The Software Engineer III will design, develop, and deploy production-grade software across both frontend and backend services while overseeing feature delivery. This role involves leveraging AI-assisted coding tools to accelerate development and ensuring alignment between organizational goals and technical deliverables.
The AI Test Engineer III is responsible for designing and maintaining automated test suites across API, UI, and performance layers while integrating them into CI/CD pipelines. They will also leverage AI-assisted tools to enhance testing workflows and ensure the quality, reliability, and safety of AI-powered systems.
The Claims Analyst III is responsible for identifying, validating, and recovering claim overpayments for commercial and state healthcare clients. They will analyze claims data, research processing policies, and collaborate with management to develop new overpayment recovery concepts.
The Manager of Payer Clinical Services oversees hospital bill audits to ensure accuracy, compliance, and revenue performance while fostering client relationships. They are responsible for mentoring staff, developing training programs, and reporting clinical trends to improve operational efficiency.
The Nurse Coder DRG Auditor III independently audits inpatient and outpatient claims by applying coding and clinical guidelines to validate diagnoses and procedures. They also perform quality checks for team members, provide appeal responses, and support management with strategic enterprise-level recommendations.
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.
