coding team lead

Simcoe IT

We are seeking an experienced SEO Lead to drive organic growth, improve search visibility, and lead our SEO team. The ideal candidate has extensive expertise in Technical SEO, Generative Engine Optimization (GEO), On-Page SEO, Off-Page SEO, Local SEO, and Content SEO, with a proven track record of delivering measurable results.Key ResponsibilitiesDevelop and execute SEO and GEO strategies to increase organic traffic, rankings, and conversions.Lead, mentor, and manage the SEO team to achieve performance goals.Conduct technical SEO audits and resolve crawling, indexing, site speed, and Core Web Vitals issues.Optimize websites for both traditional search engines and AI-powered search platforms.Oversee keyword research, content optimization, internal linking, and authority-building initiatives.Monitor SEO performance, analyze data, and provide actionable insights and recommendations.Collaborate with content, development, and marketing teams to implement SEO best practices.Requirements5+ years of SEO experience, including team leadership.Strong expertise in Technical SEO, GEO, and all major SEO disciplines.Proficiency with tools such as Google Search Console, GA4, Ahrefs, SEMrush, and Screaming Frog.Excellent analytical, leadership, and communication skills.Proven ability to drive organic growth and achieve business objectives.Application Question(s):<ul><li>Do you have 5 years of hands-on SEO experience?</li><li>Have you led or managed an SEO team before?</li><li>How would you rate your expertise in the following areas?</li></ul>Technical SEO On-Page SEO Off-Page SEO Local SEO Content SEO Generative Engine Optimization (GEO)<ul><li>Have you conducted technical SEO audits independently?</li><li>Are you experienced with log file analysis and advanced technical SEO troubleshooting?</li><li>If a website's organic traffic drops by 30% within a month, what would be your first three steps to investigate the issue?</li></ul>Work Location: In person

SEO Team Lead

Sigma Digital Solutions

Content Team LeadJob OverviewWe are seeking a Senior Content Team Lead to oversee content production, quality assurance, and writer performance. The ideal candidate will combine strong SEO content expertise with leadership capabilities to ensure all published content is search-intent aligned, high quality, and performance-driven.This role is responsible for managing content workflows, auditing content quality, mentoring writers, and collaborating with SEO strategists to support business and campaign objectives.Key Responsibilities<ul><li>Lead and manage a team of content writers, ensuring timely delivery and quality standards.</li><li>Create and refine detailed content briefs, including search intent, structure, tone, and content requirements.</li><li>Review, edit, and approve content before publication.</li><li>Conduct comprehensive content audits to ensure clarity, accuracy, engagement, and SEO effectiveness.</li><li>Identify and eliminate content gaps, fluff, and low-value AI-generated content.</li><li>Collaborate with SEO strategists to develop SERP-driven content plans and topic clusters.</li><li>Analyze search results and competitor content to identify opportunities and improve content performance.</li><li>Monitor content KPIs, rankings, engagement metrics, and organic growth trends.</li><li>Recommend content updates, refreshes, and expansion opportunities based on performance data.</li><li>Maintain brand voice consistency across all content assets.</li><li>Coordinate with internal stakeholders to ensure smooth content production workflows.</li><li>Provide coaching, feedback, and performance guidance to content writers.</li></ul>Required Technical Skills<ul><li>Excellent English writing and editing skills</li><li>SEO Content Strategy</li><li>Search Intent Mapping</li><li>Topic Clustering</li><li>Content Structuring</li><li>On-Page SEO Optimization</li><li>E-E-A-T Implementation</li><li>Editorial Auditing</li><li>SERP Analysis</li><li>Content Performance Analysis</li><li>AI-Assisted Content Workflows</li></ul>Required Soft Skills<ul><li>Leadership and Team Management</li><li>Strategic Thinking</li><li>Editorial Judgment</li><li>Strong Communication Skills</li><li>Attention to Detail</li><li>Accountability</li><li>Decision-Making</li><li>Time Management</li><li>Team Coordination</li><li>Constructive Feedback Delivery</li></ul>Qualifications<ul><li>4+ years of experience in content writing, content management, or SEO content marketing.</li><li>At least 1-2 years of experience leading or mentoring content teams.</li><li>Strong understanding of SEO best practices and content performance metrics.</li><li>Experience working with content management systems and AI-assisted writing tools.</li><li>Ability to manage multiple projects and deadlines in a fast-paced environment.</li></ul>Work Arrangement<ul><li>This is a full-time, on-site position.</li><li>Candidates must be available to work from the office during standard business hours.</li><li>Applicants seeking freelance, part-time, hybrid, or fully remote opportunities are encouraged not to apply.</li><li>Consistent office attendance and active collaboration with the team are essential requirements of this role.</li></ul>Pay: Rs75,000.00 - Rs100,000.00 per monthWork Location: In person

