Post job

Reviewer jobs at University of Massachusetts Medical School

- 8 jobs
  • Disability Reviewer II (Remote)

    University of Massachusetts Medical School 4.3company rating

    Reviewer job at University of Massachusetts Medical School

    Under the general direction of the Program Manager or designee, the Disability Reviewer II leads and performs diverse work for multiple State disability determination agencies, Public Retirement Systems and assessments / reviews for the Office of Clinical Affairs and other UMass Chan Medical School (UMass Chan) entities or State agencies. These assessments may include the review of medical evidence, psychiatric evidence, vocational profiles, state statues and guidelines and any other pertinent evidence to determine whether an individual meets the standards in accord with applicable state and federal laws and regulations. The diversity of work carries with it significant responsibilities in that the outcome results in the awarding or denial of benefits to the applicant and/or retiree. Responsibilities MAJOR RESPONSIBILITIES: Assume responsibility for being an emergent intervention agent when confronted with a client-in-a-crisis situation. Contact providers, state agency offices, case managers and clients to obtain information and records needed to conduct a comprehensive review of the case and final determination. Participate in the appeals process for denied claims through communication with state agencies, applicants and other parties as necessary. Efficiently manage a caseload of disability applicants (clients) applying for assistance as a disabled individual through state or private benefit programs. Contribute as an active member of a multi-disciplinary team that includes nurses, vocational rehabilitation counselors, physician advisors, and other allied health professionals. Participates in and serves as a resource to quality improvement committees, performance improvement initiatives and demonstrates the use of quality improvement in daily operations. Maintain the confidentiality of all business documents and correspondence per UMass Chan/ForHealth Consulting procedures and HIPAA regulations. Follow all established Procedural Standards and accepted best practices. Maintain positive working relationships with applicants, providers, state agencies and other DES clients. Document all relevant information into data system applications. Comply with all health, safety and program regulations and requirements. Perform other duties as required. Qualifications REQUIRED QUALIFICATIONS: RN - Registered Professional Nurse with current unrestricted license with three years of relevant experience OR Masters prepared licensed or certified vocational rehabilitation counselor or other licensed or certified Allied Health professional with 2 years of relevant experience in one or more of the following areas; acute medicine, long term care, mental health, developmental disabilities, substance abuse, rehabilitation and/or vocational counseling or equivalent Ability to work in a team environment, interpret state and federal laws and regulations, meet performance deadlines in a dynamic environment. Excellent oral and written communications skills. Demonstrated experience using computer-based tools including electronic mail, word processing and database products. Ability to travel off site as needed
    $59k-73k yearly est. Auto-Apply 60d+ ago
  • Telephone Interviewer - [A]

    University System of New Hampshire 4.3company rating

    New Hampshire jobs

    USNH Employees should apply within Workday through the Jobs Hub app The Survey Center is not currently hiring but is accepting applications for future openings. We will contact applicants as positions become available. As a Telephone Interviewer, your primary responsibility will be to collect survey research data by conducting phone interviews. You will follow scripted questionnaires, which typically take 10-15 minutes to complete. Surveying software will guide you through the questions and record participants' responses. This role requires strong typing skills and comfort using a computer, including basic navigation through menus. You must be able to speak clearly and professionally using a telephone headset, and accurately record participants' verbal responses. This is an in-person position at our call center located on the Durham Campus. Remote work may be available after a probationary period employees in good standing who meet remote work requirements. Employees are expected to work between 8-20 hours per week. You will be responsible for selecting and maintaining your own schedule. Shifts are typically offered in 4-hour blocks: 9:00 AM - 1:00 PM 1:00 PM - 5:00 PM 5:00 PM - 9:00 PM Please note: Our work is project-based, so there may be short breaks between assignments. Compensation Pay Range: $13.00 This is an evergreen posting. While there may not be an immediate opening, we regularly hire for this position throughout the year. Applications are reviewed as opportunities become available. The University of New Hampshire is an R1 Carnegie classification research institution providing comprehensive, high-quality undergraduate and graduate programs of distinction. UNH is located in Durham on a 188-acre campus, 60 miles north of Boston and 8 miles from the Atlantic coast and is convenient to New Hampshire's lakes and mountains. There is a student enrollment of 13,000 students, with a full-time faculty of over 600, offering 90 undergraduate and more than 70 graduate programs. The University actively promotes a dynamic learning environment in which qualified individuals of differing perspectives, life experiences, and cultural backgrounds pursue academic goals with mutual respect and shared inquiry. EEO Statement The University System of New Hampshire is an Equal Opportunity/Equal Access employer. The University System is committed to creating an environment that values and supports diversity and inclusiveness across our campus communities and encourages applications from qualified individuals who will help us achieve this mission. The University System prohibits discrimination on the basis of race, color, religion, sex, age, national origin, sexual orientation, gender identity or expression, disability, genetic information, veteran status, or marital status. The pay range for this position is listed above. Actual offer will be based on skills, qualifications, experience, and internal equity, in addition to relevant business considerations. More information on benefits can be found here: USNH Employee Benefits | Human Resources Location: Durham Salary Grade: Adjunct Hourly Staff 00
    $13 hourly Auto-Apply 60d+ ago
  • Coding Quality Reviewer and Educator

