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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 UPIC Mid-Western Jurisdiction.   
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.
About us:Analytica provides technology and consulting solutions that assist clients to manage, analyze and protect information.  Headquartered in Washington DC, Analytica is a rapidly growing SBA certified HUBZone, SDB contractor that provides a dynamic, entrepreneurial environment for career development.
For additional career opportunities please visit: careers.analytica.net

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Health Records Privacy Administrator

Are you seeking an entrepreneurial environment where you can take your consulting career to the next level, while helping solve interesting, complex challenges for clients? our Company Group is always in search of top talent to drive our mission to help senior executives at leading companies capture value from the next generation of global services. Client projects include those focused on cloud, mobility, outsourcing, and shared services, for IT, Finance & Accounting, HR, Procurement and Contact Centers.

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 look for motivated individuals who possess excellent problem solving and leadership skills and who have demonstrated success in a client service environment. Join a team of innovative problem solvers, who have been helping lead and shape the global services industry for 20+ years. - See more at: http://www.our Companygrp.com/about-us/careers/apply-online.html#sthash.q09iZzJ3.dpuf


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Health Records Privacy Administrator

Are you seeking an entrepreneurial environment where you can take your consulting career to the next level, while helping solve interesting, complex challenges for clients? our Company Group is always in search of top talent to drive our mission to help senior executives at leading companies capture value from the next generation of global services. Client projects include those focused on cloud, mobility, outsourcing, and shared services, for IT, Finance & Accounting, HR, Procurement and Contact Centers.
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 look for motivated individuals who possess excellent problem solving and leadership skills and who have demonstrated success in a client service environment. Join a team of innovative problem solvers, who have been helping lead and shape the global services industry for 20+ years. - See more at: http://www.our Companygrp.com/about-us/careers/apply-online.html#sthash.q09iZzJ3.dpuf


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Registrar/Student Records Clerk

We have a client in Pleasantville, NJ currently seeking a Student Records Clerk for their Charter School...
The Student Records Clerk is responsible and accountable for overseeing all aspects of enrollment, admissions, and withdrawals, including verification of documentation relating to these areas. The Student Records Clerk is also responsible and accountable for overseeing the maintenance of all physical student records in the school.
The Student Records Clerk is responsible for organizing all data as per state and Corporate systems, policies and procedures. The Student Records Clerk works closely with the Director, the Marketing/Admissions Department, and the Office staff to ensure accurate enrollment and records.
The Student Records Clerk interacts with parents when called upon as part of the admissions or withdrawal procedure. 
Recommended Qualifications
Minimum High School Diploma required, BA is preferred; Experience working in a school environment preferred; specific knowledge required to satisfactorily perform the functions of the job includes; codes, regulations & laws related to student enrollment, graduation and transfer.
Competencies

  • Interpersonal and communication skills
  • Attention to detail
  • Organizational and self-management skills; Ability to handle multiple responsibilities effectively
  • Willingness to work as part of a team
  • Problem solving abilities
  • Dependability; Readiness to go above and beyond when necessary to reach goals
Must meet all employment requirements including, but not limited to, Federal and State Education and Certification requirements, reference checks, and criminal backgrounds checks

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4424 Medical Records Data Entry


Required: 

  •  1+ years Healthcare/Medical experience.
  • Minimum Net Typing Speed: 35 -40 WPM (Alphabets and Numeric)
  •  Good Communication skills
  • Good working skills in Microsoft office (Excel, Word, Outlook)
  •  High School diploma or G.E.D. 
  •  Above average computer literacy and data entry skills

Thanks & Regards
Deepa
Reqroute
Cell:602-625-3427
email: deepa@reqroute.com

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Hedis Medical Records Specialist

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 contract, contract to perm, and direct placement 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:
We are seeking a HEDIS Medical Records Specialist. This fast paced environment requires processing of all incoming HEDIS medical records. Daily processing of incoming HEDIS faxes including saving medical files by an assigned naming convention into a dedicated drive. May require calls to providers and/or internal staff if fax was not successful. Must be able to scan documents which are sent in via mail or fed-ex.
REQUIREMENTS:
Minimum of 2 years’ strong computer skills utilizing Microsoft Excel, Word and data entry software
Strong work ethic including punctuality and ability to remain focused for long periods of time
Excellent phone skills
Ability to problem solve
Ability to be flexible from week to week as project objectives change
*1-2 years of medical record abstraction and/or RN, LVN or Certified Coder
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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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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Records Manager - Master


Job Title:
                    Records Management – Master

Job Location:
             Multiple locations
Salary:                        Competitive, Depends on Qualifications   
Clearance:Must have active Secret security clearance
Travel:                         Up to 25% CONUS
THIS POSITION IS CONTINGENT UPON AWARDING OF A GOVERNMENT CONTRACT
Purpose:
The purpose is to for supporting U.S. Special Operations Command (USSOCOM) Knowledge Management (KM) operations. Support will be for Headquarters USSOCOM, Joint Special Operations Command (JSOC), Service Components, and Theater Special Operations Commands (TSOCs), collectively referred in this document as the Special Operations Force (SOF) Enterprise Knowledge Management (KM) program. 

