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docketing specialist

Temp Experts

<div>Docketing Specialist 
Remote Position 
 
TempExperts is looking for an experienced Docketing Specialist to join our clients remote team, supporting various legal practice groups across the firm. This role offers the opportunity to contribute to a collaborative docketing team that spans regions, ensuring accurate and timely legal calendaring in a fast-paced environment. The ideal candidate thrives under pressure, demonstrates strong attention to detail, and has the confidence to work both autonomously and collaboratively. 
 
Responsibilities:
<ul><li>Review documents and utilize a rules-based docket system to generate deadlines.</li>
<li>Analyze court filings to create and manage critical deadlines using a rules-based docketing system.</li>
<li>Collaborate with attorneys and legal support staff to confirm case details and clarify procedural questions.</li>
<li>Maintain a deep understanding of state and federal litigation, appellate procedures, and related court rules.</li>
<li>Conduct legal rule and statute research as needed to ensure accuracy and compliance.</li>
<li>Keep up to date with changes in docketing best practices, procedural developments, and rule amendments.</li>
<li>Mentor and train new team members on internal systems and standard operating procedures.</li>
<li>Review the work of junior docketing staff to ensure accuracy, consistency, and adherence to policies.</li>
<li>Take the lead on department-specific initiatives and contribute to special projects.</li>
</ul>Qualifications:
<ul><li>Minimum of 5 years of docketing experience using systems like CompuLaw, CourtAlert, or eDockets.</li>
<li>In-depth knowledge of Florida court systems and applicable legal procedures.</li>
<li>Experience supporting multiple litigation areas including, but not limited to, civil, appellate, labor and employment, bankruptcy, and workers&rsquo; compensation.</li>
<li>Proven ability to interpret complex legal rules and guidelines accurately.</li>
<li>Strong interpersonal and communication skills, with the ability to interact effectively across all levels of the organization.</li>
<li>High degree of professionalism, initiative, and commitment to delivering excellent service.</li>
<li>Proficient in Microsoft Office Suite.</li>
<li>Willingness to work under tight deadlines and offer support outside regular hours when necessary.</li>
</ul>TempExperts is an Equal Opportunity Employer.</div>

Docketing Specialist

Moffitt Cancer Center

<div>The Department of Radiation Oncology Research is seeking a dedicated Research Project Specialist Sr. to manage and support a broad portfolio of translational research projects led by our radiation oncology faculty. This role focuses on comprehensive data management, including the creation and maintenance of longitudinal databases, advanced data analysis, and reporting to drive impactful research outcomes. The Specialist will work closely with faculty and the Manager of Radiation Oncology Research to identify data-driven opportunities, address evolving research needs, and strengthen departmental support services.
Key responsibilities include overseeing project timelines and resources, ensuring compliance with regulatory and data privacy standards, and fostering effective collaboration across multidisciplinary teams. The ideal candidate will be instrumental in translating laboratory discoveries into clinical applications, ultimately contributing to improved patient care and advancing the field of radiation oncology. 

Position Highlights:
<ul><li>We encourage innovation and creativity to advance the Radiation Oncology Translational Research Division with a Research Project Specialist Sr. who can think outside the box and take the initiative to implement solutions and facilitate the operation for the faculty.</li></ul> 

The Ideal Candidate:
<ul><li>Strong data management skills with excellent proficiency in overall computer applications.</li>
<li>Proven experience in data analysis, preferably with large and complex datasets.</li>
<li>Ability to design, create, and maintain robust databases.</li>
<li>Proficiency in coding and statistical software, particularly R; familiarity with Python or SQL is a plus.</li>
<li>Experience in research, clinical research, or related fields.</li>
<li>Exceptional verbal and written communication skills to effectively present data insights and collaborate with faculty within Rad Onc Department.</li>
<li>Strong attention to detail and ability to ensure data accuracy and integrity.</li>
<li>Ability to work independently and manage multiple tasks efficiently.</li>
<li>Knowledge of data privacy and security best practices.</li>
<li>Problem-solving mindset with a proactive approach to troubleshooting data-related issues.</li></ul> 

