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Niagara Falls

    Claims Compliance Remediation Analyst - Niagara Falls, United States - AppleOne

    AppleOne
    AppleOne Niagara Falls, United States

    2 weeks ago

    AppleOne background
    Description

    Job Description

    Job DescriptionThis specific position is for an RN/ LPN Certified Professional Coder (CPC). The ideal candidate is someone who is an independent worker and who holds themselves to high standards. The best candidate is organized, able to prioritize tasks, and lets nothing slip through the cracks. Has the ability to meet deadlines and a strong attention to detail.


    Qualifications:

    • High level of integrity, attention to detail, dependable
    • Excellent reading, writing, and verbal communication skills
    • Analytical and researching skills
    • Excellent computer skills, including Microsoft Office - Word, Outlook, and Excel.
    • Able to meet deadlines
    • Must have an excellent, pleasant, and persuasive communication style both verbally and in written form.
    • Ability to adapt and quickly develop an understanding of new and different applications
    • Excellent time management skills and ability to work independently, while managing your own time and proving time estimates and status updates
    • Ability to work independently
    • Ability to multitask

    Education & Experience:

    • Certified Professional Coder (CPC) Certification
    • Registered Nurse (RN) or Licensed Practical Nurse (LPN)
    • Certification in Medical Coding
    • Comprehensive Knowledge of International Classification of Diseases (ICD-10) 2 years' experience (Preferred)
    • Experience with Workers Compensation, No-Fault Insurance Medical Bills, Diagnosis Related Groups (DRGs) and Enhanced Ambulatory Patient Groups (EAPGs)
    Job Duties and Responsibilities

    • Reviewing medical bills and auditing those bills for validity and accuracy
    • Comply with various fee schedules
    • Ensure coding and charges are supported by appropriate clinical documentation
    • Write legally sound affidavits to be submitted for arbitration and litigation purposes
    • May have to testify in relation to an audit or affidavit they have written.

    Work Location:
    Hybrid; Remote is available


    Job Type / Schedule:
    Monday-Friday
    Full-time
    8-Hour Shifts

    Salary:
    $50,000 - $90,000 per year


    Available Benefits:

    • 401(k) With company matching
    • Dental insurance
    • Health insurance
    • Health Savings Plan (HSA)
    • Life & disability insurance
    • Paid time off

    Ability to commute/relocate:

    Niagara Falls, NY 14303:
    Hybrid/ Remote available

    License/Certification:

    • Driver's License (Preferred)
    • Certified Professional Coder (CPC)
    • RN License
    • LPN Certificate

    Shift availability:

    • Day Shift (Required)
    #1141

    AppleOne is proud to be an Equal Opportunity Employer.

    We believe in people, and we are committed to working with people of all backgrounds and connecting them with clients and companies who share our goals of diversity and inclusiveness.

    All qualified applicants will receive consideration for employment without regard to race, religion, ancestry, color, national origin, age, gender identity or expression, genetic information, marital status, medical condition, disability, protected veteran status, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.

    The Know Your Rights poster is available here:

    The pay transparency policy is available here:


    For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

    We are committed to working with and providing reasonable accommodations to individuals with disabilities.

    If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

    AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

    https:
    //e- DescriptionFounder and CEO, Janice Bryant Howroyd, is a North Carolina native who left her hometown in 1976 armed with $1500.

    Since then, she has dedicated her efforts to building an organization that is committed to keeping the humanity in Human Resources and Strategic, Inclusive Procurement.

    Mrs.

    Howroyd's commitment to excellence has grown ActOne Group to 33 countries, with over 17,000 clients and more than 2,800 employees.

    The largest woman-minority-owned workforce management company founded in the US, ActOne Group professionals bring expertise in delivering corporate HR initiatives to local and global markets.

    Mrs.

    Howroyd was selected by former President Barack Obama to serve as a White House appointee and continues to serve under the current administration as an Ambassador of Energy.

    Mrs. Howroyd gives generously through funding and advocacy for STEM education, particularly for women and minorities.

    Mrs. Howroyd leads her teams to build business success based on the ability to connect great companies with outstanding talent. Her passion for education, mentorship, and self-empowerment initiatives have earned her many professional and philanthropic recognitions. She is a sought–after speaker and media subject matter expert in her fields.

    Her book, The Art of Work:

    How to Make Work, Work for You, is available on

    Company Description

    Founder and CEO, Janice Bryant Howroyd, is a North Carolina native who left her hometown in 1976 armed with $1500.

    Since then, she has dedicated her efforts to building an organization that is committed to keeping the humanity in Human Resources and Strategic, Inclusive Procurement.

    \r
    \r
    Mrs.

    Howroyd's commitment to excellence has grown ActOne Group to 33 countries, with over 17,000 clients and more than 2,800 employees.

    The largest woman-minority-owned workforce management company founded in the US, ActOne Group professionals bring expertise in delivering corporate HR initiatives to local and global markets.

    \r
    \r
    Mrs.

    Howroyd was selected by former President Barack Obama to serve as a White House appointee and continues to serve under the current administration as an Ambassador of Energy.

    Mrs. Howroyd gives generously through funding and advocacy for STEM education, particularly for women and minorities.\r
    \r
    Mrs. Howroyd leads her teams to build business success based on the ability to connect great companies with outstanding talent. Her passion for education, mentorship, and self-empowerment initiatives have earned her many professional and philanthropic recognitions. She is a sought–after speaker and media subject matter expert in her fields.

    Her book, The Art of Work:
    How to Make Work, Work for You, is available on

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