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Director of Quality Control

Reports To: Chief Executive Officer

Summary:

Director of Quality Control will ensure that the company maintains the highest standard of quality that is compliant with all applicable laws, regulations, and code requirements. Director of Quality Control will be expected to be in the office five days per week and report directly to the CEO for all items relating to quality control.

Major Duties and Responsibilities:

Collaborate with executive-level management in the development of quality goals and long-term quality plans.

Responsible for leading the successful implementation of ISO 9001:2015.

Manage Quality Control Department and lead its growth through hiring and training.

Maximize efficiency and productivity through extensive process analysis and improvement recommendations, as well as interdepartmental collaboration, and digital organization.

Maintain ASME Certification by ensuring code compliance and prepare and conduct training on ASME code requirements and additional foreign codes such as PED, Malaysia DOSH and MHLW (Japan).

Generate Inspection Test Plans, Quality Procedures, and Quality Instructions.

Maintain Job Books for all jobs, and Complete Job Packages and Code Documentation and upload to Company CRM.

Coordination of the Authorized Inspector/Repair Inspector and apply code stamping or marking to code parts under the direction of the Authorized Inspector/Repair Inspector.

Lead quarterly meetings with senior management to review quality KPIs.

Work with project managers in the development and adherence to quality objectives.

Responsible for leading customer and third-party audits.

Provide the appropriate management processes to ensure compliance with all applicable laws and certifications, conforms to company standards, and utilizes best-industry practices to manage safety risks to people, property, and the environment.

Conducts strategic and quality risk workshops and assessments throughout the organization.

Responsible for documenting customer feedback and a corrective action system.

Improve and re-establish Company Non-Conformance System and documents methods of improvement.

Team Management:

Lead, develop, and mentor team members.

Responsible for leading Quality Control Managers and their direct reports.

Guide larger, cross-divisional teams outside of direct span of control, managing work allocation, training, problem resolution and performance evaluation.

Education/Skills/Experience:

Bachelor’s degree or associate degree preferred.

10+ years of experience in Quality Control.

Ability to work independently and take initiative.

Strong verbal and communication skills.

Excellent time management and multitasking skills.

Highly organized and comfortable maintaining documents digitally.

Internal / External Contacts:

Internal

Member of Company Leadership Team.

Works closely with senior leadership all administrative support staff.

Maintain in-depth relations with all members of staff.

Work closely with all Project Managers.

External

Potential and existing customers.

Contractors/sub-contractors/vendors.

Regulatory bodies.

Position Details

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Work Hours per Biweekly Pay Period: 80.00

Shift:

Location: 1324 Lakeland Hills Blvd Lakeland, FL

Pay Rate: Min $161,200.00 Mid $215,300.80

Position Summary

The Physician Advisor serves as a liaison between the clinical document improvement (CDI) team, which includes hospital coders; members of the Hospital's administration; the Medical Staff of the hospital; and the hospital's Utilization Management to facilitate the development and implementation of clinical documentation improvement initiatives. The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation. The Physician Advisor is responsible for conducting clinical reviews referred by the Utilization Management, Coding and Clinical Documentation Improvement departments. The Physician Advisor will assist with reviews and appeals of DRG and medical necessity denials.

Position Responsibilities

People At The Heart Of All We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Supervisor/Team Lead Capabilities

• Demonstrates accountability for shift/team operations and care/service delivery to support achievement of organizational priorities.
• Coaches front line team members to support ongoing professional development and hardwire technical and professional capabilities.
• Creates a high performing team by building strong relationships, delegating work and nurturing commitment and engagement.
• Manages team conflict/issues implementing appropriate corrective actions, improvement plans and regular performance evaluations.
• Applies change management best practices and standard work to support departmental changes and ensure effective team transition.
• Promotes a healthy and safe culture to advance system, team and service experien

