• Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. • The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. • In addition, this role monitors and analyzes coding performance at the section and business unit levels. • The primary role of this position is to support education, documentation principals, clean claims, and denial prevention.

Role Description As a Licensed Practical Nurse (LPN) with Evergreen Nephrology, you are responsible for conducting monthly clinical check-ins, identifying and addressing clinical concerns, reinforcing care plans, escalating issues appropriately, and ensuring clinical documentation accuracy across both the EHR and partner technology platform. This position requires clinical judgment, licensed expertise, and the ability to support patients between office visits while collaborating closely with Evergreen’s providers, care teams, and leadership. LPNs are essential to delivering a safe, compliant, clinically credible Connected Care Program. The program uses SMS as the first-line channel for patient engagement, with phone outreach used when appropriate. While this position is fully remote, you must be able to work from 8:30am – 5pm in the Pacific time zone. Role Responsibilities - Patient Engagement & Outreach - Perform monthly CCM touchpoints for assigned patient panels. - Build strong, ongoing relationships with patients and caregivers through regular outreach. - Review patient chart data (diagnoses, kidney disease history, medications, labs, imaging, treatment cycles) before calls. - Explain CCM participation and reinforce program benefits. - Clinical Assessments & Judgment - Conduct structured symptom assessments (pain, fatigue, neuropathy, SOB, nausea, etc.). - Evaluate changes in condition using licensed clinical judgment. - Assess medication adherence issues, side effects, or confusion about regimen. - Identify clinical red flags requiring escalation (e.g., worsening symptoms, new SOB, uncontrolled pain, concerning vitals). - Escalation, Coordination & Provider Communication - Escalate urgent issues based on defined triage pathways (same-business-day or immediate). - Collaborate with the provider team on symptom changes, new concerns, or medication-related issues. - Route EHR messages with clinically relevant documentation. - Assist in coordinating care: scheduling follow-up, arranging labs, ensuring nephrology appointments are kept, and reducing missed care. - Care Plan Reinforcement & Patient Education - Reinforce provider-developed CKD and chronic disease care plans. - Provide clinical explanation of symptom management instructions (within LPN scope). - Support adherence to medications, lifestyle changes, and follow-up instructions. - Identify social, behavioral, or access barriers and determine appropriate interventions or referrals. - Documentation, EHR Updates & Compliance - Document all patient interactions clearly in both the EHR and CCM patient management platform. - Track and log qualifying CCM time accurately for billing compliance. - Ensure documentation meets regulatory, internal QA, and partner expectations. - Maintain high call quality and adherence to scripting and workflow pathways. - Quality, Performance & Continuous Improvement - Maintain or exceed: - ≥80% monthly engagement - ≥90% billable conversion - High QA/documentation accuracy scores - Participate in peer reviews, QA audits, coaching sessions, and continuous education. - Identify recurring patient needs and communicate trends to the Program Manager. - Other duties consistent with this role, as assigned. Qualifications - Active LPN or Licensed Vocational Nurse (LVN) license - Minimum 1–2 years of clinical experience in: - Ambulatory care - Population health - Care coordination - Case management - Strong clinical assessment, communication, and documentation skills. - Comfortable working in two systems (EHR + CCM platform) simultaneously. - Ability to manage a structured, metric-driven workflow with reliability. - Intermediate skills with MS Office Suite of products including Outlook and Teams - Able to work effectively in a primarily remote environment: - Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended. - Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role. - Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Preferred Qualifications - Experience in chronic disease management - Prior work in virtual care, remote nursing, or telehealth programs. - Familiarity with CCM regulatory requirements. - Strong patient education and motivational interviewing skills. Compensation The pay range for this role is $55,000-$65,000 annually. Exact pay is determined based on experience, education, demand for the role, and other role-specific factors. This role is also eligible for a quarterly bonus. Benefits - Paid time off starting at 4 weeks for full-time employees - 12 paid holidays per year - Medical, dental, vision and life insurance, including an HSA with employer match - Reimbursement for continuing medical education for eligible roles - A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure - Paid parental leave - A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology

