behavioral science who share a vision for advancing health equity one relationship at a time. Our interprofessional care teams, which include physicians, nurses, social workers, and patient navigators, provide high-touch and comprehensive care to a small panel of patients. Team collaboration is essential to our intensive, psycho-social model of care which includes assessment, medication management, social management, and behavioral health management. Job Description As the Risk Adjustment Coding Specialist, you will play a critical role in reviewing claims to ensure accurate coding and compliance with medical coding policies and guidelines. This role involves interpreting medical records, assigning appropriate ICD-10 and CPT codes, and ensuring that all coded data accurately represents the services provided. You will work closely with our Clinical Documentation Integrity Specialists, Medical Group Operations, Revenue Cycle Management and Compliance teams to leverage your coding and documentation expertise to foster improvements in the overall quality, completeness, and compliance of clinical documentation. You will serve as the subject matter expert on HCC documentation requirements and ICD-10-CM coding guidelines. Because this role supports Spanish‑speaking clinical teams and patients, the Risk Adjustment Coding Specialist must be fully bilingual in Spanish and English. This includes the ability to read and interpret Spanish‑language medical documentation, communicate with providers or team members in Spanish as needed, and ensure accurate translation of clinical concepts into compliant coding. Duties and Responsibilities - Conduct coding review on all provider documentation to assign the correct ICD-10 codes and ensure all documentation is accurate, precise, and adherent to CMS guidelines - Maintain knowledge of current coding guidelines with continuing education - Ensure coding accuracy to support risk adjustment reimbursement and maintain compliance with CMS regulations - Identify and report any potential areas of risk or non-compliance - Assist with training and education of providers and other team members as necessary - Assign appropriate CPT codes and modifiers and determine place of service based on documentation - Communicate provider documentation trends with the CDI team for provider education - Query providers directly as necessary to ensure that appropriate documentation appears in the medical record - Maintain a log of all documentation audits / reviews and conduct ongoing follow up activities and communication for uncompleted or unanswered queries - Maintain professional communication with provider teams - Assist with analysis, trending, and presentation of audit / review findings, outcomes, and issues - Ensure adherence to Duo Health’s coding guidelines and any necessary updates are shared across the teams - Develop a foundational understanding of existing EMRs and processes to surface risk opportunities - Assist in the Revenue Cycle Management workflow processes, such as denial and rejection management - Comply with all legal requirements regarding coding procedures and practices - Review and interpret Spanish‑language medical records and clinical documentation to ensure accurate ICD‑10 and CPT coding - Communicate in both Spanish and English with providers and other care team members when clarifying documentation, issuing queries, or supporting education - Provide feedback to the CDI team regarding Spanish‑language documentation trends that may impact coding accuracy or risk capture - Assist in translation or clarification of clinical documentation concepts to ensure proper understanding across bilingual care teams, while maintaining compliance standards - Provide coding guidance to Spanish‑speaking frontline care navigators as needed - Support translation of documentation‑related training materials for Spanish‑speaking providers and care teams Requirements - You have 5+ years of overall medical coding experience, and 3+ years of outpatient risk adjustment coding specific experience - Certified Risk Adjustment Coder, CRC, is required. Additional certifications preferred such as CPC, COC, CDEO, CPMA, CPB, CCS, CCS-P, RHIT, RHIA, CDIP, CCDS - Fluency in both spoken and written Spanish and English is required - Ability to read and interpret clinical documentation written in Spanish - Ability to communicate with clinicians and internal staff in both languages to resolve documentation questions or queries - Knowledge of medical terminology, physiology, pharmacology, and disease processes and related procedures - Knowledge of risk adjustment (HCCs), guiding principles, and reimbursement methodology - Previous experience in billing and E/M coding a bonus - You flourish in fast-paced environments, work independently, and can identify your own opportunities for success - You pay great attention to detail, are data-driven, and are tech-savvy - Excellent written and verbal communication skills and critical thinking skills - Strong ability to effectively build relationships and collaborate with coworkers and clinicians - Experience in Clinical Documentation Integrity (CDI) is preferred, including familiarity with query processes, documentation best practices, and collaboration with providers to improve accuracy and completeness of medical records. Working for Duo - 100% remote working environment - Competitive medical, dental and vision plans - Paid maternity and paternity leave - Access to free wellness & personal development courses - 401k plan with company matching - Paid holidays and unlimited PTO - A mission-driven approach to each and everything that we do, with an overall goal to improve health equity and health outcomes. #LI-Remote

• Reviews medical record documentation to determine appropriate billing codes and necessary documentation • Codes evaluation and management to appropriate CPT code • Meets with physicians to review documentation and secure signatures • Acts as lead person and assists coders with medical terminology and policy interpretation • Assists with efforts to increase physician awareness of documentation requirements • Prepares case reports and initiates follow-up for billing process • Performs other duties as assigned

