DME Documentation & Criteria Reviewer

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.

We are hiring for both full-time and part-time contract positions.

• 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

• 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.