Remote Professional Coding Educator/Auditor

Job Description

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values – integrity, patient-centered, respect, accountability, and compassion – must guide what we do, as individuals and professionals, every day.

The Professional Coding Audit Educator is an essential part of the Professional Coding Leadership Team. This role is responsible for being the department subject matter expert in professional coding and helps to support physicians, practices, coders, and coding and operational leadership. This individual is responsible for developing an educational pathway for professional coders to grow and develop in their positions to become more accurate and knowledgeable coders. This position is responsible to develop the professional coding education program, which includes supporting coders, clinicians and others within professional revenue cycle. Additionally, this individual is responsible to conduct audits to assess risk and implement any necessary action plans resulting from findings. This individual is essential to develop and maintain coding compliant controls for consistent and accurate coding with the department and to ensure optimal charge capture.

EEO/AA/Disability/Veteran
Responsibilities

  • 1. Educates and provides direction to providers and coding staff on proper CPT, ICD-10 and HCPC coding. Serves as a subject matter expert on interpretation and application of professional fee and professional coding rules and regulations.
  • 2. Reviews and responds to coding questions by physicians, coding staff and practice/operations leadership within a timely manner
  • 3. Facilitates virtual events, calls, and training to meet coding needs and requests on charging, documentation or compliant coding.
  • 4. Creates and maintains all training materials and educates providers, coders, and other coding professionals on coding related topics. This includes but is not limited to creating and rolling out coding curriculum, workflows, tip sheets, coding policies, physician communication (query) templates, etc. in conjunction with coding leadership. Delivers training using a variety of delivery methods, including and not limited to: 1:1, small -group, large group, webinar style or live education.
  • 5. Tracks the efforts tied to the audit education program, including but not limited to: trainings, policies, procedures, audits and staff certifications. Communicates regularly with department leadership on status of educational initiatives, department accuracy, and opportunities for additional educational needs.
  • 6. Assesses new and existing coder skillsets and develop coding training for onboarding and ongoing skill development and reports findings and recommendations to coding leadership. Develops follow up coding educational plans based on individual performance and challenges. Leads apprentice initiatives.
  • 7. Conducts reviews of charging to identify opportunity for charge capture, ICD-10 specificity, denial prevention and proper coding for professional services and works with staff and others within the health system to provide feedback, guidance and education to support optimal charging and workflows. Develops action plans as needed to improve department accuracy and to share information regarding physician workflow opportunities.
  • 8. Performs coding audits, when needed, as defined by compliance requirements and client expectations, determines when additional education is necessary and assists the education team in meeting those needs
  • 9. Develops department audit workplan to mitigate risk and to assess areas of opportunity and implement corrective actions.

Qualifications

EDUCATION

Bachelor’s degree or currently enrolled in a bachelor’s degree program required.

EXPERIENCE

Five (5)+ years of coding and/or coding audit educator work experience required. A certified AAPC Instructor credential can be substituted in lieu of 2 years of work-related experience. Expert subject matter coding knowledge, including in-depth understanding of applicable coding guidelines, payment methodology, CMS regulations and leveraging coding resources to research to answer questions. Epic experience preferred. Must have past experience with training and education in large and small groups, working with physicians and building training material and coding curriculum.

LICENSURE

Must have a CPC credential (Certified Professional Coder) through AAPC and either has or will have a coding instructor designation through the AAPC within 6 months of hire. Additional coding specialty credentials are highly desired.

SPECIAL SKILLS

Ability to work under minimal supervision and prioritize educational needs of the department with support needed by clinicians and other areas within the health system. Strong presentation skills. Must be able to develop customized coding curriculum and deliver training in a clear logical and informative manner. Subject matter expert in professional coding. Must be able to work with individuals at all levels of the health system, especially physicians and practice leadership. Must be organized and meticulous with documentation and reviews.

PHYSICAL DEMAND

Hours may vary depending on training needs.

