Lead the development and evolution of scalable document processing pipelines using Go and AWS serverless technologies. Collaborate with cross-functional teams to design system-wide architectures, mentor engineers, and ensure high performance and reliability.
The Program Manager is responsible for designing program governance frameworks and overseeing multiple interrelated projects to ensure alignment with organizational strategy. They coordinate resources, manage cross-project dependencies, and report progress and risks to senior leadership.
The Senior Performance Analyst will collaborate with internal and external partners to improve data quality, streamline concept development, and optimize workflows. They are responsible for interpreting complex healthcare data to provide actionable insights and recommendations to leadership and IT departments.
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 Claims Recovery Analyst I is responsible for identifying, validating, and recovering healthcare claim overpayments through Trend's Payment Accuracy Services. This role involves analyzing medical and pharmacy claims data while collaborating with providers to ensure accurate claim adjustments and resolutions.
The Medical Director provides physician-level clinical oversight, strategic guidance, and escalation support for payment integrity services including DRG validation and clinical appeals. They act as a clinical authority and strategic advisor to leadership while managing payer-facing clinical discussions and peer-to-peer reviews.
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.
