part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion. Primary Purpose Parkland Community Health Plan’s (PCHP’s) Certified Coding Specialist will serve as PCHP’s coding expert and is responsible for collaborating with and advising various PCHP teams on coding related projects, processes, and issues.
The Certified Coding Specialist will monitor AMA/CMS/DHHS publications to detect changes that affect PCHP clinical and claims processes and will provide support as PCHP adds new programs and products. Minimum Specifications
Education High School diploma or equivalent is required. Experience Three years of coding experience in a health care or managed care setting. Three years of experience working with CPT/HCPCS, ICD-10-CM/PCS, and DRG coding guidelines and practices.
Claims processing experience is preferred. Experience at a managed care organization is preferred. Certification/Registration/Licensure Certified through the American Health Information Management Association (AHIMA) as one of the following: Certified Coding Specialist (CCS), Certified Coding Associate (CCA) OR Certified through American Association of Procedural Coders (AAPC) as one of the following: Certified Professional Coder (CPC), or
Certified Professional Coder – Payer (CPC-P) Skills or Special Abilities Knowledge of CPT/HCPCS, ICD-10-CM/PCS, and DRG coding guidelines and practices.
Knowledge of medical terminology and anatomy is preferred. Strong analytical skills and a high level of attention to detail. Excellent verbal and written communication skills. Strong organizational skills and the ability to manage multiple competing projects and deadlines. Proficiency with Microsoft Office Excel, Word, and Outlook is required. Demonstrated ability to collaborate effectively and work as part of a team in a fast-changing environment. Proven ability to learn new areas of responsibility and adapt to change.
Ability to work independently. Strong knowledge of Texas State Medicaid Guides & Handbooks - TMHP Provider Manuals, Uniform Managed Care Contract (UMCC), Uniform Managed Care Manual (UMCM), etc. is preferred. Knowledge of benefits configuration is preferred. Responsibilities Provides coding expertise to and collaborates with various PCHP departments and vendors. Monitors AMA/CMS/DHHS publications to identify changes that impact PCHP clinical and claims processes and manage necessary changes through completion. Performs research to and provides answers to coding questions from PCHP stakeholders.
Complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure accuracy within PCHP’s systems. Triages and troubleshoots coding related claims issues. Partners with PCHP departments and vendors on the implementation of new programs and products. Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines related to coding and keeps certification up to date. Other duties as assigned. Job Accountabilities Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of PCHP.
Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements.
Seeks advice and guidance as needed to ensure proper understanding. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, interaction (including pregnancy), interactionual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.
Joining us means joining a caring, responsible, and innovative company where more than 70,000 people lead the way to greener and smarter mobility, worldwide INTERNAL- JOB POSTING 1 Open Position Reports to O&M Manager Business title Field Service Engineer Reporting Line (title of position) Manager/Site Leader Division / Group Function SYS/Transportation Business Unit/Department O&M Work location Americas Country USA Purpose of the job Primary source of technical support at the site.
Technically able to address all aspects of the system, but also a resident “expert” in one or more major component groups of the site system. Key responsibilities and challenges 1 Lead and direct all maintenance,
engineering, and repair activities for assigned shift, ensuring all procedures are completed safely and within established guidelines, and ensure that all maintenance and repair activities are documented.
40 % 2 Develop, deliver, and document appropriate technical training to technicians and other personnel as determined by Site Leader or other manager, including testing and certification. 20 % 3 Develop and accurately maintain preventive maintenance schedules for all site systems assigned in accordance with contractual requirements, customer and company directives, and proscribed maintenance practices for specific equipment. 20 % 4 Initiate, document, and follow through with field requests,
temporary change notices, and suggested improvements to systems, components, and procedures through proper Company channels and using established methods for such requests.
10 % 5 Cooperate and support internal and external audits, provide technical support to improvements and upgrades of the system, act as management representative as needed. 10 % Competency Specifications 1 Developing Oneself- C 4 Problem Solving- D 2 Teamwork- C 5 Innovation- C 3 Drive for Results- B 6 Initiative- C Requirements Qualifications & Functional Knowledge Bachelors degree in technical or business field. Associate degree in same combined with related experience acceptable.
Knowledge of the Business 5 years of maintenance related experience with at least one in O&M environment required. Leadership – Management or Technical Must be able to fill in as supervisor of technicians on a frequent basis, acting as the management representative on site. Demonstrated prior success in leadership of people a plus. Problem Solving Demonstrated ability to identify, address, and resolve problems, both technical and situational as they arise. Area & Nature of Impact Local site and occasional division wide; technical, procedural, and safety impact. Interpersonal & Communication Skills Demonstrated ability to understand and coordinate complex technical issues that require the use of project management techniques and statistics.
Additional information and elements to consider Often assigned technical tasks not directly related to system operations and maintenance (e. g. lift trucks and other support vehicles). Often responsible for parts ordering and warehousing activities. Local Specifications Local field 1 Ability to pass local security screening and background requirements. Local field 2 Working knowledge of Microsoft Office with Word, Powerpoint, and Excel.
Local field 3 Ability to communicate effectively in written and spoken English. Local field 4 Additional duties may vary extensively based on local contractual requirements. Application Specifications Transfer possibilities National / International / Global Application send till June 30, 2023 E-Mail / Contact xyz X@ Alstom is the leading company in the mobility sector, solving the most interesting challenges for tomorrow’s mobility. That’s why we value inquisitive and innovative people who are passionate about working together to reinvent mobility, making it smarter and more sustainable. Day after day, we are building an agile, inclusive and responsible culture, where a diverse group of people are offered opportunities to learn, grow and advance in their careers, with options across functions and geographic locations.
Are you ready to join a truly international community of great people on a challenging journey with a tangible impact and purpose? Equal opportunity statement: Alstom is an equal opportunity employer committed to creating an inclusive working environment where all our employees are encouraged to reach their full potential, and individual differences are valued and respected.
All qualified applicants are considered for employment without regard to race, colour, religion, gender, interactionual orientation, gender identity, age, national origin, disability status, or any other characteristic protected by local law.
knowledge of Internet and networking technologies, as well as full knowledge of all services that we offer to our customers. Linux experience is a must have to succeed in this role. The Systems Technician will also need to be able to learn new software in order to assist clients as needed.
They will demonstrate the best in terms of troubleshooting and documenting issues. Very relaxed and modern atmosphere. Dress code is casual (jeans, flip flops etc. ), as well as a employee area that is stocked with snacks, games and other perks! Associated topics: equipment, infrastructure, ip, maintain, maintenance, network, satcom, server, system engineer, technician