Reimbursement Educator (Remote in Wisconsin)

Job Title:

Reimbursement Educator (Remote in Wisconsin)

Cost Center:

101651059 Coding-Audit Appeals Educ

Scheduled Weekly Hours:

40

Employee Type:

Regular

Work Shift:

Mon-Fri; 8:00 am – 5:00 pm (United States of America)

Job Description:

JOB SUMMARY

The Reimbursement Educator is a professional who is directly responsible for planning, coordinating, evaluating, developing, and implementing educational activities related to reimbursement issues. This  individual delivers clear and accurate information pertaining to reimbursement policy, documentation and coding guidelines, and other reimbursement issue to physicians, allied providers, administrative and managerial personnel and staff members.

JOB QUALIFICATIONS

EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: Bachelor’s degree in education, health care, nursing, or related field.

Preferred/Optional: If degree in nursing (BSN preferred); clinical field is desirable.

EXPERIENCE 

Minimum Required: Course work and/or other evidence of skills related to adult education, educational methodology, teaching and learning, educational principles, health education, or community education; three years broad based clinical or healthcare experience.

Preferred/Optional: Knowledge of CPT, ICD-10, HCPCS, and reimbursement policy, as well as, coding experience within inpatient and outpatient environments.

CERTIFICATIONS/LICENSES 

The following licensure(s), certification(s), registration(s), etc., are required for this position.  Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required: If a Registered Nurse, license awarded by the State of Wisconsin. Coding certification within three years of hire.

Preferred/Optional: Current coding certification from the American Academy of Professional Coders, American Health Information Management Association or other approved coding certification program at time of hire.

Primarily remote position with minimal on-site work in Marshfield, as needed.

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare.  Successful applicants will listen, serve and put the needs of patients and customers first.

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.  This is a condition of employment.  Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

Lead, Infrastructure Specialist

Who We Are

At Kyndryl, we design, build, manage and modernize the mission-critical technology systems that the world depends on every day. So why work at Kyndryl? We are always moving forward – always pushing ourselves to go further in our efforts to build a more equitable, inclusive world for our employees, our customers and our communities.

The Role

Infrastructure Specialists at Kyndryl are project-based subject matter experts in all things infrastructure – good at providing analysis, documenting and diagraming work for hand-off, offering timely solutions, and generally “figuring it out.” This is a hands-on role where your feel for the interaction between a system and its environment will be invaluable to every one of your clients.

There are two halves to this role: First, contributing to current projects where you analyze problems and tech issues, offer solutions, and test, modify, automate, and integrate systems. And second, long-range strategic planning of IT infrastructure and operational execution. This role isn’t specific to any one platform, so you’ll need a good feel for all of them. And because of this, you’ll experience variety and growth at Kyndryl that you won’t find anywhere else.

You’ll be involved early to offer solutions, help decide whether something can be done, and identify the technical and timeline risks up front. This means dealing with both client expectations and internal challenges – in other words, there are plenty of opportunities to make a difference, and a lot of people will witness your contributions. In fact, a frequent sign of success for our Infrastructure Specialists is when clients come back to us and ask for the same person by name. That’s the kind of impact you can have!

This is a project-based role where you’ll enjoy deep involvement throughout the lifespan of a project, as well as the chance to work closely with Architects, Technicians, and PMs. Whatever your current level of tech savvy or where you want your career to lead, you’ll find the right opportunities and a buddy to support your growth. Boredom? Trust us, that won’t be an issue.

Your future at Kyndryl
There are lots of opportunities to gain certification and qualifications on the job, and you’ll continuously grow as a Cloud Hyperscaler. Many of our Infrastructure Specialists are on a path toward becoming either an Architect or Distinguished Engineer, and there are opportunities at every skill level to grow in either of these directions.

Kyndryl currently does not require employees to be fully vaccinated against COVID-19, however, if you are hired to work at a client, customer, or partner location, you may be required to show proof of vaccination to align with their respective COVID-19 vaccination policies.  Those who believe they are eligible may apply for a medical or religious accommodation prior to the start of employment.

