CDI Traveler Specialist - Remote
Frisco, TX jobs
Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions or procedures, Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management. Regional/National Travel Required for this position.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Record Review: Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) initiate a review worksheet.
* Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary.
* Formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary.
* Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge.
* Assist in training department staff new to CDI
* Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education.
* CDI: Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution
* Other duties as assigned
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* CDI Specialist must display teamwork and commitment while performing daily duties
* Must demonstrate initiative and discipline in time management and medical record review
* Travel may be required to meet the needs of the facilities
* Advanced knowledge of Medicare Part A and familiar with Medicare Part B
* Intermediate knowledge of disease pathophysiology and drug utilization
* Intermediate knowledge of MS-DRG classification and reimbursement structures
* Critical thinking, problem solving and deductive reasoning skills
* Effective written and verbal communication skills
* Knowledge of coding compliance and regulatory standards
* Excellent organizational skills for initiation and maintenance of efficient work flow
* Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements
* Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment
* Understand and communicate documentation strategies
* Recognize opportunities for documentation improvement
* Formulate clinically, compliant credible queries
* Ability to maintain an auditing and monitoring program as a means to measure query process
* Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Preferred: Acute Care nursing and or Foreign trained relevant experience
* One (1) to two (2) years experience
* Graduate from a Nursing program, BSN, and/or medical school graduate
CERTIFICATES, LICENSES, REGISTRATIONS
* Active Registered Nurse license or relevant medical degree
* Preferred: CDIP or CCDS
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to sit for extended periods of time
* Must be able to efficiently use computer keyboard and mouse
* Good visual acuity
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
OTHER
* Must be able to travel nationally as needed, 50-75%
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Nuclear Medicine Technologist Full Time Days
Remote
may qualify for a sign-on bonus.
Performs imaging procedures with the use of radioactive isotopes. Responsible for preparation, calculations, and administration of isotope products in various diagnostic and therapeutic procedures. Performs under the direction of the physician during therapeutic procedures.
Minimum Education: Completion of an accredited educational program in nuclear medicine or radiologic
technology.
Minimum Experience: 1-year radiologic technology diagnostic and/or nuclear medicine experience
Required Certification: BLS
Required Licensure: TDH (MRT), NMTCB
FLSA Status:
Salary Grade:
Skills:
** Note - Required certifications are to be completed by 3 months of employment.
#LI-NS1
Auto-ApplyRevenue Integrity Director- Remote
Frisco, TX jobs
The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel.
* Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance.
* Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives.
* Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc.
* Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements.
* Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates.
* Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor
Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions
* Demonstrated critical-thinking skills with proven ability to make sound decisions
* Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals
* Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely
* Ability to manage multiple projects/initiatives simultaneously, including resourcing
* Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner
* Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement
* Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels
* Ability to effectively and professionally motivate team members and peers to meet goals
* Advanced knowledge of external and internal drivers affecting the entire revenue cycle
* Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point)
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree
* Minimum of five years healthcare-related experience required
* Extensive experience as Revenue Integrity manager
* Extensive knowledge of laws and regulations pertaining to healthcare industry required
* Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required
* Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS
* Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear.
* Must frequently lift and/or move up to 25 pounds
* Specific vision abilities required by this job include close vision
* Some travel required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Normal corporate office environment
TRAVEL
* Approximately 10 - 25%
Compensation and Benefit Information
Compensation
Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience.
* Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Advisory Services Consultant - Epic Healthy Planet - Remote
Eden Prairie, MN jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Optum's EHR Services represents one of the fastest growing practices within Optum Insight's Advisory and Implementations business unit. The EHR Services practice is comprised of 600+ individuals across the U.S. and Ireland who are dedicated to improving the healthcare delivery system through the power of healthcare technology, specifically, the EHR and integrated applications and tools. By joining the EHR Services team, you'll partner with some of the most gifted healthcare technology thought leaders within the industry, collaborate with experienced consulting and healthcare leaders, and help partners capture the benefits of their EHR investment.
Optum needs a strong Technical Project Manager with hands-on integration (interfaces and conversions) experience to play a crucial role in ensuring the successful execution of EHR Services implementation projects. You will be pivotal in effectively managing integration project teams working in conjunction with other project leaders for large projects, and in owning and running integration specific projects. Your expertise in project management methodologies and hands-on experience with interface and conversion implementations will be vital in coaching, mentoring, and overseeing the completion of tasks.
