• Directly oversee professional coding operations. • Ensure accurate CPT, HCPCS, and ICD-10 coding in accordance with payer and regulatory guidelines. • Monitor coding productivity and quality on a daily and weekly basis. • Conduct routine internal audits and address coding variances promptly. • Lead corrective action plans when audit results fall below target thresholds. • Stay current with CMS, payer, and specialty-specific coding updates. • Oversee timely and accurate charge entry for all clinical services. • Monitor lag days from date of service to claim submission. • Identify and resolve missing charges, interface errors, and documentation gaps. • Implement controls to reduce unbilled inventory and prevent revenue leakage. • Validate modifiers and ensure compliance with payer-specific billing rules. • Review work queues and charge edit reports daily. • Intervene directly in complex or high-risk coding scenarios. • Participate in denial root cause reviews related to coding or charge capture. • Collaborate with AR leadership to address downcoding, bundling, and medical necessity denials. • Monitor and reduce coding-related denial rates. • Conduct detailed vendor performance reviews, including QC results and productivity tracking. • Escalate deficiencies and require documented remediation plans. • Participate directly in operational calls to review aging, denials, and backlog. • Evaluate cost effectiveness and recommend insourcing when appropriate. • Directly manage coding supervisors, leads, and charge entry staff. • Set clear productivity and accuracy expectations. • Conduct performance reviews and coaching sessions. • Provide ongoing education and specialty-specific training. • Develop high-performing coders with expertise in complex surgical and procedural coding (if applicable). • Partner with physicians and practice leadership to improve documentation quality. • Work closely with Revenue Cycle leadership to improve clean claim rates. • Collaborate with IT on system edits, charge interfaces, and automation. • Support new service lines and acquisitions with coding setup and charge master validation. • Track and report on key performance indicators: Coding accuracy rate, Productivity benchmarks, Charge lag days, Coding-related denial rate, Unbilled inventory. • Provide monthly reporting and operational improvement plans to RCM leadership.

• Generate and manage invoices for dental lab cases, including crowns, bridges, implants, dentures, and other restorative products • Review case details to ensure billing accuracy and completeness • Maintain accurate records of pricing, adjustments, and billing codes • Monitor accounts receivable (AR), follow up on outstanding balances, and support collections efforts • Assist with accounts payable (AP), including vendor invoices and reconciliation • Apply payments, track payment terms, and resolve discrepancies • Communicate with dental office clients regarding invoices, billing questions, and payment status • Collaborate with production, case management, and customer service teams to resolve billing issues • Maintain organized and accurate financial data in billing and ERP systems • Support reporting on revenue, aging, and billing trends

Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. The Chart Retrieval Specialist II will continue with the Chart Retrieval Specialist responsibilities, and in addition, will help support with coaching, training, and developing the workforce across multiple regions. The Chart Retrieval Specialist II will be responsible for retrieving medical records (both paper and electronic forms) from various healthcare facilities on behalf of health plans and other clients for retrospective and prospective reviews. In addition, the Chart Retrieval Specialist II will assist with training, coaching, and developing remote and field workforce across multiple states and/or regions. This position is full time. Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm PST. It may be necessary, given the business need, to work occasional overtime. We offer 2 weeks of on-the-job training. The hours of the training will be during normal business hours. Primary Responsibilities - Retrieve Medical Records, whether in person or remotely, from healthcare providers and facilities ensuring all records are obtained in a timely and accurate manner. - Ensure compliance with all federal and state regulations related to medical record retrieval. - Develop and maintain strong relationships with healthcare providers and facilities to facilitate the retrieval process. - Review medical records to ensure completeness and accuracy. - Utilize electronic health record systems to retrieve and store medical records. - Travel to various locations including out of town travel as needed. - Responsible for handling on-site and remote support functions. - Administers Level 1 field support such as scanning hardware and software issues. - Monitors field activity including, daily communications, productivity, and retrieval procedures to ensure all work is done correctly and timely. - Provides guidance, instruction, training, and direction to Chart Retrieval Specialists across multiple regions or states to ensure the highest quality of work. - Assists in team building and ensuring teamwork. - Responsible for routine checks on field team’s work including but not limited to productivity, required deliverables, quality assurance checks. - Maintain a detailed and accurate tracking system to monitor the progress of medical record retrieval requests. - Communicate with internal teams and external clients regarding the status of medical record retrieval requests. - Participate in the development and implementation of process improvements including software/hardware functionality, testing, and implementation to increase efficiency and accuracy. - Requires an individual to maintain the ability to work in an environment with PHI / PII data. - Performs Quality Assurance and Quality Control assessments on request. - Identifies areas of potential growth opportunity for the company and any process improvements to reduce issues with the client. - May be assigned other duties, including supporting other departments. - Must maintain compliance with all company policies and procedures. Qualifications - High School Diploma / GED. - Must be 18 years of age OR older. - 1+ years of medical record retrieval OR health information management experience. - 1+ years of experience with working in electronic health record systems. - Experience with reviewing medical records. - Comfortable troubleshooting basic software and technology issues. - Must be able to travel up to 75% domestically by plane or car. Travel schedule will be coordinated with your manager. - Ability to work full time. Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm PST. It may be necessary, given the business need, to work occasional overtime. Preferred Qualifications - Must possess a valid driver’s license and provide proof of insurance. - Knowledge of federal and state regulations related to medical record retrieval. - Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management). Telecommuting Requirements - Ability to keep all company sensitive documents secure (if applicable). - Required to have a dedicated work area established that is separated from other living areas and provides information privacy. - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Soft Skills - Attention to detail. - Problem solving skills. - Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. - Ability to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. - Ability to work independently and as part of a team. - Ability to prioritize tasks and manage multiple projects simultaneously and carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. - High level of ethics, integrity, discretion, and confidentiality. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). - Hourly pay for this role will range from $18.00 to $32.00 hour based on full-time employment. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

• Process third-party billing, claim resolution, and adjudication • Manage FFS and PPS billing • Conduct census balancing and payor verification • Verify insurance and Medicaid coverage • Knowledge of Dual Coverage, MCR D, and Commercial Plans pertaining to Long Term Care • Assist with all customer billing inquiries in a courteous and professional manner • Enter fees and charges in Framework LTC • Prepare daily, weekly, and monthly pre-bills and account audits • Prepare daily, weekly, and monthly reports • Create statements and EOM summaries • Understand and work with residents on account balances • Follow all applicable government regulations including HIPAA • Other duties as deemed necessary by Billing Manager