The Nurse Coding Auditor validates the accuracy of CPT, HCPCS, and revenue codes on inpatient and outpatient facility claims. They perform hospital bill audits and itemized bill reviews to ensure services are appropriately documented and billed according to CMS guidelines.
Trend Health Partners
9 Remote Job Openings at Trend Health Partners
Senior Performance Analyst (US Remote)
Trend Health Partners
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Full Time
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14 days ago
Trend Health Partners
The Senior Performance Analyst translates business needs into technical analysis to improve data quality and optimize healthcare workflows. They serve as a liaison between Operations, R&D, and IT to guide organizational improvements and mentor team members.
Perform medical necessity reviews of clinical documentation to determine the appropriateness of in-patient and outpatient services. Ensure contract and policy compliance to develop compelling appeal arguments with high overturn success rates.
The role focuses on identifying, analyzing, and recovering claim overpayments for commercial health insurance and state healthcare programs. It involves researching claims data, developing overpayment concepts, and collaborating with management to improve algorithm effectiveness.
Manager, Payer Clinical Services (DRG)
Trend Health Partners
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Full Time
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16 days ago
Trend Health Partners
Oversee the Clinical Coding Team to ensure high-quality DRG audits and exceptional customer service for clients. Manage staff training, mentor clinical personnel, and report coding trends to drive revenue performance and compliance.
The AI Test Engineer II is responsible for validating the quality, reliability, and safety of AI-powered systems and agent-driven workflows. This includes designing test strategies for ML models, ensuring data integrity, and building automated testing frameworks.
The Project Analyst I supports payer-facing revenue integrity projects by managing invoicing, receivables, and payer inventory workflows. They are also responsible for client reporting and maintaining internal process documentation.
The Claims Analyst is responsible for identifying, analyzing, and recovering claim overpayments for commercial health insurance and state healthcare programs. This includes researching claims systems, developing overpayment concepts, and validating algorithms to ensure accuracy.
Credit Balance Analyst I (US Remote)
Trend Health Partners
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Full Time
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2 months ago
Trend Health Partners
Review and resolve healthcare credit balance accounts by analyzing root causes and partnering with providers for refunds or adjustments. Manage accounts receivable and communicate with internal teams to ensure accurate closure of client overpayments.