Liberty Solutions is supporting a large health system's facility billing operation, with an immediate need for 10 or more experienced billers to reduce backlog and cover gaps from medical leave and turnover. The work is billing only and centers on resolving claims that are candidates for final bill once the patient is discharged. Resources will work across several high volume billing queues inside SSI, with claim edit resolution grounded in a firm understanding of CMS and Medicare payer guidelines. This role does not involve payer follow up or denial resolution. The team comes in clean on the billing side only. This will be a 6-month contract to start with a high chance of being extended and the possibility of converting to a permanent position.

• 6+ years of hospital and facility billing experience (UB / institutional claims)
• 5+ years of hands on SSI experience (hard requirement; minimal onboarding training available, but candidates must already know the system very well)
• Firm understanding of CMS guidelines and Medicare payer rules
• 5+ years of experience working claim edits
• Strong coordination of benefits (COB) knowledge
• Working knowledge of condition codes, occurrence codes, and the applicable use of modifiers
• Ability to validate and update insurance within the billing system, including payer portal research
• Experience troubleshooting registration driven rejections, including insurance selection, date of birth, and member ID format issues
• Direct experience across secondary claims, delayed claims, SSI edits, EDI rejections, and failed bills
• Knowledge of Star / Altera (formerly McKesson)
• Prior experience on large, high volume facility billing teams or backlog remediation projects
• Dedicated EDI rejection team experience

Key Responsibilities

• Resources need to be plug and play across several billing buckets and will work through an active backlog spanning the following areas:
• Secondary claims, reviewing the primary claim to determine what was billed and dropping the secondary accordingly
• Delayed claims
• SSI edits
• EDI rejections, identifying the correct insurance company, correcting insurance plan details, fixing coordination of benefits, and resolving registration driven errors such as invalid date of birth or member ID format
• Failed bills

Within those queues, day to day work includes:

• Validate insurance coverage, including navigating payer portals to confirm or locate the correct coverage for rejected claims
• Troubleshoot member ID problems (invalid, incorrect, or improperly formatted) and correct coordination of benefits order
• Apply appropriate condition codes, occurrence codes, and modifiers when working claim edits
• Resolve known claim edits within SSI, including Medicare condition and occurrence code edits, and add missing modifiers where required
• Roll up charges and manually key charges as needed to build out claims
• Identify credentialing related claim issues

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Liberty Solutions has a client in need of an IT Business Analyst. This resource will support multiple cloud-based business applications within the IS Administrative portfolio and work with support teams to troubleshoot application defects. The initial contract length is 1 year and this role will be 50% remote and 50% on site.

• Minimum of five (5) years of experience in a client-facing IT role
• Experience with structured Software Development Lifecycle (SDLC) methodologies preferred
• Experience gathering and documenting business requirements, process designs, and reporting requirements preferred
• Experience supporting cloud-based/vendor-hosted applications highly preferred
• Self-motivated with the ability to learn quickly and work independently
• Strong analytical, problem-solving, organizational, and communication skills
• Ability to manage multiple priorities and adapt in a fast-paced, changing environment
• Working knowledge of continuous improvement and project management methodologies
• Functional knowledge of application databases and vendor-supplied configuration/integration tools
• Experience creating process documentation using Microsoft Visio (process flows and swim lane diagrams)
• Strong interpersonal, communication, negotiation, and stakeholder management skills
• Ability to collaborate effectively with stakeholders, end users, vendors, and cross-functional teams to resolve issues
• Basic hardware troubleshooting skills.

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Liberty Solutions has a client in need of an Outpatient Coding Analyst. This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education efforts, serves as the user advocate between Health Information Management (HIM), Clinical Effectiveness, and Registration. Other job duties include: improving health record documentation and coding accuracy, developing and updating all departmental policies and procedures relative to coding, performing quality reviews of coding/abstracting, and focusing on problem solving issues related to denials. Provides assurance that billing practices are complete, accurate, and in compliance with state and federal guidelines. This will be a 3-month contract to start and fully remote with the intent to convert to a permanent position.

• Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to.
• Develops and maintains departmental and hospital policies and procedures and implements new policies and procedures relative to coding.
• Educates and assists physicians and clarifies coding versus clinical issues.
• Works closely with Registration and Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster rates are used.
• Reviews medical record documentation to ensure existing documentation supports diagnostic/procedure code billed per UB 92 or HCFA 1500 form.
• Provides education to coding staff and physicians in response to regulatory changes and identified areas of deficiency.
• Monitors claim rejections and systematically assesses specific types of denial as it relates to coding and documentation issues, outpatient registration, and the receipt of physician orders.
• Attends meetings and provides input as it relates to coding, medical documentation, and reimbursement issues specific to medical billing and regulatory requirements.
• Increases awareness of compliance as it relates to coding and documentation.
• Facilitates and coordinates education of coding staff in the areas of coding, documentation, case mix, and denials.
• Increases understanding of APCs, DRGs, case mix, and denials.
• Educates coding staff to proper documentation necessary to support a DRG/APC/Medical Necessity/ROM/SOI.
• 13 Integrates documentation, coding, and proper oversight to ensure accurate reimbursement.
• Reviews records to verify if the correct code has been assigned.
• Assists with all insurance requested audits and provides information to supervisor related to inaccurate and/or missing documentation.
• Reviews DRG/APC classifications and educates to maximize level of care assignment for increased reimbursement.
• Keeps current on local, state, and federal regulations to ensure compliance.
• Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk.
• Works with Denials Elimination Group and deals with physician specific issues as it impacts denials.
• Ensures LCDs/NCDs are being adhered to by admissions and hospital personnel to ensure qualifying diagnosis covers tests/procedures.
• Analyzes denials and coordinates appeals.
• Ensures corrective action is taken to prevent denials from reoccurring.

Minimum Experience:        

• Five or more (5+) years serving as an Outpatient coding analyst
• Experience Coding within Cerner environments
• Credentialed/certified within Outpatient Coding

Licensure Requirement:      

• RHIA, Coding, or RHIT certification required. Registered Health Information Technologist preferred.

Liberty Solutions has a client in need of a Clinical Informaticist for a major addiction and behavioral health initiative project. This resource is needed to lead interoperability, EHR integration, and clinical workflow design tied to a new comprehensive treatment facility. The new facility will house overdose rehab, sobriety and sobering services, psychiatric care, inpatient care, and locked units, and will need to integrate with the broader hospital and county data environment. The initial contract length is 6 months and the role is 100% remote.

Job Requirements

• Registered Nurse (RN) with active license, or comparable clinical license, paired with a strong informatics background
• 7-8 + years serving as a Clinical Informaticist in a hospital/Health system environment
• Extensive direct clinical experience in behavioral health, addiction medicine, psychiatric care, or a closely related area
• Hands-on EHR build, optimization, or integration experience across one or more systems (NetSmart, Cerner)
• Working knowledge of 42 CFR Part Two and the regulatory environment around substance use disorder records

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Liberty Solutions has a client in need of a part-time Data Scientist to support advanced analytics, machine learning model development, and large language model benchmarking applied to clinical and public health data. This role works alongside an established informatics team already producing peer-reviewed research tied to opiate overdose surveillance, urinalysis and drug screening analytics, and health system strategy. The Data Scientist will focus on the model-development and AI-heavy aspects of the team's research and operational work, partnering closely with a senior biostatistician and the clinical informatics lead. This will be fully remote, 5-15 hours per week and a 6-month contract to start.

Key Responsibilities

• Develop, tune, and benchmark machine learning models in clinical and population health contexts, including work tied to opiate overdose surveillance, adverse event detection, and substance use trends.

• Support active research initiatives including peer-reviewed publications, synthetic dataset generation, and detection of harmful language in medical record systems.

• Build Python-based analytical workflows for de-identified clinical and behavioral health data sets.

• Collaborate with the team biostatistician on advanced analyses that extend beyond standard reporting and dashboarding.

• Contribute to grant applications and research deliverables in coordination with the Office of the National Coordinator (ONC) and other federal and state partners.

• Document model performance, methodology, and reproducibility steps for publication and internal review.

Required Qualifications

• Strong Python development experience with hands-on machine learning model development.

• Working knowledge of common ML libraries (scikit-learn, PyTorch or TensorFlow, Hugging Face, pandas, NumPy).

• Experience working with de-identified clinical, behavioral health, or public health data.

• Comfortable operating independently within a small, research-oriented team.

Preferred Qualifications

• Experience benchmarking or fine-tuning large language models in healthcare or clinical contexts.

• Familiarity with synthetic data generation for clinical NLP use cases.

• Track record of contributing to peer-reviewed publications or grant-funded research.

• Awareness of 42 CFR Part Two and HIPAA constraints around substance use disorder data.

• Comfort with SQL-based data extracts and de-identification workflows (no EHR-specific experience required).

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