Role Description
This is a contract role, with the potential to go up to $50,000.
Youโre excited about this opportunity because you will...
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Help support our clinical business intelligence team.
Qualifications
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3+ years of experience working in clinical informatics, healthcare claims analytics, clinical coding, quality measurement, or a closely related healthcare data role.
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Strong working knowledge of clinical code sets, including CPT, HCPCS, ICD-10-CM/PCS, DRG/MS-DRG, diagnosis codes, procedure codes, and how these codes are used in claims and clinical service line definitions.
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Demonstrated experience translating clinical concepts into structured code logic, including defining procedures, conditions, episodes of care, complications, exclusions, or service-line groupings.
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Experience working with claims data and/or clinical quality data to support reporting, algorithm development, measure definitions, or clinical review workflows.
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Ability to review code sets and determine whether they are clinically appropriate, complete, and defensible for the intended use case.
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Ability to work independently with cross-functional teams, including clinical, data, product, operations, and quality stakeholders.
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Strong attention to detail and ability to document coding logic, assumptions, edge cases, and recommendations clearly.
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5+ years of experience in clinical informatics, healthcare claims analytics, quality measurement, clinical coding, or a related role.
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Experience supporting quality algorithm development, clinical measure development, risk stratification, provider evaluation, or outcomes reporting.
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Experience working across multiple clinical service lines, especially surgery, oncology, musculoskeletal care, bariatrics, cardiovascular care, behavioral health, or other specialty care areas.
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Familiarity with quality frameworks or measure programs such as CMS quality measures, HEDIS, MIPS, EOM/OCM, PROMs, complications tracking, readmissions, ED utilization, mortality review, or patient safety indicators.
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Coding certification or related credential, such as CPC, CCS, RHIT, RHIA, CRC, CDIP, or equivalent experience.
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Clinical background or licensure, such as RN, NP, PA, MD/DO, PharmD, or other relevant healthcare training.
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Experience with claims grouping, episode definitions, service-line attribution, procedure/diagnosis mapping, exclusions, complications, and clinical edge-case review.
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Familiarity with healthcare data tools or query languages, such as SQL, Excel/Google Sheets, BI tools, claims platforms, EHR data, or data dictionaries.
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Experience documenting coding logic in a way that can be understood by clinical, product, data, and business stakeholders.
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Prior experience working in a startup, value-based care, Centers of Excellence, provider network, payer, employer-sponsored healthcare, or digital health environment.
Benefits
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Flexible working hours.
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Generous time off.
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Paid parental leave.
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Opportunities to connect with coworkers both virtually and in-person.
Company Description
Weโre a health tech company that brings value-based care to the masses. We help employers deliver a memorable patient experience, immediately lower healthcare costs, and drive better outcomes and achieve this through the power of technology and human-centered design. Since launching in 2014, weโve partnered with Fortune 500 employers and top hospitals across the nation. Weโve been recognized by Harvard Business School and featured in TechCrunch, The Los Angeles Times, Washington Post, and Modern Healthcare. We believe weโre only scratching the surface of our opportunity and weโre looking for incredible people like you to help us realize our full impact.
Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience.