Prometheus Query Syntax Jobs in Usa
744 positions found — Page 17
- $45 per hour (Based on Experience) • Monday
- Friday | 8:00AM
- 5:00 PM • Employment type: W2 | Temp to Hire ROLE IMPACT The Inpatient Medical Coder ensures accurate code assignment and reimbursement integrity for acute care hospital services.
This role translates complex clinical documentation into compliant ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) and ICD-10-PCS (Procedure Coding System) codes.
Performance directly impacts MS-DRG (Medicare Severity Diagnosis Related Group) accuracy, audit readiness, and overall revenue cycle performance.
Key Responsibilities • Review and analyze acute care inpatient medical records to assign accurate diagnosis and procedure codes • Apply ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines and payer regulations • Ensure accurate MS-DRG assignment to support compliant reimbursement • Abstract required clinical data into Health Information Management (HIM) systems • Initiate physician queries for documentation clarification and support internal or external audits Minimum Qualifications • 2+ years of acute care inpatient hospital coding experience • Strong working knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG assignment methodologies • High school diploma or equivalent Core Tools & Systems • Electronic Health Record (EHR) systems • Hospital coding and abstracting software • MS-DRG grouper tools • Microsoft Office applications Preferred Skills • Associate’s degree in Health Information Management or related field • CCS (Certified Coding Specialist – AHIMA), CPC (Certified Professional Coder), CCA (Certified Coding Associate), or related credential • Experience in specialty or rehabilitation hospital settings Legal Notice By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners.
Frequency varies for text messages.
Message and data rates may apply.
Carriers are not liable for delayed or undelivered messages.
You can reply STOP to cancel and HELP for help.
You can access our privacy policy at: #FRISCO123
- Friday Job Responsibilities: Coordinate and perform the Master Data function with the following accountabilities: Meet all baseline and project goals for accuracy and timeliness.
Meet the service level agreement for new account set ups and master data change requests.
Monitor customer master data to ensure compliance to data entry standards.
Manage workflow; navigate shifting priorities and staffing issues to minimize risk.
Create and utilize reports for period reporting, KPI reporting, and to analyze pertinent account information.
Provide knowledge and guidance to individuals (internal and external) on all aspects of master data maintenance and store creation.
Collaborate and negotiate with customers, sales field, and finance functions to resolve issues.
Identify and implement action plans and process improvements with little guidance.
Perform root cause analysis on out of sync issues between master files, C2C and SAP and collaborate on solutions Ability to manage multiple priorities to achieve individual and departmental metrics.
Support customer and/or division initiatives.
Participate and collaborate in meetings to gather/share information.
Conduct department overviews to associates and high-level management as needed.
Act as a liaison between functions.
Effectively communicate issues and procedural changes.
Job Requirements: High school diploma or equivalent required.
Some college preferred.
Highly skilled in master data processes and systems.
Highly skilled in the use of Microsoft Excel and proficient use of other Microsoft Office applications.
Skilled at writing DB2 queries, obtaining XPTR reports, and analyzing data.
Must have an understanding of A/R workflow and systems.
Knowledge of SAP preferred Ability to manage multiple tasks and adapt to changing priorities.
Concise and persuasive communication skills.
Highly skilled in applying critical thinking to problem solving and analysis Leadership skills to achieve department objectives through motivation.
Adept at collaboration, negotiation and promoting team work.
Professional and mature with a high degree of confidence interacting with all levels of personnel.
Proven history of being a self-starter.
Must be organized and detail oriented.
This role supports optimal reimbursement and regulatory compliance by converting detailed clinical documentation into compliant ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) and ICD-10-PCS (Procedure Coding System) codes.
Your expertise will directly influence MS-DRG (Medicare Severity Diagnosis Related Group) assignment, audit outcomes, and revenue cycle performance.
