Review medical records to validate billed DRG codes and ensure medical claims are coded accurately. Identify overpayments and use clinical judgment to ensure fair and precise billing.
Remote Jobs & Work From Home Opportunities (207,142)
AI & Marketing Intern (Practica Universitaria)
Keyrus Colombia
·
Full Time
·
1 Week Ago
Keyrus Colombia
The intern will design AI-powered workflows, agents, and automations to optimize business processes for retail and consumer goods clients. They will contribute to high-impact projects while receiving mentorship in technology consulting and MarTech solutions.
Analyze and design business processes for grain logistics and agribusiness within SAP TM/LE. Configure SAP modules and provide support during implementation, rollouts, and post-go-live phases.
Perform DRG auditing and retrospective overpayment identification to ensure accurate healthcare reimbursement. Collaborate with team members and clients to deliver excellence in inpatient coding audits.
Senior Operations Manager - Diagnosis-Related Group (DRG), Healthcare
EXL
·
Full Time
·
1 Week Ago
EXL
Directs the activities of the DRG audit program to ensure client savings and internal revenue goals are met. Manages program inventory, risks, and staffing while providing regular updates to clients and senior leadership.
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Strategically manage the evolution of Fraud Scores and KYC products throughout the entire lifecycle from discovery to delivery. Define product strategy, prioritize backlogs, and communicate results to stakeholders through executive reports.
Lead cross-functional teams in delivering architecture, engineering, and land development services for industrial and utility-scale projects. Manage project financials, resource forecasting, and stakeholder communications to ensure profitability and client satisfaction.
Travel & Lifestyle Assistant (Remote)
Traveling with Mchaila
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Full Time
·
1 Week Ago
Traveling with Mchaila
Coordinate travel plans, bookings, and lifestyle-related scheduling requests for clients. Research destinations and maintain accurate records to ensure a high-quality client experience.
Reservations and Scheduling Coordinator
Traveling with Mchaila
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Full Time
·
1 Week Ago
Traveling with Mchaila
Manage client bookings and coordinate schedules to ensure all reservation details are accurate and completed on time. Maintain digital records and communicate updates to clients to keep workflows efficient.
Coordinate bookings, reservations, and scheduling timelines while maintaining accurate digital records. Communicate with clients to gather information and ensure the booking process runs smoothly from start to finish.
Experience Coordination Specialist
Traveling with Mchaila
·
Full Time
·
1 Week Ago
Traveling with Mchaila
The specialist coordinates client experiences by managing reservations, itineraries, and scheduling needs. They are responsible for maintaining accurate documentation and ensuring smooth day-to-day operational workflows.
The Copywriter is responsible for creating high-converting long-form sales promotions, VSL scripts, and email sequences for financial media brands. They must also develop webinar slide decks and ensure all copy meets strict factual and legal compliance standards.
Senior Manager, Social Media
American Public Education, Inc. (APEI)
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Full Time
·
1 Week Ago
American Public Education, Inc. (APEI)
Lead the social media strategy to increase visibility and student engagement across multiple platforms. Manage the social media team, oversee content creation, and monitor the institution's online reputation.
Assign accurate diagnostic and procedure codes for outpatient hospital professional accounts based on clinical documentation. Monitor work queues to ensure timely charging and generate queries for physician clarification as needed.
Lead the preparation of NRC Environmental Reports and NEPA documents for nuclear and energy projects. Manage multidisciplinary teams to execute environmental studies and maintain client relationships through business development and proposal leadership.
Design, develop, and maintain modern data pipelines and Lakehouse architectures using Azure Databricks and Azure Data Factory. Integrate diverse data sources into analytical layers while evolving existing SQL Server environments toward scalable cloud architectures.
Conduct medical and financial interviews via outbound telephone calls for various life insurance client companies. Ensure accurate data collection and professional communication with applicants.
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Design and develop modern data pipelines and Lakehouse architectures using Azure Databricks, Spark, and Azure Data Factory. Integrate diverse data sources into analytical layers while evolving existing SQL Server environments toward scalable cloud architectures.
Design and develop modern data pipelines and Lakehouse architectures using Azure Databricks, Spark, and Azure Data Factory. Integrate diverse data sources into analytical layers while evolving existing SQL Server environments toward scalable cloud architectures.
Design and develop modern data pipelines and Lakehouse architectures using Azure Databricks, Spark, and Azure Data Factory. Integrate multiple data sources into analytical layers while evolving existing SQL Server environments toward scalable cloud architectures.
Student Success Coach (College Admissions Coach)
egelloC Corporation
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Full Time
·
1 Week Ago
egelloC Corporation
Guide students and families through the college admissions process by building competitive profiles and navigating application milestones. Act as a strategic partner to position students successfully for highly selective universities, specifically within the UC/CSU and Top 100 landscapes.
Design and develop modern data pipelines and Lakehouse architectures using Azure Databricks, Spark, and Azure Data Factory. Integrate diverse data sources into analytical layers while evolving existing SQL Server environments toward scalable cloud architectures.
Design and develop modern data pipelines and Lakehouse architectures using Azure Databricks, Spark, and Azure Data Factory. Integrate diverse data sources into analytical layers while evolving existing SQL Server environments toward scalable cloud architectures.
Design and develop modern data pipelines and Lakehouse architectures using Azure Databricks, Spark, and Azure Data Factory. Integrate diverse data sources into analytical layers while maintaining and evolving existing SQL Server-based data warehouse environments.
Design and develop modern data pipelines and Lakehouse architectures using Azure Databricks, Spark, and Azure Data Factory. Integrate diverse data sources into analytical layers while evolving existing SQL Server environments toward scalable cloud architectures.
Design and develop modern data pipelines and Lakehouse architectures using Azure Databricks, Spark, and Azure Data Factory. Integrate multiple data sources into analytical layers while evolving existing SQL Server environments toward scalable cloud architectures.
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Be the first to know when matching positions are posted
Design and develop modern data pipelines and Lakehouse architectures using Azure Databricks, Spark, and Azure Data Factory. Integrate diverse data sources into analytical layers while evolving existing SQL Server environments toward scalable cloud architectures.
The Resource Navigator manages a caseload of cancer patients and caregivers to help them access assistance programs for basic needs like food, housing, and transportation. They are also responsible for maintaining the internal resource database and collaborating across departments to improve program effectiveness.
The Golf Coordinator supports agents by managing communications between clients and brands and coordinating onsite activations. They are also responsible for tracking deal activity, researching partnership opportunities, and assisting with new client recruitment.
The Senior Proposal Strategist is responsible for creating compelling and accurate responses to RFPs and RFIs to secure new PBM partnerships. This includes conducting research, managing the proposal database, and collaborating with cross-functional teams to meet submission deadlines.
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