Coding Quality Reviewer- Surgery in Honolulu, Hawaii

The Remote Coding Quality Reviewer – Surgery will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification systems. Review of patient records will be conducted via facility EMR, scanning technology or other established method. This position will be focused on pro fee and outpatient facility surgery coding. This position is 100% remote.

Duties and Responsibilities:

  • Ensure coding quality review percentage or number of accounts per coder as stipulated on the review assignment list of each coder’s work is conducted monthly for those facilities the reviewer is assigned. Coding quality review will be conducted to identify abstracting, ICD-10-CM, CPT, modifier, and HCPCS coding errors for codes assigned by the coding team (see quality review policies for review details).
  • Review coding and abstracting on all patient types assigned for review to include the following: inpatient, ambulatory surgery, ER, clinic, diagnostics and evaluation and management levels to assure 95% coder accuracy (or accuracy percentage as stipulated by client contract).
  • Ensure code recommendations are supported with AHA Coding guidelines, Coding Clinics, CPT Assistant and/or other official coding references.
  • Perform chart reviews and coding recommendation notifications (to ensure appropriate turnaround times) to coding team in a timely manner (same day review conducted).
  • Assist Coders in answering coding/abstracting questions resulting from the quality reviews.
  • Ability to maintain average review productivity standards as follows:
  • Emergency Department (without E/M): 7 charts per hour
  • Emergency Department with E/M: 4 charts per hour
  • Diagnostics: 12-15 charts per hour
  • Surgeries (any service line): 3-4 charts per
  • Pro Fee Evaluation/Management Level (any setting or service line without procedure): 5 charts per hour
  • Pro Fee Evaluation/Management Level (any setting or service line with procedure (major procedure): 3 per hour
  • Claim Edit Review: 10-15 per hour

What You Will Need :

  • Must hold one of the following active credentials: (CCS, CPC, CIC, COC, RHIA, RHIT).
  • 3+ years of Pro Fee and/ or Facility surgery coding or review experience.
  • Previous surgery coding and auditing experience to include specialties such as ortho surgery neuro surgery, trauma surgery, vascular surgery, interventional radiology, plastic surgery.
  • 5+ years previous relevant experience.
  • Must maintain coding credential while employed by Guidehouse.

Information System Requirements:

  • Computer and monitors provided by Guidehouse.
  • Internet Access with DSL or high-speed connectivity.
  • Remote office location that meets HIPAA privacy requirements.

What Would Be Nice To Have :

  • 1+ years of pro fee subspecialty auditing such as EM and Anesthesia.

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The annual salary range for this position is $50,600.00-$91,100.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer :

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation. APPLY HERE

Accounting Specialist

The Shared Service Centers Finance at the University of Kansas is searching for multiple Accounting Specialist positions. The day-to-day finance activities in the SSC will be conducted by Accountants and Accounting Specialists. These positions will be responsible for working with assigned units, departments and centers as well as the SSC Finance Manager and/or Director to perform financial business activities in an environment of excellent client service. The positions will use accounting skills to perform financial support functions for the departments, provide departments with accurate and timely information to make decisions, and ensure efficient transaction processing.

The SSC Accounting Specialist will provide timely and professional services that support or enhance the administrative and service goals of the units served. The SSC Accounting Specialist will report to the SSC Finance Manager or SSC Accountant, and will be responsible for transaction processing for the units served.

Job Description

60% Responsible for purchasing and resource management, following University, KUCR and Endowment guidelines and regulations; including documentation:

  • Processes payments and purchase requisitions through university financial systems and determines appropriate account and funding for payment.
  • Develops unit processes to ensure that appropriate funding sources are used and that resources are available for purchases; audits and reviews procurement card purchases to ensure procedures for compliance with University, Endowment and KUCR accounting systems are followed.
  • Manages travel reimbursements; reviews all travel requests to ensure that expenditures and reimbursements are in accordance with pertinent laws and regulations; processes payments and reimbursements as appropriate.
  • Knowledgeable of university purchasing and bid procedures, contracts, and federal regulations to ensure appropriate purchases are made.
  • Processes accounts receivable transactions in university financial system. 
  • Works with the Finance Manager to resolve problems related to billing errors, non-receipt of invoices and discrepancies between statements and records.
  • Verifies scholarship recipients, processes posting forms to Financial Aid and Scholarship and provides data and reports to the Chair or Director upon request.

30% Responsible for monitoring fiscal operations for each unit/department/center served; including, but not limited to:

  • Participates in day-to-day fiscal operations to ensure compliance with established University, Endowment and KUCR accounting principles, policies and objectives.
  • May monitor posted expenses and process cost transfers when needed; ensures that expenditures follow all University and Endowment processes and procedures; identifies discrepancies to supervisor and unit Director/Chair.
  • Works with the Finance Manager to inform and assist the Director/Chair with operational needs and related budgetary impact.
  • Works with the Finance Manager to provide the Director/Chair with financial information to assist in the development of the annual operating budget.
  • Works with the Finance Manager to provide non-standard reports and statements as requested.
  • Gathers data for and prepares budgetary, statistical, reconciliation and other requested reports for leadership and SSC Director and Finance Manager.
  • May monitor accounts receivable, revenues and expenses.
  • Escalates questions as appropriate to the SSC Finance Manager and/or the Chair/Director.

