by Irma Moore | May 29, 2025 | Uncategorized
The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG.
How you will make an impact:
- Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities.
- Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions.
- Utilizes audit tools and auditing workflow systems and reference information to make audit determinations and generate audit findings letters.
- Maintains accuracy and quality standards as set by audit management for the auditing concept, valid claim identification, and documentation purposes (e.g., letter writing).
- Identifies new claim types by identifying potential claims outside of the concept where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs.
- Suggests and develops high quality, high value concept and or process improvement and efficiency recommendations.
Minimum Requirements:
- Requires at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing.
- Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder.
- Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG.
Preferred Skills, Capabilities and Experiences:
- BA/BS preferred.
- Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred.
- Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
- Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $95,172 to $149,556.
Locations: Colorado; Illinois; Maryland; Minnesota; Nevada
In addition to your salary, Elevance Health 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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Job Level:Non-Management Exempt
Workshift:1st Shift (United States of America)
Job Family:MED > Licensed/Certified – Other
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success – for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
by Irma Moore | May 29, 2025 | Uncategorized
At Moody’s, we unite the brightest minds to turn today’s risks into tomorrow’s opportunities. We do this by striving to create an inclusive environment where everyone feels welcome to be who they are—with the freedom to exchange ideas, think innovatively, and listen to each other and customers in meaningful ways.
If you are excited about this opportunity but do not meet every single requirement, please apply! You still may be a great fit for this role or other open roles. We are seeking candidates who model our values: invest in every relationship, lead with curiosity, champion diverse perspectives, turn inputs into actions, and uphold trust through integrity.
At Moody’s, we unite the brightest minds to turn today’s risks into tomorrow’s opportunities. We do this by striving to create an inclusive environment where everyone feels welcome to be who they are -with the freedom to exchange ideas, think innovatively, and listen to each other and customers in meaningful ways.
If you are excited about this opportunity but do not meet every single requirement, please apply! You still may be a great fit for this role or other open roles. We are seeking candidates who model our values: invest in every relationship, lead with curiosity, champion diverse perspectives, turn inputs into actions, and uphold trust through integrity.
Skills and Competencies
- Strong customer service skills.
- An eagerness to grow and excel and be part of a dynamic multi-product team.
- Basic knowledge of database administration (i.e. SQL Server, Postgres).
- Superb analytical skills and persistence in problem solving, particularly in technical troubleshooting.
- Excellent verbal, written, and organizational skills.
- Demonstrates creativity, flexibility, enthusiasm and willingness to learn.
- Exposure to the financial industry, banking, lending, commercial real estate and/or capital markets is a plus.
Education
Bachelor’s degree required; concentration in Finance, Accounting, or Computer Science is a plus
Responsibilities
In this role, you will be part of a team that supports Moody’s Analytics clients in their usage of the suite of Moody’s Analytics Lending Solutions products. Your day will include the following (but is not limited to): You will be troubleshooting platform errors, configuration and data issues as well as advising clients on how to make the most of the platform and providing information on new features that can enhance their lending experience. You will also work closely with the client delivery and engineering teams to escalate code and configuration issues.
This is an opportunity to develop your career in financial technology services by supporting world-class software. You will obtain a broad knowledge of lending, credit risk, and platform configuration by assuring that our products, financial models and technology are being used effectively to add value to our clients’ businesses.
- Providing conceptual solutions to our wide range of clients
- Providing in-depth education and assistance on product features, functionality and the product technical architecture
- Supporting clients on the use of our industry leading credit risk products in a courteous, professional, accurate and timely manner via web, email and telephone
- Communicating effectively and developing excellent working relationships with colleagues within Client Service and in partner teams such as Engineering, Research, Product, etc.
- Providing constructive feedback to the sales and training groups regarding client needs and opportunities
- Identifying, capturing and channeling client feedback on product features and functionality
- Originating content for our client Knowledge Base
- Managing and escalating requests appropriately while maintaining ownership of the client interaction and delivery solution
About the team
We work in a fast paced environment supporting the suite of Moody’s Analytics Lending Solutions products
For US-based roles only: the anticipated hiring base salary range for this position is $56,300.00 – $81,650.00, depending on factors such as experience, education, level, skills, and location. This range is based on a full-time position. In addition to base salary, this role is eligible for incentive compensation. Moody’s also offers a competitive benefits package, including not but limited to medical, dental, vision, parental leave, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, a discounted employee stock purchase plan, and tuition reimbursement.
