Title: Managers of DRG Coding & Clinical Validation Audit Location: IN-INDIANAPOLIS, 220 VIRGINIA AVE GA-ATLANTA, 740 W PEACHTREE ST NW MD-HANOVER, 7550 TEAGUE RD, STE 500 VA-Norfolk, 240 Corporate Blvd, Suite 100 OH-MASON, 4361 IRWIN SIMPSON RD View Fewer Locations locations New Jersey - Iselin DC-WASHINGTON, 609 H ST NE, STE 200 VA-ROANOKE, 602 S JEFFERSON ST VA-RICHMOND, 5620 BROOK RD TX-HOUSTON, 5959 CORPORATE DR, STE 1300 NY-Lake Success, 1985 Marcus Avenue, Suite 150 TX-GRAND PRAIRIE, 2505 N HWY 360, STE 300 Job Description: Anticipated End Date: 2026-05-02 Position Title: Managers of DRG Coding & Clinical Validation Audit Job Description: Manager of DRG Coding Audit-Program/Project Locations: The selected candidate must reside within a reasonable commuting distance of the designated posting location(s): Virginia, Indiana, Georgia, Ohio, District of Columbia (Washington, DC); Maryland; New Jersey, New York and Texas. Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments. This role plays a critical part in identifying coding discrepancies and recoverable claim opportunities, and supporting regulatory integrity on behalf of the company and its clients. How you will make an impact: - Sets the strategic direction for audit methodologies, oversees team development, and ensures that audits meet the industry's best practices and payer-specific requirements. - Collaborates cross-functionally with clinical, compliance, provider engagement, and data analytics teams to align audit insights with broader program goals. - Hires, trains, coaches, counsels, and evaluates performance of direct reports. - Analysis of audit trends, DRG shifts, and using financial outcomes to inform strategy. - Plans program/project scope and design. - Develops metrics and program/project reporting tools. - Analyzes variance to program/project plan. - Leads building of documentation to support business objectives and ensure consistency. - Responsible for championing local stakeholders and tactical decision-makers. - Suggests and develops high quality, high value concept and or process improvement and efficiency recommendations. - Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Minimum Requirements: - Requires a BA/BS and minimum of 5 years experience in project/program management, process reengineering, organizational design, and/or implementation; or any combination of education and experience, which would provide an equivalent background. Travels to worksite and other locations as necessary. Preferred Skills, Capabilities and Experiences: - Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. - Experience working with ICD-9/10CM, MS-DRG and APR-DRG. - Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $111,040 to $199,872 Locations: District of Columbia (Washington, DC); Maryland; New Jersey and New York. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. - The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Manager Workshift: Job Family: BSP > Program/Project Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.

Thank you for applying. Please share a video via loom or google drive going over your expierence. Also please share your phone number and let us know if we can contact you via whatsapp. - EMR - Clearinghouse - HCHB - Hospice - Medicare - Medicaid and Commercial - Prior authorizations $4 - $7 an hour Hospice Billing Specialist (Remote Option Available) Thanks for applying. Please share a loom video with brief introduction on your background. Also please send your whats app number. The Hospice Billing Specialist plays a critical role in maintaining the financial health of our hospice facility. This position can be performed remotely and is responsible for accurately billing Medicare, Medicaid, private pay, and other insurance providers for hospice services, as well as managing room and board billing for inpatient and facility care. Attention to detail, a thorough understanding of Medicare and Medicaid regulations, and the ability to navigate complex billing systems are essential for success in this role. Essential Job Functions/ResponsibilitiesMedicare/Medicaid and Insurance Billing Prepare and submit claims for hospice services in compliance with Medicare and Medicaid regulations.Accurately process and bill claims to Medicare, Medicaid, private payers, and other insurance providers, adhering to payer requirements and organizational policies.Review patient records to ensure accurate coding and documentation supporting billed services.Monitor claims for accuracy and completeness, promptly addressing discrepancies or issues.Follow up on unpaid or denied claims, resubmitting and appealing as necessary.Stay current with changes to Medicare, Medicaid, and other insurance billing regulations. Room and Board Billing Manage room and board billing for patients receiving inpatient care at the hospice facility or other inpatient settings.Ensure accurate and timely invoicing of room and board charges to patients or their responsible parties.Collaborate with the intake or admissions team to verify patient information and ensure billing accuracy.Address patient inquiries regarding room and board charges, providing clear explanations and assistance.Work with insurance companies and third-party payers to facilitate payment for room and board services. Documentation and Recordkeeping Maintain detailed records of all billing activities, including claims submitted, payments received, and outstanding balances.Document communications and interactions related to billing inquiries or disputes.Ensure compliance with HIPAA regulations, maintaining patient confidentiality. Collaboration and Communication Collaborate with the interdisciplinary hospice team—including nurses, physicians, social workers, and administrators—to ensure accurate billing and documentation.Communicate effectively with internal stakeholders and external parties, including patients, families, insurance companies, and government agencies. Continuous Improvement Identify opportunities to improve processes and increase