by Irma Moore | Jan 13, 2025 | Uncategorized
Job Description
Overview
Supervisor, Coding Services
Position Highlights:
- Full-Time
- Monday – Friday; Normal Business Hours
- Location: Remote
Benefits:
- Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
- Employer provided life and disability insurance.
- $5,250 Tuition Reimbursement per year.
- Immediate 401(k) match.
- 40 hours paid volunteer time off.
- A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact.
- Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
Responsibilities
- Serve as subject matter expert on accurate and appropriate coding and documentation
standards, guidelines and regulatory requirements
- Collaborates with other departments (e.g., IT, Reporting and Analytics, Operations, Risk
Management) and other areas in order to meet or exceed organization goals
- Assists with the direction and monitoring of coding performance against defined metrics.
- Develops and coordinates educational and training programs.
- Partners with BPO vendor coding to improve coding performance across the internal and
outsourced coding teams.
- Assist between Duly-based coders and BPO-based coders
- Assit with ongoing segment evaluation and monitors key metrics for operational
effectiveness and efficiency in the areas of coding audits, billing/coding investigations,
payor audits (CMS, RAC, MAC), and provider education
- Serve as subject matter expert on accurate and appropriate coding and documentation
standards, guidelines and regulatory requirements.
- Assist in administrative responsibilities of coding team
- Assist with team education on new coding updates for ICD10 CPT
- Assist with communication of any internal workflow dates to coding team
Qualifications
Level of Education & Previous Experience
- One or more certifications with the American Academy of Professional Coders (AAPC),
American Health Information Management Association (AHIMA) or Health Care
Compliance Association (HCCA) required (i.e. RHIA, RHIT, CPMA, CHDA, CHC, CHPS, CPC)
Issued by AHIMA – American Health Information Management Association or AAPC – American Academy of Professional Coders
- Minimum of 5 years of multispecialty coding experience requred
- Previous managment experience
Minimum Knowledge, Skills, and Abilities
- Must possess strong communication skills, both written and verbal
- Exhibits effective organizational skills, time management, management of multiple
priorities and strong project management skills
- Expert in Microsoft Office applications (Word, Excel, Power Point, Access)
- Ability to make effective and persuasive presentations on complex topics to upper
management and physicians
- Ability to travel to Duly sites as needed
- Ability to interpret an extensive variety of regulations as they relate to contractual
obligations
Compensation
The compensation for this role includes a base pay range of $67,953- $101,930, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.
by Irma Moore | Jan 13, 2025 | Uncategorized
Are you ready to bridge the gap between Providers clinical knowledge and your Coding Expertise?
Are you ready to revolutionize Healthcare Documentation and Coding?
If your answer is YES, this position could be for you!
The Medical Coding Education Coordinator is 95% remote work, with travel as needed within the Metro Detroit area. There are no weekends required and the working hours have some flexibility.
This position is also a non-classroom setting and utilizes virtual technology to work directly with providers.
About the Role:
As our Medical Coding Education Coordinator, you’ll be at the forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record coded information across our hospital and ambulatory sites. Your expertise will be instrumental in ensuring accurate billing, maximizing appropriate reimbursement, and maintaining compliance with regulatory requirements.
What You’ll Do:
· Drive Education Excellence: Serve as a beacon of knowledge, guiding our providers and coding staff on best practices for documentation and coding. You’ll be the go-to resource for local, state, and federal coding guidelines, sharing insights on NCCI Edits, ICD-10CM, CPT, HCC, and compliance standards.
· Empower through Education: Develop and implement education work plans to elevate the quality, completeness, timeliness, and accuracy of medical record documentation. Through targeted initiatives, you’ll empower our team to achieve excellence in professional and hospital services.
What We’re Looking For:
· Passion for Precision: Whether it’s anatomy, physiology, or coding systems, you possess a deep understanding of the intricacies of healthcare documentation. Your commitment to accuracy is unwavering.
· Experience and Expertise: With a minimum of three years in documentation improvement, coding, or compliance, you bring a wealth of knowledge to the table. Additional certification or extensive experience in specialty coding is a definite plus.
· Tech Savvy: From Microsoft Office to data analytics tools, you’re comfortable navigating various applications to extract meaningful insights and drive informed decisions.
QUALIFICATIONS:
· High School Diploma or G.E.D. equivalent required.
· Associates Degree in Healthcare related field, Medical Record Sciences, or Business/Healthcare Administration or four (4) years coding experience may be considered in lieu of education requirement.
· Minimum of three (3) years of experience related to documentation improvement, coding, CDI, compliance, and/or billing for hospital/physician services required.
· Additional specialty coding certification or five to seven (5-7) years coding experience required.
· Prior experience in a healthcare revenue cycle position required.
· Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
· High level of proficiency in Microsoft Office and/or Microsoft Access applications.
· Data analytics experience preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
· At least one of the following certifications is required: CPC, CCS, CCS-P, RHIT or RHIA.
Join Our Team and Make Your Mark in Healthcare!
Additional Information
- Organization: Corporate Services
- Department: CDI – Education Delivery
- Shift: Day Job
- Union Code: Not Applicable
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
by Irma Moore | Jan 13, 2025 | Uncategorized
Description
We’re looking for a driven, entrepreneurial Data Science Engineer to join our team and help eliminate the financial complexity of healthcare. We value creative, outside-the-box thinkers that back their ideas with technical knowledge and action.
Responsibilities
- Work cross-functionally with Product and subject matter experts to conceptualize, prototype, and build data solutions
- Connect disparate datasets (e.g. claims, contract rates, demographics data) to empower internal and external clients
- Apply evolving industry standard data science techniques and toolkits to your analyses and communicate results via reports and visualizations
- Contribute to building and maintaining data pipelines
- Draft internal and external technical documentation
- Seek and prioritize technical and product feedback from internal customers
- Iterate quickly with an eye towards value
Here’s what you bring to the role:
- Bachelor’s degree, or equivalent experience/knowledge. We are happy to work with strong candidates with non-traditional educational backgrounds
- 2+ years demonstrated experience developing custom data models and pipelines, and distributing them in digestible end products
- Understanding of data, analytics, and ML. Previous experience working with big, messy data sets, and data processing pipelines.
- Previous experience working with a technical team and contributing to a production development environment
- Work experience in Python and SQL
- Expert communication and visualization of data for clients and internal stakeholders
- Entrepreneurial mindset: you prioritize tasks with an eye for evolving business needs. You can problem solve independently
- Ability to work effectively in a remote environment
Bonus points
- Familiarity with RESTful APIs
- Familiarity with modern web or application frameworks (e.g. Flask, Django, React, Vue.js, or Node.js)
- Experience orchestrating scalable cloud infrastructure using tools such as Terraform, Kubernetes, or cloud-native services
- Revenue cycle, healthcare payments, and/or medical billing experience
Salary
The salary range for this full-time position is $135,000 – $155,000. Our salary ranges are determined by role and level and reflect the minimum and maximum salary across all US locations (please note: salaries are location agnostic). Within the range, individual pay is determined by factors including job-related skills, experience, and relevant education or training. We will talk about compensation in our first conversation and be transparent throughout the process about which level we think is the best match for you in our organization. Please note that the salary range does not reflect total compensation, which includes base salary, benefits, and company stock options.
Benefits
- Competitive pay with equity options
- Stellar health care plan options (Medical, Dental & Vision), with FSA, DCFSA, & HSA options
- Company-sponsored disability & life insurance
- Unlimited PTO
- 401(k) + 4% Matching
- Fully remote work + flexible working hours
- $750 work-from-home setup budget
- Paid bi-annual in-person company gatherings
- Quarterly $150 co-hanging stipend to meet up with coworkers
- Monthly $100 health and wellness benefit
- Generous paid family leave
- Annual $1,200 learning & development stipend
About Turquoise Health
At Turquoise, we’re making healthcare pricing simpler, more transparent, and lower cost for everyone. Have you or a family member ever gotten an MRI, a lab, or even a straightforward surgery without knowing the cost in advance? That’s bonkers, right? We’re working to fix that.
We’re a Series B startup backed by top VCs a16z, Box Group, Bessemer Venture Partners, Tiger Global, Adams Street, and Yosemite. Most importantly, we’re an accomplished group of folks (moonlighting as authors, bass players, improv instructors, chefs, linguists, and trivia buffs) with a passion for improving healthcare. We’re eager to find ambitious and well-rounded teammates to join us on this mission.
Job Location
Turquoise Health is a fully remote company based in the US. We work with team members and contractors in the US and around the world, but we operate on US business hours and work with clients entirely based in the US. For this role, we are seeking US-based candidates.
Disability Accommodation Email
Turquoise Health is committed to providing reasonable accommodations to applicants and employees with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. If you require assistance or an accommodation with the hiring process, please contact [email protected]
by Irma Moore | Jan 13, 2025 | Uncategorized
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The successful candidate supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. They will also conduct unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Other duties include managing unit cost budgets, target setting, performance reporting, and being responsible for related financial models.
This position will primarily support the Southeast Region markets and is likely to be a telecommute arrangement.