Responsibilities:
<ul><li>Collaborate closely with faculty and research teams to conduct data analysis and generate professional reports that support decision-making.</li>
<li>Design, create, modify, and maintain longitudinal databases for research studies within the department, ensuring data accuracy and consistency.</li>
<li>Work closely with the Manager of Radiation Oncology Research to identify new opportunities for data-driven insights, address faculty needs and contribute to the continuous growth and enhancement of departmental research support.</li>
<li>Assist in developing data collection protocols and ensure compliance with research standards and data privacy regulations.</li>
<li>Provide technical support to faculty for grant applications, research proposals, and all research-related activities.</li>
<li>Monitor and troubleshoot database performance issues, ensuring timely resolution to minimize disruption.</li>
<li>Prepare data visualizations and presentations to communicate findings effectively to faculty, research team and other collaborators.</li></ul> 

Credentials and Qualifications:
<ul><li>Bachelor's degree with a minimum of 5 years of relevant experience required;
<ul><li>Master's with a minimum 3 years of relevant experience preferred.
</li></ul></li><li>Hands-on experience necessary, along with experience in the use of basic office equipment, computers, and MS Office software environment.</li></ul> 

Moffitt Cancer Center is an NCI-designated comprehensive Cancer Center in Tampa, Florida. Tampa is an ideal choice for those seeking opportunities in a rapidly growing metropolitan city. With its vibrant economy and diverse culture, Tampa Bay offers a unique blend of urban sophistication and natural beauty. Join the many who have already discovered what makes Tampa one of the fastest-growing metropolitan cities in the US. 

Moffitt Team Members are:
<ul><li>Eligible for an annual Team Member Incentive</li>
<li>Eligible for an annual Team Member Merit Increase</li>
<li>Have an Inclusive Benefits package - Health, Financial, &amp; Lifestyle coverage</li></ul> 

Review of applications will begin immediately and continue until positions are filled. Please be sure to attach your CV and cover letter. 
Location: H. Lee Moffitt Cancer Center &amp; Research Institute &middot; Rad Onc Research 
Schedule: Full Time, Day Shift, Monday to Friday; 8.30am-5pm</div>

RESEARCH PROJECT SPECIALIST SR

Westchase Law, PA

About Us:Westchase Law P.A., a dynamic and well-established law firm based in Tampa, Florida, specializes in a comprehensive range of family law services. Our team, including a Florida Board-Certified Specialist in Marital &amp; Family Law, provides sophisticated legal representation in diverse areas such as divorce, child custody, alimony, paternity, and domestic violence, among others. We also practice in general litigation, business law, real estate, estate planning and probate. As a firm, we are dedicated to offering exceptional legal advice, professional counseling, and outstanding representation both in and out of court.Key Responsibilities:<ul><li>Represent clients in various family law matters, including but not limited to divorce, child custody, alimony, paternity, and domestic violence cases.</li><li>Provide legal advice and counseling to clients on diverse family law issues, including prenuptial and postnuptial agreements, property division, and child support.</li><li>Participate in negotiations, mediations, and courtroom litigation, as necessary.</li><li>Prepare and file all required legal documents and ensure compliance with Florida Family Law Rules of Procedure; Understand and apply the Florida Rules of Civil Procedure and the Florida Probate Rules.</li><li>Experience in the areas of estate planning and probate a plus</li><li>Conduct research and analysis of legal problems</li><li>Represent clients in legal proceedings including drafting pleadings/motions, arguing motions, requesting/responding to discovery, and conducting trials</li><li>Manage assigned cases by planning case strategy, calendaring case management, executing and delegating tasks as-needed, and providing regular case updates to client and managing attorney</li></ul>Qualifications:<ul><li>POSITIVE ATTITUDE AND SUPERIOR WORK ETHIC</li><li>Solution and results oriented</li><li>J.D. from an accredited law school</li><li>Active member in good standing with the Florida Bar</li><li>A minimum of 4 years of experience in family law or litigation, with a focus on Florida law</li><li>Strong analytical, negotiation, and courtroom skills</li><li>Commitment to ethical legal practice and a high degree of professionalism</li><li>Heightened attention to detail and understanding and meeting deadlines, without compromising efficiency and effectiveness</li><li>Strong research and writing skills</li><li>Ability to perform several tasks concurrently with ease and professionalism</li><li>Ability to work independently and as part of a team</li></ul>Job Type: Full-timePay: $80,000.00 - $120,000.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Ability to Commute:<ul><li>Tampa, FL 33626 (Required)</li></ul>Ability to Relocate:<ul><li>Tampa, FL 33626: Relocate before starting work (Required)</li></ul>Work Location: In person