• Review inpatient hospital records to evaluate documentation completeness and coding accuracy • Assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes according to official guidelines • Validate and confirm appropriate MS-DRG assignment to ensure compliant reimbursement • Abstract demographic and clinical data into Health Information Management (HIM) systems • Initiate physician queries to clarify documentation and support internal or external audit reviews Minimum Qualifications • Minimum 2 years of inpatient acute care hospital coding experience • Proficient in ICD-10-CM, ICD-10-PCS, and MS-DRG grouping methodologies • High school diploma or equivalent required Core Tools & Systems • Electronic Health Record (EHR) platforms • Coding and abstracting applications • MS-DRG grouping software • Microsoft Office Suite Core Tools & Systems • Associate’s degree in Health Information Management or related healthcare field • CCS (Certified Coding Specialist – AHIMA), CPC (Certified Professional Coder), CCA, or similar credential • Experience coding within specialty units or rehabilitation hospital settings Legal Notice By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners.
Frequency varies for text messages.
Message and data rates may apply.
Carriers are not liable for delayed or undelivered messages.
You can reply STOP to cancel and HELP for help.
You can access our privacy policy at:
This role supports compliant revenue cycle operations by translating complex clinical documentation into precise ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) and ICD-10-PCS (Procedure Coding System) codes.
Performance in this position directly supports MS-DRG (Medicare Severity Diagnosis Related Group) accuracy, audit readiness, and regulatory compliance.
Key Responsibilities • Review and analyze acute care inpatient medical records to assign accurate diagnosis and procedure codes • Apply ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines • Ensure accurate MS-DRG assignment to support proper reimbursement • Abstract required clinical data into the Health Information Management (HIM) system • Query physicians for documentation clarification as needed and assist with audit activities Minimum Qualifications • 2+ years of acute care inpatient hospital coding experience • Strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG assignment methodologies • High school diploma or equivalent required Core Tools & Systems • Electronic Health Record (EHR) systems • Hospital coding and abstracting software • MS-DRG grouper tools • Microsoft Office applications Preferred Skills • Associate’s degree in Health Information Management or related field preferred • CCS (Certified Coding Specialist – AHIMA), CPC, CCA, or other relevant coding credential preferred • Experience in specialty or rehabilitation hospital settings Legal Notice By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners.
Frequency varies for text messages.
Message and data rates may apply.
Carriers are not liable for delayed or undelivered messages.
You can reply STOP to cancel and HELP for help.
You can access our privacy policy at: #Tempe123
Resolves coding issues that does not allow accounts to be billed.
Reviews daily reports.
Responds to inquiries from internal departments related to resolution of coding or other issues related to bill accounts.
Accurately codes, sequences and abstracts outpatient medical records according to ICD-9-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases.
Queries physicians for clarification on documentation.
Skills 1.
Ability to utilize billing /coding and insurance office skills.
2.
Ability to work both independently and collaboratively.
3.
Good overall knowledge of Health Information Systems practices, procedures and guidelines.
4.
Ability to analyze and solve problems.
5.
Time management skills, with emphasis on ability to prioritize.
6.
Ability to seek out new methods and principles to improve services.
7.
Strong verbal and written communication skills.
5.
Detailed oriented.
6.
Knowledgeable of medical terminology.
8.
Strong Customer Service Orientation.
9.
Knowledge of computer skills.
10.
Ability to multi-task multi-systems.
Work Experience One year outpatient billing or coding experience required.
License/Registration/Certification None Education and Training High school diploma or equivalent.
This position is responsible for defining the architecture that translates Aerospace Transactional Part business processes into scalable SAP S/4HANA data models and Oracle OBIEE analytics solutions.
The successful candidate will possess a hybrid skill set, combining deep functional knowledge of supply chain operations with the technical proficiency to design data structures within an SAP S/4HANA environment.
Key Responsibilities: 1.
Analytics Design and Technical Validation Design the logical architecture for Oracle OBIEE dashboards, ensuring the semantic layer aligns with business logic and S/4HANA source data.
Perform technical validation of data models using SQL to verify that development outputs match functional requirements.
Collaborate with SAP Process Experts and Technical Developers to resolve data integrity issues related to inventory tracking, serial number management, and document flow.
2.
S/4HANA Functional and Data Architecture Analyze and map complex aerospace supply chain processes and transactional part lifecycles to analytics fabrics Lead the transition from legacy reporting models to S/4HANA architecture, utilizing modern data structures (e.g., CDS Views) to support various analytics.
