Title: Coding Quality Reviewer Location: Nashville, Tennessee, United States Job Description: As a Coding Quality Review (CQR) Specialist, you will operate in a work from home environment supporting all CQR team related systems and tools. You will perform internal quality assessment reviews on Health Information Management Service Center(HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Job Responsibilities - Lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven)for inpatient and outpatient coding across multiple HSCs - Assist in ensuring HSC coding staff adherence with coding guidelines and policy - Demonstrate and apply expert level knowledge of medical coding practices and concepts - Participate on special reviews or projects - Maintain or exceed 95% productivity standards - Maintain or exceed 95% accuracy - Meet all educational requirements as stated in current Company policy - Review all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current Qualifications - Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's) - RHIA, RHIT and/or mandatory - IP Coding Auditor for MS-DRG - Must have experience in all body systems – cannot be specialized in one area i.e., Orthopedic etc. - Must have 3 years of hands on coding MS-DRG auditing in a hospital setting. - Cannot be a recent graduate needs experience ideally 10+ years of coding and 3 years of auditing in MS-DRG Inpatient medical records. We cannot employee candidates who reside in California, Alaska, New York or Colorado for any of our work from home positions Will be expected to complete a coding test (20 Multiple Choice/True/False 5-7 Open ended Behavioral questions- 90 minutes long Additional information - FTE’s-4

Role Description Are you a Pharmacist looking to take the next step in your career? Do you dream of a role that not only allows you to continue your passion for healthcare but also offers a refreshing change of pace and work environment? If so, consider the exciting opportunity of becoming a Medical Information Specialist in Medical Information and Medical Affairs with Med Communications International. - Scientific Advancement: - Dive Deeper into Medicine: As a Medical Information Specialist, you'll have the chance to delve deeper into the world of pharmaceuticals and healthcare. You'll be on the front lines of acquiring, organizing, and disseminating critical medical information. - Stay Updated: Pharmaceuticals and medical treatments are constantly evolving. By joining Med Communications, you'll stay at the forefront of the latest advancements. - Transferable Skills: Your experience as a Community Pharmacist equips you with valuable skills like patient communication, drug knowledge, and attention to detail. - Quality of Life Improvements: - Work-Life Balance: Say goodbye to long hours standing behind the pharmacy counter. With our remote work option, you can achieve a healthier work-life balance. - Location Flexibility: Embrace the freedom of working from home. Forget about commuting hassles. - Reduced Stress: The fast-paced nature of community pharmacies can be stressful. As a Medical Information Specialist, you'll experience a more calm and structured work atmosphere. - Career Growth: At Med Communications, we value professional development. You'll have opportunities for growth and advancement in a supportive and nurturing environment. - Competitive Compensation: We offer competitive compensation packages, ensuring your hard work is well rewarded. Qualifications - Licensed Pharmacist - Degree: MPharm - PharmD or Pharmaceutical Sciences - Experience: At least 3 to 5 years as a Pharmacist - Fluent: C1 or C2 - German & French Speaker Requirements - Step 1: Proceed to follow the form instructions - Step 2: Our HR team will review your application with feedback - Step 3: If successful, HR will arrange your Introductory call - Step 4: A potential online language assessment - Step 5: 1st formal interview - Step 6: 2nd formal interview - Step 7: Offer Benefits - Remote work option for better work-life balance - Opportunities for professional growth and advancement - Competitive compensation packages

• Evaluating requests for authorization of clinical services from physician offices and/or imaging centers • Comparing requests against established clinical protocols and authorizing services or referring requests for expert clinical review • Reviewing clinical information submitted by providers and making decisions to issue a review determination • Maintaining current departmental standards related to productivity • Providing outstanding customer service ensuring callers receive the highest possible service • Assisting team members with questions and participating in team meetings

Role Description The Clinical Reviewer will be responsible for: - All clinical certification activities, which include but are not limited to evaluating telephone, fax or WEB requests for authorization of clinical services from physician offices and/or imaging centers. - Comparing requests against established clinical protocols and authorizing services or referring requests for expert clinical review as appropriate. - Understanding complex case specialties and case reviews. - Reviewing clinical information submitted by providers to appropriate criteria and standards and making decisions to issue a review determination or to refer to physician review if criteria are not met. - Maintaining current departmental standards related to productivity. - Training in clinical certification, utilization management, URAC and NCQA principles, policies, and procedures. - Preparing program correspondence as needed. - Serving as a resource for members calling for assistance. - Making outbound calls as required. - Referring provider and member complaints, and appeals to appropriate departments. - Maintaining patient confidentiality in accordance with EviCore standards established in compliance with HIPAA and State regulations. - Providing outstanding customer service ensuring callers receive the highest possible service. - Running and analyzing reports to ensure all tasks are completed in a timely fashion and meet regulatory requirements. - Assisting team members in departmental chats, by phone and in person. - Acting as training assistant when assigned. - Assisting team members with questions and participating in team meetings. - Performing related duties as required. Essential Functions: - Must be able to sit through shift, demonstrate advanced proficiency in MS Office applications. - Excellent communication skills both verbal and written. - Excellent problem solving and customer service skills are required. - Must be self-directed and highly motivated with an ability to multi-task. - Excellent computer skills. - Must be able to hear and speak on the phone for an entire shift. Qualifications - Associates Degree in Nursing required. - Current, unrestricted license as an RN in state of primary residence. - Must have at least 1 year of acute care, managed care, ER, ICU experience or 2 years of clinical utilization management experience. - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Requirements - For this position, we anticipate offering an hourly rate of 31 - 52 USD / hourly, depending on relevant factors, including experience and geographic location. - This role is also anticipated to be eligible to participate in an annual bonus plan. Benefits - Comprehensive range of benefits, with a focus on supporting your whole health. - Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment. - 401(k), company paid life insurance, tuition reimbursement. - A minimum of 18 days of paid time off per year, paid holidays, and leaves of absence.