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  • Remote Inpatient Coding Specialist

    Adventhealth 4.7company rating

    Remote medical data analyst job

    **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 601 E ROLLINS ST **City:** ORLANDO **State:** Florida **Postal Code:** 32803 **Job Description:** **Schedule:** Full Time **Shift** : Days Queries physicians for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions as needed. Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, understanding their impact on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations. Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance. Reviews encounters for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body **Pay Range:** $21.73 - $40.42 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Health Information Management **Organization:** AdventHealth Orlando Support **Schedule:** Full time **Shift:** Day **Req ID:** 150658928
    $21.7-40.4 hourly 2d ago
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  • Remote Inpatient Facility Medical Coder

    Scion Staffing 4.2company rating

    Remote medical data analyst job

    Scion Staffing has been engaged to conduct a search for multiple Remote Inpatient Facility Medical Coder positions for a healthcare services partner. This is a fully remote direct hire position supporting U.S.-based healthcare systems. POSITION OVERVIEW: This role supports inpatient coding operations for a mission-driven healthcare services organization focused on improving access, quality, and efficiency in patient care. The Inpatient Facility Medical Coder will review clinical documentation, apply appropriate coding guidelines, and ensure accurate reimbursement outcomes. This position offers the opportunity to collaborate with multidisciplinary teams in a supportive, remote-first environment. PERKS: Hourly pay range of $35-$40 per hour, based on experience and credentials Comprehensive medical, dental, and vision insurance options Fully remote role with flexible scheduling to support work-life balance Inclusive and collaborative culture that values diverse perspectives Paid time off, holidays, and access to ongoing professional development RESPONSIBILITIES: Review inpatient medical records to accurately assign diagnoses and procedures in accordance with established coding guidelines Determine principal diagnoses and procedures and support appropriate DRG assignment Ensure coding accuracy, quality, and timeliness while meeting productivity expectations Utilize internal systems and tools to enter and manage coding data during scheduled work hours Collaborate with physicians and internal teams to clarify documentation as needed Participate in team meetings, training sessions, and continuous improvement initiatives QUALIFICATIONS: Active inpatient facility coding credentials (e.g., CCS, CIC, or equivalent) Demonstrated knowledge of inpatient coding guidelines, DRG assignment, and medical record review Ability to work independently in a remote environment while maintaining strong communication and collaboration Commitment to accuracy, integrity, and continuous learning Comfortable using technology and electronic health record systems COMPENSATION AND BENEFITS: This position offers a competitive hourly compensation range of $35-$40 per hour, commensurate with experience and credentials. Benefits include medical, dental, and vision coverage, paid time off, and paid holidays. The organization is committed to employee well-being through flexible remote work arrangements, professional development support, and an inclusive, respectful workplace culture. ABOUT OUR SEARCH FIRM: Scion Staffing is a national award-winning staffing firm! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with amazing career opportunities. Through our innovative team building and recruiting solutions, we bridge the gap in executive leadership searches, direct hire recruiting, interim leadership placement, and temporary professional staffing. We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times . Additional information about our firm can also be found online. Scion Staffing, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent. For opportunities located in a region that have enacted fair chance, arrest or conviction-based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.
    $35-40 hourly 4d ago
  • Medical Coder, Remote

    Bellatrix HRM Inc.

    Remote medical data analyst job

    About the job Medical Coder, Remote Bellatrix HRM, Inc, is a Women Owned Small Business located in a HUBZone, that believes our team members are the stars of the organization. At Bellatrix all team members are shareholders. Drive like the Latin origin of the name Bellatrix, "Female Warrior", we are resilient in creating an environment of respect, empowerment, agility and successful execution of solutions. If you have what it takes to join our team and are looking for a legitimate work from home position while serving our soldiers, please email your resume and phone number for interview. Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician's notes, laboratory and radiologic results, etc. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers. The coder shall provide experienced, competent, professionally credentialed personnel to perform coding and/or auditing activities. The contract coders must be credentialed and must have completed an accredited program for coding certification, an accredited registered health information administrator or registered health information technician program. Credentials and/or certifications must be kept current per certifying organization standards. A certified coder is someone credentialed by the: American Health Information Management Association (AHIMA) and includes Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) and Certified Coding Specialist - Physician (CCS-P). American Association of Procedural Coders (AAPC) as a Certified Professional Coder (CPC) or Certified Professional Coder-Hospital (CPC-H). The Coder shall assign current ICD-10-CM/PCS, CPT-4 and HCPCS Level II codes based on medical record documentation of any of the following: Prescriptions, surgical episodes, inpatient facility and professional services, and outpatient care provided for Additionally Requirements: Must be able to pass National Agency Check and Background for clearance Must have computer and internet at home MUST MAINTAIN A 95% accuracy level.
    $36k-50k yearly est. 2d ago
  • Analyst II - DOE (Remote)

    Bluepath Labs

    Remote medical data analyst job

    Analyst II Location: Remote - in the following states only: AL, AK, AZ, AR, CT, DE, FL, GA, HI, ID, IN, IA, KS, KY, LA, ME, MD, MI, MS, MO, MT, NE, NV, NH, NM, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WV, WI, WY Clearance: None required BluePath Labs is a fast-growing research and consulting company committed to solving complex problems for federal, state, and local government clients. We offer a range of professional, scientific, and technology services. Our specific areas of expertise include business consulting, research and data science, and technology integration. We are actively seeking a TS/SCI-cleared Analyst II to support the Department of Energy (DOE), Office of International Affairs in its mission to protect federal investments from undue foreign influence and to accomplish its mission in ways that protect and further energy security and technological advancement of the United States. This role plays a crucial part in safeguarding DOE investments from actors that do not adhere to the global norms of science and seek to acquire knowledge and technology for their own benefit, as well as malign foreign influence. Work Description: In support of this office, strong candidates will demonstrate expertise in due diligence reviews related to research, technology and economic security. The analyst will conduct comprehensive due diligence reviews and provide actionable insights to mitigate risks associated with foreign influence, supply chains, and technology transfer. The successful candidate must be capable of thriving in a fast-paced environment, taking the initiative, tracking progress, and providing practical, timely solutions. Responsibilities: The Analyst II will support tasks such as: Perform comprehensive due diligence reviews related to RTES, including: Open-source intelligence on corporate ownership, control, and influence Supply chain risk assessments Identification of malign foreign influence Evaluation of conflicts of commitment and interest Analysis of technology transfer risks and potential intellectual property theft Use data analytics platforms to enhance the analysis and interpretation of data to provide actionable insights into business decisions and reporting Communicate identified risks effectively to stakeholders Prepare detailed written deliverables documenting findings and recommendations Develop and maintain strong interpersonal relationships with stakeholders Minimum Requirements: Possess a TS/SCI or Q security clearance or ability to obtain one 5+ years of experience Bachelor's degree or demonstrated expertise in RTES-related risk analysis and due diligence Understanding of regulations and authorities related to the Department and Energy and RTES, including but not limited to NSPM-33 and CHIPS and Science Act Experience using Excel, Power BI, Python and other advanced data analysis tools Excellent written and verbal communication skills for risk reporting and stakeholder engagement Benefits: BluePath Labs offers a comprehensive benefits package. Benefits include, but are not limited to: employer-sponsored healthcare plan, lifestyle & wellness reimbursement, Flexible Spending Account (FSA), tuition assistance, 401(k) with company match, and paid time off for vacation / sick leave, in addition to 12 holidays per calendar year. About BluePath BluePath Labs combines mission and business insights with advanced technologies to deliver measurable performance improvements for our clients. BluePath is dedicated to surpassing client expectations by always living by our core values of integrity, professionalism, and resilience. BluePath's extensive experience in Government, Military, Commercial, and Academic environments is unique among small businesses and a core differentiator of our solutions. Our multidisciplinary background allows us to solve diverse and complex problems. Most importantly, we work closely with our clients to frame problems correctly, optimize processes, leverage technologies, and implement enduring solutions. Labs are where ideas are born, experiments occur, and breakthroughs happen. It is the hallmark of BluePath's culture. ***************************** BluePath Labs is an equal opportunity employer.
    $62k-86k yearly est. 2d ago
  • Online Data Analyst - US Remote

    Telus Digital Ai Data Solutions

    Remote medical data analyst job

    Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home. A Day in the Life of an Online Data Analyst: In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide Completing research and evaluation tasks in a web-based environment, such as verifying and comparing data, and determining the relevance and accuracy of information. Join us today and be part of a dynamic and innovative team that is making a difference in the world! TELUS Digital AI Community Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world's largest brands. Qualification path No previous professional experience is required to apply to this role; however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project, and your work will be subject to our standard quality assurance checks during the term of this agreement. Basic Requirements Full Professional Proficiency in the English language Being a resident in the United States for the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in the United States Ability to follow guidelines and conduct online research using search engines, online maps, and website information Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance Daily access to a broadband internet connection, computer, and relevant software Assessment In order to be hired into the program, you'll take an open-book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe, but at your convenience. Equal Opportunity All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants' qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
    $62k-88k yearly est. 4d ago
  • HRMS Analyst (Recruiting Systems)

    Mapsys Inc. 3.5company rating

    Medical data analyst job in Columbus, OH

    Columbus /Hybrid Top 3 -HRIS (HRMS) Experience -Data auditing /Maintenance -Excel Big Plus PL/SQL, US &CAN exp, Former Super user or Recruiter General Information Responsible for partnering with business/user group representatives to understand business processes and underlying informational and/or process automation needs, then translating those needs into formal, documented business requirements. May be responsible for prioritizing requirements based on business benefit/impact and cost. May be required to develop estimates and plan resource effort. May be responsible for identifying and tracking issues and risks related to project or system. May be responsible for fulfilling project management/governance responsibilities. Excellent oral and written communication skills; Decisive decision-making; Negotiation skills; Relationship management; Prioritization skills; Project management lifecycle skills; Issue management resolution. Experiences desired 1-3 yrs experience - HR data auditing and record maintenance - Supporting or configuring an applicant tracking system (ATS) or other HR system as an administrator or power user, talent Reef preferred - Onboarding new employees, including completing and maintaining US I-9 forms - Working as a recruiter using an ATS, talent Reef preferred Essential skills - Good communication, oral and written - Organization allowing for multi-tasking and autonomy - Familiar with typical office software including MS Excel or Google sheets
    $61k-81k yearly est. 3d ago
  • Durable Medical Equipment (DME) Auditor

    EXL Talent Acquisition Team

    Remote medical data analyst job

    As a DME Auditor, you'll use your deep understanding of Durable Medical Equipment (DME), Medicare, Medicaid, and commercial reimbursement rules to review professional claims and ensure proper coding and payment. You'll analyze claims, document your findings clearly, and help our clients recover overpayments-all while making a direct impact on healthcare efficiency. Three or more years of experience in claims processing, medical billing, or auditing-with a strong focus on Durable Medical Equipment (DME). In-depth knowledge of HCPCS codes and reimbursement policies. Proven ability to read and interpret contract language and fee schedules. Intermediate Excel and Word skills, with a solid grasp of basic math. Preferred Qualifications Preferably certified with RHIA, CPC, or similar credentials (multiple credentials are a plus). Bonus if you've used: FACETS, NASCO, Encoder Pro, TrueCode, 3M, Webstrat, Pricers. Professional Qualifications Comfortable working independently in a remote environment. Strong written and verbal communication, time management, and analytical skills. Salary range $70,000.00-$80,000.00. 0-10% travel may be required. For more information on benefits and what we offer please visit us at ************************************************** Review medical records to verify services were provided as billed for Hospital Bill Audit reviews. Identify overcharges, undercharges and unbundled items. Identify unbundled items on the itemized bill specific to payer Unbundling Guidelines and provide references and rationale to support review findings. Onsite Travel - Maintain timely communication with Audit Coordinator regarding scheduling, completion and submission of audits. Abide by the EXL Travel policy while making travel arrangements for onsite audits. Scheduling Audits: Manage inventory and schedule audits timely by contacting the provider to schedule date and time to perform audits. Report any problems in the audit process to Manager for resolution. Comply with HIPAA and other regulations regarding the confidentiality of patient information. Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs.
    $70k-80k yearly Auto-Apply 1d ago
  • Medical Records Coder

    Nextstep Technology

    Remote medical data analyst job

    Full-time Description About the Company NextStep Technology Inc. is seeking a Medical Records Analyst. The medical records analyst is primarily responsible for review of health information. The MRA reviews the medical records for specific criteria and validation of specific code year sets submitted from selected organizations to government and commercial client. The position requires review of protected health information and must maintain strict confidentiality when addressing or referring to such records. The incumbent must have the ability to use a variety of office equipment, computer software, the ability to use sound and professional judgement, and to work independently. The candidate(s) will be hired as an employee up to 40 hours per week (flexible scheduling). This is a remote position About the Role The medical records analyst is primarily responsible for review of health information. Responsibilities Analyze protected health information according to project specific rules. Participates in the Intake Process of records. Assigns ICD-9/10-CM codes according to the guidelines as defined by the AMA. Discusses project related discrepancies with Team Lead(s). Maintain coding credentials and continuing education or Possess and maintains a current and comprehensive understanding of coding rules, changes, and guidelines as defined by the AMA. Other duties as assigned Requirements Must possess a minimum of one (3-6) years of experience in abstracting and ICD-9/ICD-10 coding of general acute hospital (inpatient and outpatient) and physician medical records by applying ICD-9/ICD-10 Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics. ICD9 proficiency required. Knowledge in anatomy and physiology, pathology of disease and medical terminology required. Ability to write appropriate correspondence and effectively communicate with other members of NS personnel, clients, and customers as necessary. Must be able to work independently with little or no supervision and use professional judgment as detailed in the AHIMA Code of Ethics. Passing score on a administered coder assessment must be achieved before further consideration. Required Skills Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or CCS (Certified Coding Specialist).
    $58k-94k yearly est. 21d ago
  • Senior Medical Review Coding Appeals Auditor - REMOTE

    Jobgether

    Remote medical data analyst job

    This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Medical Review Coding Appeals Auditor. In this role, you will be pivotal in conducting Appeals reviews and ensuring accuracy in medical coding. Your expertise will support the identification of training opportunities and enhance guideline materials. You will drive quality and efficiency in audit processes while contributing to continuous improvement. Join us to make a meaningful impact in healthcare payment and data accuracy.Accountabilities Perform outpatient coding reviews on medical records to maintain expertise. Conduct Appeals reviews on medical audit findings based on new evidence. Document Appeals results accurately according to department policies. Review audit documentation and conduct research to ensure accuracy. Flag patterns of concern for real-time intervention by audit leadership. Contribute to the continuous improvement process, suggesting necessary edits. Monitor and report on work conducted in accordance with Appeals process. Prepare reports for management highlighting data and trends. Maintain current knowledge of industry impacts on medical practice. Participate in department meetings contributing to team improvement. Support training for new staff and provide supplemental training as needed. Requirements CPC, CPC-H, CPC-P, RHIA, RHIT, CCS, or CCS-P certification required. 3+ years of direct experience in medical chart review for outpatient. 5+ years of relevant auditing experience in medical environments. Thorough knowledge of CPT/HCPCs/ICD-9/ICD-10 coding systems. Strong knowledge of medical documentation requirements and insurance programs. Proficient in analyzing claims data and conducting quality assurance reviews. Excellent communication skills, both verbal and written. Strong analytical and problem-solving skills. Ability to work independently and collaboratively in a remote setting. Solid technical aptitude and proficiency with MS Office applications. Benefits Competitive salary range of $65,000 - $73,000. Comprehensive medical, dental, and vision insurance. 401(k) savings plans with employer matching. Paid holidays and annual paid time off. Family and parental leave options. Remote work flexibility with required high-speed internet access. Support for work-life balance initiatives. Access to training and professional development resources. Why Apply Through Jobgether? We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.#LI-CL1
    $65k-73k yearly Auto-Apply 1d ago
  • Sterilization Medical Device Auditor - Independent Contractor

    Performance Review Institute

    Remote medical data analyst job

    This Sterilization Medical Device Auditor position is an excellent opportunity for recent retirees or consultants that have Sterilization experience in Ethylene Oxide or Radiation(Gamma, Electron Beam &/or X-ray). Our auditors enjoy traveling domestically and/or internationally, a flexible schedule (some auditors perform 1 or 2 audits a month, while others desire to audit every week), competitive compensation that includes a daily rate plus travel expenses, meeting new people and keeping in touch with technology and the latest developments, networking with other industry professionals. To learn more about this auditor position, please review these General Guidelines. Qualifications The ideal auditor candidate will possess the following criteria: Bachelor's Degree Minimum of 3 years hands-on sterilization work experience in Ethylene Oxide or Radiation (Gamma, Electron Beam &/or X-Ray) Knowledge of the Standards as they relate to Sterilization Minimum of 5 years auditing experience (not necessarily sterilization) Quality Assurance System experience (primarily ISO 13485 or 21CFR820)
    $43k-66k yearly est. Auto-Apply 60d+ ago
  • Medical Auditors

    The Excellent Va

    Remote medical data analyst job

    📷URGENT HIRING! MEDICAL AUDITORS📷 This is a 100% work-from-home position. You must have strong internet, a good home office,- and work US Time. Qualifications: 📷 Experience with the following software: Kinnser, Axxess, and Alora 📷 Have training/certification on Board Certified Home Health Coder (BCHH-C) 📷 MUST have Oasis experience 📷 Familiar with Medicare/ Medicaid standards 📷 Has a medical background (MEDICAL BILLING EXPERIENCE IS A PLUS) If you are interested or have the skills mentioned above, please APPLY. We will conduct the interview ASAP! Thank you.
    $49k-83k yearly est. 60d+ ago
  • Remote Profee Medical Auditor

    Amergis

    Remote medical data analyst job

    The Profee Auditor is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: + Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) and have a preferred minimum of 2 years relevant coding experience + Must be at least 18 years of age + Must have experience in Profee Auditing Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: + Competitive pay & weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan + Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
    $37k-61k yearly est. 13d ago
  • Remote Medical Coding Auditor (CPC, CCS-P, or CPMA)

    Crossroads Treatment Centers

    Remote medical data analyst job

    Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients. Day in the Life of a Medical Coding Auditor Conducting audits of claims and patient records to identify incorrect coding. Audits will be performed for both provider and coder coding accuracy with required documentation in accordance with current coding guidelines. Developing, implementing, and coordinating corrective action proposals and plans. Tracking completion of internal and external Plans of Correction. Preparing reports of findings and any compliance issues identified with audits, including monthly summary reports for the Crossroads executive team and quarterly reports for the Chief Compliance Officer. Attending and reporting at weekly team calls with Manager of Medical Coding Compliance Audits, Director of Medical Coding Compliance and Chief Compliance Officer. Attending weekly meetings with other auditors. Reporting coding patterns identified within the audit process to management and identifies corrective measures to compliance problems. Assisting the Manager of Medical Coding Compliance Audits with training and education of providers, coders, and centers (OBOTs and OTPs) on medical coding compliance. Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials. May interact with providers and/or center administrators from time to time regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation. Provide coding and compliance updates to all staff. Collaborates with interdepartmental or cross-functional teams for assigned projects and provides departments with identified coding issues and updates to ensure timely and accurate reimbursement. Determines method of completing daily workload and priorities to ensure that all responsibilities are carried out in a timely manner. Assisting with pulling records requested by payers related to payer audits and review of such records to identify any issues. Other duties and responsibilities pertaining to medical coding compliance monitoring as requested by the Director of Medical Coding Compliance Director of Medical Coding Compliance. Schedule, Travel, & Work Authorization Employees must work 8-hour shifts Monday through Friday and may clock in as early as 6:30 AM EST, but no later than 9:00 AM EST. Employees may not clock out before 4:00 PM EST. Education and Licensure Requirements Certified Professional Coder (CPC), Certified Coding Specialist- Professional (CCS-P) or Certified Professional Medical Auditor (CPMA) High School diploma, GED or equivalent. Minimum of 5 years of coding experience. Minimum of 2 years of auditing experience. Experience in auditing healthcare provider documentation to identify correct ICD-10-CM, CPT, and/or HCPCS codes preferred. An excellent understanding of Mental Health / Opioid Addiction medical terminology preferred. An excellent understanding of ICD-10-CM coding classification and CPT/HCPCS coding. Computer literate adept skill level on MS Office applications. Good organizational and communication skills. Task oriented and ability to meet designated deadlines and productivity standards. Strong, well-developed interpersonal skills. Experience in Mental Health or Addiction Medicine a plus. Position Benefits Medical, Dental, and Vision Insurance PTO Variety of 401K options including a match program with no vesture period Annual Continuing Education Allowance (in related field) Life Insurance Short/Long Term Disability Paid maternity/paternity leave Mental Health Day Calm subscription for all employees Position Benefits Have a daily impact on many lives. Excellent training if you are new to this field. Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate. Community events that promotes belonging and education. Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events. Opportunity to save lives everyday!
    $35k-55k yearly est. Auto-Apply 21d ago
  • Lead Coding Specialist Inpatient, $5000 Bonus, Fully Remote, CCS or RHIT certified, FT, 09A-5:30P

    Baptist Health South Florida 4.5company rating

    Remote medical data analyst job

    The position will serve as the primary support to the Coding Supervisor. Assist in the supervision of coding, abstracting and reimbursement supporting billing ensuring compliance along with efficient operations for all Baptist Health facilities. Ensures established goals and ICD-10-CM/PCS guidelines, CPT, and coding conventions are adhered to. Assist with monitoring reports and workflows identifying opportunities for improvement, work volume and distribution, reviewing and reconciling reports, providing coding training within the Coding Department and performing research on coding issues. Monitors coding personnel activities ensuring accurate and timely processing in accordance with state and federal regulations. Assist with monitoring reports and workflows identifying opportunities for improvement. Degrees: * Associates. Licenses & Certifications: * AHIMA Certified Coding Specialist. Additional Qualifications: * Prefer RHIA or RHIT or equivalent experience. * At least five years Inpatient or Outpatient Surgery, Ancillary and Emergency Room coding experience in a large healthcare institution required. * Excellent verbal and written communication skills with ability to communicate clearly with both internal and external customers, problem-solving and personnel management skills. * Knowledgeable in health information systems, database management, spreadsheet design, and computer technology. * Strong computer proficiency (MS Office - Word, Excel and Outlook). * Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. * Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. Minimum Required Experience: 5 Years
    $56k-70k yearly est. 13d ago
  • Medical Coding Auditor

    St. Luke's Hospital of Chesterfield Mo 4.6company rating

    Remote medical data analyst job

    Job Posting We are dedicated to providing exceptional care to every patient, every time. * Sign On Bonus Available * St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 40hrs/week and 100% remote. Education, Experience, & Licensing Requirements: Education: Associate degree in Health Services Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience. Licensure: RHIA, RHIT, or CCS certification Benefits for a Better You: * Day one benefits package * Pension Plan & 401K * Competitive compensation * FSA & HSA options * PTO programs available * Education Assistance Why You Belong Here: You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.
    $44k-65k yearly est. Auto-Apply 60d+ ago
  • Surgical Certified Procedural Coding Specialist

