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eTeam Inc is seeking a travel nurse RN Med Surg for a travel nursing job in Lexington, Kentucky. Job Description & Requirements • Specialty: Med Surg, • Discipline: RN, • Start Date: ASAP, • Duration: 23 weeks, • 36 hours per week, • Shift: 12 hours MS Dynamics Developer The ideal candidate will have a proven track record of Strong coding and debugging skills which include customization of entities, Plug-in development, custom and OOB workflows, Ribbon Workbench, Form Customizations, SSRS and security configurations. · With 8 Years in IT, at least 6 years of experience in MS Dynamics implementation (Online is preferred). · Provide technical expertise in identifying, evaluating, and developing technology solutions including MS Dynamics integrations with other Enterprise applications. · Act as a key member of the team for development, implementation, and ongoing support of Microsoft Dynamics 365 solutions. · Strong coding and debugging skills which include customization of entities, Plug-in development, custom and OOB workflows, Ribbon Workbench, Form Customizations, SSRS and security configurations. · Perform incident management, problem resolution, and root cause analysis for Dynamics 365 applications. · Excellent communication, leadership, and stakeholder management skills. eTeam Inc Job ID #27032320. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: MS Dynamics Developer About eTeam Inc eTeam was formed in 1999 with the goal of becoming the company of choice for clients, talent and staffing professionals. Today, we’re one of the fastest-growing global companies and ranked as one of the best companies to work for by Staffing Industry Analysts. We aspire everyday to do quality work for our clients and help our talent work at some of the most amazing companies. · Benefits: Health and dental insurance Benefits • Medical benefits, • Dental benefits

Job Description FBT Gibbons is seeking an E-Billing Manager to oversee and enhance the firm’s e-billing function. The E-Billing Manager is responsible for leading the firm’s e-billing operations, with a focus on managing the legal e-billing platform, enforcing billing guidelines, and ensuring accurate, timely invoice processing. This position plays a critical role in supporting billing rate management, system administration, and ongoing process improvements, working in close partnership with the Revenue Director and Billing Manager. The role offers an opportunity to drive operational excellence within a collaborative and fast-paced environment. Key Responsibilities: • Manage the day-to-day operations of the e-billing function, including direct oversight of e-billing specialists, coordination of invoice processing, matter management, and compliance monitoring., • Oversee the legal e-billing platform, including user permissions, workflow configurations, system updates, and issue resolution., • Troubleshoot platform or process issues; collaborate with IT and software vendors and escalate and resolve technical concerns or implement integrations., • Ensure timely and accurate invoice submissions; maintain comprehensive billing records in accordance with firm policies and regulatory requirements., • Review high-value or complex invoices for compliance with internal billing guidelines and outside counsel terms; escalate exceptions as needed., • Collaborate closely with attorneys, legal practice assistants, and the finance team to resolve invoice discrepancies, ensure accurate matter coding, and facilitate prompt payment., • Identify and implement opportunities to streamline billing operations, improve compliance, and enhance data quality., • Collaborate with the Revenue Director and Billing Manager to support the maintenance and management of attorney and client billing rates., • Review and approve write-downs that exceed firm-established thresholds; ensure proper documentation and internal communication., • Ensure all billing records are maintained and archived in compliance with the firm’s record retention policies., • Provide monthly reporting to the Revenue Director regarding WIP and AR issues; produce ad hoc reports at the client, matter, or attorney level upon request by firm leadership., • Maintain internal billing documentation, including current billing guidelines, operational procedures, and training materials., • Deliver training on e-billing systems, billing procedures, and compliance policies to attorneys, assistants, and finance staff as needed., • Support the billing department during month-end close processes and key financial reporting cycles., • Partner with the financial systems team to escalate and resolve software-related issues; contribute to system upgrades and enhancements., • Serve as a liaison between attorneys and the billing team to foster strong working relationships among partners, legal practice assistants, the Finance Department, and e-billing personnel., • Foster a positive and inclusive work culture by motivating employees, promoting teamwork, and maintaining high levels of engagement and job satisfaction., • Provide continuous coaching and mentorship to direct reports, offering constructive feedback to support professional growth and skill development., • Bachelor’s degree in accounting, finance, business administration, or a related field required., • 5+ years of experience in a supervisory or management role., • 5+ years of work experience in a legal billing environment; large law firm experience preferred., • Proficiency in legal billing or e-billing systems (e.g., BillBlast, Legal Tracker, CounselLink, Aderant)., • Strong understanding of law firm billing practices, timekeeping protocols, and legal billing compliance., • Exceptional attention to detail, strong organizational skills, and the ability to manage multiple projects and priorities under tight deadlines., • Strong analytical and problem-solving capabilities, with a proven track record of identifying process improvements and implementing efficient solutions., • Demonstrated ability to perform strategic planning and set priorities for revenue-related functions within a fast-paced environment., • Excellent verbal and written communication skills, with the ability to collaborate effectively across departments and with external stakeholders., • Strong leadership skills with the ability to motivate, guide, and develop direct reports., • High level of discretion and integrity when handling sensitive financial and confidential information., • Ability to work independently, exercise sound judgment, and adapt to changing demands and time constraints., • Demonstrated diplomacy, professionalism, and a strong internal and external client service orientation. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. FBT Gibbons is fully committed to equality of opportunity in all aspects of employment. It is the policy of FBT Gibbons to provide equal employment opportunity to all employees and applicants without regard to race, color, religion, national or ethnic origin, military status, veteran status, age, gender, gender identity or expression, sexual orientation, genetic information, physical or mental disability or any other protected status. #LI-hybrid

Job Description Who we are Rula is a comprehensive behavioral health solution, dedicated to making mental health care work for everyone. Rula takes a patient-first approach, where treatment is more accessible, personalized, and effective. With Rula, it’s easy to find a high-quality therapist or psychiatric clinician who accepts insurance and is actively accepting new patients. We are deeply committed to providing high-quality care that improves the lives of patients, investing in the providers who deliver that care, and always operating in an ethical and compliant manner. What we're solving Over 65 million Americans have a treatable mental health issue — that’s 1 in 5 people. Today it’s difficult to find a provider, and for those with complicated conditions, it’s nearly impossible to find coordinated care. There’s a good chance someone close to you could have used the help, even if it wasn’t obvious to the people around them. We’re here to fix this. Our mission Rula's mission is to make mental healthcare work for everyone. Minimum qualifications: • 1+ years as a psychiatric nurse practitioner with experience with mental health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations, • An unrestricted license and valid DEA number registered in the state you’d like to work with Rula. Click here to view the list of states in which we're currently seeking to partner with new providers., • Independent licensure and/or working with collaborating MD, as required by state law, • Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP) by the American Nurses Credentialing Center (ANCC), • Registration with state Prescription Monitoring Program (PMP), • No suspension/exclusion/debarment from participation in federal healthcare programs (e.g., Medicare, Medicaid, SCHIP), • No adverse actions by any nursing board, hospital or other credentialing body in the past 3 years, • A master's or doctoral degree from an accredited university or graduate program in psychiatric mental health nursing, • Per session payment of $120 per initial visit (60 min) and $80 per follow-up visit (30 min), • Additional $40 payment for 90833 coding, • Direct deposit every two weeks with no need to worry about unpaid claims The opportunity: This is an independent contractor (1099) opportunity. If you are looking for an employed (W2) position, you can follow this link to apply for an employed Nurse Practitioner role in California. We are looking for licensed psychiatric mental health nurse practitioners (PMHNP) to join our diverse network of contracted providers. Contracting with Rula is free of charge, has no minimum client requirements, and enables you to deliver high-quality patient care while also achieving your income goals. At Rula, we handle the administrative work (new client marketing, verifying insurance, credentialing, billing, support, EHR, audits, and compliance) so that you can focus on delivering great care for patients. You will: • Provide clinical assessments for patients seeking mental health care including diagnostic assessments, psychiatric workups, and treatment planning including medication management, • Work with individuals who are struggling with mental health issues such as depression, anxiety, trauma, and addiction, • Have access to our EHR & telehealth platform, • Receive support from our Support and Care Coordination teams, • Have adequate time to engage with patients - half-hour sessions for follow-up visits and 1 hour for initial consultations, • Flexibility: You set your own schedule and determine how many patients you would like to see. You can adjust this at any time., • See patients quickly: Rula takes care of the insurance credentialing process. With your help, we can get you paneled and ready to see patients in as little as 30 days. This includes setting up your Rula profile and educating you on our guidelines and HIPAA-compliant EHR system., • Practice support: We manage the administrative side of private practice, including marketing, verifying client insurance benefits, and handling the invoicing/billing process so you can accept insurance without ever interacting with it directly. Further, we have a dedicated Support team so you and your patients have the help you need when you need it., • Clinical leadership: Rula's executive team includes a licensed provider engaged in business decisions and planning, ensuring the provider perspective is always included., • Fully compliant and ethical: We are fully compliant with HIPAA and have a Medical Records team to handle all releases, audits, or record requests. Our practices align with your professional Code of Ethics and all regulatory requirements., • Clinical support: Our Care Coordination team manages Higher Level of Care requests for your patients. *When applying, please enter your first and last name exactly as it appears on your DEA license

