Part Time DME Documentation & Criteria Reviewer

Cerebras; New York (NY); Remote; USD 50,000 - 70,000; Part time

Job summary

A leading tech company in NYC offers a part-time contract for a Documentation Review Specialist to ensure accurate qualification logic based on payer policies. The role involves reviewing clinical documentation, providing structured feedback, and improving internal standards. Strong DME experience is essential for success in this detail-oriented position.

Qualifications

• 4+ years of DME experience in documentation review, compliance, audits.
• Familiarity with Medicare, Medicaid, and commercial payer guidelines.
• Experience in examining insurance policies and applying guides.

Responsibilities

• Review model outputs to enhance criteria determinations.
• Flag incorrect determinations with structured feedback.
• Analyze source materials against payer coverage policies.

Skills

Detail-oriented

Organizational skills

Decision-making

Compliance knowledge

Job description

About Tennr:

When you go to your doctor and need to be referred to a specialist (e.g., for sleep apnea), your doctor sends a fax (yes, in 2024, 90% of provider-provider communication is a 1980s fax). These are often converted into 20+ page PDFs, with handwritten (doctor’s handwriting!) notes, in thousands of different formats. The problem is so complex that a person has to read it, type it up, and manually enter your information. Tennr built RaeLLM (7B—trained on 3M+ documents) to read these docs, talk to your doc to ensure nothing is missed, and text you to help schedule your appointment so you can get better, faster.

Tennr is a NYC-based tech company that launched out of Y-Combinator and is backed by Lightspeed Venture Partners, Andreessen Horowitz, Foundation Capital, The New Normal Fund, and other top investors.

About the Role

If you’ve worked in front-end intake, quality control, operations compliance, or audit review in the DME space, this is an opportunity to apply that experience in a new way. We’re growing our documentation and criteria review team to help ensure our platform accurately applies qualification logic based on Medicare, Medicaid, and commercial payer policies.

This is a detail-oriented, hands-on role focused on reviewing clinical documentation, assessing model-generated qualification outcomes, and identifying when decisions do or do not align with real-world payer standards.

This is a part-time contract position.

What You’ll Do

• Review the model’s outputs to improve criteria determinations

• Flag incorrect determinations, including false positives, false negatives, and unclear logic, with structured feedback

• Compare documentation against Medicare, Medicaid, and commercial payer coverage policies

• Analyze source materials (insurance policies, LCDs, etc.) to help validate qualification logic

• Work closely with internal teams to refine prompting logic and improve documentation review standards

• Maintain clear documentation of findings and contribute to process improvements

Who You Are

• You have hands-on DME experience in roles such as intake, documentation review, audits, or quality/compliance

• You are confident identifying when documentation meets or fails to meet payer requirements

• You are comfortable reviewing insurance coverage policies and applying them to real-world cases

• You are highly organized, detail-focused, and confident making policy-based decisions

• You work well independently and value open communication within a remote team setting

Preferred Experience

• 4+ years working in DME, ideally in documentation review, intake, audits, or compliance roles

• Familiarity with Medicare, Medicaid, and commercial payer guidelines for DME

• Understanding of HCPCS codes and common DME categories such as respiratory, mobility, and maternal health

• Experience with audits or appeals is a strong plus

• Familiarity with decision logic or rules-based platforms is helpful but not required

If you are looking to use your DME knowledge in a meaningful way and want to help shape how technology supports accurate and efficient qualifications, we would love to connect.