Outpatient Facility Coding Compliance | , |
UnitedHealth Group · Spokane, WA
Job description(tap to read)
Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data andresources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws, regulations, and billing standards while effectively communicating findings to stakeholders. The Auditor also analyzes audit outcomes to identify trends, determine root causes, and pinpoint opportunities for improvement, as well as assess the effectiveness of corrective actions. Additionally, as part of the Compliance Workplan the Auditor participates in quality assurance (QA) coding oversight, conducts independent reviews, and supports organizational compliance initiatives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Perform coding compliance and quality audits in support of Optum Insight Provider's Compliance Program and client expectations • Independently analyze and interpret clinical documentation from medical records • Validate coding accuracy for outpatient facility, including E/M services, procedures, and modifiers • Identify audit findings, calculate billing error rates, and perform root cause analysis to determine drivers of non-compliance • Assess and evaluate the adequacy and effectiveness of corrective action plans, providing follow-up validation as appropriate • Clearly document audit findings and articulate results tailored to the appropriate audience • Prepare written audit analysis and summary reports, including compliance risk, trends, and recommended corrective actions • Conduct ad hoc coding and billing audits as requested • Provide compliance oversight of QA audit activities, ensuring consistency and adherence to established standards • Audit vendor coders and auditors, including offshore staff • Monitor and track evolving industry trends, regulatory updates, and government audit activities to identify potential coding and billing risk areas • Stay current with applicable coding, billing, and regulatory guidelines • Research, develop, and present targeted education based on individual, team, and systemic audit findings You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) • 5+ years of Outpatient Facility coding experience including: • NCCI/OCE billing edits related to outpatient services coding and billing • ICD-10-CM and CPT (including CPT-4) • ACEP Facility or similar Facility E/M matrix guidelines for outpatient facility code assignment • 5+ years of Outpatient Facility audit experience, including surgery, observation, and emergency department, including: (Strong industry knowledge of Medicare regulations and payment policies, including OPPS) Preferred Qualifications: • Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Professional Medical Auditor (CPMA) a plus • Demonstrated ability to perform independent, autonomous audit and coding review functions • Strong professional communication skills, both oral and written • Ability to prioritize and manage multiple assignments, spreadsheets, documents, and reports • Proven time management skills with consistent follow-through to completion • Proficiency with Microsoft Excel, Teams, PowerPoint, Word, and Outlook Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Part-Time Dental Hygienist
Spokane Valley Dentistry · Spokane, WA
Finally find a place where there's no drama, teamwork is paramount, and you're treated like a provider!.We are dedicated to providing the very best in modern dentistry.Our patients are like family, and we go the extra mile to ensure they receive outstanding care and education in a comfortable settin
Systems Development Engineer 5 - Creative Compute and Storage
Netflix · Spokane, WA
At Netflix, our mission is to entertain the world. Together, we are writing the next episode - pushing the boundaries of storytelling, global fandom and making the unimaginable a reality. We are a dream team obsessed with the uncomfortable excitement of discovering what happens when you merge creativity, intuition and cutting-edge technology. Come be a part of what's next. The Creative Compute and Storage team designs, develops, and delivers technology infrastructure globally for the evolving needs of our creatives. As we continue to expand our content creation globally, we are looking for the best and brightest engineering talent to be part of our growth. Our team is looking for a Senior Systems Development Engineer with deep storage expertise to be part of the development and build-out of our purposefully developed infrastructure platforms. You will own the design, automation, and reliability of the large-scale, high-performance storage systems that sit at the heart of content creation, working with internal engineering teams, technical creatives, production teams, and external vendors around the world to deliver amazing technology experiences for our creative users. We are looking for an experienced engineer who brings a broad set of technical skills and achievements, a development and automation-focused mindset to solving problems, and unique career and life experiences to join our teams as we continue to evolve entertainment around the world. Be sure to review our culture page and long-term view to learn more about the unique Netflix culture and the opportunity to be part of our team. As a member of the team, you will... • Work with a broad group of engineering teams, internal and external partners, and creative teams to design, develop, implement, and support a broad collection of technology solutions for content creation at Netflix. • Own the architecture, deployment, and lifecycle of our high-performance storage platforms, including Dell PowerScale (OneFS) and NetApp (ONTAP), spanning file, block, and object workloads across globally distributed sites. • Automate the full provisioning and configuration lifecycle of storage infrastructure using Terraform and infrastructure-as-code practices, treating storage as code with versioned, repeatable, and auditable deployments. • Build and own observability for the storage fleet, including metrics, logging, tracing, capacity and performance dashboards, and proactive alerting that surface issues before they impact creative users. • Design and build services to improve experiences and productivity for a broad range of content creative populations (e.g. post-production, animation, visual effects, etc.). • Work in a uniquely challenging global infrastructure space with challenges far larger than almost any other studio in the world. • Be empowered to build and develop new solutions to long-standing entertainment industry challenges. • Entrusted for developing, scripting, and automating solutions to improve the efficiency and functionality of our production systems. This includes deploying these solutions and ensuring their successful integration within the existing system architecture. • Participate in storage system upgrades, data migrations, and troubleshooting tasks to maintain optimal system performance. The candidate should be able to identify potential issues, develop effective solutions, and implement them to ensure system reliability and stability. About you • You have a minimum of 5 years of experience in building and developing compute, storage, and connectivity tooling to deliver product experiences for end-users. • You have deep, hands-on expertise operating and automating enterprise storage platforms at scale, with