The University of Vermont Health NetworkSystem Director, HIM & Coding The University of Vermont Health NetworkSystem Director, HIM & CodingSouth Burlington, VT$67.24–$100.86 / hourThe UVMH System Director HIM & Coding is responsible for strategic design implementation management and governance of UVMH systems and operations of multiple middle revenue cycle functions, including: • Health Information Management (HIM) Operations • Hospital Coding • Professional Coding • IdentityData Integrity • ROI (Return on Investment) internal and vendor teams • Tumor Registry • Outsourced and Transcription Services • Teams across UVMH. The Director HIM & Coding will develop and manage efficient and effective workflows, achieve financial and operational targets, and direct complex business processes across multiple service areas, campuses, locations, and hours of operation.
UVM Medical CenterSystem Director, HIM & Coding UVM Medical CenterSystem Director, HIM & CodingSouth Burlington, VermontThe UVMH System Director HIM & Coding is responsible for strategic design, implementation management, and governance of UVMH systems and operations of multiple middle revenue cycle functions, including Health Information Management (HIM) Operations, Hospital Coding, Professional Coding, Identity/Data Integrity, ROI (internal and vendor), the Tumor Registry (outsourced) and Transcription Services (outsourced) teams across UVMH. The Director HIM & Coding ensures UVMH and department practice operations are compliant with state and federal regulations, performance quality is best practice and overall information system structures effectively support financial and clinical needs.
CVS Health CorpNewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, VT$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.
University of Vermont Health - UVM Medical CenterNewSystem Director, HIM & Coding University of Vermont Health - UVM Medical CenterSystem Director, HIM & CodingSouth Burlington, VTJob DescriptionThe UVMH System Director HIM & Coding is responsible for strategic design, implementation management, and governance of UVMH systems and operations of multiple middle revenue cycle functions, including Health Information Management (HIM) Operations, Hospital Coding, Professional Coding, Identity/Data Integrity, ROI (internal and vendor), the Tumor Registry (outsourced) and Transcription Services (outsourced) teams across UVMH. The Director HIM & Coding ensures UVMH and department practice operations are compliant with state and federal regulations, performance quality is best practice and overall information system structures effectively support financial and clinical needs.
athenahealth IncCoding Denial Management Associate athenahealth IncCoding Denial Management AssociateMontpelier, VT$50,000–$86,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Lead detailed claim adjudication analysis to triage rejections, denials, and payer edits; convert adjudication scenarios into consumable, effective processes that identify true root causes and lead to successful outcomes.
CVS Health CorpClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, VT$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Copley HospitalPatient Account Representative - Billing Copley HospitalPatient Account Representative - BillingMorrisville, VT$18.50–$21 / hourCOLLECTIONS: Reviews posted remittance advices from assigned insurance carrier(s) within the timeframe established by department policies and procedures, appropriately following up on and resolving any rejections or other non-payments to ensure accurate posting of balances for reimbursement, deductible, co-pay, co-ins, contractual adjustment, non-covered charges, rejected claims, and any balance-billing to the patient or guarantor as appropriate. INSURANCE BILLING: Keeps self informed of billing policies and requirements of assigned insurance carrier(s) by regularly monitoring list-servs, carrier websites, maintaining open lines of communication with provider representatives, researching problem claims, and other means of staying informed that the assigned carrier(s) makes available.
COPLEY HEALTH SYSTEMS INCPatient Account Representative Billing COPLEY HEALTH SYSTEMS INCPatient Account Representative BillingMorrisville, VT$18.50–$21 / hourCOLLECTIONS: Reviews posted remittance advices from assigned insurance carrier(s) within the timeframe established by department policies and procedures, appropriately following up on and resolving any rejections or other non-payments to ensure accurate posting of balances for reimbursement, deductible, co-pay, co-ins, contractual adjustment, non-covered charges, rejected claims, and any balance-billing to the patient or guarantor as appropriate. INSURANCE BILLING: Keeps self informed of billing policies and requirements of assigned insurance carrier(s) by regularly monitoring list-servs, carrier websites, maintaining open lines of communication with provider representatives, researching problem claims, and other means of staying informed that the assigned carrier(s) makes available.
Copley HospitalPhlebotomist - Full-Time Copley HospitalPhlebotomist - Full-TimeMorrisville, VT$22.49–$28.52 / hourObtains specimens in a manner appropriate to the patient’s age, physical ability and intellectual development for the following patient populations: neonatal, pediatric, adolescent, geriatric, adult. Collects blood and body fluid samples from inpatients and outpatients assuring specimen quality and patient safety and comfort.
CVS Health CorpNewFraud Waste and Abuse - Sr. Analyst CVS Health CorpFraud Waste and Abuse - Sr. AnalystWork At Home, VT$46,988–$112,200 / yearActivities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.
Third-Party Job PostsNewSales Manager Third-Party Job PostsSales ManagerVermontRemoteYou will be responsible for identifying and acquiring new business opportunities, building strong relationships with prospects, and showcasing how Cloudbeds’ industry-leading SaaS solutions are transforming the hospitality space. Since our founding in 2012, we've become the World's Best Hotel PMS Solutions Provider and landed on Deloitte's Technology Fast 500 again in 2024 – but we're just getting started.
