Medical Records Clerk jobs at Acadia Healthcare - 30 jobs
Sr Coder - Per Diem
Universal Health Services 4.4
Temecula, CA jobs
Responsibilities Join the Southwest Healthcare Team! About Us: Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 7,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community.
Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists, and Riverside Medical Clinics. We've won various awards throughout our region and focus on career development and promotion. The people are at the core of everything we do. If you are looking for a career and not just a job, you're in the right place! For more information on how to join our dynamic team, please visit our website at ***************************
Job Summary:
Southwest Healthcare is seeking a Per Diem Inpatient Coder (Sr Coder) who collaborates with staff across the Region. This position is fully remote and responsible for:
* Inpatient records are charged/coded in accordance to established Coding guidelines and regulations.
* Assist with other areas of coding as needed.
* Collaborates with Health Information Management (HIM) Leadership, as needed, to review charts for performance improvement initiatives and assists with the resolution of coding issues.
Qualifications
Experience/Training/Experience:
* High School Graduate or equivalent required.
* Associate's degree from an accredited College or University in Health Information Management preferred.
* Three (3) to Five (5) years of experience in coding related functions with proficiency in inpatient coding required, acute care experience required.
Certifications/Licenses:
* Current Registered Health Information Administrator Certificate (RHIA) or a current Registered Health Information Technician Certificate (RHIT) required, or Certified Coding Specialist (CCS). All certificates are accredited by the American Health Information Management Association (AHIMA).
Other Skills and Abilities:
* Demonstrates knowledge and ensures compliance with The Joint Commission and Title 22 standards and guidelines.
* Demonstrates compliance with hospital policies and procedures at all times.
* Ability to set priorities and appropriately organize workload and complete assignments in a timely manner.
* Demonstrates ability to relate to clinical personnel and medical staff, as well as ability to interact well with the public.
* Must have knowledge of PC and applications.
* Demonstrates the ability to adhere to all Health Insurance Portability and Accountability Act (HIPAA), Federal and State statute, as it related to proper and improper releases.
* Demonstrates knowledge of medical terminology, anatomy and physiology, including disease processes.
* Demonstrates working knowledge of current ICD-10-CM/PCS, CPT, and HCPCS coding guidelines with working knowledge of DRG, APC and diagnosis sequencing concepts.
* Demonstrates knowledge of OSHPD requirements for Inpatient reporting.
* Proficiency in the use of all applicable software, which includes the abstracting system 3M HDM product(s) and Nuance CD One.
* Demonstrates familiarity with patient medicalrecords.
* Demonstrates ability to perform under pressure, meet frequent deadlines, and tight schedules.
* Demonstrates excellent organizational skills and detail oriented.
* Demonstrates effective communication with all customers (i.e. medical staff, hospital staff, patients, etc.) regardless of communication method. Utilizes principles of AIDET for framework of conservations.
* Demonstrates ability to maintain positive relationships and courteous interactions with hospital staff, medical staff, and the public.
Benefit Highlights:
* Challenging and rewarding work environment.
* Competitive Compensation & Generous Paid Time Off.
* Excellent Medical, Dental, Vision and Prescription Drug Plans.
* 401(K) with company match and discounted stock plan.
* SoFi Student Loan Refinancing Program.
* Tuition, CEU, Certification, Licenses Reimbursement program.
* Career development opportunities within UHS and its 300+ Subsidiaries!
* More information is available on our Benefits Guest Website: UHS Guest Benefits
Southwest Healthcare is owned and operated by subsidiaries of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
EEO Statement:
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams:
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
$52k-66k yearly est. 58d ago
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SR INPATIENT CODER (CERT) -VHS (REMOTE - FULL TIME)
Universal Health Services 4.4
Las Vegas, NV jobs
Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center , Henderson Hospital, Valley Health Specialty Hospital. and our newest location West Henderson Hospital.
Benefit Highlights:
* Challenging and rewarding work environment
* Comprehensive education and training center
* Competitive Compensation & Generous Paid Time Off
* Excellent Medical, Dental, Vision and Prescription Drug Plans
* 401(K) with company match and discounted stock plan
* Career opportunities within VHS and UHS Subsidies
Job Description:
Responsible for preparing statistical reports, coding diseases and operations according to accepted classification
systems and maintaining indices according to established policies and procedures.
Qualifications
ACUTE INPATIENT EXPERIENCE REQUIRED
Education:
Graduate as a Registered Health Information Administrator (RHIA) or a Registered Health
Information Technician (RHIT) from an approved program by the American Health Information
Management Association (AHIMA) preferred.
Experience:
Minimum 3 years recent Inpatient and Outpatient coding experience required. Coders must
have the ability to crossover between all coding types (IP, OP, ASC, ER) and maintain a 95%
coding accuracy across the board. -One to three years coding experience in an acute care
setting-including inpatient, outpatient and ambulatory surgery.
Technical Skills :
Computer proficiency, analytical skills, ICD 9-CM/CPT coding knowledge
License/Certification:
Credentialed as RHIT/RHIA or CCS required
Other:
Demonstrated knowledge of coding procedures, extensive reimbursement system knowledge,
written and verbal communication skills. Must possess excellent knowledge of medical
terminology, anatomy, physiology, and pathophysiology.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.
$48k-60k yearly est. 41d ago
SR INPATIENT CODER (CERT)- VHS (REMOTE PER DIEM)
Universal Health Services 4.4
Las Vegas, NV jobs
Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center , Henderson Hospital, and Valley Health Specialty Hospital.
