of experience doing provider and coder audits and AAPC or AHIMA Certification, to join our dedicated team. Job Description: This position plays an important role at Coding AID. The Professional E/M Multi-Specialty Coding Auditor is responsible for auditing all E/M, CPT, HCPCS, ICD-10-CM, modifiers, units from the medical record documentation.
Other responsibilities include accurately entering data into client software and/or Excel reports. Performing accurate auditing using applicable guidelines and client protocols and communicating with clients and/or providers as needed. Providing written feedback of auditing results as needed in the form of comments, summary findings and recommendations.
Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles. Communicate with Project Manager as needed (i.
e. schedule changes, daily assignments/work volume, coding, and auditing questions, etc. ). The contributions of the Professional E/M Multi-Specialty Coding Auditor are invaluable to our organization, and each team member is made to feel welcome and appreciated for their unique talents and efforts. Job Requirements: To meet the needs of this role, we request candidates with the following qualifications apply: Must havevalid CPC coder certification through AAPCfor a minimum of 7+ years. Aminimum of 5+ years of recent
experience required doing provider and coder auditingof CPT, E&M, HCPCS and ICD-10-CM codes from medical records for multiple specialties.
Expertise in 8-10 specialties is required. Requires advanced technical knowledge in e/m clinic, e/m hospital, and e/m emergency auditing for multiple specialties. Extensive knowledge of medical terminology. Experience in researching and applying coding rules and regulations. Must have experience with data entry of codes into a database and/or software tool. Must be highly proficient with MS Office Word, and EMR (Electronic Medical Record) systems (Cerner Power Chart would be preferred). Requires expert level experience in MS Excel.
Must have excellent organizational skills and a high level of professionalism. Experience with auditing software is highly preferred. Report writing skills is a plus Excellent oral and written communication skills. Have a positive, respectful attitude. A Little About Us: Coding AID, a division of Managed Resources Inc. is a nationwide leading provider of medical coding support, coding and compliance reviews, educational programs, recruitment, revenue cycle management, and many other managed healthcare solutions. We're proud to have served healthcare organizations and medical groups for over 25 years with proven success in meeting their operational challenges.
Our Benefits: Competitive Pay 401K with matching Medical, dental, and vision insurance Fully remote work environment Access to Webinars and CEU's Coding AID, a division of Managed Resources Inc. is an Equal Opportunity Employer (EOE) M/F/D/V/SO Login to save this search and get notified of similar positions. Share This Job: Related Jobs: Login to save this search and get notified of similar positions. #J-18808-Ljbffr
assistance program, product discounts and free copy of Turbo Tax Live. As part of this position, you have the opportunity to work 100% remotely, collaborating with an exceptional team from the comfort of your home or office. What you'll bring Who You Are: As a Tax Expert, you have a minimum of 2 years of paid experience filing 30 or more federal and state individual 1040 tax returns, using commercial tax preparation software.
You possess an active, unrestricted credential: EA, CPA, or Practicing Attorney with strong tax preparation experience and extensive knowledge of tax laws You are passionate about helping clients navigate the complexities of taxation, and you re committed to enhancing
our brand by delighting our customers and empowering them to prepare their taxes. You possess excellent customer service skills, and you are excited to interact with customers through video and audio tools in a professional, friendly, and confident manner.
For internal use: tst How you will lead What You Will Do: In this role, you will help our customers complete their taxes using Intuit Turbo Tax products. By providing tax advice, full service return preparation, tax calculations, and managing product/software inquiries, you will be working toward advancing our goal of Powering Prosperity Around the World. You will utilize government websites, professional resources, and team expertise
to seek out and deliver the right answer to the customer using everyday language.
This is a virtual, customer-facing role, so you will use our state of the art video communication software to interact with customers, and you will document interactions to maintain accurate records. If you reside in the United States, and are ready to earn supplemental income by helping people with their taxes, APPLY NOW!
health care services, carry out process that support continuity and coordination of care, maintain patient safety standards and practices, and operate in compliance with all applicable local, state, and federal laws and regulations. - Your Work In this role, you will: Conduct clinical reviews of provider locations, including physicians, ancillary facilities, hospitals and other provider types, using established criteria and guidelines to evaluate the facility and medical records Collect data and issues Corrective Action Plans (CAP) as necessary, and track and follow up on CAPs and other information to be submitted to the Plan, to ensure evidence of corrective actions are in place Act as a liaison
and provides support and resources to providers to assist in completing required corrective actions Report any instances of noncompliance, such as access issues or quality concerns, to the appropriate department along with recommended corrective actions Ensure all review documentation is completed, organized and entered into the program data system per established timelines Assist in preparation and conducting of required clinical auditing training, staff meetings, and/or offsite meetings as needed Participate in regulatory audits, workgroups/special projects for the department as assigned Train internal staff as needed Other duties as assigned At Blue Shield of California we are parents, leader,
students, visionaries, heroes, and providers.
Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities.
Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We're excited to share Blue Shield of California has received awards and recognition for LGBT diversity, quality improvement, most influential women in corporate America, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we're striving to make a positive change across our industry and the communities we live in , Join us!
- Your Knowledge and Experience Requires an advanced degree, bachelor's preferred or equivalent experience Requires a current CA RN License Requires at least 7 years of prior relevant experience - Prior Quality Improvement experience, preferably in a managed care plan or IPA setting CCM, IQCI, CPLP preferred Health Plan and/or regulatory knowledge highly desired DHCS Certified Site Reviewer or eligible to be certified within 6 month of employment Expertise in Microsoft Office (Word, Excel, Outlook) Broad knowledge of Project Management Current driver's license and care insurance required - Pay Range: The pay range for this role is $109120.00 to $163680.00 for California.
Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. -
Pebble Beach Resorts, including The Lodge at Pebble Beach, The Inn at Spanish Bay and Casa Palmero at Pebble Beach. The company also operates five renowned golf courses: Pebble Beach Golf Links, Spyglass Hill Golf Course, The Links at Spanish Bay, Del Monte Golf Course and The Hay.
Its other famed properties include scenic 17-Mile Drive, The Spa at Pebble Beach, Pebble Beach Golf Academy & Practice Facility and Pebble Beach Equestrian Center. It annually hosts premier events such as the Pebble Beach Concours d'Elegance, AT&T Pebble Beach Pro-Am, Taylor Made Pebble Beach Invitational, Pebble Beach Food & Wine and PURE Insurance Championship Impacting First Tee. Job Summary: The Host greets
guests and oversees the dining room reservations. Ability to oversee the efficient seating and scheduling of guests. Maintain a professional demeanor in stressful situations.
Essential Duties & Responsibilities: Oversee and assist in maintaining cleanliness of outlet. Describe table settings to busser, whenever set-up differs from the usual. Ensure coverage of the entrance, greeting arriving guests and thanking those that are leaving. Assist with special event set-up, such as skirting buffet or inserting menu cards. Check reservations in book and assign table numbers. Ensure availability for resort guests. Call to confirm large parties. Check schedule and staffing levels. Check all menus
for cleanliness and accuracy. Answer the telephone, take reservations and give directions to restaurant.
Maintain waiting list, select table and escort guests to the table. Resolve guest problems whenever possible and direct communication with manager. Answer questions regarding menu items. Schedule reservations according to established procedures. Take beverage order and serve drinks when necessary. Provide captain's list when necessary. Bring guests' needs to the attention of appropriate dining room staff or management. Complete daily labor report. Close restaurant, locking all doors and wine storage. Open restaurant and pick-up bank. Pay all servers at the end of the shift and balance the bank.
Assign stations to wait staff. Comply with all Pebble Beach Company safety, health and general policies and procedures. Absolutely Required Skills: Excellent customer service skills. Food certification required.1+ years' experience as a host in a high volume restaurant. Ability to stand for long periods of time. High school diploma or equivalent. Desired Skills: Basic computer skills, POS systems helpful. Why work for Pebble Beach Company: Competitive Pay: $20.00 - $25.00/hour plus gratuity. Enjoy world-class health and wellness benefits.
For Full Time employees, comprehensive medical, dental, vision, and life insurance is available. In addition, our Health & Wellness Center provides employees with unlimited access to a physician and medical team to tend to you and your family's health needs free of cost. Prepare for your future. You will be eligible to participate in our 401(K) retirement program. Pebble Beach Company will match $.75 for every $1 you contribute to your 401(k), up to 6% of eligible compensation. In addition, the company will contribute an amount to your 401K each quarter based on your hours worked, along with a discretionary contribution at the end of each fiscal year.
We encourage YOU to be our guest. You will receive discounts at all Pebble Beach restaurants, retail shops, and our Forbes Five Star Spa. In addition, Hotel discounts are also available during select seasons. Play our world-famous golf courses! Enjoy our Employee Golf Privileges including Employee Tee Times, Tournaments, and Company Club. Grow your career with Pebble Beach. We provide opportunities for ongoing learning and development, as well as promotions and transfers to advance your career. Lunch is on us. Enjoy a complimentary meal during your shift in our Employee Dining Room.
We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. For more details: jobs-search. org/finance_long-beach-c426439/host-roy-s-full-time-long-beach_i1967756595