Associate Attorney-Family Law and Litigation

Iron EagleX

<div>Overview:
<div>
Iron EagleX (IEX), a wholly owned subsidiary of General Dynamics Information Technology, delivers agile IT and Intelligence solutions. Combining small-team flexibility with global scale, IEX leverages emerging technologies to provide innovative, user-focused solutions that empower organizations and end users to operate smarter, faster, and more securely in dynamic environments.</div>
Responsibilities:
<div>
Job Description:</div><div> 
</div><div>The Visual Planning Specialist shall perform a broad range of mission support assignments and planning actions required to solve SOF challenges and other unique problems.</div><div></div><div> 
Job Duties Include (but not limited to):</div> 
<div></div><ul><li>
Innovative use of cognitive modeling techniques, advanced scheduling approaches, integration of new information management technologies, and visualization development using ArcGIS and other similar computer based tools</li><li>
Operate designated Decision Support Center visualization systems and coordinates directly with briefers, moderators, and other personnel during event execution</li><li>
Assist in the planning and development of senior leader seminars and other events</li><li>
Assist in analysis of strategic and operational issues and topics as they relate to events tasked to the DSC</li><li>
Assess the traditional intelligence products, military operational activities, and field observations and studies from academia and recognized think-tanks to determine how to best apply interagency associated activities within the tasks of the Decision Support Center</li><li>
Establish, integrate, synchronize, and maintain coordination with other elements of USSOCOM and the Interagency (IA) in order to build collaborative communities of interest, which contribute to, or benefit from, ongoing DSC projects</li><li>
Conduct visualization planning and design by obtaining resource data focused on customer objectives and goals</li><li>
Creation of decision matrix visualization tools</li></ul> 
<div></div>
Qualifications:
<div>
Required Skills &amp; Experience:</div> 
<div></div><ul><li>
5 years of operations, planning, or resourcing experience</li><li>
3 years of experience co-planning a variety of advanced strategic and operational perspectives utilizing customer input, informed by personal experience and expertise</li><li>
3 years of experience using ArcGIS and the Adobe Suite tools</li><li>
3 years of experience in the creation and modification of advanced computer graphics and images</li><li>
Due to U.S. Government contract requirements, only U.S. citizens are eligible for this role.</li></ul><div></div><div> 
Desired Skills:</div> 
<div></div><ul><li>
Familiarity with USSOCOM</li></ul><div></div><div> 
Education &amp; Certifications:</div> 
<div></div><ul><li>
Bachelor&rsquo;s degree in any field</li></ul><div></div><div> 
Security Clearance:</div><div></div><ul><li> 
An active Top Secret/SCI security clearance is required. Candidates without this clearance will not be considered.</li></ul><div></div><div> 
Benefits:</div> 
<div></div><ul><li>
National Health, vision, and dental plans</li><li>
20 days of PTO and 11 paid holidays</li><li>
Life Insurance</li><li>
Short &ndash; and long-term disability plans</li><li>
401(K) retirement plans</li><li>
Incentive and recognition programs
</li><li>Relocation opportunities</li></ul><div></div> 
 Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans</div>

