Hays Code Guidelines Jobs in Usa

Emergency Medicine Opportunity

 

HaysMed is seeking a BC/BE Emergency Medicine Physician to join our amazing team. HaysMed is a 206-bed regional referral center serving a population base of 150,000. We have over 1,500 Associates, and our medical staff consists of 80 Physicians representing a full range of specialist services. HaysMed is a state-of-the-art facility with a long history of delivering high-quality care to the patients of our region. We provide expertise with compassion, elevating outcomes and creating an exceptional patient experience. 

Hays is a thriving community of 25,000 located on Interstate 70 between Kansas City and Denver. Hays is a family-oriented community with abundant cultural, commercial, and entertainment opportunities. Downtown Hays is a beautiful and unique setting with brick streets and historic buildings that have been brought back to life with recent renovations. You will find a diverse mix of specialty shops, professional services, boutiques, and dining options. We have outstanding, nationally recognized public and private schools. Hays is also home to Fort Hays State University. FHSU is a regional comprehensive university with over 15,000 on-campus, online, and international students. Fort Hays State University blazes a trail in higher education through innovative teaching, learning, research, and service.

As the only Emergency Medicine Group in the region, our Physicians enjoy a practice which is essentially free from the stresses found in many urban practices. Our Physicans know the benefits of working with excellent partners, plus being able to practice medicine in our integrated Medical Community!

We Offer

• Excellent Compensation
• Outstanding Partners
• Shift-Based Schedule
• Generous CME Allowance
• Sign-On Bonus
• Relocation Bonus

Emergency Medicine Opportunity

 

HaysMed is seeking a BC/BE Emergency Medicine Physician to join our amazing team. HaysMed is a 206-bed regional referral center serving a population base of 150,000. We have over 1,500 Associates, and our medical staff consists of 80 Physicians representing a full range of specialist services. HaysMed is a state-of-the-art facility with a long history of delivering high-quality care to the patients of our region. We provide expertise with compassion, elevating outcomes and creating an exceptional patient experience. 

Hays is a thriving community of 25,000 located on Interstate 70 between Kansas City and Denver. Hays is a family-oriented community with abundant cultural, commercial, and entertainment opportunities. Downtown Hays is a beautiful and unique setting with brick streets and historic buildings that have been brought back to life with recent renovations. You will find a diverse mix of specialty shops, professional services, boutiques, and dining options. We have outstanding, nationally recognized public and private schools. Hays is also home to Fort Hays State University. FHSU is a regional comprehensive university with over 15,000 on-campus, online, and international students. Fort Hays State University blazes a trail in higher education through innovative teaching, learning, research, and service.

As the only Emergency Medicine Group in the region, our Physicians enjoy a practice which is essentially free from the stresses found in many urban practices. Our Physicans know the benefits of working with excellent partners, plus being able to practice medicine in our integrated Medical Community!

We Offer

• Excellent Compensation
• Outstanding Partners
• Shift-Based Schedule
• Generous CME Allowance
• Sign-On Bonus
• Relocation Bonus

Emergency Medicine Opportunity

 

HaysMed is seeking a BC/BE Emergency Medicine Physician to join our amazing team. HaysMed is a 206-bed regional referral center serving a population base of 150,000. We have over 1,500 Associates, and our medical staff consists of 80 Physicians representing a full range of specialist services. HaysMed is a state-of-the-art facility with a long history of delivering high-quality care to the patients of our region. We provide expertise with compassion, elevating outcomes and creating an exceptional patient experience. 

Hays is a thriving community of 25,000 located on Interstate 70 between Kansas City and Denver. Hays is a family-oriented community with abundant cultural, commercial, and entertainment opportunities. Downtown Hays is a beautiful and unique setting with brick streets and historic buildings that have been brought back to life with recent renovations. You will find a diverse mix of specialty shops, professional services, boutiques, and dining options. We have outstanding, nationally recognized public and private schools. Hays is also home to Fort Hays State University. FHSU is a regional comprehensive university with over 15,000 on-campus, online, and international students. Fort Hays State University blazes a trail in higher education through innovative teaching, learning, research, and service.

As the only Emergency Medicine Group in the region, our Physicians enjoy a practice which is essentially free from the stresses found in many urban practices. Our Physicans know the benefits of working with excellent partners, plus being able to practice medicine in our integrated Medical Community!