Responsibilities:

  • Provides technical/management leadership on major tasks or technology assignments. Establishes goals and plans that meet project objectives. Has domain and expert technical knowledge. Directs and controls activities for a client, having overall responsibility for financial management, methods, and staffing to ensure that technical requirements are met. Interactions involve client negotiations and interfacing with senior management.  Decision making and domain knowledge may have a critical impact on overall project implementation.  May supervise others.
  • Provide support to the Government Records Manager.
  • Ensure compliance with statutory and regulatory requirements for the creation, preservation, and/or destruction of official Government records.
  • Conduct project planning consisting of the establishment of a project plan, communications plan, and client meetings to support records management deployment.
  • Design, develop, and deliver approved functional file plans that meet SOF, Service Component, Joint Service, DoD, NARA, and Federal Government records management standards.
  • Coordinate with SOF Enterprise stakeholders in order to perform an analysis of current paper record storage and develop a strategy and process for converting, storing, and maintaining records in a digital format.
  • Develop and implement a vital records program.
  • Perform data cleansing as appropriate, provide data migration support in order to migrate documents from file shares into HP-RM and provide a conversion reconciliation report.
  • Provide paper-to-digital scanning and storage support using Government provided or outsourced scanning resources.
  • Manage the user profiles, security of information, troubleshoot technical and administrative issues, provide training, and enhance the capabilities of the system as required.
  • Provide documentation and file plan support including document retention policies. Establish guidance and manage SharePoint term store, keywords and keyword sets.
  • Develop and manage organization-specific HP RM datasets to include configuration of record type, retention schedule, user account, security group and location.
  • Develop organization-specific metadata and taxonomy for use in HP RM and SharePoint term store. Provide integration solutions between SharePoint and HP in order to seamlessly archive SharePoint-based content to HP RM based on retention policies and information governance
Education and Certifications:
  • Bachelor’s Degree in an Information Technology related field highly desired
  • Must have current CompTIA Security+ certification by contract start
Knowledge and Experience:
  • 8+ years’ direct experience
  • Microsoft Windows Server 2008/2012 and Windows 7 and successor operating systems.
  • MOSS 2010/SharePoint 2013 Portals (including portal design, creating Web Parts, and document libraries). 8
  • Microsoft SQL Server 2008/2012 to include Sequel Server Reporting Service (SSRS), Sequel Server Analysis Service (SSAS), and Sequel Server Integration Service (SSIS).
  • Microsoft Project Server 2010.
  • SharePoint Designer and Visual Studio software development applications.
  • XML integration, InfoPath, SharePoint services, .NET and the integration of other services and products with a structured query language database server.
  • Microsoft CRM and the development of approved solutions in CRM to include workflows and email notifications.
  • Permuta DefenseReady (DR), to include the development of workflows, dashboards, form creation etc., within DefenseReady.
  • HP/TRIM and/or HP RM for electronics records management. Personnel shall be able to create new file structure in HP TRIM/HP RM, upload files, and create user accounts.
  • Accenture Task Management Tool (TMT) to include entering new tasks, routing tasks, closing out tasks, work flow development, account creation/closure.
About the company:
As a Service Disabled, Veteran Owned Small Business (SDVOSB) we are a provider of Information Technology (IT) professional services, software solutions and professional development training. Our core competencies evolved from leveraging IT enablers for knowledge management with an emphasis on Web Based Knowledge Portals and Portal Services, Server/System Services, SharePoint Development and System Administration and SQL Server Services. Our capabilities have expanded to include software development, technical training support and field support services.
Our Mission
People, Technology, and Processes will be the leading, most trusted, knowledge management and information technology company delivering best value business solutions through cutting edge products and services to improve organizations and increase revenue.
Our Vision
“We make the world better by moving information to create knowledge where it is needed”
Guiding Principles
  •          Satisfy the customer - "Exceed expectations"
    Set the Example - "Be out front"
  •          Be Responsive - "Timing is everything"
    Persevere - "Find a way"
    Core Competencies
  •          Knowledge Management
    .NET Web Applications
  •          SharePoint Development
    Content Management
  •          Server/System Support
    New Equipment Training
  •          Web-Based Portal Services
    Benefits
    PTP offers a comprehensive benefits program:
    Medical insurance
  •          Dental insurance
    Vision insurance
  •          Supplemental benefits (Short Term Disability, Cancer & Accident).
    Employer-sponsored Basic Life & AD&D Insurance
  •          Employer-sponsored Long Term Disability
    401(k)
    Holidays and Annual Leave
  •          10 Paid Holidays
    Accrue 120 PTO hours per year
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    Health Records Privacy Administrator

