This is a remote position based on Eastern Time. Talkspace Headquarters is located in NYC.
What You’ll Do:
Internal Controls
Conduct detailed audits of compliance concerns including medical records to ensure accuracy in coding and billing practices.
Review documentation to identify and correct coding and billing errors, ensuring compliance with medical necessity and regulatory guidelines.
Log and track audit results and documentation workflows.
Analyze trends and discrepancies in coding and billing practices, providing actionable insights and recommendations for improvement.
Collaborate with internal teams to improve documentation standards and ensure compliance with relevant regulations.
Independently organize and prioritize audit tasks to meet deadlines, adjusting priorities as necessary.
Participate in process improvement initiatives, team meetings, and department projects to enhance audit workflows and overall efficiency.
Maintain up-to-date knowledge of medical coding standards, HIPAA regulations, and compliance requirements.
Provide recommendations to management on improving coding accuracy, documentation standards, and operational processes.
Reporting
Deliver adequate and timely reporting on the internal control framework and control deficiencies to ensure appropriate communication, documentation, escalation to the compliance officer.
Team Collaboration
Cross functionally collaborate with department heads and build strong communication lines to maintain engagement with process implementation.
Partner closely with Health Information Management and Quality Management teams to aid in audit efficiency and effectiveness, including the collection and delivery of information.
Process Improvement
Assist the Chief Compliance Officer, Risk with the development of the annual audit program.
Performs other related duties as assigned.
QUALIFICATIONS:
2+ years of relevant compliance auditing experience,
Bachelor’s degree in Health Information Management or related field
Professional Designation: CHC or willingness to obtain certification
Experience in evaluating compliance with laws and regulations
Proficiency in medical coding, billing practices and CMS requirements.
Strong analytical skills for identifying trends, addressing discrepancies, and proposing solutions.
Excellent organizational abilities to manage multiple audit tasks and meet deadlines.
Deep understanding of HIPAA regulations, confidentiality, and compliance requirements.
Ability to work both independently and collaboratively with cross-functional teams.
Strong process analysis, risk and control identification, negotiation and problem solving skills
Ability to build and maintain solid relationships across multiple levels of management including communicate with external auditors/consultants
Strong project management skills
Adaptive communication and change management skills
Experience in organizations that use cloud-based/SaaS business systems, build SaaS products, and use agile software development methodology
Ability and willingness to be hands-on and dive into details of processes and operations
Benefits
Comprehensive Medical, Dental and Vision plans coverage since day one
Pre-tax benefits: HSA/ FSA
401k Retirement Savings Program with matching up to 4%
Voluntary benefits including disability, basic life or pet insurance, etc.
Monthly Wellness Stipend to promote mental and physical self-care
Flexible PTO and Remote First Environment
Regular team events, including Wellness Workshops and Team Building Events
Free access to Talkspace products for you and one household member, as well as access to a friends and family discount!
Compensation
At Talkspace, we believe that pay transparency during the interview process is a critical part of diversity, equity, and inclusion. Our salary bands are based on internal and external compensation benchmarks, which we regularly evaluate to ensure we pay competitively.
The base salary range for this role is between 79,000 and 95,000. Within the salary bands, leveling corresponds to each candidate’s relevant experience, skills as assessed during the interview process, education, and applicable certifications.
Why Talkspace?
Talkspace is the most comprehensive and convenient way to take care of your mental health and wellness, focused on providing quality mental health services on your own terms.
Our signature psychotherapy and psychiatry product connects individual users with a network of thousands of licensed mental health providers through an easy-to-use and HIPAA-compliant web and mobile platform. With Talkspace, users can connect their dedicated provider via live video, text, or phone.
Backed by over 10 years of industry-leading research and clinically proven results, our accessible care model continues to make huge strides in lowering the barriers to quality mental healthcare services nationwide. Talkspace is the top insurance-covered therapy service with over 112 million Americans covered and a leader within the Corporate Wellness Space, with more than 200 employer partnerships across several industries.
Our focus to help people feel better starts at Talkspace, where we connect and collaborate as a team to make the world a better place. Fun company-wide events, happy hours, wellness perks, flex PTO, access to Talkspace products, and competitive benefits are just some of the ways we make Talkspace a great place to work. Do you want to save the world? Come join us!
