• Analyze operational and workflow data to identify inefficiencies, root causes, and opportunities for process improvement within the Medical Coding Automation product. • Design and recommend scalable solutions that prioritize automation, AI-enabled workflows, and operational efficiency over manual processes. • Collaborate cross-functionally with Product, Operations, Commercial, and R&D teams to support implementation of workflow enhancements. • Create and maintain project plans, presentations, stakeholder communications, and performance metrics to support transparency and execution. • Ensure adherence to medical coding standards, compliance guidelines, and coding quality expectations across workflows and operational processes.

Role Description Accomplishes all of the roles and responsibilities of a Team Leader. Acts as the default Operations leader during the absence of the Operations Manager around the attainment of client KPI, goals and targets. Handles complex and specialized functions and/or teams. Prime program initiatives to drive performance. Regularly interfaces with clients and client representatives on activities and initiatives aimed at increasing performance and resolution of customer issues and client concerns. Primary Responsibilities - Accomplishes all of the roles and responsibilities of a Team Leader, including but not limited to, leading and managing a team of CSR's in the optimal execution of call center operations activities ensuring that each team member meets/exceeds their goals and metrics on a daily, weekly, and monthly basis. Conducts Performance Management activities, supports CSR's/TSR's on their calls, handles escalations, prepares reports and works with other team members for team and program initiatives. - Act as operations prime in the absence of Operations Managers related to management of day-to-day operations, including but not limited to, stakeholder management to facilitate issue resolution and making certain that client KPIs, goals, and targets are met. - Act as a liaison for both internal and external groups for program initiatives. Help create, launch and drive critical account initiatives and programs. - Be a mentor to other Team Leaders; Act as a catalyst for Peer-to-Peer Development. - Support complex and/or multiple products/LOB's/queues and/or manage and/or support resolution/escalation/coach teams and other specialized functions. - Coordinates with Workforce for net staffing requirements and scheduling of agents given leaves, absences, and attrition. Requests for overtime or 6th day work in order to meet service metrics by efficiently handling the forecast and/or spikes in call volumes. - Ensures that all Company and/or Client updates are cascaded to all individuals in the program by conducting regular meetings with Team Leads. Disseminates information in a timely manner, taking into consideration information sensitivity and confidentiality. - Liaisons with Top Management and the Client regarding the program's performance. Analyzes the necessary information (i.e. top and bottom performing teams/agents) and translates this to tangible and relevant data on program performance. - Facilitate on-boarding of new team members including Operations Orientation. Qualifications - 1-2 years call center experience as a team leader or at least six months (6) experience within TIP as a Team Leader, specializing in Customer Care and/or Marketing and Sales and/or Technical support operations. - Working knowledge of call center operations and organization required. - Prior knowledge of client-specifics (i.e. nature of account, metrics, client applications, etc…) preferred. - Proficiency with MS Office applications (i.e. MS Word, Excel, PowerPoint, etc...) and other call center-specific software/systems (i.e. CMS/IEX, NICE, VERINT, etc.). - Supervisory and people-management skills. - Project management skills. - Excellent oral and written English communication skills with professional communication skills both verbal and written business correspondence; planning, organizing and coordination skills; Adaptive to changing work schedules and working hours. - Active listening skills. - Operates with minimal supervision. - Customer orientation. - Time Management and Multitasking skills. Detail-oriented, Analytical, Problem-Solving and Decision-Making skills. - Presentation Skills.

• Ability to time manage, pull reporting, and maintain consistent AR work in a remote setting. • Position reviews charge data entry for accuracy to bill clean claims and works with other internal department to troubleshoot and resolve outstanding service and claims errors. • Performs daily compressive follow up on billed claims for rejections, denials, payment, rebilling, and reprocessing to ensure timely and accurate payments from contracted and non-contracted insurance payers. • Research and resolve incorrect payments following account to final compliant reconciliation and perform appropriate adjustments to accounts where relevant in post payment review. • Answer patient inquiries by phone regarding outstanding account balances and insurance guidelines. • Updates and maintain patient demographics and other information as needed in the EMR to ensure full account accuracy while maintaining strictest confidentiality adhering to all HIPAA guidelines. • Work routine correspondence; performs in office functions as necessary and is available to the supervisor to perform other duties as assigned.

Role Description The Certified Coder is responsible for ensuring that charges are assessed and entered in compliance with applicable coding regulations, standards, policies, and guidelines as established by CMS and the various third-party payers. This requires a thorough understanding of CCI edits and payer rules regarding medical necessity and bundling of services. The Coder is also responsible for assisting with provider inquiries regarding documentation standards as well as providing pertinent feedback to providers regarding the quality of clinical documentation. Coders may work remotely from home, which requires appropriate internet connectivity and physical space to complete work while maintaining HIPAA standards. Qualifications - High School graduate or GED. - Formal coder training strongly preferred. - Certified Professional Coder or similar certifications (CCA, CPC, CCS, etc...) - Minimum of three years of medical coding experience required. - Previous experience with electronic medical records and billing systems required. - Previous experience in procedure coding preferred. - Advanced education may be substituted for some experience. - Skill in using computer and calculator. - Basic skills with Excel spreadsheets. - Knowledge of medical billing and patient accounting services. - Knowledge of medical coding and clinic operating policies and procedures. - Thorough knowledge of regulations, policies, and procedures established by CMS and various third-party payers related to coverage, medical necessity, and bundling of services. - Knowledge of the organization’s policies and procedures. - Ability to examine clinical documentation for accuracy and completeness. - Ability to prepare records in accordance with detailed instructions. - Ability to work effectively with co-workers and supervisors as a team member. - Ability to communicate clearly. - Upholds effective work habits including, but not limited to, regular attendance, teamwork, initiative, dependability, and promptness. - Thorough understanding of ICD-10 and CPT coding required. Benefits - Medical, dental, vision, life insurance. - Flexible spending. - Short term and long term disability. - Several retirement account options with 401K organization match. - Nurse residency program. - Tuition assistance. - Student loan reimbursement. - On-site training and education opportunities. - Employee Discounts to phone providers, local restaurants, tickets to shows, apartment applications, and much more!