    Brown University Health 4.6company rating

    Providence, RI jobs

    SUMMARY: Under the direction of the Manager of Coding Policy and Education, research coding and documentation guidelines and creates/updates policies as needed. Develops Brown University Health training materials, works with Manager to publish materials online and updates materials as needed. Performs audits on schedule or as assigned based on department policy, coding guidelines, payer rules, and/or system policies. Identifies external resources, assists with external audits, records results and schedules related feedback sessions. Works with the manager to provide regularly scheduled education. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Consistently apply the corporate values of respect, honesty and fairness with the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly, geographically accessible and high-value services within the environment of a comprehensive integrated academic health system. Assume responsibility for knowing and acting in accordance with the principles of the Brown University Health Corporate Compliance Program and Code of Conduct. Research coding and documentation guidelines from reliable sources, collects relevant information and compiles that information into a user-friendly manual. Records various training materials for coders and providers and works with Manager to publish recorded materials on the Brown University Health Intranet. Prepares for and conductseducation sessions which include specialty specific coding and documentation guidelines, examples of relevant medical records, resource materials, etc. Works with Manager to review findings from external audits and coordinates related feedback sessions with coders, validators and providers. Tracks internal and external audits and records on detailed log. Adheres to audit schedule. Performs analysis of reports on key codinguditing metrics. Identifies trends and reports those trends to the Manager. Assists Manager with ROI analyses. Stays abreast of all coding updates, including new/deleted ICD-10 codes, new/ deleted CPT codes, new/ deleted HCPCS codes and any coding guideline changes. Reviews payer updates and notifies Manager of any pertinent changes impacting coding/documentation. Creates all components of a successful education process, including lesson planning and materials used for educational purposes (i.e. audiovisual aids, Epic Tips sheets, knowledge retention exams, etc.). Assists with educating validators/coders as requested. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Association of Professional Coders. Monitors validators for violations and reports to PFS Manager or Director when areas of concern are identified. Maintains confidentiality of sensitive information at all times. Participates in various committees, task forces and quality improvement teams as needed. Performs other duties as necessary. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: Associate degree or 3 years of experience in a medical coding/validating role. Certification required: CCS, CPC, RHIA or RHIT considered. Specialty certification a plus or willingness to obtain specialty certification. Excellent verbal and written communication skills with technical proficiencies to include Microsoft Excel &PowerPoint, and Teams applications. EXPERIENCE: Three to five years progressively responsible experience performing outpatient coding. Experience in a large, multispecialty physician group and/or complex academic medical center preferred. Experience should demonstrate a high level of knowledge in ICD-10-CM and CPT-4 coding methodologies. Experience with Epic preferred. INDEPENDENT ACTION: Performs independently within the department's policies and procedures. Refers specific complex problems to the Manager when clarification of the departmental policies and procedures are required. Must be able to work with minimal supervision. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: Remote work from home. SUPERVISORY RESPONSIBILITY: None Pay Range: $66,397.24-$109,529.06 EEO Statement: Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Brown University Health is a VEVRAA Federal Contractor. Location: Corporate Headquarters - 167 Point Street Providence, Rhode Island 02903 Work Type: M-F DAYS Work Shift: Day Daily Hours: 8 hours Driving Required: No
    $66.4k-109.5k yearly 17d ago
  • EPA Section 608 Universal Test Exam Question Reviewer (Contractor) - Remote, Asynchronous

