Medical Record Coder jobs at Beth Israel Lahey Health

**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** Under the direction of a Manager of Health Information Management, the Health Information Management Technician is responsible for the timely movement of patient medical records and documentation, and accurate filing of patient information. - Processes all requests for medical records accurately, appropriately, and expeditiously. - Processes all paperwork received in the Department accurately, appropriately, and expeditiously. - Assists physicians with record completion when called upon. - Understands and uses department computers in an appropriate and efficient manner. - Adheres to Department, Hospital, and Human Resource Policies. - Performs other duties as required and requested. - Neatly manages paper and record flow in an organized manner. - Understands and manages electronic information flow in an organized and efficient manner. - Strictly adheres to state and federal laws on confidentiality of protected health information. **Job Description:** **Essential Duties & Responsibilities** including but not limited to: 1. Receives requests for patient medical records by phone or printer and responds to requests as soon as possible. 2. Delivers stat requests within 10 minutes of the call. 3. Delivers or routes records to the appropriate area or to authorized personnel within one hour. 4. Signs out and/or returns medical records to the appropriate location using the correct medical record number and portion. 5. Takes responsibility when pulling a list, completing by the due date, and providing necessary information. 6. Combines the hybrid record into one source document, assuring that all patient information has been printed and properly filed prior to hardcopy charts being reviewed. 7. Processes loose paperwork received by sorting, routing, and filing to appropriate locations as required. 8. Able to identify and find misfiles. 9. Accurately checks the receipt of all emergency visits and/or inpatient discharges. 10. Analyzes Emergency Department records, verifies in the Electronic Health Records (EHR) and/or vendor website any missing emergency visit dictation. Assigns dictation to the correct MD. 11. Neatly and in an organized manner, preps and scans the emergency department record and verifies the quality of the image. 12. Retrieves all current discharges and previous records daily. 13. Follows up on missing discharges, communicates with other sites or shifts in an effort to track down a record. **Minimum Qualifications:** Education: High school graduate or equivalent Experience: 0-1 years of experience Skills, Knowledge & Abilities: + Medical terminology + Knowledge of JC, CMS, DPH documentation regulations; Medical Staff Bylaws and Department documentation standards + Knowledge of laws and regulations pertaining to patient confidentiality. Preferred Qualifications & Skills: + Previous medical record experience preferred + Computer skills; EHR experience desirable **Pay Range:** $19.00 - $25.57 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

Are you are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our North Carolina facilities. If you love teaching and communicating with other nurses, this is a great role for you! The successful applicant will live in North Carolina, and have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations. Join us with an attractive benefits offering: Competitive pay Medical, dental, and vision insurance 401K with matching funds Life Insurance Employee discounts Tuition Reimbursement Student Loan Reimbursement Responsibilities: Ensure the RAI process is complete and assessments are complete. Audit Completion of MDS, CAA's and care plans within regulated time frames. Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review. Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff. Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Requirements: Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required. Knowledge of regulatory standards and compliance requirements. Registered Nurse RN in the state. 50% travel with some overnight stays possible. Ciena Healthcare We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way. IND123

Ability to read, write and communicate in English. High School graduate or GED. Basic Computer skills. Active CPC (AAPC Certified Professional Coder) or CCS (AHIMA Certified Coding Specialist) or must meet CPC Certification eligibility requirements and must obtain CPC certification within 3 months of the position. Minimum 1 year of professional coding experience preferred. Comprehensive understanding of ICD-10 and CPT coding. Successful passage of the Coding exam, demonstrating understanding of coding and its impact on reimbursement. Demonstrated ability to create strong working relationships with physicians and practices. Capable of working independently as well as within a team environment. 1. Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers. 2. Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information. 3. Utilizes CPT and ICD-10 books to clarify physicians/extender code designation to ensure appropriate coding for Provider RVU assignment and appropriate billing of services provided. 4. Accurately attaches all ICD-10 codes to the appropriate CPT codes and requests clarification from physicians when information is incomplete as well as adding appropriate modifiers for expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications. 5. Posts daily ICD-10 CPT, and HCPCS charges as well as patient demographic information into billing system(s), using physician/extender provided information on encounter/super bills. 6. Assess adequacy of documentation, and queries providers and physicians to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding. 7. Maintains a 95% ongoing accuracy rate. 8. Consistently achieves daily coding output within the minimal productivity standards set by management. Maintains accurate productivity logs, self manages and prioritizes workflow to achieve timely submission of claims; provides management timely updates. 9. Works with Revenue Cycle and Medical Records Department to resolve billing issues and questions. 10. Reviews and edits claims in CCH organization software programs, to assist billing dept in claim processing. 11. Assumes professional responsibility for development of skills and ongoing education to maintain certification. 12. Provides back up Physician Office Coder coverage as designated by management. 13. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers. 14. Performs other work-related duties as assigned.

