analyst, coding data quality auditor

analyst coding data quality auditor

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary 
Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
Additional responsibilities to include but not limited to the following:<ul><li>
Proven ability to support coding judgment and decisions using industry standard evidence and tools.</li><li>
Ability to confidently speak to such evidence across stakeholders with varying knowledge and clinical expertise in either written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding resources.</li><li>
Conducts process audits to ensure compliance with internal policies and procedures and existing CMS regulations.</li><li>
Ability to work independently as well as in a cross functional role within other teams for collaboration on best practices.</li><li>
Possesses a genuine interest in improving and promoting quality; demonstrates accuracy and thoroughness and assists others to achieve the same through mentoring and instruction.</li><li>
Conducts process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body.</li><li>
Expertise in assigning accurate medical codes for diagnoses as documented for physicians and other qualified healthcare providers in the office and/or facility setting.</li><li>
Thorough knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity.</li><li>
Expertise in medical documentation, fraud, abuse and penalties for documentation and coding violations based on governmental guidelines.</li><li>
Performs other related duties as required.</li></ul> 
Required Qualifications<ul><li>
Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications).</li><li>
Experience with International Classification of Disease (ICD) codes required.</li><li>
5 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.</li><li>
Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required.</li><li>
CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required</li></ul> 
Preferred Qualifications<ul><li>
CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.</li><li>
Excellent analytical and problem-solving skills.</li><li>
Superior communication, organizational, and interpersonal skills</li></ul> 
Education<ul><li>
Bachelor of Arts/ Bachelor of Science Degree or equivalent experience.</li><li>
Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 3 years for CPC.</li><li>
5-8 years encompassing additional credentials and/or application of credentials.</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$21.10 - $44.99
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 03/13/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Analyst, Coding Data Quality Auditor

DataAnnotation

<div>
 We are looking for an advanced mathematician with an advanced degree to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
 
 
 In this role you will need to hold an expert level of mathematical reasoning. Other related fields include, but are not limited to: Applied Math and/or Computer Science.
 
 
 
 Benefits
 
 
 
 <ul>
 <li>
 This is a full-time or part-time REMOTE position
 </li>
 <li>
 You&rsquo;ll be able to choose which projects you want to work on
 </li>
 <li>
 You can work on your own schedule
 </li>
 <li>
 Projects are paid hourly starting at $40+ USD per hour, with bonuses on high-quality and high-volume work
 
 
 </li>
 </ul>
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Give AI chatbots diverse and complex mathematics problems and evaluate their outputs
 </li>
 <li>
 Evaluate the quality produced by AI models for correctness and performance
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Fluency in English (native or bilingual level)
 </li>
 <li>
 Detail-oriented
 </li>
 <li>
 Proficient in arithmetic, algebra, geometry, calculus, probability, statistics, and inductive/ deductive reasoning
 </li>
 <li>
 A current, in progress, or completed Master's and/or PhD is preferred but not required
 
 
 </li>
 </ul>
 
 Notes
 
 
 
 Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contract position.
 
 
 #math
</div>

AI Training, Mathematics

Global Connect Technologies

<div>
 
 
 Job Title: Process Engineer
 
 
 
 
 Location: Appleton, WI
 
 
 
 
 Job Type: Full-Time
 
 
 
 
 
 
 
 Job Description &amp; Skill Requirement:
 
 
 <ul>
 <li>
 Study assembly lines/processes and identify areas for improvement as per lean principles.
 </li>
 <li>
 Perform Time Study and Line Balancing-Elemental breakdown, Video Time study&ndash;All Processes (Stations &amp; Operator), VA/NVA/RNVA analysis, Develop Current State Line Balancing, Muri Analysis
 </li>
 <li>
 Develop Value Stream Mapping-Current State VSM-Identify bottlenecks, wastes and inefficiencies, Capacity analysis and Current baselining, Future State VSM, Current state vs Future state
 </li>
 <li>
 Identify Process and productivity improvement opportunities for entire process with Level 1,2,3 improvement suggestions report and roadmap
 </li>
 <li>
 Develop/ re-write Standard work instructions, Video work instructions
 </li>
 <li>
 Analysis of Root Cause for the quality failures, defects, downtimes etc., and support in corrective action &amp; Kaizen / improvement identification with detailed implementation plan
 </li>
 <li>
 Support in Fixture design as per requirements.
 </li>
 </ul>
 
