Prospective Chart Reviewer Job at Randstad (Bengaluru)

Director, Provider Education & Risk Adjustment

The Physician Educator serves as a liaison between the Health Plan and the parti...

Location

United States , New York

Salary:

175000.00 - 200000.00 USD / Year

MJHS

Expiration Date

Until further notice

Requirements

Bachelor's Degree required or comparable work experience will be considered
Minimum 5 years of experience in professional services, including practice management, nursing, clinical documentation improvement or quality audit
2-3 years of teaching experience in a clinical setting preferred
2-3 years of progressive leadership experience preferred
Extensive knowledge of coding and documentation requirements including ICD-10-CM, CPT-4, and HCPCS
In-depth knowledge of medical terminology, anatomy and physiology, pharmacology, and pathology required
A general understanding of Health care insurance and Medicare managed care is highly preferred for this position
Excellent verbal and written communication skills, analytical skills, and organization skills required
Extensive problem-solving experience is required
Experience working with physicians and physician practices

Job Responsibility

Develop and maintain collaborative relationships with assigned providers/practices within Elderplan Network
Coordinate and present education of providers/practices related to risk adjustment, coding, and clinical documentation improvement
Assess workflow processes in physician practices that impact the ability to maximize Health Plan revenue achieved through the various risk adjustment payment models
Identify trends and barriers that interfere with correct coding and documentation practices in the physician practice sites, including but not limited to workflow, electronic health records, and clearinghouses
Adhere to CMS coding and documentation guidelines
Analyze medical record documentation and coding through a chart review process that identifies incorrect coding, coding lacking supporting documentation, and missed opportunities to capture risk adjustment diagnoses and associated revenue
Analyze and distribute reports to providers that summarize their performance related to coding and documentation and risk adjustment
Develop and implement strategic action plans based on findings of assessment of physician practice workflows and medical record documentation reviews
Maintain confidentiality of chart review results and member information
Maintain a current and in-depth knowledge of CMS guidelines related to risk adjustment, coding, documentation, as well as knowledge of new models of risk adjustment that impact Health Plan revenue

What we offer

Tuition Reimbursement for all full and part-time staff
Generous paid time off, including your birthday
Affordable and comprehensive medical, dental and vision coverage for employee and family members
Two retirement plans! 403(b) AND Employer Paid Pension
Flexible spending
Paid Student Loan Forgiveness Program (PSLF)

Fulltime

Business Consulting Accounting Manager

We are seeking a Manager to join the Abdo business consulting team. If you have ...

Location

United States , Edina

Salary:

95000.00 - 130000.00 USD / Year

Abdo

Expiration Date

Until further notice

Requirements

Bachelor’s degree in accounting, finance, or related field
5+ years experience working in accounting
CPA preferred
Accounting experience in the following industries preferred: manufacturing, agriculture, professional services, real estate, and construction
Skilled in controller services, process optimization, long-term financial planning, budgeting, cost management, and software implementations
Experience in project and change management
Proficient in advanced MS-Excel functions (e.g. VLOOKUP, H-LOOKUP, SUMIFS, conditional statements (IF, MAX, MIN), pivot tables, graphs and charts)
Strong quantitative analysis and financial modeling skills, with a focus on improvement and automation
Experience with Quickbooks, Syft and/or Martus Solutions preferred
Desire to work in a fast-paced environment

Job Responsibility

Act as a fractional Controller for multiple clients: oversee monthly close, prepare management reports, join leadership meetings, and help improve overall business performance
Lead special accounting projects such as budgeting and forecasting, process and internal control reviews, and KPI/dashboard development
help clients work through complex financial issues
Advise clients on multi-year strategic accounting and finance needs
support them through process and systems changes
Serve as the QuickBooks Online expert: support implementations, conversions, system setup, and user training in coordination with our Financial Solutions team
Provide guidance on the financial and tax implications of business decisions and identify when to involve the tax team for more complex issues
Present financial results to leadership teams with clear insights
Ensure year-round audit readiness with clients
Perform compilation engagements, including GAAP and tax accounting matters, financial statement preparation, and related footnote disclosures

What we offer

Medical, dental, vision, HSA with employer match, FSA medical and dependent care, long & short-term disability insurance options
22 days per year of PTO, 8 full holidays, 2 half holidays, 24 hours paid volunteer time, parental and grandparent leave
401(k) plan with employer contributions up to 4.5%
Abdo-sponsored telehealth platform
Technology reimbursement
Half day Fridays June through September
Professional expenses and CPA support and bonus

Fulltime

Sales Enablement Specialist

The Sales Enablement Specialist is responsible for leading the collaboration wit...

