Documentation & Risk Coding Analyst - Hospital Based Job at Advocate Health Care (Milwaukee)

Documentation & Risk Coding Analyst - Hospital Based

Will support - Hospital Based Coding. Standard dept operating hours Mon-Fri. 6am...

Location

United States , Remote; Milwaukee

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge
High school diploma or GED required
Minimum of 4 years of healthcare experience, including at least 2 years working as a clinician or in direct partnership with clinicians or recognized profession supporting clinicians (i.e. CDI, CMD or informatics), with demonstrated involvement in clinical documentation, coding, or documentation improvement initiatives
Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications
Demonstrated proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems
Ability to deal and work effectively with multiple departments and in matrix organizational structures
Strong oral and written communication skills
Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment
Highly proficient in problem-solving and strong attention to detail
Advanced knowledge of Epic

Job Responsibility

Demonstrates full understanding and is compliant with regulatory requirements regarding coding of medical information including but not limited to external regulatory agencies such as Quality Improvement Organizations (QIOs), the Centers for Medicare & Medicaid Services (CMS), Medicare National Correct Coding Initiative edits and other payers
Partners with Coding, CDI, CMD and Quality professionals and others to advance documentation improvement practices
Exhibits and promotes a professional team-oriented service culture to achieve intended outcomes
Reviews clinical documentation and diagnostic results from the EHR to ensure appropriate assignment of the ICD-10-CM/PCS and/or ICD-10-CM CPT/HCPCS codes to support organizational and Clinician Services initiatives
As indicated, queries providers when existing documentation is unclear or ambiguous following established organizational policy
Partner within sub-function leadership and team members to identify opportunities for improvement based on analysis and review
Demonstrates positive collaboration with team members within Clinician Services and other organizational stakeholders
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines as well as the organizational and departmental guidelines, policies and protocols
Demonstrates technical competence to use EHR, other software applications and official coding resources
Maintains confidentiality of patient records. Reports any perceived non-compliant practices to the Documentation and Risk leadership or compliance officer

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions

Fulltime

Clinical Risk Management Analyst

Location

United States , Aurora

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

If RN, Active, unrestricted registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services
Graduate of a Board of Nursing approved nursing education program
Typically requires 5 years of experience in healthcare, quality and/or risk management, which includes experience in risk management principles, and continuous quality improvement tools and concepts
Knowledge of federal, state and other external health care regulations and standards and ability to research those regulations
Knowledge of evidence based, best practice resources to promote efficiency and effective outcomes
Working knowledge of process improvement methods and statistical tools
Effective conflict management and resolution skills
Basic working knowledge of medical terminology, clinical concepts and disease management
Intermediate computer skills including experience in using Microsoft Office (Excel, Word, Power Point, Access) or similar products
Strong written and oral communication skills including good presentation skills

Job Responsibility

Collaborates with claims adjustors and defense counsel in managing claims including assessment of liability, ensuring establishment of appropriate reserves, maintaining complete and up-to-date case files, and assisting in procurement of medical records and documents necessary for evaluation and defense of cases
Facilitates timely response and investigation of adverse and significant events
Collects and evaluates data concerning incident reports, aggregates data summaries, and develops monthly and quarterly risk management reports that provide a summary of current claims and litigation, to include an analysis of trends
Shares reports with appropriate leadership and advises and recommends actions for process improvement
Maintains an accurate, up-to-date database reflecting the status and essential elements of current claims and litigation
Analyzes patient concerns or complaints to determine the root of the matter, identifies any trends, and determines how best to address the concern or complaint
Reviews and gathers pertinent information from patient records
Collaborates with other risk staff in the prompt, equitable resolution of claims
Provides consultative and resource support to staff regarding all aspects of risk management
Coordinates, facilitates, implements and participates in care management and quality improvement initiatives

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

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Risk Assistant

We are looking for a detail-oriented Risk Assistant to support risk management a...

