• Develop translation maps in an EDI (Electronic Data Interchange) tool; • Work with data transformation tools and mapping specifications to convert data formats to/from EDI formats; • Respond to tickets related to translation maps;

• Apply Medical Coding Standards to Claims & Clinical Documentation • Review and code clinical documentation using ICD, CPT, HCPCS, and internal coding guidelines. • Validate coding accuracy to support compliant billing, reimbursement, and data reporting. • Research missing or unclear information to ensure proper code assignment. • Complete timely coding reviews that enable accurate claims processing. • Conduct Coding Reviews & Identify Discrepancies • Perform audits of claims, encounters, and documentation to detect coding errors or inconsistencies. • Analyze coding patterns to identify trends, risks, or gaps affecting payment accuracy. • Document findings clearly and recommend corrective actions that reduce recurrence. • Communicate audit results to internal partners, ensuring clarity, professionalism, and follow-through. • Troubleshoot Coding-Related Issues Across Operational Processes • Investigate coding impacts on claims adjudication, reimbursement, and provider disputes. • Collaborate with configuration, operations, and provider teams to resolve issues efficiently. • Verify coding rules within system logic and flag discrepancies for correction. • Support issue triage workflows that improve operational stability and payment accuracy. • Support Coding Quality, Compliance, & Documentation Standards • Apply coding regulations, payer guidelines, and organizational policies consistently. • Maintain compliance with regulatory requirements, audit standards, and documentation expectations. • Participate in coding quality initiatives that strengthen accuracy and reduce rework. • Monitor updates to coding rules and support implementation of required changes. • Serve as a Knowledge Resource & Contribute to Team Objectives • Provide guidance to junior analysts on coding practices, documentation requirements, and audit methods. • Assist with training, documentation updates, and knowledge‑sharing within the team. • Participate in process improvement efforts that enhance coding workflows and accuracy. • Contribute to team goals by delivering reliable expertise, consistent quality, and timely work. • Other duties as assigned.

• Prevent and mitigate cyber threats by proactively protecting systems and networks from malicious activity. • Analyze and assess network events and system anomalies within a SOC (Security Operations Center) environment, using security tools to detect and prevent intrusions. • Monitor and tune security alerts generated by devices such as SIEM, IPS, and firewalls, creating and following playbooks for triage and incident escalation. • Collaborate with Level 2+ analysts on threat research and investigations, applying an investigative and curious approach. • Respond to incidents, service requests, problems, and changes related to managed solutions. • Produce analytical reports on security events and incidents and support the development and maintenance of KPIs. • Participate in operational cadence meetings with clients and track progress on new projects. • Analyze and adjust cybersecurity alerts and perform prevention and response activities within your area of responsibility. • Take part in decision-making for incident triage and alert escalation according to established security playbooks. • Propose improvements to security processes and tools, contributing to the effectiveness of SOC operations.

• Prevenir e mitigar ameaças cibernéticas, atuando de forma proativa para proteger sistemas e redes de ações maliciosas. • Analisar e avaliar eventos de rede e anomalias de sistemas dentro de um ambiente SOC (Security Operations Center), utilizando ferramentas de segurança para detectar e prevenir invasões. • Monitorar e ajustar alertas de segurança gerados por aparelhos como SIEM, IPS e firewalls, criando e seguindo playbooks para triagem e escalonamento de incidentes. • Colaborar com analistas de Nível 2+ em pesquisas e investigações de ameaças à segurança cibernética, aplicando uma abordagem investigativa e curiosa. • Realizar atendimentos a incidentes, requisições, problemas e mudanças relacionadas às soluções administradas. • Criar relatórios analíticos sobre eventos e incidentes de segurança e apoiar no desenvolvimento e manutenção de KPIs. • Participar de reuniões de cadência operacional com clientes e acompanhar o andamento de novos projetos.