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JOB DESCRIPTION The Coding Denial and Appeals Specialist plays a vital role in the operations and activities of a centralized denial recovery team, ensuring that process/workflows and data meet regulatory/payer requirements and policies. This role is responsible for reviewing and resolving clinical/medical necessity denials related to outpatient professional/facility services by evaluating and rectifying coding errors and ensuring compliance with healthcare regulations. This role corrects CPT/HCPCS coding discrepancies to ensure accurate and compliant billing and reimbursement, and collaborates with and assists internal stakeholders to support code accuracy on post-billed accounts and post payment audits. This position requires strong coding expertise, analytical skills, and a deep understanding of healthcare reimbursement processes, and will partner with revenue cycle leaders to use data/trends to inform prevention, reduce preventable denial inventory, and maximize recovery goals/tar ...

Join Points of Light and Change the World Points of Light mobilizes millions of people to take action that is changing the world. Through 120 affiliates in 34 States and 32 countries, and in partnership with thousands of nonprofits and businesses, Points of Light engages 3.8 million volunteers in 13.7 million hours of service each year. We bring the power of people to bear where it’s needed most. Cast from the vision of one thousand points of light shared by its founder, President George H.W. Bush, in his 1989 inaugural address, Points of Light was founded in 1990 as an independent, nonpartisan, nonprofit organization to encourage and empower the spirit of service. The organization extends President Bush’s vision that “any definition of a successful life must include serving others.” Today, Points of Light continues to transcend politics and borders to inspire millions of individuals worldwide to take action. Join Us: Be part of a movement that changes lives and communities. Please ...

Company : Allegheny Health NetworkJob Description : A sign-on bonus of $60,000 is offered to external hires only. Eligibility requires continued full-time (1.0 FTE) employment with AHN for a minimum of three years in the initially hired position. Rehires must have been separated from AHN for at least twelve months to qualify. GENERAL OVERVIEW: This job provides anesthetic care for patients in the surgical setting. ESSENTIAL RESPONSIBILITIES: • Assesses, plans, evaluates, and implements the anesthetic management for all patients presenting for anesthesia care. Provides accurate medical record documentation. (45%) • Provides continuous observation of patients under anesthetic care and corrects abnormal patient responses. Involves attending physician regarding plan of care and involves physician in clinical decision making of any issues that are outside the CRNA's knowledge base or scope of practice. (35%) • Participates, develops, and implements performance and/or quality improveme ...

Aerospace Market Lead and Strategic Account Manager We are looking for an Aerospace Industry Market Lead & Strategic Account Manager. In this remote role you will work closely with the Chief Strategy Officer (OSS) to have input into a sustainable Market Strategy for Oerlikon Surface Solutions (OSS). The role will also define inputs and priorities for the product portfolio; commercial and operative framework; market execution approach; customer business development and Marcom’s in alignment with key stakeholders. Working in close collaboration with Key Country presidents in all regions defining cross business opportunities. Additionally, Management of Key OEM account/s where the role will include high level networking with senior management within the customer organization to develop the strategy and business plan to grow the business of Oerlikon Surface Solutions (OSS) and be responsible for the commercial management, aligning the customer needs to the current and future total OSS tur ...

As the Head of Finance at Creatunity LLC, you will play a pivotal role in shaping the financial strategy of our rapidly growing company. You will oversee all financial activities, including forecasting, budgeting, and financial reporting, helping to drive the company's growth and ensuring fiscal responsibility. You will also collaborate with other departments to provide financial insights, and develop strategies to support our ambitious growth targets. The ideal candidate will have a strong background in finance, exceptional leadership skills, and the ability to communicate financial information effectively across all levels of the organization. What makes this role special? You’ll be part of a fast-moving company where your work is visible, impactful, and vital to our success. You’ll shape the way we operate and help us navigate challenges as we grow. It’s not just about having a strong background in finance—it’s about bringing exceptional leadership and communication skills to the ...

SEIZE THE OPPORTUNITY TO BE A PART OF SOMETHING GREAT! Presidio is on the leading edge of a technology-driven movement to transform the way business is done, for our customers and our customers' customers. Joining Presidio means immersing yourself in a culture of self-starters, collaborators and innovators who make real, lasting change in the marketplace via cutting-edge technology and business solutions. At Presidio, we know that it’s our people that make the connections happen. WHY YOU SHOULD JOIN US? You will set your career on track for outstanding achievement with a company that knows no limits. Presidio is a leading a global digital services and solutions provider focused on Digital Infrastructure, Business Analytics, Cloud, Security & Emerging solutions. THE ROLE: Solutions Architect, ServiceNow ITSM/CSM Job Summary: The Solutions Architect (SA) is responsible for leading a technical team through the deployment of a Contender Solutions project in ServiceNow. The SA works wi ...

We are seeking innovative & driven Development Managers & Senior Development Managers with a range of experience to join our IPP & Developer partners across the US. This individual will focus on leading development through forging relationships with landowners, community leaders, utilities and environmental organizations. Other partners are offering stock option programms, enabling you to have a vested interest in the direct success of the company – what could be more motivating than that? Our partners range from start-ups (where you can join an entrepreneurial and innovative company with a senior management team bringing decades and multi-GW’s of experience) to some of the longest-standing players in the renewable industry (giving you the chance to work alongside solar giants and aid delivery of their impressive growth plans) Whatever you’re looking for from your next move within Solar + Storage Development, get in touch and I can provide more information about these opportunities ...

About the position The Liquor Store Clerk 2 (Sales Team Lead) position involves leading a shift in a Pennsylvania Liquor Control Board (PLCB) store, overseeing the work of lower-level clerks, and ensuring excellent customer service in a fast-paced retail environment. The role includes responsibilities such as managing sales transactions, training staff, and maintaining store operations, while also engaging with customers to enhance their shopping experience. Responsibilities • Lead a shift in a liquor store and oversee the work of lower-level clerks. , • Engage in customer service and assist customers with their inquiries and product selections. , • Ring sales on a cash register and manage cash transactions. , • Unloading shipments and stocking shelves with merchandise. , • Build displays and maintain cleanliness in the store. , • Provide on-the-job training to lower-level store employees regarding store procedures and policies. , • Assign and review the work of lower-level store cle ...

Description: Who We Are Zero Dropouts is dedicated to designing innovative student development opportunities in collaboration with school districts, communities, and students. Our mission is to co-create solutions that recognize, foster, and unleash students’ unrealized potential so that their lives are transformed as they thrive in their education and work. Next GED+ Online is designed to serve highly mobile students and those who face barriers to in-person learning. Highly mobile students include those who frequently move due to housing instability, foster care placement, or family circumstances, as well as students experiencing homelessness, justice engagement, or mental and physical health challenges that make traditional schooling inaccessible. Many of our students balance work, caregiving responsibilities, or other commitments that require a more flexible educational model. Unlike traditional online programs that can be isolating and entirely self-paced, Next GED Online is bu ...

About the position As a .Net Developer with InterOp at E-Solutions, Inc., you will play a crucial role in developing healthcare applications within an Agile team. Your primary responsibility will be to build and implement new features while adhering to the best coding development standards. This position is fully remote, allowing you to work from anywhere while contributing to impactful healthcare solutions. In this role, you will develop, maintain, and document web applications that not only meet user needs but also align with architectural plans and system requirements. The applications you create will be designed to be scalable, extensible, and highly secure, ensuring that they can handle the demands of modern healthcare environments. You will champion software best practices throughout the development process, utilizing design patterns, static code analysis, unit testing, and automated deployment to ensure high-quality deliverables. Your work will involve leveraging healthcare sta ...