The Hospital Coder is responsible for selecting and sequencing diagnostic and procedural codes to ensure optimal and legal reimbursement. This includes querying providers for documentation clarification and supporting external healthcare data reporting.
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Perform detailed inpatient coding quality audits and provide education and feedback to staff to ensure accuracy and compliance. Optimize hospital reimbursement by monitoring records, investigating unbilled cases, and collaborating with clinicians on documentation specificity.
Develop and support transmission infrastructure for utility-scale wind and solar projects by evaluating designs and identifying value engineering opportunities. Collaborate with multidisciplinary teams to ensure projects are cost-effective, constructible, and technically sound from proposal through execution.
Early Childhood Literacy Assessment Specialist
Cambium Learning Group
·
Full Time
·
1 Week Ago
Cambium Learning Group
Develop and quality assure English-language literacy assessment content for grades K-2, ensuring alignment with state standards. Collaborate with psychometricians and content developers to create valid scoring rubrics and assessment frameworks.
Provide expert technical leadership on the Local Government Pension Scheme (LGPS) by interpreting legislative changes and translating them into operational outcomes. Support compliance and service improvement through technical advice, project leadership, and mentoring of junior colleagues.
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The role focuses on active new customer acquisition and expanding the customer network within the Ederbergland region. Responsibilities include analyzing sales potential, supporting the entire sales process from analysis to realization, and providing expert product and system consulting.
Lead the enterprise employee relations agenda by managing complex investigations, performance accountability, and conflict resolution. Partner with Talent and Legal teams to ensure fairness, equity, and compliance across the organization.
Conduct Cloud Red Team Blue Team engagements by performing adversary emulation techniques to challenge customer defenses. Manage engagements from kickoff to report delivery while identifying enhancements to sharpen emulation tradecraft.
Oversee a global ecosystem of strategic alliances with security companies and technology firms to drive growth and retention in the Corporate Security vertical. Manage the full partner lifecycle from sourcing and negotiation to joint GTM strategies and operational excellence.
Provide inbound and outbound customer support to resolve routine problems and persuade customers to adopt additional products or services. Track and document client interactions in databases while maintaining high-quality customer experiences.
Coordinate and facilitate quality, cost-effective care for ESRD and CKD patients to minimize fragmentation in healthcare delivery. Act as a liaison between patients, families, physicians, and care teams to manage complex renal health needs.
Perform Comprehensive Health Evaluations to manage comorbid conditions and reduce hospitalizations for patients with complex kidney disease. Lead clinical teams to coordinate care and slow disease progression through medication management and interdisciplinary collaboration.
Perform Comprehensive Health Evaluations to manage comorbid conditions and reduce hospitalizations for patients with complex kidney disease. Lead clinical teams to coordinate care and slow disease progression for CKD and ESKD patients.
Manage the end-to-end administration of the CLM platform and streamline commercial legal processes. Provide team enablement through documentation, reporting for leadership, and project management within the Transaction Legal Group.
The provided text does not list specific duties, but the role is titled Access Management Analyst. It likely involves managing user permissions and system access.
The role involves identifying and onboarding new restaurant partners through extensive cold calling, emailing, and in-person sales pitches. The executive will manage the entire sales pipeline from prospecting to closing while acting as a market expert for their territory.
The Outside Sales Representative is responsible for generating new business through cold calls and leads while maintaining existing accounts to increase company profitability. Key duties include providing product selection assistance, preparing price quotations, and coordinating material deliveries and project schedules.
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Staff Data Commercial Engineer
MGM Resorts International
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Full Time
·
1 Week Ago
MGM Resorts International
Architect and elevate the Marketing and Revenue Management data platforms to power commercial decision-making. Define the architectural direction of the Lakehouse ecosystem and mentor engineering teams to build scalable data products.
Act as the first point of contact for members to resolve concerns regarding transportation services and insurance coverage. Document conversations and process scheduling, modifications, and cancellations accurately using structured protocols.
Coordinate care for Dual Eligible Special Needs Plan members by collaborating with interdisciplinary teams and healthcare providers. Conduct annual Health Risk Surveys and address social determinants of health to close gaps in preventive care.
The specialist is responsible for submitting medical billing to payers and following up to ensure the adjudication and payment of individual claims. This includes performing comparative analysis for accuracy and communicating with insurance providers and patients to manage accounts receivable.
Lead deep architectural discussions and design data security solutions for customers across public, private, and hybrid clouds. Collaborate with internal teams to provide technical recommendations for product enhancements and deliver cybersecurity workshops.
The Director provides therapeutic area expertise and executes medical strategies by engaging external medical stakeholders within an assigned territory. They serve as a scientific resource, lead advisory boards, and collaborate with internal teams to improve patient care and support clinical research.
The Director provides therapeutic area expertise to external medical stakeholders and executes independent medical strategies within an assigned territory. They serve as a scientific resource, lead advisory boards, and collaborate with R&D to identify clinical trial sites.
The Senior Security Advisor designs tailored cybersecurity solutions and strategic roadmaps to help clients build scalable security programs. They drive business growth by identifying cross-sell opportunities and maintaining trusted advisor relationships with client stakeholders.
Evaluate and determine the approval or rejection of product performance claims using technical expertise and data analysis. Partner with Legal and vendors to ensure claims are compliant with regulatory standards and improve substantiation quality.
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Execute sales strategies to maximize performance and meet quotas within the assigned geography for the US Petcare Division. Build strong relationships with veterinary hospitals and implement territory business plans to drive product growth.
Drive revenue growth within the Retail and Consumer Goods sector across the UK and Ireland by identifying and qualifying new sales opportunities. Collaborate with cross-functional teams to execute strategic sales plans and manage the full sales lifecycle from prospecting to closing.
Monitor legal developments to update and add legislation across print and online publications. Ensure content accuracy through quality reviews and manage the production of service issues and bound volumes.
Lead editorial and subject matter expert teams to deliver AI-enabled case law content initiatives aligned with product strategy. Design, pilot, and scale new AI-driven capabilities while ensuring legal accuracy and editorial quality.
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