Job DescriptionPrimary Job Title: Staff Project Controls SpecialistAlternate/Related Job Titles: • Project Controls Analyst, • Project Scheduler, • Position Type: Contract to Hire, • Start: As Soon As PossibleJob Summary:The Staff Project Controls Specialist will lead and support project controls processes across planning, scheduling, cost management, and forecasting to ensure projects are executed efficiently and within scope. This role partners closely with internal project management teams to maintain accurate cost, schedule, and resource data using enterprise-level project control software.The ideal candidate combines strong technical expertise in scheduling and cost control with the ability to analyze data, forecast performance, and support project execution activities from planning through delivery.Key Responsibilities:, • Lead project controls processes for multiple projects, ensuring budget and schedule alignment., • Set up projects within the Enterprise Planning & Controls software environment., • Create and maintain Work Breakdown Structures (WBS) and detailed project schedules., • Develop, implement, and track cost reports, cash flows, and forecasts., • Coordinate with Engineering, Procurement, and Construction (EPC) teams to monitor performance., • Approve purchase orders and subcontracts for correct coding and documentation., • Manage and track project change orders (both upstream and downstream)., • Develop and present cash flow reports and earned value analyses., • Conduct “what-if” schedule scenarios and provide progress measurement updates., • Support Interactive Project Planning Meetings (IPPM) and generate schedule reports., • Ensure data accuracy through audits and quality checks of project control deliverables., • Assist in forensic project analysis and performance improvement reviews.Required Experience:, • Bachelor’s degree in Engineering, Construction Management, or a related field; or equivalent experience., • Minimum 3 years of project controls experience., • Strong scheduling background, with cost control experience preferred., • Familiarity with Oracle Primavera P6 or similar project scheduling tools., • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint)., • Excellent written and verbal communication skills.Nice-to-Have Experience:, • Prior experience in construction, engineering, or infrastructure projects., • OSHA 10-hour safety certification (or ability to obtain)., • Knowledge of earned value management systems (EVMS)., • Experience in resource loading and progress measurement systems.Required Skills:, • Project Scheduling & Forecasting, • Work Breakdown Structure (WBS) Development, • Cost Control & Cash Flow ReportingPreferred Skills:, • Primavera P6 & Enterprise Planning Tools, • Earned Value Management (EVM), • Data Analysis & Process Improvement, • Quality Assurance & Field Audit SupportAdditional Skills :, • Forensic project analysis, • Material takeoffs and progress curve development, • Change order review and documentationEducation:Bachelor’s degree in Engineering, Construction Management, or a related field (or equivalent experience).Benefits:, • Medical, Vision, and Dental Insurance Plans We are a Native American-owned, economically disadvantaged corporation that highly values diverse and inclusive workplaces. Our clients and partners are among the most successful and innovative organizations in the world. Our top clients are Fortune 500 banking, insurance, and financial services firms, some of the nation’s largest life sciences, biotech, utility, and retail companies, and prestigious educational institutions in the Ivy League tier. There is always a new opportunity for success when you look through all of the open job opportunities on our website’s career page. Just click on this link: Awards SIA’s Fastest Growing Staffing Firm: 2023 and 2015 SIA’s Best Staffing Firm to Work for: 2019 -2023 Inc 5000 Fastest Growing Private Company: 2023, 2022, 2016, 2015 Randstad Preferred Supplier: 2020 - 2023 TechServe Alliance Excellence Award. 2019 NH Business Magazines Fast 5 fastest growing companies Ernst & Young Entrepreneur of the Year Finalist: 2015Global Technical Talent is a subsidiary of Chenega Corporation () with over 1.3 billion US$ in revenue and 5800 US employees. We provide Total Talent Solutions, Global staffing, SOW, RPO, Direct Sourcing, and Global Payroll with physical offices in US, Canada, and India. GTT Digital headquartered in Toronto specializes in providing high-tech digital and banking talent to some of the nation’s largest financial institutions. As a leader in the staffing industry for over 22 years, we have become one of the largest staffing firms in the New England region, working with Fortune 500 clients and cutting-edge, technology-driven recruiting infrastructure.\r\n\r\nWe are a Native American-owned, economically disadvantaged corporation that highly values diverse and inclusive workplaces. Our clients and partners are among the most successful and innovative organizations in the world. Our top clients are Fortune 500 banking, insurance, and financial services firms, some of the nation’s largest life sciences, biotech, utility, and retail companies, and prestigious educational institutions in the Ivy League tier.\r\n \r\nThere is always a new opportunity for success when you look through all of the open job opportunities on our website’s career page. Just click on this link: \r\n \r\nAwards\r\n\r\nSIA’s Fastest Growing Staffing Firm: 2023 and 2015\r\nSIA’s Best Staffing Firm to Work for: 2019 -2023\r\nInc 5000 Fastest Growing Private Company: 2023, 2022, 2016, 2015\r\nRandstad Preferred Supplier: 2020 - 2023\r\nTechServe Alliance Excellence Award. 2019\r\nNH Business Magazines Fast 5 fastest growing companies\r\nErnst & Young Entrepreneur of the Year Finalist: 2015