Copley HospitalCare Management Supervisor Copley HospitalCare Management SupervisorMorrisville, VT$38–$43 / hourThis position is responsible and accountable for coordinating the interdisciplinary process that occurs throughout the continuum of care to ensure care coordination, communication and collaboration with patients, families, providers, ancillary services and community partners in order to achieve goals and maximize positive patient outcomes based upon individual assessments of patients' needs. The Care Management Supervisor is a core member of the hospital care team and leads discharge planning through full partnerships with caregivers, internal and external providers/customers, and patients and their families and communities.
COPLEY HEALTH SYSTEMS INCCare Management Supervisor COPLEY HEALTH SYSTEMS INCCare Management SupervisorMorrisville, VT$30–$35 / hourThis position is responsible and accountable for coordinating the interdisciplinary process that occurs throughout the continuum of care to ensure care coordination, communication and collaboration with patients, families, providers, ancillary services and community partners in order to achieve goals and maximize positive patient outcomes based upon individual assessments of patients'' needs. The Care Management Supervisor is a core member of the hospital care team and leads discharge planning through full partnerships with caregivers, internal and external providers/customers, and patients and their families and communities.
CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)VT$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
CVS Health CorpInformatics Consultant CVS Health CorpInformatics ConsultantVT$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
THE PSYCHOLOGICAL WELLNESS CLINICMental Health Therapist THE PSYCHOLOGICAL WELLNESS CLINICMental Health TherapistRandolph, VTRemoteWe are a good match for someone who wants the freedom provided by private practice with the benefits of working for a clinic, such as admin staff, W2, regular pay checks not dependent on when insurance companies reimburse, no hassle of billing insurances and more. The ideal candidate will possess a strong background in mental health counseling and be committed to providing high-quality therapeutic services to individuals facing various mental health challenges.
CVS Health CorpStaff Software Development Engineer - Fulfillment CVS Health CorpStaff Software Development Engineer - FulfillmentVT$106,605–$284,280 / yearCollaborate closely with engineering, platform, and business teams to deliver cost optimized, scalable solutions-leveraging cloud cost profiling tools, storage tiering strategies, service right sizing, and architectural simplification. Apply advanced software engineering practices across the full SDLC-including domain driven design (DDD), design patterns, secure coding, automated testing strategies (unit, contract, integration), code quality gates, trunk based development, and continuous observability.
Ryder System IncApplication Security Engineer Ryder System IncApplication Security EngineerMontpelier, VTCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
CVS Health CorpStaff Development Engineer - Fulfillment CVS Health CorpStaff Development Engineer - FulfillmentVT$106,605–$284,280 / year7+ years of software development in enterprise / web / cloud applications • 5+ years of backend software development experience with programming languages/tools including: Java, Spring Boot, Kafka • 3+ years of distributed caching experience • 3+ years of experience having a track record developing in AWS or GCP or Azure or similar public cloud environments (GCP preferred) • 3+ years of experience in design, development and operationalizing microservices based web/webservices application in cloud native environment • 3+ years of technical lead experience within a matrixed environment, including mentoring junior engineers and working cross collaboratively between architecture, product, etc. • Understand security threats and patterns and ensure adherence to all regulatory initiatives, HIPAA, PHI, PII, locational and contractual data restrictions • Experience with build automation technologies like Maven, Gradle, Jenkins, Harness • Expert knowledge with functional, imperative and object-oriented languages and methodologies • Experience with Cassandra and Postgres - preferred • Experience with test-driven development and automated testing frameworks • Experience with Scrum/Agile development methodologies.
Cottage HospitalHealth Information Management Manager Cottage HospitalHealth Information Management ManagerWoodsville, New HampshireThis role is responsible for the maintenance, accuracy, and completeness of all patient medical records, ensuring compliance with Critical Access Hospital (CAH) Conditions of Participation, HIPAA, and all applicable federal and state regulations. The role also involves analyzing health data, monitoring chart completion, and generating reports to support quality care and operational decision-making.
The University of Vermont Health NetworkPharmacy Billing & Compliance Analyst The University of Vermont Health NetworkPharmacy Billing & Compliance AnalystColchester, VT$22.82–$34.23 / hourJob Details Job RefR0083167 CategoryPharmacology Employment TypeFull-Time Health Care PartnerUniversity of Vermont Medical Center Location 356 Mountain View Dr Colchester VT 05439 DepartmentInpatient Pharmacy - Business Office & Storeroom Job TypeRegular Primary ShiftDay-8hr Hours730 AM - 400 PM Hours per Week 40 Weekend NeedsNone Pay Rate 22.82 - 34.23 per hour Job SummaryThe Pharmacy Billing and Compliance Analyst is responsible for working with all inpatient units and outpatient clinics to ensure compliance with medication safety and billing regulations. The Analyst supports the Dialysis Home Program billing process ensuring that all manual billing for Home Dialysis patients that takes place outside of the automated systems is charged promptly and is correctly entered into the appropriate systems.