Content Team Lead

InnovationTeam

<div>InnovationTeam is a forward-thinking technology company specialized in delivering advanced AI-driven solutions for enterprises and government organizations. We are currently seeking a highly skilled AI Team Lead to join our team onsite in Saudi Arabia.
As an AI Team Lead at InnovationTeam, you will be responsible for leading the design, development, implementation, and delivery of end-to-end AI solutions across multiple domains, including Generative AI, machine learning, deep learning, data science, computer vision, NLP, intelligent automation, and enterprise AI systems.
This role is not limited to Generative AI. It requires a strong technical background across modern AI technologies, hands-on experience in building production-ready AI solutions, and the leadership capability to manage AI engineers, data scientists, ML engineers, and cross-functional delivery teams.
The ideal candidate is a strong technical leader who can translate business requirements into scalable AI solutions, manage project execution, guide technical teams, communicate with stakeholders, and ensure successful delivery of AI initiatives within scope, timeline, and quality standards.
At InnovationTeam, we value innovation, ownership, collaboration, and continuous learning. We provide a dynamic work environment where technical excellence, leadership, and business impact are highly recognized. 
Requirements 
We are seeking an experienced AI Team Lead to lead onsite AI delivery in Saudi Arabia. The role involves managing AI projects, supervising technical teams, designing AI architectures, developing enterprise-grade solutions, and ensuring successful deployment of AI systems into production.
The candidate should have strong experience in Generative AI, machine learning, deep learning, data science, AI solution architecture, MLOps/LLMOps, cloud deployment, and project management.
Key Responsibilities<ul><li>
Lead the AI team in designing, developing, and delivering enterprise AI solutions.</li><li>
Manage AI projects from requirement gathering to production deployment.</li><li>
Translate business needs into technical AI solution designs and implementation plans.</li><li>
Design and supervise solutions involving Generative AI, LLMs, RAG systems, AI agents, NLP, machine learning, deep learning, and computer vision.</li><li>
Lead data science initiatives, including data analysis, feature engineering, model development, evaluation, and optimization.</li><li>
Build and oversee end-to-end AI pipelines, including data ingestion, preprocessing, model training, inference, monitoring, and continuous improvement.</li><li>
Guide the implementation of machine learning and deep learning models using frameworks such as PyTorch, TensorFlow, Scikit-learn, and related tools.</li><li>
Supervise the development of AI agents, chatbots, recommendation systems, classification models, predictive analytics, and intelligent automation solutions.</li><li>
Define AI architecture, integration patterns, APIs, microservices, and deployment strategies.</li><li>
Ensure AI solutions are scalable, secure, reliable, cost-efficient, and production-ready.</li><li>
Collaborate with business stakeholders, product teams, data teams, software engineers, and cloud teams.</li><li>
Manage task allocation, technical reviews, project milestones, risks, and delivery timelines.</li><li>
Establish best practices for MLOps, LLMOps, model governance, model monitoring, documentation, and quality assurance.</li><li>
Support presales and client discussions by providing technical input, solution proposals, effort estimation, and feasibility assessments.</li><li>
Ensure AI solutions comply with security, privacy, governance, and responsible AI principles.</li><li>
Mentor and coach AI engineers, ML engineers, data scientists, and junior team members.</li><li>
Stay up to date with the latest developments in AI, machine learning, deep learning, Generative AI, cloud AI services, and enterprise AI platforms.</li></ul>
Required Skills &amp; Qualifications<ul><li>
Minimum 5 years of professional experience in AI, machine learning, data science, or related technology fields.</li><li>
Minimum 2&ndash;3 years of experience leading AI teams or managing AI solution delivery.</li><li>
Master&rsquo;s degree in Computer Science, Artificial Intelligence, Data Science, Software Engineering, Computer Engineering, or a related field.</li><li>
Strong hands-on experience in machine learning, deep learning, NLP, Generative AI, and data science.</li><li>
Solid understanding of LLMs, RAG architectures, AI agents, vector databases, prompt engineering, and model evaluation.</li><li>
Strong experience with Python and AI/ML frameworks such as PyTorch, TensorFlow, Scikit-learn, Hugging Face, LangChain, or LlamaIndex.</li><li>
Experience in building and deploying ML/DL models for real-world enterprise use cases.</li><li>
Strong understanding of supervised learning, unsupervised learning, classification, regression, clustering, recommendation systems, forecasting, and anomaly detection.</li><li>
Experience with data preparation, data quality assessment, feature engineering, model training, validation, testing, and performance monitoring.</li><li>
Strong software engineering knowledge, including REST APIs, microservices, Docker, Kubernetes, CI/CD, and Git.</li><li>
Experience deploying AI workloads on cloud platforms such as OCI, Azure, AWS, or GCP. OCI experience is preferred.</li><li>
Knowledge of MLOps and LLMOps practices, including model versioning, monitoring, retraining, evaluation, and deployment automation.</li><li>
Strong project management skills, including planning, estimation, risk management, stakeholder communication, and delivery tracking.</li><li>
Ability to communicate complex technical concepts clearly to business and technical stakeholders.</li><li>
Excellent problem-solving, analytical, leadership, and decision-making skills.</li><li>
Excellent command of English, both written and spoken.</li><li>
Willingness to work onsite in Saudi Arabia.</li></ul>
Nice to Have<ul><li>
Experience in government, healthcare, finance, telecom, or regulated enterprise environments.</li><li>
Experience with GPU-based model training and inference optimization.</li><li>
Experience with computer vision, OCR, document AI, speech AI, or multimodal AI systems.</li><li>
Experience with Azure OpenAI, Oracle AI Services, AWS Bedrock, Google Vertex AI, or similar enterprise AI platforms.</li><li>
Knowledge of AI governance, responsible AI, data privacy, cybersecurity, and compliance frameworks.</li><li>
Experience in presales, technical proposal preparation, and client-facing solution presentations.</li><li>
Arabic language skills are an advantage.</li></ul> 

