Title: Medical Coding and Billing Assistant 1 Location: New Haven United States 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 - 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. - 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). - Demonstrated knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures. Proven ability to interpret and apply guidelines. - 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. - 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 - 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 based on 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 through their 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.

Role Description L'inspection des installations classées a pour but de diminuer le risque d'accidents et de réduire la pollution et l'utilisation des ressources par les industries. C'est un métier en lien étroit avec les acteurs. - Contribuer au programme d'inspections du service. - Assurer la fonction de référent-e régional Air et Santé : veille, information aux inspecteurs, réalisation d'inspections. - Coordonner les actions nationales et régionales dans le domaine de l'air et la santé : définition d'outils, suivi d'indicateurs, participer au GT national. - Apporter un appui aux inspecteurs des Unités (inter)-Départementales (UiD) : questions techniques, formations/webinaires, traitement de dossiers notamment étude de risque sanitaire, réexamen IED et/ou porter à connaissance. - Réaliser le contrôle de 2nd niveau de certains dossiers (rapports d'instruction, rapports d'inspection). - Maintenir un lien avec la profession sur ces thématiques. - Contribuer à l'appel à projet PRSE ou aux conventions pluriannuelles, suivre ces appels à projets. - Piloter les actions DREAL du PRSE. - Participer à l'animation et au suivi de la mise en oeuvre du PRSE. - Organiser un évènement annuel et participer aux actions de communication. - Suivi des dépenses budgétaires dans le domaine de la santé environnement, rédaction des marchés le cas échéant. Vous serez rattaché hiérarchiquement au chef de département Impact santé, déchets (DISD). Ce département est composé de 13 agents au total. Qualifications - Niveau Ingénieur ou équivalent bac+5. - Une première expérience dans le domaine des risques industriels serait appréciée (sans être une nécessité). Requirements - Maîtrise réglementaire et technique sur les ICPE. - Connaissances en matière de risques chroniques et/ou risques accidentels. - Connaissances informatiques. - Capacité d'analyse des dossiers, de définition des enjeux et de la stratégie à développer. - Aptitudes à faire des propositions d'action. - Aisance rédactionnelle. - Savoir s'organiser et suivre rigoureusement les évolutions de dossiers contentieux sur le plan budgétaire. - Travail en équipe (selon le référentiel « Compétences du DICo de la DGAPF »). - Techniques d'animation/expression orale. - Travail en réseau/partenariat. Benefits - En fonction de votre profil, un parcours de professionnalisation permettant d'acquérir ou de développer les compétences nécessaires vous sera proposé. Company Description 5ème région industrielle française (en part d'emploi salarié), la région Centre-Val de Loire compte un tissu industriel varié et réparti sur l'ensemble du territoire avec 1 900 installations classées pour la protection de l'environnement et 70 établissements SEVESO. Le Service Risques Chroniques et Technologiques (SRCT) est composé de 2 départements de 13 et 10 agents et d'un pôle administratif de 3 personnes. Le Département Risques Technologiques et Sécurité Industrielle (DRTSI) contribue à la réduction des risques accidentels et met en oeuvre les politiques de sécurité industrielle. Le Département Impacts Santé et Déchets (DISD) agit pour la prévention des impacts sur les milieux naturels et sur la santé des populations, liés au fonctionnement des industries, ainsi que pour la prévention et la gestion des déchets. Contact Information Personnes à contacter : diane.gedeon@developpement-durable.gouv.fr