Solid candidates for this role will be able to demonstrate self-motivation, individual leadership, and team collaboration. Most importantly, our EHR Services team will foster a culture of diversity and inclusion and drive innovation for our company and our clients.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
* Provide subject matter expertise in Epic Healthy Planet, including system design, build, testing, and implementation
* Collaborate with leadership and end users to design and configure solutions, providing technical and clinical consultation, including workflow analysis and application configuration to support enhancements and issue resolution
* Lead multiple small to medium-scale Epic upgrade initiatives and workflow enhancements through all project phases
* Participate in design and validation sessions, ensuring thorough documentation, follow-up, and issue escalation
* Maintain system documentation, including design specifications and build records
* Monitor production applications and respond to incidents, including participation in 24/7 on-call support as needed
* Execute all phases of testing, including unit, system, and integrated testing for EpicCare Ambulatory workflows
* Analyze workflows, data collection, reporting needs, and technical issues to support solution development
* Collaborate with training teams to develop and maintain application-specific training materials
* Translate business requirements into functional specifications; manage system updates, enhancements, and release testing
* Ensure compliance with organizational standards for system configuration and change control
* Build and maintain strong relationships with end users, stakeholders, and business partners
* Facilitate communication across teams from requirements gathering through implementation
* Troubleshoot and resolve application issues, escalating complex problems as appropriate
* Maintain deep knowledge of Epic functionality and operational workflows
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Active Epic certification in Healthy Planet and at least one additional application (i.e., Preferred applications: Ambulatory, Care Everywhere, EpicCare Link or MyChart)
* 3+ years of experience in the healthcare industry
* 2+ years of direct client-facing experience with healthcare domain knowledge such as clinical documentation workflows, patient portals, encounter closure, and patient flow management
* 2+ years of experience with Epic implementation and/or support
Preferred Qualifications:
* Experience in department build and implementation of Community Connect locations
* Experience with Refuel implementations
* Proficiency with Excel, Visio, PowerPoint and SharePoint
* Proven ability to lead cross-functional teams through clear, effective communication and strategic collaboration
Key Competencies:
* Time Management & Prioritization. Demonstrates exceptional time management, organizational, and prioritization skills, with a proven ability to manage multiple concurrent responsibilities in fast-paced, dynamic environments
* Epic EMR Expertise. Possesses in-depth knowledge of Epic systems, including comprehensive experience across the full implementation life cycle of Epic's suite of applications
* Collaborative Leadership. Exhibits a consultative and collaborative leadership style, with a strong track record of aligning cross-functional teams and driving results through shared goals and strategic execution
* Relationship Building & Team Motivation. Effectively cultivates and maintains strong internal relationships, inspiring and motivating team members through consultative engagement and influential communication
* Strategic Influence & Cross-Functional Collaboration. Demonstrates the ability to build strategic partnerships and influence stakeholders across organizational boundaries. Collaborates across teams, departments, and business units to drive solution standardization, promote reusability, and address complex business challenges
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
NP or PA for Sentara Behavioral Health Specialists-Suffolk
Remote
City/State
Carrollton, VA
Work Shift
First (Days)
Provider Specialty
Behavioral Health
Sentara Medical Group is seeking a dedicated and compassionate provider to join our growing Behavioral Health team. This is an exciting opportunity to help build a new outpatient practice while being connected to a robust network of behavioral health professionals across the region.
Position Highlights
Outpatient position with potential for remote/telehealth flexibility
M-F, 8:00-5:00 p.m. (No Call)
Average patient load: 12-14 patients per day
Initial team size: 1 provider at a new location, with plans to expand and integrate into a larger brick-and-mortar behavioral health center
Collaborative environment as part of a broader outpatient group of 20+ Advanced Practice Providers and 15 therapists
Provide support and treatment for a wide range of conditions
Benefits Highlights
Competitive compensation and comprehensive benefits package
Medical, dental, and vision coverage
Retirement plans with employer match
Paid malpractice with tail coverage
Paid time off and CME allowance
Supportive administrative and clinical leadership
Suffolk, Virginia, offers the perfect blend of small-city charm and modern convenience. Known for its scenic waterfronts, vibrant downtown, and expansive natural beauty, Suffolk provides a welcoming community with excellent schools, diverse dining, and easy access to Hampton Roads' cultural and recreational amenities. With a growing economy and a relaxed pace of life, Suffolk is an ideal place to live and work.
.
-Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave• Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Annual CME Allowance• Reimbursement for certifications and free access to complete CEUs and professional development• Pet Insurance• Legal Resources Plan• 100% Malpractice and Tail Coverage• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Providers at Sentara are eligible for special benefits such as Annual CME Allowance and 100% malpractice and tail coverage.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs providers in the following states:
North Carolina, Nevada, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia and Wisconsin.
Auto-ApplyCoding Quality Auditor - Remote
Frisco, TX jobs
Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding.
* Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA).Reviews medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate discharge disposition
* IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-9-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition.
* Coding: Uses discretion and specialized coding training and experience to accurately assign ICD-9, CPT-4 codes to patient medical records.
* Abstracting: Reviews medical records to determine accurate required abstracting elements (client specific elements) including appropriate discharge disposition.
* Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by SOW.
* CDI: Identifies and communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution.
* Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to consistently code at 95% accuracy and quality while maintaining client specified production standards
* Must successfully pass coding test
* Knowledge of medical terminology, ICD-9-CM and CPT-4 codes
* Must be detail oriented and have the ability to work independently
* Computer knowledge of MS Office
* Must display excellent interpersonal skills
* The coder should demonstrate initiative and discipline in time management and assignment completion
* The coder must be able to work in a virtual setting under minimal supervision
* Intermediate knowledge of disease pathophysiology and drug utilization
* Intermediate knowledge of MSDRG classification and reimbursement structures
* Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
* Associates degree in relevant field preferred or combination of equivalent of education and experience
* Three years coding experience including hospital and consulting background
CERTIFICATES, LICENSES, REGISTRATIONS
* AHIMA Credentials, and or AAPC
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Duties may require bending, twisting and lifting of materials up to 25 lbs.
* Duties may require driving an automobile to off- site locations.
* Duties may require travel via, plane, care, train, bus, and taxi-cab.
* Ability to sit for extended periods of time.