 
</div>

Process Engineer

Ospace

Job Description &ndash; Senior Outbound Lead Development RepresentativeThe Senior Outbound Lead Development Representative is responsible for executing structured outbound telephone activity to engage prospective customers, deliver approved vendor messaging, and secure qualified meetings for enterprise technology clients.This role requires strong daily planning, disciplined execution, accurate CRM administration, and consistent achievement of individual performance targets across assigned programs.Key ResponsibilitiesOutbound Calling &amp; Lead Generation<ul><li>Complete a minimum of 10 outbound presentations per day to prospective customers via telephone</li><li>Deliver approved campaign messaging clearly and professionally</li><li>Handle objections confidently and progress conversations toward qualified meeting outcomes</li><li>Achieve individual lead targets for each assigned program</li><li>Maintain a professional, consultative approach when engaging senior decision-makers</li></ul>Daily Planning &amp; Call Preparation<ul><li>Complete daily pre-call planning activities using HubSpot CRM</li><li>Review and prioritise outbound activity using the oSpace Priority Score</li><li>Action logged callbacks, follow-ups, and tasks within agreed timeframes</li><li>Review campaign briefs and instructions provided by the Operations team prior to calling</li></ul>CRM &amp; Administration<ul><li>Maintain accurate, timely, and complete records in HubSpot</li><li>Log all call activity, outcomes, notes, and next steps on the same business day</li><li>Update lead statuses in line with internal definitions and processes</li><li>Ensure CRM data integrity to support internal reporting and client delivery</li></ul>Lead Reporting &amp; Client Documentation<ul><li>Complete Lead Reports for all leads booked, in line with client requirements</li><li>Ensure reports are accurate, clearly written, and submitted within required timeframes</li><li>Capture relevant qualification details to support effective vendor follow-up</li></ul>Program &amp; Performance Management<ul><li>Work across one or more client programs as assigned</li><li>Understand and work toward program-specific KPIs and performance targets</li><li>Take ownership of individual performance and output</li><li>Escalate issues, risks, or blockers to management in a timely manner</li></ul>Meetings, Training &amp; Engagement<ul><li>Attend all required client briefings to understand campaign objectives and messaging</li><li>Participate in team meetings and scheduled one-to-one meetings with your line manager</li><li>Actively engage in ongoing training and coaching sessions</li><li>Apply feedback to improve performance and adherence to process</li></ul>Required Qualifications &amp; Experience<ul><li>Minimum 10 years&rsquo; experience in outbound telesales, appointment setting, or inside sales</li><li>Demonstrated success in high-volume outbound calling environments</li><li>Strong objection-handling and conversational skills</li><li>High attention to detail, particularly in CRM administration</li><li>Experience working to defined targets and structured processes</li><li>Proficiency with CRM systems (HubSpot preferred)</li><li>Ability to work independently in a remote environment</li><li>Professional, resilient, and performance-driven approach</li></ul>Key Competencies<ul><li>Daily planning and organisation</li><li>Time management</li><li>Attention to detail with HubSpot administration</li><li>Verbal communication and mature conversational style</li><li>Self-starter and highly motivated</li><li>Resilience and consistency</li></ul>Job Type: Full-timePay: $90,000.00 - $130,000.00 per yearBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Work from home</li></ul>Work Location: Remote

Senior Outbound Telesales Professional

<div>
 
 Join Our Team!
 
 
 
 At DSI, we have over 40 years of sales enablement and customized business solution experience, providing enhanced value that delivers results for our clients and partners. We're on the lookout for passionate individuals eager to make their mark in sales and customer service. Our exciting and rewarding work environment offers you the opportunity to grow with us and make a significant impact.
 
 
 
 Job Overview
 
 
 
 The Retail Support Specialist (RSS) delivers hands-on, frontline support to AT&amp;T customers inside high-traffic national retail environments. In this role, you will engage directly with customers and retail partners to resolve account, billing, device, and service concerns; often in fast-paced, high-volume situations. Success in this role requires strong communication skills, emotional resilience, comfort with technology, and the ability to remain calm, accurate, and professional in a dynamic retail setting.
 
 
 
 Key Responsibilities
 
 :
 
 
 
 Customer Support
 
 
 
 <ul>
 <li>
 Provide professional, friendly, and solution-focused support to AT&amp;T customers inside national retail locations
 </li>
 <li>
 Resolve inquiries related to billing, account updates, plan changes, device support, and service concerns
 </li>
 <li>
 Troubleshoot wireless devices, network issues, and feature functionality
 </li>
 <li>
 Operate effectively in high-volume retail environments, maintaining focus, professionalism, and service quality during peak traffic and escalated situations
 
 
 </li>
 </ul>
 
 Retail Partner Support
 
 
 
 <ul>
 <li>
 Act as the AT&amp;T subject-matter expert for retail employees and third-party labor partners
 </li>
 <li>
 Serve as the primary AT&amp;T representative for these partners, leading in-store support for retail escalations
 </li>
 <li>
 Proactively engage with store leadership to address customer concerns, strengthening partnership alignment and ensuring a best-in-class customer experience
 
 
 </li>
 </ul>
 
 Work Environment &amp; Schedule Expectations
 
 
 
 <ul>
 <li>
 This role is performed in a retail environment and requires standing, walking, and engaging on the sales floor for up to 8 hours per day
 </li>
 <li>
 Ability to work flexible schedules, including evenings, weekends, and holidays, based on business needs
 </li>
 <li>
 Comfort working in busy, customer-facing environments with frequent interaction and problem-solving demands
 
 
 </li>
 </ul>
 
 Operational Excellence
 
 
 
