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Responsible for collecting health information, creating useful summaries, and developing personalized action plans in a virtual health care environment.

Primary Responsibilities

• Outbound calls to new members to welcome them to 4D Healthware’s CCM Program and explain benefits.
• Review plan of action with members and assist members, as needed, with follow up medical appointments
• Use clinical judgment (within scope of practice), decision support tools and technology to perform needs-matched, time appropriate resource allocation in support of planned and unplanned care.
• Appropriately documents patient activities and interventions in a timely fashion.
• Communicate effectively and provide premier customer service to members and providers.
• Communicates with members/significant others in a diverse cultural, socioeconomic age group.
• Interview patient and family members to discern deviations/changes patient’s condition. Give direction as appropriate and according to approved guidelines and protocols
• May assist with administrative duties including scheduling appointments, maintaining medical records, billing, and coding for insurance purposes.

Education and Experience Required

• Medical Certification from accredited medical assistant schools
• One year of experience/exposure to medical records
• Requires excellent verbal and written communication skills
• Knowledge of the Health Insurance Portability and Accountability Act (HIPAA)
• Must maintain certification relative to scope of practice and provide certificate

Responsible for collecting health information, creating useful summaries, and developing personalized e-care plans for the 4D Healthware Platform

Primary Responsibilities

• Handle Outbound calls to new members to welcome them to 4D Healthware’s CCM Program and explain benefits.
• Review plan of care with members and assist members, as needed, with follow up medical appointments
• Use clinical judgment (within scope of practice), decision support tools and technology to perform needs-matched, time appropriate resource allocation in support of planned and unplanned care.
• Document patient activities and interventions in a timely fashion.
• Communicate effectively, via phone and email, and provide premier customer service to members and providers.
• Communicates with members/significant others in a diverse cultural, socioeconomic age group.
• Interview patient and family members to discern deviations/changes patient’s condition. Give direction as appropriate and according to approved guidelines and protocols
• Assist in other areas of 4D Healthware program development as the need arises this may require dedication to learning powerful behavior change techniques and a willingness to interact with multiple technology systems
• Competence in seeing a patient and properly diagnosing a patient using a non-face to face technology solution
• Screens and monitors the individual for medical problems and side effects.
• Develops differential diagnostic assessments, assessments of capacity for consent to treatment, risk assessments, patient education, and progress towards treatment goals
•  Manages the medication system in conjunction with the psychiatrist, and documents medication treatment
• Completes medication education and informed consent as applicable.

Education and Experience Required

• Bachelor’s Degree, Nursing Degree, Medical Certification or equivalent years of medical experience preferred
• Three years of experience working in health-related field with cancer patients
• Requires working knowledge of MS Office products.
• Requires excellent verbal and written communication skills.
• Knowledge of the Health Insurance Portability and Accountability Act (HIPAA)
• Must have and maintain a current State of Illinois Registered Nurses License

The 4D Healthware Medical Billing Coder is to review clinical statements and assign standard codes using CPT, ICD-10-CM, and HCPCS Level II classification systems. Medical classification, or medical coding is the process of translating medical reports into a code used within the healthcare industry. The use of medical codes helps summarize medical services and reports. These medical code sets help medical coders document the condition of a patient and describe the healthcare procedures performed on a patient in response to their condition.

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider.

Primary Responsibilities

• Performs accurate data entry by utilizing computerized abstracting system.
• Meets production and quality standards for number of records coded and abstracted.
• Continually assesses and evaluates clinical edit compliance with CMS and industry standards
• Reads and analyzes Medicare policy including final rulings, daily transmittals, bulletins, policy manual updates and more to begin the cycle of product development/maintenance
• Analyzes, reviews, studies and verifies data as it becomes available from government and other policy agencies. This can be a 1,200 page Medicare rule or revisiting a physician fee schedule (data file) that has been reposted
• Contacts various government entities to clarify new and existing policy
• Develops formal clinical edit criteria within system payment rules and develops payment policy rules
• Acts as a clinical liaison and subject matter expert with internal staff and clients
• Engages existing clients to identify specific functionality requirements
• Suggests and presents claim edits to clients for selection
• Coordinates with developers, QA, and client service team members to ensure that clinical edits are implemented accurately and timely
• Writes requirements
• Develops test claims for UAT and QA
• Develops and maintains a high level of proficiency in the Company’s products (software, data) and services (advisory, analytic, training/education), including commercial contracting features as related to the specific area(s) assigned
• Develops and delivers internal and external educational presentations related to Medicare/Medicaid reimbursement or commercial contracting features

