Inpatient Hospital Coder

by Irma Moore | Nov 13, 2024 | Uncategorized

Description

Tenet Healthcare has immediate needs for remote, home-based Corporate Coders to support the hospital business. Corporate Coders can be based anywhere in the country with home internet access. Position will support the Tenet/USPI corporate office located in Dallas, TX.

The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC’s and/or other projects where indicated.

*$10,000 SIGN ON BONUS + Quarterly incentive bonus based on productivity and quality!*

Requirements:

• Successful completion of at least one AHIMA (American Health Information Management Association) certified program with achievement of the correlating professional credential preferred (RHIA, RHIT, and / or CCS, etc.)
• Associates or higher-level degree in a Health Information Management discipline.
• Minimum of four years of Medicare inpatient acute care hospital experience
• Supervisory or team lead experience preferred
• Familiarity with 3M-360 software a plus
• This role requires excellent verbal and written communication skills

A pre-employment coding proficiency assessment will be administered.

Compensation

• Pay: $26.40-$39.00 per hour. Compensation depends on location, qualifications, and experience.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
• Observed holidays receive time and a half.

Benefits

The following benefits are available, subject to employment status:

• Medical, dental, vision, disability, AD&D and life insurance
• Paid time off (vacation & sick leave)
• Discretionary 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
• For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act is available.

Tenet Healthcare complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

#LI-DM42403008688

Pay Range: $26.40 – $39.00 hourly **Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

Epidemiologist II – Remote

by Irma Moore | Nov 13, 2024 | Uncategorized

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

The Epidemiologist has the primary responsibility for the scientific direction and day-to-day management of post-approval safety studies using administrative claims and/or electronic health records. Specifically, the Epidemiologist will:

• Prepare and implement proposals, protocols, and statistical analysis plans
• Direct statistical analyses
• Prepare contracted deliverables and reports on time and on budget
• Ensure scientific integrity of studies
• Present results of analyses to internal and external audiences

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:

• Advanced degree (e.g., PhD, ScD, PharmD, MD)
• 3+ years of related research experience
• 3+ years of study design, research methodology, and statistical analysis
• 3+ years of experience meeting timelines and ability to manage multiple competing priorities
• Knowledge of study design, research methodology, and statistical analysis
• Proven history of meeting timelines and ability to manage multiple competing priorities

Preferred Qualifications:

• PhD in Epidemiology, or related field
• 3+ years of experience working with and analyzing large administrative healthcare databases, such as administrative claims data and/or electronic health records
• 3+ years of experience applying advanced pharmacoepidemiologic methods, such as propensity score-based approaches
• 2+ years with direct client contact
• 2+ years of experience with SAS or similar statistical software
• Proven excellent written and oral communication skills
• Proven ability to work independently and collaboratively as leader of a team
• Proven solid work ethic and demonstrated organizational and critical thinking skills
• Demonstrates adaptability and flexibility with changes in responsibilities and duties

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington or Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

External Candidate Application

 PDF remediation specialist

by Irma Moore | Nov 13, 2024 | Uncategorized

Salesforce Developer

by Irma Moore | Nov 13, 2024 | Uncategorized

Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, prepaid and merchant services.  Our worldwide team helps over 3 million companies, more than 1,300 financial institutions and over 600 million cardholders grow with confidence and achieve amazing results.  We are driven by our passion for success and we are proud to deliver best-in-class payment technology and software solutions.  Join our dynamic team and make your mark on the payments technology landscape of tomorrow. 

Summary:
The Salesforce Developer is responsible for assisting in developing and customizing Salesforce applications to meet the organization’s specific needs. You will work closely with the development team, business analysts, and product owners to understand requirements, design solutions, and implement Salesforce functionality. Your primary focus will be coding, testing, and supporting Salesforce applications to enhance business processes and improve user experience.

This position will report to the Salesforce Engineering Manager within the Internal Applications department.