EQUAL OPPORTUNITY EMPLOYER
Talkspace welcomes and celebrates talent from all backgrounds, perspectives, and walks of life to foster an innovative and diverse workforce. We encourage you to apply, even if you don’t meet every qualification, if you believe you could make a great addition to this team. Come as you are and learn about the exciting opportunities on our team.
Individuals seeking employment at Talkspace are considered without regard to race, color, religious creed, sex, national origin, citizenship status, age, physical or mental disability, sexual orientation, marital, parental, veteran or military status, unfavorable military discharge, or any other status protected by applicable federal, state or local law.
How do we define Diversity, Equity, Inclusion, and Belonging at Talkspace?
Diversity
Diversity encompasses the unique attributes of our employees as individuals. We value and embrace the richness arising from their varied backgrounds, perspectives, and experiences, which include, but are not limited to, age, ability, ethnicity, gender, race, and cultural background.
Equity
Equity refers to a fair and impartial workplace, aiming to ensure equal growth and advancement opportunities for all employees. This involves amplifying underrepresented voices, addressing unconscious biases, and providing inclusive, culturally competent mental health care.
Inclusion
Inclusion signifies the practice of granting equal access to opportunities and resources for all employees, particularly those who might otherwise be excluded or marginalized. It ensures that everyone feels a sense of belonging, value, support, and respect as an individual.
Belonging
Belonging reflects the affinity and positive relationships that develop among employees from diverse backgrounds when businesses actively promote diversity, equity, and inclusion in the workplace.
Maximus is currently hiring a Sr. Admin – Medical Records to support the Independent Medical Review (IMR) program. At Maximus, we are committed to cultivating a positive and inclusive work environment, and we are pleased to offer the following: 🛡️ Comprehensive Insurance Coverage – Medical, Dental, Vision, Life insurance, and enjoy discounts on Auto, Home, Renter’s, and Pet insurance.🌟 Future Planning – Prepare for retirement with our 401K Retirement Savings plan and Company Matching.🏝️ Paid Time Off Package – Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.🌱 Holistic Wellness Support – Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).🏆 Recognition Platform – Acknowledge and appreciate outstanding employee contributions.🌈 Diversity, Equity, and Inclusion Initiatives – Join a workplace committed to fostering diversity and inclusion.📚 Tuition Reimbursement – Invest in your ongoing education and development.🎁 Employee Perks and Discounts – Additional benefits and discounts exclusively for employees.🌟 Maximus Wellness Program and Resources – Access a range of wellness programs and resources tailored to your needs.📚 Professional Development Opportunities: Participate in training programs, workshops, and conferences.
Essential Duties and Responsibilities:
– Correctly identify the party from which the medical records were submitted.
– Ensure correct documents are provided to the physician reviewer and submit assigned reports accurately and timely.
– Examine case file to ensure all relevant information has been submitted.
– Review documents to determine completeness and eligibility and report identified errors appropriately and timely.
– Correctly identify non-medical records and make appropriate decision on the need for further review of these documents.
– Index hundreds of pages of medical records completely, accurately, and efficiently.
– Perform other duties as may be assigned by management.
– Perform data entry tasks with accuracy.
Minimum Requirements
– High School Diploma or Equivalent required; Associate degree preferred.
– 4 to 6 years of related experience required.
– Medical-related experience preferred.- 2- 4 years of relevant experience in healthcare administrative customer service experience.- Strong analytical skills- Detail and solution oriented- Ability to work independently- Excellent written and oral communication skills- Proficiency in Microsoft Office suite Preferred Requirements-Experience in data entry and conducting reviews for data accuracy. Home Office Requirements– Maximus provides company-issued computer equipment- Reliable high-speed internet service- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity- Minimum 5 Mpbs upload speeds #NYMC #LI-Remote
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate’s education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus’s total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant’s salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
100% FTE, Days. Scheduled work week is Monday-Friday; 8am-5pm. This is a fully remote position. Applicants hired into this position can work from most states. This will be discussed during the interview process.
To be eligible to work remotely, you must be in an approved remote work state for UW Health. We’ve included a link below to view the full list of approved remote work states.
Collaborate with business users, application analysts, product leadership, software engineers, and other stakeholders to assess suitability and technical feasibility of low code applications and automation processes to a given problem.
Create and maintain documentation for all applications and automated processes, such as process maps, flow charts, process definition documents (PDD), and solution design documents (SDD).
Leverage appropriate interoperability technologies, such as application programming interfaces (APIs), web services, and database integration for specific applications or processes.