Visual Planning Specialist

Key Autism Services

<div>Key Autism Services is seeking dedicated Board Certified Behavior Analysts (BCBAs) to join our team
We are currently offering relocation packages for BCBAs interested in relocating to any of our locations: Alabama, Colorado, Georgia, Illinois, Massachusetts, Nebraska, North Carolina and Tennessee
This is a terrific opportunity to make the move you have always dreamed of!
Are you a passionate BCBA eager to make a meaningful impact? At Key Autism Services, we offer a collaborative and supportive environment where you can thrive professionally while delivering the highest-quality ABA services to children and families. We focus on clinical excellence, manageable caseloads, flexibility and maintaining a healthy work-life balance. You'll have access to continuous professional development, peer mentorship, and the chance to work alongside a skilled, dedicated team. Whether you prefer a center-based role or community-based services, we provide the resources and flexibility to help you succeed.
Join a mission-driven organization that values evidence-based practices, compassionate care, and innovation in the ABA field. If you're ready to elevate your career while making a lasting impact on children and their families, apply today!
$80,000-$115,000+ inclusive of achievable bonus potential!
Relocation packages available. Flexible scheduling
_____________________________________________________________________
Alabama - Home based in the greater Birmingham, Huntsville and Mobile regions
Colorado - Home based in the Boulder region, Colorado Springs region and the Greater Denver region. Colorado Clinic based: Centennial, CO
Georgia - Home and clinic based in and around the greater Atlanta region
Illinois - Homebased in Chicagoland. Clinic based: Norwood Park and Palos Heights
Massachusetts - Home based throughout the Massachusetts region with the exception of Western Mass and the Cape. Center based: Southborough, MA
North Carolina - Home based in the following regions: Asheville, Charlotte, Greensboro, Greenville, Raleigh and the triangle area, Winston-Salem
NC Center based: Chapel Hill, Greenville, Raleigh and Winston-Salem
Tennessee: Home based in the greater Chattanooga, Knoxville and Nashville regions
______________________________________________________________________
 What we offer full time BCBAs:<ul><li>
Competitive salary commensurate with experience</li><li>
Performance Incentives (Monthly bonus potential that is designed to be PAID)</li><li>
Comprehensive Health Coverage (Medical, Dental, Vision) + Life and Disability Insurance -company-sponsored</li><li>
Generous 401k Retirement Plan - 100% match</li><li>
25 Paid Days off (increases after 3 years), plus extra WFH days!</li><li>
Flexible hours!<ul><li>
Home-based BCBAs can create their own schedule - no weekends required and WFH days</li><li>
Center-based BCBAs enjoy no nights or weekends and WFH days</li></ul></li><li>
Minimized Drive Times: location-based client matching to minimize drive-time and maximize quality care</li><li>
Reimbursement for External CEUs up to $750 per year</li><li>
Ongoing collaborative Training and Support including professional development and internal CEU opportunities via our robust internal Training Team</li><li>
Mentoring Program start your career with reduced caseloads and additional support to help develop your clinical skills in a supportive environment</li><li>
Leadership/Growth Opportunities paired with the necessary training We prioritize internal promotions and provide the leadership training to support this growth</li><li>
Referral Bonuses - get paid to refer your friends!</li><li>
Tuition discounts with university partners</li><li>
Reimbursement for session related materials and equipment</li><li>
Relocation assistance within the states KAS serves</li><li>
Virtual electronic data collection system to allow for light paperwork with online behavior plans to expedite plan development</li></ul>
Requirements:<ul><li>
Must have a current BCBA Certification and LABA (if applicable by state)</li><li>
Master's Degree in ABA or related field (Psychology, Education, Special Education)</li><li>
Obtain and maintain Safety Care Specialist status</li><li>
Personal means of transportation with a reliable vehicle</li><li>
Previous ABA Experience</li><li>
Must be comfortable working with families and providing in-home services</li></ul>
Board Certified Behavior Analyst (BCBA) Job Responsibilities:
As a successful BCBA with Key Autism Services, you will be conducting initial assessments, reassessments, and write progress reports. Developing and monitoring individualized treatment plans and behavior support plans for life long success. You will have amazing BTs/RBTs to supervise and train to ensure treatment plans are on track. Providing support, instruction, and feedback to families and caregivers with regard to managing challenging behaviors and teaching replacement behaviors through the principles of ABA. Other responsibilities include conducting functional assessments and functional analysis when needed and clinically warranted as well as reviewing program effectiveness, making recommendations, monitoring data, and graph/monitor progress.
Our teams of compassionate and dedicated individuals enjoy a professional, ethical, caring, respectful and fun environment. Collaboration for continuous improvement as well as career advancement are important to us! Continuous room for growth and leadership opportunities as KEY grows! Our support teams will handle to client intake, scheduling, credentialing, and billing! Rewarding environments as you work with kiddos and families to develop and implement individualized plans, assessments, and therapy to unlock your child's potential!
Key Autism Services is an Equal Opportunity Employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences within our workforce.
Check out our virtual center tours along with more opportunities! https://www.keyautismservices.com/careers/</div>

