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The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions.

The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely.

Principal duties and responsibilities:

Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers.

Researching state and payer regulations to identify areas of risk in a variety of healthcare settings and specialties, coordinating with various team members to ensure clear expectations are communicated and deadlines are met.

Qualifications:

CPC/CCS-P with a minimum of 5 years of experience in healthcare coding/auditing (E&M, CPT, HCPCS and ICD-10), with knowledge of professional billing, coding, and documentation practices performed by physicians and other qualified healthcare providers in inpatient and outpatient settings.

Proficiency in evaluating how well clinical documentation supports medical necessity and the E/M, CPT, and HCPCS codes that were billed, across a wide range of services. The focus will be in the primary care sector (fee-for-service and risk-based), though experience in specialties such as dermatology, vascular, podiatry, wound care, home health, and personal care is preferred. Behavioral health experience is also a plus.

Proven ability to identify billing and coding issues including use of modifiers, bundling issues, CCI edits, therapeutic and diagnostic procedures, supplies, materials, injections, drugs, and units of service etc.

Solid understanding of both federal and state coding and documentation laws and regulations, applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity. Identify and access risk of repayment or recoupment in the event of payor scrutiny.

Familiarity with both UB-04 and CMS 1500 claims data, as well as understanding of payor remittances.

Knowledge of anatomy, physiology, and medical terminology necessary to appropriately review assignment and documentation of diagnosis codes.

Solid working knowledge of various EHR/EMR systems; experience accessing these remotely.

Strong organizational skills and task management

Highly organized with a high level of attention to detail

Ability to work in a fast paced and rapidly changing environment.

Skilled at multi-tasking with the ability to handle several different priorities simultaneously.

Strong communication skills with experience in articulating audit findings and interpretation of coding regulations

Experience with HIPAA, data privacy, and/or data security processes.

Experience working with regulators governing (public or private) health insurance carriers.

A minimum of AAPC or AHIMA certification required, that could include:

· Certified Professional Coder (CPC)

· Certified Outpatient Coder (COC™)

· Certified Professional Medical Auditor (CPMA)

· Certified Risk Adjustment Coder (CRC™)

· Certified Coding Specialist (CCS)

· Certified Coding Specialist – Physician based (CCS-P)

For consideration, please email resume and cover letter as attachments with salary expectations to with the subject title “Certified Coding Auditor - Behavioral Health.”

Marwood offers a comprehensive compensation package with full benefits. We offer a competitive wage, a collaborative work environment and an opportunity to participate in a full benefit package, including, Medical, Dental, Vision, Life, AD&D, Voluntary Life and LTD, Spouse and Dependent Life, 401k Retirement plan with a company match, Commuter, FSA/DCFSA. We offer paid days off, and paid holidays. Marwood prides itself on providing employees with a good work-life balance. There is no travel expected with this position.

The position is based in our New York location. Currently working a hybrid schedule. Remote option will be considered.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class.

The Department of Biomedical Sciences invites applications for the Dr. Richard J. Bellucci Postdoctoral Fellowship. This Fellowship is one of the most prestigious offered by Creighton University and is reserved for highly promising early-career scientists who are engaged in hearing research. A successful candidate will be expected to conduct leading research in hearing science, mentor junior trainees, and develop a strong publication and presentation record.

We offer:

• Exceptional faculty and mentorship
• Numerous internal funding opportunities
• A strong University benefits package

Qualifications:

• Terminal degree (PhD and/or MD) with extensive, demonstrated experience in any of the following fields: Neuroscience, Chemistry, Developmental Biology, Bioinformatics or other related fields
• A commitment to hearing research
• Excellent communication skills, oral and written
• Strong publication and conference record
• Enthusiasm to work in a highly diverse, collaborative environment

Applicants must provide:

1. A ONE-page essay demonstrating their commitment to hearing research and a project that merits this Fellowship. This essay should include:
   1. A preliminary research plan, hypothesis, or major question.
   2. A member of Center faculty whose lab is appropriate for their research interest.
      1. Applicants are strongly encouraged to contact their proposed mentor in advance of applying to discuss their proposal. Current Center Faculty: Drs. Peter Steyger, David He, Marisa Zallocchi, Litao Tao, Justine Renauld, Jemma Webber, Allison Coffin, Kelsey Anbul, and Hui Hong

2. A biosketch (e.g., NIH Biosketch) that includes tangible products that support your appointment. These may include but are not limited to: Publications, Grant applications submitted and grants received, Patents, Podium and poster presentations, Professional development and career preparation, Volunteer experience

3. Names and contact emails of three professional referees who can provide a confidential letter of recommendation that speaks to their ability to conduct exceptional postdoctoral hearing research at a leading auditory-vestibular neuroscience institution. At least one referee should be outside the applicant's current institution.

