Centene Coding Jobs Jobs in Usa

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.

Position Summary

The Revenue Cycle Manager directs the overall functions of the department, aiming to maximize revenue collection and improve cash flow. Additionally, this position focuses on fostering positive relationships with patients, physicians, and other stakeholders, ensuring a smooth and efficient billing process while maintaining high standards of customer service.

Responsibilities:

• Oversee the daily operations of the billing and coding department, including staff scheduling, work assignments, and ensuring timely and accurate completion of tasks.
• Ensure that billing and coding processes adhere to company, state, and federal regulations.
• Serve as the primary expert and point of contact for all coding and billing processes within the organization.
• Evaluate, analyze, and implement reimbursement codes and billing practices, including managing additions, changes, and deletions in the EMR system.
• Resolve complex coding discrepancies by thoroughly reviewing medical records to ensure accurate diagnosis coding.
• Analyze patient billing complaints and observations, identifying areas for improvement and implementing corrective procedures to ensure best billing practices.
• Assist with the ongoing recruitment, hiring, training, and development of billing and coding staff.
• Ensure proper staffing levels, monitor employee leave, and manage overtime usage effectively.
• Regularly monitor departmental productivity and provide timely, constructive feedback to employees.
• Serve as a resource for physicians and other staff members regarding billing and coding information and guidance.
• Assist in the development and implementation of policies and procedures related to billing and coding operations.
• Proactively manage and communicate significant coding issues, project statuses, and address barriers or successes in a timely manner.
• Maintain up-to-date knowledge of regulatory changes impacting coding requirements and ensure staff education and compliance.
• Report emerging issues or trends promptly and take corrective action as needed.
• Support EMR system implementations and upgrades, providing coding resources for testing to ensure optimal performance post-implementation.
• Assist in the preparation and analysis of the departmental budget, ensuring resources are allocated effectively.
• Regular, predictable on site attendance
• Perform other duties as assigned to support the department and organizational goals.

Education/Experience:

• Bachelor's degree in health information management, Business Administration, Finance, or a related field preferred; or equivalent work experience.
• Certification in medical coding (e.g., CPC, CCS, or COC) is strongly preferred.
• Minimum of 3-5 years of experience in medical billing and coding, including hands-on experience with coding systems (CPT, ICD-10, HCPCS) and insurance claims management.
• Previous experience in a leadership or supervisory role within a billing and coding department, with demonstrated ability to manage and develop staff.
• Familiarity with Electronic Medical Records (EMR) systems and experience with system implementations or upgrades.
• In-depth knowledge of federal, state, and payer-specific billing regulations and compliance requirements.
• Strong background in reviewing medical records and ensuring accurate coding to maximize reimbursement.
• Experience with financial and budgeting processes related to billing departments.
• Prior experience in healthcare revenue cycle management or similar roles within a healthcare setting.

PanCare provides a comprehensive benefits package to include medical, dental and vision insurance. In addition, to health coverage, we offer 14 paid holidays and 3 weeks of paid vacation per year. Employees are also eligible to participate in our 403(b) plan with a 6% employer match and 3% base employer contribution.

We areseekingan experienced and forward-thinkingSolution Architect - Data Engineeringto lead the design and implementation of scalable, secure, and high-performance data solutions. The ideal candidate will have deep expertise withPython and SQL, experience with data warehouses (Snowflake or something similar), a strong command ofengineering best practices(includinglinters and code formatters, project organization, and managing environments), and practical experience buildingCI/CD pipelinesto ensure robust, automated delivery of data pipelines and services.

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• Architect Scalable Data Solutions
  Design and implement end-to-end data engineering architectures that are scalable, maintainable, and performant across batch and real-time processing systems.
  

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• Engineering Leadership
  Lead by example with high-quality Python code,utilizinglinters (e.g.,pylint,flake8,black) and enforcing code cleanliness, readability, and best practices across teams.
  