efficiency in billing operations.Participate in training programs and continuing education to stay updated on industry best practices and regulatory changes. Position Qualifications High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, finance, or a related field preferred.Previous experience in hospice billing is a MUST; Medicare billing experience is a strong plus.Proficiency with billing software and electronic medical record (EMR) systems.Strong understanding of Medicare regulations and guidelines related to hospice billing.Exceptional attention to detail and accuracy in data entry and recordkeeping.Effective written and verbal communication skills.Ability to work independently and collaboratively in a dynamic environment.Strong organizational and time management skills.Familiarity with HIPAA regulations and patient privacy requirements. Skills Required OrganizationAttention to Detail This position offers the flexibility to work remotely, making it ideal for candidates seeking a work-from-home opportunity. Job Type: Full-time Application Question(s): What are you a good fit? Experience: Hospice: 2 years (Required)Medical Billing: 4 years (Required) Work Location: Remote https://momentshospice.com/terms-of-service/ https://momentshospice.com/privacy-agreement/

Fusion Health is seeking a bright, motivated, and outgoing Lead, Client Success Manager to join our Client Operations team as a remote role! We are looking for an ambitious team player who is target driven and passionate about achieving results. What You'll Do: This role is vital to our organization's mission and growth, and if selected, you'll work on the following challenging and interesting projects: Post-Sales Implementation & Scalability: - Manage post-implementation processes and tools across health systems, ensuring scalability and efficiency. - Drive adoption of Fusion’s products and services, focusing on client retention and long-term satisfaction. - Develop and execute strategies to maximize the value clients derive from Fusion’s solutions. - Applies advanced customer lifecycle strategy and connects operational processes, client data, and human development to drive predictable results. - Cultivates a deep understanding of Fusion’s products, goals, mission, and clients - Champions enhancements to client success playbooks, renewal forecasting models, and team processes. Strategic Relationship Management: - Cultivate and manage strategic relationships with health system stakeholders, including executives, mid-level managers, and frontline staff. - Build trusted partnerships through strategic, consistent communication grounded in client goals, and proactively influence stakeholders to drive measurable, high-impact outcomes Data Collection & Analysis: - Collect and analyze client data to guide satisfaction strategies and identify areas for improvement. - Uses advanced data-driven story-telling skills to support client success, highlight opportunities for product and service enhancements, and make independent and team decisions - Create detailed reports and presentations using SQL, Excel, and PowerPoint to communicate insights and recommendations. - Interpret data, identify risks, and connect adoption insights to business outcomes. - Leverage CRM and reporting systems to coach team members on prioritization and client engagement Cross-Functional Collaboration: - Partner with Fusion leaders in sales, product, and engineering to drive innovation and deliver value to clients. - Collaborate on product innovation and feature rollouts to address client needs and enhance their experience with Fusion’s solutions. - Coordinate with internal teams to ensure alignment and effective delivery of client objectives. - Delivers clear, confident updates and represents the voice of both clients and team members. - Pilots new engagement strategies or technologies and shares learnings department-wide. People Management: - Hands-on people management of a small team; driving growth, accountability, and outcomes aligned to company goals and objectives - Shapes culture through mentorship, fairness, and transparent communication - Acts as a credible peer to leadership, influencing cross-functional priorities - Encourages team-wide experimentation with client journey improvements. Travel & Client Engagement: - Travel to client locations as necessary to strengthen relationships, support implementations, and address any concerns or opportunities (approximately 15% of the time) - Ensure that client visits and meetings are well-prepared and productive, providing actionable insights and solutions. Key Performance Indicators (KPIs): - Client satisfaction and retention rates. - Adoption and usage metrics for Fusion’s products and services. - Success of implementation and onboarding processes. - Effectiveness of data-driven strategies and recommendations. - Feedback from client stakeholders and internal teams. Who You Are: We believe in harnessing diverse talents and perspectives, and if you believe you have what it takes to excel in this role, we want to hear from you. We look forward to reviewing your application if you have the following qualifications and experience: - Bachelor’s degree in Business, Analytics, Information Systems, or a related field. A Master’s Degree in an applicable field is a plus. - 8+ years of experience in Customer Success, Account Management, or SaaS leadership - 1-3 years of experience in people management, mentorship, and leading a team - Health-tech or healthcare industry experience is a big plus - Excel at navigating ambiguity, creating scalable processes, and driving customer success. - Operates with ownership and accountability in ambiguous environments, builds scalable processes, aligns cross-functional teams around customer impact, and leverages strong communication and analytical skills to deliver measurable outcomes. - Use data-driven storytelling to influence stakeholders, leveraging SQL, Excel, and PowerPoint. - Demonstrated hands-on experience with products and platforms such