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources. Primary Responsibilities: • Clinical Competence, • Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals, • Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations, • Provides required supervisory visits, • Documentation and Care Delivery, • Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members, • Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely, • Documents patient visits per policy and payer requirements, and syncs timely per LHC policy, • Quality, • Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation, • Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians, • Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence, • Teamwork, • Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning, • Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students, • Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes, • Participates in on-call and weekend rotation as needed to meet patient needs, • Adheres to and participates in the agency's utilization management model 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: • Current and unrestricted RN licensure in state of practice, • 1+ years of Home Health experience, • Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation, • Current CPR Certification, • Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client Preferred Qualifications: • Ability to work independently #LHCJobs 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Job DescriptionCompany Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immunology, oncology, neuroscience, and eye care – and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at . Follow @abbvie on X, Facebook, Instagram, YouTube, LinkedIn and Tik Tok. Job Description • Educate HCPs on patient support programs, including access and reimbursement support tools and services, • Educate on product-specific acquisition and access options such as specialty pharmacy networks and specialty distribution, • Educate on resources available to address access issues, • Provide local expertise in regards to national/regional payor policies in order to educate providers on payer issues, coding changes, and appropriate claims submission processes, • Liaise with Abbvie’s Access and Reimbursement support center to update HCPs on Rx status and program eligibility, • Report back payer trends related for approved products to Patient Services and MHC account management teams, • Establish and maintain relationships with appropriate providers within territory, • Remain current on key managed care, reimbursement, and policy activitiesQualifications Qualifications • At least 3 years of experience in Immunology with experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement, • Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding and payment for specialty medicines, • Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services, • Strong understanding and ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of care, • Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics, • Strong understanding of drug acquisition and dispensing in the Neuroscience space (Specialty Pharmacies, Specialty Distributors and white-bagging, etc.).Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion, • Excellent territory and account management skills, • Bachelor’s degree/ Valid driver’s license, • An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory. You must also be in good standing and/or eligible to obtain these credentials., • These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities. Please remember that you are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so. to AbbVie has resources to answer questions you may have regarding your responsibilities. Additional Information Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: * The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at thetime of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location,and we may ultimately pay more or less than the posted range. This range may be modified in the future. * We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. * This job is eligible to participate in our short-term incentive programs. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of anybonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's soleand absolute discretion unless and until paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law. AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled. US & Puerto Rico only - to learn more, visit US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