Utilize best practices to develop, test, and deploy high-quality applications and automated processes using low code tools and frameworks.
Participate in application and process design and code reviews, ensuring code quality and adherence to coding standards.
Build Salesforce Marketing Cloud emails and journeys.
At UW Health, you will have:
An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
Tuition benefits eligibility – UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
Qualifications
Bachelor’s Degree in Information Systems, Computer Science, or related field Four (4) years of relevant experience may be considered in lieu of degre Required
Master’s Degree in Information Systems, Computer Science, or related field Preferred
Work Experience
Demonstrated success developing applications and automated processes using low code and automation development platforms including design, development, testing, and release Required
Demonstrated success utilizing professional software engineering practices such as coding standards, code reviews, and source control management Required
Demonstrated success consuming web services within low code applications and automation solutions Required
3 years of experience developing applications and automated processes using low code and automation development platforms including design, development, testing, and release Preferred
Understanding of continuous integration and continuous delivery (CI/CD) Preferred
Experience using Microsoft Azure or other cloud platform services Preferred
Experience within the healthcare industry Preferred
Experience developing, deploying, and supporting applications in a 24x7x365 environment Preferred
Licenses & Certifications
UiPath Certified Professional, or related certifications Preferred
ServiceNow App Engine Studio, or related certifications Preferred
Microsoft Azure Administrator, Developer, or related certifications Preferred
Professional Scrum Master, Developer, or related certifications Preferred
ITIL Foundation or related certifications Preferred
Our Commitment to Diversity and Inclusion
UW Health is committed to being a diverse, equitable, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans
The Company: With deep expertise in chemistry, Nuvalent is working to create selective medicines designed with the goal to address the needs of patients with cancer. Nuvalent is an exciting early-stage company, bringing together experienced scientists and industry veterans with a proven track record in drug discovery, oncology drug development, and company building.
The Role: Reporting to the Senior Director, Medical Writing, the Associate Director, Medical Writing will partner with leadership to lead various medical writing projects across Nuvalent’s growing clinical pipeline and strengthen Nuvalent’s medical writing capabilities and quality standards.
Responsibilities: • Prepare and finalize clinical documents such as study protocols, investigator’s brochures, safety update reports, clinical study reports, marketing authorization submission documents, briefing documents, regulatory responses, and other submissions. • Proactively identify and champion process improvements to enhance Medical Writing efficiencies, capabilities, and quality. Evaluate and establish Medical Writing practices, technologies, and tools consistent with business objectives and regulatory standards. • Lead medical writing projects with respect to timing, scheduling, and tracking. Guide cross‐functional team members on processes. Lead cross-functional document planning and review meetings, supported as necessary by Clinical Development. • Proactively collaborate with cross-functional colleagues (including Clinical Science, Regulatory Affairs, Pharmacovigilance, Biostatistics, Translational Medicine, Biology, and Clinical Operations) to create documents that effectively and clearly describe scientific strategy, research results, and other medical information. • Oversee consultant writers and provide peer review of deliverables as needed. • Maintain and apply knowledge of the industry, company, and regulatory guidelines.
Competencies Include: • Strong written/verbal communication skills. • Ability to interpret, summarize, and present statistical and medical information. • Ability to work in a collaborative environment and build effective working relationships across the organization. • Detail and process orientated, with excellent project management, problem solving, and organization skills.
Qualifications: • Experience as lead writer for marketing authorization submission documents. • Experience managing writing activities for a marketing authorization submission documents (project or people management). • Advanced degree (preferred) with strong experience in medical writing or related field. • In-depth understanding and familiarity with regulatory standards and best practices relating to development of clinical/regulatory documents. • Excellent interpersonal skills to effectively communicate and collaborate with all levels of the organization. • Oncology experience is preferred.
Nuvalent provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.
Nuvalent is aware that many companies are dealing with fraudulent job postings on third-party employment search sites and/or individual(s) or entities claiming to be employees of such companies. Those involved are offering fraudulent employment opportunities to applicants, often asking for sensitive personal and financial information, and using such information for criminal activities.
Please be advised that all legitimate correspondence from a Nuvalent employee will come from “@nuvalent.com” email accounts. Automated system response emails from our Greenhouse applicant tracking system come from a “[email protected]” email address. There are no variations of these email addresses and Nuvalent would not request personal and/or financial information via email. Job opportunities would only be extended after a completed job application is submitted by a candidate and a thorough interview process including 1:1 and/or group interviews via phone, video conferencing and/or in-person.