Education and Experience Required

• Extensive background of ICD-10 and CPT coding principles
• Extensive knowledge of medical claim editing (NCCI, etc.)
• Knowledge of industry standard payment rules and methods
• Recognized prior expertise in claims processing, payment policy, or contracting
• AHIMA, AAPC or other nationally recognized coding certification [Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification], preferred
• Excellent Communication Skills
• Self-motivated with the ability to work independently and in a team environment
• Critical (analytic) thinking, looking into logic-based details while problem-solving for the overall big picture
• Professional poise: ability to credibly interact with and educate various internal and external groups and individuals (colleagues, clients, industry groups), about effective coding and billing.

The Full-stack Developer will help build tools and UI’s that will be used to maintain and enhance our  4D Healthware Population Health Solution by assisting our lead developer with driving requirement analysis, architecture, design and implementation of our systems, applications, and frameworks. 
Primary Responsibilities

• Assist in the implementation of a Product Management team within 4D Healthware. Managing the 4D life cycle from strategic planning to tactical activities.
• Gather and analyze feedback from sales, marketing, operations and partners/prospects to set the strategic vision for existing products and development of new 4D products.
• Become an expert on competitive and complementary products in the marketplace.
• Research, develop and implement processes strategies for new product development, launch and analysis.
• Involvement in new product concept brainstorming meetings.
• Monitor the status of development projects supporting new features.
• Develop and implement strategy to drive product and customer service onto the web.
• Work closely with customer communication teams to ensure acquisition and retention of 4D subscribers.
• Analyzing potential partner relationships.
• Build a team to support rapid growth expectations.
• Manage the existing stable of products and lead the ongoing development of enhancements to support increased value to customers.
• Design and develop custom web parts, event handlers, timer jobs, workflows, and different levels of group permissions.
• Build cross-browser compatible and highly scalable web applications.

Education and Experience Required

• 3+ years of HTML / CSS with demonstrated expertise
• 3+ years of JavaScript/Python/SQL/DJANGO software development experience with demonstrated expertise.
• Deep understanding of client-side development using HTML and JavaScript
• Proven server-side engineering with JSP/Rails/Spring, HTTP, and REST
• Great communication skills and good with ambiguity.
• An eye for clean, testable, maintainable, and well performing code and UI’s
• Machine Learning experience
• Experience with React and SASS, Java and using AWS products and services in large scale application.

The Clinical Device Specialists will be involved in the 4D Healthware strategic review and planning process, analyzing existing devices and potential new devices that 4D might want to add to our platform.  This will include research and descriptions of medical devices and it involves, educating and training medical staff and patients so they can use the products safely and effectively

Primary Responsibilities

• Research and document accurate information about a range of medical devices that are listed on the 4D Healthware platform
• Ability to demonstrate medical devices to potential 4D Healthware customers
• Patient enough to train medical staff and potential customers – for example, Doctors, Nurses, LPN, MA’s • Give confident presentations and workshops to groups of medical professionals
• Explain how a product can fit into a clinical practice or setting
• Stay up to date with new clinical evaluations of the product and innovations in their specialist field – these then need to be communicated to their customers
• Observe and report on competitors of 4D Healthware and the devices they are using to care for patients if available
• Review and approve all medical devices that are reimbursable by Medicare and/or private insurance indicating which reimburses or if both reimburse
• Provide, compile and maintain a price sheet for minimum and maximum reimbursement amounts for each Medicare reimbursable medical device
• Provide information regarding any changes to the durable equipment laws or requirements.
• Maintain a list of durable equipment providers and an overview of what type of approved Medicare reimbursable devices they supply as it relates to 4D
• Compile and maintain an active list of social service organization s that may fully pay or assist with medical device purchases

Education and Experience Required

• Maintaining an excellent and up-to-date customer databaseOrganize and prioritize a variety of projects and multiple tasks in an effective and timely manner
• Prepare clear and concise reports, correspondence, and other written materials
• Personal qualities of integrity, credibility, and dedication
• Staying on top of emails and phone calls from customers to ensure all their questions and queries are answered
• Arranging and overseeing seamless supply to customers, including training, stock checks and timely deliveries