Responsibilities

• Collaborate with business analysts and product owners to understand requirements for Salesforce applications.
• Assist in designing and implementing out-of-the-box and custom solutions on the Salesforce platform using Flows, Apex, Visualforce, and Lightning components.
• Develop, test, and debug Salesforce functionality, including triggers, classes, workflows, and automation processes.
• Create and maintain technical documentation for implementation workflow and processes, including design decisions and code comments, to ensure that knowledge is shared and maintained within the team.
• Conduct code reviews to ensure adherence to best practices and coding standards.
• Write unit tests to ensure the quality and stability of the code.
• Participate in the deployment and release management processes, ensuring that changes made in the development environment are properly migrated to production.
• Provide ongoing support and troubleshooting for Salesforce applications, including investigating and resolving issues.
• Stay up-to-date with the latest Salesforce features, updates, and industry trends to recommend process improvements and enhancements.
• Maintain data integrity and security within Salesforce, ensuring compliance with data protection regulations and company policies.

Requirements

• Bachelor’s degree in Computer Science, Information Technology, or a related field.

    Demonstrable skills and an impressive portfolio of projects can substitute for a degree. 

• Prior experience in Salesforce development using Apex, Visualforce, and Lightning components is desirable.
• Strong understanding of Salesforce platform capabilities, data model, and security framework.
• Proficiency in web technologies such as HTML, CSS, JavaScript, and frameworks like Angular or React is a plus.
• Familiarity with Salesforce integration techniques, REST/SOAP APIs, and data migration tools.
• Knowledge of software development methodologies and best practices, including version control, testing, and deployment strategies.
• Excellent problem-solving and analytical skills with a keen attention to detail.
• Strong communication and collaboration skills to work effectively within a team and interact with the Product team and stakeholders.
• Ability to manage multiple tasks and prioritize work in a fast-paced environment.

​

Preferred Experience/Education

• Bachelor’s degree in Computer Science
• Salesforce Administrator, Platform App Builder, Salesforce Developer I certification
• Knowledge of Salesforce integration with external systems.
• Experience in the payment industry

Benefits:

Global Payments offers a comprehensive benefits package to all of our team members, including medical, dental and vision care, EAP programs, paid time off, recognition programs, retirement and investment options, charitable gift matching programs, and worldwide days of service. To learn more, review our Benefits page at: https://jobs.globalpayments.com/en/why-global-payments/benefits/

This position is eligible to be considered for remote hiring anywhere in the USA.

 #LI-Remote

Global Payments Inc. is an equal opportunity employer. Global Payments provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex (including pregnancy), national origin, ancestry, age, marital status, sexual orientation, gender identity or expression, disability, veteran status, genetic information or any other basis protected by law. If you wish to request reasonable accommodations related to applying for employment or provide feedback about the accessibility of this website, please contact [email protected].

VP of Claims/ Coding

by Irma Moore | Nov 13, 2024 | Uncategorized

Under the general direction of the VP of Claims/ Coding this position is responsible for the day- to- day supervision of the staff that performs claims review, and/or resolution of claims issues for all types of claims. In addition, this position will be responsible for leading both focused and routine reviews, review and communication of high- profile claims issues for specific providers, hospitals and ASC to review coding and documentation and reporting results of said functions, as well as other functions as necessary. This position has oversight of any external audits as well as for input to and adherence to the Claims Review annual plan.

Primary Responsibilities:

