by Irma Moore | Feb 25, 2025 | Uncategorized
Job Description
Join UChicago Medicine Care Network, as a Revenue Claims Coding Specialist, UCM Care Network in the Burr Ridge, IL location. In this role you will primarily support Administrative Support Workers. This position will be primarily a work from home
opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area.
Revenue Claims Coding Specialist (RCCS) works under the supervision of the Manager, Revenue Claims Coding Specialist. The RCCS team works collaboratively with Primary Healthcare Associates (PHA) physicians assigned to his/her team/group in order to provide an optimal revenue cycle environment that is efficient, effective, comprehensive and compliant. The RCCS team also works collaboratively with the PHA practice managers, billing staff and when needed, insurance payers to support a highly efficient, effective, and compliant revenue cycle program. The typical work includes the entry of professional charges from charge tickets into EPIC, resolution of coding edits for all payers, revenue reconciliation, identify and/or organize appropriate education for physicians. Effective communication with management, providers and practice directors will be key. The Revenue Claims Coding Specialist will also be responsible for the completion of all work assignments in a proficient and accurate manner; meeting productivity and quality standards set by the Revenue Claims Coding Specialist Manager.
Essential Job Functions
- Works directly with manager as assigned to charges from PHA providers for non-office based services, i.e. inpatient, outpatient surgery, dialysis and nursing home visits to facilitate charge entry, resolve coding and charging issues for all payers (NCCI, OCE, MUE, LCD, payer custom edits), including but not limited to denials and disputes
- Serves as a charging/coding resource supporting physician’s/provider’s revenue capture. As such, organizes charge tickets for timely entry into EPIC
- Review medical documentation for assigning billing modifiers to insurance claims where appropriate and applicable. Works assigned work ques daily with the goal to complete all assigned tasks
- Perform charge reconciliation and work with the physicians/providers and/or practice managers in instances of missing charges/ revenue
- Routinely communicates with manager and where possible, providers, practice administrators, billing staff and payers as needed to discuss clinical questions with respect to coding assignment or resolution of edits in a courteous and professional manner
- Provide appropriate feedback to manager and provider for education on trends identified from errors or payer denials
- Participate in meeting with provider, practice manager as assigned by manager to improve the overall claims, revenue cycle, and business functions of the practice
- Attends and participates in team meetings to discuss coding/charging issues and participates on projects as requested. Maintains current knowledge of all billing and compliance policies, procedures and regulations and attends appropriate training sessions as required
- Meets all productivity and quality expectations and participates in all scheduled audits and performs other duties as assigned
Required Qualifications
- Ability to identify trends and recommend solutions to billing and revenue cycle processes and problems
- Coding certification through AAPC or AHIMA required
- High school diploma
- Proven working knowledge of professional billing of CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) coding systems
- Knowledge of Federal billing regulations governing Medicare and Medicaid programs and working knowledge of other managed care and indemnity (third party) payer requirements
- Must possess a working knowledge of Local and National Coverage Determination policies (LCD’s and NCD’s), Ambulatory Payment Classification (APC) related edits such as the National Correct Coding Initiative (NCCI) and Outpatient Code Editor (OCE).
- Must be proficient in Microsoft Excel and Word
- Must be highly analytical and have excellent written and verbal communication skills
Preferred Qualifications
- Epic experience
- Associate or bachelor’s degree in a health-care information or health care finance related field
- Prior experience with Provider E/M
Position Details
- Job Type/FTE: Full Time (1.0 FTE)
- Shift: Days
- Work Location: Flexible Remote/ Burr Ridge, IL
- Unit/ Department: Revenue Cycle
- CBA Code: Non-Union
#UCMOther24
To apply, Please email your resume to [email protected].
Why Join Us
We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities.
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
Must comply with UChicago Medicine’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background check are also required for all employees prior to hire.
by Irma Moore | Feb 25, 2025 | Uncategorized
Current Employees:
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The University of Miami/UHealth Central Business Office has exciting Full-Time Senior Medical Biller opportunities work remotely. The Senior Medical Biller processes billing information in appropriate system and assists supervising staff in maintaining quality control of data by identifying potential problems, and offering and implementing solutions.
CORE QUALIFICATIONS
- Assists management with the training of new staff.
- Runs reports weekly on accounts and monitors to keep the contents at a minimum.
- Verifies all claims and ensures edits are collected and released in a timely fashion.
- Reports edits by billing area to managing staff on a monthly basis.
- Verifies that all controls are followed so that no charges are missed.
- Verifies all payment reconciliation processes are followed at the clinics.
- Ensures that all charges are entered in a timely fashion.
- Reviews encounters received for all pertinent information.
- Coordinates the correction of inaccurate vouchers, and prints daily voucher report to reconcile all vouchers.
- Adheres to University and unit-level policies and procedures and safeguards University assets.
Department Specific Functions
- Reviews and releases all physician charges from the assigned WQ’s in a timely fashion.
- Reviews encounters received for all pertinent information: patient demographic information, guarantor and insurance information, place of service, referrals, claim info record, and managed care authorization requirements.
- Runs insurance eligibility and fixes registration issues.
- Manually enters paper vouchers received for missing charges.
- Reviews and fixes erroneous and/or rejected charges.
- Distributes credits from patient payments as needed.
- Assigns charges to cases and phases.
- Performs other duties as assigned.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
- High School diploma or equivalent required
- Minimum 3 years of relevant experience required
- Knowledge of generally accepted accounting procedures and principles.
- Skill in completing assignments accurately and with attention to detail.
- Ability to process and handle confidential information with discretion.
- Ability to work independently and/or in a collaborative environment.
- Ability to communicate effectively in both oral and written form.
Any appropriate combination of relevant education, experience and/or certifications may be considered.
#LI-NN1
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida’s only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We’re the challenge you’ve been looking for.
The University of Miami is an Equal Opportunity Employer – Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:Full time
Employee Type:Staff
Pay Grade:H4Explore Location
by Irma Moore | Feb 25, 2025 | Uncategorized
- Glendale, California
- Professional
Job Description
NATIONAL LEADERS IN PEDIATRIC CARE
Ranked among the top 10 pediatric hospitals in the nation, Children’s Hospital Los Angeles (CHLA) provides the best care for kids in California.
Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.
The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.
Join a hospital where the work you do will matter—to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.
It’s Work That Matters.
Overview
**This position is Remote. Candidates must reside in California.**
Purpose Statement/Position Summary: In conjunction with the Manager, HIM Coding & CDI, responsible for direct supervision of the HIM Coders to meet or exceed the DNFB Goals for the HIM Department. May perform management responsibilities in the absence of the Manager.
Minimum Qualifications/Work Experience: 3+ years in a large acute care hospital with lead or supervisory experience. 3-5 years of Inpatient/Outpatient Supervisory or Management and RHIT and CCS with Inpatient/Outpatient coding experience. Cerner, 3M HDM, and MDAudit knowledge and Auditing experience preferred. Proficient in computer programs, strong attention to detail, ensure consistency in execution across the team, perform inpatient and outpatient coding audits and any other special projects. Must be able to demonstrate understanding of complex inpatient and outpatient coding concepts including APR-DRGs, ICD-10-CM, ICD-10-PCS, CPT, E&M, and Modifiers). Participate in planning, development, and implementation of ongoing success of the coding team.
Education/Licensure/Certification: High school diploma, GED or equivalent. Credentialed Coding Specialist (CCS) required. Registered Health Information Administrator (RHIA) or Accredited Health Information Technician (RHIT) preferred.
Pay Scale Information
$80,288.00-$144,518.00
CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures.
Children’s Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you’ll find an environment that’s alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures – for our patients, as well as for you and your career!
CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.
At Children’s Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.
Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process.
Diversity inspires innovation. Our experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.HIM Coding
by Irma Moore | Feb 24, 2025 | Uncategorized
Description
Spalding Consulting, Inc. is seeking a Data Manager/Tier III Help Desk in Patuxent River, MD. Spalding Consulting, Inc. is a professional services company delivering cutting-edge solutions to the Department of Defense since 2001. Our expert-level solutions include software development, information technology, program management, financial management and business intelligence services. Spalding Consulting offers competitive compensation, career development, flexible work schedules and excellent benefits.