Who You Are

You’re good at what you do and possess the required experience to prove it. However, equally as important – you have a growth mindset; keen to drive your own personal and professional development. You are customer-focused – someone who prioritizes customer success in their work. And finally, you’re open and borderless – naturally inclusive in how you work with others.

Required Technical and Professional Experience


• At least 4 years of relevant work experience

• Expertise within specific technology domain areas (e.g., software development, cloud computing, systems engineering, infrastructure, security, networking, data & analytics)
• Enterprise IT application experience
• Hands-on experience in at least one of the following: software development, DevOps engineering, systems administration, or systems architecture in public cloud AWS domain
• In-depth knowledge of Windows Operating Systems
• Must have experience driving for engineering solutions and working across teams
• Extensive experience and judgment to plan and accomplish goals
• Ability to apply general rules to specific problems to produce conclusions and responses.
• Ability to communicate effectively, both verbal and written
• Strong process improvement experience

Preferred Technical and Professional Experience

• In depth knowledge of Amazon cloud hosting architecture with experience with AWS and Azure is a bonus

• Must possess an active Secret Clearance or the ability to obtain one
• Exceptional judgment and decision-making abilities
• Familiar with a variety of IT concepts, practices, and procedures
• Knowledge of design techniques, tools, and principals involved in production of precision technical plans, blueprints, drawings, and models
• Logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems
• Strong analytical and problem-solving skills with high attention to detail

The compensation range for the position in the U.S. is $74,640 to $141,960 based on a full-time schedule.  

Your actual compensation may vary depending on your geography, job-related skills and experience.  For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be below any applicable state, city or local minimum wage requirement.

There is a different applicable compensation range for the following work locations: 

California: $82,200 to $170,280 

Colorado: $74,640 to $141,960 

New York City: $89,640 to $170,280 

Washington: $82,200 to $156,240 

Washington DC: $82,200 to $156,240 

This position will be eligible for Kyndryl’s discretionary annual bonus program, based on performance and subject to the terms of Kyndryl’s applicable plans. You may also receive a comprehensive benefits package which includes medical and dental coverage, disability, retirement benefits, paid leave, and paid time off.  Note: If this is a sales commission eligible role, you will be eligible to participate in a sales commission plan in lieu of the annual discretionary bonus program.


Applications will be accepted on a rolling basis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Know Your Rights: Workplace Discrimination is Illegal

Pay Transparency Nondiscrimination Provision   

Being You

Diversity is a whole lot more than what we look like or where we come from, it’s how we think and who we are. We welcome people of all cultures, backgrounds, and experiences. But we’re not doing it single-handily: Our Kyndryl Inclusion Networks are only one of many ways we create a workplace where all Kyndryls can find and provide support and advice. This dedication to welcoming everyone into our company means that Kyndryl gives you – and everyone next to you – the ability to bring your whole self to work, individually and collectively, and support the activation of our equitable culture. That’s the Kyndryl Way.

What You Can Expect

With state-of-the-art resources and Fortune 100 clients, every day is an opportunity to innovate, build new capabilities, new relationships, new processes, and new value. Kyndryl cares about your well-being and prides itself on offering benefits that give you choice, reflect the diversity of our employees and support you and your family through the moments that matter – wherever you are in your life journey. Our employee learning programs give you access to the best learning in the industry to receive certifications, including Microsoft, Google, Amazon, Skillsoft, and many more. Through our company-wide volunteering and giving platform, you can donate, start fundraisers, volunteer, and search over 2 million non-profit organizations.  At Kyndryl, we invest heavily in you, we want you to succeed so that together, we will all succeed.

Get Referred!
If you know someone that works at Kyndryl, when asked ‘How Did You Hear About Us’ during the application process, select ‘Employee Referral’ and enter your contact’s Kyndryl email address.
 