Benefits 
<ul><li>
Opportunity to lead strategic AI initiatives in Saudi Arabia.</li><li>
Work on advanced AI solutions across Generative AI, machine learning, deep learning, and data science.</li><li>
Leadership role with direct impact on enterprise and government AI transformation projects.</li><li>
Collaborative and innovation-driven work environment.</li><li>
Competitive compensation package.</li><li>
Access to modern AI infrastructure, cloud platforms, and enterprise data environments.</li><li>
Professional growth, leadership development, and continuous learning opportunities.</li></ul></div>

AI Team Lead

NKC Health

<div>
 
 Summary
 
 
 
 Here at
 
 NKC Health
 
 our mission is to
 
 
 empower hope and healing in every life we touch
 
 
 . Whether you are serving patients at a primary care clinic, specialty clinic, or in a support capacity, every team member works together to complete this mission.
 
 
 
 NKC Health Coding and Denial
 
 team is hiring a
 
 Non-Certified Coder
 
 ! If you&rsquo;re looking for a great opportunity to impact our communities, join our NKC Health team!
 
 
 
 Why NKC Health Medical Group?
 
 
 
 <ul>
 <li>
 Comprehensive Benefits (Medical, Dental, Vision, Life, FSA)
 </li>
 <li>
 Employer matched retirement plan
 </li>
 <li>
 Competitive wages
 </li>
 <li>
 Paid time off for personal/vacation/sick
 </li>
 <li>
 Six paid holidays per year
 </li>
 <li>
 Educational assistance
 </li>
 <li>
 Day shift schedules
 
 
 </li>
 </ul>
 
 What does a Non-Certified Coder do?
 
 
 
 As part of the coding team, you will have the opportunity to focus solely on coding processes. Your daily mission would be to review medical records for the correct ICD/CPT codes, posting charges and having meaningful communication with the practice team.
 
 
 
 What does a typical day on the job look like?
 
 
 
 <ul>
 <li>
 Review procedures, HCPCS, and diagnosis coding for accuracy.
 </li>
 <li>
 Assigns proper codes based upon medical record documentation.
 </li>
 <li>
 Works with denials team and central billing office to resolve claims denials, and billing issues.
 </li>
 <li>
 Posts charges accurately and timely.
 </li>
 <li>
 Work with providers to ensure coding accuracy.
 </li>
 <li>
 Knowledge of risk adjustment processes and coding is a plus, but not required.
 
 
 </li>
 </ul>
 
 What are the requirements for the job?
 