* Must be able to efficiently use computer keyboard and mouse to perform coding assignments.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Floats between clients as requested.
* Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment.
OTHER
* Regular travel may be required
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Senior Lead Teradata Database Administrator, Remote
Belleville, IL jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The DBA is responsible for the overall database delivery of the Enterprise Data Warehouse for the Medicaid agency. It is a critical role involving expertise in working with Medicaid data itself, security, supporting and maintaining hardware and software, and ensuring we are achieving optimal performance. For example, the DBA is expected to provide a wide range of expertise including the ability to help a user to fetch data (requiring business knowledge) and the technical ability to support a major Teradata upgrade. This role requires regular onsite presence in Springfield, Illinois to perform backup/restore and support onsite maintenance by Teradata (and its subcontractors).
This position will be part of our Data Engineering function and data warehousing and analytics practice.
Data Engineering Functions may include database architecture, engineering, design, optimization, security, and administration; as well as data modeling, big data development, Extract, Transform, and Load (ETL) development, storage engineering, data warehousing, data provisioning and other similar roles. Responsibilities may include Platform-as-a-Service and Cloud solution with a focus on data stores and associated eco systems. Duties may include management of design services, providing sizing and configuration assistance, ensuring strict data quality, and performing needs assessments.
Analyzes current business practices, processes and procedures as well as identifying future business opportunities for leveraging data storage and retrieval system capabilities. Manage relationships with software and hardware vendors to understand the potential architectural impact of different vendor strategies and data acquisition. May design schemas, write SQL or other data markup scripting, and helps to support development of Analytics and Applications that build on top of data. Selects, develops, and evaluates personnel to ensure the efficient operation of the function.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Manage, monitor, and maintain OnPrem Teradata hardware/software including patches, replacements, and upgrades with support from Teradata
* Support data governance, metadata management, and system administration
* Plan and execute tasks required to ensure the Teradata system is operational including occasional evening and weekend support for Teradata maintenance
* Provide direction to developers on Operational, Design, Development, and Implementation projects to ensure best use of the Teradata system including review/approval of database components (such as tables, views, SQL code, stored procedures)
* Performing database backup and recovery operations - using the BAR DSA and NetBackup
* Developing proactive processes for monitoring capacity and performance tuning
* Providing day-to-day support for the EDW users problems like job hands, slowdowns, inconsistent rows, re-validating headers for tables with RI constraints, PPIs, and configuration
* Maintaining rules set in the Teradata Active System Management (TASM) and supporting workload management
* Maintaining the Teradata Workload Manager with the proper partitions and workloads based on Service Levels
* Supporting the database system and application server support for the Disaster Recovery (DR) build/test, annual drill, and quarterly maintenance as needed
* Actively monitoring the health of the Teradata system and Teradata Managed Servers (TMS) using Viewpoint and other tools and application servers and make preventive or corrective actions as needed
* Maintaining access rights, role rights, priority scheduling, and reporting using dynamic workload manager, Database Query Log (DBQL), usage collections and reporting of ResUsage, AmpUsage, and security administration etc.
* Coordinating with the team and customers in supporting database needs and making necessary changes to meet the business, contractual, security, performance, and reporting needs
* Supporting internal or external audit process and address vulnerabilities or risk proactively
* Prepare and support IRS and internal audit
* Coordinating with Teradata to perform Teradata system hardening and delivery of Safeguard Computer Security
* Evaluation Matrix (SCSEM) Reports as needed, addressing issues in the hardening and vulnerability scan report
* Generating and maintaining capacity management, Space, and CPU reports on analyzing the Spool, CPU, I/O, Usage, and Storage resources and proactive monitoring to meet performance and growth requirements
* Reviewing and resolving Teradata alerts and communicating any risk / issues or impact to the management, team, and business users through appropriate communication strategy
* Effectively reporting status, future roadmap, proactive process improvements, automation, mitigation strategies, and compensating controls to the management and clients
* Leading database or data related meetings and projects/activities delivering quality deliverables with minimal supervision/direction
* Sharing knowledge, coaching/mentoring other members in the team for backups
* Performing additional duties that are normally associated with this position, as assigned
* Responsible for front-end tool (OpenText Bi-Query) and model maintenance and administration
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* 7+ years of experience as a Teradata DBA on Version 15+ (preferably 17+) and experience leading Teradata major upgrade/floor sweep
* 5+ years of experience as primary/lead DBA with solid leadership and presentation skills
* 5+ years of experience writing complex SQL using SQL Assistant/Teradata Studio
* 3+ years of experience with Teradata 6800/1800 system or IntelliFlex
* 3+ years of experience extracting, loading, and transforming structured/unstructured data using Teradata Utilities (FastLoad, Multiload, FastExport, BTEQ, TPT) in a Unix/Linux environment
* 3+ years of experience performance tuning in a large database (>5TB) or data warehouse environment, using advanced SQL, DBQL and Explain plans
* 3+ years of experience analyzing project requirements and developing detailed database specifications, tasks, dependencies, and estimates
* 3+ years of experience identifying and initiating resolutions to customer facing problems and concerns associated with a query or database related business need
* Data warehouse or equivalent system experience
* Demonstrated excellent verbal/written communication, end client facing, team collaboration, mentoring skills, and solid work ethics
* Demonstrated solid culture fit through integrity, compassion, inclusion, relationships, innovation, and performance
Preferred Qualifications:
* Teradata Vantage Certified Master
* 5+ years logical and physical data modeling experience
* 5+ years with Erwin or other data modeling software
* 3+ years maintaining and creating models using OpenText BI-Query
* 3+ years identifying and initiating resolutions to customer problems and concerns associated with a Data Warehouse or equivalent system
* 3+ years working with end users/customers to understand requirements for technical solutions to meet business needs
* 3+ years collaborating with technical developers to strategize solutions to align with business requirements
* 3+ years defining standards and best practices and conducting code reviews
* Experience working with project teams in metadata management, data/IT governance, business continuity plan, data security
* Experience in Application Server Hardware/Software Administration (Windows/Linux)
* Experience working in matrix organization as an effective team player
* Experience working in agile environment such as Scrum framework and iterative/incremental delivery/release.
