Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. We foster an environment where passion thrives, and success comes through shared purpose. Together, we leverage our strengths and experiences to make a positive impact in our local communities. Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. Even when you are working remotely, you are an important part of the Vituity Community. Monthly wellness events and programs such as yoga, HIIT classes, and more. Trainings to help support and advance your professional growth. Team building activities such as virtual scavenger hunts and holiday celebrations. Flexible work hours. Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
Coding Compliance Analyst
Location
United States
Posted
9 hours ago
Salary
$26 - $32 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Coding Compliance Analyst
MedAmerica
Role Description Performs chart assessments with focus on application and accuracy of CPT, ICD-10-CM and MIPS/QCDR codes utilized, including communication with other departments, as needed. - Performs reviews for payer specific coding application and makes recommendations or file appeals, as needed. - Assists with coding of confidential charts, as needed. - Communicates trends in errors or documentation concerns to the Coding Compliance Manager. - Participates in industry-related webinars and/or other conference calls, as needed, and summarize information. - Offers recommendations for coding program enhancement. - Reviews encounters and makes final determination of patient disputes, including communication by mail with patients, as needed. - Ensures compliance with local, state, and federal government requirements. - May be asked to travel for business purpose, not exceeding 5%. - Researches, interprets, and develops coding guidelines and methodology, including coder and client reference materials such as: Medicare, Medicaid, and workmen’s compensation guidelines for states we have not billed in, new practice lines and/or services, and new CPT codes, including possible addition of services not currently billed for. - Researches and interprets other commercial payer policies and provides guidance as needed. - Assists in reviewing information and applying periodic updates to RCM reference materials. - Evaluates literature, regulations, and payor policies and clarifies current code application and methodology, as needed. - Review and/or application of MIPS/QCDR measures. Qualifications - High School Diploma or GED equivalent required. - Two years’ minimum coding experience, or equivalent, to be able to apply correct CPT and ICD-10-CM codes in accordance with all Federal, State, and private payer statute and regulations; OR - Two years’ minimum billing experience with government payors, preferable Medicare and Medicaid. - Certified Procedural Coder (CPC) certification and/or Certified in Healthcare Compliance (CHC) certification highly desired. - Basic knowledge of pathology and etiology of disease, body areas and organ systems. - Knowledge of CPT and ICD-10-CM coding practices and/or knowledge of Medicare/Medicaid billing practices and appeal process. - Excellent communication and interpersonal skills, including conflict resolution. - Ability to communicate effectively in writing and verbally. - Computer skills including Microsoft Outlook Suite (Word, Excel, Outlook), with intermediate Excel and Word knowledge. - Ability to review literature and come to conclusions and make recommendations to coding management. - Ability to analyze new or ambiguous information, define the issue or problem and propose resolution. - Strong organizational skills and ability to meet deadlines. - Ability to handle a fast-paced, high production environment. - Strong consultation skills and the ability to seek out information and provide quality advice. - Strong research skills with ability to apply complex reasoning and analysis to identify best policy proposal or interpretation. - Ability to work independently, accomplish responsibilities timely, meet acceptable productivity requirements to ensure appropriate workflow. - Ability to maintain effective working relationships with all staff. - Ability to react to change productively. Benefits - Superior health plan options. - Dental, Vision, HSA/FSA, Life and AD&D coverage, and more. - Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service). - Generous paid time off starting 3-4 weeks’ annually. - Student Loan Refinancing Discounts. - Professional and Career Development Program. - EAP and travel assistance included. - Wellness program. - Purpose-driven culture focused on improving the lives of our patients, communities, and employees.
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Role Description We are seeking a Senior Director, Head of Regulatory CMC with deep expertise in biological and cell therapy products and CMC regulatory requirements. 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Qualifications - Minimum 8 years in a director-level and above role in Regulatory CMC or related function in a Biotechnology-related field. - Demonstrated experience in collaborating with the Quality department to prepare for and execute regulatory inspections including preparation, representation, and closing out of observations. - Proven record of CMC writing, reviewing, and approving regulatory submissions on topics of biological and cell therapy CMC processes and compliance, including pre-clinical stage, clinical stage, commercial-stage products and product candidates. - Demonstrated experience in developing, communicating, and implementing regulatory and compliance strategies to assure success in design, development, and commercialization processes for biologic products and medical devices. - Demonstrated knowledge of and expertise in product life cycle management, consistent with ICH and other international consensus guidelines. - Demonstrated success with planning, executing, and closing international regulatory inspections, with a focus on European regulatory submissions. - Possess a positive roll-up-the-sleeves attitude and optimistic outlook. - Strong ability to work in a fast-paced team environment with fluctuating priorities and demonstrated ability to collaborate within cross functional teams. - Excellent organizational and time management skills with a keen ability to set own priorities in a timely manner. - High degree of flexibility and adaptability. - Self-motivated and critical thinker with outstanding interpersonal and business communication skills. - Represents the organization in a positive and highly professional manner. Requirements - Minimum BS degree in a biologics-related discipline, with education focus in biology, chemistry, biochemistry, microbiology, cell biology, or biotechnology required. Benefits - Competitive base compensation and bonus. - Stock Options. - 401k Plan with 4% Match and no Vesting Schedule. - Medical, Vision and Dental Plans. - Company Paid Long Term/Short Term Disability. - Company Paid Life Insurance. - Assortment of other voluntary benefits, including pet insurance; hospital indemnity; accident & critical illness plans; voluntary life insurance; legal protection plans and more. - 23 Days Paid Time Off (PTO) to start. - 10 Company Designated Holidays + 2 Floating Holidays. - Paid Parental Leave Policies.
Associate Director, Regulatory Affairs – Operations
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Iovance Biotherapeutics, Inc.Iovance is a patient-centric, collaborative organization that is driven to change the way cancer is treated.
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