DME Documentation & Criteria Reviewer

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 RoleIf 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.We are hiring for both full-time and part-time contract positions.What You’ll DoReview the model’s outputs to improve criteria determinationsFlag incorrect determinations, including false positives, false negatives, and unclear logic, with structured feedbackCompare documentation against Medicare, Medicaid, and commercial payer coverage policiesAnalyze source materials (insurance policies, LCDs, etc.) to help validate qualification logicWork closely with internal teams to refine prompting logic and improve documentation review standardsMaintain clear documentation of findings and contribute to process improvementsWho You AreYou have hands-on DME experience in roles such as intake, documentation review, audits, or quality/complianceYou are confident identifying when documentation meets or fails to meet payer requirementsYou are comfortable reviewing insurance coverage policies and applying them to real-world casesYou are highly organized, detail-focused, and confident making policy-based decisionsYou work well independently and value open communication within a remote team settingPreferred Experience4+ years working in DME, ideally in documentation review, intake, audits, or compliance rolesFamiliarity with Medicare, Medicaid, and commercial payer guidelines for DMEUnderstanding of HCPCS codes and common DME categories such as respiratory, mobility, and maternal healthExperience with audits or appeals is a strong plusFamiliarity with decision logic or rules-based platforms is helpful but not requiredIf 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.

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