    Kaplan, Inc. 4.4company rating

    Washington, DC jobs

    About Kaplan: Kaplan is a world leader in education, helping individuals achieve their educational and career goals. We provide a wide range of educational services, including test preparation, higher education, and professional training. Project Description: Kaplan is seeking a subject matter expert to join us as a Contractor to contribute to the development of a new quiz bank for the EPA Section 608 exam. This is a remote and asynchronous opportunity, allowing you the flexibility to complete the work outside of standard business hours. As a vital member of our content development process, you will leverage your expertise and certification to ensure the accuracy, relevance, and exam-like quality of our practice questions. You will work collaboratively with our Content Specialists, providing insightful feedback and revisions to help candidates effectively prepare for their EPA Section 608 exam. Responsibilities: * Review batches of EPA Section 608 exam questions provided by the Kaplan Content Specialist. * Evaluate questions against a provided checklist, ensuring they accurately reflect the style, content, and difficulty of the actual EPA Section 608 exam. * Make necessary revisions and improvements to questions to enhance their quality and exam relevance. * Submit marked-up Google Documents for each batch, clearly tracking all changes using Google Docs' Track Changes feature. * Ensure all content is accurate, error-free, and current with the latest EPA Section 608 exam specifications. * Adhere to Kaplan's requested style guide in all revisions and submissions. * Participate in Kaplan's standard content review cycle, addressing feedback on clarity, accuracy, formatting, and presentation. * Rephrase, add, or remove content as needed based on review feedback. * Respond to all review queries within 2 business days, or earlier if requested. * Adhere to specified timelines for each batch of questions, as communicated by the Content Specialist. Minimum Requirements: * Certification in the relevant field or holding the specific EPA Section 608 certification. * Demonstrated deep understanding of the EPA Section 608 exam content and format. * Strong attention to detail and a commitment to accuracy. * Excellent written communication and editing skills. * Proficiency in using Google Docs and Google Drive. * Ability to meet deadlines and manage workload effectively in a remote, asynchronous environment. * Reliable internet access and communication methods. Preferred Requirements: * Prior experience in instructional content development, particularly for the relevant exam. * Previous teaching or tutoring experience in the relevant subject area. * Familiarity with principles of effective test question design. Compensation: * $5.00 per problem reviewed. * Payments will be issued after all content feedback has been reviewed and approved by Kaplan and no questions remain. Timeline: * Review of up to 10 problems: Deliverable due within 2 business days from receipt. * Additional review of up to 200 problems: Deliverable due within 5 business days from receipt. * Minimum of 10 hours per week, with the possibility of a total of up to 25 hours work. * Specific deadlines for batches outside these sizes or requiring different turnaround times will be communicated by the Content Specialist upon assignment. To Apply: Please submit your resume or curriculum vitae highlighting your relevant experience and certification in EPA Section 608 as well as any relevant content development or teaching experience. Location Remote/Nationwide, USA Additional Locations Employee Type Contingent Worker Job Functional Area Other Admin Staff Business Unit 00073 Kaplan Grad Diversity & Inclusion Statement: Kaplan is committed to cultivating an inclusive workplace that values diversity, promotes equity, and integrates inclusivity into all aspects of our operations. We are an equal opportunity employer and all qualified applicants will receive consideration for employment regardless of age, race, creed, color, national origin, ancestry, marital status, sexual orientation, gender identity or expression, disability, veteran status, nationality, or sex. We believe that diversity strengthens our organization, fuels innovation, and improves our ability to serve our students, customers, and communities. Learn more about our culture here. Kaplan considers qualified applicants for employment even if applicants have an arrest or conviction in their background check records. Kaplan complies with related background check regulations, including but not limited to, the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. There are various positions where certain convictions may disqualify applicants, such as those positions requiring interaction with minors, financial records, or other sensitive and/or confidential information. Kaplan is a drug-free workplace and complies with applicable laws.
    $52k-75k yearly est. Auto-Apply 60d+ ago
  • INTERVIEWER, School of Medicine, Framingham Heart Study