as HubSpot, Salesforce, JIRA, and Confluence is required. Additional Details: - This is a remote, full time, salaried role. - Our normal hours of operation are Monday – Friday, 8:00 AM – 4:00 PM ET. - This position description is not intended to be exhaustive, and other duties may be assigned as they arise. - It is not expected that applicants have any familiarity with Fusion’s proprietary applications, Healthcare software, or Corrections/Public Health business processes. Qualified candidates will be able to demonstrate related experience and transferable skills that will work well with the Fusion team. - At this time, this position is not eligible for employment sponsorship. - Fusion is an equal employment opportunity employer. Compensation: - Salary Range: $105,000 - $125,000 - At Fusion, our salary ranges are designed to be competitive within our size and industry. Compensation is just one component of a comprehensive total rewards package that also includes benefits, flexibility, and growth opportunities. - Individual pay decisions are informed by several factors, including location, experience, qualifications, skillset, and internal equity across the organization. While we expect most offers to fall within the stated range, each compensation decision is made thoughtfully, with consideration for both the candidate’s unique profile and our commitment to pay parity. For Internal Use only: In reference to our Employee Referral Program, this opening is: Level 4

Donaldson is committed to solving the world’s most complex filtration challenges. Together, we make cool things. As an established technology and innovation leader, we are continuously evolving to meet the filtration needs of our changing world. Join a culture of collaboration and innovation that matters and a chance to learn, effect change, and make meaningful contributions at work and in communities. ​ The Oil & Mist Strategic Market Manager will lead the strategic development and expansion of the company’s filtration offering within the Oil Mist and Machining market across the EMEA region. Remote based role located in UK but coverage of European region Countries. While the organisation is a highly respected, and well known as Dust & Fume filtration, this specific market segment represents a significant growth opportunity. This role carries end-to-end responsibility for defining and driving the strategic focus for filtration solutions in the Oil Mist market, including the introduction of both current and new products, development of a sustainable customer base, and delivery of profitable sales growth. What is in it for you: - This is a great opportunity for a strategic thinker, who can support the planned growth for Oil & Mist - A role that provides a high level of autonomy with an ability to influence and make an impactExcellent package available commensurate with experience Key Responsibilities: - Lead and execute the EMEA strategy for filtration solutions in the Oil Mist and Machining market - Identify and develop new market opportunities, customers, and applications to drive sales growth and market share expansion - Introduce and commercialise current and new filtration products, ensuring strong market positioning and competitiveness - Act as the technical and commercial expert for Oil Mist filtration, supporting key customers and complex opportunities - Work closely with Engineering to develop and adapt products in line with market and customer requirements - Build and maintain strong relationships with key customers, OEMs, and partners across the region - Support and influence regional sales teams with market insight, application knowledge, and value propositions - Ensure solutions are technically sound, competitively priced, and commercially profitable - Monitor customer satisfaction, market trends, and competitor activity to continuously refine strategy Your Profile: To be successful in this role you will need to be the subject matter expert for Oil & Mist, with strong commercial and technical knowledge. Success will be measured by the ability to grow sales, expand market share, establish long-term customer relationships, and build a robust pipeline in a market where the company is investing to strengthen its position. Required Skills & Qualifications: - Engineering degree (or equivalent technical qualification) - Extensive experience in the Oil Mist industry - Proven experience in senior sales, market management, or business development roles - Strong technical understanding of Oil Mist and machining applications - Commercial mindset with the ability to balance growth, competitiveness, and profitability Employment opportunities for positions in the United States may require use of information which is subject to the export control regulations of the United States. Hiring decisions for such positions are required by law to be made in compliance with these regulations. Applicants for employment opportunities in other countries must be able to meet the comparable export control requirements of that country and of the United States. Donaldson Company has been made aware that there are several recruiting scams that are targeting job seekers. These scams have attempted to solicit money for job applications and/or collect confidential information, Donaldson will never solicit money during the application or recruiting process. Donaldson only accepts online applications through our Careers | Donaldson Company, Inc. website and any communication from a Donaldson recruiter would be sent using a donaldson.com email address. If you have any questions about the legitimacy of an employment opportunity, please reach out to talentacquisition@donaldson.com to verify that the communication is from Donaldson. Our policy is to provide equal employment opportunities to all qualified persons without regard to race, gender, color, disability, national origin, age, religion, union affiliation, sexual orientation, veteran status, citizenship, gender identity and/or expression, or other status protected by law.