Benefit Highlights:
* Competitive Compensation & Generous Paid Time Off
* Excellent Medical, Dental, Vision and Prescription Drug Plans
* 401(K) with company match and discounted stock plan
* Career opportunities within VHS and UHS Subsidies
* Challenging and rewarding work environment
* Comprehensive education and training center
Job Description: Responsible for preparing statistical reports, coding diseases and operations according to accepted classification
systems and maintaining indices according to established policies and procedures.
Qualifications
ACUTE INPATIENT EXPERIENCE REQUIRED
Education: Graduate as a Registered Health Information Administrator (RHIA) or a Registered Health
Information Technician (RHIT) from an approved program by the American Health Information
Management Association (AHIMA) preferred.
Experience: Minimum 3 years recent Inpatient and Outpatient coding experience required. Coders must
have the ability to crossover between all coding types (IP, OP, ASC, ER) and maintain a 95%
coding accuracy across the board. -One to three years coding experience in an acute care
setting-including inpatient, outpatient and ambulatory surgery.
Technical Skills: Computer proficiency, analytical skills, ICD 9-CM/CPT coding knowledge.
License/Certification: Credentialed as RHIT/RHIA or CCS required
Other: Demonstrated knowledge of coding procedures, extensive reimbursement system knowledge,
written and verbal communication skills. Must possess excellent knowledge of medical
terminology, anatomy, physiology, and pathophysiology.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.
$48k-60k yearly est. 41d ago
Health Information Clerk
Primary Health Solutions 4.1
Hamilton, OH jobs
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Health Information Clerk Summary
The Health Information Clerk will be responsible for establishing and maintaining the health information processing (electronic and hard copy) needs of the organization. This includes creating and maintaining patient records, providing assistance with records releases, conducting audits, etc. in compliance with state and federal regulations as well as HIPAA. The Health Information Clerk will understand and fully support the mission, vision, and value statements of Primary Health Solutions.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.
· Conducts routine medicalrecord-keeping operations and healthcare information management to ensure secure, accurate and reliable patient information management that complies with all applicable organizational, local, state, federal regulations.
· Works closely with administration, vendors, and staff to support the requests from patients and outside entities for obtaining records to support patient care.
· Follows established policies and procedures to ensure effective and compliant record management, makes suggestions for process improvements.
· Assists in implementation of digital technologies and tools to gain efficiencies, facilitate record retrieval, and ensure secure storage.
· Assist in facilitation of the retrieval, collection, and requests for medicalrecords made by staff, patients, and affiliates.
· Monitor, facilitate and track all records requests, releases, and authorizations within the Electronic MedicalRecord.
· Abide by, adhere to, and conform to all applicable organizational, local, state, federal regulations.
· Maintains an up to date understanding of applicable policies, processes, laws, and regulations relative to the processing of patient health information (PHI).
· Report breaches, instances of non-compliance, patient complaints, problems, or similar instances to supervisor to protect patient health information.
· Assist patients, staff and affiliates with medicalrecords requests and questions.
· Performs all other duties and tasks as assigned.
Requirements
Core Competencies
· Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.
· Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills.
· Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.
· Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
· Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow.
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
· Associate degree or a similarly accredited program in health information technology preferred.
· Registered Health Information Technician (RHIT) or the Certified Electronic Health Records Specialist (CEHRS) preferred.
· At least 3 years of experience in a medical office setting.
· Strong data entry skills.
· Excellent verbal and written communication skills.
· Advanced organization skills.
· Attention to detail to ensure accuracy.
· Familiarity with medical terminology.
· Basic computer skills to scan, organize and access electronic health records.
· Able to work independently and possess strong time management skills.
· Excellent problem-solving skills.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medicalrecord, Microsoft Word, text paging, Internet, and Intranet.
Certificates, Licenses, Registrations
Registered Health Information Technician (RHIT) or the Certified Electronic Health Records Specialist (CEHRS) preferred.
Other Applicable Requirements
Ability to speak Spanish desirable. Skill in maintaining records and recording test results. Skill with patients in lower socio-economic sectors of the community.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles, toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information, or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
$30k-36k yearly est. 60d+ ago
Health Information Clerk
Primary Health Solutions 4.1
Hamilton, OH jobs
Description:
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Health Information Clerk Summary
The Health Information Clerk will be responsible for establishing and maintaining the health information processing (electronic and hard copy) needs of the organization. This includes creating and maintaining patient records, providing assistance with records releases, conducting audits, etc. in compliance with state and federal regulations as well as HIPAA. The Health Information Clerk will understand and fully support the mission, vision, and value statements of Primary Health Solutions.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.
· Conducts routine medicalrecord-keeping operations and healthcare information management to ensure secure, accurate and reliable patient information management that complies with all applicable organizational, local, state, federal regulations.
· Works closely with administration, vendors, and staff to support the requests from patients and outside entities for obtaining records to support patient care.
· Follows established policies and procedures to ensure effective and compliant record management, makes suggestions for process improvements.
· Assists in implementation of digital technologies and tools to gain efficiencies, facilitate record retrieval, and ensure secure storage.
· Assist in facilitation of the retrieval, collection, and requests for medicalrecords made by staff, patients, and affiliates.
· Monitor, facilitate and track all records requests, releases, and authorizations within the Electronic MedicalRecord.
· Abide by, adhere to, and conform to all applicable organizational, local, state, federal regulations.
· Maintains an up to date understanding of applicable policies, processes, laws, and regulations relative to the processing of patient health information (PHI).
· Report breaches, instances of non-compliance, patient complaints, problems, or similar instances to supervisor to protect patient health information.
· Assist patients, staff and affiliates with medicalrecords requests and questions.
· Performs all other duties and tasks as assigned.
Requirements:
Core Competencies
· Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.
· Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills.
· Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.
· Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
· Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow.
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
· Associate degree or a similarly accredited program in health information technology preferred.
· Registered Health Information Technician (RHIT) or the Certified Electronic Health Records Specialist (CEHRS) preferred.
· At least 3 years of experience in a medical office setting.
· Strong data entry skills.
· Excellent verbal and written communication skills.
· Advanced organization skills.
· Attention to detail to ensure accuracy.
· Familiarity with medical terminology.
· Basic computer skills to scan, organize and access electronic health records.
· Able to work independently and possess strong time management skills.
· Excellent problem-solving skills.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medicalrecord, Microsoft Word, text paging, Internet, and Intranet.
Certificates, Licenses, Registrations
Registered Health Information Technician (RHIT) or the Certified Electronic Health Records Specialist (CEHRS) preferred.
Other Applicable Requirements
Ability to speak Spanish desirable. Skill in maintaining records and recording test results. Skill with patients in lower socio-economic sectors of the community.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles, toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information, or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
$30k-36k yearly est. 14d ago
Inpatient Coder - Remote
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medicalrecord.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Coding: Reviews medicalrecords for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).
* Abstracting: Reviews medicalrecords to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
* Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility.
* Coder Productivity: Meets and/or exceeds Conifer's inpatient coding productivity guidelines
* Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.
* Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls.
* DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures
* Proficient at writing AHIMA compliant physician queries
* Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
* Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
* Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
* Works collaboratively with CDI, Quality and other facility leadership
* Functional knowledge of facility EMR, encoder, CDI tool and other support software
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* One to three years experience performing inpatient coding in acute care setting required
* High school graduate or equivalent is required
* Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements.
CERTIFICATES, LICENSES, REGISTRATIONS
* Required: AHIMA RHIT or RHIA or AAPC CCS approved credential
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to lift 15-20lbs
* Ability to sit and work at a computer for a prolonged period of time. Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments if appropriate
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office/Hospital Work Environment
* Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide
OTHER
* Must be able to travel nationally as needed, not to exceed 10%
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $27.30-$40.95 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$27.3-41 hourly 60d+ ago
Edit Senior Coder - Remote
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
This position will be functioning under minimal supervision while utilizing independent decision making. This position will assist the manager and supervisor in training new team members, coordinate inquiries from ancillary departments regarding DNFB and edit tasks. The Sr. Edit Coder will investigate and solve edit issues and communicate root cause data to management in order mitigate potential upstream and downstream impacts.
Responsible for modifying and completing moderate to high complexity reviewing and resolving coding and charge edits using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medicalrecord. Working in billing editor systems as required.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Performs claim edit reviews on outpatient encounters to validate appropriateness of the CPT codes, HCPCS Level II codes, and modifier assignments, APC group appropriateness, review for missed secondary diagnoses and/or procedures, and ensure compliance with all APC mandates and outpatient reporting requirements. Monitors medical visit code selection by departments against facility specific criteria for appropriateness. Assists in the development of such criteria as needed. Addresses CCI and LCD edits within the various billing editors while abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association. Meets and/or exceeds Conifer's Edit Coder productivity standards.
* Runs and submits coding operational reports to leadership as requested, reviews data and identifies opportunities or trends. Demonstrates working knowledge of DNFB and uses data to drive performance excellence. Ability to analyze, display, and communicate data in meaningful manner. Ability to maneuver thru various electronic systems effectively.
* Ability to deal with customer/partner issues and resolve conflict. Ability to multi-task and meet deadlines. Will act as a resource for Edit Coders.
* Reviews claim denials and utilizes the medicalrecord in determining accurate code assignment of all documented diagnoses and procedures adhering to the standards of ethical coding.
* Monitors DNFB report for outstanding and/or uncoded encounters to ensure timeliness of coding completion. Brings identified issues to department managers for resolution.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Three years minimum hospital outpatient coding/edit experience
* Advanced personal computing skills including MS Outlook, MS Word, MS Excel
* Advanced technical skills required to learn and navigate a variety of software systems, trouble-shoot computer problems, and work efficiently in a virtual environment
* Strong written and verbal communication skills
* Ability to think/work independently, yet interact positively with team
* Advanced problem-solving skills and ability to quickly analyze a situation.
* Comprehensive knowledge of ICD-10 and CPT coding systems.
* Strong knowledge base of changes in LCDs and NCDs.
* Strong knowledge base of current NCCI and OCE guidelines
* Attention to detail is critical to this position
* Other functions as deemed necessary to complete and final bill claims accurately
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Previous auditing experience or strong training background in coding and reimbursement
* Outstanding interpersonal communication skills as well as excellent oral and written communication skills
* Comprehensive knowledge of the APC structure and regulatory requirements.
* Knowledge of medical terminology, anatomy and physiology, disease process, and surgical procedures
CERTIFICATES, LICENSES, REGISTRATIONS
Required: AHIMA RHIT or RHIA or AAPC CCS, CPC approved credential
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to lift 15-20lbs
* Ability to sit and work at a computer for a prolonged period of time
* Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office/Hospital Work Environment
* Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide
OTHER
Must be able to travel nationally as needed, not to exceed 10%
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $24.82 - $37.23 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$24.8-37.2 hourly 41d ago
HIM Coder 3, PRN
Community Health System 4.5
Remote
Remote ~ California
Opportunities for you!
Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
Free Continuing Education and certification
Tuition reimbursement, education programs and scholarships
Vacation time starts building on Day 1, and builds with your seniority
Free money toward retirement with a 403(b) and matching contributions
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
Responsibilities
This role serves the entire Community Health System as part of a team of over 30 people made up of coders, clerical support and educators. This team works together to meet and exceed common goals. In this remote position, you will assign ICD-10-CM/PCS and CPT-4 codes for statistical and reimbursement requirements to inpatient and/or outpatient accounts. We use the most current and up-to-date technology and software, meaning you will have the constant opportunity to grow and learn in your role!
Qualifications
Education:
High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate
Completion of courses in Medical Terminology, Anatomy and Physiology
Experience:
5 years of recent inpatient coding experience in an acute care setting
Proficient in ICD-10-CM/PCS and CPT-4 coding, DRG and APRDRG assignment
Licenses and Certifications
CCS - Certified Coding Specialist
Disclaimers
• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.
$44k-72k yearly est. Auto-Apply 60d+ ago
Inpatient Corporate Coder - Remote based in the US
Tenet Healthcare 4.5
Remote
The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medicalrecord. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated.
Accurately and productively code/abstract patient health documentation for Tenet facilities.
Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy.
Assisting in coding quality reviews/audits and second level reviews as needed.
Attends Tenet coding educations and maintains coding credentials.
Required:
Associates or higher-level degree in a Health Information Management discipline.
Successful completion of at least one AHIMA (American Health Information Management Association) certified program with achievement of the correlating professional credential preferred (RHIA, RHIT, and / or CCS, etc.).
1-3 years of inpatient coding experience.
Skilled and working knowledge of MS Office suite.
Strong technical background and electronic medicalrecord experience.
Preferred:
Bachelor's or higher-level degree in a Health Information Management discipline.
3-4 years of inpatient coding experience.
Coding experience in a large, complex health system.
A pre-employment coding proficiency assessment will be administered.
Compensation
Pay: $26.40 to $39.00 per hour. Compensation depends on location, qualifications, and experience.
Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Benefits
The following benefits are available, subject to employment status:
Medical, dental, vision, disability, life, AD&D and business travel insurance
Paid time off (vacation & sick leave)
Discretionary 401k match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
#LI-CM7
$26.4-39 hourly Auto-Apply 8d ago
PRN Inpatient Corporate Coder - Remote based in US
Tenet Healthcare 4.5
Remote
The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medicalrecord. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated.
Accurately and productively code/abstract patient health documentation for Tenet facilities.
Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy.
Assisting in coding quality reviews/audits and second level reviews as needed.
Attends Tenet coding educations and maintains coding credentials.
Required:
Ability to work 20 hours per week as needed
High school graduate or equivalent is required
1-3 years inpatient coding experience.
Skilled and working knowledge of MS Office suite.
Strong technical background and electronic medicalrecord experience.
Successful completion of at least one AHIMA (American Health Information Management Association) certified program with achievement of the correlating professional credential preferred (RHIA, RHIT, and / or CCS, etc.).
Preferred:
Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements.
3+ years of inpatient coding experience.
Coding experience in a large, complex health system.
A pre-employment coding proficiency assessment will be administered.
Compensation
Pay: $26.40 to $39.00 per hour. Compensation depends on location, qualifications, and experience.
Benefits
The following benefits are available, subject to employment status:
Medical, dental, vision, disability, life, AD&D and business travel insurance
Paid time off (vacation & sick leave)
Discretionary 401k match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
#LI-CM7
$26.4-39 hourly Auto-Apply 6d ago
Physician Services Coding Specialist II - Remote Radiology
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medicalrecord documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding.
ESSENTIAL DUTIES AND RESPONSIBILITIES
* Assign ICD-10, CPT, HCPCS and modifiers codes from documentation
* Review and appropriately resolve pre-bill edits
* Review and appropriately resolve coding denials
* Meet or exceed productivity standards
* Meet or exceed accuracy rate of 95.5% in monthly internal audits
* Effectively present coding issues to internal team members, internal clients, or external clients
* Deliver information in a one-on-one or small group format to peers
* Meet deadlines and complete assignments before monthly closing dates
* Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines
* Other duties as assigned
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
* Vocational or technical education beyond high school
* Minimum of 3-5 years coding experience
* CPC or CCS-P or equivalent certification Multi-specialty Evaluation and Management coding
* Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations
* Must possess knowledge of third-party reimbursement regulations and billing practices
* Ability to examine documents for accuracy and completeness
* Detail oriented with the ability to identify and resolve problems
* Must possess knowledge of CCI, LCD, NCD and other applicable coding rules and regulations
* Detail oriented with the ability to identify and resolve problems
* Ability to communicate clearly and work effectively with co-workers
* Ability to work as a team member in all activities
* Conduct self in an ethical, honest, and professional manner
* Demonstrate continued willingness to learn and grow
* Proficient in Microsoft Word, Excel
POSITION COMPETENCIES:
* Builds Team Relationships - Invites others to share opinions. Partners with employees in other departments. Actively seeks ways to help team members.
* Communicates Effectively - Expresses ideas clearly and succinctly with small or large audiences. Listens attentively to speaker's message without interruption. Tailors writing to audience using correct grammar and spelling.
* Compliance with Laws, Policies and Procedures - Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines.
* Develops Self - Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development.
* Displays Adaptability - Performs well in high pressure or stressful situations. Works effectively when direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles.
* Drives for Results - Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Response appropriately to urgent situations.
* Focus on the Customer/Client - Ensures that clients have a positive experience. Responds to clients in a timely manner. Demonstrates tact and empathy when responding to clients.
