Spire Orthopedic Partners

Call Center Representative

• Be the helpful guide who serves as initial point of contact through our call center to register all new patients and direct current patients
• Manage calls from patients requiring medical care and provide / gather information needed
• Creates, updates, and accesses confidential patients’ data in EMR with a high level of confidentiality and accuracy
• Facilitates the appointment process by gathering necessary demographic, referral source and clinical information, ensuring complete and accurate documentation
• Observes telephone flow; offering or requesting assistance as needed
• Communicates with all departments effectively and efficiently to minimize wait times while providing high quality customer service.
• All other duties as assigned by the manager.

Call Center Agent, Part Time

Paralegal

• Serve as a key legal operations and corporate governance partner, supporting the Chief Legal Officer and cross-functional stakeholders across the organization.
• Independently manage complex legal and corporate matters, drive process improvements, and provide strategic support on contracts, entity management, and regulatory compliance.
• Lead the administration and optimization of contract lifecycle management processes and systems, including LinkSquares, to enhance efficiency, visibility, and compliance.
• Manage the drafting, review, tracking, execution, and maintenance of a wide range of agreements, ensuring adherence to organizational policies and legal requirements.
• Conduct detailed contract analysis, identify legal and business risks, and recommend practical solutions to mitigate exposure.
• Support and participate in contract negotiations, including Non-Disclosure Agreements (NDAs), employment agreements, vendor contracts, amendments, and other commercial agreements.
• Serve as a trusted legal resource to business stakeholders, collaborating across departments to ensure contractual obligations align with organizational objectives and regulatory standards.
• Conduct advanced legal research and analysis, synthesizing findings into actionable recommendations for legal counsel and business leaders.
• Assist the Chief Legal Officer with legal project management, strategic initiatives, fact gathering, due diligence, and complex legal analyses.
• Prepare, review, and file corporate governance documents, including articles of incorporation, articles of organization, bylaws, operating agreements, board consents, resolutions, and related records.
• Maintain and oversee corporate records, governance databases, organizational charts, and legal document repositories to ensure accuracy, accessibility, and compliance.
• Coordinate annual reporting, business licensing, "doing business as" (DBA) filings, state registrations, and other corporate compliance requirements.
• Manage entity governance documentation and support board and committee activities through preparation of materials, meeting records, and related filings.
• Track and maintain intellectual property portfolios, including trademarks, copyrights, licenses, and related renewal requirements.
• Draft legal correspondence and communicate directly with outside counsel, regulators, business partners, and external stakeholders on legal and contractual matters.
• Identify opportunities to improve legal operations and implement scalable processes, templates, workflows, and best practices to increase organizational effectiveness.
• Support internal compliance initiatives, audits, and regulatory reviews as needed.
• Prepare executive-level presentations, reports, and analyses to support decision-making by senior leadership.
• Act as a proactive, self-directed professional who anticipates needs, solves problems independently, and drives legal matters to successful completion.

Senior Paralegal

Financial Planning and Analysis

• Support the development of the annual budget and monthly forecasting process through partnership with corporate department heads
• Develop and maintain detailed forecast assumptions for revenue, expenses, staffing, and other key financial drivers.
• Assist in preparing forecast updates and identifying risks and opportunities versus budget and prior forecasts.
• Support the development and maintenance of income statement, balance sheet, and cash flow models.
• Assist with income statement forecasting, including revenue, labor, operating expenses, and below-the-line items.
• Partner with corporate department leaders to help them understand their financial results, budgets, forecasts, and key expense drivers.
• Prepare and communicate monthly reporting packages, including variance analysis on actuals versus budget/forecast.
• Support the continued development and enhancement of Power BI financial statement reporting to improve visibility into business performance.
• Conduct deep-dive analyses on payroll costs, operating expenses, corporate spend, and performance trends.

Senior Financial Analyst – Corporate FP&A

• Support the Manager of FP&A in delivering proactive financial support to Operations and Practice Leadership
• Prepare analyses and materials for regular business reviews with VP-level stakeholders
• Analyze physician, clinic, ASC, and service line performance to identify opportunities to improve patient access, conversion, throughput, and revenue generation
• Develop and maintain operational scorecards linking financial performance to key business drivers
• Support the annual budget process for assigned practices and operational functions
• Prepare and deliver monthly financial reports, variance analyses, and KPI dashboards for the Operations team

