Medical Billing and Coding Remote Jobs in Louisiana (US)
This page tracks remote medical billing and coding openings that are location-eligible for Louisiana.
This page tracks remote medical billing and coding openings that are location-eligible for Louisiana.
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OncoHealth, headquartered in Atlanta, Georgia, is a digital health company specializing in oncology. Its mission is to alleviate the physical, mental, and finan
Title: Radiation Coder Location: Remote Job Description: Remote Status: Remote About OncoHealth OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology enabled services. Supporting more than 14 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment review and virtual care across all cancer types. About the Role The Radiation Coder is responsible for supporting the UM Clinical team by reviewing radiation billing codes for accuracy and compliance, triaging radiation cases prior to clinical evaluation, and performing associated administrative tasks. This position is remote-based and will work from 12:00pm-8:30pm EST. Primary Responsibilities - Radiation Case Review - Process cases and request/maintain clinical documentation and transmit timely determinations via the company’s internal system specifically around billing code requirements and concerns - Contact provider and request medical records and/or billing code clarifications as needed - Review and advise of the billing request associated with the primary therapy and/or boost of the requested treatment - Determine the appropriate billing codes quantity once medical necessity of regimen has been determined - Document rationales associated with billing code approvals and denials, as needed - Work in collaboration with the radiation nursing and medical team - Provide Administrative Support - Support radiation department initiatives such as but not limited to scope document maintenance, ICD10 codes updates, policy review and management, and internal ticketing system support - Maintain radiation protocols and appropriate billing codes in the company’s internal system About You - Associate degree or higher - ROCC certification (preferred) or extensive knowledge and experience with ASTRO radiation coding guidelines and revenue cycle radiation coding strategies - Minimum 2-4 years of experience in radiation billing code role - Education minded and ability to teach others at any level in a practical manner - Ability to demonstrate knowledge and skills needed to obtain clinical information for assessment required - Must be able to promote cost-effective medical outcomes About the Location OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be remote or in hybrid work arrangements with offices in Atlanta, GA and Guaynabo, PR. We are open to employees nationwide but work primarily in the Eastern and Central Time Zones. Our Culture Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first! We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together! OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need. The Opportunity The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners & McKesson Corporation, we remain in an investment and growth mode.
Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. We foster an environment where passion thrives, and success comes through shared purpose. Together, we leverage our strengths and experiences to make a positive impact in our local communities. Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. Even when you are working remotely, you are an important part of the Vituity Community. Monthly wellness events and programs such as yoga, HIIT classes, and more. Trainings to help support and advance your professional growth. Team building activities such as virtual scavenger hunts and holiday celebrations. Flexible work hours. Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
Role Description Join the Physician Partnership Where You Can Increase Your Impact. Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients. Seeking Board Eligible/Certified Diagnostic Radiologists. - Current CA state license preferred (or ability to obtain) - Days, nights, and overnight shifts available - Interpret a broad range of diagnostic imaging studies (CT, X-ray, MRI, ultrasound, etc.) - Production-based compensation with uncapped earning potential and shift differentials - Utilize modern PACS and voice recognition technology Qualifications - Board Eligible/Certified Diagnostic Radiologists - Current CA state license preferred (or ability to obtain) Requirements - Ability to interpret a broad range of diagnostic imaging studies - Availability for days, nights, and overnight shifts Benefits - Superior Health Plan Options - Dental, Vision, HSA, life and AD&D coverage, and more - Partnership models allow a K-1 status pay structure, allowing high tax deductions - Extraordinary 401K Plan with high tax reduction and faster balance growth - Eligible to receive an Annual Profit Distribution/yearly cash bonus - EAP and travel assistance included - Student loan refinancing discounts - Purpose-driven culture focused on improving the lives of our patients, communities, and employees
Role Description This position serves VISN 4 Consolidated Coding Service Center located at the Lebanon VA Medical Center. MRTs (Coder - Inpatient) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. MRTs (Coder - Inpatient) perform the full scope of inpatient coding duties. These coding practitioners analyze and abstract patients' health records and assign alphanumeric codes for each diagnosis and procedure. MRT's possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRTs (Coder) select and assign codes from current versions of ICD CM, PCS, CPT, and HCPCS classification systems to inpatient records. Inpatient duties consist of the performance of a comprehensive review of documentation within the health record to assign ICD CM and PCS codes for diagnosis, complications/major complications, comorbid/major comorbid conditions, surgery, and procedures for accurate assignment of DRGs. MRT (Coder) may also provide education related to coding and documentation. Duties include, but are not limited to: - Review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. - Code all complicated and complex medical/specialty diseases processes, patient injuries, and all medical procedures in a wide range of ambulatory/inpatient settings and specialties. - Consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record. - Abstract, assign, and sequence codes into encoder software to obtain correct