Shift is the leading AI platform for insurance. Shift combines generative, agentic, and predictive AI to transform underwriting, claims, and fraud and risk - driving operational efficiency, exceptional customer experiences and measurable business impact. Trusted by the world's leading insurers, Shift delivers AI when and where it matters most, at scale and with proven results. Our culture is built on innovation, trust, and a drive to transform the insurance industry through our SaaS platform. We come from more than 50 different countries and cultures and together we are creating the future of insurance. As part of our US Healthcare Payment Integrity and Customer Success organization, you will use your technical and clinical coding knowledge to help implement and support solutions that improve claim payment accuracy. Working closely with senior specialists, product, and technical teams, you will help validate edit logic, assist with audits, and identify opportunities to reduce waste and recover overpayments for our customers. What you’ll do - Support Claim Accuracy: Assist in managing pre-pay and post-pay workflows, including claim editing and recovery processes. - Operationalize Logic: Help define and validate claim edit logic and payment integrity rules to ensure they are functioning correctly for customers. - Conduct Focused Audits: Perform medical coding audits (inpatient, outpatient, professional) by validating ICD, CPT, HCPCS, and DRG codes under the guidance of senior staff. - Assist with Reviews: Support the customer appeals process by reviewing billed services and assessing their alignment with policies and coding guidelines. - Policy Research: Monitor payer policies and industry benchmarks to identify potential gaps in the current edit library and suggest improvements. - Cross-Functional Collaboration: Partner with Product and Engineering teams to assist in testing, troubleshooting, and User Acceptance Testing (UAT) for new and updated rules. - Documentation: Maintain clear documentation of audit findings and project progress for internal and external stakeholders. What you bring - 2+ years of experience in healthcare claims, provider billing, or health plan payment integrity. - 1+ years as a certified medical coder in a payer, provider, or RCM environment. - Solid Foundation: Working knowledge of Medicare, Medicaid, and Commercial payer regulations. - Attention to Detail: Proficiency in auditing for coding accuracy (ICD, CPT, HCPCS, modifiers). - Analytical Mindset: Ability to review data and identify trends or inconsistencies that impact claim accuracy. - Communication Skills: Strong written and verbal skills; ability to explain technical coding findings clearly to team members. - Adaptability: Ready to learn and grow in a fast-paced environment while managing multiple tasks effectively. Qualifications and core requirements - Education: Bachelor’s degree in Healthcare Administration, Business, or a related field (or equivalent experience). - Certification: Active medical coding credentials required (CPC, CCS, or CCA). Work Authorization: Must be authorized to work in the US without employment sponsorship The range listed is for base compensation. Your actual base salary will vary based on factors including location and individual qualifications objectively assessed during the interview process. In addition to base salary, your total rewards package will include additional components such as incentive pay, equity, and benefits. If you're interviewing for this role, speak with your Talent Acquisition Partner to learn more about the specific details for this position. US Base Salary Pay Range $55,000—$65,000 USD To support our permanent, full time employees at every stage of their careers and lives, we provide a competitive total rewards and benefits package. Here are the global benefits we’d like to highlight: - Flexible remote and hybrid working options - Competitive Salary and a variable component tied to personal and company performance - Multiple Learning and Development opportunities, including Focus Fridays, a half-day each month to focus on learning and personal growth - Generous PTO and paid holidays - Mental health benefits - 2 MAD Days per year (Make A Difference Days for paid volunteering) Additional benefits may be offered by country, based on your eligibility - ask your recruiter for more information. Intern and Apprentice positions may receive some of these benefits - ask your recruiter for more details. At Shift we strive to be a diverse and inclusive workforce. We welcome applications from and hire people who will contribute to the diversity of our company, without regard to race, color, religion, marital status, age, national or ethnic origin, physical or mental disability, medical condition, pregnancy, genetic information, gender identity or expression, sexual orientation, or other non-merit criteria. Shift Technology is committed to providing reasonable accommodations for qualified individuals with disabilities in our application and employment process. Should you require accommodation, please email accommodation@shift-technology.com and we will work with you to meet your accessibility needs. Please be aware of scammers and only trust correspondence that comes from emails ending in "shift-technology.com". We will never do initial outreach to you via Whatsapp/Text/SMS, never ask for banking information or personal identification numbers (ex. Social Security Number) as part of our recruitment process. Shift Technology does not accept unsolicited CVs from recruiters or employment agencies in response to the Shift Technology Careers page or a Shift Technology social media post. Any unsolicited CVs, including those submitted directly to hiring managers, are deemed to be the property of Shift Technology.