We Offer

• Excellent Compensation
• Outstanding Partners
• Shift-Based Schedule
• Generous CME Allowance
• Sign-On Bonus
• Relocation Bonus

HaysMed is a 206-bed regional referral center serving a population base of 150,000. We have over 1,500 Associates, and our medical staff consists of 80 Physicians representing a full range of specialist services. HaysMed is a state-of-the-art facility with a long history of delivering high-quality care to the patients of our region. Our Integrated Medical Community provides expertise with compassion, elevating outcomes and creating an exceptional patient experience.

• Excellent Base Salary
• 7-On/7-Off Schedule
• Outstanding Partners
• Great Benefits
• $5,000 CME Allowance
• Sign-On Bonus
• Relocation Bonus

HaysMed is seeking a BC/BE Pediatrician to join our team. HaysMed is a 207-bed regional referral center serving a population base of 150,000. We have over 1,500 Associates, and our medical staff consists of 90 Physicians representing a full range of specialist services. HaysMed is a state-of-the-art facility with a long history of delivering high-quality care to the patients of our region. We provide expertise with compassion, elevating outcomes and creating an exceptional patient experience. 

Hays is a thriving community of 25,000 located on Interstate 70 between Kansas City and Denver. Hays is a family-oriented community with abundant cultural, commercial, and entertainment opportunities. Downtown Hays is a beautiful and unique setting with brick streets and historic buildings that have been brought back to life with recent renovations. You will find a diverse mix of specialty shops, professional services, boutiques, and dining options. We have outstanding, nationally recognized public and private schools. Hays is also home to Fort Hays State University. FHSU is a regional comprehensive university with over 14,000 on-campus, online, and international students. Fort Hays State University blazes a trail in higher education through innovative teaching, learning, research, and service.

We Offer

• Excellent Compensation
• 1-5 Call
• Outstanding Partners
• Relocation Bonus
• Sign-On Bonus

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

Job Title: Unit General Manager I F&B

Department: Operations

Reports To: Senior Leadership (Site General Manager, Director of Operations, Plaza Director)

Status: Exempt

Date: May 2025

Broad Responsibilities:

Lead and oversee all aspects of airport operations business by driving exceptional results, establishing and maintaining company culture, and managing key client relationships. Hold full accountability for achieving financial, operational, and guest service objectives while creating and sustaining a best-in-class work environment. Develop and implement strategic training initiatives and provide leadership to all personnel to ensure consistent delivery of premium service that exceeds Food and Beverage standards and company policies and procedures. Direct and mentor the management team to achieve operational excellence and foster professional growth.

Main Duties & Responsibilities:

1. Follow all policies, procedures, standards, specifications, guidelines, and training programs.
2. Oversee food usage and verify and oversees reconciliation process for deliveries.
3. Resolve immediate customer concerns about food quality or service following company standards.
4. Maintain sanitation standards throughout shifts and complete required documentation.
5. Supervise staff during shifts to ensure health and safety standards and liquor regulations (where applicable) are followed according to state and local guidelines.
6. Complete shift-related paperwork, including forms and reports in a timely manner.
7. Monitor and report supply levels for tableware, cooking utensils and cleaning items.
8. Report maintenance and repair needs for equipment and facilities.
9. Execute opening and closing procedures and maintain security standards.
10. Provide feedback on team member performance.
11. Make employment and termination recommendation consistent with company guidelines
12. Monitor staff compliance with company dress code guidelines.
13. Assist with on-the-job training for new team members.
14. Monitor food preparation and methods to ensure compliance with brand and company specification and standards.
15. Forecast labor and staff schedule appropriately as business dictates in compliance with CBS if applicable.
16. Responsible for onboarding and continued development of associates assigned to their concept.
17. Perform any other duties as assigned by supervisor

Skills and Qualifications

1. High School Diploma or equivalent required.
2. 2+ years restaurant management.
3. Basic communication skills.
4. Ability to organize shift-level tasks.
5. Strong customer service skills.
6. Understanding of basic business patterns.
7. Ability to work effectively with a diverse workforce.
8. Familiarity with inventory management basics.
9. Emerging leadership ability and team motivation skills.
10. Basic understanding of sales, labor costs, and food costs.
11. Ability to work under pressure.
12. Able to work a flexible work schedule including weekends and holidays.