* Experience in tools like DevOps and GitHub
* Experience with State Medicaid / Medicare / Healthcare applications
* Experience working in large Design Development and Implementation (DDI) projects
* Experience upgrading to Teradata IntelliFlex
* Knowledge/experience with Cloud databases such as Snowflake and migration from on Prem to Cloud project
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Children's Behavioral Services - Neuro Psychologist - University Health Center - Detroit, MI
Remote
The Department of Psychology at the Children's Hospital of Michigan (CHM) is seeking a pediatric neuropsychologist to join our team of two pediatric neuropsychologists and four pediatric psychologists. The ideal candidate will have interest in working with our Epilepsy and Epilepsy Surgery programs.
The neuropsychologists at CHM support hospital populations with various neurological, neurosurgical, medical, psychiatric and sports related injuries. CHM neuropsychologists conduct traditional outpatient neuropsychological evaluations, as well as provide consultation in our inpatient rehabilitation setting, and are integrated as part of multi-disciplinary teams within the following specialty clinics: concussion, myelomeningocele, genetics, NICU and cardiology neurodevelopmental follow-up programs. Additionally, we provide coverage on our inpatient epilepsy monitoring unit and actively participate in weekly and bi-weekly epilepsy and deep brain stimulation surgical conferences.
In addition to clinical care, the incumbent neuropsychologist would be responsible for supervision of psychology externs and interns through our APA accredited doctoral internship program, which has been continually accredited by the APA since 1988.
Competitive applicants must have a Psy.D./Ph.D. in clinical psychology from an APA or CPA accredited graduate program and have completed an APA accredited internship program. It is also expected that all neuropsychologist staff members have completed a formal two-year postdoctoral fellowship focused on specialty training in clinical neuropsychology with special focus in Epilepsy and Epilepsy Surgery care. Candidates are expected to be ABPP board-eligible or board certified.
Duties include: 1) conducting screenings, consultations, and evidence-based neuropsychological evaluations of children and adolescents with medical, psychiatric, and neurodevelopmental disorders; 2) teaching and supervision of residents and interns in topics relevant to neuropsychological assessment; and 3) engagement in research or other scholarly activities. Eligible applicants may apply for clinical (non-tenured) faculty privileges with an affiliated educational institution, (e.g., Wayne State University and/or Central Michigan University)
Salary and benefits are competitive and includes educational funding and fully paid malpractice with tail coverage. The ideal candidate will have strong written and verbal communication skills, experience working in a medical setting with multidisciplinary teams, teaching and supervisory experience, and a capability to see a wide range of conditions.
Education:
Required: Bachelor's degree in Psychology; Graduate degree.
Experience:
Required: Internship and/or clinical experience in Rehabilitation Psychology/Behavioral Medicine/Health Psychology and Neuropsychology
Certifications:
Required: Licensed psychologist. Additional certification(s) per governing board and in accordance with the facility Medical Staff Bylaws.
Physical Demands:
Auto-ApplyIntegration Architect (Preference is onsite in Dallas, open to remote based if not local to DFW)
Remote
If you have strong technical skills and experience in coordinating design, system validation, and cultivating client relationships, this is an incredible opportunity to excel in an exciting, fast-paced arena!
The Integration Architect supports all key Hospital and Market programs by aligning critical projects and associated outcomes with the Tenet mission, vision, and values. This position must understand and align with the executive strategy and demonstrate the highest degree of professionalism, communication, and collaboration.
As a member of the Corporate IS Leadership team, this position will work with colleagues to analyze the impacts and benefits of evolving healthcare information technologies. Responsible for the strategic direction associated with Tenet's Patient Engagement and Revenue Cycle Core platform and all integrated systems. A key aspect of the role is the engagement of Clinical and Financial Portfolio leaders, providers, clinical and support staff in the operational delivery using technology.
This leader will work with application leaders to advance high reliability, predictability, and quality across the revenue cycle, business, and integrated applications.
Responsibilities
Manage the execution of critical initiatives in collaboration with other IS Application Leaders, PMO Leadership, and under the direction of Corporate IS Application Sr. Director Leadership
Act as an escalation point for clients and project integration risks
Partner with the rest of the Corporate IS Application Leadership teams to ensure that project deliverables and timelines are met to deliver value to the client as committed
Provide support in understanding, designing, and validating integration points across solutions
Drive forward architecture strategy, best practices, standards, and roadmap
Design and maintain domain strategies to successfully deploy Revenue Cycle and Patient Engagement Solutions
Define and implement testing strategies with our clients
Maintain platforms by ensuring compliance checks are met, code is supported, and solutions are aligned with our model content
Coach/mentor others to guide them through specific projects, policies, procedures, and solutions
Knowledge of emerging technologies and methodologies that can be applied to reduce cost and drive efficiency
Required Knowledge & Experience
Bachelor's degree or equivalent related work experience
Minimum 2 years of experience in implementation, deployment, or technical customer support with Oracle Cerner Millennium
Proficient in Core Cerner Millennium modules: Revenue Cycle, Midcycle, Coding, Interoperability, and Integration.