* Respects Others - Displays sensitivity to the needs and concerns of others. Interacts with others in an open, non-threatening manner.
* Shows Reliability - Takes personal responsibility for actions and decisions. Consistently works assigned schedule. Acts responsibly and can be counted on to accomplish goals successfully.
Compensation and Benefit Information
Compensation
Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$20.5-30.8 hourly 36d ago
Remote Physician Pro Fee Coding Specialist-OBGYN/General Surgery
Community Health Systems 4.5
Remote
The Remote Physician Pro Fee Coding Specialist-Obgyn/General Surgery is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medicalrecord. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
Essential Functions
Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation.
Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs).
Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education.
Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement.
Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance.
Performs edit checks on coded data before transmittal, identifying and correcting errors as needed.
Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies.
Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices.
Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
H.S. Diploma or GED required
Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred
2-4 years of experience in physician coding, professional fee coding, or medical billing required
Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred
Knowledge, Skills and Abilities
Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services.
Understanding of modifier usage, place-of-service coding, and payer billing guidelines.
Experience with electronic health records (EHR), coding software, and claim processing systems.
Ability to identify documentation deficiencies and escalate for provider education.
Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements.
Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement.
Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff.
Licenses and Certifications
Certified Coder-AHIMA or AAPC (CPC) required or
CCS-Certified Coding Specialist (CCS-P) required
Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred
$41k-63k yearly est. Auto-Apply 60d+ ago
Surgical Profee Medical Coder - Plastics & Dermatology - National Remote
Unitedhealth Group Inc. 4.6
Albany, NY jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Under direction of the Coding Manager, the primary responsibility of the Medical Coder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiers. Additionally, the Medical Coder serves as the key resource to the Chief and Administrative Director and/or Manager regarding coding changes affecting assigned clinical areas, ongoing coding reviews of providers, and trends associated with coding utilization and optimization, denial management, reimbursement, and customer services issues. The Medical Coder is ultimately responsible for efficient charge capture and reconciliation processes (electronic or paper), knowing and meeting expected targets at sufficient accuracy rates as measured by Transaction Editing System (TES) edits, claim action report volumes, and denials. The Medical Coder will identify potential compliance concerns and/or barriers toward timely completion of all tasks to the Coding Manager and will endeavor to work in collaboration with colleagues in Coding, Clinical Departments, Health Information Management, Information Technology, and Finance toward viable solutions.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
The following section contains representative examples of work that will be performed in positions allocated to this classification. Bassett Healthcare is a dynamic organization, and the environment can be fluid. Roles and responsibilities can often be expanded to accommodate changing patient or organizational needs and conditions as well as to tap into skills and talents of employees. Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed.
* Charge Capture
* Review charge capture documents, paper or electronic, for completeness and accuracy
* Reconcile collection of charges to daily census report or schedules depending on place of service
* Accurately indicate and link all ICD-10 diagnosis codes, procedure codes and modifiers on the charge document
* Prepare daily charge capture documents according to Bassett policies and procedures
* Process all pre-billing edits daily and complete each edit within 2 business days
* Ensure charges are posted within the following timelines: 4 days from date of service for Outpatient services and 7 days from date of service for Inpatient services by monitoring Lag Time Reports and working with practitioners and associated staff responsible for charge capture to meet those goals
* Denial Management
* Process denials daily ensuring all requested timelines are met
* Ensure procedure and ICD-10 codes reflect documentation
* Customer Service
* Respond to customer service questions and report recurring issues to management
* Work and communicate in a positive, cooperative manner with patients and their families when resolving customer service issues based on management observation and/or patient feedback
* Competency
* Attend all staff meetings
* Maintain current Coding Certification and active membership in the local AAPC chapter, including participation in local events and meetings
* Have a good working knowledge of all hospital computer systems and coding tools available to assist with correct coding. This includes Epic's Electronic Health Record application, MedAssets CodeCorrect application, and other department specific clinical/coding applications, e.g. CodeRyte
* Keep abreast of coding changes and reimbursement reporting requirements and raise concerns to Coding Manager for resolution
* Review and implement changes to departmental/site clinic sheets and charge documents to reflect current ICD-9 or ICD-10 in October, HCPCS and CPT's in January
* Abide by Standards of Ethical Coding as set forth by the AAPC or AHIMA (depending on certification) and adhere to Official Coding Guidelines as set forth by CMS and the OIG
* Coding Review and Reimbursement Resource
* Conduct annual and focused reviews
* Use interpersonal skills effectively to build and maintain cooperative working relationships with all levels and departments within the organization
* Based on management requests, assists with the orientation, skill development and mentoring of employees new to the coding function
* Provide education to all providers within a given specialty based on coding trends and will conduct new provider orientation
* Performs similar or related duties as requested or directed
* Performs other duties as requested and observed by supervisor or manager
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* High School Diploma/GED (or higher)
* Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually
* 3+ years of experience in Professional Services Surgery Coding (Plastics & Dermatology)
* 3+ years of experience working with CPT, HCPCS, ICD-10 codes, anatomy and physiology and medical terminology
* 3+ years of experience working with coding rules and regulations for issues regarding medicalrecord documentation, compliance and reimbursement, including medical necessity, claims denials, bundling issues and charge capture
Telecommuting Requirements:
* Required to have a dedicated work area established that is separated from other living areas and provides information privacy
* Ability to keep all company sensitive documents secure (if applicable)
* Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Physical Requirements:
* The position involves extensive work at the computer station
* All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN #RPOLinkedin
$20-35.7 hourly 36d ago
Patient Services Representative - Express
Primary Health Solutions 4.1
Hamilton, OH jobs
JOB TITLE: Patient Services Representative (PSR)
DEPARTMENT: Medical Center
REPORTS TO: Practice Manager
STATUS: Non-exempt
Compensation: $17.40 is the starting rate hourly for the position. The starting rate has the potential to go up depending on years of relevant medical front desk/ office administration experience.