A company is looking for a Medical Accounts Receivable Specialist - Remote. Key Responsibilities Coordinate and perform accounts receivable collection and claims reprocessing Audit and resolve accounts with credit and outstanding balances Respond to patient inquiries and assist with special projects as needed Required Qualifications Associates degree in Health Information Management Systems or related field with 1+ years of experience, or Coding/Billing Certification with 2 years of experience In-depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules Familiarity with insurance reimbursement methods and claims appeal processes Proficient in Microsoft Excel, Word, Access, and Outlook

A company is looking for a Coder II to perform coding tasks related to medical records. Key Responsibilities Utilize computer applications to complete the coding process efficiently Review and sequence codes to maximize reimbursement and resolve coding edits and denials Identify incomplete documentation and formulate physician queries for clarification Required Qualifications High school graduate or equivalent Graduate of an approved certified coding program preferred Proficient computer skills, with MS Excel knowledge preferred In lieu of 2 years of coding experience, a minimum of 3 years experience or CPC certification is required Eligible for CPC or CPC specialty certification

A company is looking for a Coder PB, Full Time, Day Shift - Remote. Key Responsibilities Perform CPT-4 and ICD-10 coding from appropriate source documents Train physicians and staff on documentation, billing, and coding practices Support various administrative and clerical duties related to billing activities Required Qualifications, Training, and Education High School graduate or equivalent CCS or CPC certification required (must be obtained within one year of employment if not currently held) Knowledge of medical terminology required Minimum of six (6) months of prior physician coding and abstracting experience required

A company is looking for a Medical Reviewer (Medicare). Key Responsibilities Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals Assess payment determinations using clinical information and established guidelines Provide clear, well-documented rationales for service approvals or denials Minimum Qualifications Active, unrestricted RN license in the U.S. or active compact multistate RN license Associate Degree in Nursing or graduate of an accredited School of Nursing Two years of clinical experience plus at least two years in inpatient/outpatient settings, utilization/medical review, or quality assurance Strong clinical background in managed care and/or inpatient/outpatient settings Training and experience in ICD coding preferred

A company is looking for a Coder Physician. Key Responsibilities Abstracts, codes, and sequences clinical information from various medical records Assigns correct diagnoses and procedure codes while ensuring compliance with coding guidelines Maintains productivity levels and a 95% quality rating while adhering to regulatory requirements Required Qualifications and Education Successful completion of an AAPC or AHIMA-approved Coding Certificate Program A minimum of two to four years of current production coding experience in acute care and profee Experience as a cardiology coder is required Must possess relevant certifications such as CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P

Key Responsibilities Accurately assign ICD-10-CM and PCS codes for inpatient diagnoses and procedures Assign appropriate CPT codes and modifiers for outpatient and outpatient surgery coding Create compliant physician queries and review claims for medical necessity Required Qualifications, Train

A company is looking for a Medical Coding Specialist II - Profee OB GYN/Multispecialty. Key Responsibilities Utilize encoder and coding resources to determine appropriate ICD-10-CM, CPT, and HCPCS codes Maintain knowledge of National Correct Coding Initiatives and apply regulatory requirements to select codes and modifiers Ensure compliance with Medicare Teaching Physician Guidelines and other institutional guidelines Required Qualifications, Training, and Education High School Diploma or equivalent and medical coding education required, or an active coding certification in lieu of education Associate's Degree in a healthcare-related field preferred 1 year of progressive coding experience required 2 years of progressive coding experience in multiple specialties preferred Certification as a CPC, COC, CIC, CCS, CCS-P, CCA, CRC, RHIT, or RHIA required upon hire

