• plan code new business and plan changes • verify new and existing plans loaded on the company’s claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments • respond to work orders received from examiners to investigate plan issues and irregularities • evaluate testing requests for all new plans prior to loading them into the production system • keep a detailed log of open and completed work • document resolutions to closed work orders • identify inefficiencies within the established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses • create and document a minimum of one new Standard Operating Procedure (SOP) annually • identify, initiate and implement at least one process improvement and/or innovation annually • maintain detailed log of plans that are currently being coded and in the process of being loaded • send confirmations to internal stakeholders when applicable plans have been loaded • work with programmers to test claims and related system programs to verify impact within the Health Care Processing System (HCPS) • utilize all capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members

Title: Medical Revenue Cycle - Collections Specialist Location: Tampa, FL, USA Job Description: Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs. We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive. We are seeking a full-time, remote Medical Revenue Cycle Collections Specialist. The Collections Specialist is responsible for managing accounts receivable activities for accounts in the Networks and Operations business unit. The Collections Specialist will be responsible for assigned open AR reporting with the goal of reducing delinquency for all assigned aging. In addition to customer calls, emails, open AR reporting, and account adjustment recommendations. DUTIES AND RESPONSIBILITIES: - Provide excellent customer service regarding collection issues. - Generate aged AR reports for assigned accounts to review with management. - Thoroughly review open accounts and any issues prior to contacting client. - Identifying, reviewing, and resolving client discrepancies such as overpayment and underpayments. - Develop positive relationships with client contacts to review open AR on a weekly basis to reduce DSO. - Create and maintain collection documentation for each client. Qualifications: - Medical AR experience required - Bachelor’s degree or equivalent experience preferred - Excellent problem solving, time management, prioritization and organizational skills - Exceptional computer skills, including Microsoft Office and web=based applications - Clear, concise, and professional verbal and written communication skills Paradigm Benefits: - Health and wellness: We want our people to be and stay healthy, so we offer a wide variety of value-added HMO, PPO, and HDHP health insurance options with both Cigna and Kaiser Health. - Financial incentives: Paradigm’s financial benefits also help prepare you for the future: competitive pay, flexible spending, paid life insurance, employer HSA, and 401(k) with company match. - Vacation: We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays and a floating holiday. - Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. Paradigm Benefits: - Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions. - Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest. - Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year. - Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program. Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

Title: Inpatient Corporate Coder - Remote based in the US Location: United States Work Type: Remote, Full Time Job ID: 2603010066 Department: HIM/Coding/Transcription Job Description: Description The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC’s and/or other projects where indicated. Responsibilities - Accurately and productively code/abstract patient health documentation for Tenet facilities. - Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. - Assisting in coding quality reviews/audits and second level reviews as needed. - Attends Tenet coding educations and maintains coding credentials. #LI-MJ1 Qualifications Required: - Associates or higher-level degree in a Health Information Management discipline. - Successful completion of at least one AHIMA (American Health Information Management Association) certified program with achievement of the correlating professional credential preferred (RHIA, RHIT, and / or CCS, etc.). - 1-3 years inpatient coding experience. - Skilled and working knowledge of MS Office suite. - Strong technical background and electronic medical record experience. Preferred: - Bachelor’s or higher-level degree in a Health Information Management discipline. - 3+ years of inpatient coding experience. - Coding experience in a large, complex health system. A pre-employment coding proficiency assessment will be administered. Compensation: - Pay: $26.40 to $39.00 per hour. Compensation depends on location, qualifications, and experience. - Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: - Medical, dental, vision, disability, life, AD&D and business travel insurance - Paid time off (vacation & sick leave) - Discretionary 401k match - 10 paid holidays per year - Health savings accounts, healthcare & dependent flexible spending accounts - Employee Assistance program, Employee discount program - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. - For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act is available. #LI-CM7

Role Description The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement. - Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding. - Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement related to HCC capture. Develop and deliver effective education materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture. Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles. - Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education efforts. Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to all federal and coding guidelines pertaining to HCC and risk adjustment. Safeguard medical records and preserve the confidentiality of personal health information through adherence to all relevant policies (release of medical record information, record retention, HIPAA privacy and security). - Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise. Collaborate with providers and office staff to address documentation deficiencies and coding gaps. Qualifications - 2+ years of experience in outpatient coding - 2+ years focused on risk adjustment and HCC principles - Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC coding guidelines and risk adjustment models - Strong understanding of federal and state guidelines on all coding systems and sponsored programs - Proficiency in developing and delivering educational content - Effective interpersonal, communication, and presentation skills (both verbal and written) - Ability to manage multiple priorities and work independently - Computer literacy in medical information systems, records management software, and encoder software Requirements - 4+ years of experience in outpatient coding (preferred) - 3+ years focused on risk adjustment and HCC principles (preferred)