SUMMARY:
Performs a variety of front desk functions in a medical office to include registering patients,
making appointments, and processing patient payments by performing the following duties.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
This reflects management's assignment of essential functions. Nothing in this
job description restricts management's right to assign or reassign duties and responsibilities to
this job at any time.
PATIENT REGISTRATION AND OUT PROCESSING:
Performs all functions checking in and out patients in an accurate and timely manner.
Advises patients regarding payment options to include assistance programs, slide and commercial insurance eligibility.
In a professional manner, collects co-payments from patients in the form of cash, check, and credit card and provides receipt.
PATIENT CARE:
Maintains patient flow based on appointment setting and medical need; directs other patients and visitors to appropriate area.
Maintains communication with the waiting patient advising them of the progress toward their being seen. Communicates backlogs with the back office and suggests solutions.
Schedules patient appointments in an accurate and timely manner.
Assists patients with insurance questions.
Makes financial arrangements with patients, explains payment options, and obtains patient's choice of options.
OFFICE OPERATIONS:
Answers the phone, takes messages and routes them to the appropriate area in a timely manner.
Prepares daily report sheets and deposits for center. Balances cash collections with posted payments.
Checks accounts on all patients scheduled to be seen the next day for any outstanding balances.
Verifies all fee tickets are complete and charges are entered in the practice management system.
Prepares daily deposits for bank transfer and secure cash until transferred to authorized personnel or deposited at the bank. Balances cash collections with posted payments.
Pulls charts as needed and as indicated by provider.
Participates as requested in quality improvement activities such as group meetings, PDSA pilots, improving relevant processes, etc.
Assists as assigned in patient communications, such as care reminders, tracking followup, etc.
Maintains appearance and materials in lobby.
SUPERVISORY RESPONSIBILITIES:
No direct reports.
Requirements
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty
satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or
ability required. Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
EDUCATION AND/OR EXPERIENCE:
High School diploma or equivalent.
LANGUAGE SKILLS:
Ability to read and interpret documents such as safety rules, operating and maintenance
instructions, and procedure manuals. Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.
REASONING ABILITY:
Ability to solve practical problems and deal with a variety of concrete variables in situations
where only limited standardization exists. Ability to interpret a variety of instructions furnished
in written, oral, diagram, or schedule form.
COMPUTER SKILLS:
To perform this job successfully, an individual should have the ability to gain knowledge of
current practice management system, electronic medicalrecord, Microsoft Word, text paging,
Internet, and Intranet.
CERTIFICATES, LICENSES, REGISTRATIONS:
None necessary.
OTHER SKILLS, KNOWLEDGE AND ABILITIES:
None necessary.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an
employee to successfully perform the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand; walk; use
hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is
occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift
and /or move up to 25 pounds. Specific vision abilities required by this job include close vision,
distance vision, peripheral vision, depth perception and ability to adjust focus.
$17.4 hourly 60d+ ago
Patient Services Representative - Express
Primary Health Solutions 4.1
Hamilton, OH jobs
Description:
JOB TITLE: Patient Services Representative (PSR)
DEPARTMENT: Medical Center
REPORTS TO: Practice Manager
STATUS: Non-exempt
Compensation: $17.40 is the starting rate hourly for the position. The starting rate has the potential to go up depending on years of relevant medical front desk/ office administration experience.
SUMMARY:
Performs a variety of front desk functions in a medical office to include registering patients,
making appointments, and processing patient payments by performing the following duties.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
This reflects management's assignment of essential functions. Nothing in this
job description restricts management's right to assign or reassign duties and responsibilities to
this job at any time.
PATIENT REGISTRATION AND OUT PROCESSING:
Performs all functions checking in and out patients in an accurate and timely manner.
Advises patients regarding payment options to include assistance programs, slide and commercial insurance eligibility.
In a professional manner, collects co-payments from patients in the form of cash, check, and credit card and provides receipt.
PATIENT CARE:
Maintains patient flow based on appointment setting and medical need; directs other patients and visitors to appropriate area.
Maintains communication with the waiting patient advising them of the progress toward their being seen. Communicates backlogs with the back office and suggests solutions.
Schedules patient appointments in an accurate and timely manner.
Assists patients with insurance questions.
Makes financial arrangements with patients, explains payment options, and obtains patient's choice of options.
OFFICE OPERATIONS:
Answers the phone, takes messages and routes them to the appropriate area in a timely manner.
Prepares daily report sheets and deposits for center. Balances cash collections with posted payments.
Checks accounts on all patients scheduled to be seen the next day for any outstanding balances.
Verifies all fee tickets are complete and charges are entered in the practice management system.
Prepares daily deposits for bank transfer and secure cash until transferred to authorized personnel or deposited at the bank. Balances cash collections with posted payments.
Pulls charts as needed and as indicated by provider.
Participates as requested in quality improvement activities such as group meetings, PDSA pilots, improving relevant processes, etc.
Assists as assigned in patient communications, such as care reminders, tracking followup, etc.
Maintains appearance and materials in lobby.
SUPERVISORY RESPONSIBILITIES:
No direct reports.
Requirements:
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty
satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or
ability required. Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
EDUCATION AND/OR EXPERIENCE:
High School diploma or equivalent.
LANGUAGE SKILLS:
Ability to read and interpret documents such as safety rules, operating and maintenance
instructions, and procedure manuals. Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.