Moody’s is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, sex, gender, age, religion or creed, national origin, ancestry, citizenship, marital or familial status, sexual orientation, gender identity, gender expression, genetic information, physical or mental disability, military or veteran status, or any other characteristic protected by law. Moody’s also provides reasonable accommodation to qualified individuals with disabilities or based on a sincerely held religious belief in accordance with applicable laws. If you need to inquire about a reasonable accommodation, or need assistance with completing the application process, please email [email protected]. This contact information is for accommodation requests only, and cannot be used to inquire about the status of applications
For San Francisco positions, qualified applicants with criminal histories will be considered for employment consistent with the requirements of the San Francisco Fair Chance Ordinance.
This position may be considered a promotional opportunity, pursuant to the Colorado Equal Pay for Equal Work Act.
Click here to view our full EEO policy statement. Click here for more information on your EEO rights under the law. Click here to view our Pay Transparency Nondiscrimination statement. Click here to view our Notice to New York City Applicants.
Candidates for Moody’s Corporation may be asked to disclose securities holdings pursuant to Moody’s Policy for Securities Trading and the requirements of the position. Employment is contingent upon compliance with the Policy, including remediation of positions in those holdings as necessary.
by Irma Moore | May 29, 2025 | Uncategorized
Post Date
May 28, 2025
Location
Roanoke,
Virginia
ZIP/Postal Code
24014
Job Type
Perm
Category
Computer Engineering
Req #
RIC-785101
Pay Rate
$125k – $135k (estimate)
Job Description
Insight Global is looking for a Remote Workday Analyst to support our customer remotely. In order to work remote, you must live in Alabama, Florida, Georgia, Arkansas, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, West Virginia, or Virginia.
You will be tasked to come in and help support go live of Workday and take over the platform once the implementation partner rolls off. You should have experience working within Workday financial area and anyone with healthcare experience will be considered first. You should be comfortable working with an implementation partner and taking ownership of the platform post go-live. Salary expected $120,000-135,000 depending on experience.
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, 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 Human Resources Request Form. The EEOC “Know Your Rights” Poster is available here.
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
Experienced Workday Analyst focusing on financial area.
In-depth knowledge of modules such as General Ledger, Accounts Payable/Receivable, Procurement, and Financial Reporting.
Excellent communication
Experience working remote
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.
by twochickswithasidehustle | May 29, 2025 | Uncategorized
- Daily Transcription
by Irma Moore | May 28, 2025 | Uncategorized
Description
Job Responsibilities:
- Inbound Telephone Support – perform telephone support as scheduled. Ensure that customer questions are answered completely in a professional, caring and responsive manner, commitments to perform research and follow-up are completed, open issues are resolved and each contact — including information and resolution achieved — is logged in the appropriate ticketing system.
- E-mail & Chat Support – perform as scheduled. Answer and complete all assigned messages or contacts; ensure that all customer questions and issues are addressed in the reply. Properly enter customer information and resolution in the appropriate ticketing system.
- Skill improvement – continually strive to improve the cognitive and customer service skills necessary to perform the job. This includes proficiency with supported products, demonstrated problem solving ability and excellent verbal and written communication skills. Ability to read, review and understand support resources provided by the contact center and its clients. Attend all training classes and complete any exercises assigned.
- Assist and educate customers with inquiries related to both software and hardware, account management, installation, and best practices
- Focus on quality and customer satisfaction
- Clear and thorough documentation of customer interactions required
- Support inquiries include questions related to – Hardware, Software, Wireless communications, OTAP (Over-the-Air-Programming), Account management (billing), Upgrades, Online orders and Industry events
- Willing to fiercely advocate on behalf of and represent the Voice of the Customer
- Research and prepare detailed escalations to second level support
- Review, manage and follow up on open issues as needed
- Project work that includes long and short-term initiatives
What can Aureon offer you?