A company is looking for a Director, Payer Policy who wants to continue to learn in order to allow the company to grow. Key Responsibilities Develop and execute a multi-year payer strategy to secure broad coverage for the oncology diagnostic portfolio Lead payer policy engagement, including outreach, policy reviews, and coverage advocacy Build and maintain strategic relationships with payer medical directors and reimbursement teams Required Qualifications, Training, and Education Bachelor's degree in Business, Health Policy, Science, or related field required Advanced degree (MBA, MPH, MHA, MS, PharmD, PhD) preferred 10 years of experience in payer relations, market access, reimbursement, or managed care leadership Deep expertise in payer policy, coding, coverage frameworks, and reimbursement economics Strong understanding of oncology testing and precision medicine

A company is looking for a Charge Specialist Outpatient Infusion. Key Responsibilities Review patient records and assign appropriate billing codes using coding software and charge codes Identify opportunities for improvement in clinical documentation and maintain knowledge of procedural terminology requirements Collaborate with other staff to ensure consistency in charging and coding practices across the system Required Qualifications High school diploma/GED or equivalent working knowledge Minimum of 2 years of related experience in a clinical or medical office setting Knowledgeable in medical terminology and regulatory agency requirements for coding and charging Proficient with common office software, coding and billing software, and electronic medical records systems Experience with CPT coding and relevant certifications such as CCS or CPC preferred

A company is looking for a Cardiovascular Data Abstractor. Key Responsibilities Review, analyze, and abstract clinical data from medical records for cardiovascular patients Ensure data accuracy and identify trends or discrepancies in the information Collaborate with clinical teams while maintaining compliance with hospital and regulatory standards Required Qualifications Proficiency in reviewing and abstracting clinical data with knowledge of medical terminology Strong analytical and research skills for accurate data interpretation Experience with databases, reporting software, and data verification processes Previous experience with cardiovascular registries or clinical quality reporting is a plus Registered Health Information Technician (RHIT), CCS, or other coding certification preferred

A company is looking for a Coding Quality Specialist - Remote. Key Responsibilities Perform coding quality reviews of medical records to ensure accurate ICD-10-CM code assignment Provide formal reports on audit findings and conduct education for coders based on those findings Maintain current knowledge of coding guidelines, regulations, and assist in process improvements Required Qualifications Minimum of 3 recent years of production coding experience in Retrospective Risk Adjustment coding Minimum of 2 years experience conducting coder audits in the Risk Adjustment environment Minimum of 5 years certified with a core coding credential from AHIMA or AAPC (no apprentice credentials accepted) Minimum of 1 year coding experience with Complete Code Capture Strong organizational skills and technical competence in basic computer applications

A company is looking for a Quality Auditor. Key Responsibilities: Conduct detailed reviews of coded outpatient medical records for accuracy and compliance Assess documentation clarity and provide feedback to coders for improvement Prepare audit findings reports and deliver training to outpatient coding staff Required Qualifications: CPC or CCS certification required 3+ years of outpatient coding experience in a U.S. hospital setting Prior experience with coding audits or quality assurance preferred Strong knowledge of CPT, HCPCS, and ICD-10-CM coding Familiarity with encoder software and EHR platforms

A company is looking for a Home Health Coding Specialist. Key Responsibilities Audit high-complexity charts and lead coding audits with offshore auditors Mentor and coach offshore coders while supporting external audits and client escalations Identify error trends and participate in QA calibrations and guideline updates Required Qualifications High School Diploma or equivalent Coding certification through AAPC or AHIMA 5+ years of home health coding experience 2+ years of medical coding auditing or chart review experience preferred BCHH-C or COQS certification preferred, to be obtained after hire

A company is looking for a Coordinator of Inpatient Coding Quality and Education. Key Responsibilities Coordinate and oversee the flow of medical record coded information for billing and reimbursement Ensure the completeness, accuracy, quality, and timely submission of medical data and documentation Design and evaluate educational programs to improve documentation practices and serve as a resource for providers and coding staff Required Qualifications Associates degree in Medical Record Sciences with certification as RHIT, RHIA, or CCS Thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems Minimum of five years of inpatient coding experience, with preference for experience in a Level 1 trauma facility

