Title: Medical Coding and Billing Assistant 1 Location: Off Campus within Connecticut Full time Remote job requisition id 134885WD Job Description: Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Overview Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 1 is responsible for reviewing all aspects of charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. Reviews charge submissions for compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines. Performs effective workflow processes to file complete, accurate and timely billing of professional charges, while maintaining productivity to meet lag day expectations. May review and analyze documented medical services to verify accurate documentation and coding of services performed. Required Skills and Abilities 1. General/intermediate knowledge of ICD-10, CPT, HCPCs and modifier coding, medical terminology, human anatomy, and digital coding resources and software. Ability to analyze and interpret evaluation and management documentation guidelines as well as procedures and applicable coding guidelines. 2. Demonstrated ability with an electronic health record and practice application systems, electronic data entry, and web-based applications and websites. Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars). 3. Demonstrated knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures. Proven ability to interpret and apply guidelines. 4. Demonstrated strong interpersonal, verbal and written communication skills. Ability to effectively communicate with team members to resolve questions regarding collaboration and assignments. Communicate effectively with providers, following escalation processes with analytics team and manager. 5. Demonstrated ability to work independently; organize and prioritize own work with minimal supervision; ability to work in a fast-paced environment meeting timely deadlines while maintaining productivity and quality standards. Ability to work effectively as a team member with common goals. Preferred Education, Experience and Skills Previous Epic experience; experience within an academic medical environment or large multi-specialty practice; CPC certification preferred. Principal Responsibilities 1. Performs work queue resolution of medical billing charge sessions by reviewing clinical documentation to confirm diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers, based on charge review edits for Yale Medicine patient clinical services filed to charge review work queues. May perform manual charge entry for non-Epic services. With an ability to navigate within the Professional Billing applications, ensures that all charge review edits are appropriately resolved in charge review work queues utilizing claim judgement and critical thinking skills. Draws valid conclusions to support decisions. 2. May verify all information required to submit a clean claim including provider, place of service, date of service, bill area, all codes and special billing procedures that may be defined by a payer, contract or YMA. Ensures compliance with Teaching Physician guidelines within an academic medical practice. 3. Pends charge sessions to seek corrective action for services not meeting documentation requirements in accordance with YMA policies and procedures. May identify that a provider should be contacted to clarify or amend a medical record, following communication and escalation procedures. May modify clinician’s selection. 4. Adheres to YMA policies and procedures and Yale Medicine’s Mission, Values and Guiding Principles. Actively participates in team and department training and education programs and staff meetings. Establishes and cultivates productive relationships among staff to support a positive team environment and professional interactions. Maintains professional and technical knowledge by participating in educational workshops and reviewing professional publications. 5. May perform other duties as assigned. Required Education and Experience Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate’s degree, or an equivalent combination of experience and education. Required License(s) or Certification(s) Certified Professional Coder Apprentice (CPC-A) through AAPC organization. Must maintain certification through annual education requirements and achieve CPC status within 2 years. Preferred Licenses or Certifications Certified Professional Coder (CPC) Physical Requirements Ability to push, pull, and lift in excess of 20 pounds as well as travel around the medical school campus. Job Category Administrative Support Bargaining Unit L34 Compensation Grade Labor Grade D Compensation Grade Profile Hourly Range $31.83 Time Type Full time Duration Type Staff Work Model Remote Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks basedon the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties throughtheir hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note Yale University is a tobacco-free campus.

• Provides leadership and subject matter expertise to the coding team across inpatient and/or outpatient care settings. • Ensures daily operational functions are met, supports coding quality and compliance. • Serves as a super user and resource for internal and external stakeholders. • Monitors daily activity of coding work queues to support productivity benchmarks and turnaround times. • Collaborates with various stakeholders to identify and resolve coding-related issues impacting reimbursement or compliance. • Maintains regular hands-on coding responsibilities.

