<div><strong style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">At Sciometrix</strong><span style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">, our goal is to deliver the best-ever personalized care with utmost compassion enabling patients to lead healthier and happier lives. Our commitment to innovation in healthcare technology drives us to lead the way in Care Management, Digital Care Coordination, Value-Based Care, and Population Health.</span></div><div><span style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">We envision a world where advanced technology and human compassion intersect seamlessly to deliver superior patient experiences and outcomes.</span></div><div><br></div><div><span style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">Our mission is to enhance the lives of patients by leveraging digital solutions that reduce hospital readmissions, improve health outcomes, and optimize the delivery of healthcare services.</span></div><div><span style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">At the heart of our philosophy lies the belief that every patient deserves access to the highest quality of care, tailored to their individual needs. We strive to make this vision a reality by pioneering innovative solutions that prioritize patient well-being and provider efficiency.</span></div><div><br></div><div><span style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">With Sciometrix, the future of healthcare is not just about treating illnesses; it's about empowering patients to live their best lives.</span></div><div><br></div>

SCIOMETRIX

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<h2>About Sciometrix</h2>
<p>At Sciometrix, our goal is to deliver the best-ever personalized care with utmost compassion, enabling patients to lead healthier and happier lives. Our commitment to innovation in healthcare technology drives us to lead the way in Care Management, Digital Care Coordination, Value-Based Care, and Population Health. We envision a world where advanced technology and human compassion intersect seamlessly to deliver superior patient experiences and outcomes.</p>
<p>Our mission is to enhance the lives of patients by leveraging digital solutions that reduce hospital readmissions, improve health outcomes, and optimize the delivery of healthcare services. At the heart of our philosophy lies the belief that every patient deserves access to the highest quality of care, tailored to their individual needs. We strive to make this vision a reality by pioneering innovative solutions that prioritize patient well-being and provider efficiency. With Sciometrix, the future of healthcare is not just about treating illnesses—it’s about empowering patients to live their best lives.</p>
<p><b>What's in it for you?</b></p>
<p>🚀 <b>Innovative &amp; Dynamic Tech Product Team:</b><br>Join a forward-thinking digital health company where your expertise in software engineering drives the development of scalable, cutting-edge products. We foster an inclusive, dynamic environment where creativity, technical excellence, and problem-solving contribute directly to transforming virtual care.</p>
<p>📊 <b>Collaborative, Cross-Functional Environment:</b><br>Work closely with product managers, designers, QA engineers, and cross-functional teams to design, develop, and deploy robust software solutions. Your contributions will be central to delivering high-quality, user-friendly digital health products.</p>
<p>🌐 <b>Cutting-Edge Technology Stack:</b><br>Leverage modern programming languages, frameworks, and cloud technologies to build scalable, secure, and efficient solutions. Access advanced tools and platforms to optimize development workflows and drive innovation.</p>
<p>❤️ <b>Impactful Role in Product Development:</b><br>Make a meaningful difference by architecting features, solving complex technical challenges, ensuring code quality, and mentoring junior engineers. Your work directly contributes to creating products that improve healthcare delivery and user experience.</p>
<p>🌍 <b>Global Network &amp; Professional Growth:</b><br>Collaborate with software engineers, product leaders, and technology professionals worldwide. Be part of an organization that values innovation, supports continuous learning, and provides opportunities to grow your technical and leadership skills.</p>
<p>🤝 <b>Commitment to Diversity, Inclusion &amp; Belonging:</b><br>We are committed to building a safe, inclusive workplace where every team member feels respected and empowered. Our leadership prioritizes creating an environment where you can bring your authentic self to work.</p>
<p>💼 <b>Competitive Compensation &amp; Benefits:</b><br>Enjoy a competitive salary aligned with your experience, along with benefits designed to support your well-being and work-life balance, including remote work opportunities, health insurance coverage, accidental wellness cover, company-provided devices, internet reimbursement, paid leaves, and optional holidays.</p>
<p>🏆 <b>Positive &amp; Rewarding Work Environment:</b><br>Join a company recognized for innovation, product excellence, and user satisfaction — where your contributions to software engineering, product quality, and technical innovation are valued, supported, and celebrated.</p>
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<h2>Job Summary</h2>
<p>We are seeking a <b>Prebill Analyst – CCM &amp; RPM Programs</b> to join our Pre-Bill Audit (RCM) team. The ideal candidate will be responsible for ensuring the accuracy, compliance, and integrity of claims submitted under Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs. This role requires strong knowledge of U.S. healthcare regulations, CMS billing guidelines, and hands-on experience auditing medical claims and clinical documentation.</p>
<h2>Responsibilities</h2>
<p>· Conduct routine and targeted pre-bill audits for CCM and RPM claims.<br>· Verify clinical documentation and billing accuracy in accordance with CMS guidelines and U.S. healthcare compliance standards.<br>· Identify billing errors, documentation gaps, inconsistencies, or potential compliance risks and recommend corrective actions.<br>· Collaborate with clinical, operational, and RCM teams to ensure documentation appropriately supports billed services.<br>· Track audit findings, analyze trends, and prepare detailed audit reports for leadership review.<br>· Support continuous quality improvement initiatives by sharing insights and best practices.<br>· Stay up to date with changes in CMS regulations, payer policies, and compliance requirements related to CCM and RPM.<br>· Participate in internal compliance training and audit readiness initiatives.<br>· Provide feedback, guidance, and training to relevant teams to address recurring audit findings.</p>
<h2>Requirements</h2>
<p>Bachelor’s degree in any discipline.<br>Minimum 2+ years of experience in healthcare claims auditing, preferably involving CCM and RPM services.<br>Strong understanding of U.S. healthcare systems, CMS billing guidelines, HIPAA, and regulatory compliance standards.<br>Experience working within RCM workflows and pre-bill audit processes.<br>High attention to detail with strong analytical and problem-solving skills.<br>Excellent written and verbal communication skills.<br>Ability to work independently in a remote environment while collaborating with cross-functional teams.<br>Experience supporting U.S. healthcare clients from offshore delivery (India) is a plus.</p>
<h2>Work Schedule &amp; Location</h2>
<p><b>Location:</b> Remote (India)<b>Shift Timing: 8:00 AM – 5:00 PM EST</b></p>
<h2>Equal Opportunity</h2>
<p>Sciometrix is an Equal Opportunity Employer and is proud to offer equal employment opportunity to everyone regardless of race, color, ancestry, religion, gender, national origin, sexual orientation, age, citizenship, disability, gender identity, veteran status, and more.</p>
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