Full Time
Part Time
Mederva Health
Remote
About the role We run a fast-growing care management program billed under partner clinic TINs across a mixed payer population. We need an expert to tighten CoCM billing yield while keeping documentation audit-proof as we scale from ~24 clinics to 100+. The right candidate will be able to convert this into a full-time role with equity, and grow with the company. Looking to hire ASAP.
What you’ll own
Design and audit CoCM and CCM billing workflows , including appropriate patient stratification between programs.
Define clear, defensible criteria for assigning patients to CoCM vs CCM (and transitions over time).
Build “gold standard” documentation templates and checklists for 99492/99493/99494, 99490, 99439 , and related codes as applicable.
Design simple, audit-proof time capture and attribution workflows across care team members.
Create and run a QA sampling plan with feedback loops for care teams and clinic billers.
Partner with...