Title: Inpatient Coding Specialist - (2 PT) Location: - San Francisco, CA - Work Setting: Healthcare Facilities - Category: Revenue Cycle - Job Type: Contract - Part Time - Contract Duration: 24 - Est. Pay: $720 / Week - Position ID: 1151086 - Medical Coding Specialist (Inpatient) - Remote Role and Responsibilities: Review inpatient encounters and AI coding recommendations across diagnosis and procedure coding. Assess the reasoning quality and accuracy of AI-generated code assignments, sequencing, and DRG selection. Identify cases where AI recommendations diverge from correct coding practices and explain why. Describe the reasoning patterns behind accurate code selection to our product team to improve AI recommendations — particularly cases where the "right" code is not obvious from documentation alone and requires inference from clinical context, lab values, treatment patterns, or knowledge of how specific clinicians document. Critique presentations and provide subject matter expertise to our GTM team. Required Credentials: Minimum 1 year acute care inpatient coding experience. Experience with MS-DRG and APR-DRG grouping. AHIMA Certification Familiarity with at least one major EHR (Epic, Cerner, Meditech). Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: - Competitive pay & weekly paychecks - Health, dental, vision, and life insurance - 401(k) savings plan - Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. "Pursuant to the San Francisco Fair Chance Initiative, Amergis will consider for employment qualified applicants with arrest and conviction records"

Title: Ambulatory OBGYN Nurse BWH Location: Boston-MA United States Work Type: Onsite, Part Time Job ID: RQ4067242 Job Description: Site: The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The Registered Nurse demonstrates initiative, knowledge, and clinical skills in caring for the patient with complex needs. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation, and evaluation of patient care and is directly responsible to a designated nurse manager or supervisor. For newly licensed nurses, a Bachelor of Science Degree in Nursing is required. Nursing at Brigham and Women's Hospital is known for their excellent clinical practice and for keeping patients and their families at the center of all they do. We understand that great care is shaped by relationships with patients and their families. That's why we're committed to knowing our patients on a deeper level - not just as patients, but as individuals - to ensure that they, and their families, feel known and cared for. At BWH, we proudly work together with a spirit of inquiry and a deep commitment to providing the highest quality, evidence-informed and theory-guided care. We work each day to achieve our vision - to provide excellent care to patients and families, with the best staff, in the safest environment. Just as we have been able to reinvent health care, we have also transformed health care careers. Whether measured in terms of lives saved, awards earned, or the personal satisfaction of stretching your talents - a career with BWH is unlike any other in the health care field. Here you'll find a workplace where collaboration and teamwork are the norm, not the exception - physicians, nurses, technicians, staff and management form a close-knit bond, based on mutual respect and devotion to our patients. If you want an enormously fulfilling career, there's no better place to be. The Staff Nurse will be responsible for: - Providing care for patients at the BWH main campus in the General/Resident OB clinic supporting both resident and midwife patients - Telephone Triage of OB Patients - Communicating with and providing nursing care to OB Patients via Patient Gateway - Working collaboratively to provide excellent care to patients and families in the safest environment - Working collaboratively with attending physicians, midwives, residents, fellows, physician assistants, social workers, and medical and practice assistants to meet the needs of our obstetric patients. - Administration of IM, SC, and PO medications as ordered and per protocol. - Interpretation and follow-up routine prenatal labs and genetic testing per protocol. - Patient education on obstetrical topics, including birth control counseling - Maintaining flexibility in meeting the changing needs of clinic assignments and workflows. - Must be a team player, multi-tasker, hardworking, reliable, trustworthy, and empathetic. - Working collaboratively to provide excellent care to patients and families in the safest environment. Qualifications Education: - Graduate of an approved school of nursing with current registration in Massachusetts. A Bachelor of Science Degree in Nursing is required for newly licensed nurses. Experience: - A minimum of 3 years of clinical nursing experience is required. - Nursing experience in an ambulatory OB clinic/practice setting is required. - L&D nursing experience preferred. - Postpartum nursing experience is preferred. - Bilingual is preferred. Other: - Membership in professional organizations is recommended and certification in a specialty area is preferred. - Able to work weekend rotation per the MNA contract. Additional Job Details (if applicable) Remote Type Onsite Work Location 45 Francis Street Scheduled Weekly Hours 24 Employee Type Regular Work Shift Day (United States of America) Pay Range $41.71 - $105.65/Hourly Grade MNA333

