2+ years of experience in backend engineering, AI automation, or complex systems integration
Proven ability to build and maintain production-grade software with modular separation (e.g., distinct services for data parsing, logic processing, and reporting)
Strong command of at least two major languages (e.g., Python, JavaScript, Go, or Java) and experience working with SQL databases
Practical experience building for live, non-mocked environments and handling multi-turn system interactions.
Outstanding attention to detail and the ability to provide clear, high-density technical feedback on complex system behaviors
This is a 1099 contract opportunity on the Outlier.ai platform. Because this is a freelance opportunity, we do not offer internships, sponsorship, or employment. You must be authorized to work in your country of residence.

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QA Billing and Administrative Support

OUR HOUSE

New Providence, NJ 07974

~ 23 min OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

Bachelor's degree in a related field required
Minimum of 2–3 years of experience in Medicaid billing, QA, compliance, or administrative operations within IDD, behavioral health, or human services
Working knowledge of NJ DDD regulations, Office of Licensing standards, and Medicaid billing requirements
Experience with EHR systems such as iRecord, myEvolv, Therap, or similar platforms
Strong understanding of: Individual Service Plans (ISPs), Service Detail Reports (SDRs), Authorization tracking and service validation
Experience supporting or participating in incident management (UIR) processes preferred
Strong attention to detail with the ability to identify discrepancies and ensure audit readiness
Ability to manage weekly deadlines, billing cycles, and multiple priorities
Proficiency in Microsoft Office (Excel, Word, Outlook)
Ability to maintain strict confidentiality and professionalism
Medicaid billing
Weekly Medicaid pre-billing audits
Medicaid billing submissions in alignment with QA timelines
Identify and resolve discrepancies related to authorizations, service delivery, and documentation
Review and validate ISPs, SDRs, and authorizations
Ensure all required documentation is accurate, complete, and audit-ready
Maintain data integrity across iRecord, myEvolv, or similar systems
Secondary UIR investigator when needed
Assist with incident investigations, documentation, and follow-up reporting
Support compliance with DDD incident reporting requirements and timelines
Maintain integrity of the investigatory process and documentation standards
Ensure adherence to OHI policies, Medicaid regulations, and NJ DDD Manual of Standards
Support internal audits and quality assurance reviews
Maintain compliance across all billing, documentation, and reporting processes
Work closely with program leadership, QA, and administrative teams
Communicate documentation gaps or compliance issues to appropriate staff
Support program teams in maintaining accurate and timely documentation