Standard Work: Physician Advisor

• Acts as a liaison between the CDI professionals, Health Information Management, and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment.
• Perform concurrent and retrospective reviews of selected health records as it pertains to CDI and coding validation, and participate in the development of clinically appropriate and compliant provider queries to further clarify documentation.
• Educates individual hospital staff physicians about International Classification of Diseases (ICD) coding guidelines and clinical terminology to improve their understanding of severity, acuity, risk of mortality, HCC/risk adjustment and DRG assignments on their individual patient records.
• Assists with the evaluation and appeal of concurrent and restrospective denials and retrospective DRG downgrades. May perform peer-to-peer meetings as required.
• Participates in the coding and CDI programs and identifies potential areas for improved documentation of services. Also participates in the Coding and CDI meetings and provides ongoing education to the team members.
• Provides peer to peer communication to affect the appropriate response for those cases where the physician fails to respond or questions the need for queries.
• Responsible for writing and submitting appeals (multiple levels as needed) specifically around medical necessity, non-covered services, authorizations, and inpatient/observation stay related denials. May perform peer-to-peer meetings as required.
• The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation through effective communication and education of the respective parties.
• Provides his or her expert opinion in relation to clinical validity assessments, and, furthermore, the development of clinically robust and appropriate queries.
• Serves as second level reviewer for UM, providing guidance on appropriate/alternate levels of care based on InterQual guidelines and other appropriate criteria.

Competencies & Skills

Essential:

• Broad knowledge base of clinical medicine across all specialties.
• Basic coding guidelines regarding the selection of the principal diagnosis and reporting additional diagnoses and procedures; understanding the DRG system; levels of comorbidities; and concepts of risk adjustment, severity of illness, risk of mortality, case mix index, prospective payment, hospital acquired conditions, patient safety indicators.
• Organize tasks effectively and efficiently and the ability to act independently through the application of critical thinking skills.
• Computer skills appropriate to position
• Excellent written and verbal communication skills.

Qualifications & Experience

Essential:

• Medical Degree

Essential:

• Licensed to practice medicine in the state of Florida, shall be board certified in internal medicine, and shall meet any other reasonable professional criteria established by LRH or the hospital.

Other information:

Experience Essential:

- Minimum of two years of experience in conducting coding and CDI reviews.

- Knowledge of coding guidelines and how it translates from clinical documentation.

- Knowledge of DRGs, Risk of Mortality, Severity of Illness, Mortality Rate, HCC/risk adjustment, CMI and the impact of clinical documentation/coding in relation to these metrics.

- Excellent computer skills with prior exposure to use of Microsoft Office suite

Health Plan Coding Contractor (Dental & Vision Experience Preferred)

Role Type: Contract

Experience Level: 2 - 3 year minimum preferred

Work Arrangement: Remote eligible (certain time zones preferred)

Hourly Rate Range - $30 / hour - $34/hour

Overview

We are seeking two Health Plan Coding Contractors to support backend medical benefit configuration and coding for health plan implementations. One of the roles requires specific experience in dental and vision coding.

These contractors will work closely with internal operations teams and implementation stakeholders to build, configure, and maintain accurate benefit structures within a health plan platform. The work involves handling protected health information (PHI), reviewing plan documents, and translating benefit details into coded system configurations.

Candidates should be comfortable working in a collaborative environment with operational leaders while also managing technical coding responsibilities independently.

Key Responsibilities

Health Plan Coding & Configuration

• Perform backend medical benefit coding and configuration within the claims adjudication system.
• Translate complex plan documentation such as Summary Plan Descriptions (SPDs) and Evidence of Coverage (EOC) into accurate system configurations.
• Support the build and implementation of member benefits based on plan documentation and contractual agreements.
• Work with internal teams to ensure coded benefits align with operational and compliance requirements.

Quality Assurance & Compliance

• Conduct validation and quality checks to ensure coding accuracy, consistency, and compliance with applicable regulations.
• Perform audits on coded benefits to ensure correct implementation across systems.
• Identify and resolve edge cases or complex benefit scenarios affecting claim processing.

Cross-Functional Collaboration

• Partner with internal operational managers on backend initiatives and process improvements.
• Work closely with implementation and launch teams responsible for onboarding new health plans and coordinating with insurance partners.
• Collaborate with operations teams to support benefit updates, claim processing accuracy, and issue resolution.