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• CI/CD Pipeline Development
  Build, manage, and optimize CI/CD pipelines using tools such asGitHub Actions,GitLab CI,CircleCI, orJenkinsto automate testing, code quality checks, and deployment of data engineering components.
  

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• Data Governance & Quality
  Establish data validation, logging, and monitoring strategies to ensure data integrity and reliability at scale.
  

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• Collaborate Cross-Functionally
  Work closely with data scientists, software engineers, DevOps, and business stakeholders to translate requirements into technical solutions and ensure alignment with overall enterprise architecture.
  

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• Mentorship & Code Reviews
  Provide guidance to junior developers, lead technical reviews, and enforce clean coding standards throughout the data engineering team.
  

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• 7+ years of experience in software or data engineering, with 3+ years in an architectural or technical leadership role.
  

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• Expert-levelproficiencyinPython and SQL, with a deep understanding of best practices, performance tuning, and maintainable code patterns.
  

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• Proven experience withlinters,formatters, and other static analysis tools to ensure code quality and compliance.
  

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• Hands-on experience designing and implementingCI/CD pipelinesfor data pipelines, APIs, and other backend services.
  

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• Solid knowledge of modern data platforms and technologies (e.g., Spark, Airflow,dbt, Kafka, Snowflake,BigQuery, etc.).
  

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• Strong understanding of software engineering practices such as version control, testing, and continuous integration.
  

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• Experience working in cloud environments (AWS, GCP, or Azure).
  
• Familiarity with Infrastructure as Code (IaC) tools like Terraform or CloudFormation.
  
• Understanding of security, compliance, and governance in data pipelines.
  
• Excellent communication and documentation skills.
  
• Strong leadership presence with the ability to mentor and influence teams.
  
• Problem-solver with a focus on delivering value and simplicity through technology.
  

We offer a Total Rewards package that includes medical and dental coverage, 401(k) plans, flex spending, life insurance, disability, employee discount program, employee stock purchase program and paid family benefits to support you and your family.The salary range for this position is posted below. Where an employee or prospective employee is paid within this range will depend on, among other factors, actual ranges for current/former employees in the subject position, market considerations, budgetary considerations, tenure and standing with the Company (applicable to current employees), as well as the employee's/applicant's skill set, level of experience, and qualifications.

It is the policy of our company to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, ethnicity, gender, age, religion, creed, national origin, sexual orientation, gender identity, marital status, citizenship, genetic information, veteran status, disability, or any other basis prohibited by applicable federal, state, or local law.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

The employer will make reasonable accommodations in compliance with the American with Disabilities Act of 1990. The job description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and other job functions are subject to modification. Reasonable accommodations may be provided to enable individuals with disabilities to perform the essential functions.

For applicants to jobs in the United States: In compliance with the current Americans with Disabilities Act and state and local laws, if you have a disability and would like to request an accommodation to apply for a position with our company, please email .

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

The Unit Service Technician provides a broad range of care and services to patients, including but not limited to, EKG, phlebotomy, blood glucose monitoring, completing EKGs, applying simple dressings, using aseptic technique and responding to medical emergency situations utilizing Heartsaver CPR and AED skills, patient transport and securing equipment and supplies under the supervision of Nursing Supervisor. They will provide safe accurate transportation of patients throughout the hospital. They will perform 1:1 sitting when necessary. The Night Float Unit Service Technician will also assure the practice of the Patient and Family Centered Care Model in an environment that exemplifies best practice.

Does this position require patient care? Yes

Essential Functions:

Provision of a Safe Environment:

• Utilizes proper body mechanics in moving and assisting patients to prevent personal injury.
• Assists in the application of restraints under the direction of the provider. Follows and maintains restraint policies under supervision of licensed nurse.
• Anticipates and identifies patient safety risks in cooperation with licensed nurse and take appropriate action.
• Demonstrates knowledge of the location of emergency equipment.
• Delivers back up Code Cart to area upon Code Blue announcement. Stands by in a Code Blue to assist in equipment retrieval and patient transport. Restocks back up Code carts as necessary.
• Rounds and returns loose oxygen cylinders to appropriate storage areas.
• Clears hallways of clutter.