Challenge can often be its own reward. But why settle for just being challenged when you can also be nurtured, mentored, and supported in building an impact and fast paced career? With UnitedHealth Group you can have all of the above, every day. Here’s your opportunity to combine expertise and compassion in new ways as you strike the balance between health care costs and resources. In this role, you’ll ensure that health care contracts are priced accurately and fairly for all involved. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 7 leader.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers
- Analyze financial impact of provider contracts (e.g., facility; physician; ancillary)
- Analyze payment appendices to provide options for various contracting approaches and methodologies
- Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management, Network Pricing leadership)
- Effectively summarize information while providing supporting data to a variety of audiences
- Conduct financial and network pricing modeling, analysis and reporting
- Peer review the analytical models of others
- Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
- Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
- Strategize with network management to create optimal contracts
- Review competitive analysis to identify appropriate pricing rates for providers
- Perform various ad hoc projects in a timely and accurate manner
- Demonstrate a customer service mindset
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:
- 4+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline
- Presentation experience to internal or external stakeholders or customers
- Demonstrated familiarity with interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and developing forecasts
- Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
- Proven ability to research and solve problems independently
- Proven excellent financial impact analysis, risk management, and data manipulation skills
- Proven excellent interpersonal, collaboration, negotiation, and communication skills
- Demonstrated advanced level of proficiency in Microsoft Excel
Preferred Qualifications:
- 3+ years of experience with provider payment methodologies and healthcare products
- Experience with advanced statistical functions for financial modeling
- Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.)
- Proven knowledge of commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling
- Experience with MS Access, SAS and/or SQL
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The salary range for this role is $71,600 to $140,600 annually based on full-time employment. 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.
by Irma Moore | Jan 13, 2025 | Uncategorized
Job Summary
The Sr Cloud Specialist is a key sales specialist role supporting the broader sales organization with deep technical knowledge in the focus area of the behavior of cyber attackers, survivability of data, detection and recovery from cyber attack, all without re-introducing the attacker and while minimizing downtime. This means working with customers and prospects to educate them on the unique differentiators of Rubrik in the market as it pertains to reducing their cyber recovery time, how these compare against competing backup solutions, and importantly where they fit into their existing security strategy and tooling.
The Sr. Cloud Specialist is a key sales role supporting the broader organization with deep technical expertise in cloud architecture, data management, and high-availability solutions. In this position, you will partner with customers and prospects to showcase how Rubrik’s platform delivers advanced cyber resilience while seamlessly integrating with modern cloud environments. By highlighting Rubrik’s streamlined backup and recovery capabilities, minimal downtime, and robust data protection, you will help organizations ensure their critical workloads remain secure and readily available. Through consultative discussions and demonstrations, you will guide clients on best practices for building resilient cloud strategies, optimizing infrastructure, and maximizing the value of Rubrik’s solutions.
The Sr Cloud Specialist will provide both immediate and long term impact with their technical knowledge and position of influence within the Rubrik SE community, but also with our partners, customers and prospects.
What You’ll Do
- Execute the cloud element in all POVs including setting required capabilities, preparation of the environment, successful execution of the tests by leading the customer and synthesizing the results back to the customer and account team in order to ensure the technical win from a cloud perspective
- Be a thought leader within the Rubrik SE community and a known must have resource in any deal where cloud capabilities are either presented, demonstrated, tested, or all 3
- Predominantly work remotely covering North America (NAM) with around 20% travel for on-site meetings, internal training and external marketing events as required.
- Will be expected to cover ad-hoc calls outside your region and timezone as a team player of not just the cloud team, but as a Rubrik employee
- Consistently go above and beyond by leading by example and not waiting for other people when you can get it done faster in order be the differentiator in every deal vs the competition
- Work closely with Product and engineering orgs to help shape the future of Rubrik’s cloud offerings based on direct interaction with customers.
Required Capabilities & Experience
Pre-Sales & Customer-Facing Leadership
- Collaborate with sales teams, present technical solutions to customers, and map technology to business value
- Handle objections effectively by aligning client challenges with solutions and ROI
Hands-On Technical Expertise
- Design and deliver solution architectures, PoCs, and deep-dive demonstrations
- Troubleshoot complex issues in real-time, ensuring customer success
Cross-Functional Engagement with Key Cloud Personas
- Engage CloudOps, DevOps, Security, Engineering, SRE, FinOps, Cloud Architect teams, and application owners
- Ensure cohesive solution design and smooth handoffs among various stakeholders
Influence & Enablement
- Partner with Product and Engineering to shape product roadmaps using field insights
- Develop enablement resources, documentation, and tooling for internal teams
Technical Expertise
- Multi-Cloud Focus: AWS, GCP, and Azure (AWS proficiency is a strong plus)\
- Familiarity with backup and recovery, data lifecycle management, and compliance
- Understanding data protection platforms like Rubrik or similar solutions
- Terraform, Kubernetes, NoSQL, containers, serverless (e.g., Lambda), AI/ML
- Unstructured storage (S3, Blob, NAS), cloud security, data lakes
- Skilled at diving into complex technical details while also communicating at an executive level
- Understanding the fundamentals of Cloud infrastructure and modern application design
#Remote
The minimum and maximum base salaries for this role are posted below; this role is also eligible to earn commissions pursuant to the Company’s written Incentive Compensation Plan. Additionally, the role is eligible for equity and benefits. The range displayed reflects the minimum and maximum target for new hire salaries for the role based on U.S. location. Within the range, the salary offered will be determined by work location and additional factors, including job-related skills, experience, and relevant education or training.
