Accordion Tuner Job Description Samples

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Records Specialist II

Role Description
  • Monitor patient records for all documentation required by the Center for Medicare and Medicaid services
  • Submit and track all face to face documentation and doctor orders for physician signature
  • Comply with all legal, Medicare, and private insurance and company rules and regulations
  • Call and resubmit orders and face to face documentation as needed
  • Complete demographic change requests in database
  • Assist clients, their families, and co-workers in understanding records procedures and order tracking
Qualifications
  • Two-year degree or equivalent work experience
  • 1 year Health care experience; prefer home care experience
  • Ability to work independently
  • Ability to multi-task and prioritize high work volumes
  • Accurate and efficient data entry via excel
  • Electronic health medical record experience
Competitive benefits to include a 401k plan, Paid Time Off, and a Quarterly Bonus plan. If you like a fast-paced, positive culture and are qualified for this position please apply.

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Health Records Privacy Administrator

As the economic recovery unfolds, many executives with supply chain and logistics responsibilities are moving out of ?survival mode? and beginning to make their supply chains more flexible, responsive and efficient. They are looking to trim the number of distribution centers while minimizing transportation costs and cycle time.

If they have moved operations or sourcing overseas, they are looking for strategies to help them better manage a more complicated set of logistics and get a handle on fluctuations in inbound shipping costs. And if it has been a while since their warehousing and inventory strategies have been examined, they are looking for ways to respond to changes in customer order patterns and incorporate important new technologies.

JOB QUALIFICATIONS:

Developing and implementing corporate compliance policies and procedures (P&P)
Overseeing and monitoring the implementation of the compliance program.
Providing guidance to management, program personnel and individual sites regarding P&P and governmental laws, rules and regulations.
Updating, periodically, the Compliance Plan as changes occur within Agency, and/or in the law and regulations or governmental and third party payers.
Overseeing efforts to communicate awareness of the existence and contents of the Compliance Plan.
Coordinating, developing and participating in the educational and training program.
Guaranteeing independent contractors (consumer care, vendors, billing services, et.) are aware of the requirements of Agency?s Compliance Plan.
Actively seeking up-to-date material and releases regarding regulatory compliance.
Overseeing compliance of requirements for funding contracts.
Maintaining a reporting system and responding to concerns, complaints and questions related to the Compliance Plan.
Acting as a resourceful leader regarding regulatory compliance issues. Investing and acting on issues related to compliance.
Development of data structures and coordinating reporting systems and assessment tools for management.

We?ve been helping leading companies in a range of industries tackle these problems for over 30 years and more than 1,000 client engagements. Though every problem we encounter is different, we approach all of our engagements with certain fundamental perspectives.



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Medical Records Retrieval Specialist

Medical Records Retrieval Specialist-Lombard, IL 60148
Contract through 2017
First Shift-7am-3:30pm or 8am-4:30pm
Hourly Rate: $15
Standard background and Drug Screening
Overview-
You will make daily calls to a predefined list of providers and update case notes in our tracking system. You will retrieve medical records by daily outreach to Health systems, Facilities, and Medical Record Copy vendors.  This role is customer centric and requires continuous emphasis on expanding customer/client relationships.  Ability to leverage best practice methodology within a production driven environment.

  1. Ability to work in a fast pace environment and flex focus per business need. 
  2. Gathers patient information by collecting demographic data from internal systems; placing outbound requests to facilities, medical record copy vendors, and large health systems by phone, fax, or email.
  3. Acts as an escalation point to retrieve outbound medical record requests, and establish next actions.
  4. Determines appropriate outreach per internal indicators i.e. volume, high dollar, service line, and client.
  5. Reports, tracks, trends potential barriers i.e. reasons records cannot be retrieved for statistical and follow-up purposes.
  6. Thoroughly Documents outbound communications, and follows proper routing procedures.  
  7. Maintains quality results by following Change Healthcare and Compliance standards.
  8. Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs
  9. The qualified candidate shall maintain: Time Management, Attention to detail, Quality Focus, Professionalism, Productivity, Thoroughness and be Deadline-Oriented
Candidate Requirements
  1. Minimum 2 years in office environment required
  1. Minimum 2 years in Healthcare Industry or Customer Service
  1. Proficiency with Microsoft Word and Excel
  1. Ability to create, analyze, and assess spreadsheets and pivot tables required
  1. Organizational, leadership, communication, interpersonal, customer service, follow-up, and problem solving skills
  1. Ability to perform and act on root cause analysis
  1. Ability to ascertain issues from limited data
  1. Ability to anticipate and provide quick resolution to issues
  1. Ability to identify patterns or underlying issues to recurring problems
  1. Ability to interface with all levels including internal senior leadership and external clients
  1. Ability to use computer hardware, software, and peripherals related to job responsibilities, including MS Office and Right Fax

