Role Description Execute precise billing operations for U.S. senior care providers, ensuring accurate reimbursement across Assisted Living, Hospice, and RCFE settings. You’ll be the backbone of our revenue cycle, directly impacting financial health while working with cutting-edge billing technology. This role is ideal for someone who has hands-on experience with U.S. healthcare billing workflows and is comfortable navigating Medicare/Medicaid and private payers. Key Responsibilities - Claims Processing: Submit and track claims for U.S. Medicare/Medicaid and private payers, focusing on Assisted Living, Hospice, and RCFE billing requirements. - Denial Management: Investigate and resolve claim rejections, underpayments, and coding errors (ICD-10, CPT). - Documentation Support: Collaborate with clinical teams to ensure service documentation aligns with billing compliance. - Patient Billing: Generate statements, process payments, and address patient inquiries. - Reporting: Assist in generating AR aging reports and reconciliation audits. Qualifications - Must be available to work Pacific Time (California) hours, Monday–Friday. - Minimum 2+ years of medical billing experience within the U.S. healthcare system (senior care settings strongly preferred: ALFs, Hospice, RCFEs). - Proficiency in U.S. Medicare/Medicaid billing rules and EHR systems (e.g., Epic, Cerner). - Experience with U.S.-based payers and reimbursement processes is mandatory. - Knowledge of California-specific billing regulations is a strong plus. - Strong attention to detail and problem-solving skills. - High school diploma required; AAPC certification (e.g., CPC, CPB) is a plus. Benefits - Compensation: $500 base salary, plus up to 20% monthly performance bonus. - Fully remote working opportunity. - Competitive compensation. - Comprehensive medical insurance. - Generous paid time off (PTO). - Ongoing training in AllCare’s tech-enabled billing platforms. - Leadership development pathways.

Role Description The Mid Coding Specialist II works under general supervision to perform accurate and compliant coding of moderate-complexity medical and surgical specialties within a highly specialized academic medical center environment. This role will support cases involving: - Physical Medicine & Rehabilitation/Spine - General Internal Medicine - Hematology/Oncology - Rheumatology Exercises independent judgment in the review of encounters characterized by: - Moderate to high documentation variability - NCCI bundling edits - Payer-specific surgical policies - Advanced modifier application - Co-surgeon and trainee requirements - Validation of incident-to/split-shared services - Teaching physician documentation compliance Evaluates and resolves AI-assisted coding exceptions to ensure coding accuracy, regulatory compliance, audit readiness, and appropriate reimbursement. Work From Home: The successful candidate must live in TX. Does not have to reside in the D/FW area. Shift: 8-hour flex shift, Monday through Friday Qualifications - High School Diploma or GED Equivalent - 2 years of coding and/or billing experience Requirements - Experience coding moderate-complexity specialties and procedures requiring advanced bundling, modifier logic, and payer-specific rule application. - Progressive professional billing and or coding responsibility and advanced technical proficiency. - Experience in academic medical centers, multi-specialty physician groups, or complex ambulatory environments. - Experience resolving charge review edits and back-end coding denials, including root-cause analysis and collaboration with providers and operational leaders. - Experience supporting revenue integrity initiatives, compliance auditing, clinical documentation improvement (CDI), or operational performance improvement efforts. - Experience working independently in a fast-paced, metric-driven, AI-enabled environment managing multiple work queues and shifting specialty assignments. - (CPC) CERT PROFESSIONAL CODER - (CCS-P) CERT CODING SPCLST PHY BA - (CMC) CERT MEDICAL CODER - (RHIA) REGD HEALTH INFO ADMINIST - (RHIT) REGD HEALTH INFO TECHNOLO - (CCS) CERT CODING SPECIALIST - (CPMA) Cert Prof Medical Auditor Job Duties - Meets productivity and quality standards set by coding leadership. - Reviews and validates moderate-complex physician encounter documentation within Epic to ensure accurate and compliant documentation, ICD-10-CM, CPT, and HCPCS code assignment prior to claim submission. - Identifies and mitigates compliance risks associated with moderate-complexity encounters, including: - Multiple interdependent diagnoses - Intermediate-risk procedures - Split/shared and incident to services - Teaching physician documentation - May support multiple specialties in a hybrid role as needed. - Reviews and resolves coding-related edits, including: - NCCI bundling conflicts - Modifier application - MUE limits - Payer-specific requirements - Global surgical package considerations - Evaluates, accepts, modifies, or overrides AI-generated coding outputs from Epic AI Code Assist/Complete, AI E&M LOS Assistant, and applicable third-party platforms using advanced clinical and regulatory judgment. - Resolves AI exception flags, documentation discrepancies, and code conflicts to ensure audit readiness and clean claim release. - Analyzes recurring coding edits, AI variances, and denial trends; performs root cause review and communicates findings to leadership when systemic issues are identified. - Collaborates with providers to clarify documentation and ensure accurate code capture that supports medical necessity and reimbursement. - Supports denial prevention efforts by partnering with billing and denial management teams to resolve coding-related rejections and underpayments. - Maintains working knowledge of ICD-10-CM, CPT, HCPCS, payer policies, LCD/NCD guidelines, and regulatory updates. - Participates in internal audits, quality assurance initiatives, Epic upgrades, and AI workflow optimization projects. - May function in a float capacity, providing coding support to maintain operational coverage and productivity standards. - Adheres to all organizational policies, compliance standards, data security requirements, and performance expectations. - Performs other duties as assigned. Benefits - PPO medical plan, available day one at no cost for full-time employee-only coverage - 100% coverage for preventive healthcare - no copay - Paid Time Off, available day one - Retirement Programs through the Teacher Retirement System of Texas (TRS) - Paid Parental Leave Benefit - Wellness programs - Tuition Reimbursement - Public Service Loan Forgiveness (PSLF) Qualified Employer

