Teams at Alaffia Health

Reviews high-dollar inpatient facility bills, medical records, and automated audit results for coding, billing, documentation, and payment accuracy. Audits UB-04s, revenue codes, and itemized charges against clinical records and national or payer-specific guidelines. Documents claim inconsistencies, confirms services were rendered, researches coding accuracy, and helps train automated claims-auditing systems. Requires inpatient coding or auditing experience, a coding certification, and at least three years of bill review experience.

Alaffia’s Talent Pool invites candidates interested in future opportunities at its NYC-based healthcare AI startup. Applicants can submit their information and a cover letter describing their motivation and preferred business areas or roles. The talent team will retain profiles and proactively contact candidates when suitable positions become available. The company develops AI-powered copilots and agents to reduce healthcare administrative burden, billing waste, and costs.

Manage the end-to-end payment integrity audit lifecycle, including provider documentation requests, follow-ups, inbox triage, audit finding letters, case tracking, and communication logging. Maintain accurate, compliant workflows, improve SOPs, coordinate with clinical auditors, appeal teams, and product teams, and provide professional, empathetic provider support. Use Microsoft Office and Google Workspace tools, including spreadsheets, formulas, filters, and pivot tables, for tracking and reporting.