by Irma Moore | Apr 18, 2024 | Uncategorized
Primary Responsibilities:
- Codes medical records using coding classifications to ensure data integrity and proper assignments
- Analyzes medical records to ensure accurate coding and sends provider feedback to improve the quality of documentation
- Collects and abstracts data elements
- Addresses unbilled and incomplete records
- Identifies and suggests areas of improvement in high compliance risk coding areas
- May train new staff and answering specialty related process questions
- May guide work of associate staff
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:
- Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT, CIC, CPC, COC, CPC-P) to be maintained annually
- 2+ years of coding experience
- 18 years or older
Preferred Qualifications:
- Bachelor’s degree in Health Information Administration
- Associate’s or Vocational degree in Health Information Technician
- Coding experience for credentialed RHIT or RHIA
- Experience in ICD10 CM & PCS
- Epic Experience
by Irma Moore | Apr 18, 2024 | Uncategorized
- Leads IT teams, operational management and cross functional teams to ensure a high standard of service and adherance to internal controls and procedures.
- Advises and consults with business functions and/or locations on information technology requests, services and capabilities.
- Advises on the potential impact of current and future laws and regulations on the operation of the organization.
- Coordinates IT participation in Business Development, sponsor or regulatory audits ensuring accurate and timely responses.
- Manages assigned vendor relationships and contracts to ensure contractual obligations and business requirements are met at the best available price and quality expectation.
- Generates and manages departmental expense and capital budgets
Education:
Bachelor’s degree or equivalent and relevant formal academic / vocational qualification. Advanced degree preferred.
Experience:
Bachelor’s degree or equivalent and relevant formal academic / vocational qualification
Previous experience that provides the knowledge, skills, and abilities to perform the job (comparable to 10+ years). 5+ years of management responsibility. Proven leadership skills
by Irma Moore | Apr 18, 2024 | Uncategorized
- Complete service forms
- Navigate other business areas to complete tasks
- Identify proactive ways to support practices
- Support application preps
- Data entry into advice tools
- Identify and provide service solutions for members and field partners
- Support other product and marketing specific tasks as needed
- Keying data entry efficiently and accurately with proficiency in typing/keyboard is required. Polished phone demeanor, tone and etiquette are required
- Flexibility to work a schedule based on business needs. Schedules do not typically fluctuate; however, there are times where it may change.
- Has a passion to serve others. Ability to establish rapport, build relationships and loyalty with external and internal customers as well as coworkers.
Required Job Qualifications
- High school diploma/GED required college degree a plus
- 1 or more years customer services experience.
- High level of efficiency with strong attention to detail
- Strong verbal and phone skills required
- Experience with business tools (e.g.Microsoft Word, Excel, Adobe and Salesforce)
- In-depth experience with one or more financial products (Mutual Funds, Investments, Annuity, Life) and supporting systems
- Ability to maintain integrity of sensitive/confidential information
by Irma Moore | Apr 18, 2024 | Uncategorized
- Reviews credentialing reports loaded into the administration system for accuracy
- Performs timely data entry of contract arrangements into administration system following credentialing.
- Updates and maintains contract and demographic changes ensuring accurate reporting, claims payment and directory information.
- Ensures timely follow-up is conducted to secure missing information. Generates letters to providers following contract or demographic maintenance.
- Meets or exceed departmental and individual metrics goal expectations as required by productivity and quality.
- Prepares documents for contract execution
- Processes adverse files including researching information with appropriate agencies.
- Prepares adverse reports for review by the Dental Credentialing Committee.
- Performs telephonic and written correspondence outreach to providers for any missing, expired or incomplete documentation.
- Report to office once every 8 weeks
- May perform other duties as assigned
Required Knowledge, Skills, and Abilities
- Knowledge in the health or dental insurance industry
- Excellent communication skills including the ability to address a wide range of audiences
- Customer service skills
- Basic MS Office skills
- Ability to read documents and extract information
- Ability to understand and evaluate contractual language
by Irma Moore | Apr 17, 2024 | Uncategorized
Interface with customer, gather requirements and create mapping documents
• Has a strong understanding of the overall software delivery lifecycle and activities.
• Expertise in developing ETL packages using SQL Server Integration Services (SSIS) ( Data Extraction, Transformation, and loading from heterogeneous Sources to SQL Server target).
• Strong in T-SQL Scripting. Designing, Developing, Testing SQL queries.
• Experience with Microsoft SQL Server 2008 or above.
• Experience with Microsoft SQL Server Security and User administration.
• Ability to analyze the data sources, identify the data issues and patterns before Data Migration.
• Ability to learn and support new and existing applications.
• Ability to work in a fast-paced work environment, manage time effectivel
• Pension or Retirement domain experience a plus
Requirements:
• Bachelor’s degree in Computer Science, IT, or related field.
• Minimum 5+ years of experience in SQL Server, SSIS (ETL Processing)
• Interface with customer, gather requirements and create mapping documents
• Has a strong understanding of the overall software delivery lifecycle and activities.
• Expertise in developing ETL packages using SQL Server Integration Services (SSIS) ( Data Extraction, Transformation, and loading from heterogeneous Sources to SQL Server target).
• Strong in T-SQL Scripting. Designing, Developing, Testing SQL queries.
• Experience with Microsoft SQL Server 2008 or above.
• Experience with Microsoft SQL Server Security and User administration.
• Ability to analyze the data sources, identify the data issues and patterns before Data Migration.
• Ability to learn and support new and existing applications.
• Ability to work in a fast-paced work environment, manage time effectivel
Recent Comments