strong production experience in Dell PowerScale / OneFS and/or NetApp / ONTAP (SMB/NFS, snapshots, replication, tiering, quotas, and performance tuning). • You manage infrastructure as code, with strong Terraform skills (modules, state, providers) and a track record of automating storage and adjacent infrastructure provisioning. • You are able to dissect large complex systems into sub-components, understanding each component's additive value to the overall solution and able to optimize them both individually and collectively. • You have a passion for automation, efficiency and scale; consistently driving operational excellence. • You have a deep technical understanding of large-scale computing infrastructure; operating systems; high-performance file, block, and object storage technologies (PowerScale OneFS, NetApp ONTAP, and similar); scaled networking challenges; or any of the above. • You enjoy and can effectively work collaboratively with business and product teams to develop product plans and roadmaps and then are able to own parts of the hands-on implementation of those plans. • You thrive in identifying high-leverage, high-value work and direct your attention to those opportunities without explicit direction • You aim to always be learning new things, working in new spaces, and share this passion with those around you • You use data-driven strategies, applying thorough analytics and real-time insights for strategic and operational decisions. • You strongly uphold observability principles, promoting transparent, measurable outcomes to improve performance and accountability, and you instrument storage systems for deep visibility into capacity, performance, and health. Generally, our compensation structure consists solely of an annual salary; we do not have bonuses. You choose each year how much of your compensation you want in salary versus stock options. To determine your personal top of market compensation, we rely on market indicators and consider your specific job family, background, skills, and experience to determine your compensation in the market range. The range for this role is $340,000.00 - $490,000.00. Netflix provides comprehensive benefits including Health Plans, Mental Health support, a 401(k) Retirement Plan with employer match, Stock Option Program, Disability Programs, Health Savings and Flexible Spending Accounts, Family-forming benefits, and Life and Serious Injury Benefits. We also offer paid leave of absence programs. Full-time hourly employees accrue 35 days annually for paid time off to be used for vacation, holidays, and sick paid time off. Full-time salaried employees are immediately entitled to flexible time off. See more details about our Benefits here. Netflix is a unique culture and environment. Learn more here. Inclusion is a Netflix value and we strive to host a meaningful interview experience for all candidates. If you want an accommodation/adjustment for a disability or any other reason during the hiring process, please send a request to your recruiting partner. We are an equal-opportunity employer and celebrate diversity, recognizing that diversity builds stronger teams. We approach diversity and inclusion seriously and thoughtfully. We do not discriminate on the basis of race, religion, color, ancestry, national origin, caste, sex, sexual orientation, gender, gender identity or expression, age, disability, medical condition, pregnancy, genetic makeup, marital status, or military service.
ELECTRONICS TECHNICIAN
US Department of War · Spokane, WA
Duties You will provide fully researched technical products that directly support the scheduling, execution, and certification of work. You will communicate prompt and detailed information to keep chain-of command informed on all issues. You will conduct investigations aboard ship to obtain information for development of or determine adaptability of working plans. You will ensure timely, technically accurate execution of design projects, document or drawing development or planning projects. You will be required to have successfully passed a non-nuclear electrical engineering division oral board with a supervisor panel.
Sierra At TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You'll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you're working in our four global Home Offices, Distribution Centers or Retail Stores-TJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you'll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX family-a Fortune 100 company and the world's leading off-price retailer. Job Description: Opportunity: Grow Your Career. Leads the frontline to promote a "Highly-Satisfied" customer experience while driving customer loyalty. Helps develop high-performing teams through training and mentoring of Associates on frontline execution of all register transactions. Acts with integrity to adhere to company policy and procedures. Promotes a culture where everyone feels welcomed, valued, and engaged. Has a strong desire to achieve team and individual results. Available and willing to work in multiple areas of the store as needed • Promotes a "Highly Satisfied" customer experience • Drives customer loyalty through programs and initiatives • Addresses customer concerns and issues promptly • Updates Associates on current customer experience feedback, goals, and company initiatives • Trains and mentors all Associates on Policies and Procedures • Provides recognition and constructive feedback on cashier performance • Maintains and monitors cash controls including change fund • Adheres to all labor laws and meal and break period policies • Assigns registers and coordinates breaks to ensure optimized coverage at frontline and sales floor • Audits and approves paperwork • Maintains cleanliness, recovery, and organizational standards throughout the frontline • Monitors all frontline equipment, communicating issues to management • Executes and adheres to Company directives • Maintains and upholds merchandising standards within the queue-line • Adheres to all operational, merchandise, and loss prevention policies and procedures (i.e. merchandise ticketing, EAS tagging - if applicable, and coding standards) • Ensures proper and timely handling of damages and Mark out of Stock • Promotes a safe environment, reporting any type of safety hazard in the store • Other duties as assigned Who We're Looking For: You. • High School graduate or equivalent degree preferred • Available to work flexible schedule including evenings and weekends • Able to work as a team member • Excellent interpersonal skills • Exceptional customer service skills • Able to lift heavy merchandise with/without reasonable accommodations • Able to train and provide direction to others • Able to run a register/handle money • Must be able to handle confidential information with discretion • Experience as a coordinator or previous retail/supervisory experience preferred Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information. In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. Applicants with arrest or conviction records will be considered for employment. Address: 13824 E Indiana Ave Location: USA Sierra Store 0192 Spokane Valley WA This position has a starting pay range of $17.66 to $18.16 per hour. Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience. The Full Range of the position is $17.66 to $27.20 per hour.