    Boston University 4.6company rating

    Framingham, MA jobs

    As part of the recruitment team, the interviewer is responsible for recruiting and scheduling participants in the Framingham Heart Study (FHS) to complete core study and ancillary study visits. All contacts with participants will also be used as an opportunity to gather and update important medical history data and contact information. Individuals in this role are the primary contact and liaison for participants and must go out of their way to ensure that all study-related activities are as easy to complete as possible. Interviewers regularly make phone calls, text and email, print reports and interact with participants during their study visit, perform data entry and filing, and prepare mailings. The individual in this position must work closely and coordinate with other members of the recruitment team, as well as with people on different teams throughout the organization. Candidate should be comfortable using computers and speaking on the phone and must maintain participant confidentiality at all times. Required Skills Candidate must be fluent in Spanish. Associates degree preferred. Vocational or Technical degree required. Work schedule is Monday-Friday, 9am-5pm. This position is located in Framingham, MA. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, natural or protective hairstyle, religion, sex, age, national origin, physical or mental disability, sexual orientation, gender identity, genetic information, military service, pregnancy or pregnancy-related condition, or because of marital, parental, or veteran status. We are a VEVRAA Federal Contractor.
    $31k-41k yearly est. 9d ago
  • Boston Admissions Interviewer

    Berklee College of Music 4.3company rating

    Boston, MA jobs

    Under the broad supervision of the Assistant Dean, Recruitment Experience, this position supports the Board of Admissions in meeting annual enrollment objectives by participating in Boston audition and interview events, scheduled on Saturdays annually from July/August through March. Please note that the hours for this position are 8:30 am - 6:00 pm on a series of Saturdays (usually 6-8 of them) throughout the audition season. Applicants must commit to working one full season (July/August - March). Essential Duties and Responsibilities Functions as a primary interviewer for the admissions A&I initiative, assuring the highest quality experience for the applicant in regards to the interview component of the application. Supports maximizing the quality of the prospective student experience with a focus on strong customer service. Knowledge and Skills Required: Strong identification with the mission of the college Bachelor's degree required. Strong commitment to prospective student servicing. Strong interpersonal skills. Excellent verbal and written communication skills. Ability to work both independently and in a team environment. Musical background, strong understanding of music industry, and music theory knowledge. Berklee alumni strongly preferred. Strong customer service orientation. Results-oriented with proven track record. Familiarity with word processing, database, social media, and chat technologies. Minimum 1 year related experience required Hiring Ranger: $19.00 - $25.00 per hour; hourly rate dependent on relevant experience and education. Please visit the Total Rewards page to learn more about the benefits of working at Berklee. Work happens on Saturdays on Boston Campus. Interview days are long, running from 8:30 am to 6 pm. Interviewers must commit to full days. This document does not create an employment contract, implied or otherwise, other than an “at will” employment relationship. Diversity, Equity, Inclusion & Equal Employment Opportunity at Berklee: We support an inclusive workplace where everyone excels based on personal merit, qualifications, experience, ability, and job performance. Berklee affirms that inequality is detrimental to our faculty, staff, students, and the communities we serve. Our goal is to make lasting change through our actions. Berklee is committed to providing fair and equitable consideration of all employees and applicants without regard to race, color, religion, ancestry, age, national origin, place of birth, gender, sexual orientation, gender identity or expression, disability, genetic information, or status as a member of the armed forces or veteran of the armed forces, or any other category protected by federal, state, or local law. As part of this commitment, Berklee will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact the Human Resources Team at ************************ or call ************. *Currently enrolled Berklee students are not permitted to apply for staff or faculty positions.* Employee Type:Casual
    $19-25 hourly Auto-Apply 60d+ ago
  • Coding Quality Reviewer and Educator