Location

United States , Independence

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Associate's degree or Bachelor's degree preferred
At least 1 year of risk management experience or equivalent related background
Proficiency with Microsoft Office applications, including Word, Excel, and Teams
Strong organizational skills with a high level of accuracy and attention to detail
Ability to manage multiple priorities, adapt quickly, and learn new processes and technologies
Effective written and verbal communication skills with a collaborative, service-focused approach

Job Responsibility

Oversee the weekly deductible billing process by reviewing carrier submissions, organizing records, and distributing information to the appropriate stakeholders
Support the Director of Risk Management with onboarding newly acquired or opened business locations by coordinating insurance setup, incident reporting access, statements of value, and pre-opening guidance
Gather and analyze loss information, renewal materials, and claim activity data to assist with reporting, trend evaluation, and departmental decision-making
Communicate with third-party administrators, brokers, and insurance carriers to report new, relocated, or closed locations and maintain accurate coverage and structural records
Process departmental and outside counsel invoices by assigning proper coding and forwarding documentation for accounts payable handling
Coordinate vehicle insurance support by providing updated insurance cards upon renewal and submitting quarterly fleet changes to the insurance broker
Prepare and maintain risk-related correspondence and administrative records, including document retention notices and other supporting materials
Supply the Legal team with claim files, investigative documentation, and loss run reports when matters proceed to litigation
Organize document storage within the company's document management tools and assist with shipment preparation, meeting coordination, and other departmental administrative needs

What we offer

medical, vision, dental, and life and disability insurance
401(k) plan

Fulltime

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Customer Success Manager II

As a Customer Success Manager ~ Financial Services (CSM), you will play a pivota...

Location

United States

Salary:

70400.00 - 96700.00 USD / Year

Seismic

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Business Administration, Engineering, Computer Sciences or equivalent work experience
Advanced proficiency with the Microsoft Office Suite
Strong understanding of the SaaS industry and customer success principles
Excellent communication and interpersonal skills
Ability to build and maintain strong relationships with customers
Problem-solving and analytical skills
Strong project management and organizational skills
Passion for customer success and driving value
Ability to confidently present to, and engage with, customer executives

Job Responsibility

Customer Relationship Management: Build and maintain strong, mid-market financial services customer relationships, acting as a trusted advisor. Develop strategies for multi-threaded partnerships, including executive connections
Driving Adoption: Create and execute strategic adoption plans. Provide training and support to ensure full platform utilization. Monitor usage and address adoption challenges
Focus on Value Attainment: Collaborate with financial services customers to define outcomes and KPIs. Track success metrics and identify upselling opportunities
Renewal Management: Maintain accurate renewal forecasts. Develop renewal strategies, conduct health checks, and negotiate terms. Explore upselling opportunities and manage risks
Product Knowledge: Possess expert knowledge of the Seismic Enablement Cloud. Provide guidance on advanced features and align development with customer goals
Internal Collaboration: Work closely with other departments (e.g., sales, services, support, product, engineering) to ensure customer satisfaction

Fulltime

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Join one of the UK's leading hospitality businesses as a Line Chef. In return ...

Location

United Kingdom , Dyce

Salary:

12.97 - 16.04 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Experience of working as an assistant chef or a chef
Excellent organisational and multitasking abilities
Ability to maintain a positive attitude in a fast-paced airport environment
Flexibility in hours, airport shifts can start at 3am
Ability to provide a 5 year work/education/personal reference history and undertake a criminal record check

Job Responsibility

Create unforgettable guest experiences by preparing and delivering delicious food
Work on the front line of the kitchen whether it's the grill or the pasta section
Create an atmosphere of excellence, ensuring guest satisfaction and following company standards
Listen to feedback, manage time effectively, be reliable, collaborate with the team and be able to work independently during peak shifts

What we offer

Free meals on shift
Up to 30% discount at all our brands with no limit on number of guests
Excellent career opportunities
Duty free discounts excluding alcohol and cigarettes
Access to a great discount platform
Wagestream platform to access your wages as they are earned
Superb training and development
Apprenticeships open to all

Fulltime

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Senior Project Manager II

Our award-winning Professional Services team is on the hunt for a Project Manage...