 <ul>
 <li>
 Navigate multiple systems simultaneously while engaging with customers in real time
 </li>
 <li>
 Document all interactions thoroughly and accurately
 </li>
 <li>
 Adhere to company policies, compliance requirements, and privacy standards
 </li>
 <li>
 Meet or exceed performance metrics, including quality, efficiency, and customer satisfaction scores
 </li>
 <li>
 Execute and maintain approved planograms for mobile devices and signage
 </li>
 <li>
 Maintain inventory accuracy for display devices and fixtures
 </li>
 <li>
 Add, remove, and reposition phones, fixtures, and promotional material per planogram updates
 
 
 </li>
 </ul>
 
 Collaboration &amp; Communication
 
 
 
 <ul>
 <li>
 Work closely with cross-functional teams such as technical support, billing, fraud, customer care, and escalation agents
 </li>
 <li>
 Share insights on recurring issues to improve processes and customer experience
 </li>
 <li>
 Maintain a positive, professional demeanor during all interactions
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 
 Required Skills &amp; Qualifications
 
 
 
 <ul>
 <li>
 Strong customer service and communication skills
 </li>
 <li>
 Ability to handle high-stress or escalated situations with professionalism
 </li>
 <li>
 Proficient in multitasking and navigating complex systems
 </li>
 <li>
 Detail-oriented with strong problem-solving abilities
 </li>
 <li>
 Ability to work flexible hours, including evenings, weekends, or holidays as needed
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Experience in wireless communications, retail customer service, or technical support
 </li>
 <li>
 Previous call center or retail support experience is a plus
 
 
 </li>
 </ul>
 
 What We Offer
 
 
 
 <ul>
 <li>
 Competitive starting pay of $26 per hour!
 </li>
 <li>
 Comprehensive training and development programs
 </li>
 <li>
 A supportive and engaging team environment
 </li>
 <li>
 Opportunities for career growth and advancement
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 <ul>
 <li>
 Medical, Dental, Vision, and Life insurance are available on the first day of the month following your first day of employment - no extended waiting period!
 </li>
 <li>
 401k Plan with employer matching after one year of employment
 </li>
 <li>
 Paid vacation, personal/sick days, and bereavement time after 90 days
 </li>
 <li>
 Employee Profit Sharing Program
 </li>
 <li>
 50% AT&amp;T wireless discount
 </li>
 <li>
 Paid training
 </li>
 <li>
 Advancement opportunities, we prefer to promote from within!
 </li>
 </ul>
</div>

Retail Support Specialist

Trustwell Living

<div>Remember why you went into nursing; at Trustwell Living, you have the ability to make a meaningful difference in the lives of seniors, families, and team members every day.
<ul>
<li>Now Hiring Full-Time LPN's</li>
<li>Pay: $32.00 - $33.50 per hour based on experience</li>
<li>Shift: 2:00 p.m. - 10:00 p.m. and 10:00 p.m. - 6:00 a.m.
<ul><li>must be available to work some weekends and holidays</li></ul></li> 
</ul>
As the Licensed Practical Nurse (LPN), you will be responsible for providing direct resident care and supervision of residents&rsquo; needs based on their individualized service/care plan. You will monitor residents for changes in condition and signs/symptoms of illness, in accordance with federal and state laws and regulations, as well as the policies of the Community. In partnership with the Health Services Director, you will communicate and document changes or concerns regarding residents and assist in supervising the care team. 


The successful candidate for this position will have:
<ul>
<li>A passion for seniors and enhancing their quality of life</li>
<li>A valid Licensed Practical Nurse (LPN) license; a Compact license or the ability to obtain one is encouraged. An unencumbered LPN license is required.
</li><li>Minimum of at least one year of successful experience as an LPN in assisted living or long-term care</li>
<li>Experience administering medication and treatment plans per the doctor's orders and community policies</li>
<li>Knowledge of state regulations pertaining to resident care and understanding the importance of being state survey-ready every day.</li>
<li>Have experience working as a mandatory reporter and can immediately intervene, report, and investigate all suspected or alleged verbal, physical, sexual abuse, or theft from a resident.</li>
<li>Have a current driver&rsquo;s license.</li></ul> 


Why Join Us? 
At Trustwell, we believe in creating a work environment that fosters growth and satisfaction. We offer competitive compensation, comprehensive benefits, and opportunities for professional development. By joining our team, you&rsquo;ll become part of a community that values care and compassion toward its senior residents. We strive to build an inclusive work environment that celebrates differences and empowers all individuals with opportunities to channel their entrepreneurial spirit. Trustwell is an EEO employer. All offers of employment with Trustwell Living are contingent upon a satisfactory background and drug screening. 


IND1200</div>

Licensed Practical Nurse

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary
Hiring preference for candidates able to work east coast hours.
To review all content of an RFP with questionnaire submission prior to final submission for accuracy. 
 
Required Qualifications 
3-5 years RFP writer experience
3-5 years Insurance industry experience
Preferred Qualifications 
3-5 years of Meritain Health experience 
Education 
Bachelor's Degree in English, Education, Journalism and/or relevant work experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,300.00 - $159,120.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 03/15/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Manager Proposal Management

Explore 10+ Analyst coding data quality auditor in Iowa this March. Find roles across top companies and apply now to boost your career.