A company is looking for a Specialist, Clinical Appeals. Key Responsibilities Perform comprehensive reviews of denied claims and conduct thorough analysis of medical records to build clinical cases for appeal Independently write and submit persuasive appeal letters while leveraging AI tools for efficiency Collaborate with team members to identify denial trends and assist in creating standardized appeal templates Required Qualifications, Training, and Education Active and unrestricted Registered Nurse (RN) license Bachelor of Science in Nursing (BSN) preferred 2-3 years of clinical experience in a hospital or healthcare setting Previous experience in denial management or clinical appeals role Familiarity with medical billing, coding principles, and payer reimbursement methodologies

Job Description The below Job Description is intended to describe the general nature and level of work being performed by associates assigned to this job. It is not an exhaustive list of responsibilities, and is subject to changes and exceptions at the discretion of senior management. JOB TITLE: Optometric Office Technician / Medical Office Administrator REPORTS TO: Store General Manager FLSA STATUS: Hourly; Non-Exempt POSITION PURPOSE: The major responsibility of the Optometric Office Technician is to assist the Managing Optometrist in the technical and administrative operation of an optometric practice. The position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. OPTOMETRIC OFFICE TECHNICIAN The Optometric Office Technician plays a key role in the optometric practice. Their duties may include the utilization of computerized medical office software, administrative office procedures, health insurance processing billing and transcription of medical reports. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care. ESSENTIAL DUTIES AND RESPONSIBILITIES: Clinical Duties • Taking patient medical histories, • Preparing patients for examinations, • Administering tests prior to the eye exam, • Assisting doctors during examinations, • Assist with ordering glasses and contact lens supply Administrative Job Duties • Greeting and directing patients, • Answering telephones, • Updating and maintaining Electronic Medical Records, • Obtaining insurance verification and authorization, • Adjust scheduling for priority patients, • Scheduling appointments, • Processing insurance claim forms, • Patient and insurance billing, • Optometric medical billing and coding, • Vision insurance billing and coding, • Accounts receivable and accounts payable, • Bookkeeping TRAVEL REQUIREMENTS: • Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships., • Ability to manage priorities through adaptability, willingness to take calculated risks, and follow-up., • Experience with personal computers preferred., • Valid State Driver’s License and State Minimum Insurance coverage., • High school diploma or equivalent, or comparable experience typically achieved with a minimum of 1-2 years in a retail setting.

Description Introduction Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Frankfort Regional Healthcare at Home have the opportunity to make a real impact. As a Registered Nurse Home Health you can be a part of change. Benefits Frankfort Regional Healthcare at Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a Registered Nurse Home Health. We want your knowledge and expertise! Job Summary and Qualifications Provides coordinated skilled nursing care to patients of all age groups, in the home. Demonstrates accountability and responsibility in collaborating with the interdisciplinary team to establish and achieve patient goals and maintain high quality patient care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager. What you will do in this role: * Assesses home care patients identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site evaluations. * Completes OASIS, assessment and visit paperwork according to agency policy. Assures clinical notes accurately indicate continuing communication and coordination of services with the physician, other interdisciplinary team members and patient/family/caregiver. * Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings, communications, and appropriate interventions. * Supervises and provides clinical direction to home health aides and LPNs/LVNs to ensure quality and continuity of services provided. * Responsible for participating in on-call rotation and emergency call according to agency policy. What qualifications you will need: * Graduate of an accredited school of professional nursing * Minimum of one or more years of home health, public nursing or acute hospital nursing experience * Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly preferred) * Reliable transportation and proof of valid automobile liability insurance * Must have valid driver's license * Current BCLS Certification prior to providing patient care. Healthcare at Home is a service line from HCA healthcare. We are dedicated to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team of professionals develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers. We provide the care you need in the comfort of your own home to restore your independence. Healthcare at Home raises the bar on what quality healthcare looks like. Just like family, we pull together to care for, support and celebrate with each other being able to provide exceptional, expert care for patients. HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Registered Nurse Home Health opening. Submit your application today and help advance the practice of nursing. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Medical coding, Insurance research, and billing.

We’re looking for Data Entry Specialists for Customer Products across the US to work from home and help top brands improve their products before they hit the market.

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