00153661 Employment Type: Full Time Shift: Day Shift Details: Monday-Friday 1st shift Standard Hours: 40.00 Department Name: Medical Records Location Details: Onboarding at Arrowpoint, after training able to work remote Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth Job Summary To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership. Essential Functions Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Reviews charges and Evaluation and Management levels. Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management. Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the CHS Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Carolinas HealthCare System is an EOE/AA Employer

Job Details Hickory Office - HICKORY, NC Full Time DayDescription ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: The Medical Coder is responsible for accurately assigning CPT, ICD-10, and HCPCS codes to patient encounters to ensure proper billing and compliance with regulatory requirements. This role supports revenue cycle efficiency by ensuring claims are coded correctly, reducing denials, and assisting providers with documentation improvement. Other duties may be assigned. FINANCIAL OPERATIONS & REPORTING Review medical documentation for accuracy and completeness. Assign appropriate CPT, ICD-10, and HCPCS codes according to established guidelines. Ensure coding compliance with federal, state, and payer-specific requirements. Collaborate with physicians and clinical staff to clarify diagnoses and procedures when necessary. Work with billing team to resolve coding-related claim rejections or denials. Maintain up-to-date knowledge of coding regulations, payer requirements, and ophthalmology-specific coding changes. Assist with audits and provide feedback to improve documentation and compliance. Support process improvements to strengthen revenue cycle performance.

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated. Position Summary: Codes accurately and productively with abstraction to assigned inpatient medical records to meet the reimbursement, indexing and statistical requirements of the hospital. Consistently maintaining production and accuracy standards at all times. Essential Duties and Responsibilities: Accurately codes and sequences all diagnoses and procedures documented in the medical record according to the established official coding guidelines, principles and appropriate reimbursement standards Utilizes Computer Assisted Coding software program following assigned workflows Accurately abstracts required data entering into Computer Assisted Coding system Works with Clinical Documentation Improvement Specialists to assure clear, concise and specific documentation from physicians when clarification is needed Issues accurate coding queries following AHIMA compliant coding query guidelines and assisting medical staff member documentation clarification Ability to meet and sustain Silver Cross Hospital production and quality standards for IP coding, post training. Assists with special projects and reports as requested Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers and the hospital by abiding by the Standards of Conduct Required Qualifications: Education and Training: Registered Health Information Technologist (RHIT); or Registered Health Information Administrator (RHIA); or Certified Coding Specialist (CCS) required MS-DRG knowledge required, APR-DRG knowledge a plus 2 - 3 years of Acute Care Hospital Coding experience required 3M Encoder experience preferred, Cerner, Meditech, Optum System experience preferred Work Shift Details: Days, Full-time Remote; Flexible schedule Department: MEDICAL RECORDSBenefits for You At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members. Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes: · Medical, Dental and Vision plans · Life Insurance · Flexible Spending Account · Other voluntary benefit plans · PTO and Sick time · 401(k) plan with a match · Wellness program · Tuition Reimbursement Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits. The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more. The expected pay for this position is listed below: $25.84 - $32.30