REASONING ABILITY:
Ability to solve practical problems and deal with a variety of concrete variables in situations
where only limited standardization exists. Ability to interpret a variety of instructions furnished
in written, oral, diagram, or schedule form.
COMPUTER SKILLS:
To perform this job successfully, an individual should have the ability to gain knowledge of
current practice management system, electronic medicalrecord, Microsoft Word, text paging,
Internet, and Intranet.
CERTIFICATES, LICENSES, REGISTRATIONS:
None necessary.
OTHER SKILLS, KNOWLEDGE AND ABILITIES:
None necessary.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an
employee to successfully perform the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand; walk; use
hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is
occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift
and /or move up to 25 pounds. Specific vision abilities required by this job include close vision,
distance vision, peripheral vision, depth perception and ability to adjust focus.
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Patient Services Representative Summary
Performs a variety of front desk functions in a medical office to include registering patients, making appointments, and processing patient payments.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.
· Presents a positive, pleasant and kind attitude to greet all guests of PHS.
· Greets patients and families individually as they approach their individual workspace.
· Calls patients to schedule internal referral appointments with various specialties.
Patient Registration And Out Processing:
· Performs all functions checking in and out patients in an accurate and timely manner.
· Advises patients regarding payment options to include assistance programs, slide and commercial insurance eligibility.
· In a professional manner, collects co-payments from patients in the form of cash, check, and credit card and provides receipt.
Patient Care:
· Maintains patient flow based on appointment setting and medical need; directs other patients and visitors to appropriate area.
· Maintains communication with the waiting patient advising them of the progress toward their being seen. Communicates backlogs with the back office and suggests solutions.
· Schedules patient appointments in an accurate and timely manner.
· Assists patients with insurance questions.
· Makes financial arrangements with patients, explains payment options, and obtains patient's choice of options.
Office Operations:
· Answers the phone, takes messages and routes them to the appropriate area in a timely manner.
· Prepares daily report sheets and deposits for center. Balances cash collections with posted payments.
· Checks accounts on all patients scheduled to be seen the next day for any outstanding balances.
· Verifies all fee tickets are complete and charges are entered in the practice management system.
· Prepares daily deposits for bank transfer and secure cash until transferred to authorized personnel or deposited at the bank. Balances cash collections with posted payments.
· Pulls charts as needed and as indicated by provider.
· Participates as requested in quality improvement activities such as group meetings, PDSA pilots, improving relevant processes, etc.
· Assists as assigned in patient communications, such as care reminders, tracking follow-up, etc.
· Maintains appearance and materials in lobby.
· Performs all other duties and tasks as assigned.
Core Competencies
· Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.
· Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills.
· Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.
· Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
· Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow.
Requirements
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
High School diploma or equivalent.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medicalrecord, Microsoft Word, text paging, Internet, and Intranet.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Description:
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Patient Services Representative Summary
Performs a variety of front desk functions in a medical office to include registering patients, making appointments, and processing patient payments.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.
· Presents a positive, pleasant and kind attitude to greet all guests of PHS.
· Greets patients and families individually as they approach their individual workspace.
· Calls patients to schedule internal referral appointments with various specialties.
Patient Registration And Out Processing:
· Performs all functions checking in and out patients in an accurate and timely manner.
· Advises patients regarding payment options to include assistance programs, slide and commercial insurance eligibility.
· In a professional manner, collects co-payments from patients in the form of cash, check, and credit card and provides receipt.
Patient Care:
· Maintains patient flow based on appointment setting and medical need; directs other patients and visitors to appropriate area.
· Maintains communication with the waiting patient advising them of the progress toward their being seen. Communicates backlogs with the back office and suggests solutions.
· Schedules patient appointments in an accurate and timely manner.
· Assists patients with insurance questions.
· Makes financial arrangements with patients, explains payment options, and obtains patient's choice of options.
Office Operations:
· Answers the phone, takes messages and routes them to the appropriate area in a timely manner.
· Prepares daily report sheets and deposits for center. Balances cash collections with posted payments.
· Checks accounts on all patients scheduled to be seen the next day for any outstanding balances.
· Verifies all fee tickets are complete and charges are entered in the practice management system.
· Prepares daily deposits for bank transfer and secure cash until transferred to authorized personnel or deposited at the bank. Balances cash collections with posted payments.
· Pulls charts as needed and as indicated by provider.
· Participates as requested in quality improvement activities such as group meetings, PDSA pilots, improving relevant processes, etc.
· Assists as assigned in patient communications, such as care reminders, tracking follow-up, etc.
· Maintains appearance and materials in lobby.
· Performs all other duties and tasks as assigned.
Core Competencies
· Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.
· Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills.
· Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.
· Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
· Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow.
Requirements:
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
High School diploma or equivalent.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medicalrecord, Microsoft Word, text paging, Internet, and Intranet.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
$31k-35k yearly est. 9d ago
Certified Surgical Medical Coder - Remote- New England Resident Only- Atrius Health
Unitedhealth Group Inc. 4.6
Newton, MA jobs
Explore opportunities at Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.
As the Certified Medical Coder, you will ensure accurate coding of surgical services using CPT-4 and ICD-9/ICD-10, aligned with federal and insurance regulations. Review and interpret operative and pathology reports to validate diagnosis and procedure coding. Identify and recommend documentation improvements based on CMS standards to optimize reimbursement. As well as entering coding data into electronic medicalrecords and serve as a resource for facility coding issues. Stay current with billing/coding updates and maintain certification through continuing education.