Physical Demands:

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the associate is regularly required to stand for long periods of time, use hands and fingers, communicate verbally, and hear. The associate is frequently required to reach with hands and arms, climb, balance, taste, and smell. The associate is also occasionally required to walk, stoop, kneel, crouch, crawl, and either lift or move up to 35 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to focus.

Benefits:

We offer full-time eligible employees affordable medical insurance, dental and vision benefits, along with a variety of voluntary insurance options. Our benefits package includes company-sponsored life insurance, a free employee assistance program, competitive paid time off, company holidays, and a 401k retirement plan with company match. Plus, enjoy access to discount programs for travel and entertainment. This position is eligible for a bonus.

EEOC Statement:

We are an equal opportunity employer committed to building a diverse team and fostering an inclusive environment where employees feel empowered to bring their authentic selves to work. We welcome applications from all qualified candidates regardless of race, color, religion, gender identity, sexual orientation, national origin, age, disability status, or veteran status.

Senior Medical Biller

About Us

M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We’re looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply.

Job Description

We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and the ability to work cross functionally are essential for success in this role.

Primary Responsibilities

· Serve as a liaison with clients and front office staff to gather missing information and minimize billing delays.

· Ensure clients provide accurate and complete data for timely and compliant claims

· submission.

· Collaborate with the coding team to resolve claims on hold due to incomplete or

· missing information.

· Accurately review and process patient encounters in compliance with coding and

· billing regulations.

· Demonstrate understanding of various surgical specialties and their specific billing

· requirements.

· Identify gaps or deficiencies in clinical documentation, work with physicians to

· clarify and improve records.

· Maintain up-to-date knowledge of CMS guidelines, as well as NDC and LCD payer specific regulations.

· Participate in internal billing audits and implement process improvements based on

· audit findings.

· Work proficiently within Electronic Medical Records (EMR) systems.

· Perform additional billing-related tasks and responsibilities as assigned.

Qualifications

· Proficient in CPT and ICD-10 coding.

· In-depth knowledge of CMS, LCD, and NDC billing requirements.

· Familiar with both CMS-1500 and UB-04 billing formats.

· Proven ability to independently identify and resolve billing and coding issues.

· Strong attention to detail with excellent analytical and organizational skills.

· Experience with commercial insurance payers.

· Prior experience with surgical billing required.

· Familiarity with Epic EMR system is preferred.

· 3-5 years experience in a billing position or related position

Benefits

M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.

Salary

This position offers a salary range of $65,000 to $95,000 annually, commensurate with experience.

Revenue Cycle Systems Charge Analyst

The Systems Charge Analyst supports Revenue Cycle operations by maintaining accurate and compliant billing systems to ensure revenue integrity. This role analyzes charging, coding, billing, and denial trends, performs root cause analysis, and collaborates with Operations and IT to implement Epic system updates and process improvements.

The Analyst will identify opportunities to improve net revenue, assist with billing issue resolution, provide reimbursement analysis, and develop coverage guidelines to reduce claim denials. This role also reviews current practices, system interfaces, and account audits to support the financial health of the organization.

Qualifications

• Bachelor’s degree in Finance, Business, Healthcare Administration, Economics, Statistics, or related field required
• 3–5 years of healthcare revenue cycle, financial analysis, or related experience
• Epic certifications (Resolute Hospital Billing, Charge Router, or Charge Master) preferred
• Coding or Compliance certification preferred
• Knowledge of ICD-10-CM and CPT-4 coding guidelines preferred
• Experience with hospital Charge Master (CDM), billing, or coding
• Familiarity with managed care, reimbursement, and claim denial management
• Strong analytical, communication, and computer skills
• Experience with reporting tools such as Crystal Reports or MS Access preferred

Location: Tarrytown, NY

Work Schedule: Monday to Friday, 8 AM-4:30 PM

Base Salary: $80,000.00-$100,000.00

For positions that have only a rate listed, the rate displayed is the hiring rate but could be subject to change based on shift differential, experience, education, or other relevant factors.

Diversity, equity, and inclusion are core values of Montefiore Einstein. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.