 
 
 <ul>
 <li>
 High school graduate or GED equivalent
 </li>
 <li>
 Minimum 2 years&rsquo; of experience in physician coding and billing
 </li>
 <li>
 Knowledge of CPT and ICD-10 coding and medical terminology
 </li>
 <li>
 Proficient computer skills
 
 
 </li>
 </ul>
 
 Our North Star
 
 
 
 Here at NKC Health, we believe in
 
 
 care empowered.
 
 
 Our actions are the concrete things we do to differentiate ourselves: we lead with heart, we always move forward, and we connect to more.
 
 
 
 NKC Health is an Equal Opportunity Employer and values diversity in our organization. We do not discriminate against any applicant for employment or employee on the basis of race, color, religion, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.
 
</div>

Coder Non-Certified

Nextcare

<div>
 
 Job Overview
 
 
 
 The Team Leader will oversee a dual function team supporting Pulse training and medical coding across the MEA region. This role combines operational leadership, stakeholder management, and technical oversight of both Pulse training and medical coding quality.
 
 
 Based in Cairo, the Team Leader will manage a team of platform trainers responsible for onboarding and upskilling providers on Pulse, alongside medical coders who ensure accurate and compliant medical coding services. The role requires a balance of people leadership, process optimisation, and regional coordination to ensure high service quality, regulatory compliance, and continuous improvement in provider experience and coding accuracy.
 
 
 
 What You Do
 
 
 
 Responsibilities will include, but are not limited to, the following:
 
 
 
 Team Leadership &amp; Management
 
 
 
 <ul>
 <li>
 Lead, coach and develop a team of platform trainers and medical coders ensuring cross capability amongst team members
 </li>
 <li>
 Set clear performance objectives and monitor KPIs related to training effectiveness, coding accuracy and service delivery
 </li>
 <li>
 Foster a collaborative, high performance team culture across the team
 
 
 </li>
 </ul>
 
 Pulse Training &amp; Support
 
 
 
 <ul>
 <li>
 Oversee delivery of training programs for providers on Pulse
 </li>
 <li>
 Ensure training materials are accurate, up to date and aligned with system enhancements
 </li>
 <li>
 Monitor provider adoption, engagement and feedback to improve training approaches
 
 
 </li>
 </ul>
 
 Medical Coding
 
 
 
 <ul>
 <li>
 Supervise coding activities to ensure accuracy, consistency and compliance with coding standards
 </li>
 <li>
 Implement quality assurance processes, including audits and feedback loops
 </li>
 <li>
 Support resolution of complex coding queries and escalations
 
 
 </li>
 </ul>
 
 Operational Excellence
 
 
 
 <ul>
 <li>
 Drive continuous improvement initiatives across training and coding workflows including the cross training of all staff in the team
 </li>
 <li>
 Identify inefficiencies and implement scalable solutions to enhance productivity and quality
 </li>
 <li>
 Maintain documentation of processes, guidelines and best practices
 
 
 </li>
 </ul>
 
 Stakeholder Management
 
 
 
 <ul>
 <li>
 Collaborate with internal teams including Claims Automation, Quality, Policy Management and others
 </li>
 <li>
 Act as a key point of contact for regional stakeholders
 </li>
 <li>
 Support communication of system updates, code changes and operational impacts
 
 
 </li>
 </ul>
 
 Reporting &amp; Governance
 
 
 
 <ul>
 <li>
 Track &amp; report on key performance indicators, including training outcomes and coding accuracy
 </li>
 <li>
 Ensure compliance with internal policies and external regulatory requirements
 </li>
 <li>
 Provide insights and recommendations to senior management
 </li>
 <li>
 AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
 
 
 </li>
 </ul>
 At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation. By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences. Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities. With robust Information Security Management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.
 
 
 
 What You Bring
 
 
 
 To be successful in this position you will need to have the following skills / experience:
 
 
 
 Essential
 
 
 
 <ul>
 <li>
 Minimum degree level qualification in relevant healthcare or related field
 </li>
 <li>
 Previous experience in medical coding, healthcare operations or medical insurance
 </li>
 <li>
 Strong knowledge of coding standards
 </li>
 <li>
 Previous experience in a leadership or supervisory role
 </li>
 <li>
 Fluency in English and Arabic
 
 
 </li>
 </ul>
 
 Desirable
 
 
 
 <ul>
 <li>
 Professional certification in medical coding
 
 
 </li>
 </ul>
 
 Personal Attributes
 
 
 
 <ul>
 <li>
 Results driven and pragmatic, focused on achieving measurable outcomes.
 </li>
 <li>
 Confident communicator and facilitator, able to build trust across diverse stakeholder groups.
 </li>
 <li>
 Collaborative and resilient, thriving in a dynamic and fast moving environment.
 