Evaluate the impact of S/4HANA innovations on existing business processes, recommending architectural adjustments to optimize data accuracy and usability.
3.
Requirements Engineering and SCOR Integration Translate functional business requirements into detailed technical specifications for SAP HANA database modeling and Oracle OBIEE metadata repositories.
Implement the SCOR (Supply Chain Operations Reference) framework to standardize performance metrics, ensuring that system data accurately reflects Level 1-3 KPIs (e.g., Reliability, Responsiveness, Cost).
Conduct gap analysis between as-is functional processes and to-be system logic, providing technical solutions to resolve discrepancies in data granularity and lineage.
Required Qualifications Education and Experience: Bachelor's degree in information systems, Supply Chain Management, Computer Science, or a related field.
Minimum of 10 years of experience in a Techno-Functional role bridging business analysis and SAP system architecture.
Demonstrated experience with SAP S/4HANA implementations, specifically within Logistics and Supply Chain modules.
Technical Skills: SAP S/4HANA: Strong understanding of S/4HANA data architecture and the differences between ECC and S/4HANA data models.
Data Analysis: Proficiency in SQL for data validation and analysis.
Ability to query databases to verify business logic.
Analytics Architecture: Experience designing reporting solutions and data models for enterprise analytics platforms, preferably Oracle OBIEE.
Functional Competencies: Aerospace Industry: Knowledge of transactional part business, including traceability, configuration management, and compliance requirements.
Supply Chain Strategy: Proficiency with the SCOR model and its application in enterprise resource planning (ERP) systems.
Thanks and Regards, Team Lead Mahesh Kumar Direct No: 949-201-1313 Yochana Solutions INC Windsor, Ontario- Canada Farmington hills, MI-48335- USA USA | CANADA I Mexico | INDIA W: Note: This is not an unsolicited mail.
If you are not interested in receiving our e-mails then please reply with subject line Remove OBIEE RPD modeling, designing start/snowflake schemas
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
This posting is for multiple P&C Actuarial Analyst positions on the pricing, indications, and forecasting teams. These roles require experienced analysts to independently apply actuarial methods for accurate pricing and process improvement, mentor colleagues, provide strategic insights, and manage business risks in compliance with internal risk management policies.
We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC, or Tampa, FL. Relocation assistance is not available for this position.
Experienced analyst responsible for independently applying actuarial methodologies to complete structured projects and serves as a technical subject matter expert on assigned tasks.
What you'll do:
Independently applies actuarial methodologies to complete structured projects (e.g.)
Builds tools to test and implement new methodologies that improve accuracy of actuarial analysis; utilizes model results to select new variables and refresh existing variables in a rating algorithm; analyzes results from multiple methodologies to propose reserve selections and documenting rationale).
Identifies and improves existing processes utilizing actuarial, mathematical, or statistical techniques.
Proactively resolves technical issues and identifies appropriate issues for escalation.
Assists others with troubleshooting issues.
Creates instructions and training materials for actuarial tools and processes.
Mentors new team members.
Apply business acumen to provide actionable insights that help solve business problems.
Effectively communicates insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.
Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
Bachelor’s degree OR 4 years of related actuarial/business/analytical experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.
2 years of actuarial or analytical business experience.
3 Casualty Actuarial Society (CAS) exams.
Experience with relevant actuarial, mathematical, and statistical techniques and approaches used to support fact-based decision-making.
Intermediate knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect technical insights to business problems.
What sets you apart:
Familiarity with Excel and at least one programming language or modeling software package (Python, SQL, R, SAS, etc.).
Demonstrated experience with basic actuarial pricing methodologies.
Demonstrated experience aggregating and analyzing data to solve problems.
Ability to effectively communicate insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.
P&C Personal Lines pricing experience.
Familiarity and experience with industry pricing software such as Earnix.
US military experience through military service or a military spouse/domestic partner.
Compensation range: The salary range for this position is: $77,120 - $138,810.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on .