Implementation Consultant

Job Description:

The Implementation Consultant works directly with clients and colleagues to improve transit operations using Trapeze’s Enterprise Asset Management products. Some of the responsibilities as part of your role include: 

  • Mastering the Trapeze EAM product suite and providing subject matter expertise to Trapeze’s EAM customers. 
  • Analyzing customers’ business requirements and objectives to develop business processes to meet their needs. 
  • Developing and delivering project artifacts such as process diagrams, gap analysis documentation, and functional and technical design documents throughout a project. 
  • Working with the Project Manager to ensure we deliver within project scope, budget, and timeline. 
  • Working with Product and Development to report product issues and communicate gaps from customer’s perspective. 
  • Perform testing, training, consulting, or other support for customers. 
  • Supporting other parts of the business as needed (Sales, Customer Care, Product/Development). 
  • Traveling to customer sites in North America to help improve their operations with Trapeze’s products and services. 

Required Skills/Experience: 

  • Familiar with Enterprise Asset Management (EAM) software. 
  • Understanding of implementation best practices.  
  • Experience with integrating EAM systems with other enterprise solutions. 
  • Ability to analyze data and generate actionable insights. 
  • Knowledge of databases, SQL, and scripting languages. 
  • Strong troubleshooting, testing, problem solving and analysis skills. 
  • Ability to understand and write technical documentation. 
  • The ability to use business acumen and consulting skills to develop customers. 
  • Ability to understand and communicate technical information to non-technical audience. 
  • Ability to prioritize, plan, manage and execute to commitments. 
  • Strong knowledge of MS Office products including Excel, PowerPoint, Project, and Visio. 
  • Strong Business analysis skills. 
  • Experience working in an agile/hybrid/waterfall methodology for software implementation. 
  • Ability to travel up to 50% 

Desirable Skills/Experience: 

  • Experience in Maintenance, Material Management, and/or the transit industry. 
  • Experience working in a cloud environment. 
  • Ability to influence the customer in understanding the need to impress this change upon the organization (i.e., customers to accept new processes, new software etc.) 
  • Project Risk Identification, mitigation, and resolution 

Location: This is a fully remote position

Worker Type: Regular

Digital Project Manager

As a Digital Project Manager, you will be responsible for handling multiple projects and initiatives simultaneously across a variety of teams, as well as taking on program responsibilities for a dedicated area of the business! You will also be responsible for driving prioritization, road mapping, process execution and standardization across Product and Engineering teams in technology as well as working with collaborators across the organization. From evaluating new process opportunities to driving cross-functional initiatives that help make teams at Thirty Madison more productive and successful. Above all, you embody the Thirty Madison mission of providing access to healthcare for all who suffer from chronic conditions.

Comp | Perks | Benefits 

  • The base pay range for this position is $100,800 – $138,600 per year**
  • Annual Incentive Plan + Stock Option Package
  • Robust and affordable Medical, Dental, and Vision plan options 
  • 401(k) with a match, commuter benefits, and FSA
  • Annual $750 vacation stipend and $500 happiness stipend
  • Flexible time off policy

**Base pay offered may vary depending on job-related knowledge, skills, and experience. An annual incentive plan and stock options may be provided as part of the compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the position offered.

What you get to do every day 

  • Handle intake through delivery of some of our most meaningful projects while keeping all teams aligned within an Agile development environment
  • Drive high priority initiatives while working closely with product and engineering
  • Work in a collaborative team environment and face new challenges every day while driving high value, highly visible initiatives
  • Handle multiple initiatives simultaneously across a variety of teams
  • Facilitate stakeholders across the organization to analyze and translate business needs
  • Create and handle work tracking environments (Asana, Shortcut, Notion)
  • Adapt to changing conditions and modify project execution plan as appropriate while handling multiple projects concurrently
  • Proactively highlight and resolve risks and issues and clearly communicate those risks to stakeholders
  • Identify blockers and facilitate the removal of those blockers
  • Drive high profile internal and external engagements as lead resource planning, scheduling, tracking, and maintaining high level, integrated plans across all collaborators
  • In partnership with Product, Engineering and other key collaborators, coordinate and drive all phases of company programs from inception through production delivery
  • Consider strategic planning, process improvement, and standardization when suitable
  • Always challenge the status quo, seeking new and improved ways to reach the finish line
  • Drive and handle status reports, project plans and weekly meetings to ensure all collaborators are clear on project status
  • Organize and report on progress/status
  • Actively challenge, in a positive and constructive manner, business or technical solutions, methodologies, procedures and way of thinking with business and technical team members, to drive improvements in speed, cost and quality of solutions
  • Consistently, maintain and follow up on a team-wide action item list
  • Other duties as assigned 