US (SF Bay Area, DC Metro, NYC) Pay Range
$160,000—$196,000 USD
The minimum and maximum base salaries for this role are posted below; this role is also eligible to earn commissions pursuant to the Company’s written Incentive Compensation Plan. Additionally, the role is eligible for equity and benefits. The range displayed reflects the minimum and maximum target for new hire salaries for the role based on U.S. location. Within the range, the salary offered will be determined by work location and additional factors, including job-related skills, experience, and relevant education or training.
US2 (all other US offices/remote) Pay Range
$160,000—$196,000 USD
Join Us in Securing the World’s Data
Rubrik (NYSE: RBRK) is on a mission to secure the world’s data. With Zero Trust Data Security™, we help organizations achieve business resilience against cyberattacks, malicious insiders, and operational disruptions. Rubrik Security Cloud, powered by machine learning, secures data across enterprise, cloud, and SaaS applications. We help organizations uphold data integrity, deliver data availability that withstands adverse conditions, continuously monitor data risks and threats, and restore businesses with their data when infrastructure is attacked.
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Diversity, Equity & Inclusion @ Rubrik
At Rubrik we are committed to building and sustaining a culture where people of all backgrounds are valued, know they belong, and believe they can succeed here.
Rubrik’s goal is to hire and promote the best person for the job, no matter their background. In doing so, Rubrik is committed to correcting systemic processes and cultural norms that have prevented equal representation. This means we review our current efforts with the intent to offer fair hiring, promotion, and compensation opportunities to people from historically underrepresented communities, and strive to create a company culture where all employees feel they can bring their authentic selves to work and be successful.
Our DEI strategy focuses on three core areas of our business and culture:
- Our Company: Build a diverse company that provides equitable access to growth and success for all employees globally.
- Our Culture: Create an inclusive environment where authenticity thrives and people of all backgrounds feel like they belong.
- Our Communities: Expand our commitment to diversity, equity, & inclusion within and beyond our company walls to invest in future generations of underrepresented talent and bring innovation to our clients.
Equal Opportunity Employer/Veterans/Disabled
Rubrik is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Rubrik provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Rubrik complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please contact us at [email protected] if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
EEO IS THE LAW
EEO IS THE LAW – POSTER SUPPLEMENT
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
NOTIFICATION OF EMPLOYEE RIGHTS UNDER FEDERAL LABOR LAWS
by Irma Moore | Jan 10, 2025 | Uncategorized
Description:
100% Remote role. Our client is seeking a Workfront Fusion Integration Specialist.
Due to client requirement, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company matching, and life insurance. Rate: $75 – $85 / hr. w2
Experience Requirements:
- Workfront experience (implementation and configuration).
- Familiarity with Fusion, an automation tool connected to Workfront modules.
- Integration expertise with data links and partner systems.
- Experience in automating workflows.
- Developer needed, ideally with Workfront and Fusion experience (current developers lack this).
- Preferred candidates should have:
- Large enterprise implementation experience.
- Enthusiasm for learning, improving, and being self-starters.
- Worked on or built complex, multi-step integrations.
Skills, experience, and other compensable factors will be considered when determining pay rate. The pay range provided in this posting reflects a W2 hourly rate; other employment options may be available that may result in pay outside of the provided range.
W2 employees of Eliassen Group who are regularly scheduled to work 30 or more hours per week are eligible for the following benefits: medical (choice of 3 plans), dental, vision, pre-tax accounts, other voluntary benefits including life and disability insurance, 401(k) with match, and sick time if required by law in the worked-in state/locality.
Please be advised- If anyone reaches out to you about an open position connected with Eliassen Group, please confirm that they have an Eliassen.com email address and never provide personal or financial information to anyone who is not clearly associated with Eliassen Group. If you have any indication of fraudulent activity, please contact [email protected].
About Eliassen Group:
Eliassen Group is a leading strategic consulting company for human-powered solutions. For over 30 years, Eliassen has helped thousands of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe, Eliassen provides a local community presence, balanced with international reach. Eliassen Group strives to positively impact the lives of their employees, clients, consultants, and the communities in which they operate.
Eliassen Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
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