Coding Analysis Technology Specialist

by Irma Moore | Apr 18, 2025 | Uncategorized

Description

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Coding Analysis Technology Specialist with Parallon you can be a part of an organization that is devoted to giving back!

Benefits

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Work from Home family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Coding Analysis Technology Specialist to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

 In this work from home position as a Coding Analysis Technology Specialist, you will be responsible for conducting research to identify root causes and process improvements for Natural Language Processing (NLP) opportunities with 3M 360 Encompass CAC, creation of operational updates or revisions, and technical coding educational as required/when needed. You will also help to coordinate and perform the day-to-day computer-assisted coding analysis as a member of the Coding Analysis Technology Team (CATT).  

 What you will do in this role:  

• Analyze/Monitor 360 Encompass coding precision and recall. This group is not analyzing coding. The focus is on tuning the NLP through the investigation of focus areas as defined by CATT Sr. Manager and or Lead.  

• Analyze NLP Precision & Recall Outcomes on all patient types as assigned. Analysis by patient type/code set may be established by Sr. Manager/Lead but rotation of assigned types will occur.  

• Identify end-user system acceptance behavior to escalate as needed.  

• Perform deep dive into NLP trends for all patient types as defined by the practice leader and Sr. Manager.  

• Monitor and perform deep dives on NLP tuning work orders.  

• Monitor NLP enhancement system changes (content updates, section/region changes, document scoping changes, etc.).  

• Report NLP enhancements as needed.  

• Aide Sr. Manager and Lead by providing weekly newsflash content that may include but is not limited to a summary of outcomes, reports, analysis, and research. 

What qualifications you will need:   

• Minimum of 3 years acute care inpatient/outpatient ICD-10 coding experience required  

• Minimum of 3 years of coding auditing/monitoring experience is strongly preferred  

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred 

• Certified Coding Specialist (CCS) preferred 

• Associate’s degree in HIM/HIT required, bachelor’s degree strongly preferred. Extensive relevant experience may substitute education preferences 

Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities.  CLICK HERE for more information on Parallon HCA Coding 

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

“There is so much good to do in the world and so many different ways to do it.”- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Coding Analyis Technology Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Claims Systems Senior Analyst – eviCore – Remote

by Irma Moore | Apr 17, 2025 | Uncategorized

Claims Systems Senior Analyst – eviCore – Remote

LocationRemote, US  CategoryCustomer Service & Claims  Posted Date:04/15/2025  Job Id25003934

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Do you want to Improve the health and vitality of those we serve? EviCore, a line of business within the Cigna Group is hiring a Claims System Senior Analyst. This highly technical systems role requires the review of our claims processing system to ensure all configurations were input correctly into the system per the specifications of the provider. The Claims System Senior Analyst will have in depth knowledge of the eviCore claims systems and products. As the Subject Matter Expert, you’ll partner with the Systems Configuration Associates, internal departments, external clients and vendors to ensure configurations have met client requirements and quality standards.

What you’ll do:

• Resolve non-routine issues escalated from leadership, business, clients and junior team members and act as a subject matter expert (SME) to business and IT for eviCore claims product setups/processes
• Collaborate with internal and external clients to understand, and evaluate processes, procedures, job aids and identify solutions for procedural gaps
• Analyze business and user requirements to design solutions and system configurations, specifications, create test plans/use cases perform SI testing, end to end testing and continuously improve adjudication automation and accuracy
• Partner with technology and analytics teams to develop new data sources for reporting and act as liaison between business and technology to execute project initiatives, and resolve issues
• Provide support with production issues as needed

What you’ll need to succeed:

• High School Diploma or GED required, bachelor’s degree preferred
• 5+ years of healthcare claims lifecycle; configuration design, editing, claims system requirements, and analysis – REQUIRED
• 3+ years of experience in MS ACCESS – REQUIRED
• 3+ years of advanced experience with MS EXCEL – REQUIRED
• 3+ years of experience with SQL and SQL querying, REQUIRED
• 3+ years of experience with database management systems, creating test plans/use cases, and SDLC models, REQUIRED
• 3+ years of experience with MC400, McNet and RC3 systems, Preferred
• 3+ years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, NCCI, MPPR, OPPS, RBRVS, FFS), preferred

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 53,900 – 89,800 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Software Engineer II – New York, NY

by Irma Moore | Apr 17, 2025 | Uncategorized

Job Information

ID :

#41308288

# of Positions :

1

Minimum Education Level :

Master’s Degree

Experience Required :

none

Salary :

$176000 – $196000 yearly

Duration :

Full Time Regular

Shift :

First Shift (Day)

Hours per week:

40

Job Description

Build banking integrations to support fiat on ramp/off ramp into USDC/EURC. Build integration with exchange providers and infrastructure systems to support foreign currency exchange systems and products. Participate in the overall application design/implementation lifecycle to design integrated computer systems. Support cross functional team in terms of customer support requests, accounting attestation / reconciliation requests as well as handling on-call support rotation for engineering to meet SLA requirements. 100% telecommuting required.