Board Certified Behavior Analyst (bcba) Relocation Offered

ServiceNow

<div>Company Description 
It all started in sunny San Diego, California in 2004 when a visionary engineer, Fred Luddy, saw the potential to transform how we work. Fast forward to today &mdash; ServiceNow stands as a global market leader, bringing innovative AI-enhanced technology to over 8,100 customers, including 85% of the Fortune 500&reg;. Our intelligent cloud-based platform seamlessly connects people, systems, and processes to empower organizations to find smarter, faster, and better ways to work. But this is just the beginning of our journey. Join us as we pursue our purpose to make the world work better for everyone. 
Job Description 
The Team
The Customer Excellence Group at ServiceNow works with customers to help them achieve their business outcomes by providing prescriptive guidance. As part of the Customer Excellence Group, you will work with our customers to drive consumption, adoption, and customer satisfaction and ultimately help our customers grow their business on the ServiceNow platform by getting them to see the value of their ServiceNow investment.
The Role
The Principal Technical Consultant, Integrations Specialist is the functional and technical expert of a customer engagement team &ndash; consulting with customers and configuring ServiceNow Integrations based on configuration best practices &ndash; all with the goal of accelerating and driving customer business outcomes. Integrations consultants design and implement integrations between ServiceNow and third-party software platforms, programs, and applications. They are expert problem solvers with extensive programming skills and abilities in multiple coding languages and frameworks. They also resolve errors, provide support, and develop procedures to navigate complex system overlaps. They will play a crucial role in delivering transformative integration architectures that support AI solutions on the platform.
What you get to do in this role:<ul><li>
Experience in leveraging or critically thinking about how to integrate AI into work processes, decision-making, or problem-solving. This may include using AI-powered tools, automating workflows, analyzing AI-driven insights, or exploring AI&rsquo;s potential impact on the function or industry.</li><li>
Devising integration development plans and strategies while formulating architectures for systems integrations.</li><li>
Implement the latest ServiceNow AI offerings like Virtual Agent, NLU, AI Search, Issue Auto Resolution, Task Intelligence, Document Intelligence, Generative AI and other upcoming capabilities for various customers</li><li>
Developing solutions specific to user requirements gathered in workshops.</li><li>
Coordinating activities with other developers to ensure that integrations and platform functionality is designed to support the overall project.</li><li>
Ensuring that best practices in integration processes are followed by the organization.</li><li>
Act as an SME to solve complex user issues related to Integrations and AI solutions.</li><li>
Checking and correcting conflicts in data configurations and overlaps.</li><li>
Analyzing and improving current instance configuration and setup to ensure proper design to support future of customer.</li><li>
Identifying, debugging, and advising on system errors or architecture issues.</li></ul> 
Qualifications 
To be successful in this role, we need someone who has:<ul><li>
Active Security Clearance Required</li><li>
At least 6years of configuration/development experience for complex, highly capable, integration technologies</li><li>
Demonstrated ability to influence and consult (providing options with pros, cons, and risks) in a complex and varied customer environment, while providing thought leadership to customer sponsors/stakeholders in solving business process and/or technical problems</li><li>
Maintain at least 2 ServiceNow mainline CIS certifications</li><li>
Maintain ServiceNow Certified Application Developer (CAD) certification</li><li>
Act as a technical lead on any engagement</li><li>
Experience with architecting systems integrations and creating complex high level architecture diagrams</li><li>
Extensive experience with Integration Technologies (Web Services (REST/SOAP), middleware, LDAP, SSO, JDBC, Import Sets, Export Sets, IDR (instance data replication), Remote Tables, Remote Process, etc.) and working with SaaS technologies</li><li>
Understanding of AI Models, Deep Learning Models, and Large Language Models with a focus on Generative AI.</li><li>
Experience with ServiceNow&rsquo;s Predictive/Task Intelligence, AI Search, and Virtual Agent is highly valued.</li><li>
Experience with development on the ServiceNow platform capabilities (Studio IDE, Mobile, Automated Test Framework, Delegated Development, Flow Designer, Source Control, APIs, and Integrations)</li><li>
Experience with data management, database design, and database concepts</li><li>
Knowledge and experience with technical components such as LDAP, VPN, SSL, SAML/SSO and other widespread enterprise technologies</li><li>
Connect chat, agent chat, and virtual agent configuration and design experience</li><li>
Encryption understanding and core design principals with customers (Platform, Edge, Database, Full Disk, etc)</li><li>
Understanding and/or development experience with MID Servers, Notify, Orchestration</li><li>
Strong Javascript skills with practical experience</li><li>
Experience with Self Hosted implementations and/or Domain Separation is a plus</li><li>
Experience with data management, database design, and database concepts</li><li>
Strong interpersonal skills, customer-centric attitude, and ability to operate within a culturally diverse environment</li><li>
Proven team builder with the ability to mentor and develop talent</li><li>
Analytical and problem-solving abilities</li><li>
A keen eye for detail and the ability to spot and fix errors in complex code</li><li>
Ability to perform tasks independently</li><li>
Good presentation and report-writing skills</li><li>
Up to 30% travel annually</li></ul> 