diagnosis-related DRG, support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered. - Review provider health record documentation to ensure that it supports diagnostic and procedural codes assigned, and is consistent with required medical coding nomenclature. - Query clinical staff with documentation requirements to support the coding process. - Enter and correct information that has been rejected. - Correct any identified data errors or inconsistencies. - Ensure audit findings have been corrected and refiled. - Use various computer applications to abstract records, assign codes, and record and transmit data. Work Schedule 8:00 a.m. - 4:30 p.m. Monday - Friday Pay - Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off - 37-50 days of annual paid time off per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. Parental Leave - After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy - After 60 days of employment, full-time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement - Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. Insurance - Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement). Remote This is a remote position with a pending national approval for return to office exemption for MRT Coders. The supervisor/service line will keep selected applicant abreast of the status of the pending approval. Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Equivalent combinations of experience and education are qualifying. Certification - Persons hired or reassigned to Medical Record Technician (Coder - Inpatient) positions in the GS-0675 series in VHA must have either of the following certifications/credentials: - Apprentice/Associate Level Certification through AHIMA or AAPC - Mastery Level Certification through AHIMA or AAPC - Clinical Documentation Improvement Certification through AHIMA or ACDIS Grade Determinations - GS-4: None beyond basic requirements. - GS-5: One year of experience equivalent to the next lower grade level (GS-04) or successful completion of a bachelor's degree from an accredited college or university. - GS-6: One year of experience equivalent to the next lower grade level (GS-05). - GS-7: One year of experience equivalent to the next lower grade level (GS-06). - GS-8: One year of experience equivalent to the next lower grade level (GS-07).
Role Description The VA Northeast Ohio Healthcare System is recruiting for a Medical Records Technician (Coder-Outpatient) position. The Medical Records Technician (Coder-Outpatient) is located in the Health Information Management Services (HIMs) section within Patient Care Administrative Service. Responsibilities - Assigns codes to the most basic and routine outpatient services and/or inpatient admissions; develops skill and knowledge of health record coding. - Has basic knowledge of medical terminology, anatomy & physiology, and diseases. - Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). - Learns to select diagnosis, operation, or procedure codes based on the accepted coding practices, guidelines, conventions, and policy. - Reviews record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data with guidance and instruction from supervisor or senior coder. - Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database in Austin. - Identifies data errors reviewed with a senior coder or the supervisor and corrections made as directed. - Uses a variety of window-based applications in day-to-day activities and duties, such as Outlook, Excel, Word, and Access. - Develops use of the health record applications (VistA and CPRS) as well as the encoder product suite. - Maintains current knowledge of regulatory and policy requirements affecting coded information. - Corrects any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national VA database within established timelines. - Provides support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, accepted nomenclature, and proper sequencing. - Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines. Work Schedule Monday - Friday, 8:00am - 4:30pm Remote This position is designated as remote. Remote work is defined as full-time employment conducted outside of a VA facility or in VA-leased spaces. The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required. Applicants must live within 50 miles of one of our facilities as they may be subject to the RTO order. Virtual This is not a virtual position. Functional Statement # 91764A, 91765A, 91766A, 91767A, 91768A Relocation/Recruitment Incentives Not Authorized Permanent Change of Station (PCS) Not authorized Qualifications - Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. - Basic Requirements: - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - English Language Proficiency: MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). - Education or Experience: - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Experience/Education Combination: Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must possess one of the following certifications: - Apprentice/Associate Level Certification through AHIMA or AAPC. - Mastery Level Certification through AHIMA or AAPC. - Clinical Documentation Improvement Certification through AHIMA or ACDIS. Requirements - Grade Determinations: - MRT (Coder-Outpatient) GS-4: Experience or Education: None beyond basic requirements. - GS-5: Experience: One year of creditable experience equivalent to the next lower grade level; OR, Education: Successful completion of a bachelor's degree from an accredited college or university recognized by the U.S. Department of Education. - GS-6: Experience: One year of creditable experience equivalent to the next lower grade level. - GS-7: Experience: One year of creditable experience equivalent to the next lower grade level. - GS-8: Experience: One year of creditable experience equivalent to the next lower grade level. Benefits - Not specified in the provided job description.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