Role Description We are seeking a motivated and empathetic Medical Receptionist to manage patient bookings and medical administration for a remote-first healthcare practice. - Schedule, confirm, and manage patient appointments via phone and online booking systems - Handle patient enquiries via phone, email, and messaging platforms - Capture and update patient records accurately in the practice management system - Process medical aid authorisations and claims administration - Liaise with healthcare providers, specialists, and medical aids on behalf of patients - Manage virtual waiting room coordination and patient intake forms - Ensure patient confidentiality and compliance with POPIA and healthcare regulations Qualifications - 1+ year of experience in medical reception or healthcare administration - Familiarity with medical aid schemes and authorisation processes - Proficiency in practice management software (GoodX, Elixir, or similar) is advantageous - Excellent communication skills with a warm and professional manner - Strong organisational skills for managing high volumes of bookings - Discreet and trustworthy when handling sensitive patient information - Reliable home office setup with stable internet connection - Matric certificate required; medical admin qualification preferred Requirements - Salary: R16,000/month - 100% Remote

Investigator Professional Standards & Conduct Location: Australia Occupation Human Resources and Recruitment Work type Full-Time Location Sydney City Salary Information $113,574 - $125,720 + super Job Description: Clerk Grade: 07/08 Salary range: $113,574 - $125,720 + super, commensurate with experience. Employment Type: Ongoing, Full-Time opportunity Location: Haymarket, with hybrid working arrangements including office attendance The People & Culture division at the Department of Customer Service has an exciting opportunity for an Investigator to join our dynamic Professional Standards and Conduct team. - Enjoy genuinely flexible working arrangements that support work-life balance. - Collaborate in state-of-the-art offices designed for innovation and connection. - Access a wide range of wellbeing programs and resources to support your mental, physical, and emotional health. - Take advantage of excellent professional development and learning opportunities to help you thrive. About the role We are seeking a highly skilled and principled Investigator to support complex misconduct investigations and coordinate advisory services on professional standards and conduct matters. This role is pivotal in ensuring that ethical behaviour is embedded across the organisation and aligned with NSW Government values, legislation, and departmental policies. Your day to day will include: - Support end-to-end misconduct and workplace investigations, ensuring matters are handled confidentially, fairly and in line with legislation, policies and the NSW Government Code of Ethics and Conduct. - Assess, triage and investigate allegations relating to employee conduct, behaviour, and workplace issues, providing timely, evidence-based advice and recommendations. - Conduct investigation interviews, gather and analyse evidence, and evaluate information to form clear, defensible findings. - Prepare high-quality investigation reports, correspondence and briefs, clearly outlining findings, risks and recommended actions to support decision-making. - Provide expert advice to managers and stakeholders on professional conduct matters, ensuring alignment with relevant legislation, policies and best practice. - Monitor trends and emerging conduct risks, contributing insights to inform policy improvements, education and prevention strategies. - Support the design and delivery of awareness initiatives, guidance and training to uplift capability in ethical behaviour and workplace standards. - Support and maintain effective relationships with internal stakeholders, including HR, leaders and employee representatives, to achieve balanced and fair outcomes. - Contribute to continuous improvement of processes, governance and case management practices to ensure efficient, consistent and compliant handling of conduct matters. About you: - Demonstrated experience in workplace or misconduct investigations, including end-to-end case management. - Strong understanding of employment-related legislation, procedural fairness, and workplace policies/frameworks. - Proven ability to analyse complex information, identify key issues and provide practical, evidence-based recommendations. - Experience in conducting interviews and preparing clear, structured investigation reports for decision-makers. - Highly developed communication and stakeholder engagement skills, with the ability to influence and negotiate outcomes. - Ability to manage sensitive and confidential matters with professionalism, sound judgement and discretion. - Strong organisational skills with the ability to manage competing priorities in a high-volume environment. - Relevant qualification and/or experience in investigations, employee relations, HR, or a related discipline is desirable.