Additional Information 
Work Personas
We approach our distributed world of work with flexibility and trust. Work personas (flexible, remote, or required in office) are categories that are assigned to ServiceNow employees depending on the nature of their work. Learn more here.
Equal Opportunity Employer
ServiceNow is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, national origin or nationality, ancestry, age, disability, gender identity or expression, marital status, veteran status, or any other category protected by law. In addition, all qualified applicants with arrest or conviction records will be considered for employment in accordance with legal requirements.
Accommodations
We strive to create an accessible and inclusive experience for all candidates. If you require a reasonable accommodation to complete any part of the application process, or are unable to use this online application and need an alternative method to apply, please contact globaltalentss@servicenow.com for assistance.
Export Control Regulations
For positions requiring access to controlled technology subject to export control regulations, including the U.S. Export Administration Regulations (EAR), ServiceNow may be required to obtain export control approval from government authorities for certain individuals. All employment is contingent upon ServiceNow obtaining any export license or other approval that may be required by relevant export control authorities.
From Fortune. &copy;2024 Fortune Media IP Limited. All rights reserved. Used under license.</div>

Senior Technical Consultant , Platform (Federal)

Berkeley Research Group, LLC

<div><h2 class="jobSectionHeader">We do Consulting Differently
</h2>The Coding Compliance Consultant position is a staff consulting position within the Health Analytics Practice (HAP) of BRG. HAP is seeking to add either a Consultant or Managing Consultant to their Coding Compliance team.
BRG Healthcare Analytics professionals bring extensive industry experience to deliver data driven, independent, and innovative approaches to complex legal, regulatory, and business challenges. Our core strength is the ability to harness and analyze large amounts of electronic healthcare data and turn it into meaningful and insightful information. Healthcare companies trust our independent thinking and ability to solve unstructured problems. We serve a range of healthcare clients including payors, providers, life sciences companies, and the legal and financial firms that work with the industry.
The work of a Coding Compliance Consultant/Managing Consultant will involve execution of engagement work streams that will primarily involve employing certified coding skills to audit provider claims and provider clinical documentation with a particular focus on ICD-10-CM codes that risk adjust under the CMS-HCC model for Medicare. Responsibilities include working with team to develop audit specifications, expert analysis of healthcare claims and supporting documentation, quality control, and development of client deliverables.
The Coding Compliance Consultant/Managing Consultant will apply expertise in medical and risk adjustment coding to conduct coding and documentation quality audits, including identifying, tracking, and summarizing discrepancies. The Coding Compliance Consultant/Managing Consultant must have the ability to use critical thinking skills to evaluate the significance of identified discrepancies and be able to effectively communicate findings and results with team members and clients. To perform most effectively, the Coding Compliance Consultant must remain current on CPT-4/HCPCS and ICD-10-CM coding guidelines, AHA coding clinics, and risk adjustment reimbursement reporting requirements and changes to the CMS-HCC model, as well as current government oversight and enforcement activities around risk adjustment.
There is a strong preference for the Consultant/Managing Consultant to be based out of our Tampa, FL office in a hybrid capacity. However, remote candidates will also be considered. Job title and compensation to be determined based on qualifications and experience.
Essential Functions
<ul><li>Audit Planning : Has the ability to design coding and documentation audit plans for annual and periodic audits and investigations, using knowledge of key risk areas in coding and documentation compliance.
</li><li>Conducting Audits and Critiquing External Audits : Performs coding and documentation audits by reviewing medical records and charges to ensure compliance with CPT-4/HCPCS and ICD-10-CM coding guidelines and standards, as well as the Centers for Medicare &amp; Medicaid Services (CMS) coverage guidelines. Work will include reviewing the results of audits conducted by external parties (e.g., CMS RADV audits) and assisting with both identifying records for appeal and drafting narrative appeals.