The Physician Services Revenue Integrity team at Lifepoint Health is a nationwide revenue cycle management services provider that has been offering high quality medical billing services since 2004. We offer a rewarding work environment with career advancement opportunities while maintaining a small company, employee-focused atmosphere.
This is a fully remote position! You must live in the United States.
We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
We are always looking for people inspired to help us in our mission. If you are someone who wants to change the lives of patients, drive success for our partners and be part of a team driven to improve care, we may have your next opportunity.
We are currently seeking a Centralized Coding Specialist. This remote-based position will spend the bulk of their time making sure that their clients are fully supported from a charge entry, coding, and billing perspective.
The Centralized Coding Specialist will spend the bulk of their time making sure that their clients are fully supported from a charge entry, coding, and billing perspective. You will be responsible for reviewing a patient’s medical record after a visit and translating the information into codes that insurers use to process claims. You will make sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations, complying with medical coding guidelines and policies. Following up and clarifying any information that is not clear. Clearinghouse knowledge and working experience is also a plus You would be working in a team environment with guidance from the Manager – Coding and Integrity. This position also works closely with the AR department for coding related issues.
Perform Evaluation and Management coding, procedure, ICD-10 and HCPC quality reviews as well as other projects related to physician coding compliance. Demonstrates a thorough understanding of complex coding, and reimbursement, as they relate to physician practices and clinic settings. Keeps informed regarding current coding regulations, professional standards and company/department policies and procedures and effectively applies this knowledge.
This Position is 100% Remote; can work from anywhere within the US.
Qualifications
ESSENTIAL FUNCTIONS
Seeking Certified Pro-Fee with a minimum of 3-5 years’ coding experience.
Cardiology Experience preferred
Experience with Provider Based and Rural Health preferred.
Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
Resolve medical record documentation deficiencies through healthcare provider query and provide routine feedback to correct deficiencies.
Perform quality assessment of records, including verification of medical record documentation (both electronic and handwritten).
Responsible for researching errors or missing documentation from medical record in order to provide accurate coding processes.
Abstract and assign the appropriate ICD-10, HCPCS/CPT codes; including Level I & Level II modifiers as appropriate for all diagnosis and procedures performed in outpatient and inpatient settings.
Assist in the development and ongoing maintenance of processes and procedures for each assigned client revolving around system use, billing/coding rules, and client specific guidelines.
Manage time effectively to meet all required deadlines and timeframes for client and department needs.
Collaborate in a team environment with the Department Manager and other staff on a regular basis.
Ensure compliance with all relevant regulations, standards, and laws.
Other Functions
1. Maintains regular and predictable attendance.
2. Performs other essential duties as assigned.
KNOWLEDGE, SKILLS & ABILITIES: The requirements listed below are representative of the knowledge, skills and/or abilities required.
Education: High school diploma or equivalent required.Bachelor’s Degree preferred or equivalent experience
Experience: 3-5 years of medical coding experience
License or Certification:
This position requires credentialing through AHIMA, and/or AAPC
The following certifications are accepted:
CPC
CEMC
CPMA
CRC
CPB
Specialty certification
CCS-P
RHIT
Skills and Abilities:
This position requires an understanding and knowledge of physician documentation requirements in a clinic setting to capture patients’ acute and chronic conditions
Ability to create and follow written procedure.
Ability to provide professional written communication and excellent customer service.
Technical proficiency with computers, basic Microsoft software, and medical software systems (PM/EHR)
Strong organizational skills
Excellent communication skills and ability to work in a team environment.
Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web)
Ability to learn new systems, software, and client specialties quickly.
Self-starter with little to no supervision
PHYSICAL AND MENTAL 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 job responsibilities.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 20 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:
Work environment characteristics described here are representative of those that an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.
Benefits
At Lifepoint, our Mission of Making Communities Healthier extends to our employees. We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.
We also offer a flexible, remote work environment.
Pay range: $23-25/hour DOE The final agreed upon compensation is based on individual education, qualifications, experience, and work location. This position is bonus eligible.
Lifepoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.
Job
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Primary Location
Colorado-Denver
Schedule
Full-time
Work Schedule Day shift, 7-10 hr/shift, weekdays only
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