Lead the Coding Department by supervising staff and optimizing operations to meet national and client-specific KPI benchmarks. Oversee the accuracy of surgery coding and ensure compliance with federal and state audits, including Medicare and RAC.
Med-Metrix
33 Remote Job Openings at Med-Metrix
The Senior Application Developer designs, develops, and maintains high-quality software solutions using the .NET framework. Responsibilities include creating applications from scratch, refactoring code, and providing technical support while ensuring HIPAA compliance.
Lead the strategy to improve yield performance by analyzing clinical and technical denials and implementing mitigation process improvements. Serve as the primary client contact to lead denial prevention committees and provide strategic recommendations for correcting underlying issues.
The Team Lead manages coding workflows and oversees both on-shore and off-shore coding staff. Responsibilities include performing quality assurance, training new staff, and collaborating with auditors and IT to resolve system issues.
The coordinator gathers and disseminates information from hospitals and insurance companies to support collections and denial management. Key duties include verifying member benefits, researching claims, and managing appeal timeframes.
The role is responsible for the consistent application of HR policies and providing guidance to managers and staff on employment matters. Key duties include managing employee records in the HRIS, analyzing retention trends, and ensuring compliance with legal standards.
The Senior Application Developer designs, develops, and maintains high-quality software solutions using the .NET framework. Responsibilities include writing scalable code, refactoring existing systems, and providing technical support while ensuring HIPAA compliance.
The Clerk supports the Denial Management Department by gathering and disseminating information from hospitals and insurance companies regarding denied claims. Responsibilities include updating databases, submitting appeals via portals, and managing patient account inquiries.
The Physician Advisor performs clinical case reviews to ensure medical necessity and optimize the use of hospital resources. They collaborate with medical staff and case management to improve documentation, coding accuracy, and patient length of stay.
The IT Consultant provides expert advice to optimize technology strategies and implement systems that improve business performance and security. Responsibilities include analyzing IT environments, deploying applications, and ensuring compliance with HIPAA standards.
Lead the development team in designing, building, and maintaining scalable healthcare software applications. Coordinate technical specifications, conduct code reviews, and mentor junior engineers while ensuring HIPAA compliance.
Lead the development team in designing, building, and maintaining scalable healthcare software applications. Coordinate technical specifications, conduct code reviews, and mentor junior engineers while ensuring HIPAA compliance.
The specialist ensures the accuracy and completeness of inpatient clinical documentation to support high-quality healthcare data and appropriate coding. This involves performing concurrent chart reviews and collaborating with providers to clarify documentation regarding patient severity and complexity.
The Physician Advisor II leads the PA team by mentoring staff and managing client relationships while performing complex medical necessity case reviews. They collaborate with medical staff and resource management to optimize hospital service use and ensure high-quality patient care.
Clinical Documentation Integrity DRG Downgrade Specialist- Remote
Med-Metrix
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Full Time
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21 days ago
Med-Metrix
Responsible for reviewing and appealing payer-initiated DRG downgrades to ensure accurate reimbursement and revenue integrity. Acts as an educator for providers to improve documentation quality and ensure compliance with coding guidelines.
The QA Auditor conducts audits of appeal writers and automated processes to ensure adherence to internal policies and regulatory requirements in denials management. They provide constructive feedback to staff and develop performance improvement plans to optimize operational efficiency.
Regional Vice President, Business Development - Healthcare Revenue Cycle
Med-Metrix
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Full Time
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a month ago
Med-Metrix
Drive revenue growth by identifying and closing new business opportunities with healthcare organizations for revenue cycle management solutions. Lead the full sales lifecycle from prospecting to contract execution while maintaining strategic partnerships with C-suite executives.
The Senior Software Engineer will design, develop, and ship new full-stack features while improving existing application performance and fixing bugs. Responsibilities include managing AWS infrastructure, implementing APIs, and collaborating with product management to meet requirements.
The Senior Software Engineer will design, develop, and ship new full-stack features while improving existing application performance and fixing bugs. Responsibilities include managing serverless architecture on AWS and collaborating with product management to implement technical requirements.
The Client Manager is responsible for ensuring client satisfaction and retention by managing revenue cycle performance and delivering operational transparency. They act as a liaison between the client and internal operations to drive financial outcomes and resolve service issues.
The Senior Software Engineer will design, develop, and maintain full-stack features for production applications while ensuring scalability and security. They will also manage cloud infrastructure, perform testing, and collaborate with product teams to resolve issues and implement new requirements.
The Senior Software Engineer will design, develop, and maintain full-stack features for production applications while ensuring scalability and security. They will also collaborate with product and engineering teams to resolve issues, perform testing, and monitor application performance post-deployment.
The Physician Advisor performs clinical case reviews to ensure medical necessity, compliance, and efficient resource utilization. They collaborate with medical staff and case management teams to optimize patient care, documentation, and length of stay.
The Inpatient Medical Coding QA Educator is responsible for improving coding accuracy and compliance by designing targeted educational programs based on quality assurance findings. This role involves facilitating coaching sessions, monitoring performance metrics, and ensuring alignment with official coding guidelines and payer-specific rules.
The Patient Resolution Specialist manages high-volume inbound and outbound calls to secure payments and resolve account inquiries for hospital clients. They are responsible for documenting account statuses, researching payment options, and ensuring all activities comply with HIPAA privacy standards.
The role involves assisting with the development, maintenance, and optimization of SQL Server databases supporting enterprise applications, alongside modifying existing software for enhancements and performance improvements. Responsibilities also include executing safe SQL changes on live databases, developing testing strategies, and committing quality code to meet roadmap goals.
The Licensed Appeal Writer reviews insurance claims denied for payment on behalf of client hospitals, working with nurses and team members to develop strategies and create written appeal letters. Duties include managing the appeal workflow according to various deadlines while strictly adhering to HIPAA standards for handling protected health information.
The Denials Management Coder is responsible for reviewing denied claims for coding-related errors and determining appropriate actions. This includes making corrections to individual accounts and ensuring compliance with government and local guidelines.
The IP QA Educator is responsible for enhancing coding accuracy and compliance through targeted education based on QA findings. This includes designing curricula, leading coaching sessions, and monitoring coder performance.
The Senior Software Engineer develops information systems by designing, developing, and installing software solutions. Responsibilities include implementing application design, developing frameworks, improving application performance, and coordinating project requirements.
The Senior Database Engineer will collaborate with cross-functional teams to define, design, and ship new features while improving existing functionality. They will also fix reported bugs and work towards improving application performance.
The Trainer, Medical Coding is responsible for conducting medical coding education for new and existing coders. This includes developing training modules, maintaining knowledge of coding guidelines, and providing ongoing education to staff.
The Trainer is responsible for conducting medical coding education and developing training modules for new and existing coders. They also maintain knowledge of coding guidelines and provide ongoing support and assessments.