Location

United States , Bonita Springs

Salary:

85000.00 - 95000.00 USD / Year

Rittenhouse Village At Michigan City

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in business, finance, or related field
Four years in a business analyst role
Multifamily or Senior Living experience a plus
Ability to communicate effectively in writing and verbally at all levels of the organization
Ability to read and interpret documents, including procedural manuals and training materials
Ability to write reports and correspondence communication
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
Ability to compute ratios, percentages, and comparisons to properly evaluate data
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
Ability to deal with problems involving several concrete variables in standardized situations

Job Responsibility

Collect and analyze data to identify sales opportunities, assist with revenue driving strategies, and provide insight on market conditions
Analyze business results and work with the sales team and other departments (Marketing, Business Intelligence, Finance and Operations) to increase the prospect base, identify strengths and weaknesses in current business tactics, and provide suggestions for improvements, as necessary
Using established metrics, design and deliver predictive models for sales activities and move ins
Develop, evaluate, and improve methods of data collection and analysis
Prepare complex reports of metrics and analysis and communicate findings and recommendations to the appropriate stakeholders
Manage multiple projects to completion with minimal guidance and with collaboration across multiple disciplines
Identify opportunities and collaboratively develop solutions with the appropriate stakeholders
Develop and maintain sales analytics reports and dashboards to provide actionable insights that support data-driven decision-making for the sales and executive leadership teams
Partner with sales leadership to define and operationalize key Sales KPIs to build measurement and tracking tools to put data at the center of decision making
Create compelling presentations and effectively communicate findings on key trends, insights, and implications while aligning stakeholders on action plans

Fulltime

Chart Retrieval Specialist

You'll retrieve medical records from various healthcare facilities on behalf of ...

Location

United States , Seattle

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School diploma or GED
A valid driver's license
Insurance/liability policy in the team member's name
Reliable and secure internet with the ability to download 50 Mbps and upload 5 Mbps
Meticulous attention to detail
Strong interpersonal skills
Know how to download / upload files and store them in an organized file
Ability to transfer files from software to a desktop folder
Know how to copy and paste files, i.e., transfer files to a flash drive
Lift and carry chart boxes efficiently without putting your back and other muscles at risk

Job Responsibility

Retrieve medical records from various healthcare facilities on behalf of health plans and other clients for retrospective and prospective reviews
Scan Medical Records/Charts and upload into the system office after the day is completed
If you have anything left to submit at the end of the day, you can do it from the comfort of your home

What we offer

Medical
vision
dental
life and disability insurance
401(k) plan
free online training

Credit Analyst

Location

Czechia , Prague

Salary:

737000.00 - 1143000.00 Kč / Year

Citi

Expiration Date

Until further notice

Requirements

2-5 years previous experience in a financial institution with a focus on credit analysis and spreading software
Extensive knowledge of Generally Accepted Accounting Principals (GAAP) accounting, financial regulations, financial products, and credit analysis
Good verbal and written communication skills in English
Knowledge of accounting theory and ability to read and assess company financial statements
Excellent organizational skills, attention to detail, and the ability to complete assignments in a timely manner
Effective written and verbal communication skills
Ability to work independently and within a team
Proficient in various spreadsheet and word processing applications (Excel and Word are preferred), including the use of graphs, models and charts
Related banking experience preferred
Educated to degree level or equivalent

Job Responsibility

Work alongside credit underwriters and bankers in structuring and analyzing credit requests for new and existing clients
Spread financial statements in accordance with bank guidelines whenever required to prepare credit ratings on existing and prospective borrowers
Produce credit summaries analyzing the business, performing financial analysis, identifying strengths, and prevailing risk factors for the business to make appropriate risk and return decisions
Prepare company financial projections to assess the repayment capacity of clients
Provide preliminary analysis of simple to medium complexity credits, and coordinate with the Credit underwriters, risk partners and Relationship Managers
Present credit analysis to senior stakeholders and effectively answer questions when challenged
Ongoing early warning monitoring and the preparation of annual credit reviews for a portfolio of clients
Stay abreast of developments within the global economy and designated industries to support early warning monitoring
Work with colleagues globally to offer credit solutions to international subsidiaries understanding local market requirements
Maintain compliance with Citibank credit policies / practices and regulatory policies, to ensure the business unit is in adherence and receives satisfactory ratings from internal and external auditors

What we offer

competitive base salary (which is annually reviewed)
hybrid working model (up to 2 days working at home per week)
business casual workplace

Fulltime

Acquisition Professional Senior Level

ITC is a Woman Owned Small Business delivering exceptional consultation to the U...