 
 </li>
 </ul>
 
 How We Hire
 
 
 
 
 
 Agency Statement
 
 
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered.
 
 
 
 
 What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.
 
 
 97278 | Project Management | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
 
 
 Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
 
 
 At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.
 
 
 We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 
 Join us.
 
 Let's care for tomorrow.
 
 
 Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz&lsquo; company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.
</div>

Team Lead - Pulse & Medical Coding

Wellmark Blue Cross and Blue Shield

<div>
 
 Why Wellmark
 
 : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we&rsquo;ve built our reputation on over 80 years&rsquo; worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors&ndash;our members. If you&rsquo;re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today!
 
 
 Learn more about our unique benefit offerings here.
 
 
 
 Job Description
 
 
 
 As a Health Services Coding Analyst, you will provide clinical leadership and subject-matter expertise to support the analysis, configuration, and administration of complex medical policy content within claims processing systems, including Plan General Exclusion (PGE) rules and FACETS table maintenance. You will ensure the accurate implementation of medical policies, review criteria, and authorization requirements, while maintaining the integrity of system infrastructure and serving as a key liaison between business and technical teams. To do this, you will research and analyze system and business issues, develop high-level requirements, test and implementsolutions, and audit and document outcomes. The Health Services Coding Analyst also serves as an expert resource for medical policy configuration and PGE coding, mentoring and training Coding Specialists, and providing policy-related training and support to operational partners such as customer and provider services.
 
 
 
 Must be willing to work core business hours of 8 AM - 5 PM Central Time.
 
 
 
 
 Candidates located in Iowa or South Dakota preferred. This role is remote eligible and will require candidates to provide high-speed internet at their work location.
 
 
 
 
 Qualifications
 
 
 
 
 Preferred Qualifications - Great to have:
 
 
 
 <ul>
 <li>
 Prior health plan experience.
 
 
 </li>
 </ul>
 
 Required Qualifications - Must have:
 
 
 
 <ul>
 <li>
 Associate degree or direct and applicable work experience preferred.
 </li>
 <li>
 Certified Professional Coder (CPC) required.
 </li>
 <li>
 Clinical background which may include either formal education or training in a clinical or health-related discipline (such as nursing, medical assisting, surgical technology, health information management, or a related field) and/or direct work experience in a clinical or healthcare setting.
 </li>
 <li>
 7+ years&rsquo; or related health care experience in provider payment, claims, medical coding, or similar.
 </li>
 <li>
 Demonstrated expertise and knowledge of medical coding and terminology.
 </li>
 <li>
 Demonstrated strong attention to detail with the ability to multitask.
 </li>
 <li>
 Strong interpersonal skills including clear and concise written and verbal communication.
 </li>
 <li>
 Inquisitive nature, enthusiastic about developing and enacting new processes.
 </li>
 <li>
 Strong workflow management skills with sense of ownership, drive and initiative to continuously improve outcomes.
 </li>
 <li>
 Ability to communicate concepts clearly and concisely to individuals and groups and motivate others to achieve success with an eye toward promoting a culture of collegiality and excellence.
 </li>
 <li>
 Demonstrated ability to obtain relevant information by relating and comparing data from different sources.
 </li>
 <li>
 Proficiency in Microsoft Office applications including experience with spreadsheets, process mapping, presentation and word processing.
 </li>
 <li>
 Ability to adhere to quality and production metrics.
 </li>
 <li>
 Some experience with and continued interest in coaching and mentoring others.
 </li>
 <li>
 Demonstrated ability to consistently meet department work schedule.
 