Remote - Clinic/Outpatient Coder III Outpatient Coding PRN Status Variable Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Expected to be proficient in assigning ICD-10-CM and/or CPT codes for following types of services: Outpatient: Complex Surgeries, Observations (non-obstetric), Interventional radiology, radiation oncology and/or non-complex inpatient coding encounters. Clinic coder: Either proficient in coding for all non-surgery specialty areas, primary care, or complex surgeries. This position works under the guidance and supervision of the HIM Outpatient APC and Clinic Coding Manager and is employed by Mosaic Health System. Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Communicates with providers, querying providers to ensure the highest level of specificity is provided in documentation. May assist in training of newly hired coders. Caregiver may work in conjunction with Patient Financial Services to verify and modify charges and coding to ensure accuracy of supporting documentation, payer rules and correct coding. Working reports for clean-up, auditing services, edits, and denials. Ensures data accuracy of State HIDI data by responding to edits received. Performs other duties as assigned. Must have coding education, HS Diploma and Medical Terminology and Anatomy and Physiology Required to obtain CCS - Certified Coding Specialist or RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician or CPC and/or CCSP - Certified Professional Coder within 180 days of employment. Must also obtain COC - Certified Outpatient Coding within 180 days of employment. Five years experience in a Health Information Services department performing a job that requires detail, and familiarity with patient medical record preferred.

Remote - Inpatient Coder II Inpatient Coding PRN Status Day Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology. This position works under the supervision of the Manager and is employed by Mosaic Health System. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials. Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record. Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding. Ensures data accuracy by responding to coding edits received. Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral. Mentors and assists with training coders. Completes analysis by utilizing reports, record reviews, etc. Other duties as assigned. Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required. CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required. Three years experience in coding in an acute care setting required.

00131697 Employment Type: Full Time Shift: Day Shift Details: Monday-Friday 8am-5pm Standard Hours: 40.00 Department Name: Medical Records Location Details: 9401 Arrowpoint Job Summary Remote role. Reviews clinical documentation and diagnostic results as appropriate to abstract data and apply appropriate ICD-9-CM/ICD-10-CM/PCS and CPT 4 codes for reimbursement, external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and other regulatory edits. Code and abstract medical records of low to moderate complexity within the Primary Enterprise acute care facilities. Essential Functions Reviews low to moderate complexity medical records to identify the appropriate principal diagnosis and procedures codes, and all appropriate secondary diagnoses and procedure codes, Present on Admission, Hospital Acquired Conditions and Core Measures Indicators for all diagnosis codes. Measures Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Reviews charges including Evaluation and Management levels. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Stays abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High School Diploma or GED and courses in Medical Terminology, Anatomy & Physiology and Pharmacology. College degree preferred. One to two years coding experience in acute care setting preferred. Current RHIT, RHIA, CCS, CPC-H, CPC-A, CIC or CCS-P preferred or obtained within one year plus a passing score on the Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Atrium Health is an EOE/AA Employer

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-21456 Facility: LOC0026 - 101 Columbian Street101 Columbian Street Weymouth, MA 02190 Department Name: SSH Multi-Specialty Clinic HB Cancer Center Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of America) Under the general direction of the Operations Manager, Health Information Services, the Electronic Health Record Coordinator is responsible for the effective coordination and organization required for quality electronic health information and records. The EHR Coordinator will work with providers when required as well as other clinical staff at DFCI or any off site location. When necessary or as required the coordinator will provide training on LMR and accessing scanned documents. The coordinator is responsible for prepping, indexing and scanning work for patient visits, and ensures this work is done timely, accurately and according to DFCI policies and procedures. The EHR coordinator ensures Quality Control is done on all aspects of the electronic health record processing. This position may reside in an offsite location and may work between various locations. Performs all aspects of release of information for patients, 3rd party payers, and other requestors. Maintains, logs of requests, and ensures timely request responses. Compensation Pay Range: $17.17 - $23.11 ESSENTIAL FUNCTIONS 1 - Assists Health Information Services in its efforts to meet and/or exceed patient, physician and customer expectations. 2 - Supports clinical staff in ensuring documentation is available for patient care and may provide other medical record support services necessary for patient care. 3 - Assists DFCI Health Information Services in managing and reducing risk (i.e. quality of care and reimbursement issues) associated with inadequate or unavailable documentation. 4 - Work closely with staff to identify training needs. 5 - May assist manager in developing implementation of various clinics for electronic health records processing while ensuring compliance with DFCI policies and procedures for electronic health information in LMR. 6 - Monitors and ensures compliance in following approved guidelines as they relate to implementation of scanning. 7 - Identifies any documents that may need to correct in a timely manner. 8 - May perform record reviews for quality documentation and data integrity. 9 - Complete work assignments in accordance with an established timeline. 10 - Provide appropriate and timely problem escalation reporting as well as potential solutions to HIS and IS management as needed. 11 - Provide quality customer service through on-going communication, feedback and follow-through with manager and customers. 12 - Assist in development of documentation, policies, procedures, guidelines and quality control processes. 13 - Compiles productivity statistics for operations manager. 14 - Performs all release of information request procedures. Works with patients, 3rd party payer requests, in conjunction with the DFCI main campus. Maintains logs of requests and response time. Charges according to establish charge structure. 15 - Other duties/tasks as necessary. JOB REQUIREMENTS Minimum Education - Preferred College courses for computer information preferred. Knowledge of health information management principals including processing of medical records Minimum Work Experience Prefer 3 years health information services (medical records) experience. Experience with handling or processing medical records. Experience in a lead role, either formal or informal either in another industry or in a HIS environment. Experience utilizing computers Experience in training staff Prefer experience in scanning and indexing of scanned documents Required additional Knowledge and Abilities Strong organizational skills. Strong problem solving, written and verbal skills. Ability to work cooperatively and effectively with people. Ability to work cooperatively and communicate effectively with staff groups at various levels, i.e. physicians and other care providers, managers and staff in order to accomplish goals and objectives while maintaining good working, professional relationships. Ability to understand the work environment and competing priorities in conjunction with developing and department goals as they pertain to the implementation and ongoing processing of the electronic health record. Ability to prioritize work. Good PC skills required, knowledge of PC applications, e.g., Microsoft Office including Word and use of spreadsheets. Ability to train physicians and other users on various in navigating scanned documents in the LMR. Per diem Responsibilities if Required: Education if Required: License/Registration/Certification Requirements:

