• Work with client account teams to understand client projects • Take the lead on special projects involving data interpretation and analysis • Deliver account results with clients by phone and email resources • Interpret Experian dedicated software for implementation and delivery of results • Commitment with Experian Security guidelines in the management of clients' sensitive information

• Review and analyze title commitments for irregularities. Determine solutions for irregularities and act on determination to resolve. • Work with available resources to resolve any title related issues. • Review and grade title reports. • Provide exceptional customer service. • Provide accurate and timely communication of all updates, details, etc. to all parties involved in the transaction. • Data entry into multiple technology platforms. • Responsible for completing title claim packages for submission. • Monitor status of submitted claims and resolution with title retained, foreclosure or outside counsel. • Ability to recognize, mitigate and escalate potential losses as they arise. Prepare and maintain accurate reporting of all title defects and their status. • Timely completion of all required work functions including task queue, updating, follow up, etc. • Prepare documents such as subordination agreements, affidavits, lien releases, etc. • Perform other duties as assigned.

Role Description We are seeking a Team Lead, Auditing to join our dynamic Payment Integrity team. This critical role involves leading a team of auditors (such as Inpatient, Outpatient, Professional) conducting comprehensive reviews to ensure the accuracy of claims and maximize overpayment identification. If you possess a CCS credential, a deep understanding of inpatient, outpatient and professional auditing, and a passion for deep analytical work, you will be instrumental in supporting Cohere Health’s commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment. What You'll Do: - Lead and mentor a team of auditors, managing workloads and supporting professional development. - Collaborate cross-functionally to align on production, quality review and meeting defined timelines. - Conduct comprehensive coding reviews to ensure accuracy and reimbursement. - Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. - Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. - Utilize advanced DRG encoder tools to drive efficiency and accuracy in audits. - Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. - Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. - Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. - Maintain and apply knowledge of changes and updates to coding guidelines, reimbursement trends, and health payment policy language. Qualifications - 8+ years experience of performing MS-DRG and ARP-DRG reviews for a Payment Integrity vendor or Payer. - 2-3 years of supervisory/management experience, including supervising and training in a remote work environment. - CCS (Certified Coding Specialist) credential highly preferred. - RHIA, or RHIT credential, Associate's Degree in Health Information Management, Nursing, or related field preferred. - Preference for candidates holding both a coding credential and an HIM credential (RHIA/RHIT). - Requires advanced expertise in ICD-10-CM/PCS coding and the ability to exercise discretion and professional judgment in assessing complex clinical information, validating diagnosis code assignments, and identifying discrepancies such as coding errors or upcoding. - Prepares clear, concise, and well-supported audit findings, referencing authoritative sources such as AHA Coding Clinic and ICD-10 guidelines, ensuring recommendations reflect professional expertise. - Experience using CMS NCDs/LCDs and clinical criteria guidelines. - Self-motivated and able to work independently in a remote environment while maintaining high performance. - Consistently meets or exceeds established quality and productivity standards while managing priorities and workflow autonomously. - Passion for DRG auditing and a commitment to teamwork, collaboration, and continuous learning. - Excellent written and verbal communication skills, strong analytical skills, and attention to detail. - Inpatient audits experience for case rate and per diem. - Preference for candidates with outpatient and professional claims auditing experience. - Experience working in a start-up or high-growth company environment, demonstrating agility and adaptability. - Familiarity with working with a diverse, global team of talent. - Excellent computer skills and familiarity with a Mac. Benefits - 💻 Fully remote opportunity with about 5% travel - 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program - 📈 401K retirement plan with company match; flexible spending and health savings account - 🏝️ Time Off + company holidays - 👶 Up to 14 weeks of paid parental leave - 🐶 Pet insurance Interview Process - Connect with Talent Acquisition for a Preliminary Phone Screening - Meet your Hiring Manager! - Interview with Subject Matter Expert - Behavioral Interview

• Support orthopedic revenue cycle and denial management operations • Understand the full revenue cycle, including coding, claim submission, payer follow-up, denial resolution, and appeals • Initially focus on orthopedic denials and ERISA appeals • Support billing, coding, accounts receivable, claims follow-up, and denial management needs across multiple specialties