If qualified please respond with your resume saved as a Word document 

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Hedis Medical Records Specialist (Permanent)

Permanent position with an excellent fast growing healthcare organization with excellent quality of life.
About us:
Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates.   We are created and managed by experienced industry professionals in healthcare. As a leading provider of permanent, contract, and contract to perm recruiting services to healthcare organizations throughout the United States, we have successfully served the needs of our employees and clients by placing thousands of quality healthcare professionals into organizations seeking top talent.
Open Position:
The primary responsibility of the HEDIS Medical Record Specialist is to provide administrative, clerical, and scheduling support to HEDIS Abstractors conducting the Chart Review and Chart Abstraction portion of the HEDIS (Healthcare Effectiveness Data and Information Set) Audit.  The Specialist is responsible for providing basic administrative and telephonic support for the Quality Improvement department in order to meet deadlines associated within the project. The Specialist will work under the direction of the Team Lead to assist with requests for information by contacting provider practices. They will coordinate with provider offices to verify information, transfer documents, schedule onsite visits if needed, and other administrative functions.  A high degree of telephonic and in-person professionalism and team effort is expected to be maintained throughout the duration of the project.
JOB RESPONSIBILITIES:
Manage Medical Records
Medical privacy and confidentiality is maintained at all times
Records are stored in locked filing cabinets
Records are retrieved only as requested by staff and auditors
Research within the company’s claim systems to assist abstractors to identify provider location
Call members as directed to inquire about the provider of their care
A high degree of professionalism in telephonic dialog must be maintained
Process Documentation
Maintain office equipment
For
More Information:

Visit www.morganstephens.com
Twitter: www.twitter.com/morganstephens0
Instagram: www.instagram.com/morganstephens0/
Facebook: www.facebook.com/MorganStephens0
Email: info@morganstephens.com
Morgan Stephens ofrecemos reclutadores que hablan Espanol

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Director, Record To Report In San Antonio

Title of Position:  Director, Record to Report (R2R)
Location:
San Antonio, Texas

Department: F&A
Reports to: CFO
Overall Responsibility:
This individual will direct a team of 50 individuals.  You will be responsible for building and developing a record to report team.  This individual will create positive, collaborative relationships with all customers – have regular interaction to share performance results and seek feedback. This individual will play a key role in development of the R2R strategy.  You will be responsible for implementing process and technology changes while maintaining proper controls. Substantial experience with transaction processing, SLAs, and KPIs. Contact me for more details about this postion.
Consults with: Finance and Accounting Team
Term:  Direct Hire

Qualifications:

  • CPA Required
  • Bachelor’s Degree in Accounting; Master’s preferred
  • Substantial experience with record-to-report processes & systems; 10 years in Accounting specific to record to report
  • Extensive experience managing finance processes.
  • Extensive experience managing global business operations.
  • Strong knowledge of leadership principles and ability to apply effective leadership approach in varied circumstances within different cultures and with unique personalities.
Salary Range:  $150K plus bonus
Recruiter
Contact Information:
janel@triquestbusiness.com

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Health Records Privacy Administrator

Our firm pioneered in the development and use of computer models to improve distribution networks since our first work in this area in 1975. Our modeling capabilities extend to global networks as well as regional, area and local logistics networks.

Supply chain design is about ensuring that your company has the best structure to maximize your ability to provide the best service to your customers while minimizing the logistics costs. By modeling your costs and flows, you will be able to simulate different what-if scenarios to make sure your network is robust enough for the unpredictable future.