Temporary Description The Certified Medical Coder represents Roots Community Health Center, working as part of a team in a highly visible setting. This position provides support to the Director of Billing, Billing and Coding Administrator. This position works in collaboration with the providers, billing specialist and finance team, using efficient medical coding. The Certified Medical Coder provides coding audits of all billing providers within the practice based on documentation guidelines, Medicare Guidelines and coding initiatives. As the coder audits and interprets patient medical records, transcriptions, test results, and other documentation, we'll rely on the coder to ask questions, make coding recommendations, research billable procedures and codes - all to ensure a smooth billing process. This is a 6-month temporary position. Duties and Responsibilities: Code office visits and procedures using CPT, ICD-10 codes Audit and review coding (CPT, ICD-10) physician notes in the EHR Manage Coder Correct/ Super Coder Codify Platforms (AAPC) Make coding recommendations; working with providers to ensure accuracy using billing/payer guidelines. Educate providers on coding policies and guidelines, medical necessity criteria, programs correct billing methods and procedure codes by written and verbal communication Correspond or meet with providers to resolve billing practices Audit documentation to ensure it supports complete, accurate and compliant billing with both CMS and payer requirements Assist practice physicians and managers with all coding errors, denials, or issues encountered in the billing process Monitor charge review queues to ensure that all accounts flow through to billing appropriately Submit all charges into billing EHR system AdvancedMD for claims processing Act as liaison between billing department and clinic management/physicians Translate written policy interpretation into CPT, HCPC, ICD-10 codes for input into systems This position is responsible for ensuring compliance with all aspects of applicable regulations, payer billing guidelines. Identify specific billing and reimbursement projects as they arise Conduct research coding on denied claims and take steps toward resolution Correct coding errors in coordination with the billing specialist Reviews insurance plans and carrier information for appropriate coding regulations per payer contracted services Verify insurance information/PCP assignment Ensure/verify the accuracy of patient demographics and insurance information in Electronic Health Record Report trends and denial patterns to the Director of Billing Participate in internal chart audits, billing audits, and other compliance programs Makes recommendations for policies and procedures relating to payer billing guidelines Attending Billing and Interdepartmental meetings. Requirements Competencies: High School Diploma or GED, Billing/Coding Certification Must have experience working in non-profit organization or a community clinic preferred, but not required. Certification in medical billing/coding Minimum 1 years' experience performing medical billing, claims review Minimum 1 years' experience with claims follow-up from physician office, third-party setting Familiarity with medical terminology and the medical record coding process In-depth knowledge/ awareness of all areas related to Payer-specific (Medicare Medi-Cal Medicaid and/or Private) Claims and how they interrelate Knowledge of principles methods and techniques related to compliant healthcare billing/collections - Familiarity with Payer-specific (Medicare Medi-Cal Medicaid -CalAim, Private) Claims management Previous experience with either Electronic Health Record and Practice Management Systems Full understanding of insurance denials, EDI coding rejections and exclusions Previous experience with HCFA 1500 claim forms and electronic billing. Interest/experience working with low-income communities of color Excellent written and verbal communication skills Solid organizational skills including attention to detail and multi-tasking skills. Demonstrates ability to manage time efficiently and multi-task effectively. Clear and effective external and internal, verbal and written, communication skills. Strong critical thinker and problem solver Excellent team-player Ability to work with patients from different backgrounds (culture competency) Ability to communicate clearly and respectfully with co-workers and clients Strong working knowledge of Microsoft Office (Word, Excel, PowerPoint) Ability/willingness to learn Electronic Health Records Insight reporting Roots Community Health Center is proud to be an Equal Employment Opportunity/Affirmative Action Employer and values diversity of culture, thought and lived experiences. We seek talented, qualified individuals regardless of race, color, religion, sex, pregnancy, marital status, age, national origin or ancestry, citizenship, conviction history, uniform service membership/veteran status, physical or mental disability, protected medical conditions, genetic characteristics, sexual orientation, gender identity, gender expression regardless of physical gender, or any other consideration made unlawful by federal, state, or local laws. Roots uses E Verify to validate the eligibility of our new employees to work legally in the United States. Salary Description $31.00-$36.00