Incomplete applications will not be considered.

The Dr. Richard J. Bellucci Translational Hearing Center is based on a highly collaborative and multi-disciplinary research model. We therefore welcome applicants who bring a broad range of applicable skills and perspectives to the Center as they fuel our innovation.

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 892 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.

Active - Benefit Eligible and Accrues Time Off

Work Hours per Biweekly Pay Period: 80.00

Shift: Flexible Hours and/or Flexible Schedule

Location: 210 South Florida Avenue Lakeland, FL

Pay Rate: Min $19.37 Mid $24.22

Position Summary

Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes.

Position Responsibilities

People At The Heart Of All That 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.

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.

Stewardship

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

Standard Work Duties: Coder II - Outpatient

• Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding
• Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment.
• Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement.
• Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers.
• Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines.
• Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames.
• Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.
• Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily.
• Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
• Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.

Competencies & Skills

Essential:

• Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
• Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.
• Knowledge of anatomy and physiology, pharmacology, and medical terminology.

Qualifications & Experience

Essential:

• High School or Equivalent

Nonessential:

• Associate Degree

Essential:

• High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.

Other information:

Certifications Essential: CCS

Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).

Experience Essential:

2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.

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 892 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.

Active - Benefit Eligible and Accrues Time Off

Work Hours per Biweekly Pay Period: 80.00

Shift: Flexible Hours and/or Flexible Schedule

Location: 210 South Florida Avenue Lakeland, FL

Pay Rate: Min $24.73 Mid $30.92

Position Summary

Under the direction of the Coding and Clinical Documentation Improvement Manger , reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, physician advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract, Participates in ongoing continued education to assure knowledge and compliance with annual changes.

Position Responsibilities

People At The Heart Of All That 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.

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.

Stewardship

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

Standard Work Duties

• Determines whether the coding assigned was properly assigned based upon clinical indicators and review of the medical documentation and application of coding guidelines.
• Develop and apply appeal arguments to defend the coding and clinical decisions while being able to address and refute the coding determination made by the carrier/payer.
• Drafts appeal letters, including the coding argument with clinical and coding references, to support the coding decision. This may include providing additional medical record documentation.
• Identifies areas for education to improve complete and accurate coding and billing and provide feedback to management regarding trends or patterns noticed in the coding for discussion.
• Continued follow-up on denials as payers may continue to deny. Collaboration with Physician Advisor as required to continue appeal process.
• Continuously reviews changes in coding rules and regulations including in Coding Clinic, CMS, and other payer guidelines.
• Complete denials/appeals reports for leadership.
• Documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.
• Assigns and sequence documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.s diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines.
• Performs special projects and/or other duties as assigned.

Competencies & Skills

Nonessential:

• Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
• Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision
• MS-DRG and APR-DRG methodology expertise required. Strong knowledge of ICD-10-CM, ICD-10-PCS, POAs, HACs, PSIs, SOIs, ROMs and mortality rates as well as physician queries.

Qualifications & Experience

Nonessential:

• Associate Degree

Essential:

• High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.

Other information:

Certifications Essential: CCS

Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).

Experience Essential: 2-5 years acute care hospital inpatient coding experience within the past five years.

Department/Unit:

Work Shift:

Salary Range:

Clinical Duties:

• Assists the attending Transplant surgeons, house staff, and Transplant staff with the direct care of hospitalized patients and outpatients on a rotating basis with the other clinical care coordinators, including: facilitation of patient discharges and transplant teaching
• Attends once a week outpatient Transplant clinics: RN orders labs, performs injection teaching, coordination of care

Schedule appropriate non-invasive laboratory tests and participates in the interpretation of the results and the institution of appropriate therapy based off physician guidances

• Schedules appropriate surgery and tests for patients
• Discharge Planning
  Reviews discharge instructions to hospitalized patients
  Works with hospital case manager and social worker regarding patient discharge needs
• Answers telephone inquiries from patients and/or visiting nurses after hospital discharge
• Education of health care workers and the public regarding organ transplantation
• Participates in teaching programs of the Abdominal Organ Transplant Program
• Additional responsibilities as needed.