What you bring to the role

  • Passion for structure and operational rigor and has a proactive approach to crafting impact in a fast-paced setting.
  • Exceptional teammate with the ability to quickly develop and champion collaborator relationships with demonstrated track record of leading or working with cross-functional teams.
  • Operate with cross-functional excellence with the ability to handle and drive various teams, and seek support for collaborative activities from managers and peers.
  • Improve the way we operate to drive short-term and long-term performance by developing and implementing best practice process and tooling improvements.
  • Ensure that assigned programs are handled within scope while following established processes and procedures.
  • Drive, communicate and gain support for decisions in unstructured environments.
  • Bring clear thinking and exhibit excellent problem-solving skills.
  • Drive accountability for dependencies and issues within the technology organization.
  • Communicate priorities effectively to team members. 

All Company policies and procedures are subject to change without notice based on business needs. This includes, but is not limited to, the locations where we hire remote, hybrid, or onsite employees.

U.S. Applicants Only

Don’t meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Thirty Madison we are dedicated to building a diverse, inclusive and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

We are proud to be an equal opportunity workplace committed to building a team culture that celebrates diversity and inclusion.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions. Contact us at [email protected] to request accommodation.

About Thirty Madison 

Thirty Madison is a family of specialized healthcare brands devoted to creating exceptional outcomes for all. Each of its specialized brands is focused on a specific ongoing condition, and thoughtfully designed to support the unique needs of its community with personalized treatments and care; with Keeps for men’s hair loss, Cove for migraine,  Facet for skin conditions, and NURX for sexual health. With empathy at the heart of its innovation, its proprietary care model empowers hundreds of thousands of people with ongoing conditions with the accessible, effective treatments across a lifetime of care. In just four years, we’ve built a number of brands and are continuing to grow rapidly, recently raised a $140m Series C, and are backed by some of the best healthcare and consumer investors, including HealthQuest Capital, Mousse Partners, Bracket Capital, Polaris Partners, Johnson & Johnson, Maveron, Northzone, among others.

We are honored to become Great Place to Work certified and be included on BuiltIn’s 2021 list of Best Places To Work in New York City, and Best Midsize Companies To Work For. We’ve also been recognized by Forbes’ Best Startup Employers, being named as one of America’s Best Places to Work 2022. This recognition is a true testament to our hardworking team and company culture. As we continue to grow, we pride ourselves on finding passionate individuals who truly embody our core values and mission each and every day. Learn more at ThirtyMadison.com

*This employer participates in E-Verify and will provide the federal government with your I-9 Form information to confirm that you are authorized to work in the U.S.*

*Please be aware that there are fraudulent entities who are falsely claiming to be or represent Thirty Madison in order to solicit sensitive personal information or payment. Thirty Madison is not in any way associated with these entities or practices. The safety and integrity of those seeking employment with us is of the utmost importance and we actively work with our legal and security teams to prevent future incidents. 

Thirty Madison will never ask for sensitive information or payment when engaging with job seekers. The entities use many methods to perpetuate these scams, including but not limited to: participating in a text-only interview, using Thirty Madison’s trademarks on their correspondence, or providing you with a seemingly legitimate offer letter. If you suspect you are a victim of this scamming, we encourage you to cease further contact and report the crime to The Federal Trade Commission.