Teams at Privia Health

Perform baseline, routine, and focused audits comparing medical record documentation to reported CPT/HCPCS and ICD-10-CM codes; interpret and communicate CMS and Medicare federal and state guidelines; serve as an internal coding compliance expert; maintain HIPAA compliance; and support other compliance duties as assigned.

Build and maintain cloud-native full-stack web applications and an automated workflow engine that orchestrates web apps, RPA pipelines, and AI-driven agents. Scale high-availability backend workers, integrate AI prototypes into production, implement monitoring and CI/CD, and mentor junior engineers while collaborating across product and data teams.

Manage payer enrollment for New Jersey independent providers and care centers, maintain payer data in CredentialStream, investigate enrollment/claims issues, resolve AthenaOne claims inquiries, coordinate onboarding with internal teams, manage Salesforce cases, and act as liaison between enrollment and stakeholders while ensuring HIPAA compliance.