JOB QUALIFICATIONS:

Developing and implementing corporate compliance policies and procedures (P&P)
Overseeing and monitoring the implementation of the compliance program.
Providing guidance to management, program personnel and individual sites regarding P&P and governmental laws, rules and regulations.
Updating, periodically, the Compliance Plan as changes occur within Agency, and/or in the law and regulations or governmental and third party payers.
Overseeing efforts to communicate awareness of the existence and contents of the Compliance Plan.
Coordinating, developing and participating in the educational and training program.
Guaranteeing independent contractors (consumer care, vendors, billing services, et.) are aware of the requirements of Agency?s Compliance Plan.
Actively seeking up-to-date material and releases regarding regulatory compliance.
Overseeing compliance of requirements for funding contracts.
Maintaining a reporting system and responding to concerns, complaints and questions related to the Compliance Plan.
Acting as a resourceful leader regarding regulatory compliance issues. Investing and acting on issues related to compliance.
Development of data structures and coordinating reporting systems and assessment tools for management.

Supply chain design is the activity that yields the highest improvements of your logistics since it sets the fundaments for the logistics to be built upon. A Success in this crucial task is dependent on having the right modeling tools that fit your business and the experience and expertise to recommend the most practical structure.

Establish pioneered in supply chain modeling and has extensive experience within many industries. Our specialty is actually implementing the recommended supply chain structure.



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Medical Record Reviewer/Lead Claims Review Analyst

ANALYTICA is seeking a Medical Record Reviewer/Lead Claims Review Analyst to perform pre and/or postpay medical review workload for Medicare and/or Medicaid claims in support of program integrity work for CMS.   
Specific Tasks:

  • Reviews information contained in Standard Claims Processing System files (e.g., claims history, provider files) to determine provider billing patterns and to detect potentially fraudulent or abusive billing practices or vulnerabilities in Medicare payment policies.
  • Utilizes extensive knowledge of medical terminology, ICD-9-CM, HCPCS Level II and CPT coding along with analysis and processing of Medicare and Medicaid claims.  Utilizes Medicare, Medicaid and Contractor guidelines for coverage determinations. 
  • Coordinates and compiles the written Investigative Summary Report to the PI Investigator upon completion of the records review.

Qualifications:

Work Experience:
  • At least 2 years utilization/quality assurance review and ICD-9-CM/CPT coding experience. Minimum of 5 years clinical experience or equivalent experience in the Medical Review field.
  • Experience in coding and abstracting, working knowledge of Diagnosis Related Groups (DRGs), Prospective Payment Systems, and Medicare and/or Medicaid coverage guidelines is required.
  • Advanced knowledge of medical terminology and experience in the analysis and processing of Medicare claims, utilization review/quality assurance procedures, ICD-9-CM and CPT-4 coding, Medicare coverage guidelines, and payment methodologies (i.e., Correct Coding Initiative, DRGs, Prospective Payment Systems, and Ambulatory Surgical Center), NCPDP and other types of prescription drug claims is required.
  • Ability to read Medicare and Medicaid claims, both paper and electronic, and a basic knowledge of the Medicare and Medicaid claims systems is required.
Education and Experience:
  • Graduate from an accredited school of nursing and has an active license as a Registered Nurse (RN).
  • Must have no adverse actions pending or taken against him/her by any State or Federal licensing board or program; and must have no conflict of interest (COI) as defined in § 1154(b)(1) of the Social Security Act.
  • Must have and maintain a valid driver’s license for the associate’s state of residence.
  • Certified coding specialist preferred.
AboutANALYTICA: Analytica is a leading consulting and information technology solutions provider to public sector organizations supporting health, civilian, and national security missions. Founded in 2009 and headquartered in Washington D.C., the company is an established SBA certified HUBZone and 8(a) small business that has been recognized by Inc. Magazine each of the past three years as one of the 250 fastest-growing companies in the U.S.  Analytica specializes in providing software and systems engineering, information management, analytics & visualization, agile project management, and management consulting services. The company is appraised by the Software Engineering Institute (SEI) at CMMI® Maturity Level 3 and is an ISO 9001:2008 certified provider.
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Load Runner Testing Specialist (04625)


Load Runner Testing Specialist (04625)
Rensselaer, NY
24 Months
Required skills and experience:

  • Collaborate with testers and developers to list steps necessary to develop tests, create test data needed for tests.
  • Script the tests using VUGen scripting tool. Configure and plan load tests using HP Load Runner and Performance Center tools.
  • Execute and analyze tests, work with test team and application development team to review timings and issues and resolutions.