 
 </li>
 </ul>
 
 Additional Information
 
 
 
 
 What you will do:
 
 
 
 <ul>
 <li>
 Leadership in Coding Analysis: Lead the analysis of the most complex Wellmark medical policy content and implementation of system edits to support its intent. Medical policy coding requirements are implemented, tested, documented and audited to assure compliance.
 </li>
 <li>
 Maintain the claims processing system infrastructure to ensure compliance with regulatory and accreditation bodies and vendor supported technical requirements and ensure accurate claims adjudication.
 </li>
 <li>
 Translate complex medical policy language into precise, actionable coding criteria for integration into claims systems and configuration platforms.
 </li>
 <li>
 Serve as coding subject matter expert for complex or escalated utilization management.
 </li>
 <li>
 Collaborate with Utilization Management nurses, medical directors, and claims teams to resolve coding-related denials, overrides, and policy interpretation questions.
 </li>
 <li>
 Contribute to the full lifecycle of medical policy creation, revision and interim review, including drafting coding sections, researching emerging procedures/devices, and ensuring policies reflect current coding conventions (AMA CPT, ICD10, HCPCS).
 </li>
 <li>
 Conduct impact analyses of proposed policy changes on coding, reimbursement, and operational workflows.
 </li>
 <li>
 Work directly with Health Services leadership, Medical Review staff, leadership within Claims and Customer/Provider Services and Network Engagement, Medical Directors to provide medical coding expertise and PGE rule knowledge to resolve complex claims and/or customer and provider issues.
 </li>
 <li>
 Maintain coding integrity by monitoring utilization trends to identify and resolve system configuration issues.
 </li>
 <li>
 Work with Medical Policy Leadership in the development and optimization of coding configuration standards and best practices.
 </li>
 <li>
 Work with payment integrity, business support, and data analytics teams to edit, develop, and implement Optum, Cotiviti, and Cognizant edits.
 </li>
 <li>
 Contribute to the achievement of corporate and UM Product Team objectives by independently serving as primary points of contact and UM Product Team Subject Matter Expert/Guest Star to provide expertise to support the various claims processing systems, including but not limited to PGE rules and table maintenance (FACETS and STAR). This will include attendance to various virtual cross-functional team meetings, as well as in-person attendance and participation in quarterly Iteration Planning meeting.
 </li>
 <li>
 Update coding files as required by code set revisions, HIPAA-AS, medical policy development and implementation, regulatory requirements, FEP and Blue Card guidelines, or as needed to support other internal processes.
 </li>
 <li>
 Participate in cross functional meetings or initiatives to support the goal of managing medical benefit expense.
 </li>
 <li>
 Provide expertise in the areas of medical coding PGE rule knowledge and medical policy configuration rules to support projects and broad organization initiatives. Consult with leadership as business decisions are made and retain and archive documentation of decisions made. Comply with regulatory standards, accreditation standards and internal guidelines; remain current and consistent with the standards pertinent to the Medical Policy team.
 </li>
 <li>
 Mentor and train Coding Specialist as well as provide specific topic training related to medical policy administration/PGE rules to other operational areas such as customer and provider service as needed.
 </li>
 <li>
 Other duties as assigned.
 
 
 </li>
 </ul>
 
 Remote Eligible:
 
 You will have the flexibility to work where you are most productive. This position is eligible to work fully remote. Depending on your location, you may still have the option to come into a Wellmark office if you wish to. Your leader may ask you to come into the office occasionally for specific meetings or other &lsquo;moments that matter&rsquo; as well.
 
 
 
 
 An Equal Opportunity Employer
 
 
 
 
 
 The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.
 
 
 
 
 Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at careers@wellmark.com
 
 
 
 
 Please inform us if you meet the definition of a "Covered DoD official".
 
 
 
 At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:Nonimmigrant Workers and Green Card for Employment-Based Immigrants
 
 
 Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them.
</div>

Health Services Coding Analyst (CPC Required)