Minimum Requirements: Master’s degree or foreign equivalent degree in Computer Science, Information Technology, or a related degree. Experience or education must include: APIs and SDKs; Java; Spring and Dropwizard; HTML, React.js, and AngularJS; MySQL, MongoDB, and DynamoDB; and SVN and Git. 100% Telecommuting Required.

Company Information

Name :

Circle Internet Financial

Description :

Founded in 2013, Circle Internet Financial Limited (f/k/a Boston Internet Financial Services Limited), is a global financial technology firm that enables businesses of all sizes to harness the power of digital currencies and public blockchains for payments, commerce and financial applications worldwide. We created USDC, a digital currency backed by the US dollar that is always redeemable 1:1. We work closely with regulators to ensure our digital dollar guides and surpasses the standards for stablecoins. USDC works seamlessly across applications and platforms around the globe, using blockchain infrastructure that’s faster, less expensive, and more customizable than legacy rails. Our mission is to raise global economic prosperity through the frictionless exchange of value, and we believe in a future where digital dollars work securely around the world. In 2024, Circle Internet Group, Inc. (“Circle Inc.” and, together with its subsidiaries, “Circle”) was incorporated in Delaware as the new holding company of Circle Internet Financial Limited.

Type :

Direct Employer

Address :

One World Trade Center
87th Floor
New York, NY 10087

Application Information

Instructions :

To apply: Please send resumes to [email protected], Attn: L. Kaufer. Reference job code: H071.

Email :

Lori Kaufer<[email protected]>

Job Posting Entered On :

4/11/2025

Job Posting Expires On :

5/21/2025

Compliance Analyst

by Irma Moore | Apr 17, 2025 | Uncategorized

Job Description

Insight Global is looking for a compliance analyst to work remote for an enterprise cloud and security organization. This person will be responsible for ensuring annual cloud and security compliance of the companies various products. Additional responsibilities include but are not limited to the following;
– Gather, prepare and manage evidence/documentation for pre-audit initiatives in order to certify internal products at a Canadian CCCS level
– Assist in designing and maintaining a central ISMS within the division
– Develop and implement a risk assessment strategy to support security certifications
– Support the development of the security policies, and standards for the certifications
– Liaison with external auditor and other internal teams to support certification audits
– Develop the certification program plan with critical path, financial, resource, material requirements, impacts and mitigation plans (this includes scheduling meetings with appropriate shareholders)
– Assist with & influence the assessment, planning and management of related compliance certification programs.
Working with internal and external stakeholders to schedule and deliver audits and audit supporting activities
– Performing monthly, quarterly, and annual continuous monitoring activities
– Writing and/or maintaining process narratives and flowcharts
– Participating in SAFe/Agile sprints, rituals, and quarterly planning
– Track and drive audit and gap remediation activities.

Pay Range: $50-$60/hr

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected].

To learn more about how we collect, keep, and process your private information, please review Insight Global’s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Required Skills & Experience

– 5+ years of experience as a Compliance Analyst at SaaS or Cloud Service Provider organizations
– Extensive experience with SOC II, FedRamp (NIST 800-53 frameworks) certifications/assessments for internal products/software
– Experience gathering evidence and preparing documents, pre-audit
– Experience supporting cloud environment
– Experience with other cloud control frameworks and certifications such as ISO 27001, NIST SP 800-53, CSA STAR, HIPAA, German C5, Australian IRAP, Japanese ISMAP, Spanish ENS, etc.
– Experience with Agile project management methodology

Nice to Have Skills & Experience

– Experience in certifications for Canadian CCCS
– Scaled Agile Framework (SAFe) Confluence, Jira
– CISA, CISSP, PMP, ISO 27001 auditor certifications in good-standing.

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.

Senior Associate Data Engineer

by Irma Moore | Apr 17, 2025 | Uncategorized

Discover. A brighter future.

With us, you’ll do meaningful work from Day 1. Our collaborative culture is built on three core behaviors: We Play to Win, We Get Better Every Day & We Succeed Together. And we mean it — we want you to grow and make a difference at one of the world’s leading digital banking and payments companies. We value what makes you unique so that you have an opportunity to shine.

Come build your future, while being the reason millions of people find a brighter financial future with Discover.