Location

United States

Salary:

107000.00 - 147100.00 USD / Year

Seismic

Expiration Date

Until further notice

Requirements

5-8+ years in professional services, management consulting, customer success, business analysis, or other client-facing roles, with a proven record of managing enterprise SaaS implementations using both waterfall and agile methodologies
Experience leading initiatives with cross-functional teams on multiple concurrent engagements
A track record of professional achievements and delighted customers
Confidence in communicating with business, technical, and Executive & C-level stakeholders
Ability to create structure in ambiguous situations and design effective processes
Experience working with complex, multi-divisional, multi-geographical customers
Ability to understand and document business requirements, providing prescriptive recommendations
Passion for becoming an expert on our products
Willingness to travel up to 5-10% for customer onsite visits
Knowledge with FinancialForce and Atlassian products preferred

Job Responsibility

Execute implementation projects by partnering closely with executive-level project sponsors
Drive customer engagement efforts for new and existing customers
Deliver high-impact engagements, lead meetings (both onsite and virtual), customer project artifacts
Develop detailed project plans, schedules, and work breakdown structures
Track detailed engagement scopes, work with customers to estimate and manage scope changes
Create comprehensive weekly status reports and communication plans
Proactively identify implementation risks and mitigate them efficiently
Establish and nurture positive relationships with customer stakeholders
Conduct qualitative and quantitative evaluations of deliverables, budgets, schedules, resource forecasts, and project scope
Maintain a deep understanding of Sales Enablement

Fulltime

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Hr Admin/recruiter

We are looking for an organized and proactive HR Admin/Recruiter to support hiri...

Location

United States , Cleveland

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in both recruiting and HR administration roles
Working knowledge of pre-employment processes, including background checks and employment documentation
Familiarity with Paycor or comparable HRIS/applicant tracking systems
Ability to prepare legal forms and detail-oriented correspondence with strong attention to detail
Understanding of benefit-related HR support functions
Strong organizational skills with the ability to manage multiple tasks, deadlines, and confidential information
Effective written and verbal communication skills in a detail-oriented office environment

Job Responsibility

Manage recruiting activities from intake through onboarding support, including posting jobs, reviewing applicants, coordinating interviews, and maintaining timely candidate communication
Provide day-to-day HR administrative support by preparing employment-related documents, organizing records, and assisting with routine employee paperwork
Conduct and track background screening steps and other pre-employment requirements to help ensure a smooth and compliant hiring process
Use Paycor to maintain hiring information, update applicant and employee data, and support accurate HR documentation
Partner with the Talent Acquisition Manager and internal stakeholders to keep searches moving forward and address hiring needs efficiently
Assist with benefit-related administrative tasks and respond to general HR inquiries with care and discretion
Prepare legal forms and written correspondence connected to employment processes while following company guidelines and confidentiality standards
Support onsite recruiting and HR operations in a hybrid schedule that includes regular in-office presence on Tuesday, Wednesday, and Thursday

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

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Night Care Assistant

Are you a Night Care Assistant who is passionate about providing quality care? L...

Location

United Kingdom , Londbridge

Salary:

13.64 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Hold a care certificate or be willing to undertake a care qualification
Personable, an effective communicator and a team player
Passionate about delivering quality care service
Flexible with hours

Job Responsibility

Provide all aspects of domiciliary care to our residents, including both physical, personal care and support with social activities
Promoting and supporting the physical, emotional and well-being of our residents
Encourage independence and self-belief
Ensure records and documents are completed in line with our policy

What we offer

Golden Hello for All New Care Assistant Starters Of £500! (Criteria Applies)
33 Days Annual Leave (FTE) Pro Rata for Part Time
Buy And Sell Holiday
Free Life Insurance
Cycle2work Scheme
Attendance Reward
Free Use of Onsite Gym
Up to 9% employer pension contribution (5% employee)
Blue Light Card discounts
Enhanced Maternity & Paternity allowance

Parttime

Select Country

Documentation & Risk Coding Analyst - Hospital Based

Advocate Health Care

Location:
United States , Milwaukee

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 14, 2026

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