Bsn Dual Cpc Certified Command Center Revenue Sheild/Recovery

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: TYPE OF WORK

Full Time

: SALARY

350

: HOURS PER WEEK

40

: DATE UPDATED

Jul 24, 2026

JOB OVERVIEW

BSN Clinical Certified Coder / CPC (The Revenue Shield Pilot)Role Type: Full-Time (3 Openings) | Shift: 4:00 AM – 12:00 PM HST (The Clinical Blitz)Location: Remote / Hawaii Region (Must strictly align with 4:00 AM HST clock-in)Compensation: Competitive Base Salary + Guaranteed Shift Premium + Metric Quality BonusWeekly Shift Premium: $350.00 USD / week (Paid in addition to base salary)Metric Performance Bonus: Monthly cash payout tied directly to keeping denial rates lowPosition OverviewWe are recruiting three elite, dual-credentialed BSN / Certified CPCs to pilot our real-time, pre-submission Revenue Shield and post-submission Revenue Recovery platform. Operating on an advantageous timezone arbitrage window from 4:00 AM to noon HST, you will act as the absolute final gatekeeper for our flagship enterprise client, Maui Medical Group (MMG), before claims reach the clearinghouse.Backed by autonomous Microsoft Agent 365 bots that handle 90% of basic scripting, modifier injections, and documentation gathering in the background, you will manage a highly focused, value-sorted exception queue of approximately 20 complex clinical cases per shift.Core ResponsibilitiesExecute the Clinical Blitz: Log onto our single-page visual canvas at 4:00 AM HST to process high-value claims pre-sorted by dollar amount descending.Skim and Approve: Review pre-compiled clinical evidence windows generated by our bots. Skim extracted EHR chart text sections side-by-side with proposed billing modifiers (e.g., -25, -59), verify compliance using clinical judgment, and click to dispatch clean payloads to the clearinghouse API in seconds.Manage Complex Recovery: Evaluate post-submission clinical denial alerts ingested in real-time via background portal scrapers. Verify automated appeal letter layouts, confirm appropriate chart attachments, and release high-dollar recovery packets back to payer ---------- topilot Queue Optimization: Monitor the "Backlog Fluidity Engine." When real-time morning claim volume from MMG's 5 locations drops below 10 rows, the system will automatically inject high-value historical denials into your queue to maximize your shift utilization.Maintain Digital Fortress Mode: Operating entirely phone-free, you will utilize our automated communication loop to trigger secure, temporary web-link notifications directly to site managers for issues requiring immediate on-site signatures or ---------- pensation, Premiums, & Metric Preservation BonusesTo attract and retain the highest tier of clinical coding talent capable of managing an elite enterprise account, we offer a highly structured, quality-driven compensation package:Base Salary: Market-leading base pay commensurate with your dual BSN and CPC credentials.The $350.00 Weekly Premium: Because this position requires an absolute commitment to our high-velocity 4:00 AM HST clock-in window, you will receive a guaranteed Briefing & Shift Premium of $350.00 cash added directly to your paycheck every single week. This is tied strictly to 100% shift attendance.The "Defensive Fortress" Metric Bonus: We do not bonus on speed or raw transaction volume. We bonus on accuracy and denial suppression. Your monthly cash bonus is unlocked by keeping the post-submission denial rate for Maui Medical Group below our strict corporate thresholds:Tier 1 Quality Bonus: If your team keeps Maui Medical Group's net monthly denial metric below 2.0%, each individual CPC receives a $500.00 cash bonus for that month.Elite Tier Quality Bonus: If your team preserves absolute quality and suppresses the net monthly denial metric below 1.0%, each individual CPC receives a $1,000.00 cash bonus for that month.QualificationsDual Credentials Required: Must hold an active Registered Nurse license with a Bachelor of Science in Nursing (BSN) AND an active professional coding certification (AAPC CPC or AHIMA CCS).Clinical Chart Auditing Experience: 3+ years of acute care, multi-specialty clinic, or high-dollar infusion/surgical clinical chart review experience.High-Velocity Tech Literacy: Comfortable operating a single-page digital dashboard layout (Power Apps/Power BI framework) with strict performance parameters. Must be able to confidently read AI-extracted text segments and make execution decisions in seconds.

SKILL REQUIREMENT

Accounts Receivable Health Education

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Bsn Dual Cpc Certified Command Center Revenue Sheild/Recovery

Please login or register as jobseeker to apply for this job.

TYPE OF WORK

SALARY

HOURS PER WEEK

DATE UPDATED

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