</li><li>Analysis, Reporting, and Education : Conducts analysis of audit findings to identify trends/problems in coding and documentation and effectively and recommend areas for improvement. May also lead educational meetings with providers/health plans/legal counsel to review the audit findings.
</li><li>Compliance Program Activities : Has the ability to assist with reviewing, editing, or writing policies and procedures related to billing and coding compliance risk adjustment operations, and provider/coder education trainings.
</li><li>Other job responsibilities include:
<ul><li>Serves as a subject matter expert on interpretation and application of coding and documentation guidelines;
</li><li>Recommends procedural or policy changes to improve coding and documentation practices based on industry knowledge and audit findings;
</li><li>Monitors relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas;
</li><li>Stays current on coding guidelines, risk adjustment reimbursement requirements, and changes to the CMS-HCC model;
</li><li>Generates client deliverables and make valuable contributions to expert reports;
</li><li>Manages client relationships and communicate results and work product as appropriate;
</li><li>Manages junior staff and delegate assignments as directed by more senior managers;
</li><li>Demonstrates creativity and efficient use of relevant software tools and analytical methods to develop solutions;
</li><li>Participates in group practice meetings, contribute to business development initiatives and office functions such as staff training and recruiting;
</li><li>Prioritizes assignments and responsibilities to meet goals and deadlines.
</li><li>Complies with HIPAA laws and regulations and all applicable company rules and policies.
</li></ul></li></ul>Qualifications
<ul><li>Bachelor Degree in Health Information Management or related healthcare field.
</li><li>Minimum of 5 years of risk adjustment coding experience as an auditor/coder within a health plan or medical group/physician office setting.
</li><li>Minimum of 3 years of medical coding experience (CPT-4/HCPCS and ICD-10-CM) in a medical group/physician office setting.
</li><li>Active certification in medical coding (CPC or CCS-P) through AAPC or AHIMA, as well as active certification as a risk adjustment coder (CRC) through AAPC.
</li><li>Preference will be given to candidates who are certified in medical auditing, certified in healthcare compliance, and/or current or former licensed clinicians (e.g., RN).
</li><li>Comprehensive knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation.
</li><li>Advanced knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements, including Physician, Multi-Specialty, Surgical, Hospital, Lab, Pharmacy, or other related Code Sets, with ability to research coding related questions.
</li><li>Required skills include:
<ul><li>Demonstrated ability to:
<ul><li>interpret national coding and documentation guidelines and translate them into effective auditing practices and tools;
</li><li>identify issues in coding and documentation practices and develop plans to remediate;
</li><li>develop reports, track, and trend audit findings and results;
</li><li>make timely and appropriate judgements on audit findings and translate into needed actions and follow up plans; and
</li><li>effectively communicate with stakeholders regarding coding and documentation improvement.
</li></ul></li><li>Commitment to producing high quality analysis and attention to detail.
</li><li>Excellent verbal/written communication skills.
</li><li>Keen interest in healthcare compliance and healthcare policy.
</li><li>Excellent time management, attention to detail, follow up skills, organizational skills, and ability to prioritize work and meet deadlines.
</li><li>Proficient user in MS office suite: Excel, Outlook, PowerPoint, Word. A desire to expand those capabilities is required, as is the ability to train others to use such tools.
</li></ul></li></ul>Candidate must be able to submit verification of their legal right to work in the U.S., without company sponsorship.
Consultant Salary Range: $70,000 &ndash; $150,000
Managing Consultant Salary Range: $100,000 &ndash; $230,000
About BRG
 
 
BRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart&mdash;and gets you ahead.
At BRG, our top-tier professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of proven real-world experience to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges for organizations across the globe.
Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking from diverse perspectives that, when paired with our global reach and resources, make us uniquely capable to address our clients&rsquo; challenges. We get results because we know how to apply our thinking to your world.
At BRG, we don&rsquo;t just show you what&rsquo;s possible. We&rsquo;re built to help you make it happen.
BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.</div>

Risk Adjustment Coding Compliance Consultant (Healthcare Analytics)

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