• Monitors and document all totals related to claims payment errors and examiner productivity for reporting purposes as established in the Compliance Department and Claims Policies and Procedures
• Develops materials, Trains claims examiners regarding the system and claim procedures and documents results
• Identifies and resolves various claims issues, documents, and reports results prior to every check run
• Resolves identified claims issues based on CCI edit report to comply with CMS guidelines
• Serves as a resource to Management, Customer Service, Utilization Management and other business units on claim issues
• Contributes to a fair and positive work environment by treating peers, superiors, subordinates, clients and vendors with professionalism and respect
• Participates in communication with Business Operations management regarding trends in order to improve claims processing accuracy and documented business rules for incorporation into training programs, policies and procedures
• Identifies and escalates issues related to instructional material that is inaccurate, unclear, or contains gaps. Provides recommendations for correction of this material.
• Confers with management to assess training needs in response to changes in policies, procedures, regulations, and technologies
• Responsible for daily supervision of staff which included reviews, claims, correspondence, appeals, and enrollment situations that affect claims
• Prepares review sheets, quality review analysis, and corrective action plans of staff
• In collaboration with Claims Management, provides updates to staff on process changes, point of contact changes, etc.
• Collaborates with Director on workload, performance, or employee issues or concerns
• Hires, evaluates and develops staff
• Extracting relevant information from patient records
• Liaising with physicians and other parties to clarify information
• Reporting audits results of Coders assignments
• Performs other duties as assigned

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:

• American Academy of Professional Coders (AAPC) certification
• 2+ years in Medical Claims 
• Experience working with Medicare / Medicaid / Managed Care claims
• Knowledge of healthcare regulations and guidelines including:
  • CMS
  • DMHC
  • DHCS guidelines
• Proficiency with Excel
• Knowledge of Correct Coding Initiative, HCFA-1500 and UB-92 claim forms and CPT Coding
• Ability to write routine reports and correspondence
• Ability to speak effectively before groups of customers or employees of the organization
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume
• Ability to apply concepts of basic algebra
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, and diagram form
• Ability to deal with problems involving several concrete variables in standardized situations
• Proven detail oriented
• Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented
• Ability to solve problems through systematic analysis of processes with sound judgment; Has a realistic understanding of relevant issues
• Successfully manage different styles of employees; Provide clear direction and effective coaching
• Technical Requirements:
  • Knowledge and experience with Microsoft Word, and Outlook software
  • Must be willing to learn applicable computer programs
• Behavioral Requirements:
  • Demonstrate accountability for one’s own actions
  • Ability to complete routine and priority tasks within departmental time frames
  • Ability to convey care when answering phone calls and assisting customers
  • Demonstrate the ability to effectively interact with both external and internal customers in difficult situations
  • Demonstrate ability to make sound decisions
  • Demonstrate accountability for one’s own actions
  • Ability to complete routine and priority tasks within departmental time frames
  • Ability to convey care when answering phone calls and assisting customers
  • Ability to maintain confidentially when handling sensitive material
• Language Skills:
  • Proficiency in speaking, reading, and writing English is required. Speaking Spanish, Vietnamese, Chinese and/or Tagalog is desirable but not required

Preferred Qualification:

• Intermediate skill levels in Microsoft Word, Excel, and Outlook

Physical 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
• While performing the duties of this position, the employee is regularly required to sit, possibly 90% of the workday, stand infrequently, use a computer keyboard frequently and intermittently throughout the day, and use hands to finger, handle, or feel objects, tools or controls. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to walk
• The employee must be able to infrequently lift and move up to 25 pounds. Specific vision abilities required by this position include close vision, color vision and the ability to adjust focus
• Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time

California Residents Only: The hourly range for California residents is $23.22 to $45.43 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.  

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.   

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Senior Data Scientist

by Irma Moore | Nov 13, 2024 | Uncategorized

Values & Innovation

At Under Armour, we are committed to empowering those who strive for more, and the company’s values – Act Sustainably, Celebrate the Wins, Fight on Together, Love Athletes and Stand for Equality – serve as both a roadmap for our teams and the qualities expected of every teammate.

Our Values define and unite us, the beliefs that are the red thread that connects everyone at Under Armour. Our values are rallying cries, reminding us why we’re here, and fueling everything we do.

Our pursuit of better begins with innovation and with our team’s mission of being the best. With us, you get the freedom to go further – no matter your role. That means developing, delivering, and selling the state-of-the-art products and digital tools that make top performers even better.