Primary Responsibilities:
* Ensure accurate coding of surgical services using CPT-4 and ICD-9/ICD-10, aligned with federal and insurance regulations
* Review and interpret operative and pathology reports to validate diagnosis and procedure coding
* Identify and recommend documentation improvements based on CMS standards to optimize reimbursement
* Enter coding data into electronic medicalrecords and serve as a resource for facility coding issues
* Stay current with billing/coding updates and maintain certification through continuing education
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* 3+ years of surgical facility coding experience
* Thorough knowledge of medical terminology and ICD-9/ICD-10 and CPT4 coding
* Understanding both the medical and business side of healthcare operations
* Demonstrated ability to multi-task in a fast-paced environment
* Proven excellent verbal and written communication skills
* Proven detail oriented
* Proven solid computer and office skills including phone, keyboard, computer and computer applications, MSOffice, Internet, and E-mail
* Proven excellent problem-solving ability
* Proven good interpersonal skills
Preferred Qualification:
* 2 - 4 year degree in healthcare or related field
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$20-35.7 hourly 47d ago
Patient Service Rep I - Remote - Local MA Residents - Atrius Health
Unitedhealth Group Inc. 4.6
Watertown Town, MA jobs
Explore opportunities at Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.
Location: Watertown, Massachusetts
Department: Call Center- Internal Medicine (Remote after 4-6 weeks of training)
Schedule: Monday- Friday 10:00a- 2:00p
As the Patient Services Representative I you will work under direct supervision, receive incoming calls and inquires and assist patients in the management of appointments/care. You will provide extraordinary customer service and strong problem solving skills to strengthen the patient/clinician relationship.
Primary Responsibilities:
* Screens all incoming patient inquires (through phone, online/medicalrecord message, or other means) to determine whether those inquiries can be appropriately handled by the Patient Service Representative or if they need to be directed to other team members
* Courteous, friendly, problem solver with customer service, patient focused communication
* Resolves issues in areas involving patient satisfaction, patient flow, and compliance with procedures and guidelines. Advocates for patients as appropriate
* Participates in resolving operational difficulties and communicates with supervisor regarding department issues and problems as necessary
* Resolves patient issues and ensures satisfaction. May refer difficult or highly complex phone calls and issues to higher level staff
* Initiates requests for forms, letters, medication renewals, referrals, prior authorizations, and any other administrative needs submitted by patients and answers any corresponding questions. Understands all documents and processes
* Reviews and facilitates the updating of missing /outdated information in the patient record, such as demographics, primary care physician selection, and insurance
* Develops and maintains effective and efficient communication with the patient, interdisciplinary team, department staff, providers, and other agencies
* Reviews department appointment schedules to ensure that clinic utilization is optimized and effectively supports the needs of the clinics as well as the needs of the patients
* Assists with basic data collection activities, ensuring data is properly collected and accurate (e.g. no show reports, telephone statistics)
* Participates in problem solving activities, focusing on productivity and quality. Works with supervisors to ensure continuous improvement of the department
* Participates in special projects and ongoing programs unique to the department
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Electronic medicalrecord (EMR) experience and/or aptitude to master the EMR based on other technology experience
* Computer experience with the ability to use word processing and spreadsheet programs
* Demonstrated technology-literate skill sets
* Demonstrated ability to communicate in a professional and appropriate manner
* Demonstrated solid interpersonal, customer service, time management, and organizational skills
* Demonstrated excellent problem-solving, multi-tasking
* Live within a commutable distance
Preferred Qualifications:
* Bachelor's degree
* 1+ years of experience working in a clinical or customer service setting
* Working knowledge of patient related documents
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.15 to $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$16.2-28.8 hourly 2d ago
Senior IP Acute Edits Medical Coder
Unitedhealth Group 4.6
Eden Prairie, MN jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Certified Sr. (IP) Acute Edits Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just one way your work will impact on the health and wellness of our members on a huge scale.
Who are we? We're **Optum360** . We're a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of **UnitedHealth Group** , we'll leverage our compassion, our talent, our resources, and experience to bring financial clarity and a full suite of revenue management services to health care providers nationwide.
As a **Certified Sr. (IP) Acute Edits Medical Coder** you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of all patient types in addition to periodic coding. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medicalrecord. Using a thorough knowledge of coding policies and procedures as well as medical terminology and technology, you will be responsible for providing documentation feedback to physicians under the direction of the Coding Operations Manager or Quality Management personnel.
**Schedule: This** position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given business need, to work occasionally overtime or weekends.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Identify appropriate assignment of ICD-10-CM and ICD-10-PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
+ Identify appropriate assignments of CPT and ICD-10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
+ Understand the Medicare Ambulatory Payment Classification (APC) codes
+ Abstract additional data elements during the Chart Review process when coding, as needed
+ Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
+ Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360
+ Provide documentation feedback to providers and query physicians when appropriate
+ Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, etc.
+ Participate in coding department meetings and educational events
+ Review and maintain a record of charts coded, held, and/or missing
+ Additional responsibilities as identified by manager
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P) to be maintained annually
+ 3+ years of recent inpatient medical coding experience with ICD-10-CM/PCS & DRG (hospital, facility, etc.)
+ 2+ years of recent working experience with OCE, MUE and NCCI classification and reimbursement structures
+ Intermediate level of proficiency with a PC in a Windows environment, including MS Excel and EMR systems
+ Intermediate level of experience working in a level I trauma center and/or teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding
**Preferred Qualifications:**
+ Experience with OSHPD reporting
+ Experience with various encoder systems (eCAC,3M, EPIC)
+ Intermediate level of proficiency with Microsoft Excel
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN