CPC jobs near me - 433 jobs

Mercor is seeking experienced digital marketing analytics professionals to support a performance optimization project with a top-tier analytics consultancy. This engagement focuses on analyzing multi-channel advertising performance, auditing data quality, and developing visual reports to drive marketing strategy. Freelancers will apply their expertise in tools like Google Analytics, Facebook Ads Manager, and Excel modeling to deliver high-impact insights and recommendations. This is a high-priority, short-term contract with flexible hours and fully remote execution. * * * **2\. Key Responsibilities** - Extract campaign data from advertising platforms (Google Ads, Facebook, LinkedIn, TikTok, etc.) - Calculate KPIs including CTR, CPC, CPA, ROAS, and conversion rates across channels - Compare performance across time periods and against budget targets - Create data visualizations and insights summaries in Google Sheets, PowerPoint, or Data Studio - Audit tracking setups and conversion reporting accuracy using GA4 and Tag Assistant - Build and manage UTM tracking templates for campaigns - Reconcile advertising costs against invoiced amounts, including currency conversions - Segment customer data from CRMs and create targeting recommendations - Develop budget optimization models and retention/cohort analyses using historical data - Design dashboards with automated data refresh and cross-channel KPI visualizations * * * **3\. Ideal Qualifications** - 5+ years of experience in performance marketing analytics, media reporting, or marketing operations - Proficiency in Google Analytics 4, Facebook Ads Manager, LinkedIn Campaign Manager, and Google Sheets - Strong grasp of digital KPIs (CPA, ROAS, CTR, etc.) and budget/spend tracking - Experience with Excel-based modeling, cohort analysis, funnel breakdowns, and segmentation strategies - Familiarity with UTM tracking, tag auditing tools, and attribution model comparisons - Excellent attention to detail in calculations, formatting, and visualizations - Ability to work independently and deliver on weekly or monthly reporting deadlines * * * **4\. More About the Opportunity** - Remote and asynchronous - work on your own schedule - **Expected commitment: minimum 30 hours/week** - **Project duration: ~6 weeks** * * * **5\. Compensation & Contract Terms** - $100-150/hour for U.S.-based freelancers (localized rates may vary) - Paid weekly via Stripe Connect - You'll be classified as an independent contractor * * * **6\. Application Process** - Submit your resume followed by domain expertise interview and short form * * * **7\. About Mercor** - Mercor is a talent marketplace that connects top experts with leading AI labs and research organizations. - Our investors include Benchmark, General Catalyst, Adam D'Angelo, Larry Summers, and Jack Dorsey. - Thousands of professionals across domains like law, creatives, engineering, and research have joined Mercor to work on frontier projects shaping the next era of AI.

This role will have a start date at the end of March 2026. About Us At Greenbrook Medical, we believe seniors deserve more from the healthcare system-more time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents. Founded by two brothers inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volume-so we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven, values-oriented, and relentlessly committed to taking the best care of our patients. About the Role The Director of Revenue Operations will be responsible for strengthening and scaling the engine that drives Greenbrook's financial performance across Medicare Risk Adjustment, HEDIS, billing, and medical records. We already have a successful model in place-your mandate is to take what works, make it consistent across markets, and build the next level of infrastructure (systems, processes, analytics, and talent) that will support scalable, repeatable revenue excellence as we grow. You'll design strategy, build dashboards and KPIs, operationalize best practices, and lead a high-performing team that ensures every patient interaction is translated into accurate and timely revenue. Reporting directly to the Chief Medical Officer, you'll collaborate closely with Clinical Ops, Finance, Technology, and Market Leadership to make sure our revenue programs stay ahead of our growth. This role is perfect for someone who thrives in high-accountability environments, understands the levers of full-risk Medicare Advantage, and loves to architect systems that turn great operations into great outcomes. If you want to help take an already working model and scale it with excellence, this is the role for you. Location: Remote, must be located in FL, VA, NY, MO or TX to be eligible for this role. Key Responsibilities Strategy & Program Design Own revenue strategy across MRA, HEDIS, Billing, and Medical Records Identify system-level levers to optimize RAF, quality scores, and revenue integrity Standardize best practices across all markets and clinics Reporting & Analytics Build and iterate on dashboards, KPIs, and scorecards for each revenue domain Monitor real-time performance, spot trends, and drive data-backed decisions Partner with Finance and Data teams to ensure revenue projections and accruals are accurate Process Design & Optimization Create scalable workflows for MRA coding, clinical documentation, billing, and HEDIS capture Implement tools, automations, and audits to improve accuracy and timeliness Reduce variation between physician panels through standard operating procedures Team Leadership & Performance Management Lead and develop teams across MRA coding, billing, medical records, and HEDIS Hire and onboard talent; coach and performance-manage effectively Set incentive plans aligned to KPIs and operational outcomes Cross-Functional Collaboration Partner with Clinical Ops to drive HCC capture and HEDIS performance Work with Providers and Market Leaders to align priorities Collaborate with Tech/Data on tools, workflow, and EMR performance Accountabilities RAF accuracy and completeness (e.g., year-over-year Delta RAF lift, validated HCC capture rate) HEDIS performance (e.g., gap closure %, measure compliance, overall Stars score) Billing accuracy & timeliness (e.g., clean claim rate, days in A/R, denial rate) Medical records integrity (e.g., chart completeness %, retrieval success rate) Team performance (e.g., productivity per coder, quality audit scores, hiring velocity) Revenue realization (e.g., captured vs. expected revenue, leakage reduction, audit recovery wins) Process consistency across markets (e.g., SOP adoption, variability reduction, error rates) About You Experience: 5+ years in full-risk Medicare Advantage provider or payer-side revenue program leadership At least 2 years of hands-on experience as an MRA coder Prior experience overseeing or partnering closely with medical billing teams Demonstrated success designing dashboards, KPIs, and scalable revenue workflows Certification: Required: CPC (Certified Professional Coder), CRC (Certified Risk Coder) Preferred: Advanced degree (MBA, MPH, MHA, etc.) Skills: Deep understanding of MRA, HEDIS, billing operations, and quality-linked revenue Ability to build and lead high-performing teams across multiple domains and manage effectively through layers (i.e. direct and indirect reports) Strong process-design and systems-thinking mindset Proven ability to translate data into operational action Strong communication and interpersonal skills Collaborative mindset with a willingness to learn and grow High attention to detail and commitment to excellence English required, Spanish a plus Values: You embody our core values of Heart, Excellence, Accountability, Resilience, and Teamwork. Why You Should be Excited Innovation: Be part of an innovative clinic setting the standard for senior-focused primary care. Work in a supportive, patient-first environment that values quality care. Impact: Be part of a mission-driven team focused on transforming healthcare for underserved seniors. Growth: We're building more than a company - we're building careers. As we grow, we're creating meaningful opportunities for you to expand your skills, take on new challenges, and shape your path forward. Compensation & Benefits: Competitive base salary and performance-based bonus, paid time off, health, dental and vision benefits, and 401K with a company match. Our Selection Process Our selection process typically includes an online application, initial interview, functional and values interviews, a case study, and a reference check. Equal Employment Opportunity and Commitment to Diversity At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost. We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at ********************************.

Job DescriptionDescription:We are hiring in the following states: AR, AZ, CA, CO, FL, GA, IA, IL, LA, MA, ME, MO, NC, NE, NV, OK, PA, SD, TN, TX, VA, WA, and WI This is a remote position. Candidates who meet the minimum qualifications will be required to complete a pre-interview. At Currance, we believe in recognizing the unique skills and experiences that each candidate brings to our team. Our overall compensation package is competitive and is determined by a combination of your experience in the industry and your knowledge of revenue cycle operations. We are committed to offering a rewarding environment that aligns with both individual contributions and our company goals. Benefits include paid time off, 401(k) plan, health insurance (medical, dental, and vision), life insurance, paid holidays, training and development opportunities, a focus on wellness and support for work-life balance, and more. Please note that we are looking for people who have hospital billing experience in collections and have some HB billing experience, in high dollar collections, adjustments and denials management. Job Overview The Coding Denial Resolution Specialist I plays a vital role in Operations, working remotely and responsible for clearly identifying, investigating, and resolving coding-related denials from payers. This position helps prevent lost reimbursements and supports denial prevention efforts. This role is responsible for timely, accurate, and thorough corrections and appeals for all assigned accounts, identifying the root causes of denials, and ensuring compliance with local, state, and federal regulations, as well as accrediting body guidelines. They are expected to resubmit corrected claims accurately, resolve coding denials effectively, and maximize client reimbursements by collaborating with internal and client teams. Job Duties and Responsibilities Execute tasks focused on revenue generation through account resolution for any company client. Review documentation to support or contest payer coding decisions for multiple facilities. Prepare clear, concise, and well-supported appeals where applicable, using all available documentation, coding guidelines, and regulatory references to defend billed claims and secure reimbursement on insurance accounts receivable. Investigate the root causes of denials and downgrades, as needed. Provide targeted training on coding practices to Currance team members, promoting accuracy, compliance, and efficiency in resolving coding-related issues. Participate in daily shift briefings and contribute actively. Resubmit corrected claims according to Federal, State, and payer-mandated guidelines. Research, analyze, and correct claim errors and rejections to ensure accurate resubmission and to avoid payer denials due to preventable errors. Escalate problematic accounts, recurring issues, or trends to Supervisor and recommend education or denial prevention measures to the client. Stay current on payer updates, process changes, and coding guidelines to maintain compliance with Federal, State, and payer requirements. Meet productivity standards while maintaining quality output. Communicate payer-specific issues to the team and management for timely resolution. Engage in continuous learning to remain up to date on coding and payer policies. Requirements: Performance Expectations Productivity: Achieve 100% of the project daily goal. Quality: Achieve 95% monthly quality assurance score. Other expectations: As outlined by the department. Qualifications High school diploma or equivalent (GED) required. Associate or bachelor's degree in healthcare management, Health Information Management/Technology (HIM/HIT) preferred. Current/active CCS or CPC certification required Minimum of 3 years' experience resolving payer denials and/or conducting coding audits. At least 3 years' experience in medical claim payments, follow-up, and appealing denials, with proven success resolving complex, high-value claims. Advanced knowledge of ICD-10, CPT/HCPCS, NCCI edits, DRG/APC assignment, payer policies, and reimbursement regulations. Strong negotiation, research, written communication, and problem-solving skills, with the ability defend coding-related positions. Experience correcting and resubmitting denied claims due to coding issues, including modifiers, revenue codes, bundling, and NPI discrepancies. Ability to research regulatory references (CMS, Medicaid, LCD/NCD guidelines) and apply them to appeals. Demonstrated ability to analyze denial trends and recommend process or coding improvements. Familiarity with compliance standards (OIG, CMS, HIPAA) related to coding and billing. Experience using EHR/EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms for billing and account resolution. Ability to collaborate effectively with other coders, clinicians, and account resolution specialists to resolve complex coding and reimbursement issues. Proficiency in Microsoft Office Suite, Teams, and various desktop applications. Knowledge, Skills, and Abilities Understanding of ICD-10 diagnosis and procedure codes, as well as CPT/HCPCS codes. Familiarity with regulations related to Healthcare Revenue Cycle administration. Skill in investigating medical accounts and resolving claims. Ability to validate payments and make informed decisions quickly. Capacity to learn and use collaboration and messaging tools effectively. Ability to maintain a positive attitude, pleasant demeanor, and act in the best interests of both the organization and the client. Competence in researching healthcare revenue cycle rules and regulations. Ability to maintain a positive attitude, pleasant demeanor, and act in the best interests of both the organization and the client. Professional commitment to the quality and timeliness of work. Capacity to achieve results with minimal supervision while balancing multiple priorities. Strong organizational skills with the ability to manage high-volume workloads and meet deadlines.

We're seeking experienced **Utility Management Nurses** to support a client's healthcare product development by leveraging expertise in **insurance coding and hospital revenue management workflows**. This role involves collaborating with hospital systems to align medical documentation with insurance policies, ensuring accurate coding and optimal reimbursement outcomes. ### **Key Responsibilities** - **Insurance Coding & Revenue Cycle Alignment:** Review, audit, and optimize insurance coding practices across hospital systems to ensure compliance and maximize reimbursement accuracy. - **Workflow Analysis:** Evaluate existing revenue management workflows and recommend improvements tailored to client's AI-driven documentation tools. - **Clinical Data Interpretation:** Translate complex clinical notes into standardized coding formats (ICD-10, CPT, HCPCS) aligned with payer policies. - **Policy Matching:** Assess coding accuracy against insurance guidelines and payer documentation requirements. - **Product Development Collaboration:** Work closely with client's engineering and product teams to refine AI models that automate or assist with medical coding and documentation. - **Compliance & Quality Assurance:** Ensure alignment with HIPAA, CMS, and payer-specific coding regulations. ### **Required Qualifications** - **Licensure:** Registered Nurse (RN) or equivalent clinical background. - **Experience:** Minimum 3-5 years in **medical coding**, **clinical documentation improvement (CDI)**, or **revenue cycle management**. - **Certifications:** CPC, CCS, or CRC certification preferred. - **Domain Expertise:** Familiarity with **hospital billing systems**, **payer policy interpretation**, and **coding audit procedures**. - **Analytical Skills:** Strong understanding of clinical documentation standards and payer logic. - **Tech Savvy:** Comfortable working with EHR systems (Epic, Cerner, Meditech) and documentation review software. ### **Preferred Qualifications** - Experience working within **hospital revenue integrity teams** or **insurance utilization management**. - Exposure to **AI-powered healthcare documentation tools** or **automated coding systems**. - Ability to identify and flag edge cases or policy exceptions in automated workflows. - Strong collaboration skills with cross-functional (engineering, compliance, and data) teams. ### **Engagement Model** - **Contract / Part-time (Remote/In person)** - Flexible hours with collaboration during U.S. business hours. In person in San Francisco is a plus

IKS Health is seeking to hire a Profee Audit & Education Specialist About IKS: ***************** Conducts clinical coding audits as defined by client contracts for audit service and internal quality assessment according to operational and client guidelines. The Audit staff will also contribute to the ongoing development and refinement of proprietary audit tools. The position will participate in mentor/trainer activities to internal coders, clients and providers as required by the deliverables of the contract and will be required to provide educational feedback and instruction in accordance to coding guidelines. Essential Job Responsibilities: A Client-Related Duties - Coordinate and oversee the auditor onboarding process for assigned clients. Manage the performance of all quality for assigned clients. Monitor and enforce IKSs compliance and quality program. Ensure adherence to State and National Practice Standards for coding. Serve as an official resource for coding-related questions from the coding staff & external clients Provide project status reports to operational leadership, as requested. Prepare Executive Reports and Presentations based off audit findings Attend weekly client calls and client training sessions B Auditing Team Duties - Oversee the auditor on-boarding process Work directly with the coding management team to ensure the educational needs coders and clients are met. Provide coding and educational materials to clients Assures internal coding audits are completed accurately and timely Conducts coding audits adhering to nationally recognized coding guidelines and standards · Generates narrative audit summary reports as needed· Perform auditing for a broad spectrum of cases. Provide input and advice regarding educational topics based on audit trends Represent company via professional meeting attendance and communication Interact with audit peers, manager, coding staff, and operations team Abides by the Standards of Ethical Coding as set forth by AHIMA Maintains appropriate QA/QI and/or productivity logs or record entries · Education Specialist Duties: Create and maintain educational presentations & handouts for external and internal clients based off of trends and opportunities Maintain Coding Knowledge and Serve as Coding Expert - Attend internal and external meetings, as needed and requested, to provide input. and act as a coding information resource/expert. Ensure IKS's compliance with all regulatory agencies. Ensure IKS is HIPAA compliant at all times Maintain all CEUs required for the position and attend educational seminars as needed. Additional duties as assigned. IKS Excellence - Demonstrate a commitment to excellence in serving the client. Demonstrate the IKS Health Core Values of Integrity, Quality, Team, Continuous Improvement, Expertise, and Innovation. Job Qualifications: Education/Certification RHIT, RHIA, CPC, CPMA Experience Minimum 2 years of recent experience in auditing Profee claims. Advanced knowledge of CPT, HCPCS, ICD-10 coding, and CMS billing policies for Profee services, E/M auditing Knowledge and Skills * Required Skills: Independently performs highly complex and detailed coding reviews and audits to assess coding accuracy, documentation improvement opportunities, and mitigate risk. Completes documentation audits and provides detailed and timely audit reports to providers and leaders. Acts as subject matter expert in professional coding, including providing feedback and accurate guidance to physicians, advanced practice providers, professional billing staff, clinic staff, and clinic leaders. Develops and presents customized education for professional coding, documentation guidelines, payer reimbursement rules, and regulations for physicians and advanced practice providers based on documentation audit findings. Creates and effectively presents customized coding training for new physicians, advanced practice providers, and production coders. Profee Auditor candidates must demonstrate advanced knowledge of APC-based reimbursement, medical necessity documentation requirements, guidelines for Observation services, and any relevant coding and documentation guidelines for specialty care areas. Working knowledge of how to research within the Medicare Claims and Processing Manuals is essential. Working Conditions: Remote working environment; travel as required, extended periods of computer-based work. Physical Demands: Prolonged computer screen usage, keyboarding. Long periods of sitting are commensurate with computer-based work and work-related phone calls. Normal Travel Requirements Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities. Compensation and Benefits: The pay range for this position is $30hr- $33hr. Pay is based on several factors, including but not limited to current market conditions, location, education, work experience, certifications, etc. Aquity Solutions offers a competitive benefits package including healthcare, and paid time off (all benefits are subject to eligibility requirements for full-time employees). Aquity Solutions is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

Clinical Documentation Specialist, Professional Fee (Remote) - (25000B65) Description A Brief OverviewThe Professional Fee Clinical Documentation Specialist (CDS) will serve as an advisor and expert resource for providers to improve the accuracy of clinical documentation to support patient complexity, risk profiles and appropriate E/M levels thereby supporting the provider's efforts and their professional fee billing. The CDS primarily assist providers in identifying clinically relevant information and capturing the clinical documentation needed to accurately reflect patient acuity. The Professional Fee CDS will focus on the recapture and identification of chronic conditions reflected in Hierarchical Condition Categories (HCCs), which directly impact the patient risk adjusted profile (RAF score) calculated by the associated risk plans. They will also assist with highlighting opportunities based on the provider's medical decision making to appropriately reflect the level of service provided for patient care. The Professional Fee CDS will be responsible for completing pre-visit and post-claim reviews as well as providing clear communication and education to providers on their documentation, coding and billing practices, in adherence to compliance standards set by governing entities such as CMS, AHA, etc. • Pre-visit reviews are intended to identify documentation opportunities for the provider to recapture previously documented HCCs diagnoses, or new suspect conditions not previously captured that are identified by the CDS's comprehensive chart reviews. These efforts assist in establishing accurate risk profiles and related health care costs• Post-claim reviews focus on E/M encounters and highlight opportunities based on a provider's medical decision making and the patient's acuity to support appropriate and accurate E/M level assignments as well as any HCCs identified• The Professional Fee CDS will also coordinate with colleagues from the CDI Program or other members of the organization regarding education and training geared towards improving clinical documentation based on findings from pre-visit and post-claim reviews What You Will DoCoordination with Professional Fee CDI Program leadership and colleagues. Fosters teamwork and utilizes strong team building measures Performs pre-visit chart reviews to assist in highlighting relevant documentation and diagnoses in compliance with governing policies and industry guidelines. Applies a “clinical detective” mindset to identify new HCC diagnosis capture opportunities based on appropriate clinical indicators for the patient. Also performs post-claim reviews focused on appropriate E/M level assignments and any opportunities related to level of service and HCCs. Uses performance and outcome data from third-party support or other sources to identify high priority providers Creates specialty-specific education on relevant topics as identified in data analytics and from clinical encounter reviews and post-claim education chart reviews Develops and maintains a systematic education schedule and approach for providers in the hospital and clinic/office setting including but not limited to complete documentation, appropriate diagnosis code selection, E/M level assignments and updates to coding guidelines. Delivers ongoing feedback and education to communicate importance of complete documentation and key concepts during regular clinic or provider meetings or on individual basis, as needed Upholds working knowledge and stays current on latest CMS and industry guidelines, with specific understanding of HCCs and implications for documentation Maintains strict confidentiality of all patients, employee and physician information according to HIPAA guidelines Additional ResponsibilitiesShares in organization's vision, demonstrates its values, supports its philosophy and is sensitive to its mission. Demonstrates knowledge of and follows departmental and hospital policies and physician office procedures Seeks out opportunities for individual growth and development, including attending various meetings, conferences, courses, seeking certifications, as required. Uses tact and sensitivity when communicating with patients, visitors, co-workers, and other personnel Serves on department and/or institutional committees as requested Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace. Qualifications EducationHigh School Equivalent / GED (Required) Associate's Degree (Preferred) Work Experience3+ years Coding and/or clinical documentation integrity (Required) Knowledge, Skills, & AbilitiesExtensive clinical knowledge and understanding of pathophysiology (Required proficiency) Strong critical thinking skills and utilization of clinical knowledge to identify potential clinical indicators supporting patient acuity and clarifications of the medical record (Required proficiency) Excellent written and verbal communication skills (Required proficiency) Strong project management skills (Required proficiency) Strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization (Required proficiency) Ability to work independently in a time-oriented environment (Required proficiency) Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred) (Required proficiency) Proficient with personal computer applications (Excel, Word, and Power Point) (Required proficiency) Ability to build education material that is meaningful for providers and team members (Required proficiency) Strong problem solving and investigative skills (Required proficiency) Licenses and CertificationsCertified Coding Specialist (CCS) (Required) or Certified Professional Coder (CPC) or CRC, or other coding or CDI credential (Required) Registered Nurse (RN), Ohio and/or Multi State Compact License (Preferred) or Licensed Practical Nurse (LPN), Ohio and/or Multi State Compact License (Preferred) Physical DemandsStanding OccasionallyWalking OccasionallySitting ConstantlyLifting Rarely up to 20 lbs Carrying Rarely up to 20 lbs Pushing Rarely up to 20 lbs Pulling Rarely up to 20 lbs Climbing Rarely up to 20 lbs Balancing RarelyStooping RarelyKneeling RarelyCrouching RarelyCrawling RarelyReaching RarelyHandling OccasionallyGrasping OccasionallyFeeling RarelyTalking ConstantlyHearing ConstantlyRepetitive Motions FrequentlyEye/Hand/Foot Coordination FrequentlyTravel Requirements10% Primary Location: United States-Ohio-ClevelandWork Locations: 11100 Euclid Avenue 11100 Euclid Avenue Cleveland 44106Job: Administrative SupportOrganization: UHHS_CodingSchedule: Full-time Employee Status: Regular - ShiftDaysJob Type: StandardJob Level: ProfessionalTravel: Yes, 10 % of the TimeRemote Work: YesJob Posting: Dec 12, 2025, 8:49:50 PM

DASCO is growing! Voted one of the 2019, 2020, 2021, 2022 and 2023 top places to work in Columbus CEO magazine. Join Us! The Healthcare Professional - Certified, Registered or Licensed Respiratory Therapist, Licensed Practical Nurse or Registered Nurse (CRT, RRT, RN, LPN) provides clinical insight and education to DASCO and/or CPAP Central (CPC) patients, as well as patient instruction on the safe and appropriate use of home respiratory and other equipment. In addition, the HCP may complete delivery and set-ups, perform pulse oximetry, maintains knowledge of equipment and services, remains compliant with all applicable rules and regulations and supports the continuum of care for patients. ESSENTIAL FUNCTIONS: Educates patients/family/caregivers which may include explaining diagnosis, personal care, symptom recognition, equipment use and care and other relevant information. May deliver and set up respiratory equipment and provides related patient instruction in compliance with physician's orders. Supports the continuum of care by creating and/or overseeing care plans, communicating with the physician or other clinicians, identifying and resolving patient care issues whenever possible. Maintains current and thorough knowledge of DASCO equipment and services. May assist with quality control, maintenance of equipment, and general support of branch operations as needed by branch office. Maintains current understanding of insurance benefits, coverage and patient costs in order to adequately explain to patient and/or caregivers. Maintains compliance with HIPAA, The Joint Commission, State Respiratory Care Board, State Pharmacy Board and all other applicable rules and regulations. Maintains current on professional licensure or certification requirements including CEU compliance. Other duties as assigned by manager. Requirements REQUIRED EDUCATION AND/OR EXPERIENCE: High School diploma or GED equivalent. Professional licensure or certification Certified, Registered or Licensed Respiratory Therapist, Licensed Practical Nurse or Registered Nurse (CRT, RRT, RN, LPN) Six months' experience in a clinical services role. PREFERRED EDUCATION AND/OR EXPERIENCE: Associate's degree in related field. Six months' experience in healthcare/medical/insurance/DME customer service role ADDITIONAL QUALIFICATIONS: None. COMPETENCIES: Communication proficiency Compliance Customer Service / client focus Empathy Stress management POSITION TYPE/EXPECTED HOURS OF WORK: This is a Per Diem, PRN position, and hours of work and days are as needed. After hours on-call coverage may be available and is optional. SUPERVISORY RESPONSIBILITY: This position has no supervisory role. WORK ENVIRONMENT: This job operates primarily in a professional office setting, and also spends significant time in a clinical setting and in patient home residences. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is typically required to sit; frequently stands, occasionally required to climb or balance; and stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities used by this position include both close and distance vision, color and peripheral vision, depth perception and ability to adjust focus. The HCP is a tactile position, requiring the frequent handling of equipment, gauges and meters, and some physical contact with patients during training or clinical follow-ups. TRAVEL: Some travel is required for this position, with occasional overnight travel for continuing education or other meetings at the corporate office. OTHER DUTIES: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. EEO #ind101

Description Location: Albany, NY (hybrid) or Holland, OH (hybrid) Compensation: $22.50 per hour Schedule: 8:00AM-4:30PM MST M-W onsite, Th-F remote Why Workit:Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven and compassionate individuals who share this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in America.Job Summary: Workit Health is seeking a full-time Medical Biller to work rejections and denials as they come in and escalate any denial or rejection trends as they are identified. Candidate ideally has experience billing for addiction medicine and/or outpatient medication-assisted treatment OR experience in billing for telemedicine services. Experience in both is a plus but is not required. Experience with calling health insurance plans a must. Excellent customer service skills. Candidates will demonstrate patient and empathetic communication to our members, be able to work accounts promptly and be open to workflow changes. Workit Health is a fast-paced, fluid environment where changes are frequent and employee input is highly valued.Core Responsibilities: Have a working knowledge of medical software, insurance websites, and EHR Ability to identify and solve claims processing issues Contact third-party insurance payers for resolution of claims Generate appeals or reprocess claims as necessary for problem resolution Communicate effectively with patients, physicians, management, employees, and third-party representatives Adhere to professional standards, company policies and procedures, federal, state, and local requirements, and HIPAA standards Ability to manage a high volume of claims and meet productivity levels Qualifications: 2-3 years previous Medical Billing experience Payment Posting is a plus but not required Must be able to work independently and rely on personal knowledge/experience for problem-solving. Must have experience with MS Word and Google Sheets Must be detail-oriented and have excellent organizational and time management skills Candidates must excel at providing a high level of customer service and be able to work in a team environment Requires strong analytical skills and attention to detail, including writing and verbal communication skills and a professional positive attitude Preferred - Coding/Billing certification from AAPC, Practice Management Institute or AHIMA (CPC, CMC preferred) with current maintenance of continuing education/membership. Benefits & Rewards: 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!) 11 paid holidays Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs Company contributions to dependent premiums at higher than market rates (65%) 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families) 401k + 4% discretionary matching Healthcare & dependent care Flexible Spending Accounts (FSA) Health Savings Accounts (HSA) Employee assistance program, complete with financial coaching and counseling sessions Professional development allowance for healthcare providers Opportunities for professional development and growth within the company Fully remote roles company-wide Vibrant, employee-driven cultural initiatives including multiple ERG groups Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations As we are an addiction recovery company founded by people in recovery, those in addiction recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.#LI-RM1

If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site. Please log into my WORKDAY to search for positions and apply. Professional Billing Coding Supervisor (Remote)101 Truman Medical CenterJob LocationWork From Home-City Tax ExemptLees Summit, MissouriDepartmentCorporate Professional BillingPosition TypeFull time Work Schedule8:00AM - 4:30PMHours Per Week40Job Description The Coding Supervisor plays a vital role in achieving departmental operational goals and objectives by providing guidance, management and oversight of the Revenue Cycle coding staff. This dynamic role involves ensuring quality checks, conducting training sessions at the coder and provider level, facilitates the onboarding process with new hires and analyzes, updates and supports the systems used by the coding group. With a focus on enhancing efficiency and compliance, the Coding Supervisor collaborates closely with the Lead Coder and communicates regularly with the Director of Professional Revenue Cycle. Minimum Requirements Bachelor's degree or equivalent in education and experience. Two or more coding certifications, i.e. CPC or CPMA, and must maintain active certifications for continued employment. Five years comprehensive medical record coding, of high level CPT/HCPCs & ICD-9/10, for multi-specialty Physician's services, including experience in an academic teaching health care organization - candidates with demonstrated abilities/skills at this level without the full years of experience can be considered. Demonstrated ability and experience identifying documentation improvement opportunities. Knowledge of insurance company, third-party and government reimbursement programs; i.e. Medicare, Medicaid, MC+, etc. Knowledge of medical insurance billing and collection. Extensive knowledge with CPT, ICD 9/10 , and HCPCS coding and medical terminology in multiple physician practice specialties. Fluency with Medical terminology, anatomy and physiology. Knowledge of medical information systems for physician billing. Demonstrated proficiency in use of computer hardware and software systems, programs and devices. Expert level knowledge of Medicare rules and Local Carrier Determination (LCD) and national Correct Coding Initiative (NCCI) edits and proper procedure code sequencing Competence in physician and staff education, including proficiency in presentation preparation and delivery. Ability to effectively communicate verbally and written with all levels of staff. Detail oriented. Ability to work independently and in a team environment Preferred Qualifications One year supervisory experience

Remote - Outpatient Clinical Documentation Integrity (CDI) Specialist Heatlh Information Management Full Time Status Day Shift Pay: $56,742.40 - $85,113.60 / year Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. The Outpatient Coding and Clinical Documentation Integrity Specialist acts as an internal resource for professional services coding and documentation education. Performs medical records audits to ensure compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures. Provides providers elbow to elbow coding and documentation support through ad hoc video calls and/or on-site visits, the creation of specialty or individual provider tip sheets, virtual and/or onsite presentations. Provides guidance and advice for reporting policies mandated by government entities and other payers for completion of coded data including level of service, diagnosis, procedure and diagnostic code assignments. Analyzes data, communicates findings, and facilitates improvement efforts. Independently develops and maintains educational materials and training programs. Works in conjunction with the clinical practice managers, coding leadership, denial leadership teams. Meet with and educate new clinicians as they onboard with Mosaic. Review documentation practices of existing clinicians for accuracy, compliance with applicable billing guidelines, and optimization of reimbursement. Provide widespread education on changing guidelines and other practices impacted by new legislation and/or guidelines. Attend Revenue Cycle meeting to identify educational opportunities. Work with Professional Coding, Denials and QA Analyst to identify and address educational needs for clinicians. Maintains knowledge of current and developing issues and trends in medical coding and documentation. Maintains knowledge and expertise in electronic software tools (Epic, SlicerDicer, 3M, etc.) Conduct audits of clinicians dropping charges and orders. Other duties as assigned, including special projects assigned by organizational leadership. This position is employed by Mosaic Life Care. Conducts reviews of clinical documentation and charges. Performs medical records audits to ensure compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures. Researches and develops materials for educational programs related to all aspects of coding and documentation. Other duties as assigned Associate's Degree- Healthcare related field is required. Bachelor's Degree- Healthcare related field is preferred. RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician, CCS-P, CPC is required. CPMA - Certified Professional Medical Auditor to be obtained within two years of hire is preferred. CDEO - Certified Documentation Expert Outpatient to be obtained within two years of hire is preferred. CCDS Certification - Certificated Clinical Documentation Specialist to be obtained within two years of hire is preferred. CDIP Certification - Certified Documentation Information Practitioner to be obtained within two years of hire is preferred. 3 Years of Physician/Professional Service coding is required.

Job Description Hospital/Facility Revenue Cycle Manager Reports to: Director of Hospital/ASC RCM MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker's Top 150 Places to Work in Healthcare company. The MedHQ LLC service line offerings have grown organically over the years, beginning by providing high quality traditional human resource, accounting, and staff credentialing as a Professional Employer Organization, (PEO.) In 2022, MedHQ formed a relationship with 424 Capital, and quickly expanded into a well-rounded, menu services driven financial management company. This robust infusion of expert service line offerings has resulted in MedHQ and MedHQ clients' efficiencies and growth. The MedHQ, LLC, menu of client services include Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services. For additional detailed information please review ************* and Responsibilities: Leadership and Staff Management: Lead a team of billing and coding professionals, providing guidance, support, and mentorship. Foster a positive and inclusive work environment that encourages collaboration, teamwork, and professional growth. Conduct regular performance evaluations, provide feedback, and implement training programs to enhance staff skills and knowledge. KPI Monitoring and Performance Management: Collaborate with leadership to implement and monitor KPIs to measure the efficiency and effectiveness of the revenue cycle processes. Regularly monitor and analyze performance data, identify areas for improvement, and implement corrective actions to optimize revenue cycle operations. Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up. Provider and Administration Interaction: Serve as the primary point of contact for providers and administration, addressing inquiries, resolving issues, and fostering strong relationships. Collaborate with stakeholders to understand their needs and develop strategies to improve revenue cycle performance. Conduct regular meetings with providers and administration to provide updates, gather feedback, and ensure alignment on goals and expectations. Compliance and Regulatory Adherence: Stay up to date with industry regulations, coding guidelines, and payer policies to ensure compliance with billing and coding practices. Implement and enforce policies and procedures that comply with HIPAA and other relevant regulations. Conduct internal audits to identify potential compliance issues and develop action plans to address them. Culture and Process Improvement: Promote a culture of continuous pursuit of Awesome, encouraging teamwork, collaboration, and efficiency. Identify process bottlenecks and develop strategies to streamline operations and enhance revenue cycle performance. Drive the adoption of best practices, technologies, and teamwork to optimize revenue cycle processes. Day to Day Operations: Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up. Drive positive patient interaction on all touch points. Supervise staff productivity on a daily basis. Fill in staff functionality when necessary as a working team lead. Qualifications: In-depth knowledge of physician billing and coding practices, reimbursement methodologies, and industry regulations. Proven experience in revenue cycle management, preferably in a leadership role. Strong understanding of key performance indicators (KPIs) and experience in monitoring and improving revenue cycle metrics. Excellent communication and interpersonal skills to interact effectively with providers, administration, and team members. Familiarity with compliance requirements, such as HIPAA, and experience in implementing and enforcing compliance programs. Strong leadership abilities with a supportive and effective management style. Analytical mindset with the ability to identify areas for improvement and drive process optimization. Proficiency in revenue cycle software and healthcare billing systems. Certification in medical coding (e.g., CPC, CCS) is a plus. Join our dynamic team and make a significant impact on our revenue cycle operations. Apply now and help us maintain efficient billing and coding processes while driving a culture of Awesome! This has potential to be a remote position. **Applicants must be legally authorized to work in the United States. We are unable to sponsor or take over sponsorship of an employment visa at this time. Powered by JazzHR BNjLLahOGD

This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD‐10 codes on an annual basis. Responsibilities Essential Duties: * Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements.• Identify coding discrepancies and formulate suggestions for improvement.• Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas.• Work with the Office of the CMO and provider leadership to identify and assist providers with coding.• Report findings and recommendations to Compliance Officer or designee, management, and executive leadership.• Provide continuing education to providers and ancillary staff on CDT, CPT, HCPCS, and ICD-10 coding.• Support compliance policies with government (Medicare& Medicaid) and private payer regulations.• Perform research as needed to ensure organizational compliance with all applicable coding and diagnostic guidelines.• Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.• Work closely with all departments, including but not limited to, Clinical Services, Nursing, Practice Leadership, Finance, IT, Training, and Billing to assist in accuracy of reported services and with chart reviews, as requested.• Work with the Purchasing department to order and distribute annual coding materials for all clinical sites and departments.• Assist Director of Compliance with incidents and investigations involving coding and/or documentation.• Work closely with all other Compliance personnel to provide coding/compliance support.• Advise Compliance Officer or designee of government coding and billing guidelines and regulatory updates.• Provide training to billing coding staff on coding compliance.• Participate in special projects and performs other duties as assigned.Knowledge/Skills/Abilities:• Proficiency in correct application of CPT, CDT, HCPCS procedure, and ICD‐10‐CM diagnosis codes used for coding and billing for medical claims.• Knowledge in correct application of SNOMED, SNODENT, and LOINC.• Knowledge of medical terminology, disease processes, and pharmacology.• Strong attention to detail and accuracy.• Excellent verbal, written, and communication skills.• Excellent organizational skills.• Ability to multi‐task.• Proficient in Microsoft Office Suite.• Critical thinking/problem solving.• Ability to provide data and recommend process improvement practices. Qualifications MINIMUM EDUCATION: High school diploma or equivalent. MINIMUM EXPERIENCE: 5 years of healthcare experience4 years of procedural and diagnostic coding REQUIRED CERTIFICATIONS/LICENSURE: UPON HIRE AAPC Certified Professional Coder (CPC) certification ORCertified Coding Specialist (CCS) certification through American Health Information Management Association (AHIMA)

Tutor Me Education is reshaping how students learn. We are looking for tutors and teachers to provide 1:1 instruction for the Certified Professional Coder (CPC) Exam! Here are the details: Virtual instruction from your home computer, preferably Monday and Wednesday mornings (PST) Exam includes the following topics: Insurance Terminology, Medical Terminology, Anatomy, Physiology, Pathophysiology, ICD10, HCPCS Material Set your own hourly rate and negotiate on a per job basis We will ask you to share the subjects you can teach the best, and systematically send jobs to your email based on those subjects About Tutor Me Education: We are a tutoring and test-preparation platform that connects tutors with clients and school districts Tutors set their own hourly rate and decide which tutoring jobs to accept based on their availability At Tutor Me Education, there are always new job opportunities with hundreds of new students signing up every day! Requirements Job requirements: Experience with the Certified Professional Coder (CPC) Medical Exam and ability to teach the necessary components of the exam Previous tutoring/teaching experience highly preferred At least a Bachelor's degree Ability to make learning fun and interactive, with the focus of the tutoring often determined by student questions and comments Ability to pass a background check if required This is a contract job, with opportunities for additional tutoring/virtual instruction thereafter. Tutors and teachers on our platform systematically receive opportunities as they come in based on experience, subjects offered, availability, etc. Benefits Flexible schedule! Work from home on your personal computer! Set your own hourly rate!

Department: 13241 Enterprise Revenue Cycle - Professional Coding Academy Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Full time, flexible schedule. This is a remote opportunity. Pay Range $30.15 - $45.25 Working in collaboration with Coding Leadership, IT leadership, Org development, Revenue Cycle leadership, Compliance leadership etc. Presents coding and documentation education, which may include in-person classes and virtual offerings, for initial training and continuing education purposes to both coders and clinicians. Supports the development of coding educational presentations, tools and documents. Identifies, trends and reports coder educational needs to ensure appropriate coding and documentation educational opportunities are met. Collaborates with Professional Coding department leadership and applicable team members to enhance coding educational programs by identifying, developing and providing one-on-one, follow-up and refresher sessions. Stays current with trends in adult learning concepts and applies those concepts to education and training. Maintains education/training schedules. Utilizes Learning Connection, ATMS, Skype or Teams to schedule presentations throughout the organization. Communicates educational offerings in a standardized fashion. Develops and maintains web-based coding education programs. Assigns lessons to coders, reports results, tracks progress and identifies need for further education. Continually evaluates the success of educational offerings, training programs and modifies as appropriate. Defines new and existing educational needs. Presents and makes recommendations regarding course content, technology, and appropriate instructional delivery options (i.e. classroom course, e-learning, virtual conference, desk- side, etc.) Creates educational programs with the established objectives. Supports e-learning development and other technology-based learning initiatives. Ensures that all educational programs have defined learning objectives, accurate and complete content, and are documented according to standards. Completes all research, writing and instructions associated with each educational program, including learner manuals and facilitator guides for instructor-led classes. Provides comprehensive "train the trainer" sessions for all trainers (Coding Supervisors and Coding Leads) who will be presenting the material, and provides updates as they arise, including new "train the trainer" sessions, as needed. Licensure, Registration, and/or Certification Required: Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC), or Professional Medical Coding Instructor (CPC-I) certification issued by the American Academy of Professional Coders (AAPC), and Specialty Medical Coding Certification issued by the American Academy of Professional Coders (AAPC). Education Required: Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist. Experience Required: Typically requires 5 years of experience in medical coding that includes experiences in physician revenue cycle processes, health information workflows. Knowledge, Skills & Abilities Required: Expert knowledge of ICD-10-CM, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. Expert knowledge in principles of adult learning concepts and capable of planning, coordinating, facilitating coding educational programs. Highly proficient at incorporating adult learning principles, online and in person teaching methods to maximize learning and the application of that learning. Advanced and highly developed computer skills including experience in using Microsoft Office or similar products, email and electronic calendars. Superior organization, communication (verbal and written), interpersonal and oral engaging presentation skills. Ability to comfortably speak to small/large groups, network, and build effective relationships. Demonstrated adaptability/flexibility and the ability to coordinate multiple tasks. Ability to work independently and exercise independent judgment and decision making. Ability to work in multiple work environments (ie virtual, office, clinic/hospital, other). Must have functional speech, hearing, and senses to allow effective communication. Must be able to continuously concentrate. May require travel and may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. Physical Requirements and Working Conditions: Generally exposed to a normal office environment. Must have functional speech, hearing, and senses to allow effective communication. Must be able to continuously concentrate. Position requires travel and may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. # Remote #LI-Remote Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

NOW HIRING PAYMENT POSTER MANAGER - REMOTE, FULL TIME OUR VISION & VALUES At Blue Cloud, it's our vision to be the leader in safety and quality for pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision. 1. We cheerfully work hard 2. We are individually empathetic 3. We keep our commitments The Payment Posting Manager (Central Billing Office - CBO) is a revenue cycle management (RCM) leadership position responsible for the day-to-day management of all payment posting functions, ensuring the timely and accurate recording of all payments and adjustments to patient accounts. This role ensures the accuracy, timeliness, and integrity of Blue Cloud's financials by managing and optimizing electronic and manual posting workflows, reconciling daily deposits, addressing underpayments, overpayments, credit balances and refunds, provider payment allocation, and managing unapplied or suspense accounts. The CBO Manager, Payment Posting Operations is key to ensuring accurate patient balances and providing timely data for A/R follow-up. YOU WILL Essential Functions (Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions). * Operational Oversight: Manage a fast-growing payment posting team, ensuring optimal teammember utilization and productivity for staff that is compliant with all state, federal and Blue Cloudregulations and policies * Strategic Leadership: Drive innovation and automation of payment posting processes inclusive of EFT/ERA enrollment expansion, Open Dental and third-party system capabilities and AI solutions. * Daily Reconciliation: Ensure 100% daily reconciliation of all posted payments (EFTs, paper checks, credit cards) against bank deposits and general ledger accounts. * Posting Accuracy: Manage the processing and posting of electronic remittance advices (ERAs) and manual Explanation of Benefits (EOBs), ensuring proper application of contractual adjustments, patient payments, and write-offs. * Credit Balances & Refunds: Develop and refine credit balance and refund management procedures to ensure compliance with federal and state requirements and optimize patient and family experience * Compliance & Auditing: Ensure Blue Cloud is capturing revenue and billing in adherence to federal, state, and payer-specific regulations and lead internal audits to maintain compliance. Adheres to and reinforces coding, billing, collections and payment posting internal controls and auditing protocols to optimize net revenue capture and reimbursement in a compliant manner. * Performance, Reporting, & Analytics: Manage and provide recurring quantified detail for key revenue cycle performance and staff productivity metrics, key performance indicators, and productivity standards and create data visualization and reporting to highlight opportunities, variance and risk and optimize team performance. * Team Development: Recruit, train, mentor, and manage a team to perform all payment posting processes for all Blue Cloud facilities. Provide continuing education and professional development to maximize retention and career progression of team members and leaders. * Growth Partnership: Aid executive leadership and development teams with revenue modeling, sensitivity analysis, and forecasting to optimize growth strategy, pro forma accuracy, and ROI for all de novo and M&A activity. YOU HAVE * Experience: Minimum of 4 years of experience in healthcare payment posting, accounting, or bookkeeping, with at least 1 year in a supervisory role. ASC or multi-specialty experience is a plus. * Certifications: HFMA's Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or Certified Professional Coder (CPC) preferred. Skills: * Demonstrated leadership progression in payment posting space and expertise in reading and interpreting EOBs, ERAs, and familiarity with various payer denial and adjustment codes. Experience managing payments spanning anesthesia, professional and facility fees is a plus. * Demonstrated utilization and optimization of payment posting workflows, functionality and reporting in EMR and PAS solutions (e.g., Epic, Cerner, Allscripts, HST Pathways, SIS Complete). Experience using Open Dental is a plus. * Proficiency in Microsoft Excel, Power BI, and data analysis tools and demonstrated ability to develop executive-facing work products that outline performance, risk, and opportunities to optimize payment capture. * Excellent problem-solving, leadership, and communication skills. * Ability to manage multiple priorities in a fast-paced environment. Compliance & Company Policies * Must maintain strict confidentiality in accordance with HIPAA and company policies. * Ensure all revenue cycle activities align with federal and state compliance regulations BENEFITS * Work with a passionate, dedicated, and talented team in a growing organization committed to doing good * Health insurance, Flexible Spending and Health Savings Accounts, disability coverage and additional voluntary plans * 401k plan, including company match * Paid Time Off * No on call, no holidays, no weekends This is a remote position with opportunity available in Arizona, Texas, Delaware, Idaho, West Virginia, Kansas, Maryland, Michigan, Nevada, North Carolina, Penn, Tennessee, Missouri Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the associate for this job. Duties, responsibilities and activities may change at any time with or without notice. Physical Demands The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. While performing the duties of this job, the associate is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. This position requires intermittent physical activity, including standing, walking, bending, kneeling, stooping and crouching as well as lifting. Blue Cloud is an equal opportunity employer. Consistent with applicable law, all qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, read more about requesting accommodations. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource's national leadership in quality and operational excellence. TrueCare offers locally based provider services through provider engagement representatives and customer care. Our sole mission is to improve the health of Mississippians by leveraging local physician experience to inform decision-making, aligning incentives, using data more effectively, and reducing friction between the delivery and financing of health care. By doing so, TrueCare will change the way health care is delivered in Mississippi. Job Summary: The Configuration Systems Analyst II Leads and defines system requirements associated with Member Benefits, Provider Reimbursement and payment systems requirements definition, documentation, design, testing, training and implementation support using appropriate templates or analysis tools. Essential Functions: Identify, manage and document the status of open issues. Develop and utilize reports to analyze and stratify data in order to address gaps and provide answers to issues identified within the department or by other departments, utilizing TriZetto or Optum for research and correction. Utilize available tools provided by relevant State or Federal websites to obtain pertinent Fed/State Regulatory Transmittals and Fee Schedules. Plan/implement new software releases including testing and training. Participate in meetings with business owners and users to achieve a Plan benefit design and Provider Reimbursement. Serve as liaison between IT and business areas to research requirements for IT projects, meet with decision makers to translate IT specifications and define business requirements and system goals. Lead review of benefits or provider reimbursement as well as identify and design appropriate changes. Lead in the development and execution of test plans and scenarios for all benefit or reimbursement designs and for the core business system and related processes. Provides detail analysis of efficiencies related to system enhancement/automation. Review, analyze, and document the effectiveness and efficiency of existing systems and develop strategies for improving or further leveraging these systems. Conduct preliminary studies to define needs and determine feasibility of system design. Audit configuration to ensure accuracy and tight internal controls to minimize fraud and abuse and overpayment related issues. Ensure system processes and documents exist as basis for system logic. Assists in resolution for potential business risk, including communication and escalation as necessary. Vendor management between TriZetto and CareSource. Applies use of tools to define requirements such as data modeling, use case analysis, workflow analysis and functional analysis. Perform any other job related instructions as requested Education and Experience: High School Diploma or GED is required Bachelor's Degree or equivalent years of relevant work experience is preferred Minimum of three (3) years health plan experience, to include two (2) years of configuration or clinical editing software experience is required Exposure to Facets is preferred Competencies, Knowledge and Skills: Advanced computer skills with Microsoft Word, Excel, Access, Visio and abilities in Facets Proven understanding of database relationships required Understanding of DRG and APC reimbursement methods Understanding of CPT, HCPCs and ICD-CM Codes Knowledge of HIPAA Transaction Codes Critical listening and thinking skills Decision making/problem solving skills Enhanced communication skills both written and verbal Can work independently and within a team environment Attention to detail Understanding of the healthcare field Knowledge of Medicaid/Medicare Claims processing skills Proper grammar usage Time management skills Proper phone etiquette Customer service oriented Facets knowledge/training Proper claim coding knowledge Ability to be telecommuter Broad understanding of business considerations and functionality preferred Licensure and Certification: Certified Medical Coder (CPC) is preferred Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $63,720.00 - $101,880.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-GB1