Operational experience that includes working across a broad section of IT services
Strong background in an IT service delivery role (7 years minimum)
7+ years of experience with integrated healthcare information systems and technology delivery in an acute care clinical setting
Experience in a direct IT business engagement role
Has participated in the design and/or implementation of major IT projects
Communicates well with customers who are not technically savvy
Have experience dealing with vendors and other people who are supplying the product/service
Ability to set strategy, develop, and assess progress on a complex financial plan
Compensation
Pay: $114,000 - $170,000 annually. Compensation depends on location, qualifications, and experience.
Position may be eligible for an Annual Incentive Plan bonus of 10%-40% depending on role level.
Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
The following benefits are available, subject to employment status:
Medical, dental, vision, disability, life, AD&D, and business travel insurance
Manager Time Off - 20 days per year
Discretionary 401k match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, and auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
#LI-NO1
Auto-ApplyTPR Market EMR Coach - Remote based in San Antonio, TX
Dallas, TX jobs
The TPR EMR Coach under direct supervision from the Market Clinical Informatics Manager and according to established policies and procedures functions as a clinical application expert and is primarily responsible for training TPR office staff to efficiently use clinical applications including but not limited to Athena, Dragon, Medi-Mobile and Collector. The TPR EMR Coach will proactively provide at the elbow support to clinic staff. The TPR EMR Coach is responsible for purposeful clinic rounding; providing direct support to providers and staff to ensure end users successfully integrate clinical applications into clinical workflow. The TPR EMR Coach ensures consistent and effective use of the applications that align with policy, procedure, and standards. The TPR EMR Coach may at times create education content to communicate and educate providers and staff. The TPR EMR Coach regularly provides suggestions and seeks feedback from physicians, clinicians and office staff communicating such information to the Market Clinical Informatics Director.
The TPR EMR Coach collaborates with the Market Clinical Informatics Manager to improve physician and clinicians' satisfaction with the clinical applications, promote "voice of the customer" and improve IS service and support.
Must be in or able to commute to the Market daily.
Travel
* Up to 25% travel outside of market and 75% travel within market
* The selected candidate will be required to pass a Motor Vehicle Record check.
Responsibilities
* Acquisitions-Onsite onboarding and training of physicians and support staff (PSR, MA, referral staff, biller, coder and PM) in outpatient offices on Athena, Patient Portal, Phreesia, MediMobile, Dragon dictation and Virtual Visits
* Assists with systems implementation including analysis, design, configuration, testing, and support activities
* Review and share new system release items with critical stakeholders. Test and ensure features are compliant with Tenet policies
* Provides recommendations on requests related to EHR workflows and functionality onsite weekly
* Assist with custom template development, scheduling templates, EPCS setup, HIE request, TAO and practice role request
* Proactively schedule on-site clinic visits to assess adoption, and efficient use of clinical systems and address issues brought forth from clinic staff
* Create and submit visit reports to leadership
* Monitors end user reports to assess trends and identifies opportunities to increase efficiency
* Enters/Processes TenetOne tickets (including patient merge, training request offboards)
* New Hire CSS orientation
* Create/Review educational materials on a regular cadence
Qualifications
* Minimum of one year experience in ambulatory clinical settings such as physician clinics or other OP settings is required
* Minimum of one-year prior experience in the use of and/or implementation of clinical information systems is required
* Athena experience preferred
* High School Diploma or GED required
* Ability to develop, maintain and collaborate with clinicians
* Ability to problem-solving and resolve conflict
* Understands clinical workflow and has the skill set to integrate technology into clinical practice
* Excellent verbal, presentation, and written communication skills required
* Must serve as a model of credibility, professionalism, and customer service
* Other duties as assigned by supervisor
Compensation
* Pay: $23.00-$36.40 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Benefits
The following benefits are available, subject to employment status:
* Medical, dental, vision, disability, AD&D and life insurance
* Paid time off (vacation & sick leave)
* Discretionary 401k match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
* For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
#LI-NO1
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Sterile Processing Tech
Remote
Full Time, Evenings
Responsible for processing incoming supplies and equipment. Performs cleaning, decontamination and sterilizing duties, prepares packs of supplies, prepares supplies for all surgery cases, linens, and instruments in Sterile Processing as directed. Must be extremely conscientious with regard to procedures and capable of working under pressure and interacting professionally with all departments.
EDUCATION:
Minimum: High School diploma or equivalent and completion of a sterile processing course or surgical technician program
EXPERIENCE:
Minimum: None
Preferred: At least one year previous experience in central sterilization operations.
REQUIRED CERTIFICATION/LICENSURE/REGISTRATION:
Certified Central Service Technician certification or Certified Surgical Technician preferred. If not certified at time of hire into position, certification must be obtained within first year of employment.