    University of Arkansas for Medical Sciences 4.8company rating

    Remote medical data analyst job

    Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for “Find Jobs for Students”. All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through “My Draft Applications” located on your Candidate Home page. Closing Date: 02/25/2026 Type of Position:Clinical Staff - Clinical Support Job Type:Regular Work Shift:Day Shift (United States of America) Sponsorship Available: No Institution Name: University of Arkansas for Medical Sciences The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. UAMS offers amazing benefits and perks (available for benefits eligible positions only): Health: Medical, Dental and Vision plans available for qualifying staff and family Holiday, Vacation and Sick Leave Education discount for staff and dependents (undergraduate only) Retirement: Up to 10% matched contribution from UAMS Basic Life Insurance up to $50,000 Career Training and Educational Opportunities Merchant Discounts Concierge prescription delivery on the main campus when using UAMS pharmacy Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button. The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. For general application assistance or if you have questions about a job posting, please contact Human Resources at ***********************. Department:FIN | CORE Coding - PB Surgery Department's Website: Summary of Job Duties:** REMOTE CODING POSITION ** ** WILL WORK FROM HOME ** The Certified Procedural Coding Specialist - Surgical will work under supervision and reads/ interprets health record documentation to identify all diagnoses and procedures. Qualifications: Minimum Qualifications: High School Diploma/GED. Must have an understanding of CPT and ICD-10. Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA. Must have two (2) years of coding experience. Preferred Qualifications: Associates or Bachelor's in Health Information Management. Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA. OR Bachelor's degree in health information management or related field. Preferred RHIA or RHIT. Additional Information: Responsibilities: Assess the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned. Apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures; Apply knowledge of disease processes and surgical procedures to assign non-indexed medical terms to the appropriate class in the classification/nomenclature system; Apply knowledge of Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis and principal procedures; apply knowledge of Prospective Payment System to confirm DRGs as well as APCs; Possess a complete understanding of ICD-10 and CPT coding classification systems; apply knowledge of coding to assist patient billing Services to submit clean claims for medical necessity. Salary Information: Commensurate with education and experience Required Documents to Apply: License or Certificate (see special instructions for submission instructions), List of three Professional References (name, email, business title), Resume Optional Documents: Special Instructions to Applicants: Recruitment Contact Information: Please contact *********************** for any recruiting related questions. All application materials must be uploaded to the University of Arkansas System Career Site ***************************************** Please do not send to listed recruitment contact. Pre-employment Screening Requirements:Criminal Background Check This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. Constant Physical Activity:Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting Frequent Physical Activity:Hearing, Talking Occasional Physical Activity:Standing, Stooping, Walking Benefits Eligible:Yes
    $40k-47k yearly est. Auto-Apply 4d ago
  • Lead Coding Specialist Inpatient, $5000 Bonus, Fully Remote, CCS or RHIT certified, FT, 8A-4:30P

    Baptisthlth

    Remote medical data analyst job

    Lead Coding Specialist Inpatient, $5000 Bonus, Fully Remote, CCS or RHIT certified, FT, 8A-4:30P-149987Description The position will serve as the primary support to the Coding Supervisor. Assist in the supervision of coding, abstracting and reimbursement supporting billing ensuring compliance along with efficient operations for all Baptist Health facilities. Ensures established goals and ICD-10-CM/PCS guidelines, CPT, and coding conventions are adhered to. Assist with monitoring reports and workflows identifying opportunities for improvement, work volume and distribution, reviewing and reconciling reports, providing coding training within the Coding Department and performing research on coding issues. Monitors coding personnel activities ensuring accurate and timely processing in accordance with state and federal regulations. Assist with monitoring reports and workflows identifying opportunities for improvement.Qualifications Degrees: Associates. Licenses & Certifications: AHIMA Certified Coding Specialist. Additional Qualifications: Prefer RHIA or RHIT or equivalent experience. At least five years Inpatient or Outpatient Surgery, Ancillary and Emergency Room coding experience in a large healthcare institution required. Excellent verbal and written communication skills with ability to communicate clearly with both internal and external customers, problem-solving and personnel management skills. Knowledgeable in health information systems, database management, spreadsheet design, and computer technology. Strong computer proficiency (MS Office - Word, Excel and Outlook). Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. Minimum Required Experience: Job CorporatePrimary Location RemoteOrganization CorporateSchedule Full-time Job Posting Apr 28, 2025, 4:00:00 AMUnposting Date Ongoing Pay Grade T41EOE, including disability/vets Refer a friend for this job Tell us about a friend who might be interested in this job. All privacy rights will be protected.Refer a friend
    $43k-61k yearly est. Auto-Apply 14d ago
  • Medical Device QMS Auditor