AMPLA HEALTH

<div>GENERAL PURPOSE:
The Coding Research and Training assistant is responsible for providing medical coding training and support for providers and staff based on needs identified by the Corporate Compliance Officer/Health Information Manager.
MAIN RESPONSIBILITIES &amp; DUTIES:<ul><li>
Works with Revenue Cycle, Operations and Clinical departments to provide provider and staff trainings including but not limited to the following areas:<ul><li>
ICD-10 application and guidelines</li><li>
Evaluation and Management selection</li><li>
Centricity Practice Solution training specific to ICD 10-and procedural coding</li><li>
Auditing of provider diagnosis, procedural coding and documentation.</li></ul></li><li>
Acts as a resource for questions related to HCPCS, CPT and ICD 10-coding.
</li><li>Evaluates the record for documentation consistency and adequacy during provider coding audits. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.</li><li>
Researches codes and guidelines as it pertains to various providers, Informatics, billing and other departments as requested, to give accurate information for the purposes of billing, reporting and auditing.
</li><li>Assist in auditing, reviewing and reporting to appropriate parties, any findings on various audits done within the oversight of the Compliance program.</li><li>
Assists with training for all departments involving ICD-10-CM and CPT CM including, but not limited to Evaluation and Management section, Centricity Practice Solution.
</li><li>Collects and records data accurately on training received by staff.</li><li>
Trains in various clinical areas (Suboxone, HIV, 340B drugs etc.) to be audited to fully understand the policies and procedures for each area in order to assess, audit and report findings to the Compliance officer.</li><li>
Maintains audit records for outside auditing purposes as well as further internal auditing purposes.
</li><li>Prepares for audits by researching materials, policies, procedures and formulating a plan of action. Setting up spreadsheets for data and recording as required.
</li><li>Communicate audit progress and findings by preparing reports and providing information in meetings when requested.
</li><li>Assists the Compliance/Coding/HIM lead in reporting, educating, creating and implementing any policy and procedure necessary to ensure that all departments follow regulations according to the Compliance program.
</li><li>Assist the Compliance Officer with onsite audits as needed.</li><li>
Enhances compliance department and the organizations reputation by accepting responsibility for accomplishing new and different coding and compliance related requests; exploring opportunities for additional audits/monitoring to ensure the most robust compliance program possible.
</li><li>Also assists with the coding and HIM department with patient complaints, records requests, incident reports, correcting claims as requested by the Coders, and other duties as assigned.
</li><li>Travel as needed</li><li>
Maintains open communication with supervisor and all staff.</li><li>
Maintains confidentiality of all patients/personnel records.</li></ul>
QUALITIES &amp; CHARACTERISTICS<ul><li>
Maintains a professional relationship and positive attitude with co-workers, the public, patients and all Ampla Health&rsquo;s staff, Board of Directors and vendors</li><li>
Maintains the highest professional ethics and is honest in dealing with people; is a model for all employees through his/her actions</li><li>
Strives to learn more and is receptive to learning different ways of doing things</li><li>
Displays enthusiasm toward the work and the mission of Ampla Health
</li></ul>PROFESSIONAL KNOWLEDGE, SKILLS &amp; ABILITIES<ul><li>
High School Diploma or GED</li><li>
Approved Coding certificate required. (CCS, CPC)
</li><li>Experience working in a compliance role preferred, but not required</li><li>
Knowledge of billing practices, auditing practices, various programs utilized in an outpatient clinic setting.
</li><li>Prior medical records review experience</li><li>
Experience in governmental programs as related to FQHC&rsquo;s or other related clinical setting</li><li>
Centricity practice management system experience is a plus</li><li>
Data management responsibilities a plus</li><li>
Able to operate general office equipment, such as copiers, facsimile machine, etc.
</li><li>Working knowledge of Microsoft windows programs such as Word, Excel, Power Point</li><li>
Intermediate computer skills</li></ul>
COMMUNICATION SKILLS:<ul><li>
Must have neat and legible handwriting</li><li>
Must be able to interact with patients/providers courteously and calmly</li><li>
Ability to communicate well with the public</li><li>
Exceptional verbal and written communication skills</li></ul>
WORKING CONDITIONS &amp; PHYSICAL REQUIREMENTS
Works well with patients, co-workers and vendors in a generally comfortable environment office. Employee must possess the following physical requirements:<ul><li>
May require prolonged sitting or standing</li><li>
Travel as needed</li><li>
Vision sufficient to read handwritten, typed and computer printed documents throughout the day</li><li>
Speech and hearing sufficient to receive and communicate detailed information clearly by phone and in person</li><li>
Motor skills sufficient to use and manipulate equipment</li><li>
Must have a high level of manual dexterity</li><li>
Physically able to sit, walk, or otherwise stand for long periods of time, frequent bending, stooping, and stretching. Repetitive hand, arm, and shoulder movements</li><li>
Able to lift up to 40 pounds</li></ul>
GENERAL PURPOSE:
The Coding Research and Training assistant is responsible for providing medical coding training and support for providers and staff based on needs identified by the Corporate Compliance Officer/Health Information Manager.
MAIN RESPONSIBILITIES &amp; DUTIES:<ul><li>
Works with Revenue Cycle, Operations and Clinical departments to provide provider and staff trainings including but not limited to the following areas:<ul><li>
ICD-10 application and guidelines</li><li>
Evaluation and Management selection</li><li>
Centricity Practice Solution training specific to ICD 10-and procedural coding</li><li>
Auditing of provider diagnosis, procedural coding and documentation.</li></ul></li><li>
Acts as a resource for questions related to HCPCS, CPT and ICD 10-coding.
</li><li>Evaluates the record for documentation consistency and adequacy during provider coding audits. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.</li><li>
Researches codes and guidelines as it pertains to various providers, Informatics, billing and other departments as requested, to give accurate information for the purposes of billing, reporting and auditing.
</li><li>Assist in auditing, reviewing and reporting to appropriate parties, any findings on various audits done within the oversight of the Compliance program.</li><li>
Assists with training for all departments involving ICD-10-CM and CPT CM including, but not limited to Evaluation and Management section, Centricity Practice Solution.
</li><li>Collects and records data accurately on training received by staff.</li><li>
Trains in various clinical areas (Suboxone, HIV, 340B drugs etc.) to be audited to fully understand the policies and procedures for each area in order to assess, audit and report findings to the Compliance officer.</li><li>
Maintains audit records for outside auditing purposes as well as further internal auditing purposes.
</li><li>Prepares for audits by researching materials, policies, procedures and formulating a plan of action. Setting up spreadsheets for data and recording as required.
</li><li>Communicate audit progress and findings by preparing reports and providing information in meetings when requested.
</li><li>Assists the Compliance/Coding/HIM lead in reporting, educating, creating and implementing any policy and procedure necessary to ensure that all departments follow regulations according to the Compliance program.
</li><li>Assist the Compliance Officer with onsite audits as needed.</li><li>
Enhances compliance department and the organizations reputation by accepting responsibility for accomplishing new and different coding and compliance related requests; exploring opportunities for additional audits/monitoring to ensure the most robust compliance program possible.
</li><li>Also assists with the coding and HIM department with patient complaints, records requests, incident reports, correcting claims as requested by the Coders, and other duties as assigned.
</li><li>Travel as needed</li><li>
Maintains open communication with supervisor and all staff.</li><li>
Maintains confidentiality of all patients/personnel records.</li></ul>
QUALITIES &amp; CHARACTERISTICS<ul><li>
Maintains a professional relationship and positive attitude with co-workers, the public, patients and all Ampla Health&rsquo;s staff, Board of Directors and vendors</li><li>
Maintains the highest professional ethics and is honest in dealing with people; is a model for all employees through his/her actions</li><li>
Strives to learn more and is receptive to learning different ways of doing things</li><li>
Displays enthusiasm toward the work and the mission of Ampla Health
</li></ul>PROFESSIONAL KNOWLEDGE, SKILLS &amp; ABILITIES<ul><li>
High School Diploma or GED</li><li>
Approved Coding certificate required. (CCS, CPC)
</li><li>Experience working in a compliance role preferred, but not required</li><li>
Knowledge of billing practices, auditing practices, various programs utilized in an outpatient clinic setting.
</li><li>Prior medical records review experience</li><li>
Experience in governmental programs as related to FQHC&rsquo;s or other related clinical setting</li><li>
Centricity practice management system experience is a plus</li><li>
Data management responsibilities a plus</li><li>
Able to operate general office equipment, such as copiers, facsimile machine, etc.
</li><li>Working knowledge of Microsoft windows programs such as Word, Excel, Power Point</li><li>
Intermediate computer skills</li></ul>
COMMUNICATION SKILLS:<ul><li>
Must have neat and legible handwriting</li><li>
Must be able to interact with patients/providers courteously and calmly</li><li>
Ability to communicate well with the public</li><li>
Exceptional verbal and written communication skills</li></ul>
WORKING CONDITIONS &amp; PHYSICAL REQUIREMENTS
Works well with patients, co-workers and vendors in a generally comfortable environment office. Employee must possess the following physical requirements:<ul><li>
May require prolonged sitting or standing</li><li>
Travel as needed</li><li>
Vision sufficient to read handwritten, typed and computer printed documents throughout the day</li><li>
Speech and hearing sufficient to receive and communicate detailed information clearly by phone and in person</li><li>
Motor skills sufficient to use and manipulate equipment</li><li>
Must have a high level of manual dexterity</li><li>
Physically able to sit, walk, or otherwise stand for long periods of time, frequent bending, stooping, and stretching. Repetitive hand, arm, and shoulder movements</li><li>
Able to lift up to 40 pounds</li></ul></div>

Coding Research & Training Assistant

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