Role Description This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. - Full-Time Mon-Fri 8am-4:30pm CST - Comfortable working in a high-volume production environment. - Documenting information in multiple platforms using two computer monitors. - Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance You will: - Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. - Maintain confidentiality and security with all privileged information. - Maintain working knowledge of Company and facility software. - Adhere to the Company's and Customer facilities Code of Conduct and policies. - Inform manager of work, site difficulties, and/or fluctuating volumes. - Assist with additional work duties or responsibilities as evident or required. - Consistent application of medical privacy regulations to guard against unauthorized disclosure. - Responsible for managing patient health records. - Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. - Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. - Ensures medical records are assembled in standard order and are accurate and complete. - Creates digital images of paperwork to be stored in the electronic medical record. - Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. - Answering of inbound/outbound calls. - May assist with patient walk-ins. - May assist with administrative duties such as handling faxes, opening mail, and data entry. - Must meet productivity expectations as outlined at specific site. - May schedule pick-ups. - Other duties as assigned. Qualifications - High School Diploma or GED. - Ability to commute between locations as needed. - Able to work overtime during peak seasons when required. - Basic computer proficiency. - Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. - Professional verbal and written communication skills in the English language. - Detail and quality oriented as it relates to accurate and compliant information for medical records. - Strong data entry skills. - Must be able to work with minimum supervision responding to changing priorities and role needs. - Ability to organize and manage multiple tasks. - Able to respond to requests in a fast-paced environment. Benefits - Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance Company Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

Role Description - Maintain site-specific information for assigned clients. - Verify that the correct contract rate is applied to billing. - Work billing rejections in clearinghouses, including Waystar. - Communicate with and provide documentation to coding and billing departments, including operative notes, implant logs, and pathology reports. - Coordinate document management between the coding team, billing team, and client to support effective claim billing. - Provide feedback, guidance, and training support to billers to correct and prevent charge posting errors. - Monitor the quality of charge entry and claim submission. - Ensure timely filing of claims via electronic or paper submission. - Resolve and reconcile submissions, rejections, and edits daily. - Maintain a clear understanding of the insurance collection process. - Solve problems associated with assigned tasks. - Enter charge corrections provided by AR Specialists and rebill payers as needed. - Correct and resend rejected claims. - Generate end-of-month unbilled reporting. - Apply familiarity with CPT codes, ICD codes, and modifiers. - Calculate pricing for implants and supplies accurately based on site specifics. - Communicate professionally with internal and/or external clients. - Pull case documents for audits as needed. - Post for clients with offshore restrictions as needed. - Perform other assigned duties. Qualifications - Knowledge of medical billing and insurance guidelines is required. - Proven experience working payer rejections at the time of billing, including but not limited to commercial, government, out-of-network, workers’ compensation, and auto-vehicle claims. - Knowledge of computers and Windows-driven software, including Microsoft Word, Excel, and Outlook. - Excellent command of written and spoken English. - Cooperative attitude when working with co-employees, management, patients, and outside contacts. - Ability to promote a favorable company image with patients, insurance companies, and the general public. - Strong attention to detail and speed while working within tight deadlines. - Exceptional ability to follow oral and written instructions. - High degree of flexibility and professionalism. - Experience working in an ancillary or Ambulatory Surgery Center (ASC) environment. - Working knowledge of IPAs and health plans is required. - Comfortable with electronic and manual payer follow-up. - Able to quickly identify trends and escalate as appropriate. - Ability to read, analyze, and interpret insurance plans, financial reports, and legal documents. Benefits - Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance. - Vacation/Sick time. - 401(k) retirement plan with company match. - Paid Holidays. - SIS Cares Day. - Hybrid or Remote environment depending on the role.