Process & Workflow Support

• Assist with workflow processes related to benefit configuration changes, including:
• Creating system rules to pause impacted claims when updates are required
• Conducting manual review to ensure proper claim adjudication
• Monitoring results before releasing claims back into automated processing

Required Qualifications

• Minimum 2years - 3 year of experience in medical coding, health plan coding, or benefit configuration.
• Experience working with health plan benefit structures or claims systems.
• Dental and vision coding experience required for one role.
• Familiarity with payer or third-party administrator (TPA) environments is preferred.
• Strong attention to detail and ability to interpret complex plan documentation.
• Ability to manage tasks independently while collaborating with cross-functional teams.

Preferred Qualifications

• Experience working with enterprise benefit platforms such as Facets, QNXT, HealthRules, or similar systems.
• Knowledge of healthcare regulatory frameworks affecting benefit design and claims processing.
• Prior experience supporting health plan implementations or benefit builds.

Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

Immediate need for a talented Bioinformatics Research Associate II . This is a 12+months contract opportunity with long-term potential and is located in Waltham, MA (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID:26-08726

Pay Range: $40 - $50/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Manager Notes:
• DIL: bio to support next-gen sequencing group. Some are in the lab, some are writing codes and analytical pipelines, working with Client coding and development systems, collaborating with the lab team, lots of coding, working with quality teams to ensure meeting metrics.
• Should have experience with at least one or two of the following. e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.). NGS pipeline development.
• 9-5 some wiggle room if they need to come in earlier leave earlier, Onsite but if they need a day or two here and there they can request a day to work remote A strong candidate would have Coding experience, papers published on coding, need next gen sequencing analysis, gene therapy group so if they have some exp in that or bio that would be a great advantage.
• Relevant experience is more important than a degree for the role.
• Does not want to see anyone with zero coding experience. No mention of the tools list would be a hard pass.
• Support computational needs for the development and validation of NGS-based assays.
• Work closely with a multi-disciplinary team of scientists and engineers to implement genomic analytical solutions for programs spanning precandidate selection through late phase clinical development.
• Develop, execute, and maintain NGS analysis pipelines for execution in cloud-based computational environments.
• Keep records of development work and testing in a GxP environment utilizing electronic notebook solutions.
• Represent the group at internal meetings.

Key Requirements and Technology Experience:

• Key Skills;Should have experience with at least one or two of the following. e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.)
• Minimum of 1 year of experience with NGS, spanning knowledge and hands-on dry-lab experience.
• Scripting experience in coding languages (e.g., bash, awk, Python, R, etc.).
• A strong candidate would have Coding experience, papers published on coding, need next-gen sequencing analysis, and gene therapy.
• Degree in a relevant computer science discipline with a minimum of 3 years of relevant industry experience.
• Minimum of 1 year experience with NGS, spanning knowledge and hands-on dry-lab experience.
• Expertise in bioinformatics with a working understanding of genomic analysis solutions (e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.).
• Scripting experience in coding languages (e.g., bash, awk, Python, R, etc.).
• Understanding of NGS platforms, specifically those utilizing the synthesis by sequencing technique (i.e., Illumina platforms).
• Ability to work independently and adapt under aggressive and/or changing timelines.
• Familiarity with the software development lifecycle (e.g., Git).
• Automated unit testing for test-driven design (TDD).
• Familiarity with basic molecular biology techniques (e.g., ligation, PCR, and qPCR) as well as nucleic acid extraction and analysis techniques (e.g., Nanodrop, DNA fragment analyzers, ddPCR, etc.).
• Knowledge of and experience with other sequencing platforms (i.e., SMRT sequencing).
• Prior experience in leading the internalization of custom NGS analysis pipelines is highly preferred.
• Wet-lab method development experience to support NGS workflows.

Our client is a leading Pharmaceutical Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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About Us

We're continuing to build a transformative healthcare accreditation platform that is revolutionizing how our clients and new hospitals manage compliance, quality improvement, and regulatory processes. Our platform combines cutting-edge technology with deep healthcare domain expertise to solve real problems for healthcare organizations nationwide.