Organizational Ethics:

• Interacts with patients, families and staff in a professional manner, projecting a positive public image.
• Respects and supports a culturally diverse staff and patient population.
• Delivers care in a non-judgmental, non-discriminatory manner that is sensitive to and demonstrates respect for patient diversity.
• Respects and maintains the confidentiality and privacy of patient, employee and hospital information at all times.
• Works cooperatively with all staff members and takes appropriate steps to resolve interpersonal conflicts. Seeks assistance from RN, Nursing Director or Nursing Supervisor, as needed.
• Dresses appropriately and according to dress code requirements, including wearing visible hospital I.D. badge that identifies self at all times.

Management of Resources:

• Efficiently organizes time and prioritizes requests for service based on urgency.
• Cleans equipment as needed.
• Delivers linen to units as requested.
• Disposing of trash, soiled linens, medical waste and disposable items, appropriately and as necessary.
• Provides assistance to co-workers, as requested.
• Is flexible and adapts to changing patient and department needs including, but not limited to, offering assistance to other team members and adjusting assignments.

Management of Information:

• Reviews and is knowledgeable of appropriate policies, procedures and work rules.
• Demonstrates an understanding of hospital emergency codes and how to call a code.
• Utilizes hospital E-mail to access staff meeting minutes, notices and memos.
• Reads and reviews meeting minutes and clinical updates.
• Participates in staff meetings and appropriate in-services.
• Maintains timely ongoing verbal communication with RN throughout the shift, regarding patient condition including, the status of completing delegated tasks. Recognizes and notifies RN immediately of any significant change in a patient's condition and/or monitoring alarms (for example: change in vital signs, change in patient's mental status, complaints of pain, abnormal blood sugar, patient fall or other injury, patient concerns with care).
• Accurately collects and records patient data (vital signs, intake and output, blood sugar, weights, restraint care/monitoring, other) and complies with hospital documentation standards to ensure a complete and accurate patient record.

Collaborative Interdisciplinary Care:

• Maintains and fosters a teamwork approach to patient care.
• Transports patients and equipment throughout the hospital as requested. Uses appropriate safety techniques and body mechanics when moving patient. Remains with the patient or ensures patient is attended by staff when off other home unit. Stretcher is cleaned after every transport with an antibacterial as provided in the department.
• Delivers specimens to laboratory as needed, following proper procedures related to the handling of specimens during transport, as requested by staff.
• Strictly practices Standard Precautions. Checks with nursing staff for specific instructions if necessary.
• Performs the transportation of the deceased to the morgue in a respectful manner. Always uses proper morgue stretcher and is accompanied by a second escort.
• Performs technical duties including EKG and phlebotomy under the supervisor of a licensed Nurse.
• Obtains lab specimens as requested by Nursing Supervisor.
• Obtains labs for in-house draws on 11p-7a shift for 1am and 4am rounds, in accordance with lab policy.
• Adheres to laboratory policy and procedure when retrieving lab specimens including the proper labeling of all specimens.
• Performs EKG's as requested by nursing/provider and obtains old EKG's in MUSE system.
• EKG's are brought to provider for immediate review upon completion.
• Assist providers with patient procedures as needed.
• Notification of need for repair of medical equipment to appropriate parties.
• Covers the switchboard operator function during breaks. Is able to appropriately perform the function including Code Blue and RRT notification.

Patient/Family Education:

• Addresses patient comfort and information needs by providing informative, non-clinical information to patients and families, orienting patients/visitors to the hospital, unit, patient room services.
• In collaboration with the licensed nurse, reinforces the patient education provided by the nurse and provides patients/families with basic patient care instruction, such as instruction for using the call light and safety requirements.

Competency:

• Complies with established practice standards, policies, procedures, protocols, guidelines, and regulations, (for example: DPH, JCAHO, Boston fire codes, OSHA).
• Maintains and demonstrates compliance with hospital and nursing competencies and care standards.
• Maintains competence in relation to a variety of technical skills that may include, but are not limited to, performing EKGs and blood glucose monitoring, applying simple dressings and Heartsaver CPR and AED skills.