#LI-MQ1
Sterilizes instruments, equipment and supplies as required; handles and stores instruments, equipment and supplies appropriately
Performs biological and chemical monitoring in accordance with quality assurance standards.
Follows proper case cart procedures for accurate distribution of supplies needed for surgical cases
Controls all equipment for patient care, and biomed.
Auto-ApplyRadiologist Body Imaging - Radiology - Kelsey-Seybold - Remote
Houston, TX jobs
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
Join a 30+ radiologist group that is based at our Main Campus location with a possible rotation to an outlying satellite clinic. We are seeking a board-certified radiologist interested in general radiology to include:
* Radiography
* General fluoroscopy and procedures
* Proficiency with interpretation of ultrasound and general body CT preferred
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Graduate of an approved radiology residency program in the United States
* Licensed in the State of Texas
* Board Certified and/or Board Eligible
* MVR is marked Yes and therefore, driving was listed as a requirement, a corresponding PSQ has been added. Please let us know if this should be changed
Preferred Qualification:
* Bilingual (English/Spanish) fluency
Compensation for this specialty generally ranges from $459,000 to $739,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Inpatient Corporate Coding Coordinator - Remote based in US
Remote
Under general supervision and with aid of Official Coding Guidelines, the Corporate Coding Coordinator codes diagnoses and procedures of inpatient accounts according to ICD-10-CM/PCS. The Corporate Coding Coordinator is responsible for assisting the Corporate Coding Manager with second level coding reviews and educates coders on correct coding. Assists the coding department with coding questions, reviews, or inquiries.
Required:
3-5 years acute hospital coding experience.
Skilled and working knowledge of MS Office suite.
Ability to analyze coding related reports and take action.
Associates Degree in Health Information Management.
RHIT or CCS certification.
Preferred:
5 plus years' experience in a large, complex, multi-system acute care hospital organization.
Bachelor's Degree in Health Information Management.
RHIA and CCS certification.
A pre-employment coding proficiency assessment will be administered.
Compensation
Pay: $30.00-$45.00 per hour. Compensation depends on location, qualifications, and experience.
Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Benefits
The following benefits are available, subject to employment status:
Medical, dental, vision, disability, AD&D and life insurance
Paid time off (vacation & sick leave)
Discretionary 401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
#LI-CM7
Performs second level coder reviews on accounts that are sent back from Revint, Iodine, coding audits, and coding/billing editor.
Provides coders with education and guidance on correct coding based on second level reviews.
Assists coding manager and coding department with coder questions, coding reviews, and coding inquiries. Codes inpatient accounts when coverage is needed.
Monitors and assists coding manager with DNFC management to goals.
Attends Tenet coding educations and maintains coding credentials.
Auto-ApplySchedule Specialist - Remote
Creve Coeur, MO jobs
Explore opportunities with Elite Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As a Business Office Assistant, you'll be the backbone of our administrative team, supporting the Admin, Director of Nursing (DON), and Office Manager with essential clerical and computer-related tasks. You'll keep things running smoothly by handling filing, shredding, data entry, and processing workflow tasks with precision and efficiency. Your role is crucial in ensuring our office operates seamlessly.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Assist with routine clerical/office tasks, answer telephone calls, and deliver messages
+ Pull, review, and follow up on reports of orders recert and unverified visits
+ Maintain up-to-date medical records by scanning documents timely and completing EOE audits
+ Complete discharge chart reviews, perform audits, process orders to/from physicians, and track for timely receipt
+ Communicate professionally within the organization and with external sources (physicians, patients, family members, referral sources, etc.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Computer skills, clerical-business machine skills, telephone communication skills, and be able to type
+ General clerical skills and organizational skills **Preferred Qualifications:**
+ Able to work independently and as a team member
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Medical Oncology Resident Pathway - Remote
Las Vegas, NV jobs
**Optum NV is seeking a Medical Oncology Resident Pathway to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.** **As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together.**
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Position Highlights:**
+ **_This is a temporary role intended for physician residents in their final year of training, interested in pursuing a full-time role with our group following completion of residency_**
+ **_OptumCare will educate and prepare physicians to join our group full time, providing a customized program with exposure to our radiation oncology team as well as Optum as an organization. The commitment requires only a few hours per month maximum_**
**_Compensation & Benefits Highlights:_**
+ **_Physician Resident will receive an adjusted annual salary_**
OptumCare Nevada, is Nevada's largest multi-specialty practice, with over 350 physicians and advanced practice clinicians. Our facilities include 22 medical offices, with 13 urgent cares and retail clinics, two lifestyle centers catering to seniors and two outpatient surgery centers. The practice is fully integrated and includes home health, complex disease management, pharmacy services, medical management and palliative care. OptumCare Nevada is actively engaged in population health management, with an emphasis on outcomes, and offers patients compassionate, innovative and high-quality care throughout Nevada. OptumCare Nevada is headquartered in Las Vegas, Nevada.
OptumCare Cancer Care is seeking a Radiation Oncology Physician for our Radiation Oncology division located in Las Vegas, NV. This is an outstanding opportunity for a physician
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ **_M.D. or D.O_**
+ **_Transitioning into final year or early into final year of residency/fellowship_**
+ **_Board Certified/Board Eligible in specialty_**
+ **_Active unrestricted NV license and DEA or ability to obtain prior to employment_**
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
**California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington** **or** **Washington, D.C. Residents Only:** The salary range for this role is $33,280 to $41,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
EDW Medicaid Subject Matter Expert or Data Specialist - Remote
Chicago, IL jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
This position is a Medicaid Subject Matter (SME) Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation and maintenance & operations. The selected SME will provide the required decisions for the business and technical team members to modify, change, enhance or correct within the system, related to claims, provider, and recipient data.