Senior Financial Analyst

Accounting Manager

• Own the monthly close process for the Practice service line, including review of full trial balances and P&Ls for assigned Practice entities.
• Prepare, review, and approve journal entries in accordance with US GAAP and company policies.
• Review monthly account reconciliations and ensure balances are properly supported, documented, and cleared timely.
• Analyze monthly P&L and balance sheet activity, including explaining significant account fluctuations, unusual trends, and key drivers of results.
• Serve as a primary Accounting contact and lead conversations for Practice-related questions from FP&A, Operations, and management.
• Partner with FP&A on monthly operating reviews, 3-statement model support, actuals explanations, and close-to-forecast tie-outs.
• Coordinate with Operations to better understand Practice trends, activity drivers, and business changes that may impact monthly accounting results.
• Provide oversight and coaching to Practice accounting staff/senior accountant resources.
• Support review of Practice-related areas such as accruals, AP activity, cash activity, fixed assets, inventory, leases, payroll-related entries, revenue entries, and other close activities.
• Proactively identify process gaps, documentation needs, and opportunities to improve close efficiency and financial reporting quality.
• Maintain strong support documentation for journal entries, reconciliations, variance explanations, and audit requests.
• Assist with internal and external audit requests, including preparation of schedules and support.
• Collaborate with cross-functional teams, including Accounting, FP&A, Operations, Revenue Cycle, Treasury, AP, Payroll, and external auditors.
• Support continued development of accounting processes, controls, and reporting cadence as Spire continues to grow.

Accountant

Business Intelligence Developer

• Design, build, and maintain scalable data pipelines that ingest, transform, and publish data from practice management, EHR, billing, finance, and operational source systems.
• Develop and optimize SQL-based data models in Snowflake to support Power BI reporting, executive dashboards, recurring analytics, and ad hoc business analysis.
• Use dbt or similar transformation frameworks to create tested, version-controlled, and documented data models.
• Build data integration processes using APIs, SFTP files, flat files, database extracts, and third-party vendor feeds.
• Create automated data quality checks, reconciliation processes, anomaly detection routines, and alerting to identify issues before they affect downstream reporting.
• Partner with analytics, finance, RCM, and operations stakeholders to translate reporting needs into reliable data structures and reusable datasets.
• Improve data reliability by standardizing definitions, mapping source system fields, documenting lineage, and resolving data inconsistencies across systems.
• Tune query performance, manage large datasets efficiently, and troubleshoot pipeline failures or report performance issues.
• Support secure data handling practices, access controls, and HIPAA-aligned data governance expectations for healthcare information.
• Maintain clear technical documentation, including source-to-target mappings, transformation logic, data dictionaries, and operational runbooks.
• Collaborate using Git-based workflows, code review, and deployment practices appropriate for production data environments.
• Provide production support for scheduled data jobs, recurring reporting datasets, and critical analytics workflows.

BI Engineer

Data Analyst

• Own and maintain the operational reporting suite in Power BI, ensuring outputs directly support EBITDA, volume, and cash performance management, covering physician performance, front desk metrics, scheduling efficiency, and more
• Partner with practice VPs, operations leads, and clinical staff to understand what they need, translate that into data requirements, and deliver reports they'll actually use
• Write and optimize complex SQL queries in Snowflake to extract, transform, and validate data from multiple source systems
• Make clear, actionable recommendations based on data, including quantified impact on revenue, EBITDA, operational efficiency and strategic business decision making
• Build and document repeatable data pipelines that support consistent, trustworthy reporting across practices
• Monitor data quality and flag anomalies proactively; resolve inconsistencies at the source where possible, and drive toward a single source of truth
• Deliver ad hoc analysis alongside production reporting, and do both on time
• Help set standards for how we build, document, and maintain reports; drive standardization of metric definitions and reporting across the network to enable consistent performance management
• Mentor junior team members and help raise the overall quality and consistency of the team's analytical work

Senior Data Analyst – Operations

• Design and maintain RCM dashboards and reports in Power BI covering charges, payments, adjustments, denial rates, A/R aging, days in A/R, and payer performance
• Write and optimize complex SQL queries in Snowflake to extract and model data from billing systems and practice management platforms
• Partner with RCM leadership, billing teams, and finance to define KPIs, understand what's driving variances, and communicate findings clearly
• Build out payer-level and procedure-level analyses to identify leakage, underpayments, and denial trends
• Monitor data quality across billing feeds and flag anomalies before they become problems downstream
• Deliver recurring production reports and ad hoc analysis on time, with context, not just numbers
• Present findings to finance, operations, and executive audiences in a way that drives decisions
• Document methodology and report logic so the work is repeatable and auditable
• Mentor junior team members on RCM data concepts and analytical best practices

Senior Data Analyst – RCM

Medical Billing and Coding

• The Surgical Coder for Spine is responsible for accurate and compliant coding of complex orthopedic spine procedures across all care settings.
• Code high-complexity spine procedures (e.g., fusions, decompressions, instrumentation, revisions).
• Verify all documentation is complete and compliant.
• Assign codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
• Follow coding conventions and ensure accurate assignment of CPT (including add-on codes, modifiers, bundling rules).
• Validate levels, laterality, approach (anterior/posterior).
• Identify missed billable components (e.g., additional levels, hardware, biologics).
• Query provider for any necessary clarification related to unclear, unspecified or missing/incomplete documentation.
• Apply payer-specific coding rules and edits.
• Research, analyze, recommend, and facilitate a plan of action to correct discrepancies and prevent future coding errors.