Role Description Texas Oncology is looking for a Senior Oncology Surgical Physician Liaison to join our team! This position will support the Gulf Coast Region. This is a full-time Monday - Friday, hours 8:00am-5pm. This is a remote position, but not from home, field-based. Position requires up to 70% travel. The Oncology Liaison, Sr is a sales leader, responsible for prospecting, nurturing and maintaining relationships with referring physicians to achieve practice growth goals. The Oncology Liaison, Sr. is an expert in all aspects of sales planning, analysis, targeting, reporting and development of their respective territory as well as the overall practice. Responsibilities - Initiate, engage and work collaboratively with operational leaders, physicians, site managers, and practice staff to understand/evaluate business needs, plan and execute sales and marketing strategies which align with practice goals; seen as expert in field of oncology liaison sales. - Strategically use professional concepts and company objectives to resolve complex issues and ensure feedback is communicated/followed up appropriately. - Initiate, establish and maintain ongoing communications with referring physicians and/or their office staff, including peer-to-peer, routine or follow-up visits, emails, and phone calls. - Develop and implement practice growth strategy in core markets and partner with Practice Marketing to implement the selling approach in each market. - Utilize CRM, market analysis, trends, and performance reporting to develop sales plans and track practice growth. - Support practice growth efforts through effectively engaging physicians and resources through practice visits, sales calls, tumor boards, community events, trade-shows and cross-business collaboration. - May have supervisory responsibility to train/mentor other Oncology Liaisons. - Adhere to liaison administrative duties, including managing travel expenses within guidelines and budget, timely completion of expense reports, and use of tools such as Salesforce and Business Objects. - The Oncology Liaison Sr. supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards and Shared Values. Qualifications - 4-year undergraduate degree required, preferably with an emphasis in Sales and Marketing, Business Administration, or Healthcare. - MBA preferred but not required. - Minimum five (5) to seven (7) years healthcare sales experience, preferably calling on physician accounts. - Proven record of success in sales, preferably healthcare. - Highly collaborative individual capable of performing in a matrixed environment. - Expert understanding of consultative sales, call cycles, and territory planning. - Fact-based decision maker with strong emphasis on data, trends, and market analytics. - Proficient with CRM and business intelligence reporting, preferably Salesforce and Business Objects. - Strategic thinker and financially oriented individual who understands how to drive profitable growth. - Excellent interpersonal skills; Ability to work with a wide range of individuals, particularly physicians. - Expert in conflict management and resolution skills, handling customer complaints and objections. - Excellent written, presentation and verbal communication skills; Proficient in MS Office (Outlook, Excel, Power Point). Requirements - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - The employee is regularly required to sit or stand and talk or hear. - Position requires full range of body motion including, manual and finger dexterity, and eye-hand coordination. - Position requires standing and walking for extensive periods of time. - Occasionally lifts and carries items weighing up to 40 lbs. - Requires corrected vision and hearing to normal range. Benefits - Competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage. - A generous PTO program. - A 401k plan that comes with a company match. - A Wellness program that rewards you for practicing a healthy lifestyle. - Tuition Reimbursement. - An Employee Assistance program. - Discounts on some of your favorite retailers.
SolutionHealth is a nonprofit organization and integrated health system that offers regional healthcare services. As an employer, the organization strives to cultivate a vibrant an
Role Description The Coding Specialist – Hospital Based, Emergency Department is responsible for reviewing and analyzing Emergency Department medical records to accurately assign ICD-10-CM, CPT, and HCPCS codes for both professional and facility services. This role supports compliant, timely, and optimized reimbursement through a single-path ED coding workflow while ensuring adherence to official coding guidelines, regulatory requirements, and payer-specific rules. The position collaborates closely with Emergency Department providers, clinical staff, CDI, and revenue cycle partners. - Review and analyze Emergency Department clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes for professional and facility components - Assign appropriate ED Evaluation & Management (E/M) levels using current medical decision-making and/or time-based guidelines - Code ED procedures, including injections, infusions, laceration repairs, splinting, and other emergency services - Apply modifiers, units, NCCI edits, and payer-specific billing rules to ensure compliant charge capture - Validate documentation completeness and initiate provider queries when clarification is required - Serve as a subject matter expert in ED-specific coding and reimbursement methodologies - Collaborate with providers, clinical teams, CDI, and revenue cycle partners to resolve coding and documentation issues - Abstract and enter coded data into Epic and other coding/billing systems within established turnaround times - Monitor trends in documentation quality, coding accuracy, and denials; communicate findings to leadership - Maintain productivity and quality benchmarks within ED single-path workflows - Stay current on regulatory updates, coding guideline changes, and payer requirements Qualifications - High School diploma or equivalent - Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) - Minimum of two (2) years of Emergency Department coding experience in an acute care hospital setting - Strong working knowledge of ICD-10-CM, CPT, and HCPCS coding systems - Understanding of ED reimbursement methodologies, including APCs, RVUs, and payer edits - Proficiency with Epic and encoder/coding software - Strong analytical, organizational, and communication skills - Ability to work independently while meeting productivity and accuracy standards - Commitment to confidentiality, HIPAA compliance, and ethical coding practices Requirements - Associate degree in Health Information Management or related field (Preferred) - Additional HIM certifications (RHIT, RHIA) (Preferred) Benefits - Health, dental, prescription, and vision coverage for full-time & part-time employees - Medical, dental, and vision coverage - Life insurance - Short- and long-term disability - Flexible Spending Accounts (FSA) - Competitive pay - Tuition Reimbursement - Nursing Student Loan Paydown Program - 403(b) Retirement Savings Plan - Education & paid training courses for continued career progression - & so much more!