Roles in this function will partner with stakeholders to understand data requirements and support development tools and models such as interfaces, dashboards, data visualizations, decision aids and business case analysis to support the organization. Additional roles include producing and managing the delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute position with some (
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
* Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations
* With the specialized knowledge of the Medicaid and Children's Health Insurance Programs (CHIP), lead and guide internal and external stakeholders to make determinations relating to complex processes involving claims processing/adjudication, recipient eligibility, provider enrollment, and third-party liability
* Proactively identify and understand state Medicaid agency data needs and determines the recommended solution to meet them with credible reason, justification and validated proof of concepts
* Direct technical and business teams on healthcare topics understanding and utilizing healthcare data appropriately
* Proactively suggest and recommend enhancements and improvements throughout the project processes, driven by Medicaid best practices, standards and policies
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* 10+ years of experience in information technology with 5+ years of experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems
* 2+ years of experience working CMS Federal Reporting MARS, PERM, T-MSIS, Quality of Care CMS Core Measure or similar projects
* Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered
* Understanding of claims, recipient/eligibility, and provider/enrollment data processes
* Proven ability to create and perform data analysis using SQL, Excel against data warehouses utilizing large datasets
* Proven excellent verbal/written communication and presentation skills, manager/executive/director-level client facing, team collaboration, and mentoring skills
* Proven solid culture fit, demonstrating our culture values in action (Integrity, Compassion, Inclusion, Relationships, Innovation, and Performance)
* Ability to travel to Springfield, IL two (3) to three (4) times per year or as needed
Note: Core customer business hours to conduct work is M-F 8 AM - 5 PM CST.
Preferred Qualifications:
* 2+ years of experience in HEDIS, CHIPRA or similar quality metrics
* Experience with data analysis using Teradata Database Management System or other equivalent database management system
* Experience using JIRA, Rally, DevOps or equivalent
* Experience in large implementation or DDI project
* Located within driving distance (3 - 5 Hours) of Springfield, IL
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Manager, Application Development Engineering
Remote
You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Manages the team members accountable for designing, developing, and implementing complex enterprise software solutions. Collaborates closely with technical and non-technical roles such as data modelers, architects, business analysts, data stewards, and subject matter experts (SMEs) to provide design, technical analysis, development/configuration, testing, implementation, and support expertise representing the interest of the business across the enterprise.
Serves in a team leadership capacity with large-scale Application Development projects / programs
Leads the build-out or expansion of coding standards initiatives
Reports application progress and outcomes
Provides coaching and career development planning to junior Application Developers
Coordinates the work of 3rd party Development teams, holds 3rd party vendors accountable to our standards, policies, and performance expectations.
Identifies and evaluates risks and participates in mitigation and control activities
Provides continuity with Application and Infrastructure Management operational groups during service transition
Partners with Security and SRE teams, makes sure all security and change management policies are followed.
Assists in the design and development of proof of concept and prototype application environments
Manages the hiring and training of new and existing staff, conduct performance / salary reviews, and provide leadership, technical guidance and coaching to Developers executing all aspects of applications development
Lead teams of Developers to help ensure the stable operation of application development activities
Shares knowledge and develop staff capabilities to strengthen understanding of application development industry, business issues and best practices; evaluate implications to IT
Develops and communicates departmental objectives; inspire and motivate team members to achieve results
Holds teams accountable to meet functional, quality, and time line objectives.
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Requires a Bachelor's degree and 5+ years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Technical Skills:
One or more of the following skills are desired.
Experience with Application Development; Applications Architecture
Experience with Other: DevOps industry best practices
Knowledge of Agile Software Development
.NET
Pay Range: $100,900.00 - $186,800.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Auto-ApplyAssociate Director, Quality Field Operations
Maryland Heights, MO jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
This Director level is accountable for achieving assigned targets for Medicare Advantage providers in their assigned Market(s). The Director is responsible for developing and deploying business plans at the market level with a solid focus on managing CMS Risk Adjustment, Clinical Quality, HEDIS and Stars initiatives and building relationships across Market(s) to develop and optimize business opportunities and brand strength. Serving as the local Market expert, work with central function leads to target local strategies that will result in optimal Market(s) effectiveness.
