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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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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: The company is a leading consulting and information technology solutions provider to public sector organizations in federal health, civilian, and national security missions. Founded in 2009 and headquartered in Washington D.C., the company is an established SBA certified 8(a) and HUBZone small business. 
Analytica provides software and systems engineering, information management, analytics & visualization, agile project management, and management consulting services.  Each of the last three years the company has been recognized by Inc. Magazine as one of the 250 fastest-growing small businesses in U.S.  It is also an Engineering Institute (SEI) CMMI® Maturity Level 3 and ISO 9001:2008 certified provider, with its employees maintaining a range of industry certifications, recognition, and awards.

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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’re seeking individuals who have a strong passion for excellence. People who share our exceptional professional skills, friendly persona, and attention to detail. If you are out to change the world in positive ways, you might be a perfect fit. We are seeking full time:
JOB RESPONSIBILITIES:
Inbound and Outbound calls and emails to medical providers and members
Follow-up with providers on requests for medical records
Provide excellent customer service
Work to be as efficient as possible to maximize the patient's experience
Process paper and electronic medical records received via fax, email, mail, etc.
Scan, upload, and save medical records and images to CareSync profile
Verify all information received on patients
Communicate effectively with patients and medical providers to collect and verify all required member specific data
Must be extremely detail oriented
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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Records Management Engineer - Journeyman


Job Title:
                    Records Management Engineer – Journeyman

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:

  • Possesses and applies expertise on multiple complex work assignments. Assignments may be broad in nature, requiring originality and innovation in determining how to accomplish tasks. Operates with appreciable latitude in developing methodology and presenting solutions to problems.  Contributes to deliverables and performance metrics where applicable.
  • Provide technical support for the installation, administration, maintenance and support of Hewlett Packard Enterprise (HPE) Records Manager (RM) and future variants.
  • Provide consulting and assistance in the design and configuration of the HP RM for testing and approval prior to introduction to a production environment, as well as the integration with enterprise solutions such as Microsoft SharePoint and Exchange.
  • Provide knowledge and expertise in all aspects of HP RM configuration, to include Record Type, Retention Schedule, User Account, Security Group and Location development.
  • Design deployment packages for deployment to the enterprise.
  • Maintain the Intelligent Data Operating Layer (IDOL) content index and infrastructure
  • Create and maintain build and procedure documents, including training on the use and configuration of the application for various skill levels.
  • Contribute to the integration of the HP RM with SharePoint and other applications, providing records collection and search capabilities from SharePoint into the Electronic Records Management Application (ERMA).
  • Research, diagnose and troubleshoot problems with the HP RM and resolve as they arise.
  • Develop and maintain storage metrics for current and long-term usage.
  • Support end-users in the creation of reports and statistics on records imported to HPE RM.
  • Serve as the liaison to the Records Management Office and the HP RM vendor and the primary point of contact for the ERMA to USSOCOM.
  • Provide documentation and management support of system upgrades(s) and installation(s) of new features or add-ons.
  • Serve as an expert in the field of Records Management, assisting and participating in the deployment and continuous improvement of the Records Management program while offering suggestions for managing the large collections of “War Records” coming to USSOCOM from operationally forward locations along with the data collection at USSOCOM Headquarters.
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:
  • 4+ 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
    120 hours PTO accrual
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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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    Data Recording Operations Engineer - 2Nd Shift

    Job ID:

    48616BR City:

    West Palm Beach State:

    Florida Country:

    United States Category:

    Engineering Job Type: Full-Time

    Description: Measurement Systems Engineering (MSE) is the support organization within Systems Engineering Validation (SEV) responsible for the data validation of development military and commercial jet engines at multiple test facilities at the West Pam Beach campus as well as other facilities around the globe. These engines are subsequently produced for use in a variety of government and commercial applications, including the F-135 Joint Strike Fighter Program as well as the Bombardier C-Series, MITAC Regional Jet and Airbus A320neo aircraft.

    The successful candidate will perform a variety of tasks in support of data acquisition requirements related to achieving execution milestones and validation of military and commercial engine programs. Tasks and assignments will include, but not be limited to the following: * Performance, Structural and Advanced Instrumentation acquisition system set up and operation. This includes incorporating program requirements, channel definition, acquisition rates, sensor type and accuracy, signal conditioning and data validation techniques.

    • Non-Intrusive Stress Measurement Systems setup and operation. These complex systems are utilized for engine blade vibratory measurements.

    • An understanding of engine measurement sensors including, but not limited to accelerometers, strain gages, pressure transducers, thermocouples, volumetric flow measurements, dynamic pressure measurements, microphones, telemetry and other engine instrumentation. The candidate will work closely with project, test support and engine test engineers to accurately assess program requirements and plan system capabilities accordingly.

