Part Time DME Documentation & Criteria Reviewer

Tennr; United States; Remote; Part time

Job summary

Tennr is seeking a Part Time DME Documentation & Criteria Reviewer to enhance its documentation review team. The role requires detailed analysis of clinical documentation to ensure compliance with Medicare and Medicaid standards. Ideal candidates will possess a strong DME background and skills in quality control, making policy-based determinations within a collaborative, remote environment.

Qualifications

• 4+ years in DME, with roles in documentation review or compliance.
• Familiar with Medicare, Medicaid, and commercial payer guidelines.
• Understanding of HCPCS codes relevant to DME.

Responsibilities

• Review model outputs for criteria determinations.
• Flag incorrect determinations with structured feedback.
• Analyze documentation against payer coverage policies.

Skills

DME experience

Detail-oriented

Policy-based decision making

Organizational skills

Communication

Education

Relevant certifications or degree

Job description

Part Time DME Documentation & Criteria Reviewer

Join to apply for the Part Time DME Documentation & Criteria Reviewer role at Tennr

Part Time DME Documentation & Criteria Reviewer

Join to apply for the Part Time DME Documentation & Criteria Reviewer role at Tennr

This range is provided by Tennr. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$26.00/hr - $27.00/hr

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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Part-time

Job function

• Job function

  Administrative

• Industries

  Software Development

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