Title: Healthcare Billing Recovery Analyst Location: Plantation, FL - Remote Work Type: Remote, Full Time Job ID: R-2026-05-00134 Job Description: ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We’re reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range: $23.00 As a Healthcare Billing Recovery Analyst, you will be assigned a Provider portfolio and be tasked with managing it from a Recovery standpoint. In this role you will have the opportunity to leverage your well-versed background in Coordination of Benefits as well as Medicare/Medicaid and procedural challenges/regulations, and experience in generating outbound communications to Providers, with proven ability to gather and interpret Explanation of Benefits (EOB) to answer questions and resolve medical billing issues. Key Responsibilities - Engage in Outbound recovery calls, to Healthcare Carriers and Providers regarding improperly paid claims - Decision Support- Ability to accurately review supporting documentation provided to Performant, by Providers/Carriers to determine accuracy of finding or overpayment allegation, for Complex appeals and disputes. - Maintain current knowledge in Medicare and Medicaid practices and regulatory issues that may affect our clients. - Leverage your knowledge and expertise to research Overpayments and answer questions and/or provide information that will bring to successful resolution and payment. - Educate Healthcare providers/carriers on their obligation to pay. - Ability to analyze and understand written communication from insurance companies including explanation of benefits. - Support internal groups or functions with gathering and interpretation of the billing and collections work to development with knowledge base and understanding of key concepts and terminology in healthcare billing and claims. - Leverages existing excel skills to create Provider centric reporting on demand, or at Managements request. - Effectively follow and contribute to continuous improvement of scripts, guidelines and other tools provided to have professional conversations with Healthcare Insurance providers - Efficiently and diligently work through assigned inventories to meet productivity metrics assigned by management - Ability to maintain and function in multiple client systems and environments at one time. - Updates company systems with clear and accurate information such as point of contact, updated demographic information, notes from contact from outbound and inbound calls and/or attempts, payment commitments, as well as account status updates as applicable. - Updates company systems with clear and accurate information such as point of contact, updated demographic information, notes from contact from outbound and inbound calls and/or attempts, payment commitments, as well as account status updates as applicable. - Arrives to work on-time, works assigned schedule, and maintains regular attendance - Follows and complies with company and departmental policies, processes and procedures - Responsible for utilizing resources to ensure compliance with client requirements, HIPAA, as well as applicable federal or state regulations - Successfully completes, retains, applies and adheres to content in required training as assigned. - Consistently achieve or exceed established metrics and goals assigned - Demonstrates Performant core values in performance of job duties and all interactions - Correct areas of deficiency and oversight received from quality reviews and/or management. Knowledge, Skills and Abilities Needed - Ability to demonstrate, strong written and verbal communication skills - Basic understanding of revenue cycle management or Medical recovery. - Strong knowledge and material experience with Healthcare, Medical terminology, Coding, Billing. Preferably a role in recovery or revenue cycle management. - Demonstrates knowledge in post-payment recovery. - Demonstrates the ability to solve complex Provider or Carrier billing questions, that assist in the resolution and understanding of the overpayment. - Communicates effectively with Providers and Carriers to answer any questions and/or provide information that will bring successful payment or other resolution to the account. - Demonstrated expertise in Medicare and Medicaid plans policy and procedure - Up to date knowledge in Medicare/Medicaid appeal processing - Knowledge in Coordination or benefits (COB) - Demonstrates a high degree of critical thinking and analytical accuracy required to be successful. - Proven ability to gather and interpret explanation of benefits (EOB) and answer questions and resolve standard as well as complex issues with payments. - Strong skills using standard office technology; Computer, various applications and navigation of on-line tools and resources. - Intermediary to Advanced excel skills. - Applies knowledge learned in training - Self-motivated and thrives in a fast-paced business operations department performing multiple tasks cohesively, with keen attention to detail. - Must have the availability to communicate via phone with Providers and or Carriers in a quiet space 5+ hours daily. Required and Preferred Qualifications - Bachelor’s degree in relevant field or equivalent combination of education and experience. Significant experience along with a high school diploma, may also be considered in lieu of a completed degree. - At least 3 years directly relevant professional working experience in a highly analytic or Recovery role. - Experience in Healthcare Billing and/or Coding is required - Knowledge or experience with Healthcare, Coordination of benefits or Revenue cycle management, and the like. - Other requirements may apply WHAT WE OFFER: Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee’s responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary. - Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. - Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). - Regularly sit/stand 8 or more hours per day. - Occasionally lift/carry/push/pull up to 10lbs. Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: - Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions. - Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists. - Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures. - Other requirements may apply. All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.

• The Coder IV reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. • This includes, but is not limited to, various coding assignments under the direction of Coding Management. • Provides feedback regarding documentation and coding issues. • Utilizes software applications and coding references, including electronic, to perform coding related tasks. • The Coder IV maintains an understanding of and ensures compliance with, all applicable Official Coding Guidelines. • This position requires advanced experience and judgment to plan and accomplish goals. • Proficiency in ICD-10-CM diagnosis coding and PCS, including DRG coding required. • Experience with writing physician queries required. • Meets or exceeds the minimum coding productivity standard for the type of coding performed. • Submits a fully completed and accurate production log weekly in a timely manner. • Meets or exceed the minimum coding accuracy rate of 95%. • Works as a member of a coding team for the successful benefit of the department and DHHA.