• Serve as the primary coverage advisor for complex personal lines matters • Review, analyze, research, and assist in the resolution of litigated and non-litigated coverage and extra-contractual claim matters • Evaluate policy language, claim facts, legal authorities, and applicable state laws to identify coverage issues • Provide guidance and consultation to casualty and homeowner claims personnel regarding coverage questions • Escalate highly complex, novel, or high-risk coverage issues to senior specialists and leadership as appropriate • Monitor legal, regulatory, and case law developments and communicate relevant impacts to claims partners and leadership • Support the development and delivery of coverage and product training materials for claims personnel and business partners

Role Description The DRG Validator ensures the accurate assignment of Diagnosis Related Groups (DRGs) for our patients and applies a thorough understanding of medical coding guidelines, clinical documentation, and reimbursement principles. All team members of Southeast Georgia Health System will promote a culture of safety, follow established policies, and adhere to all state and federal regulatory requirements, Joint Commission requirements, and national patient safety standards. For our team members, this is more than a career — it’s a calling. - Reviews medical records and clinical documentation to verify the accuracy of assigned DRGs to ensure the correct case mix is reflected for our Health System. - Analyzes patient charts to identify discrepancies or inconsistencies in DRG assignment. - Stays updated on changes in coding guidelines, regulations, and healthcare policies affecting DRG assignment. - Demonstrates understanding of policies, procedures and federal guidelines that apply directly to coding, DRG assignment, reimbursement, clinical documentation improvement, and UB 04 standards. - Responsible for reviewing clinical documentation reviews performed for all inpatients prior to billing within the requirements of the Centers of Medicaid & Medicare Services and other regulatory agencies. - Collaborates with coding and clinical staff to resolve coding-related issues. - Participates in coding audits and quality improvement initiatives. - Effectively communicates current and revised coding changes and clarifications to ancillary departments and Medical Staff members. - Works with Quality team as needed. - Performs second review of focus DRG’s, discharge disposition, and Present on Admission flags of encounters prior to billing. Qualifications - College Degree in Health Information Management or related field - 5 years’ Inpatient coding experience - Credentialed coding professional, RHIA, RHIT, CCS, CPC CCS-P required Benefits - Competitive pay - Generous Paid-time-off accrual - 403B retirement savings with company match - Medical/dental/vision insurance coverage - Employee-assistance program - Tuition reimbursement - Legal services plan Company Description Southeast Georgia Health System is in the heart of Georgia's Golden Isles, renowned for gentle breezes, grand oak trees, the sound of the surf, and our prized, ecology-rich Marshes as described by Sidney Lanier in the poem, "The Marshes of Glynn."

• Operate and evolve CRM campaigns in Braze using Canvas, Campaigns, Segmentation, Content Cards and Connected Content, with end-to-end ownership from setup to activation. • Plan, create and optimize automated journeys and lifecycle rules, focusing on customer lifecycle, behavior and business objectives. • Develop and maintain advanced segmentations using attributes, events, behavioral filters and conditional logic. • Execute multichannel campaigns (email, push notifications, in-app, SMS, WhatsApp and web push), ensuring orchestration across channels and a consistent user experience. • Implement dynamic content personalization using Liquid, custom attributes and display logic. • Conduct A/B tests and experiments, defining hypotheses, success metrics and result analyses. • Perform technical and functional QA of campaigns and journeys, ensuring quality, governance and reducing rework. • Monitor and analyze CRM KPIs (engagement, conversion, retention, churn, LTV), generating actionable insights. • Proactively resolve technical and operational issues in Braze, collaborating with data, product and engineering teams. • Contribute to the evolution of CRM strategy by proposing improvements to flows, business rules and communication approaches. • Support documentation of processes, best practices and campaign standards. • Ensure compliance with LGPD (Brazilian Data Protection Law), consent requirements and privacy policies, safeguarding data governance and security. •

• Monitor and track applicable legislation; • Submission of municipal, state, and federal statutory filings and ancillary obligations; • Respond to municipal, state, and federal tax audits and inspections; • Analyze direct and indirect taxes; • Calculation of taxes for standard tax regimes (Presumed Profit - Lucro Presumido and Actual Profit - Lucro Real); • Preparation and analysis of trial balances and company financial statements; • Control, verification, and recording of information to ensure compliance with applicable legislation; • Use of Excel as a support tool; • Provide assistance and take responsibility for accounting queries and practices; • Consolidation of managerial and asset-related transactions.