If you are a current Under Armour teammate, apply to this position on the Internal Career Site Here. 

Purpose of Role

We are looking for a Senior Data Scientist to join our Enterprise Data Management & Analytics organization. As a member of the enterprise data science team, you will work on machine learning solutions supporting all of Under Armour’s business units across the globe. You will be challenged to identify creative solutions to real world problems by leveraging cutting edge machine learning and statistical techniques, while striving to maintain rigorous scientific and engineering standards. You will collaborate with other data scientists, engineers, and business decision makers to develop the next generation of data driven products and initiatives at Under Armour.

Your Impact

• Develop, maintain, and expand machine learning and AI solutions to support global price optimization and enterprise data management initiatives.
• Leverage AWS cloud computing solutions to develop and deploy models at scale, adhering to internal best practices in data science and MLOps.
• Propose novel statistical and machine learning methods to address key business challenges.
• Become an expert in our internal price optimization modeling methodology -extracting and communicating insights and use cases to non-technical stakeholders and decision makers.
• Stay up-to-date with emerging technologies and modeling techniques.
• Work collaboratively to drive improvements through the lifecycle of each product to ensure the technical implementation appropriately aligns with business goals.
• Identify opportunities for AI-driven innovation and collaborate with AI/ML scientists and stakeholders to research, design, develop, and evaluate cutting-edge generative AI algorithms to address business challenges.
• Assist in building and enhancing AI capabilities and infrastructure within the organization.
• Communicate clearly and effectively to technical and non-technical audiences, verbally and visually, to create understanding, engagement, and buy-in.

Qualifications

• 5+ years of data querying languages, scripting languages or statistical/mathematical software experience OR Master’s degree with typically 3+ of relevant experience.
• Proficiency with SQL and Python.
• Practical work experience with one or more of the following: XGBoost, LightGBM, Prophet, supply chain optimization models, Bayesian statistics.
• Ability to apply data science to real-world problems, capable of breaking down complex problems into key components solvable by machine learning solutions.
• Knowledgeable of limitations and best practices related to model specification, comparison, selection, and deployment.
• Ability to provide written and oral interpretation of highly specialized terms and data, and ability to present this data to others with different levels of expertise
• Prior experience working on an agile team preferred
• Prior experience leveraging version control (e.g., Git, SVN) in a team setting preferred

BONUS QUALIFICATIONS:

• Ability to help guide deep-dive sessions to ideate production path to solutions.
• Writing skills to create and deliver tutorials, newsletters and presentations for technical, business, and executive stakeholders.
• Experience experimenting with current Generative AI tools from a variety of models.
• Prior experience with AWS services (e.g., Sagemaker, S3, ECR).

Workplace Location

• Location: Fully Remote 
• Return to Work Designation: Fully Remote 
• Travel: 5% of the year 
• Licenses/Certifications: N/A

Relocation

• No relocation provided

Base Compensation

 $127,496.00 – $175,307.00 USD

Most new hires fall within this range and have the opportunity to earn more over time. Initial placement within the salary range, however, is based on an individual’s relevant knowledge, skills and experience for the position. UA is committed to helping our teammates succeed and advance in their careers. Base salary is only one component of our competitive Total Rewards package.

Benefits & Perks

• Paid “UA Give Back” Volunteer Days: Work alongside your team to support initiatives in your local community
• Under Armour Merchandise Discounts
• Competitive 401(k) plan matching
• Maternity and Parental Leave for eligible and FMLA-eligible teammates
• Health & fitness benefits, discounts and resources- We offer teammates across the country programs to promote physical activity and overall well-being

Our Commitment to Diversity

At Under Armour, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates without regard to race, color, religion or belief, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, family or paternal status and any other characteristic protected by applicable law. Under Armour believes that diversity and inclusion among our teammates is critical to our success as a global company, and we seek to recruit, develop and retain the most talented people from a diverse candidate pool. Accommodation is available for applicants with disabilities upon request.