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As an Enrollment Specialist, you will educate and enroll eligible patients from our established clinic partnerships. You will connect with eligible patients through outbound calls, resulting in enrollments to achieve your weekly goals. You will help patients navigate and enroll in these programs to better their health and achieve their wellness goals. - Initiate contact with potential CCM and RPM patients. - Conduct initial assessments to determine eligibility for CCM/RPM services based on established criteria. - Clearly and compassionately explain the benefits of enrolling in a CCM/RPM program to patients and their families. - Provide detailed information about the program's services, including remote monitoring and care coordination. - Assist eligible patients with the enrollment process, ensuring that all necessary forms and documentation are completed accurately. - Maintain meticulous records of patient interactions, enrollment status, and program details. - Stay up-to-date with the latest regulations and compliance standards related to CCM/RPM services. - Ensure all patient enrollments adhere to legal and ethical standards. - Monitor and track your enrollment performance, striving to meet or exceed enrollment goals. Qualifications - National Certification in Medical Assisting. - Residence in the US. - Strong communication skills, both written and verbal. - Empathy and the ability to connect with patients and their families. - Basic knowledge of chronic health conditions and their management. - Comfortable using technology for documentation and communication. - Attention to detail and strong organizational skills. - Ability to work independently and as part of a team. - Sales or customer service experience is a plus but not required. Requirements - National certification in Medical Assisting from AAMA, NHA, NCCT, NAHP or similar is a hard job requirement. - Any single-state certifications, diplomas or completion certificates do not qualify. Benefits - Competitive pay including paid training. - Fully remote capabilities (Within US only). - Better work-life balance.

Insight Institute of Neuroscience & Neurosurgery (IINN) aims to advance, challenge, and revolutionize neurosciences and medicine through scientific research and advanced technology, driven by a passion to help others regardless of any obstacles and challenges that may lie ahead. Our integrated team of medical professionals does so through creative, innovative techniques and care principles developed because of our continuous pursuit to improve the field of medicine. Our integrated team works together to find solutions to both common and complex medical concerns to ensure more powerful, reliable results. Having multiple specialties “under one roof” Insight achieves its purpose in providing a comprehensive, collaborative approach to neuromusculoskeletal care and rehabilitation to ensure optimal results. Our singular focus is Patient Care Second to None! Job Summary: We are seeking a dedicated and compassionate Chronic Care Manager (CCM) to join our growing care management team. This is an excellent opportunity for Medical Assistants, Billers, Certified Nursing Assistants (CNAs), and other healthcare professionals with 1–3 years of experience to build their careers while making a meaningful impact on patient outcomes. The CCM is responsible for managing a panel of patients with chronic conditions, providing non-face-to-face care management services, ensuring continuity of care, and assisting patients in navigating their health journey. This is a remote position, and you must have a HIPAA-compliant private workspace with reliable internet and the ability to use multiple web-based tools and electronic health record (EHR) systems. Benefits for our Full Time Team Members: - Comprehensive health, dental, and vision insurance coverage - Paid time off, including vacation, holidays, and sick leave - 401K with Matching; offerings vested fully @ 3 months of employment paired with eligibility to contribute - Short & Long Disability, and Life Term insurance, complementary of Full Time Employment - Additional Supplementary coverages offered @ employee's elections: Accident, Critical Illness, Hospital Indemnity, AD&D, etc. Duties of Medical Assistant (Chronic Care Associate): - Conduct outreach to assigned patients with chronic conditions via text-based programs, phone, and other systems as needed to provide care coordination and support. - Document all patient interactions, goals, and care plans accurately and timely in the EHR system. - Monitor patients’ progress toward health goals and escalate concerns appropriately to clinical leadership. - Serve as a resource and advocate for patients, assisting with medication adherence, appointment scheduling, and education about their conditions. - Collaborate with providers and care team members to ensure continuity and quality of care. - Maintain strict patient confidentiality and comply with HIPAA and all organizational privacy and security protocols. - Other duties as assigned Qualifications: - Demonstrates eligibility to work for any employer in the U.S. - High school diploma, GED, or suitable equivalent required. Associate's or Bachelor's Degrees strongly preferred in the areas related to Healthcare and Biology. - Previous healthcare experience preferred - Previous experience as a Medical Assistant or CNA desired - Ability to provide excellent customer service to show superior patient care. - Demonstrates enthusiasm and drive. - Able to work compassionately with patients and coworkers to exhibit patient care second to none - Exudes respect and flexibility to impact the workplace in a positive manner. - Ability to relate and work effectively with others; works well within a team environment - Demonstrates excellent skills in verbal and written English communications for safe and effective patient care, in order to meet documentation standards. - Willingness to participate in goal-setting and educational activities for professional advancement. - Previous experience and familiarity with EMRs is preferred. - Is aware of standards and performs in accordance with them. - Able to work in a fast-paced environment. - Strong attention to detail. Insight is an equal opportunity employer and values workplace diversity!