Coding • irving tx
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Charge Capture, Charge Integrity, and Revenue Integrity profess... Mostrar más
We are strategically building an .We are seeking a Senior Data Developer /Lead to join one of our small, co-located, high-performing squads.This role demands a hands-on contributor who can develop,... Mostrar más
Location: Jacksonville FL / Irving TX.Must Have Technical/Functional Skills:.At least 7+ years of IT and 9-12 years Pega PRPC experience with in-depth hands-on experience in Pega 7.Should be Pega C... Mostrar más
WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans.Training Schedule: Mo... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Mostrar más
Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, includ... Mostrar más
REQUIRED SKILLS* Type minimum of 50 words per minute * * Excellent letter writing skills* Proficiency in MS Excel * Detail-oriented, good follow-through* Proficiency in MS Word * Windows environmen... Mostrar más
Required Education Level: High school Diploma required with submission 2 years working coding cert required- No apprentice Statuses 3-5 years relevant experience after coding cert is obtained requi... Mostrar más
Salary: $105,000 - 120,000 per year.We require 5+ years of hands-on native Android development experience.We are looking for strong Kotlin skills, along with solid Java experience.We need a strong ... Mostrar más
Senior Manager, Medicare Compliance Risk Adjustment.We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience.At CVS Health... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Mostrar más
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Mostrar más
The Information Services Developer II is primarily responsible for designing, developing, and implementing systems based on requirements.The candidate should have good knowledge of development meth... Mostrar más
We’re proud to be named one of.Best and Brightest Companies to Work For.Founded in 1937, Advancial is one of the oldest credit unions in the country.Our mission is to create lasting value for our m... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Mostrar más
To scale up our services we are looking for a Security Automation Developer to provide services to our Cyber Security Services organization.This role will join the existing Automation Development t... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Revenue Cycle Analytics and Decision-Support leaders — includin... Mostrar más
Mercor is hiring PhD and Master's scientists to author AI evaluation tasks (Sci Code) Mercor is partnering with leading AI labs on a new benchmark for scientific computing.You will author original,... Mostrar más
WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans.Training Schedule: Mo... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Charge Capture, Charge Integrity, and Revenue Integrity professionals to evaluate AI tools designed to identify revenue leakage, improve charge accuracy, and ensure coding and billing compliance. Your expertise in charge-capture workflows, CDM management, and revenue-integrity analysis will help us build AI systems that optimise revenue performance and reduce compliance risk. **Responsibilities** - Oversee charge capture, charge integrity, and revenue integrity functions to ensure accurate and compliant charge submission. - Evaluate AI-generated charge review outputs, coding recommendations, and revenue integrity alerts for accuracy and compliance. - Conduct charge audits to identify missed charges, duplicate charges, and charge capture errors across clinical departments. - Manage and maintain the charge description master (CDM), ensuring accuracy of charge codes, revenue codes, and pricing. - Analyse charge patterns to identify revenue leakage opportunities and implement corrective action plans. - Collaborate with clinical, coding, and billing teams to resolve charge capture discrepancies. - Monitor KPIs including charge lag times, charge capture accuracy rates, and revenue integrity findings. - Ensure compliance with CMS billing guidelines, OIG work plan priorities, and payer-specific requirements. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 5+ years of experience in charge capture, charge integrity, revenue integrity, or healthcare compliance. - Deep knowledge of CDM management, revenue codes, charge capture workflows, and billing compliance. - Strong understanding of CMS billing guidelines, Medicare Part A/B billing rules, and OIG compliance requirements. - Proficiency with charge capture systems, EHR platforms, and revenue integrity tools. - Experience conducting charge audits and developing corrective action plans. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify billing errors and compliance risks in AI-generated outputs. **Preferred Qualifications** - CPC, CCS, CHFP, or CRCS credential. - Experience with 340B drug program charge capture and compliance. - Background in hospital, health system, or physician group revenue integrity operations. - Familiarity with AI tools and comfort evaluating AI-generated charge and billing content. - Experience with revenue integrity software platforms and analytics tools. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in healthcare revenue integrity. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