10% Other SSC Responsibilities

  • Coordinates with central finance on the interpretation and communication of finance policies, procedures, and programs.
  • Reviews and recommends changes to department and SSC procedures to ensure compliance with policy; prepares and updates procedural manuals and related instructional materials. 
  • Serves as a resource to department staff and faculty to ensure compliance with policy. 
  • Participates in department meetings and events to maintain knowledge of the department and relationship with the faculty and staff. 
  • Attends regular meetings, training sessions and professional development workshops/seminars to keep current on policies and procedures relevant to position responsibilities, as requested and approved by the SSC Finance Manager.
  • Other duties as assigned.

Position Requirements

This position is designated as fully remote, meaning most activities will be performed from an agreed upon off-campus location. Some in-person activities such as meetings with departments, trainings and team meetings will be required on occasion.

Required Qualifications

  1. Bachelor’s degree in accounting, business administration or related field OR High School Diploma/GED and three (3) years of relevant experience.
  2. Computer skills in a PC/Windows environment including MS Word and MS Excel as demonstrated by application materials and previous experience.
  3. Excellent written communication skills and attention to detail as demonstrated by application materials.

Preferred Qualifications

  1. Bachelor’s degree in finance, accounting, business administration.
  2. Experience using a financial ERP (Enterprise Resource Planning system), such as Oracle Financials (FITC), Concur, Maximo, Central Square (OneSolution), etc.
  3. Experience with fund accounting.
  4. Prior work experience requiring Analytical and problem-solving skills.
  5. Informational writing experience with program and training materials through mediums such as the web, social media, brochures, manuals.
  6. Experience working both independently and a team environment.
  7. Experience managing multiple tasks and assignments in a deadline driven environment.

Additional Candidate Instruction

A complete application includes:

  1. Cover letter addressing how you meet the required and preferred qualifications.
  2. Resume.
  3. Contact information for three professional references (including at least one previous or current supervisor).
  4. Completion of the online application.

Application review date will begin December 19, 2023 and will continue until a pool of qualified applicants has been identified. APPLY HERE

Spanish Language Content Designer

We all depend on healthcare throughout our lifetimes, for ourselves, and our families and friends, but it is notoriously difficult to navigate and understand. As an industry that comprises 20% of the US economy we think healthcare should work better for all of us. At Collective Health we believe it’s time for a new day in healthcare where as members we are informed and empowered to make the right care choices when the decisions are urgent and critical. 

Collective Health is invested in shaping and changing the way we experience healthcare. Our Content Design team helps our members live healthier and happier lives by using content to deliver the right information, at the right time, in ways that meet their needs. 

We’re now looking for a full-time Spanish Content Designer to join our team and bring the core aspects of our member experience to life in Spanish!

What this means: right now, we’re translating content from our website, support articles, and more from English to Spanish to support our Spanish-speaking members. Before we share anything with our members, you’ll help us ensure our new Spanish content is approachable, understandable, actionable, and context-aware. This position will report to the Director of Product Design.

What you’ll do:

  • Work with our UX design team to understand Collective Health’s style guide, voice and tone, and product
  • Design and translate copy and content for our members from English to Spanish
  • Coordinate with external translation vendor to manage content & QA Spanish language translations
  • Lead user testing with Spanish speaking members and internal SMEs
  • Synthesize findings and collaborate with our UX design team to develop recommendations for future Spanish copy and content strategy
  • Approach problem solving with empathy and creativity, remembering that there is rarely one “right” answer
  • Move quickly and be able to sit in ambiguity, knowing that sometimes good problem solving often takes tenacity, flexible thinking, and comfort in discomfort
  • Delight in developing and evolving product voice and tone
  • Improve and implement processes used by the Content Design team and others across the organization

To be successful in this role, you’ll need:

  • Strong content chops in both Spanish and English: you’ll partner closely with our English-speaking content design team, UX research team, and lots of other partners to get our Spanish member experience built right.
  • Healthcare experience: healthcare is hard. Communicating complex topics to others is easier when we have a strong grasp on them ourselves.
  • Content testing/ design research experience: we test new content with users before sharing it at scale. You’ll lead sessions to gather feedback from Spanish speakers, with support from our English-speaking UX research team.
  • 7 (ish) years of relevant writing or product experience
  • An uncanny ability to mimic voice and tone
  • Experience of advocating for content design and driving complex projects forward
  • An optimistic, solutions-driven attitude
  • Experience translating complex subject matter. Healthcare is a highly regulated environment!

This will be a fast moving project, with “all hands on deck” energy. If jumping feet-first into work-in-progress with a high-performing team sounds exciting to you, we’d love to hear from you!

