• Guidehouse is engineering revenue cycle and clinical integrity on a platform that can power the future of health services reimbursements. • Complexity, friction and duplicity impede healthcare transactions. • Our Finance group is focused on ensuring healthcare providers align contracts with the right reimbursement strategies/operations and engineer revenue cycle operations, simplify consumer experience and minimize administrative cost. • You will be responsible for managing client relationships, overseeing account projects, and delivery of work. • This position requires outstanding client management, problem-solving, and communication skills; experience leading complex revenue cycle engineering and operations spanning multiple teams and stakeholders; and managing C-suite relationships and communications. • In this role, you will drive internal strategic and operational initiatives at the convergence of clinical documentation, risk adjustment and the electronic health record. • Support the growth of the team: help hire, develop, and mentor team members; plan by identifying and addressing bottlenecks, gaps, and risks • Develop and maintain strong client relationships that provide leverage for decision-making and effective change management • You will refine Guidehouse Clinical Documentation and Quality solutions and shape our consulting team and deliverables to identify and analyze current clinical documentation and coding to align and achieve excellence in risk adjustment, clinical documentation efficiency and medical management. • Disciplined and focused on business growth, project execution and client satisfaction. • You will develop efficient workflows and implement technology solutions within the operating systems. • Contribute to the design, documentation, and execution of repeatable and scalable client clinical integrity frameworks and client deliverables. • You will provide account management strategies that deliver an industry leading client experience • Work cross-functionally within Guidehouse revenue cycle/finance teams as well as our broader portfolio of healthcare services to bring integrated sustainable solutions to healthcare clients • Proactively contribute to the strategic direction and priorities for the finance/RCM Operations team

Company Description Today, when you go to your doctor and get referred to a specialist (e.g., for sleep apnea), your doctor sends out a referral and tells you, “They’ll be in touch soon.” So you wait. And wait. Sometimes days, weeks, or even months. Why? Because too often specialists and medical services are overwhelmed with referrals and the painstakingly manual process it takes to qualify your referral prevents them from getting around to it on time, or sometimes at all. Tennr prevents these delays and denials by making sure every referral gets where it needs to go, with the right info, at the right time. Powered by RaeLM™ Tennr reads, extracts, and acts on every piece of patient information so providers can capture more referrals, slash denials, and reduce delays. Role Description If you’ve worked in front-end intake, quality control, operations compliance, or audit review in the DME space, this is an opportunity to apply that experience in a new way. We’re growing our documentation and criteria review team to help ensure our platform accurately applies qualification logic based on Medicare, Medicaid, and commercial payer policies. Responsibilities Flag incorrect determinations, including false positives, false negatives, and unclear logic, with structured feedback Compare documentation against Medicare, Medicaid, and commercial payer coverage policies Analyze source materials (insurance policies, LCDs, etc.) to help validate qualification logic Work closely with internal teams to refine prompting logic and improve documentation review standards Maintain clear documentation of findings and contribute to process improvements Qualifications Required You have hands-on DME experience in roles such as intake, documentation review, audits, or quality/compliance You are confident identifying when documentation meets or fails to meet payer requirements You are comfortable reviewing insurance coverage policies and applying them to real-world cases You are highly organized, detail-focused, and confident making policy-based decisions You work well independently and value open communication within a remote team setting Preferred 4+ years working in DME, ideally in documentation review, intake, audits, or compliance roles Familiarity with Medicare, Medicaid, and commercial payer guidelines for DME Understanding of HCPCS codes and common DME categories such as respiratory, mobility, and maternal health Experience with audits or appeals is a strong plus Familiarity with decision logic or rules-based platforms is helpful but not required If you are looking to use your DME knowledge in a meaningful way and want to help shape how technology supports accurate and efficient qualifications, we would love to connect. Why Tennr? Drive Impact: one of our company values is Cowboy, meaning you set the pace. You won’t just talk about things, you’ll get them done. And feel the impact. Develop Operational Expertise: learn the inner workings of scaling systems, tools, and infrastructure Innovate with Purpose: we’re not just doing this for fun (although we do have a lot of fun). At Tennr, you’ll join a high-caliber team maniacally focused on reducing patient delays across the U.S. healthcare system. Build Relationships: collaborate and connect with like-minded, driven individuals in our Chelsea office 4 days/week (preferred) Free lunch! Plus a pantry full of snacks. Benefits Chelsea office Unlimited PTO 100% paid employee health benefit options Employer-funded 401(k) match Competitive parental leave

• Provide high-quality concurrent and/or retrospective clinical documentation review across Ascension markets as assigned. • Float seamlessly between inpatient units, service lines, and CDI teams based on organizational need and leadership direction. • Perform compliant query generation to clarify conflicting, missing, or unclear documentation that impacts coding, severity, quality metrics, and reimbursement. • Maintain productivity and quality standards consistent with senior-level CDS expectations. • Quickly acclimate to local workflows, documentation practices, EHR systems (e.g., Epic, Cerner), and CDI software platforms (e.g., 3M, Iodine, Nuance). • Participate in new market launches, staff orientation, and short-term CDI education efforts as needed. • Assist regional or corporate leadership with implementation of CDI best practices during transition or expansion periods. • Provide mentoring or shadow support to newer CDS team members during onboarding or periods of low census. • Demonstrate excellent communication skills and professionalism in all market interactions, serving as an ambassador of the Ascension CDI model.

• Ensure scientific information is presented clearly and accurately • Coordinates medical writing activities within and across departments • Leads the resolution of comments from the client • Ensures source documentation is managed appropriately • Provides technical support, training, and consultation to department • Mentors and leads less experienced medical writers on complex projects