Coding Policy Analyst _Remote_ The Coding Policy Analyst is responsible for the coordination of technically detailed work that has a significant impact on all operations and information systems within Providence Health Plan (PHP). This position will update and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing appropriate CPT, CMS, specialty society, Coding Policy, and/or other official documented rationale for Coding Policy edits. The analyst is responsible for monitoring changes to codes, coding guidelines and regulations, and coding edits from external agencies such as AMA, CMS, Medicaid, and specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive knowledge of AMA and CMS coding guidelines, policies, and regulations. This person will serve as a coding subject matter expert to other departments within PHP for questions about CPT, HCPCS, and ICD-10 codes, as well as coding guidelines and regulations. The analyst will work closely with the Benefits Management Team and Regulatory Department to ensure coding edits are applied in a manner consistent with member benefits and all state and federal insurance regulations. Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. _Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:_ + Washington + Oregon + California Required Qualifications: + Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire. + 5 years of experience directly related to CPT coding from chart extraction with a health care provider, a health insurance company, or a capitated managed care company. + 5 years of excellent writing and grammar skills required. + 5 years of demonstrated experience in detailed coding applications, as well as Microsoft Office capabilities, such as Excel, Word, and Access. Preferred Qualifications: + Bachelor's Degree or experience in a Healthcare or Health Plan setting coding and auditing will also be considered. + 2 years of experience with Facets Claims Adjudication system and/or Optum CES editing software. Salary Range by Location: California: Humboldt: Min: $33.05, Max: $51.30 California: All Northern California - Except Humboldt: Min: $37.08, Max: $57.56 California: All Southern California - Except Bakersfield: Min: $33.05, Max: $51.30 California: Bakersfield: Min: $31.71, Max: $49.22 Oregon: Non-Portland Service Area: Min: $29.56, Max: $45.88 Oregon: Portland Service Area: Min: $31.71, Max: $49.22 Washington: Western - Except Tukwila: Min: $33.05, Max: $51.30 Washington: Southwest - Olympia, Centralia & Below: Min: $31.71, Max: $49.22 Washington: Tukwila: Min: $33.05, Max: $51.30 Washington: Eastern: Min: $28.21, Max: $43.80 Washington: South Eastern: Min: $29.56, Max: $45.88 Why Join Providence Health Plan? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 403553 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 5018 HCS MEDICAL MANAGEMENT OR REGION Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay Range: $31.71 - $49.22 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

The Trauma Registrar reports to the Trauma Registry Manager. Under general supervision, the Trauma Registrar is responsible for electronically administrating the Trauma Registry Data System in accordance with the requirements of the American College of Surgeons and South Carolina Department of Health and Environmental Control (DHEC). This position is also responsible for collecting, compiling, reporting, maintaining and entering accurate and complete data relative to current ICD-CM and AIS coding for the trauma registry. This is a remote position. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC005295 CHS - Quality QAPI Pay Rate Type Hourly Pay Grade Health-23 Scheduled Weekly Hours 40 Work Shift Qualifications: * High school diploma or equivalent required; certification in coding (e.g., CPC, CCS) preferred. * Basic knowledge of coding systems (ICD-10, CPT, etc.). * Strong attention to detail and organizational skills. * Good communication skills and willingness to learn. * Expert use of Excel, Word, PowerPoint and Visio * Certifications, Licenses, Registrations: * RHIT, CCS, CCA, CPC, CPC-A, or other coding credential preferred. Additional Job Description NOTE: The following descriptions are applicable to this section: 1) Continuous - 6-8 hours per shift; 2) Frequent - 2-6 hours per shift; 3) Infrequent - 0-2 hours per shift Ability to perform job functions while standing. (Frequent) Ability to perform job functions while sitting. (Frequent) Ability to perform job functions while walking. (Frequent) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work from elevated areas. (Frequent) Ability to work in confined/cramped spaces. (Infrequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Frequent) Ability to squat and perform job functions. (Infrequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to fully use both legs. (Continuous) Ability to fully use both hands/arms. (Continuous) Ability to lift and carry 15 lbs. unassisted. (Infrequent) Ability to lift/lower objects 15 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36 inches to overhead 15 lbs. (Infrequent) Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand or at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) *(Selected Positions) Ability to determine distance/relationship between objects; depth perception. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to work in a latex safe environment. (Continuous) * Ability to maintain tactile sensory functions. (Frequent) *(Selected Positions) * Ability to maintain good olfactory sensory function. (Frequent) *(Selected Positions * Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions)* If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: ***************************************

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication of expectations. This position supports and coaches front line talent to ensure the highest level of service to clients and ultimately the patient lives we impact. You will: Supervise day-to-day team performance, conduct 1:1's and performance assessments. Responsible for reviewing and approving time sheets and time off requests. Receive, merge and track quality, productivity, and feedback for all team members. Provide a summary of productivity findings on a daily basis, including education on time management and best coding practices. Provide coaching and feedback on achieving production and quality standards of the role. Report trends for education opportunities to management for review and/or action. Motivate team members through effective training, supplemental materials and coaching to improve quality and production. Apply guidelines and concepts as indicated. Serve as resource and subject matter expert to staff. Ensure compliance with HIPAA regulations and requirements. Completes all special projects and other duties as assigned. What you will bring to the table: AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC) Extensive knowledge of ICD -9/10 2 years coding experience, required. People Leader experience managing a team of employees. Familiarity with HCC coding. A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes. Ability to work in a fast-paced production environment while maintaining adherence to high quality standards. Must be able to follow instructions, meet deadlines and work independently. Ability to be flexible in work environment. Excellent written and verbal communication skills, ability to work in a remote environment and time management skills. Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data. We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is:$65,000-$84,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.