Patient Care and Monitoring:

• Monitor Transplant recipients after surgery for complications or rejection and report to Transplant
  Physician
• Review lab results and biopsy reports
• Assess patient symptoms and clinical status
• Coordinate follow-up visits and routine post-transplant evaluations

Medication Management:

• Monitor drug levels
• Adjust medications based on provider orders
• Educate patient of medication changes and adherence

Provide Education and support to lifestyle changes, infection prevent, medication schedules, emotiona support, provide resources, and warning signs of complications inpatient and outpatient.

Thank you for your interest in Albany Med Health System!​

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

• Graduate of an accredited or state board of nursing approved Registered/Professional Nursing program if less than 3 years' experience.
• State licensure as a Registered Nurse (RN). Basic Life Support (BLS) Healthcare Provider and any relevant life support certification as determined at position level.
• 6 months RN experience or completion of the UCHealth Fellowship program
• ACLS within 6 months of hire or transfer.
• BLS - BLS through the American Heart Association or the American Red Cross CPR for the Professional Rescuer with card in-hand before start date. BLS or CPR card must be good through sixty days of hire.

• Provides top of scope practice in direct patient care utilizing the nursing process
• Values a multidisciplinary team approach to achieve exceptional outcomes
• Prioritizes wellness, a patient perspective and evidence-based practice
• Models proficiency through precepting those new to healthcare and/or UCHealth
• Welcomes new knowledge in a fast paced, innovative clinical environment
• Contributes to secure safety and quality at the point of care

• Direct care includes practice in Perioperative, PACU (Post Anesthesia Care Unit) or Operating Room levels of care
• AORN and ABPANC core curriculum and certifications standards are included in evidence-based care models
• Clinical Educators support and guide individualized specialty education and training for competency validation throughout clinical orientation.

• Medical, dental and vision coverage including coverage for eligible dependents
• 403(b) with employer matching contributions
• Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UCHealth with PTO in your bank
• Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options
• Employer paid short term disability and long-term disability with buy-up coverage options
• Wellness benefits
• Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs
• Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year

• UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

• Registered Nurse
  Advanced Cardiac Life Support
• Graduate of an accredited or state board of nursing approved Registered/Professional Nursing program if less than 3 years' experience.
  State licensure as a Registered Nurse (RN).
  6 months RN experience or completion of the UCHealth Fellowship program.
  
  ACLS within 6 months of hire/transfer.
• BLS through the American Heart Association or the American Red Cross CPR for the Professional Rescuer with card in-hand before start date. BLS or CPR card must be good through sixty days of hire.

• Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
• Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
• Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.

• Medical, dental and vision coverage.
• Access to 24/7 mental health and well-being support for employees and dependents.
• Discounted gym memberships and fitness resources.
• Free membership.
• Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
• Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
  • New employees receive an initial PTO load with first paycheck.
• Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
• Employer-provided short-term disability and long-term disability with a buy-up coverage option.

• 403(b) plan with employer matching contribution.
• Additional 457(b) plan may be available.
• Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.

• UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
  • Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
  • Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
• Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
• Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.

• CO RN license or eNLC privileges
• 1-year experience
• ACLS
• BLS - BLS through the American Heart Association or the American Red Cross CPR for the Professional Rescuer with card in-hand before start date.

• Provides top of scope practice in direct patient care utilizing the nursing process
• Values a multidisciplinary team approach to achieve exceptional outcomes
• Prioritizes wellness, a patient perspective and evidence-based practice
• Models proficiency through precepting those new to healthcare and/or UCHealth
• Welcomes new knowledge in a fast paced, innovative clinical environment
• Contributes to secure safety and quality at the point of care

• Medical, dental and vision coverage including coverage for eligible dependents
• 403(b) with employer matching contributions
• Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UCHealth with PTO in your bank
• Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options
• Employer paid short term disability and long-term disability with buy-up coverage options
• Wellness benefits
• Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs
• Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year