    Brown University Health 4.6company rating

    Providence, RI jobs

    SUMMARY: Under the direction of the Manager of Coding Policy and Education, research coding and documentation guidelines and creates/updates policies as needed. Develops Brown University Health training materials, works with Manager to publish materials online and updates materials as needed. Performs audits on schedule or as assigned based on department policy, coding guidelines, payer rules, and/or system policies. Identifies external resources, assists with external audits, records results and schedules related feedback sessions. Works with the manager to provide regularly scheduled education. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Consistently apply the corporate values of respect, honesty and fairness with the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly, geographically accessible and high-value services within the environment of a comprehensive integrated academic health system. Assume responsibility for knowing and acting in accordance with the principles of the Brown University Health Corporate Compliance Program and Code of Conduct. Research coding and documentation guidelines from reliable sources, collects relevant information and compiles that information into a user-friendly manual. Records various training materials for coders and providers and works with Manager to publish recorded materials on the Brown University Health Intranet. Prepares for and conductseducation sessions which include specialty specific coding and documentation guidelines, examples of relevant medical records, resource materials, etc. Works with Manager to review findings from external audits and coordinates related feedback sessions with coders, validators and providers. Tracks internal and external audits and records on detailed log. Adheres to audit schedule. Performs analysis of reports on key codinguditing metrics. Identifies trends and reports those trends to the Manager. Assists Manager with ROI analyses. Stays abreast of all coding updates, including new/deleted ICD-10 codes, new/ deleted CPT codes, new/ deleted HCPCS codes and any coding guideline changes. Reviews payer updates and notifies Manager of any pertinent changes impacting coding/documentation. Creates all components of a successful education process, including lesson planning and materials used for educational purposes (i.e. audiovisual aids, Epic Tips sheets, knowledge retention exams, etc.). Assists with educating validators/coders as requested. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Association of Professional Coders. Monitors validators for violations and reports to PFS Manager or Director when areas of concern are identified. Maintains confidentiality of sensitive information at all times. Participates in various committees, task forces and quality improvement teams as needed. Performs other duties as necessary. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: Associate degree or 3 years of experience in a medical coding/validating role. Certification required: CCS, CPC, RHIA or RHIT considered. Specialty certification a plus or willingness to obtain specialty certification. Excellent verbal and written communication skills with technical proficiencies to include Microsoft Excel &PowerPoint, and Teams applications. EXPERIENCE: Three to five years progressively responsible experience performing outpatient coding. Experience in a large, multispecialty physician group and/or complex academic medical center preferred. Experience should demonstrate a high level of knowledge in ICD-10-CM and CPT-4 coding methodologies. Experience with Epic preferred. INDEPENDENT ACTION: Performs independently within the department's policies and procedures. Refers specific complex problems to the Manager when clarification of the departmental policies and procedures are required. Must be able to work with minimal supervision. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: Remote work from home. SUPERVISORY RESPONSIBILITY: None Pay Range: $66,397.24-$109,529.06 EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903 Work Type: M-F DAYS Work Shift: Day Daily Hours: 8 hours Driving Required: No
    $66.4k-109.5k yearly 11d ago
  • BCB Voice Audition Interviewer

    Berklee College of Music 4.3company rating

    Boston, MA jobs

    In order to participate in Berklee Student Employment, a student must fulfill the following requirements: Current student at Berklee College of Music or Boston Conservatory at Berklee. Enrolled at least half-time in a degree, diploma, or certificate-seeking undergraduate or graduate program. Summer is the only semester in which a student can maintain employment without being enrolled. In this case, the student must be pre-registered for the upcoming fall semester. This exception does not apply to fall or spring semesters. Have a valid United States Social Security Number (SSN). Remain in “valid” Visa status as applicable. A minimum 2.0 cumulative GPA. Students in their first semester can work, even though they do not have an official GPA until the completion of their first semester. Federal Work Study student may apply. In good disciplinary standing. Must be located in the U.S. For complete program details, please go to our website: *************************** who audition at Boston Conservatory recall their audition experience warmly, and they always mention the positive interaction they had with the students who interviewed them post-audition. Voice Audition Interviewers will meet with prospective students after their audition to help them debrief their experience, answer any questions they have about the program they're auditioning for, and get to know them a little bit. The role of Student Interviewer is vital to our admissions and recruitment process. Interviewers will be hired to meet with undergraduate applicants as well as grad applicants to the MM Opera, MM Pedagogy, MM Voice Performance and MFA Musical Theater Pedagogy programs. Interviewers will work in pairs in approximately 4-5 hours shifts (morning or afternoon), and work is usually only on weekends, usually on Saturdays between early December and mid-February. Student interviewers must be currently enrolled in the program they are representing. Must have good interpersonal skills and a strong knowledge of their own program as well as a good sense of student life for a student in their respective degree program. Good communication skills and ability to help applying singers to feel at ease are key to the job. Successful applicants will have the ability to represent Boston Conservatory well and to recruit effectively for their program. Student Admissions Interviewers get a behind the scenes look at admissions and recruitment and gain a better understanding of the process behind bringing new students into the school. They learn more about their own program and gain insight into the school at large. They learn to work as a team in an interview process and develop strategies for both putting an applicant at ease as well as drawing them into a conversation that is beneficial for all. Hourly Rate: $15.97 Hiring Manager: Isai Jess Munoz
    $16 hourly Auto-Apply 27d ago

Learn more about University of Massachusetts Medical School jobs