UNKNOWN

ADAPTED_NOW

Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, etc. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

YEAR

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.   The ProFee Coding Supervisor position is full-time (40 hours/week) Monday to Friday. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:<ul><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Monitors assigned work queues to ensure all records are charged/coded in a timely matter</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Stays abreast of all changes in coding conventions and coding updates</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Physician audits and training of new physicians</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Adhere to the ethical standards of coding as established by AAPC and/or AHIMA</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, etc.</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Participate in coding department meetings and educational events</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Review and maintain a record of charts coded, held, and/or missing</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Additional responsibilities as identified by manager</li></ul>You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:<ul><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">High School Diploma/GED (or higher)</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIT, CPC, COC, CPC-P) to be maintained annually</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">4+ years of ICD-10 and CPT coding experience</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">4+ years of experience in primary care and Specialty ProFee</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">2+ years of experience working with coding lead or coding supervisor responsibilities </li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Ability to use a PC in a Windows environment, including EMR systems</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Ability to work any of our 8-hour shift schedules between Monday - Friday, with the flexibility to work occasional overtime given the business need</li></ul>Preferred Qualifications:<ul><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Experience with various encoder systems (Encoder, EPIC)</li><li style="line-height:normal;color:rgb( 0 , 0 , 0 )">Intermediate level of proficiency with Microsoft Excel (ability to create, edit, save and send spreadsheets</li></ul>*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.  Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.  Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.  UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.  UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.  #RPO #GREEN

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group

Profee Coding Supervisor

United Health Group

OTHER

FEED

Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.

Overview:
Nurse Practitioner Per DiemThis position covers all zip codes in: Vanderburgh County, IN ComplexCare Solutions (CCS) specializes in helping those in need by delivering high-value home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes.   CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are passionate about helping their local communities. We care dearly about those whom we serve, and we need your help to make a difference in the lives of our members. Providers have the opportunity to spend a full hour with these members, which allows them to capture a comprehensive picture of that individual’s personal needs and what is required to keep them in the home and out of the hospital. <div class="x_x_elementToProof">Compensation:<ul><li style="margin:0in">Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income</li><li style="margin:0in">In-home visit rate: $120 - $140 depending on state of residence</li><li style="margin:0in">If available, our telehealth rate is $85 per completed assessment</li></ul></div>Benefit:This position is eligible to participate in a company 401K plan providing the opportunity to save for retirement through employee contributions. New hires will be automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out.

Responsibilities:
<ul><li>Knowledge of CMS Regulations and NCQA HEDIS Guidelines</li><li>Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA), Familiarity with ICD-10 and CPT-4 coding practices</li><li>Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)</li><li>Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Company policy, and client requirements</li><li>Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required</li><li>Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing</li><li>Address and close identified gaps in care (disease-specific or preventive)</li><li>Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards; and</li><li>Perform, document and communicate results of Point of Care (POC) Testing</li><li>Maintain compliance with Company policies, procedures and mission statement</li><li>Adhere to all confidentiality and HIPAA requirements as outlined within the Company’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position</li><li>Fulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the Company</li><li>Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function</li><li>On a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours)</li><li>We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such</li><li>Other duties as assigned</li></ul>

Qualifications:
<ul style="margin-top:0in"><li>Active un-encumbered license to practice nursing</li><li>ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology or Emergency Medicine. </li><li>Maintains current CPR certification</li><li>Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:</li><li><ul style="margin-top:0in"><li>Hepatitis B</li><li>Influenza</li><li>MMR: Measles, Mumps and Rubella</li><li>Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)</li><li>Varicella</li><li>Tuberculosis</li></ul></li><li>Home Health exp a plus </li><li>Must be able to effectively communicate with elderly and chronically ill patients and families</li><li>Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial</li><li>Ability to multitask</li><li>Excellent customer service skills</li><li>Bi-lingual or multi-lingual a plus</li><li>Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision</li><li>Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools</li></ul>This company utilizes E-Verify. ComplexCare Solutions (CCS) is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions (CCS) strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

ComplexCare Solutions

Nurse Practitioner (Per Diem)

American Nurses Credentialing Center (ANCC)

CPR Certification

Cardiology

Centers for Medicare and Medicaid Services (CMS)

Certified Coding Specialist (CCS)

Clinical Nursing

Clinical Outcomes

Clinical Practices/Protocols

Cloud Computing

Communication Skills

Computer Skills

Computer Systems

Content Management Systems (CMS)

Corporate Policies

Current Procedural Terminology (CPT)

Customer Support/Service

Department of Health and Human Services

Diabetes

Disease

Diversity

Documentation

Emergency Medicine

Emergency Services

Equal Employment Opportunity (EEO)

HIPAA (Health Insurance Portability and Accountability Act)

Health Plan

Healthcare

Healthcare Effectiveness Data and Information Set (HEDIS)

Hepatitis B

Home Care

Hospital

ICD-10

Maintain Compliance

Medicaid

Medical Conditions

Medical Record System

Medical Records

Medicare

Messaging Technology

Multilingual

Multitasking

National Committee for Quality Assurance (NCQA)

Nurse Practitioner

Nursing Credentials

Operations Processes

Patient Assessment

Primary Care

Regulations

Risk Management

Staff Requirements

Telehealth

Time Management

Treatment Plan

[AW]-iCims

FULL_TIME

The U.S. Food and Drug Administration has authorized versions of PMI's IQOS electronically heated tobacco devices and Swedish Match's General snus as Modified Risk Tobacco Products and renewal applications for these products are presently pending before the FDA. Since 2008, PMI has invested $12.5 billion globally to develop, scientifically substantiate and commercialize innovative smoke-free products for adults who would otherwise continue to smoke with the goal of transitioning legal-age consumers who smoke to better alternatives.

Logistics Specialist - Owensboro KYBe a part of a revolutionary change!At Philip Morris International (PMI), we've chosen to do something incredible. We're totally transforming our business and building our future on one clear purpose - to deliver a smoke-free future.With huge change, comes huge opportunity. So, if you join us, you'll enjoy the freedom to dream up and deliver better, brighter solutions and the space to move your career forward in endlessly different directions. Our success depends on people who are committed to our purpose and have an appetite for progress.This position sits with our Swedish Match affiliate.Your 'day to day'Warehousing <ul><li>Maintain inventory records and daily reconciliation of inventory at outside warehouses. Responsible for control of $120,000,000 of product going through these warehouses per year.</li><li>Responsible for completing monthly inventory reconciliations (book to actual Physical inventory) as prescribed by our internal controls. Determine reason for differences, research, and recommend/implement changes as required.</li></ul>Order Entry <ul><li>Responsible for editing routings, correcting routing errors and creating picking documents for all warehouses.</li><li>Contact warehouses daily and ship confirm orders in system creating billing to our customers.</li></ul>Accounts Payable <ul><li>Responsible for reviewing, authorizing, and coding for payment all warehouse replenishment freight charges, unloading and handling charges, and payment of warehouse labor bills.</li><li>Authorize return requests from our customers. Determine where and how they should be returned. Issue credits to the customer. File claim with freight carrier for shortages and non-recoups.</li><li>Review freight bills, check rates and discounts, and pay freight bills from our carriers for shipments to our customers.</li></ul>Customer Service/Misc. <ul><li>Discuss distribution functions (warehousing, tracing shipment, expediting, etc.) with our customers an average of 60/80 calls per day. Provide assistance and information.</li></ul>Who we're looking for:Education: Associate degree or equivalent experience preferred.Experience: Background in Distribution, Warehousing, or Transportation required; knowledge of Import/Export processes preferred.Skills & Knowledge: <ul><li>Strong interpersonal and multitasking abilities.</li><li>Familiarity with U.S. Customs regulations and Hazardous Materials handling.</li><li>Proficient in PC applications and systems.</li></ul>Annual Base Salary Range: $ 72000 - $90,000What's 'nice to have'Legally authorized to work in the U.S. (required)What we offer <ul><li>We offer a competitive base salary, annual bonus (applicable based on level of position), great medical, dental and vision coverage, 401k with a generous company match, incredible wellness benefits, and much more! </li></ul><ul><li>Seize the freedom to define your future and ours. We'll empower you to take risks, experiment and explore. </li></ul><ul><li>Be part of an inclusive, diverse culture where everyone's contribution is respected; Collaborate with some of the world's best people and feel like you belong. </li></ul><ul><li>Pursue your ambitions and develop your skills with a global business - our staggering size and scale provides endless opportunities to progress. </li></ul><ul><li>Take pride in delivering our promise to society: To improve the lives of millions of smokers. </li></ul>PMI is an Equal Opportunity Employer. PMI is headquartered in Stamford, Conn., and its U.S. affiliates have more than 2,300 employees.PMI has been an entirely separate company from Altria and Philip Morris USA since 2008. PMI's affiliates first entered the U.S. market following the company's acquisition of Swedish Match in late 2022.Philip Morris International and its U.S. affiliates are working to deliver a smoke-free future. Since 2008, PMI has invested $12.5 billion globally to develop, scientifically substantiate and commercialize innovative smoke-free products for adults who would otherwise continue to smoke with the goal of transitioning legal-age consumers who smoke to better alternatives. In 2022, PMI acquired Swedish Match - a leader in oral nicotine delivery - creating a global smoke-free champion led by the IQOS and ZYN brands. The U.S. Food and Drug Administration has authorized versions of PMI's IQOS electronically heated tobacco devices and Swedish Match's General snus as Modified Risk Tobacco Products and renewal applications for these products are presently pending before the FDA. For more information, please visit www.pmi.com/us and www.pmiscience.com .#PMIUS #LI-DH1

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Philip Morris International U.S.

Logistics Specialist

equestftpin

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Profee Coding SupervisorUnitedHealth Group

Nurse Practitioner (Per Diem)ComplexCare Solutions

Logistics SpecialistPhilip Morris International U.S.

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