- Opportunities for professional growth, development, and advancement within the organization
- 100% remote working employment model
- Shift differential pay applied to evening and weekend shifts
- Comprehensive training on hardware and software applications for qualified applicants
- Knowledge and experience relating to basic computer applications
- Competitive compensation and full benefits package for full-time employees
- Health, Dental, Vision, and Life Insurance Plans, 401K, and PTO
Required Education:
- High school or equivalent
Required Skills:
- Excellent interpersonal skills to establish and maintain effective relationships with customers, employees, superiors and business contacts in a professional and courteous manner
- Excellent written and oral communication skills, including strong listening skills
- Intermediate to advanced computer skills with emphasis on Internet knowledge
- 1-2 years experience troubleshooting hardware and/or software, either remotely or onsite
- Experience working in a customer Support Center
- Experience working with Mobile Communications
- Experience working with Transportation
- Accounting or accounts receivable experience is a huge plus
- Must exhibit dependability, adaptability and flexibility
- Ability to diagnose and troubleshoot issues
- Basic math skills
- Creative thinking and reasoning ability
WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:
- Primarily indoor work primarily in office environment
- Frequent utilization of manual dexterity and visualizing of computer screen
- No unusual physical requirements
by Irma Moore | May 28, 2025 | Uncategorized
What Creative Services Contributes to Cardinal Health
The Pharma Segment Creative Services team is responsible for the visual representation of the Cardinal Health brand across all touchpoints (print, digital, photography, etc.) from ideation to execution. Creative Services maintains our brand identity and consistently seeks to support the evolution over time with input from internal and external stakeholders. We work with other members of the Pharmaceutical Segment marketing organization, Corporate teams and external agencies as needed to develop compelling and effective creative campaigns and materials (marketing collateral, digital content, exhibit graphics, etc.) that support business priorities.
Summary of Responsibilities
The Graphic Designer provides design services for the in-house creative team. The Designer is responsible for developing and producing creative marketing collateral and digital content for internal marketing partners while collaborating with Lead Designers, Supervisor/Manager. The Designer must exhibit competent design skills in achieving the highest possible standards for all materials requiring design in assigned projects and tasks. This role must exhibit knowledge of business challenges to execute design requests as defined by the business partner.
Accountabilities
- Works on projects of minimal to moderate scope and complexity.
- Demonstrates advanced proficiency in graphic design and associated software.
- Prioritizes tasks and projects according to businesses’ needs and turn-around times.
- Demonstrates strong interpersonal skills.
- Clearly communicates creative ideas and collaborates with internal and external partners/teams.
- Demonstrates advanced knowledge of print and production principles and best practices in the management and coordination of the creative process.
- Is an ambassador of Enterprise Branding and Marketing standards including the corporate brand and its visual identity system.
- Applies working knowledge in the application of concepts, principles, and technical capabilities to perform varied tasks
- Works on projects of moderate scope and complexity
- Identifies possible solutions to a variety of technical problems and takes actions to resolve
- Applies judgement within defined parameters
- Receives general guidance; may receive more detailed instruction on new projects
- Work reviewed for sound reasoning and accuracy
Communication
Writes and speaks effectively and is able to clearly communicate with peers, leadership team and business partners.
- States opinions clearly and can verbally describe visual concepts.
- Provides open and honest feedback to supporting team members with the goal of striving to be the best.
- Respectfully questions direction from the Team Lead to help clarify strategies or
fill information gaps.
- Promotes collaboration within the team through sharing early and often as well as respects business partners/creative points of view.
Problem Solving
Helps solve problems before they negatively impact the project, team or processes.
- Adapts well to changing priorities, deadlines and directions.
- Creative problem solving and proactive in presenting solutions when presenting challenges to leadership.
- Willing to take action when well informed.
Job Knowledge
- Excellent typography, design, and production skills in both print and digital mediums, with a strong understanding of print, web, and social media best practices.
- Demonstrates proficient expertise in Adobe Creative Suite: InDesign, Photoshop, Acrobat (Interactive PDFs), and Illustrator. AfterEffects/Premier Pro and Adobe certification a plus.
- Demonstrates understanding and experience with UX and interactive design principles.
- Experience in interactive platforms such as Ceros, XD, and/or Sketch is a plus.
- Demonstrates experience working within an established brand identity system.
- Demonstrates advanced knowledge of print and production principles and best practices
- Actively learns new techniques to be more proficient in their design skills while sharing and mentoring the other members of the design team.
Qualifications
- Bachelor’s degree preferred. Preferably in Graphic Design or related field.
- Experience in executing creative concepts across platforms, including digital, social media, and print.
- 2+ years professional level experience required in creative/graphic design within an external or in-house agency preferred.
- Digital Portfolio required (portfolio website or PDF under 10MB)
- Highly organized with a strong record of working independently, meeting deadlines and attention to detail.
- Strong interpersonal skills and a record of collaboration and teamwork.
Anticipated hourly range: $27.00 per hour – $38.50 per hour
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs
Application window anticipated to close: 06/21/2025 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
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