Title: Senior Medical Billing and Coding Coordinator (US Remote) Location: United States Job Description: Description & Requirements Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home. This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity. This is a full-time, fully remote position within the United States. This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making. Why Maximus? Work/Life Balance Support - Flexibility tailored to your needs! ️ Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage. Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). Recognition Platform - Acknowledge and appreciate outstanding employee contributions. Tuition Reimbursement - Invest in your ongoing education and development. Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. Professional Development Opportunities-Participate in training programs, workshops, and conferences. Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system accurately and validate date entered. - Research correct coding practices, clearly document and share findings with others. - Write clear and concise rationales that provide defensible support of decisions. - Train staff members on the coding processes (both project specific and general coding). - Perform QA audits on coding process. - Recommend and suggest improvements to assigned projects. - Perform other duties as assigned by management. - Apply California Workers' Compensation regulations and calculate fee schedule allowances. - Evaluate the accuracy and appropriateness of coded and billed medical information - Develop final determination letters based on regulatory and clinical standards - Abstract key data from complex case files and medical records - Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines - Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules - Collaborate virtually with cross-functional teams to drive quality and compliance Minimum Requirements - High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience. - Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records. - CPC, CCS, or RHIT Certification required. - Ability to use critical thinking skills. - Must have excellent writing skills. - Experience coding physician, inpatient and/or outpatient medical records required. - Strong computer skills, including Word, Excel, and Outlook. - Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. - Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited) Preferred Requirements - Bachelor's degree from an accredited institution - Experience as a medical claim examiner, reviewing physician and hospital PPO contracts - Experience with California Workers' Compensation Official Medical Fee Schedule - Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule Home Office Requirements - Maximus provides company-issued computer equipment - Private and secure workspace - Reliable high-speed internet service - Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity - Minimum 5 Mpbs upload speeds #ClinicalServices #LI-Remote EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

• Abstract clinical information and assign appropriate diagnosis and procedure codes in accordance with nationally recognized coding guidelines. • Analyze and translate medical and clinical diagnoses, in adherence with the CMS Risk Adjustment Models. • Work as a team with coding team and providers. • Audit patient health assessment, peer coding quality reviews, provider and coding team training and education. • Perform medical chart audits on prospective basis to identify, monitor and document claims and encounter coding information as it relates to Hierarchical Condition Categories (HCC). • Perform coding abstraction and medical chart quality audits to ensure clinicians have accurate clinical documentation to support ICD-10 codes and are adhering to CMS Risk Adjustment guidelines. • Educate clinicians on specific coding issues found in their charts and keep them abreast of coding and documentation guidelines. • Maintain 95% coding accuracy rate. • Maintain production goals. • Perform accurate and timely coding (CPT, ICD-9, ICD-10, HCPCS, modifiers). • Demonstrate advanced knowledge of medical terminology, anatomy, and physiology. • Provide timely correspondence with providers regarding clinical documentation opportunities and queries. • Identify trends through data analysis or chart review, reviewing existing policy for accuracy and developing new policies and recommend solutions to meet objectives. • Keep abreast of mandated regulatory, documentation and coding guidelines to documentation, including demonstrated proficiency with all areas of CPT, ICD-10 and HCPCS coding. • E/M code assignment, auditing, and education. • Perform quality audits, education, and training for coding team. • Work closely with leadership to create coding tools for coding team and providers. • Perform other duties as required or assigned.