    Bsigroup

    Medical data analyst job in Columbus, OH

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $36k-58k yearly est. Auto-Apply 59d ago
  • Risk Adjustment Medical Record Coder

    Bluecross Blueshield of Tennessee 4.7company rating

    Remote medical data analyst job

    The Risk Adjustment & Quality Division at BCBST is seeking a skilled Risk Adjustment Medical Record Coder to support our mission of delivering accurate and compliant coding practices. What You'll Do: In this role, you will perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with BCBST policy. Preferred Qualifications: CRC (Certified Risk Adjustment Coder) certification is a plus. If not currently certified, you must obtain it within one year of hire. Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and Affordable Care Act (ACA) programs highly preferred. What Sets You Apart: Self-motivated and proactive, thriving in a remote work environment A true team player, ready to engage in team chats and support colleagues A learner, eager to grow and adapt in a constantly evolving industry Job Responsibilities Maintain compliance with CMS risk adjustment diagnosis coding guidelines. Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding). Assist with the intake and quality assurance of medical records as necessary. Perform or participate in special projects as directed by management. ICD-10 Coding assessment is required. Job Qualifications Education Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience. Experience 1 year - Progressive medical coding and health care experience required. Skills\Certifications Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA). Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training. Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint). Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks. Must be a team player, be organized and have the ability to handle multiple projects. Excellent oral and written communication skills. Strong interpersonal and organizational skills. Understanding of ICD-10 coding standards required. Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
    $63k-75k yearly est. Auto-Apply 3d ago
  • Certified Coding Specialist

    Heart & Vascular Partners 4.6company rating

    Remote medical data analyst job

    Heart and Vascular Partners is a fast-paced, growing heart and vascular MSO seeking a Certified Coding Specialist! As the Certified Coding Specialist, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. If you are an organized and detail-oriented individual looking to make a positive impact in a healthcare setting, then this is the perfect role for you! Essential Functions of the Role: Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines. Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial. Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees. Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery. Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation. Educates and advises staff on proper code selection, documentation, procedures, and requirements. Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data. Minimum Qualifications: Knowledge of ICD-10-CM coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. Ability to read and interpret medical procedures and terminology. Ability to develop training materials, make group presentations, and to train staff Ability to exercise independent judgment; Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff. Ability to maintain confidentiality. Education and Experience: Possession of a Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association; or Possession of a Certified Professional Coder designation (CPC) issued by AAPC Remote Work Requirements Must be available to work during scheduled work hours, except for lunch and breaks A Quiet, distraction-free environment High-speed private internet connection Respond to all non-urgent calls and emails withing 1 business day Notify your manager immediately for any technical and/ or access issues that prevent you from completing your work Notify your manager at least 30 minutes prior to your scheduled start time for any unplanned days off. Work Environment This position is a Remote position Monday- Friday from 8:00 am - 5:00 PM. Physical Requirements This position requires full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk, and stand; talk or hear, both in person and by telephone; use hands repetitively to handle or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds. Equal Employment Opportunity Statement We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Salary and Benefits Full-time, Non-Exempt position. Competitive compensation and benefits package to include 401K; a full suite of medical, dental, and ancillary benefits; paid time off, and much more. The statements contained herein are intended to describe the general nature and level of work performed by the Certified Coding Specialist, but is not a complete list of the responsibilities, duties, or skills required. Other duties may be assigned as business needs dictate. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.
    $43k-50k yearly est. Auto-Apply 23d ago

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