You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
* Ensure targets are met or exceeded for assigned Market(s)
* Development and execution of clinical, RAF and quality strategy related HEDIS and Part D Stars Improvements in partnership with Medicare Market CEO, Executive Director, Data Support, and other Optum and UHC parties as appropriate
* Regular reporting and updates to senior leadership, including Health Plan CEO, CMO, and market leads, this requires development of PowerPoint and Excel data packages
* Leadership and support of achieving a minimum of 4 Star rating for assigned H contracts and for achieving 80% of our members in 4 Star or better plans
* Solid focus on employee development and employee experience
* Monitor Market level trends, risk and opportunities to continually evaluate ability to achieve established targets
* Create provider targets for direct reports and assist in territory management penetration
* Actively participate in the development and execution of site Coding Accuracy, HEDIS, (prospective and retrospective), Patient Experience and Stars strategic/business plans
* Influence the development and improvement of operations/service processes
* Drive the development and implementation of short-and-long range plans
* Continually assess market competitiveness, opportunities, and risks
* Drive initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities
* Build and maintain collaborative relationships with Corporate, Business units within UHG and other Medicare Advantage Plans, Provider relations/Network Development, Marketing and Sales, Clinical Operations, Senior Director leadership in each market
* The Director will be accountable to ensure direct reports that oversee the field staff are performing at a high standard of performance
* Be the primary go to person for all Risk/STARS related activities within their assigned market(s) working within a matrix relationship which includes Network, Market Leads, Health Plan Medical Directors, and other Health Plan and Optum team members to assure that all STARS activities are planned and executed
* Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* 5+ years of experience in a high impact role as a leader in the managed health care industry
* 5+ years of Medicare Stars experience and HEDIS experience
* Experience in the development and execution of Coding Accuracy, HEDIS (prospective and retrospective), Patient Experience and Stars strategic/business plans
* Experience developing and improving operations / service processes including short and long range plans
* Demonstrated experience on driving initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities
* A broad base of experience across management care operations, extensive knowledge of health care industry, provider and insurance industry is required to be successful in this role
* Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work
Preferred Qualifications:
* Reside in the upper Midwest (Missouri / Nebraska / Iowa / Illinois )
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Clinical Coding Educator - Full Time - Remote
Arlington, TX jobs
Clinical Coding Educator _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ Clinical Coding Educator _like you to join our Texas Health family._ Work hours: Monday through Friday (full time hours)
HIMS/CCDI Department Highlights:
+ 100% remote work
+ Flexible hours/scheduling
+ Terrific work/life balance
Here's What you Need
Education
Associate's Degree Healthcare related REQUIRED or
Bachelor's Degree Healthcare related preferred or
Bachelor's Degree Other (i.e., business) 3 years experience in inpatient acute facility coding preferred or
H.S. Diploma or Equivalent 7 years experience in inpatient acute facility coding in lieu of degree
Experience
3 years Acute Inpatient Hospital Coding REQUIRED
1 year auditing inpatient acute facility coding REQUIRED
1 Year providing formal education in adult learning REQUIRED
Licenses and Certifications
RHIA - Registered Health Information Administrator Upon Hire REQUIRED or
RHIT - Registered Health Information Technician Upon Hire REQUIRED or
CCS - Certified Coding Specialist Upon Hire REQUIRED or
CIC - Certified Inpatient Coder Upon Hire REQUIRED
Skills
Proficient in software applications (Excel, Word, Optum CAC, EPIC). Thorough knowledge of ICD 10-CM, PCS. Knowledgeable in APC and DRG methodologies and all regulatory/payer requirements as they relate to coding. Demonstrated knowledge of coding conventions, guidelines and clinics including ability to apply and instruct on these, as well as THR coding policies and procedures for accurate record review. Demonstrated time management and organizational skills. Demonstrated clear and concise oral and written communication skills. Demonstrated strong decision making and problem-solving skills. Personal initiative to keep abreast of new developments in coding updates/technology/research/regulatory data. Successful completion of ICD 10-AHIMA Academy training and certification (Preferred).
What you will do
* Collaborates to develop planning, instruction, and evaluation tools for the Clinical Coding Apprenticeship Program in accordance with professional coding practices and guidelines.
* Creates tools for evaluation of apprentice progress to identify continued learning opportunities (i.e., audit tools, competencies, and/or assessments)
* Monitors individual apprentice progress and trends and provides summary reports to leadership as requested.
* Provides input into the development and updating of policies or procedures to maintain standards for correct
coding per formal coding resources.
* Quality Improvement
* Technology/Use of Data
* Professional Accountability
Additional perks of being a Texas Health Clinical Coding Educator
* Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
* A supportive, team environment with outstanding opportunities for growth.
* Explore our Texas Health careers site (https://jobs.texashealth.org/) for info like Benefits (https://jobs.texashealth.org/benefits) , Job Listings by Category (https://jobs.texashealth.org/professions) , recent Awards (https://jobs.texashealth.org/awards) we've won and more.
_Do you still have questions or concerns?_ Feel free to email your questions to recruitment@texashealth.org .
\#LI-JT1
Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.
We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Collection Specialist
Frederick, MD jobs
Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As a Collection Specialist, you will take charge of preparing and processing a variety of insurance claims with precision. Each day, you ensure accuracy by actively verifying data through direct communication with agencies and external partners-keeping everything on track and moving forward.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Prepare and process various insurance claims, including electronic submissions for multiple payers
+ Verify claim data daily through communication with agencies and external personnel
+ Research and correct error claims to ensure clean claim production and submission
+ Review accounts receivable daily and follow up on delinquent accounts per established procedures
+ Recommend corrective actions based on account review findings
+ Investigate and respond to inquiries from payors and agencies regarding accounts receivable activity
+ Maintain and update accounts receivable schedules to track issues and resolutions for reporting
+ Resolve customer requests, inquiries, and concerns promptly and respectfully You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ 1+ years of medical billing and collections experience
+ Excellent oral and written communication skills
+ Solid organizational, analytical, and math skills
+ Basic proficiency in PC applications, including Microsoft Word and Excel
**Preferred Qualifications:**
+ Home Health billing and collections experience
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._