Montefiore Einstein is an equal employment opportunity employer. Montefiore Einstein will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

• Embraces our values & sets an example through his/her behaviors
• Responsible for compliance with all ANN INC. practices and procedures
• Additional responsibilities as assigned by the Store Manager or Co-Manager

• Supporting the business strategy & adjusting to effectively reach goals
• Driving revenue by proactively managing the client experience while effectively performing Manager On Duty responsibilities - Assuming the MOD role when Store Manager/Co-Manager is not on the floor
• Utilizing tools to ensure a client-focused team environment
• Driving volume & anticipating clients' needs while communicating store metrics & individual performance to motivate associates
• Coaching Associates \"in the moment\" on client interactions & performance to maximize productivity & capture client opportunities
• Possessing keys to the store, performing opening and closing procedures in the absence of management (e.g., opening/closing registries, opening checkli9sts, bank deposits, filling in, recovery, cleaning, retrieves/send email, review AT Web, accepts/receives shipment
• Assuming PIN and signature privileges for register functions requiring approval
• Utilizing reports to make effective merchandising decisions & style the store in Division standards
• Leveraging tools, assessing and taking action to drive operational excellence through Stanard Operating Procedures (SOP's)
• Ensure optimal coverage and productivity in all areas of the store through scheduling appropriately
• Complete daily tasks to ensure store runs smoothly and meets all ANN INC. standards and guidelines
• Reports to work as scheduled; records time worked accurately by using ANN INC.'s Time and Attendance system; remains flexible to the needs of the business
• Embraces fashion, understands current market trends and is able to articulate them using ANN INC. interpretations in every client interaction. Represents the brand by adhering to ANN INC.'s dress code guidelines
• Treats others fairly and with respect, valuing differences

• Client Service: Ensures that the client remains the top priority while balancing required tasks and overall store operations
• Store Operations and Organization: Ability to organize, delegate, prioritize assignments, and meet deadlines
• Merchandising: Knowledge of visual standards and techniques, and ability toimplement and maintain with ANN INC.'s guidelines
• Accuracy: Ability to handle cash and provide change without error. Ability to prepare nightly deposit as necessary. Captures accurate information for all transactions including signatures, addresses, and original receipt data
• Communication: Communicates effectively with Clients, Members of Management, Buyisness Partners, and Store Associates
• Schedule: Ability to work a flexible schedule to meet the needs of the business, including evening and weekend shifts
• Physical: Ability to lift and carry up to 20 pounds occasionally. Maneuver effectively around sales floor, stock room and office

• Minimum Requirements: High School Diploma or GED
• Minimum six months Sales Associate experience with ANN INC. or equivalent experience with another retailer in a position of sales associate or higher
• Part-time or full-time managerial experience preferred

We are seeking a detail-oriented Certified Risk Adjustment Coder to join our healthcare team. This role involves working directly within a clinical or administrative unit to ensure accurate and compliant coding of medical procedures, diagnoses, and services. The ideal candidate will be embedded in day-to-day operations, collaborating closely with physicians, nurses, and billing staff to support efficient documentation and reimbursement processes.

This is a hybrid role, and requires 3 days a week in the office

Key Responsibilities:

• Review and analyze patient medical records to assign appropriate ICD-10, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with federal regulations, payer policies, and internal standards.
• Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.
• Submit coded data to billing systems to initiate insurance claims and support reimbursement.
• Maintain and update patient data for long-term tracking and reporting.
• Participate in audits and quality reviews to ensure coding integrity.
• Stay current with changes in medical coding guidelines, CMS updates, and payer requirements.
• Support internal compliance and contribute to external audit readiness.

Qualifications:

• Certified Risk Adjustment Coder (CRC) Certification
• Minimum 2–3 years of experience in medical risk adjustment coding, preferably in an embedded or integrated healthcare setting.
• Familiarity with value-based care and risk-bearing contracts.
• Strong understanding of medical terminology, anatomy, and disease classification systems.
• Proficiency with Electronic Health Records (EHR) and coding software.
• Working knowledge of Microsoft Office.
• Excellent attention to detail and analytical skills.
• Ability to work collaboratively in a fast-paced clinical environment.

Preferred Skills:

• Experience with inpatient, outpatient, or specialty coding.
• Ability to engage with providers.
• Familiarity with payer-specific coding requirements and reimbursement processes.
• Strong communication skills for cross-functional collaboration.
• Knowledge of HIPAA and confidentiality protocols.