Creating remarkable health experiences, freeing people to be their best.
• Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. ( 65%) • Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. ( 15%) • Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. ( 10%) • Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. ( 5%) • Performs other duties as assigned or required. (5%)
A global research consulting group providing 360° support & services across all facets of clinical outcomes research.
• Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. • Review and validate coding performed by other coders to ensure consistency and accuracy. • Identify ambiguous or unclear terms and query clinical sites for clarification. • Maintain coding conventions and ensure alignment with study-specific and sponsor requirements. • Conduct ongoing coding checks during data cleaning cycles and prior to database lock. • Participate in the resolution of coding discrepancies, queries, and coding-related data issues. • Review safety data for coding accuracy in collaboration with medical monitors and safety teams. • Assist in the preparation of coding-related metrics, reports, and quality documentation. • Participate in vendor oversight activities when coding tasks are outsourced. • Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams. • Work closely with clinical data management to ensure proper term collection and standardization. • Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions. • Support biostatistics and medical writing with queries related to coded terms for analyses and study reports.
Clover is a healthcare technology company helping members live their healthiest lives with our Medicare Advantage plans.
Role Description The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clover's provider Network, Claims, and Tech teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular focus on reducing inappropriate medical spend. As an Inpatient Clinical Coder at Clover Health, you will play a key role ensuring that Clover is able to continue to build and scale a compliant, efficient and profitable program. You will work to ensure quality assurance standards and regulatory policy are reflected in claims processing practices. You will help drive value for every member by ensuring that Clover’s medical claims are paid accurately and recovering overpayments when they are identified. The Associate - Inpatient Coder coordinates the identification of provider DRG denials and upcoding. As an Inpatient Clinical Coder, you will: - Partner with Clinical, Claims, and Payment Integrity peers to review claims for DRG related issues on a prospective and retrospective basis that drive inaccurate payments to providers. - Proactively identify overpayments to ensure accurate claims payments on inpatient services. - Participate in collaborative discussions with MDs to verify the clinical rationale behind billed procedures. - Communicate effectively while building trust and lasting partnerships both laterally and vertically across multi-discipline teams. - Communicate effectively both internally and externally to ensure accurate claims adjudication and proper provider notification. Success in this role looks like: - By the end of your initial 90-day period, you will have demonstrated a strong understanding of clinical coding practices and medical records review, while assisting our team in areas of DRG validation. - By 6 months, you will be working autonomously to execute within our clinical review workflows and will have developed strong interpersonal relationships across the organization. - Continued success in this position anchors in on developing a deep understanding of the workflows that support our clinical review life cycle, while maintaining regulatory compliance standards. Qualifications - You hold a CCS or CIC certification; required. - Knowledge of DRG pricing methodology; required. - You have 1-2 years of experience in inpatient clinical coding; preferred. - Medicare or Medicare Advantage payment integrity or claims operations experience; preferred. - You are technologically savvy with strong computer skills in Excel and PowerPoint. Benefits - Financial Well-Being: Competitive base salary and equity opportunities, performance-based bonus program, 401k matching, and regular compensation reviews. - Physical Well-Being: Comprehensive medical, dental, and vision coverage. - Mental Well-Being: Initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. - Professional Development: Learning programs, mentorship, professional development funding, and regular performance feedback and reviews. - Additional Perks: Employee Stock Purchase Plan (ESPP), reimbursement for office setup expenses, monthly cell phone & internet stipend, remote-first culture, paid parental leave for all new parents, and much more! Company Description We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most. We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives.
Brellium uses AI to review every note against your strictest payor’s latest requirements.
• Own Coding Quality & Compliance • Review and validate E/M coding for behavioral health encounters in a pre-bill workflow • Ensure coding decisions align with documentation, payer guidance, and compliance best practices • Define clear standards for when revenue capture is appropriate vs when risk is too high • Establish Coding Policy & Guardrails • Develop and enforce guidelines for: • E/M level selection (MDM vs time) • Psychotherapy add-on code usage • Documentation requirements and addenda • Act as the escalation point for complex or ambiguous coding scenarios • Support internal QA and calibration to maintain consistency over time • Partner Cross-Functionally • Collaborate with Product and Engineering to operationalize coding rules within Brellium's platform • Provide feedback on automated coding logic and edge cases • Support customer-facing teams in compliance-sensitive discussions when needed • Improve Systems at Scale • Identify patterns in coding risk or opportunity across large datasets • Help standardize best-in-class coding workflows across customer organizations • Contribute to training, documentation, and internal playbooks as the program scales
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