Surgical Coder – Spine Specialty

• Serve as finance partner to the Operations team and its Practice Leadership, building trusted relationships and providing proactive financial support
• Participate in regular business reviews with VP-Level stakeholders to report on financial performance and surface actionable insights
• Support procurement-related financial analysis, including evaluation of medical supply spend, vendor cost trends, and opportunities for cost optimization
• Analyze physician, clinic, ASC, and service line performance to identify opportunities to improve patient access, conversion, throughput, and revenue generation
• Develop and maintain operational scorecards linking financial performance to key business drivers including visits, surgeries, imaging, therapy, staffing, physician productivity, and capacity utilization
• Support monthly operating reviews, board presentations, physician governance meetings, and executive leadership reporting through development of clear, actionable analyses
• Perform root-cause analysis to identify operational drivers of financial performance and recommend specific corrective actions
• Build financial models and business cases supporting growth initiatives, capital investments, physician recruitment, and strategic decision-making
• Identify, quantify, and track operational improvement opportunities that drive revenue growth, margin expansion, and EBITDA improvement across assigned practices
• Lead the annual budget process for assigned practices and operational functions, collaborating closely with Practice Leadership to develop accurate, driver-based financial plans
• Maintain and update rolling forecasts, incorporating operational inputs and emerging trends to ensure forward-looking visibility
• Analyze budget variances and provide clear, concise explanations and recommendations to leadership
• Prepare and deliver monthly financial reports, variance analyses, and KPI dashboards for the Operations team
• Develop executive-ready presentations and materials that clearly communicate financial results and strategic implications
• Leverage financial systems, including Sage and PowerBI to extract, synthesize, and present data effectively
• Identify process improvements and standardization opportunities in reporting workflows

Financial Planning and Analysis Manager

Billing Specialist

• Directly oversee professional coding operations.
• Ensure accurate CPT, HCPCS, and ICD-10 coding in accordance with payer and regulatory guidelines.
• Monitor coding productivity and quality on a daily and weekly basis.
• Conduct routine internal audits and address coding variances promptly.
• Lead corrective action plans when audit results fall below target thresholds.
• Stay current with CMS, payer, and specialty-specific coding updates.
• Oversee timely and accurate charge entry for all clinical services.
• Monitor lag days from date of service to claim submission.
• Identify and resolve missing charges, interface errors, and documentation gaps.
• Implement controls to reduce unbilled inventory and prevent revenue leakage.
• Validate modifiers and ensure compliance with payer-specific billing rules.
• Review work queues and charge edit reports daily.
• Intervene directly in complex or high-risk coding scenarios.
• Participate in denial root cause reviews related to coding or charge capture.
• Collaborate with AR leadership to address downcoding, bundling, and medical necessity denials.
• Monitor and reduce coding-related denial rates.
• Conduct detailed vendor performance reviews, including QC results and productivity tracking.
• Escalate deficiencies and require documented remediation plans.
• Participate directly in operational calls to review aging, denials, and backlog.
• Evaluate cost effectiveness and recommend insourcing when appropriate.
• Directly manage coding supervisors, leads, and charge entry staff.
• Set clear productivity and accuracy expectations.
• Conduct performance reviews and coaching sessions.
• Provide ongoing education and specialty-specific training.
• Develop high-performing coders with expertise in complex surgical and procedural coding (if applicable).
• Partner with physicians and practice leadership to improve documentation quality.
• Work closely with Revenue Cycle leadership to improve clean claim rates.
• Collaborate with IT on system edits, charge interfaces, and automation.
• Support new service lines and acquisitions with coding setup and charge master validation.
• Track and report on key performance indicators: Coding accuracy rate, Productivity benchmarks, Charge lag days, Coding-related denial rate, Unbilled inventory.
• Provide monthly reporting and operational improvement plans to RCM leadership.

Associate Director – Billing, Coding

General

• Identify potential payer underpayments by reviewing payment data, contractual allowed amounts, fee schedules, EOBs/ERAs, payer policies, claim history, and expected reimbursement calculations
• Use Rivet, Modernizing Medicine, Athena, Excel, and payer portals to research reimbursement variances
• Validate underpayment opportunities by comparing actual payments to contracted rates
• Research payer contracts, fee schedules, reimbursement methodologies
• Prepare clear and complete documentation packages to support payer reconsideration
• Submit underpayment disputes, reconsideration requests, appeals, and payer inquiries within required payer timeframes
• Track underpayment cases from identification through resolution
• Maintain Excel-based spreadsheets and trackers to monitor underpayment opportunities
• Partner with billing, coding, payment posting, payer collections, contracting, and revenue integrity teams to resolve payment discrepancies
• Identify trends by payer, CPT code, modifier, provider, practice, location, system, or contract term and escalate recurring issues
• Support reporting on underpayment recovery, revenue impact, payer trends, aged cases, overturn rates, and process improvement opportunities.