    Our clients include integrated oil companies, major mining multinationals, as well as several of the world's largest global electric utilities and power-generation firms. In addition, we work closely with the Global Markets group by supporting energy and commodity trading and sector analysis/portfolio management groups within financial institutions. We also collaborate with the other client services teams on a variety of strategic research projects and thematic workshops.

    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 offer quarterly in-person commodity outlook presentations, tailored to client interests within our broad suite of thematic coverage. In addition, clients have full access to Eurasia Group's research platform of directors and senior analysts via phone and email.

    ?Regional and thematic research products: Our group's flagship product is Energy Trendwatch, which is distributed to clients on a weekly basis. Our clients also receive Eurasia Group's suite of daily, weekly, and monthly publications, ranging from event-driven notes to forward-looking regional and global outlooks.

    ?Tailored projects & consulting: We provide a variety of bespoke services in conjunction with Eurasia Group's regional research groups, including market-entry analysis, executive briefings, monitoring services, strategic planning, country studies, and sector-focused comparative risk modeling.


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    Technical Services Manager - Recording Services Manager

    Technical Services Manager - Recording Services Manager Hiring department Music Monthly salary $5,000 - $5,833 Hours per week 40.00 Standard from 800AM to 500PM Posting number 17-06-07-01-8360 Job Status Open FLSA status Exempt Earliest Start Date 09/01/2017 Position Duration Funding expected to continue Position open to all applicants Location Austin (main campus) Number of vacancies 1 General Notes In your cover letter, please include two links to audio files in contrasting genres and one link to a video file. For each link, please describe your involvement-- e.g., engineer, producer.

    This is a full-time, 12 month staff position with benefits. Required Application Materials

    • A Resume is required in order to apply

    • A Letter of Interest is required in order to apply.

    • A List of 3 References is required in order to apply. Additional Information Purpose Manages recording and video services for the Butler School of Music.

      Essential Functions Management of Recording Studio- Schedules and coordinates the day-to-day activities of the Recording Studio while coordinating equipment setup, strike, and operation with venue management and part-time staff engineers. Continually evaluates studio operations. Engineering and production- Engineers and produces audio and video recordings in a variety of genres-- particularly classical and jazz.

      Supervises and trains part-time staff recording engineers. Provides assistance to college and school faculty staff and students in use of recording studio resources. Oversees the maintenance and acquisition of audio and video design technology systems.

      Marginal/Incidental functions Other related functions as assigned. Required qualifications Bachelor's degree minimum. Background in music recording technology.

      Minimum of two years' supervisory experience. Minimum of two years' experience engineering classical recordings and or contemporary multi-track recordings.

      Minimum of two years' experience editing and mastering recordings.

      Minimum of two years' experience in multi-microphone sound reinforcement and engineering of content for broadcast or live streaming. Experience in video editing and production including multi-camera operations. Equivalent combination of relevant education and experience may be substituted as appropriate.

      Preferred Qualifications Music or recording technology bachelor's degree. Live sound reinforcement experience. Experience in producing classical recordings and-or contemporary multi-track recordings.

      Demonstrated competence assigning and scheduling workers to events and projects. Successful teaching experience. Experience with design, purchase, installation, and routine maintenance of audio and video systems.

      Competence in network-based audio and video production systems-- e.g., MADI, Dante--and in live video production systems. Proficiency in video editing software-- Adobe Premiere or Final Cut-- and experience in operating video camera systems and live-streaming services, and knowledge of video formats and codecs. Working conditions May work around standard office conditions May work around electrical and mechanical hazards Repetitive use of a keyboard at a workstation Use of manual dexterity Climbing of stairs Climbing of ladders Lifting and moving A criminal history background check will be required for finalist(s) under consideration for this position.

      The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length. The University of Texas at Austin, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.

      If hired, you will be required to complete the federal Employment Eligibility Verification form, I-9. You will be required to present acceptable, original documents to prove your identity and authorization to work in the United States. Information from the documents will be submitted to the federal E-Verify system for verification.

      Documents must be presented no later than the third day of employment. Failure to do so will result in dismissal. UT Austin is a Tobacco-free Campus

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