Job Description:

What You’ll Do

The Senior Associate Data Engineer is responsible for designing, developing, maintaining, and testing data solutions for the product using the enterprise framework. This role will apply learned software delivery capabilities and have the desire to learn higher levels of craftmanship. Senior Associate Data Engineers contribute opinions to design decisions and actively participate in agile ceremonies. This person actively manages and escalates risk and customer-impacting issues within the day-to-day role to management.

How You’ll Do It

• Independently executes a variety of data integration solutions, recognizes data related patterns, and solicits advice on potential approaches.
• Contributes opinions to design decisions and understands design tradeoffs.
• Develops skills in data warehouse tools, Cloud, agile and other technologies involved in data integration.
• Demonstrates and applies knowledge of:
  o Data Integration concepts and tools
  o DW Design concepts and Metadata documentation
  o Data Profiling tools
  o Data Security
  o Data Quality
• Regularly contributes to team agile ceremonies and helps new engineers with onboarding.
• Troubleshoots production issues and defects.
• Identifies and executes test scenarios and shares test results.
• Participates in the on-call rotation for support.

Qualifications You’ll Need

The Basics

• Bachelors in Computer Science
• 1+ years Data Platform Administration / Engineering
• For roles requiring Dreyfus Rating – Internal applicants only: technical proficiency of Advanced Beginner on the Dreyfus Engineering scale.

Physical and Cognitive Requirements
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable a qualified individual with disabilities to perform the essential functions of the position as required by federal, state, and local laws:

• Primarily remain in a stationary position.
• No required movement about the work environment to complete the major responsibilities of the job.
• Primarily performed indoors in an office setting.
• Ability to operate office equipment such as but not limited to computer, telephone, printer, and calculator.
• Ability to communicate verbally.; Ability to communicate in written form.

Bonus Points If You Have

• Strong hands-on experience and understanding of working in a cloud environment such as AWS
• Experience with EMR (Elastic Map Reduce), Spark
• Strong experience with CI/CD pipelines with Jenkins
• Experience with the following technologies: Gradle, Terraform, Ansible, GitHub/GitFlow, PCF/OCP/Kubernetes technologies, Artifactory
• Experience working with relational or no-SQL databases, Cloud Tools
• Other programming languages (Unix scripting, Python, etc.)
• ETL/ELT Tools (Ab Initio, DataStage, Informatica)
• Data analysis skills, including data cleansing, data visualization, and/or critical thinking
• Experience in supplemental tools and technologies involved in data integration (Unix/Linux, TWS/Control-M or alike, BI stack)

External applicants will be required to perform a technical interview.

**Discover will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States on a full-time basis.**

#LI-MF1

#BI-Remote

Application Deadline:The application window for this position is anticipated to close on Apr-20-2025. We encourage you to apply as soon as possible. The posting may be available past this date, but it is not guaranteed.

Compensation:The base pay for this position generally ranges between $73,500.00 to $124,300.00. Additional incentives may be provided as part of a market competitive total compensation package. Factors, such as but not limited to, geographical location, relevant experience, education, and skill level may impact the pay for this position.

Benefits:

We also offer a range of benefits and programs based on eligibility. These benefits include:

• Paid Parental Leave
• Paid Time Off
• 401(k) Plan
• Medical, Dental, Vision, & Health Savings Account
• Short and Long Term Disability, Life, and Accidental Death & Dismemberment insurances
• Recognition Program
• Education Assistance
• Commuter Benefits
• Family Support Programs
• Employee Stock Purchase Plan
• Learn more at mydiscoverbenefits.com.
• What are you waiting for? Apply today!
• All Discover employees place our customers at the very center of our work. To deliver on our promises to our customers, each of us contribute every day to a culture that values compliance and risk management.
• Discover is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or other legally protected status. (Know Your Rights)
• Discover complies with federal, state, and local laws applicable to qualified individuals with disabilities and is committed to providing reasonable accommodations. If you require a reasonable accommodation to search for a position, to complete an application, and/or to participate in an interview, please email [email protected]. Any information you provide regarding your accommodation needs will be kept confidential and will only be used to determine and provide necessary accommodation.
• At Discover, we are committed to creating an inclusive and equitable workplace through our Fair Chance Hiring practices. Fair Chance Hiring means that we base our hiring decisions on an applicant’s qualifications rather than their criminal record. All our positions are subject to Section 19 of the Federal Deposit Insurance Act. Our applicants go through a background check, and we follow all applicable local laws, including the Los Angeles County Fair Chance Hiring Ordinance (LA County Fair Chance).
• Positions marked as remote eligible are limited to remote locations within the country in which the position is based.
• Applicants must be 18 or older at the time of hire.