      The candidate will direct and work with instrumentation technicians in tasks related to facility and engine instrumentation and data acquisition hookup and support. The candidate will help write operational procedures for equipment and system efficiency and utilization. The position will also require troubleshooting skills to resolve any data integrity issues.

    Note: This is a 2nd Shift Schedule

    Qualification: Basic Qualifications: + Must have a BS Degree in a related Engineering discipline + Must have 5-10 years experience in a related engineering, test, or instrumentation environment. Preferred Qualifications: + An understanding of engine measurement sensors including, but not limited to accelerometers, strain gages, pressure transducers, thermocouples, volumetric flow measurements, dynamic pressure measurements, microphones, telemetry and other engine instrumentation.

    • Advanced Degree PWRSR United Technologies Corporation is An Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status.

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    Food Runner - Resort Pool (Seasonal)

    19604BRPosition Title:Food Runner - Resort Pool (Seasonal)Job Overview:The Server Assistant/Food Runner is responsible for working with the expo to assure prompt delivery of the food that is ready in the “hot” and “cold” windows in the kitchen. The Server Assistant/Food Runner is responsible for delivery to the tables in the Food & Beverage Outlet . The Server Assistant/Food Runner and expo work both together and independently to assure that every plate looks correct and to deliver hot/cold food in a timely manner to the guests in all outlets.

    The Server Assistant/Food Runner together with the service staff is responsible for bringing any additional items the guests need to complete their meal.Req ID:19604BRCity:Rancho Palos VerdesEssential Functions:Checks each plate of food to be correct as ordered by the guest Makes sure all condiments are accompanying each order Assures that every item on the order is ready and on the tray together Works diligently to avoid breakage and loss Notifies server of guest needs Completes all opening, on-going and closing side work and manager on duty as signed off on work Stocks/restocks appropriate linens for service Stocks/restocks work stations with appropriate plates and saucers, etc Informs server of any potential guest issues Provides general resort information for guests Qualifications:Flexibility. This is a demanding business and we look for flexibility with work days and hours, but it’s also a lot of fun! Experience. Previous experience passionately providing service to others.

    Excellent phone skills needed. People Person. The best part of serving others is creating experiences for them that go beyond the expected.

    Great communicator. Providing amazing experiences requires the ability to communicate to any guest, client or associate. A qualified applicant is a “people person” who is flexible with their schedule, loves to serve others, and knows how to multi-task while ensuring accuracy.

    Job Type:Seasonal Part TimeProperty:Terranea ResortArea of Interest:Food & Beverage Company Introduction:Two Roads Hospitality is a company with a vision. Our core values are the hallmark of everything we do. Through all of our collections and each of our properties, they describe every guest, owner, team member and partner.

    With more than 40 years of success in the hospitality industry, Two Roads Hospitality was reimagined in 2016. Included in our portfolio are the Alila Hotels & Resorts, Destination Hotels, Joie de Vivre Hotels, Thompson Hotels, and tommie Hotels brands. Whether you are just starting your hospitality journey or you’re an experienced traveler, we invite you to join our family.Property Introduction:Rising from a magnificent peninsula along one of Southern California's most scenic and coveted coastlines, comes Terranea Resort (ter-a-NAY-a). Located in the exclusive community of Rancho Palos Verdes, it is conveniently positioned 20 miles between Los Angeles International and Long Beach Airports, and about 30 miles south of Hollywood.

    Terranea Resort cares deeply for its environment, embraces its natural shoreline setting and promises to deliver a distinctive, classic California lifestyle experience. Dramatically poised at the edge of the Pacific Ocean on the Palos Verdes Peninsula, Terranea’s 102 acres are infused with the elegance of a classic Mediterranean estate, the casual energy of coastal Southern California, and countless ways for guests to spend their days – all tied together with authentic, genuine hospitality and a deep respect for this irreplaceable oceanfront setting. Terranea Resort, located just south of Los Angeles, includes guest rooms, suites, Bungalows, Casitas and Villas and a host of world-class amenities, including spectacular dining venues, a world-class spa, a stunning 9-hole golf course and family-friendly activities.State:CaliforniaType of Position:Hourly PositionBrand:Destination Hotels



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    Food Runner / Kitchen Attendant

    Food Runner/ Kitchen Attendant Food Runner/ Kitchen Attendant Campus Dining Services American Dining Creations is a national leading provider of campus dining services, is proud to be the service provider at Jefferson Community College. We are now hiring for the 2017 fall semester.

    Currently we are hiring for the position of Food Runner / Kitchen Attendant. The main job duties for this position will include keeping all points of food service including a salad bar, deli and entree station with fresh food offerings. Job Summary:

    Food Runner / Kitchen Attendant: Must be able to lift up to 25 lbs, stand for entire work shift Stock food and beverage stations Assist with keeping all food serving areas clean Take food temperatures and maintain production logs Stock clean dishes in the dining area Help with some light food prep to assist cooks A background check, including a drug test, is required Enjoy weekly pay, benefits plan, new uniform and employee meal! Apply now!