Health Information Management - HIM - Coder - Inpatient The Inpatient Coder is responsible for coding discharged inpatient encounters. May work in collaboration with Clinical Documentation Improvement nurses. Utilizes Clintegrity encoder for DRG assignment. Submits coding queries as necessary for appropriate provider clarification. Maintains coding knowledge and certifications. Maintains working knowledge of Medicare rules and regulations. Understands importance coding plays in the revenue cycle process Meets or exceeds coding productivity and quality standards Assists with DRG appeals as necessary Assists Coding Manager with identifying problems or trends that need immediate attention Adheres to all department and hospital policies and procedures High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC) required. KNOWLEDGE AND SKILLS REQUIRED: Must possess critical thinking and analytical skills. Knowledgeable in medical terminology, anatomy and physiology, ICD-10 and PCS coding guidelines, CPT, HCPCS, and basic coding principles according to whether assigned to inpatient or outpatient duties. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.

Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.

Job Description Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.

Job Description Health Information Management - HIM - Coder - Inpatient The Inpatient Coder is responsible for coding discharged inpatient encounters. May work in collaboration with Clinical Documentation Improvement nurses. Utilizes Clintegrity encoder for DRG assignment. Submits coding queries as necessary for appropriate provider clarification. Maintains coding knowledge and certifications. Maintains working knowledge of Medicare rules and regulations. •Understands importance coding plays in the revenue cycle process •Meets or exceeds coding productivity and quality standards •Assists with DRG appeals as necessary •Assists Coding Manager with identifying problems or trends that need immediate attention •Adheres to all department and hospital policies and procedures High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC) required. KNOWLEDGE AND SKILLS REQUIRED: Must possess critical thinking and analytical skills. Knowledgeable in medical terminology, anatomy and physiology, ICD-10 and PCS coding guidelines, CPT, HCPCS, and basic coding principles according to whether assigned to inpatient or outpatient duties. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.

Mentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You'll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. OUR MISSION AND PERFORMANCE EXPECTATIONS The MENTOR Network is a mission-based organization dedicated to providing high quality services to those we serve. Therefore, to deliver on our mission, The Network expects every employee to perform his or her job first and foremost in accordance with the Company's mission. SUMMARY Compiles, verifies, types, and files individual records. Responds to requests for medical records and performs other assigned clerical duties. Operates computer to enter and retrieve individual data. ESSENTIAL JOB FUNCTIONS To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below: * Maintains files and individual records in a timely manner by updating and filing client data upon receipt of information. * Initiates records for new clients and creates computer index. Prepares file labels and maintains and audits filing sequence. * Assists in copying and distribution of record information per policy. Sends and receives information via facsimile machine. * Operates computer to enter and retrieve individual data. * Maintains forms supply, including packet preparation. * Reviews clinical documentation prepared by program staff to ensure that timecard and clinical documentation coincide. Ensures accuracy of all data. Provides appropriate and timely follow-up and tracking as needed. * Forwards appropriate documents and information to other program staff upon request. * Keeps supervisor informed of problems or issues. * Performs other related duties and activities as required. SUPERVISORY RESPONSIBILITIES None required. Minimum Knowledge and Skills required by the Job The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job: Education and Experience: * High School Diploma or equivalent * Six months of general office experience * Experience in medical records preferred Certificates, Licenses, and Registrations: * None required. Other Skills and Abilities: * N/A Other Requirements: * Travel as needed Physical Requirements: * Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. AMERICAN WITH DISABILITY STATEMENT External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodations to be determined on a case by case basis. ADDENDUM Job Title: Program Records Coordinator MENTOR State: California Position Reports to: Program Director ADDITIONAL JOB FUNCTIONS To perform this job successfully, an individual must be able to satisfactorily perform each of the additional essential functions listed below. * Assists individuals on the phone daily and provide assistance when individuals are in the office. * Provide transportation to individuals receiving services when needed. Additional Knowledge and Skills required by the Job The requirements listed below are representative of the additional knowledge, skill, and/or abilities required to perform the job. Education and Experience: * High School Diploma or equivalent and six months of general office experience * Experience in medical records preferred Certificates, Licenses, and Registrations: * Valid driving license and registration for the state if providing transportation services. Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.

Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities * Maintains and actively promotes effective communication with all individuals. * Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. * Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. * Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes. * Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate. * Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines. * Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies. * Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. * Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary. * Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency. * Maintains confidentiality, privacy and security in all matters pertaining to this position. * Performs other duties, as assigned. Requirements * High School education or equivalent. * Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date. * One (1) year of coding experience preferred. * Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology. * Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA). * Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred. * Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications. * Strong organizational, analytical, and problem-solving skills, and attention to detail. * Strong Keyboarding and filing abilities. * Ability to exhibit professionalism, flexibility, dependability, and a desire to learn. * Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms. * Commitment to quality outcomes and services for all individuals. * Ability to relate well to all individuals. * Ability to maintain and protect the confidentiality of information. * Ability to exercise independent judgment and make sound decisions. * Ability to adapt to change. Benefits * Employee Referral Bonus Program. * Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution) * Paid Time Off and Holidays acquired from day one of hire. * Health (low to no cost), Dental, & Vision Insurance * Flexible Spending Account (Medical and Dependent Care) * 401(k) with Company Match * Financial and Retirement Planning at No Charge * Basic Life Insurance & AD&D - Company Paid * Short Term Disability - Company Paid * Voluntary Ancillary Coverage * Employee Assistance Program * Benefits vary by full-time, part-time, and PRN status. If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you! Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting. The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all. #IlluminusHQ Salary Description $22 - $25 per hour depending on experience

Job Description Schedule: Flexible hours & days Monday-Friday between 8:00 AM and 5:00 PM Pay: $15 hourly About the Role: We are seeking a detail-oriented individual to assist with scanning and organizing patient medical records into our electronic system. This is a temporary part-time position ideal for someone looking for flexible daytime hours. Responsibilities: Scan paper charts and upload documents into electronic patient records Ensure all files are properly labeled and organized Maintain confidentiality and follow HIPAA guidelines Assist with basic administrative tasks as needed Requirements: Strong attention to detail and accuracy Ability to work independently Basic computer skills (scanning, file management) Prior office or healthcare experience a plus, but not required

Schedule: Flexible hours & days Monday-Friday between 8:00 AM and 5:00 PM Pay: $15 hourly About the Role: We are seeking a detail-oriented individual to assist with scanning and organizing patient medical records into our electronic system. This is a temporary part-time position ideal for someone looking for flexible daytime hours. Responsibilities: Scan paper charts and upload documents into electronic patient records Ensure all files are properly labeled and organized Maintain confidentiality and follow HIPAA guidelines Assist with basic administrative tasks as needed Requirements: Strong attention to detail and accuracy Ability to work independently Basic computer skills (scanning, file management) Prior office or healthcare experience a plus, but not required