Position Type: Full-Time
Salary Range: $55k – $95k (depending on experience)
Work Location: This is a remote position (see on-site requirements below).
**On-Site Requirements: On-boarding will require 1-2 visits to Patuxent River, MD for candidates that are local to the area. Candidates out of state will be onboarded virtually. Training will be virtual and telework maximized/permitted to the greatest extent possible, however for local candidates, training/tasking may require on-site work a few hours per week. Future on-site/telework requirements/schedules may change as additional client direction is received.
Come join our team as we support Naval Aviation in their implementation of Product Lifecycle Maintenance (AvPLM) If you seek a dynamic work environment that challenges you to learn and grow in data analysis, visualization, AI and ML, we have the opportunity for you!
Essential Functions:
- Monitor and manage support queues, ensuring incidents are appropriately escalated, documented, and resolved. Act as a subject matter expert in problem and major incident resolution, providing technical guidance and creating knowledge articles to support other tiers.
- Respond to end-user technical requests, troubleshoot and resolve basic issues, and escalate complex problems to higher support levels. Utilize established processes to track and resolve incidents, while meeting service level standards and providing proactive support through event management and monitoring activities.
- Analyzes problems and determines root causes.
- Other duties as assigned or required
Requirements
Required:
- Familiarity with IT support tools, ticketing systems, and remote support technologies.
- Experience in creating and maintaining knowledge base articles and technical documentation.
- Strong analytical skills for diagnosing issues and developing effective solutions.
- Experience in handling escalations and resolving major incidents as a subject matter expert.
- Excellent verbal and written communication skills, with the ability to explain technical issues to non-technical users.
- Experience using SQL querying databases
- Experience with problem-solving in a product development environment
- Experience with any of the following tools:
- AWS Big Data and native tools
- AWS Solutions Architect
- Model-Based Systems Engineering
- Three (3) or more years of experience performing work related to the Job Duties/Responsibilities
Desired:
- Experience with one or more programming languages (C, C++, VBA, Java, JavaScript, R, Python)
- Experience with analyzing data for trends and patterns
Security Clearance:
Must be eligible to obtain a Secret clearance. Requirements to obtain a clearance include US Citizenship, security investigation, etc.
Education:
BS or BA degree in Engineering, Computer Science, Information Systems, Business, Mathematics, Management or Relevant Technical Discipline. Preferred. Additional years of experience may replace degree requirements.
Benefits
- Health Care Plan (Medical, Dental & Vision)
- Retirement Plan (401k, IRA)
- Life Insurance (Basic, Voluntary & AD&D)
- Paid Time Off (Vacation, Sick & Public Holidays)
- Short Term & Long Term Disability
- Training & Development
- Wellness Resources
by Irma Moore | Feb 24, 2025 | Uncategorized
Join our award-winning A-Team!
Ready to produce exceptional results with exceptional people? Get in touch, we would love to get to know you.
Affinitiv is the largest provider of end-to-end, data-driven marketing and software solutions exclusively focused on the automotive customer lifecycle. Backed by 20+ years of automotive and marketing expertise, we pride ourselves on being the go-to experts in the industry. Not only do we work with over 6,500 dealerships and every major manufacturer in the country, we’re well-versed in OEM standards and the intricacies of a dealership or group’s local business.
Affinitiv is seeking a Technical Support Representative to add to our Customer Success Team. Ideal candidates should have 2 years’ experience in customer service with a technical background. This position requires someone that does well supporting end users on (web based) software programs, is personable and professional on the phone, has great patience, and is very savvy with software. They must have experience in providing customer support over the phone and via e-mail.