Role Description This role plays a key role in supporting medical record retrieval efforts for quality, compliance, and risk adjustment programs. The position is primarily remote, focused on accessing electronic medical records (EMR) using secure systems. From time to time, onsite retrieval assignments may be required based on project needs. The ideal candidate is detail-oriented, professional, and able to manage assigned tasks independently while maintaining strict confidentiality and adhering to all HIPAA requirements. Remote Download (Primary Work) - Retrieve medical records from EMR/EHR systems using secure, HIPAA-compliant tools. - Perform quality checks to ensure records are complete, legible, and properly captured. - Scan, index, validate, and upload medical documentation into company systems. - Maintain confidentiality and follow all compliance, privacy, and data handling protocols. - Communicate professionally with provider offices when access coordination is required. Onsite Retrieval (As Needed) - Conduct onsite medical record retrieval at designated provider facilities when remote access is not available. - Travel locally within the region and, when required, complete air travel for assignments. - For local onsite work: mileage (Trip Fees) plus hourly or record pay (whichever is higher based on pay cycle) is provided. - For assignments requiring air travel: company covers flights, lodging (if applicable), and rental car per policy. - Safely manage and transport company-issued equipment. Qualifications - High school diploma or equivalent. - Basic computer literacy and comfort navigating EMR/EHR portals or secure digital tools. - Strong attention to detail, documentation accuracy, and organization. - Effective communication skills and professionalism with provider staff. - Ability to maintain confidentiality and strict compliance with HIPAA. - Valid, active driver’s license (DL). - Clean Motor Vehicle Record (MVR). - Personal vehicle with active insurance under the candidate’s name. - Ability to lift and carry up to 25 pounds (equipment such as laptop bags, scanners, etc.). - Ability to travel locally and complete occasional flights when assignments require. Preferred Qualifications - Previous experience in medical records, EMR/EHR systems, healthcare administration, or provider-facing roles. - Working knowledge of HIPAA and PHI handling. - Prior experience in remote or field-based medical record retrieval. Work Environment & Physical Requirements - Primary work is performed remotely using company-approved access systems. - Periodic field assignments based on project needs. - Local travel typically covers 30-40 miles per assignment; occasional inter-island or regional flying may be required. - Ability to sit for extended periods while working remotely and to stand/walk during onsite retrievals. - Must be able to lift and carry up to 25 lbs. Compensation - Remote EMR Download Work: $12.00 per hour. - Onsite Medical Record Retrieval: For onsite assignments, you will receive either $12.00 per hour or $3.00 per completed record, whichever results in higher earnings for the applicable pay period.

Role Description The HBA Eligibility and Research Associate position is a member of the Post-Pay Eligibility & Research group within the Hospital Bill Audit (HBA) team and supports our auditors and audit process. The primary responsibility of the role is to perform pre-audit and post-audit analysis and research of claims and client contract information to determine eligibility of client claims for HBA audits and overpayment calculations. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule. Primary Responsibilities: - Utilize payer claim systems, where applicable, to review and analyze claims to verify eligibility for HBA audit including determination and updating of the payment methodology, exclusions, and non-covered charges in Optum systems. - Utilize payer claim systems to review contracts between clients and providers to identify contractual rates and guidelines to determine payment accuracy. - Determine overpayment calculation and refund due from provider. - Document outcome of payment analysis and research in appropriate Optum and client payer systems; approve or reject claims for audit based on analysis/research. - Complete annual client compliance training and maintain access to client systems. - Research and respond to operational inquiries. - Provide feedback on ineligible claims where needed. - Other duties as assigned. Qualifications - High School Diploma / GED. - Must be 18 years of age OR older. - 1+ years of experience in medical claims processing/billing/collections and/or contract analysis. - Understanding of payment methodology and the ability to calculate correct payment amounts for claims including, but not limited to percent of charge, stop loss, DRG, per diem, case rate. - Understanding of relevant privacy regulations (e.g., HIPAA). - Proficient computer skills including Microsoft Office suite; Microsoft Word, Microsoft Excel, and Microsoft Outlook. - Ability to work full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. Requirements - Reside within Mainland USA. - Ability to keep all company sensitive documents secure (if applicable). - Required to have a dedicated work area established that is separated from other living areas and provides information privacy. - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Soft Skills - Attention to detail, organizational, problem solving and time management skills with flexibility to adjust to changing priorities. - Math skills; proficiency in the ability to apply proper payment methodologies and calculate payments. - Effective oral and written communication skills plus the ability to develop effective relationships with our internal and external customers. - Must be self-directed and able to prioritize own work; work with Specialists for more complex inquiries. - Confidence in ability to make decisions and support those decisions; work with senior team members on more complex evaluations. - Ability to learn to interpret client-provider contracts and extract necessary information to support the audit process. - Ability to learn and apply applicable federal, state, and local compliance regulations. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). - Hourly pay for this role will range from $17.98 - $32.12 per hour based on full-time employment. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.