Pay Transparency Statement 

This job can be performed in a location where we have an office: San Francisco, CA, Lehi, UT, or Plano, TX, with the expectation of being in office at least two weekdays per week, or hired for remote work in the following states: CA, CO, CT, FL, GA, IL, MA, MI, MN, NJ, NY, NC, OH, OR, TX, UT, or WA.

The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/#benefits.

San Francisco, CA Pay Range

$102,000—$127,500 USD

Lehi, UT Pay Range

$77,600—$97,000 USD

Remote Pay Range

$69,200—$127,500 USD

Plano, TX Pay Range

$89,600—$112,000 USD

About Collective Health

Collective Health is the leading health benefits platform that brings together medical, dental, vision, pharmacy, and program partners into an integrated solution that better enables employees and their families to understand, navigate, and pay for healthcare. By reducing the administrative lift of delivering health benefits, providing an intuitive member experience, and helping control costs and improve outcomes, the company guides employees toward healthier lives and companies toward healthier bottom lines. APPLY HERE

Managing Editor, US Bureau

Newsweek is the global media organization that has earned audience time and trust for more than 90 years. Newsweek reaches 100 million people each month with thought-provoking news, opinion, images, graphics, and video delivered across a dozen print and digital platforms. Headquartered in New York City, Newsweek also publishes international editions in EMEA and Asia. 

The position of Managing Editor, US Bureau, will assist the SVP, Digital on running the US newsroom. 

Our office is based out of New York, but you will have the ability to work from home anywhere in the US. This is a full-time role, working Monday to Friday, 8-5pm EST.

Key Responsibilities:

  • Oversee the US bureau and manage editors 
  • Oversee news coverage, directing teams on story and topic development 
  • Ensure the team meets targets  
  • Handle corrections and legal complaints  
  • Oversee exclusive stories  
  • Develop reporters’ skills and train new employees 
  • Ensure stories meet Newsweek’s editorial standards 
  • Perform any other reasonable duties as necessary to meet the needs of the employer’s business. 

Requirements: 

  • Several years of relevant assigning and editing experience working at a reputable publication.  
  • Experience managing teams of writers and conducting performance management reviews.  
  • Organization and planning skills.  
  • Writing and copy-editing skills.  
  • Familiarity covering U.S. news and lifestyle trends.  
  • Familiarity with using social media, Google Trends and other tools to find stories.  
  • Capable of working to tight deadlines. 
  • Experience using data to inform editorial decisions. 
    Experience developing topics to grow audience. 
  • Excellent understanding of SEO 

Desirables: 

  • Experience using AI 

Salary range: $120,000 – $130,000. APPLY HERE

Proposal Specialist

Develop strategic proposals in response to low to moderate-complexity RFPs. Serve as proposal strategist by leading RFP strategy meetings that include appropriate corporate and field business partners and senior-level management to develop proposal responses that are both compliant and compelling.

Develops proposals in response to RFPs received for clients and prospects in strategic business units

Responsible for collaborating with corporate and sales business partners to develop the most compelling proposals based on analysis of RFP requirements, client attributes, and related data points

Manage multiple concurrent RFPs, requiring outside resources and crossing divisions to produce the most effective, competitively positioned, client-focused proposals

Serve as project manager on each proposal and consult with corporate and division partners to develop compelling proposal content

Develop, document, and manage proposal projects to ensure role clarity and timely response for each RFP

Evaluate and interpret RFP requirements/questions, as well as effective use of client-required systems (i.e., online RFP applications, etc.)

Understand and leverage product and competitor knowledge to customize client-focused content for each assigned proposal

Ensure all proposals are consistent with market positioning and approved key messages

Write and edit copy for strategic proposals

Job Specifications

Typically has the following skills or abilities:

Bachelor’s Degree in Marketing, Communications, or related experience

2+ years’ experience in related communications work for a variety of mediums and customizing content to targeted audiences for technical or proposal writing

Demonstrated ability to use creative ideas to enhance communications projects

Project management, analytical, and problem-solving ability

Verbal communication skills with a demonstrated ability to speak in group situations with clear and concise communication

Strong writing, editing, communication, presentation, organization, and planning skills

Ability to organize individual responsibilities for multiple tasks, resulting in the timely and accurate completion and delivery of tasks

Proficiency with word processing, flowcharts, and spreadsheet applications

Excellent interpersonal skills to foster cooperation amongst business partners and coordinate internal as well as external resource/workload

Regularly exercises discretion and independent judgment in the performance of his/her job duties

Ability to work with individuals from all levels of organization

Compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding VSP Vision benefits, please click here. Salary Ranges: $51,000.00 – $85,500.00

Why VSP Vision?   
 
When you become a VSPeep, you join a group of thinkers, doers, adventurers, risk-takers, and boundary pushers who think outside the peripheral to develop products, programs, and services that help create a world where everyone can bring their best vision to life. Our goal to be a diverse, equitable, and inclusive company isn’t a fixed destination but rather a constant endeavor to learn, grow, and drive positive change. We strive continually to enhance the lives of each of our employees, members, stakeholders, and communities.  APPLY HERE