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    Part-Time Food Runners Uncle Bucks Destin

    Set up and break down of buffet station. Keep buffet stocked with hot and cold food items, condiments, dishes and silverware.

    Keep buffet area clean throughout shift. Spanning destination retail, boat manufacturing and award-winning resorts, Bass Pro Shops is an innovative pioneer in connecting everyone to the great outdoors. Founded in 1972 when avid young angler Johnny Morris began selling tackle out of his father’s liquor store in Springfield, Missouri, today Bass Pro Shops is a leading destination retailer offering outdoor gear and apparel in an immersive setting with more than 100 retail and marine centers that host 120 million people annually.

    White River Marine Group at http://www.whiterivermg.com/ , part of the Bass Pro family, is the largest manufacturer of boats in the world by volume offering an unsurpassed collection of industry-leading boat brands including TRACKER®, SUN TRACKER®, NITRO®, TAHOE®, REGENCY®, MAKO®, RANGER®, TRITON®, STRATOS® and ASCEND®. The company also operates Big Cedar Lodge at http://www.bigcedar.com/ – America’s Premier Wilderness Resort, along with other restaurants, nature-based attractions and resort destinations. Under the visionary conservation leadership of Johnny Morris, Bass Pro Shops is committed to inspiring everyone to enjoy, love and conserve the great outdoors. The company is known as a national leader in protecting habitat and connecting families to the outdoors and has been named by Forbes as “one of America’s Best Employers.”



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    Expo / Food Runner - Fireside Kitchen

    Be the Best You Pinnacle Entertainment (PNK) is a dynamic and growing casino entertainment company with more than 15,000 team members working at 16 casinos and racetracks located in Colorado, Indiana, Iowa, Louisiana, Mississippi, Missouri, Pennsylvania, Nevada and Ohio - and PNK has a management contract for Retama Park Racetrack outside of San Antonio, Texas.At PNK, we are guided by our team member promise

    • Be the Best You. Through this promise we strive to support our team members in living their best lives by offering them challenging and rewarding work, a competitive benefits package and opportunities to build lasting relationships. Property Details Stepping into

    Ameristar Casino Resort Spa Black Hawkis like entering a landmark mountain lodge in one of the West’s best-loved National Parks. Set in the Rocky Mountains, this modern casino hotel is 1.4 miles from Central City Opera, 8 miles from the tours at Argo Gold Mine and Mill, and 10 miles from I-70. With its soaring ceilings, timber beams and massive floor-to-ceiling stone fireplaces, this two-story casino has a rustic elegance. Ameristar Black Hawk also boasts a luxury full-service hotel with 536 well-appointed rooms including 64 luxurious suites, a roof-top pool and full-service ARA Day Spa. Ameristar Black Hawk 111 Richman Street, PO Box 45 Black Hawk, CO 80422 Overview Ensures the efficient organization of food being prepared for delivery to the Guest while partnering with the Culinary Team. Checks all food leaving the kitchen for quality and presentation standards. Leads the passionate charge for excellence in food quality and service. Responsibilities + Demonstrate basic knowledge of cooking and preparation methods + Communicate recipe specifications + Communicate clearly using appropriate language and conduct when engaging Guests and Team Members + Organize and prioritize work, and meet deadlines + Ensure quality standards and cost control measures are followed + Interact with fellow Team Members in a cooperative manner + Communicate clearly using appropriate language and conduct when engaging Guests and Team Members + Abide by all Health Department and Steritech food safety requirements + Participate in all required training and meetings essential to the position

    • Work flexible hours including evenings, weekends, and holidays + Responsible for all routine opening, during-service, and closing functions and checklists + Have a complete knowledge of MSDS location, cleaning products, equipment, PPE (Personal Protection Equipment) and supplies + Adhere to established department and property policies and procedures, including but not limited to: Standards of Conduct, attendance, appearance, cash handling, confidentiality, safety, and sanitation Qualifications + Food service experience desired + Must be 18 years of age + Must have basic knowledge of all recipe and menu specifications + Must be able to work at a fast pace with a sense of urgency and accuracy + Must complete training or certification required by the position

    • Ability to share or divide attention among several ongoing activities, projects or assignments + Must have excellent Guest service skills

    • Ability to effectively work independently and as part of a team

    • Ability to follow all policies and procedures including but not limited to attendance, appearance, safety and security policies + Must be able to work flexible hours including evenings, weekends, and holidays + Able to communicate effectively to Guests, Team Members and leaders Requisition ID 2017-23183 Property Ameristar Casino Resort Spa

    • Black Hawk, CO Category Food & Beverage Position Type Full-Time Starting Pay Rate USD $13.00/Hr.

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