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Health Records Privacy Administrator

Drawing upon the extensive regional and functional expertise of Eurasia Group's analysts, the Government Services group delivers innovative products and mission-focused analysis to agencies operating in today's dynamic and unpredictable geopolitical landscape. From forecasting and scenario analysis to focused research efforts, we provide unbiased and responsive products to decision-makers across the globe.

JOB QUALIFICATIONS:

Developing and implementing corporate compliance policies and procedures (P&P)
Overseeing and monitoring the implementation of the compliance program.
Providing guidance to management, program personnel and individual sites regarding P&P and governmental laws, rules and regulations.
Updating, periodically, the Compliance Plan as changes occur within Agency, and/or in the law and regulations or governmental and third party payers.
Overseeing efforts to communicate awareness of the existence and contents of the Compliance Plan.
Coordinating, developing and participating in the educational and training program.
Guaranteeing independent contractors (consumer care, vendors, billing services, et.) are aware of the requirements of Agency?s Compliance Plan.
Actively seeking up-to-date material and releases regarding regulatory compliance.
Overseeing compliance of requirements for funding contracts.
Maintaining a reporting system and responding to concerns, complaints and questions related to the Compliance Plan.
Acting as a resourceful leader regarding regulatory compliance issues. Investing and acting on issues related to compliance.
Development of data structures and coordinating reporting systems and assessment tools for management.

Primary Services

?Direct advisory services: We provide actionable, real-time analysis tailored to client requirements through custom publications, briefings, and workshops.

?Consultative research: We deliver analytic solutions through our country-specific, regional, and transnational research programs, risk assessments, long-range forecasting, and scenario analysis.

?Analytic design: We develop comparative methodologies and analytic frameworks to assist clients in impact evaluation, risk modeling, and strategic planning.

?Games and exercises: Through war games and table top exercises, we provide a creative means for clients to attack challenges, explore unintended consequences, formulate strategy, and build consensus among stakeholders.


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Health Records Privacy Administrator

As the economic recovery unfolds, many executives with supply chain and logistics responsibilities are moving out of ?survival mode? and beginning to make their supply chains more flexible, responsive and efficient. They are looking to trim the number of distribution centers while minimizing transportation costs and cycle time.

If they have moved operations or sourcing overseas, they are looking for strategies to help them better manage a more complicated set of logistics and get a handle on fluctuations in inbound shipping costs. And if it has been a while since their warehousing and inventory strategies have been examined, they are looking for ways to respond to changes in customer order patterns and incorporate important new technologies.

JOB QUALIFICATIONS:

Developing and implementing corporate compliance policies and procedures (P&P)
Overseeing and monitoring the implementation of the compliance program.
Providing guidance to management, program personnel and individual sites regarding P&P and governmental laws, rules and regulations.
Updating, periodically, the Compliance Plan as changes occur within Agency, and/or in the law and regulations or governmental and third party payers.
Overseeing efforts to communicate awareness of the existence and contents of the Compliance Plan.
Coordinating, developing and participating in the educational and training program.
Guaranteeing independent contractors (consumer care, vendors, billing services, et.) are aware of the requirements of Agency?s Compliance Plan.
Actively seeking up-to-date material and releases regarding regulatory compliance.
Overseeing compliance of requirements for funding contracts.
Maintaining a reporting system and responding to concerns, complaints and questions related to the Compliance Plan.
Acting as a resourceful leader regarding regulatory compliance issues. Investing and acting on issues related to compliance.
Development of data structures and coordinating reporting systems and assessment tools for management.

We?ve been helping leading companies in a range of industries tackle these problems for over 30 years and more than 1,000 client engagements. Though every problem we encounter is different, we approach all of our engagements with certain fundamental perspectives.



Post a Job