Position Responsibilities:
- Support business customers on our proprietary software to identify service-related needs and offer the most appropriate solutions providing world-class customer service
- Proactively stay up to date with all the latest technologies concerning our products and the underlying technologies
- Recognize and escalate difficult technical/business issues within the organization
- Work with support and/or product development personnel to troubleshoot and work around product issues
- Prioritize and organize customer ticket workload
- Ability to professionally interact with the end user to train and work with them to meet new requirements and needs via email, phone and ticketing system
- Ability to handle high volume tickets and calls while maintaining an up-to-date backlog of actively working tickets
Position Requirements:
- 2+ years of high-level technical support in a Windows environment
- 2+ years technical experience with computer software, including the installation and configuration of Windows programs
- Experience providing in-person Windows and Mac support, as well as mobile device support (iOS, Android and Windows based devices) is preferred
- Knowledge of Windows Server operating system architecture and security
- Experience working with Zendesk preferred.
- Knowledge of the car dealership industry
- Excellent Customer Support and Technical skills
- Excellent troubleshooting skills
- Ability to communicate clearly both verbally and in writing
- Must be well-organized and detail-oriented
- Excellent people skills and the ability to work with a wide range of people
Ability to maintain composure and function well under pressure
Work from Here
At Affinitiv, we have the best of both worlds. Our team members have embraced remote work and our Work from Here program allows for remote working and the utmost flexibility while keeping in person collaborating thriving in a safe work environment. Our Work from Here approach gives team members a choice to work on campus or remote, leaders can hold in person or virtual team meetings to collaborate and cultivate relationships.
Affinitiv knows you have interests outside of work, which is why we offer a comprehensive benefits package that includes medical, dental, vision and 401K effective day 1 just to name a few. We also offer generous PTO so you can enjoy off time with family and friends.
At Affinitiv, we celebrate diversity, equality, and an inclusive environment.
Affinitiv is committed to providing an environment of mutual respect where equal employment opportunities are extended to all employees and applicants for employment. We prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
by Irma Moore | Feb 24, 2025 | Uncategorized
Overview
GovCIO is currently hiring for an IT Generalist. This position will be a fully remote role.
Responsibilities
Provides technical support for computers and associated networks. Installs, troubleshoots, services, and repairs personal computers, network equipment such as servers, modems, multiplexers, related PC software, telephones, cables, and connectors. Provides personal computer, hardware, and software support. Installs, services, and repairs personal computers and installs attendant software. Connects personal computers and terminals to existing data networks. Maintains network diagrams and circuit records. Maintains trouble logs. Instructs users in the use of personal computers and networks. Investigates information, network, and communications needs of users, and makes recommendations regarding software and hardware purchases. Performs basic PC, PBX, and network software programming.
- Confers with staff, users, and management to establish requirements for new systems or modifications.
- Installs and performs minor repairs to hardware, software, and peripheral equipment, following design or installation specifications.
- Answers questions or resolves computer problems for clients or staff in person, via telephone or from a remote location.
- Maintains record of daily data communication transactions, problems and remedial action taken, and installation activities.
- Develops training materials and procedures, and/or trains users in the proper use of hardware and software.
Qualifications
Bachelor’s with 2-5 years (or commensurate experience)
Required Skills and Experience
- Clearance Required: Must be able to obtain a Public Trust
Company Overview
GovCIO is a team of transformers–people who are passionate about transforming government IT. Every day, we make a positive impact by delivering innovative IT services and solutions that improve how government agencies operate and serve our citizens.
But we can’t do it alone. We need great people to help us do great things – for our customers, our culture, and our ability to attract other great people. We are changing the face of government IT and building a workforce that fuels this mission. Are you ready to be a transformer?
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity or expression, sexual orientation, national origin, disability, or status as a protected veteran. EOE, including disability/vets.
Posted Pay Range
The posted pay range, if referenced, reflects the range expected for this position at the commencement of employment, however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, education, experience, and internal equity. The total compensation package for this position may also include other compensation elements, to be discussed during the hiring process. If hired, employee will be in an “at-will position” and the GovCIO reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, GovCIO or individual department/team performance, and market factors.
Posted Salary Range
USD $62,400.00 – USD $62,400.00 /Yr.
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