Location

United States , Laurel

Salary:

125000.00 - 160000.00 USD / Year

Integrity Technology Consultants

Expiration Date

Until further notice

Requirements

TS/SCI with Poly required. (FS desired)
A Bachelor’s Degree with a business or technical focus is required
Twelve (12) years of demonstrated combined experience in DoD program management, contract management, and/or financial management, and a bachelor's degree with a business or technical focus is required
In lieu of a degree, Project Management Institute PMP certification, Contract Manager CPCM certification, or DAWIA Level III in any focus area, and an additional three (3) years of directly related experience for a total of fifteen (15) years may be substituted
Familiarity with Plan-It is preferred
In lieu of certification, an additional three (3) years of directly related experience for a total of eighteen (18) years may be substituted
Intermediate proficiency with MS Excel is required to include demonstrated use of pivot tables, slicers, and pivot charts.

Job Responsibility

Acquisition Professionals (AP) provides acquisition support on functions for program management
Assists program managers in developing program documentation, creating program schedules, tracking program status, evaluating operational and technical alternatives, performing risk assessment and managing integrated product teams
Advice to Government on acquisition/solicitation/award strategy
Development/refinement of acquisition strategy, including drafting, documentation management, tracking of status, and organizing meetings
Requirements phase gathering and documentation, including management and integration of contract requirements from multiple sources, solicitation drafting/administration / strategy
RFI / RFP administration: tracking, documenting correspondence and questions from prospective vendors, support for industry day activities
Source selection administration: organizing proposal review process, administration of Government scoring, Government proposal review documentation management, etc.

What we offer

401K plan with company contributions (safe harbor and profit sharing)
11 Federal holidays, 21 Days PTO
Medical, Dental, & Vision with substantial company contributions
Company provided Life, LTD and STD Insurance
Health Savings Accounts/ Flexible Spending Accounts
Referral Bonuses
Performance Bonuses
Tuition Assistance for Education, Training, and Professional certifications
Career Development

Fulltime

Chart Retrieval Specialist

Location

United States , Boise

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School diploma or GED
A valid driver’s license
Insurance/liability policy in the team member’s name
Reliable and secure internet with the ability to download 50 Mbps and upload 5 Mbps
Meticulous attention to detail
Strong interpersonal skills
Know how to download / upload files and store them in an organized file
Ability to transfer files from software to a desktop folder
Know how to copy and paste files, i.e., transfer files to a flash drive
Lift and carry up to 30 pounds at any given time safely and efficiently without putting your back and other muscles at risk

Job Responsibility

Retrieve medical records from various healthcare facilities on behalf of health plans and other clients for retrospective and prospective reviews
Scanning Medical Records/Charts and upload into the system office after the day is completed

What we offer

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

Fulltime

Chart Retrieval Specialist

You’ll retrieve medical records from various healthcare facilities on behalf of ...

Location

United States , North Las Vegas

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School diploma or GED
A valid driver’s license
Insurance/liability policy in the team member’s name
Reliable and secure internet with the ability to download 50 Mbps and upload 5 Mbps
Meticulous attention to detail
Strong interpersonal skills
Know how to download / upload files and store them in an organized file
Ability to transfer files from software to a desktop folder
Know how to copy and paste files, i.e., transfer files to a flash drive
Lift and carry up to 30 pounds at any given time safely and efficiently without putting your back and other muscles at risk

Job Responsibility

Retrieve medical records from various healthcare facilities on behalf of health plans and other clients for retrospective and prospective reviews
Scanning Medical Records/Charts and upload into the system office after the day is completed
If you have anything left to submit at the end of the day, you can do it from the comfort of your home

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan
free online training

Fulltime

Select Country

Prospective Chart Reviewer

Job Description

Job Responsibility

Requirements

Looking for more opportunities?