Qualifications

Education: High School Diploma or Equivalent required. Can this role accept experience in lieu of a degree? No

Licenses and Credentials: Experience as a medical technician or patient care assistant preferred

Knowledge, Skills and Abilities:

• Staff adheres to all I C.A.R.E. Standards.
• Ability to effectively speak, read and write using the English language.
• Ability to pass clinical competency, basic math and reading testing.
• Ability to perform basic math calculations and measurements, in order to measure height and weight, intake and output and calorie counts.
• Ability to accurately interpret and utilize basic medical terminology and abbreviations.
• Ability to enter and retrieve computerized information.
• Physical ability to push, transfer, and pull heavy loads throughout assigned shift.
• Physical ability to meet core job requirements in accordance with practice setting demands, for the patient populations regularly served.
• Effective communication and interpersonal skills to interact appropriately with nursing staff, patients, families/visitors, physicians, and other hospital staff.
• Organizational skills to set priorities and efficiently complete assigned work.
• Ability to manage stress related to patient care issues, and changing hospital climate and personnel issues.

Additional Job Details (if applicable)

Physical Requirements:

• Standing Frequently (34-66%)
• Walking Frequently (34-66%)
• Sitting Occasionally (3-33%)

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

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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• The Medical Records Director (Non-Nurse) maintains the patients’ clinical records, including coding, auditing, and providing pertinent staff education regarding recordkeeping procedures in accordance with all applicable laws, regulations, and Life Care standards. Serves as the designated Privacy Officer for the facility.
  
• Reports to Executive Director (ED)
  

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• Bachelor’s degree OR an equivalent combination of education and experience
  
• Credentialed as a Registered Health Information Administrator (RHIA) OR as a Registered Health Information Technician (RHIT) OR have a degree in a health related field with extensive training and demonstrated competence in the HIM field
  
• Training in post-acute care health information management
  

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• Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
  
• Demonstrate efficient usage of complex computer software systems
  
• Functional knowledge in field of practice
  
• Make independent decisions when circumstances warrant such action
  
• Knowledgeable of medical records practices and procedures as well as the laws, regulations, and guidelines governing medical records functions in the post-acute care facility
  
• Implement and interpret the programs, goals, objectives, policies, and procedures of the medical records department
  
• Perform proficiently in all competency areas including but not limited to: medical coding, auditing, clinical records, privacy official responsibilities, supervisory responsibilities, patient rights, and safety and sanitation
  
• Maintains confidentiality of all proprietary and/or confidential information
  
• Understand and follow company policies including harassment and compliance procedures
  
• Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
  
• Promotes a culture of integrity, maintains an “open door” policy, and does not participate in or allow retaliation against those who report good faith concerns
  
• Actively implements the compliance program and Code of Conduct and ensures 100% participation by department staff
  

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• Audit and complete ongoing review of all patients’ clinical records to ensure documentation and performance compliance
  
• Maintain current, overflow, and discharged record filing systems
  
• Serve as the facility’s Privacy Officer for HIPAA compliance
  
• Understand and apply LTC payment systems, including Medicare
  
• Use ICD-10-CM coding
  
• Use CPT/HCPCS coding systems
  
• Effectively communicate with physicians, nursing staff, and allied health personnel
  
• Interview, hire, train, evaluate, counsel, and supervise medical records staff
  
• Exhibit excellent customer service and a positive attitude towards patients
  
• Assist in the evacuation of patients
  
• Demonstrate dependable, regular attendance
  
• Concentrate and use reasoning skills and good judgment
  
• Communicate and function productively on an interdisciplinary team
  
• Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
  
• Read, write, speak, and understand the English language
  
• Must be able to lift 35 lbs floor to waist, lift 35 lbs waist to shoulder, lift and carry 35 lbs, and push/pull 35 lbs