Position Summary MUST RESIDE IN ONE OF THESE STATES TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, LA, MA, MI, NV, NM, NC, OH, PA, SC, TN, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST RESIDE IN ONE OF THESE STATES TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, LA, MA, MI, NV, NM, NC, OH, PA, SC, TN, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you. MUST RESIDE IN ONE OF THESE STATES TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, LA, MA, MI, NV, NM, NC, OH, PA, SC, TN, TX, VA, and WA. Responsibilities Essential Functions for Coder I and Coder II: • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels). • Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government. • Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up. • Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals. • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials) • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager. • Utilizes resource material available in department to support accurate coding practices. • Maintains patient confidentiality. • Demonstrates good communication skills both verbal and written. • Maintains 90% accuracy rate. • Attends departmental and other meetings as scheduled. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions • Participates in meeting department goals. • Maintains productivity standards as designated by management. • Assumes responsibility for own professional growth and development through educational programs, research, etc. • Maintains certification status. • Performs other related duties as assigned. Essential Functions for Sr. Coder: • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels) • Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government. • Submits to their direct management any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up. • Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals. • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials). • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager. • Utilizes resource material available in department to support accurate coding practices. • Maintains patient confidentiality. • Demonstrates good communication skills both verbal and written. • Maintains 90% accuracy rate. • Attends departmental and other meetings as scheduled. • Provides data for production reports. • Serves as mentor to Physician Coders I and Physician Coders II • Serves as Management support. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Participates in meeting department goals. • Maintains productivity standards as designated by management. • Assumes responsibility for own professional growth and development through educational programs, research, etc. • Maintains certification status. • Performs other related duties as assigned. Qualifications Education/Training: • High school diploma or equivalent. • Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required. • Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better. Licensure/Certification: One of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders. • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA). • Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA). • Certified Medical Coder (CMC) through Practice Management Institute. Physician Coder I Required Experience: • Minimum of one (1) year coding experience in professional/physician practice coding. • Proficient in multi-specialty E/M coding is preferred Physician Coder II Required Experience: • Three (3) years certified coding experience in professional or physician practice coding. • Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferred • Knowledge of surgical coding is desired Sr. Physician Coder Required Experience: • Five (5) years certified coding experience in professional or physician practice coding. • Proficiency in multi-specialty E/M coding is required • Proficiency in multi-specialty minor bedside procedures is required • Proficiency in (1) specialty surgical coding is required, and multi specialty surgical coding is desired

Employment Type: Full timeShift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range:$19.2123-$28.8184) Performs day-to-day activities required to process credit account balances from patients and insurances within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location. Serves as a member of a team at an assigned PBS location responsible for reducing account receivable credits, communicating with insurance companies, and coordinating with the customer service team to communicate to patients regarding overpayments. Responsibilities require expertise in determining the root cause of credit balances and in taking the appropriate steps to resolve issues resulting in full adjudication of an account. Work activities include posting payments and rejections from insurance companies and rebilling claims as needed to maintain manageable credit accounts receivable and to ensure accurate submission of claims and patient statements. This position reports directly to the Supervisor Payment Posting. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions Performs daily activities of the Payment Posting team which reviews, monitors and performs follow up on insurance, patient, and Medicare credit accounts receivable as part of the revenue cycle process for an assigned PBS location Documents corrections regarding discrepancies created, and outstanding items and exceptions in appropriate systems regarding rejections and follow up activities performed in order to enable others to review claim history on all accounts. Tracks data on payment activity and findings for the Supervisor. Performs account adjustments or write-offs as needed in accordance with the Write-off- Policy. Researches credit balances caused by payment posting and prepares appropriate documentation. Provides feedback to the Cash Posting team based on credits worked. Serves as a back up to the Payment Posting Representatives. Prepares refund checks to patients and insurances and enters data into appropriate system. Performs duties in a manner which promotes accurate cash posting and reconciliation. Adheres to proactive practices, including cash posting of all incoming payments in a timely and effective manner. Performs processes related cash posting to ensure such activities are submitted timely, tracked, trended and reported to key stakeholders. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration or related field, with up to three (3) or more years of relevant knowledge of revenue cycle functions and systems and experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. CPA certification preferred. Experience in a complex, multi-site environment preferred. Proficient in Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Excellent written and verbal communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers. Strong accuracy, attention to detail and time management skills. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Employment Type: Full timeShift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range:$ 19.2123-$28.8184) Performs day-to-day activities required to process credit account balances from patients and insurances within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location. Serves as a member of a team at an assigned PBS location responsible for reducing account receivable credits, communicating with insurance companies, and coordinating with the customer service team to communicate to patients regarding overpayments. Responsibilities require expertise in determining the root cause of credit balances and in taking the appropriate steps to resolve issues resulting in full adjudication of an account. Work activities include posting payments and rejections from insurance companies and rebilling claims as needed to maintain manageable credit accounts receivable and to ensure accurate submission of claims and patient statements. This position reports directly to the Supervisor Payment Posting. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions Performs daily activities of the Payment Posting team which reviews, monitors and performs follow up on insurance, patient, and Medicare credit accounts receivable as part of the revenue cycle process for an assigned PBS location Documents corrections regarding discrepancies created, and outstanding items and exceptions in appropriate systems regarding rejections and follow up activities performed in order to enable others to review claim history on all accounts. Tracks data on payment activity and findings for the Supervisor. Performs account adjustments or write-offs as needed in accordance with the Write-off- Policy. Researches credit balances caused by payment posting and prepares appropriate documentation. Provides feedback to the Cash Posting team based on credits worked. Serves as a back up to the Payment Posting Representatives. Prepares refund checks to patients and insurances and enters data into appropriate system. Performs duties in a manner which promotes accurate cash posting and reconciliation. Adheres to proactive practices, including cash posting of all incoming payments in a timely and effective manner. Performs processes related cash posting to ensure such activities are submitted timely, tracked, trended and reported to key stakeholders. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration or related field, with up to three (3) or more years of relevant knowledge of revenue cycle functions and systems and experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. CPA certification preferred. Experience in a complex, multi-site environment preferred. Proficient in Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Excellent written and verbal communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers. Strong accuracy, attention to detail and time management skills. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.