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
We are seeking a credentialed actuary to join our Property Loss Reserving and Reserving Development team. This Actuary will leverage advanced knowledge of Loss Reserving techniques and Claims Analytics insights to explain drivers of loss trends.
We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position is based in San Antonio, TX. Relocation assistance is available for this position.
What you'll do:
- Applies advanced actuarial knowledge to complete broad and complex projects (e.g., evaluates and selects methodology to price new discount/endorsement for countrywide rollout; develops alternative methodologies to comply with complex regulatory requirements; selects metrics and designs processes to monitor model performance; translates business problems into technical requirements and performs required analysis to develop solutions; independently runs catastrophe models and interprets and communicates results to support critical business activities, while enhancing the control environment as needed.
- Utilizes advanced actuarial, mathematical, or statistical techniques to augment actuarial work product.
- Leads special actuarial projects, such as the development of new methodologies or reporting tools.
- Trains new team members on the theory and mechanics of relevant actuarial methodologies.
- Applies deep understanding of products supported, stakeholders’ needs, and industry trends to solve unstructured business problems.
- Identifies and anticipates compliance gaps and process improvements; recommends and develops solutions to mitigate risk.
- Represents Actuary in cross-functional efforts.
- Develops written communication and presentations that effectively convey data-driven solutions to broad audiences, including cross-functional executive leadership.
- Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
- Bachelor’s degree; OR 4 years of related Actuarial/business/analytical experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.
- 4 years of Actuarial or analytical business experience.
- Associate of the Casualty Actuarial Society (ACAS) Credential.
- Demonstrated advanced skills with relevant actuarial, mathematical, and statistical techniques and approaches used to support fact-based decision-making.
- Advanced knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect external insights to business problems.
- Demonstrated experience communicating complex solutions and analysis to both technical and nontechnical audiences, including executive leadership.
What sets you apart:
- Experience performing Loss Reserve analysis and working in Loss Reserving software (i.e. ResQ, Arius etc.).
- US military experience through military service or a military spouse/domestic partner
Compensation range: The salary range for this position is: $127,310 - $229,160.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on .
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
This posting is for multiple P&C Actuarial Analyst positions on the pricing, indications, and forecasting teams. These roles require experienced analysts to independently apply actuarial methods for accurate pricing and process improvement, mentor colleagues, provide strategic insights, and manage business risks in compliance with internal risk management policies.
We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC, or Tampa, FL. Relocation assistance is not available for this position.
Experienced analyst responsible for independently applying actuarial methodologies to complete structured projects and serves as a technical subject matter expert on assigned tasks.
What you'll do:
Independently applies actuarial methodologies to complete structured projects (e.g.)
Builds tools to test and implement new methodologies that improve accuracy of actuarial analysis; utilizes model results to select new variables and refresh existing variables in a rating algorithm; analyzes results from multiple methodologies to propose reserve selections and documenting rationale).
Identifies and improves existing processes utilizing actuarial, mathematical, or statistical techniques.
Proactively resolves technical issues and identifies appropriate issues for escalation.
Assists others with troubleshooting issues.
Creates instructions and training materials for actuarial tools and processes.
Mentors new team members.
Apply business acumen to provide actionable insights that help solve business problems.
Effectively communicates insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.
Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
Bachelor’s degree OR 4 years of related actuarial/business/analytical experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.
2 years of actuarial or analytical business experience.
3 Casualty Actuarial Society (CAS) exams.
Experience with relevant actuarial, mathematical, and statistical techniques and approaches used to support fact-based decision-making.
Intermediate knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect technical insights to business problems.
What sets you apart:
Familiarity with Excel and at least one programming language or modeling software package (Python, SQL, R, SAS, etc.).
Demonstrated experience with basic actuarial pricing methodologies.
Demonstrated experience aggregating and analyzing data to solve problems.
Ability to effectively communicate insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.
P&C Personal Lines pricing experience.
Familiarity and experience with industry pricing software such as Earnix.
US military experience through military service or a military spouse/domestic partner.
Compensation range: The salary range for this position is: $77,120 - $138,810.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on .
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.