The Opportunity

We are looking for motivated developers for our intern-to-full-time track. You will be given full-time responsibilities from day one in a high-velocity growth startup environment. You'll work directly with our engineering team on a production healthcare platform, gaining hands-on experience with enterprise-grade systems while making real contributions that impact our product and customers.

Compensation Structure:

The base position is unpaid; however, highly qualified candidates may receive upfront equity compensation based on their experience level and demonstrated capabilities. We evaluate each applicant individually and offer equity packages commensurate with their potential contribution.

About the Role We are hiring a Front-End Developer who can bridge the gap between front-end implementation, and design-to-code workflow. You will be responsible for a variety of tasks on the front-end, working on features all the way through to the final, pixel-perfect user interface.

Key Responsibilities

• Front-End Development: Build responsive, performant user interfaces and dashboards using React.js with modern patterns, implementing styling with a strong focus on raw CSS.
• Design & UI/UX Implementation: Collaborate with design by utilizing tools like Claude Code, Cursor, or Codex, adapting generated code, and focusing on pixel-perfect design implementation and mobile-first responsiveness using raw CSS/HTML.
• DevOps & Quality: Develop and maintain automated testing, version control using Git/GitHub, and contribute to CI/CD pipelines.

Technical Stack

• Front-End: React 18+ (JavaScript), Raw CSS, React Context/Query, Vite
• UI/UX: Raw CSS, HTML5, Figma

Required Qualifications

• Front-End Foundation: 2+ years of experience with React.js (JavaScript, modern patterns, hooks). Strong understanding of modern web security, data protection, and collaborative development workflows using Git/GitHub.
• Balance of use of a AI IDE (Cursor, Claude Code...) with your own logic and understanding
• Front-End Depth: Expertise in raw CSS and advanced JavaScript (ES6+), with proven ability to build complex, responsive, and performant UIs.
• UI/UX Implementation Depth: Experience specializing in raw CSS/HTML for advanced layouts, familiarity with AI Figma-to-code tools, and proven ability to adapt AI-generated code to align with an existing component architecture.

Preferred Qualifications (Nice to Have)

• Previous experience in a high-velocity team environment with separated responsibilities.
• Experience with DevOps practices (Docker, CI/CD).
• Experience contributing to or maintaining a react component library or design system.

Our Hiring Process We believe in a transparent and thorough selection process that respects your time:

• Initial Screening Call: Discussion of your background, experience, and career goals.
• Technical Challenge: A real-world technical challenge to complete at your own pace.
• Technical Interview: An in-depth discussion where you will walk through, debug, and defend your solution, demonstrating complete ownership and understanding of the entire codebase and architectural decisions—regardless of whether code was generated manually or with AI assistance.

We're looking for engineers who can think critically, adapt their approach, and truly understand the systems they build.

Hybrid Details: Dallas, TX - Hybrid

Duration: 3 months to start

Pay range: $25-$31/hr W2

Job Description:

Job Summary:

Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-10-CM & CPT4 Official Guidelines for Coding and Reporting. Typically reports to Coding Manager

Minimum Qualifications:

• Education: High School Diploma or GED required
• Associate Degree in medical area, preferred

• Licenses/Certifications: One of the following licenses is required:Certified Coding Specialist (CCS), or
• Certified Professional Coder (CPC), or
• Registered Heath Information Technician (RHIT), or
• Certified Medical Coder (CMC) or
• Certified Coding Associate (CCA)

Experience / Knowledge / Skills:

• Two (2) years outpatient Neurosurgery (preferred), Required 2 Years outpatient E/M coding experience required, six (6) months of HCC experience preferred
• Ability to code Neurology for physicians
• Effective oral and written communication skills.
• EPIC Experience Preferred

Principal Accountabilities:

• Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters.
• Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, CPT 4 and modifiers.
• Reviews documentation to extract and enter data accurately for other abstracting fields.
• Follow coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
• Ability to communicate with providers, leadership and clinical staff; Query and provide guidance on documentation/coding
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.

#LI-Hybrid