firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. The Clinical Documentation Integrity Specialist (CDIS) is a key member of firsthand’s clinical documentation team. We are looking for a scrappy, detail-obsessed individual who will ensure accurate, comprehensive, and timely clinical documentation. The CDIS will enable the best care possible for our individuals by empowering: our care teams to plan appropriate care, our support teams to identify potential population health interventions, and more. This is a full time position. The expected workload is 40 hours per week, with flexible scheduling available in the Eastern, Central, and Mountain time zones. As a CDIS, you will: Perform prospective, retrospective, and concurrent coding reviews based on evaluations of prior visit documentation, lab results, images, external medical records, payer claims data, and more Support pre-visit planning by communicating to firsthand providers individuals’ potential chronic conditions and care gaps with robust and appropriate evidence Ensure accurate, timely, and comprehensive clinical documentation to support code capture, including querying providers when these clinical documentation standards are not met Support medical records requests when providers require additional information prior to addressing and diagnosing potential conditions Work with team leadership to identify chronic condition prevalence trends by individuals’ demographics; identify and execute potential interventions, e.g., ongoing education to firsthand providers and the CDI team, ongoing quarterly retrospective reviews of unaddressed suspects Minimum Qualifications: Base salary range: $70,000 — $80,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time.

• Conduct detailed home health and hospice pre-billing reviews to support Portfolio partners and their agencies. • Identify discrepancies, missing information, and opportunities for documentation improvement. • Utilize information gathered to provide education and facilitate alterations to the HCHB documentation, and process improvements to prevent recurrence. • Direct agencies to use documentation data outcomes for QA improvements. • Ensure documentation accurately reflects the patient’s clinical status and the care provided. • Set up meetings with clinical leaders to provide education, highlight findings, and make documentation recommendations. • Stay current with practices in both home health and hospice fields and suggest educational and resource materials which would be beneficial to the staff. • Recommend new approaches to on-going continued improvements to policies, procedures, and documentation. • Identify trending issues and share them with the team and the clinical leaders. • Stay up to date with all federal, state, and local regulations, as well as organizational policies and procedures to ensure compliance. • Work within and be comfortable with HCHB, PDF-Xchange, Excel, and Smartsheet. • Consistently promote CAPLICO. • Serve as the first point of escalation for documentation review questions. • Provide real-time guidance on documentation standards, interpretation, and expectations. • Reinforce consistency in review methodology across all reviewers. • Hold team alignment meetings to discuss review findings and ensure standardization. • Support onboarding and mentoring of new documentation reviewers. • Identify training gaps and recommend targeted education. • Monitor review quality and provide constructive feedback to promote defensible documentation practices. • Track common documentation deficiencies and trends and share with leadership. • Escalate systemic issues to the Director with recommended solutions. • Assist with workload balance and prioritization when needed. • Monitor turnaround times and flag potential deadline risks. • Reinforce accountability while maintaining a positive and collaborative team culture.

• Conduct individual training and group education sessions on proper coding and documentation practices for physicians and staff consistent with industry standards and in compliance with coding guidelines • Provide new coder onboarding education and support • Review charts and query provider to address documentation reassessment opportunities and to prompt higher accuracy and/or specificity • Conduct post-encounter review sessions with providers either in person or virtual • Focused efforts for other identified performance outliers • Coach, facilitate, solve work problems and participate in the work of the team • Ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines • Work with market to understand what payor audit/documentation requests require compliance review • Direct and timely provider remediation response to compliance audit plan results

Role Description The Senior Scientific Communications Specialist is a professional with scientific, clinical, and therapeutic area expertise, responsible for oversight of staff and client services. The position also provides scientifically accurate and balanced information to internal stakeholders, external healthcare professionals, and consumers in a way that supports business needs; is aligned with regulatory and compliance practices; and is consistent with Medical Affairs and brand team objectives. Qualifications - Advanced degree in pharmacy (PharmD preferred), advanced health care degree, or relevant, equivalent clinical experience. - Fluent in German & English (C1 or C2). - Two to four years of related experience in scientific content review within the pharmaceutical industry, medical education, and/or academia. Requirements - Develop and review content for scientific documents including standard and custom responses, slide decks, dossiers, manuscripts, and other deliverables requested by the client. - Demonstrate ongoing scientific expertise relevant to therapeutic areas, including products, disease state management, and emerging therapies. - Integrate scientific expertise with knowledge of regulatory and compliance guidelines to ensure comprehensive review of materials submitted into approval process. - Create and/or review medical affairs materials and promotional materials. - Apply approved standards of style to created and maintained materials. - Demonstrate proficiency in the use of content management systems as applicable. - Update Standard Response format and content for integration into a global content management system. - Respond to Medical Information Requests (via calls/web/emails/letters) and conduct appropriate scientific information exchanges with the requestors. - Participate in scientific training as appropriate to support assigned brands. - Comply with all guidelines, policies, legal, regulatory, and compliance requirements. - Meet or exceed service levels and targets for internal and external customers. - Participate in training & mentoring of new hires or staff changing support areas. - Serve as a team lead for 1 or more Clients, therapeutic areas, workstreams, or brands. - Coordinate with Client to schedule meetings and training sessions, and ensure that all team members meet all training requirements. - Manage and distribute overall workload for a brand or therapeutic area. - Coordinate, lead, and participate in workstreams, special projects, pilots, or other activities requested by the client. - Serve as key contact for communications between the Client and Med Communications team. - Maintain active role in Quality Assurance processes, including monitoring of performance indicators. - Provide medical information support via multiple venues including virtual presentations and medical meeting booth coverage. Benefits - Remote work opportunity. - Work with a diverse and inclusive team. Company Description Med Communications is committed to providing equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, national origin, age, disability, genetic information, or veteran status.