Medical Coder jobs at Bon Secours Community Hospital - 857 jobs

Are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Healthcare 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 Columbus, Ohio and surrounding facilities. If you love teaching and communicating with other nurses, this is a great role for you! The successful applicant will have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations. Benefits: 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

Inspire health. Serve with compassion. Be the difference. Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in education offerings Participates in monthly meetings Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred Experience - Five (5) years professional fee coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Certified Professional Coder (CPC), and Certified Risk Adjustment Coder(CRC) Knowledge, Skills and Abilities Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets, database Data entry skills Mathematical skills Work Shift Day (United States of America) Location Independence Pointe Facility 7002 Value-Based Care and Network Services Department 70028459 HCC Coding Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to providers in order to clarify and resolve coding concerns. Assists in identifying areas that need additional training. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred Experience - Two (2) years professional coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Certified Professional Coder-CPC Knowledge, Skills and Abilities Maintains knowledge of governmental and commercial payer guidelines. Participates in coding educational opportunities (webinars, in house training, etc.). Ability to utilizes appropriate coding software and coding resources in order to determine correct codes. Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets, database Data entry skills Mathematical skills Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70019178 Medical Group Coding & Education Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. Ensures accuracy, accessibility, and confidentiality of patient medical records. Integrates responsibilities in document quality review, chart analysis, transcription, and release of information (ROI). Safeguards the integrity of clinical documentation by verifying completeness and proper indexing, while also ensuring information is disclosed in compliance with HIPAA regulations and Prisma Health policies. Success in this role requires advanced proficiency with electronic medical records (EMR), strong communication skills, meticulous attention to detail, and a firm commitment to regulatory compliance and patient privacy. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Conducts chart audits to ensure accurate indexing of scanned documents to the correct patient, document type, and encounter level. Analyzes medical records for completeness and compliance with Medical Staff Rules, regulatory standards, and internal policies. Resolves issues related to incorrectly scanned, misfiled, or incorrectly linked documents by re-scanning, re-indexing, redacting, or requesting system corrections. Transcribes and proofreads patient medical information dictated by healthcare providers. Maintains logs for transcription activity and ensure timely processing. Monitors work queues and works assigned electronic work lists, Epic queues, OnBase queues, and document discrepancies to ensure timely resolution. Completes other tasks as assigned to support the Health Information Management (HIM) department and overall organizational goals. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive Minimum Requirements Education - High school diploma or equivalent OR post-high school diploma/highest degree earned Experience - Two (2) years of experience in health information management, transcription, ROI, or chart analysis. Epic credential or experience preferred. In Lieu Of The education and experience requirements noted above, an Associate Degree in Health Information Management may be considered. Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT) preferred Knowledge, Skills and Abilities Proficient in EMR systems and document imaging platforms (e.g., Epic, ROI software). Familiar with HIPAA guidelines, minimum necessary standards, and authorization validation. Working knowledge of transcription tools, medical terminology, and chart completion requirements. Excellent customer service and communication skills-verbal, written, and interpersonal. Detail-oriented with strong organizational, time management, and data entry skills. Work Shift Variable (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70017502 HIM-Operations Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. Reviews and validates that scanned documents reside with the correct patient and are indexed to the correct document type and level (encounter, patient, or order) within the document management system. Assesses and reports document imaging quality metrics by employee and by location. Assures inaccurately scanned information is promptly corrected to assure the overall integrity of the patient medical record. Maintains an expert knowledge of the imaging system function and all supportive software. SA0273 - HIM Specialist Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Conducts chart audits to ensure accurate indexing of scanned documents to the correct patient, document type, and encounter level. Analyzes medical records for completeness and compliance with Medical Staff Rules, regulatory standards, and internal policies. Resolves issues related to incorrectly scanned, misfiled, or incorrectly linked documents by re-scanning, re-indexing, redacting, or requesting system corrections. Transcribes and proofreads patient medical information dictated by healthcare providers. Maintains logs for transcription activity and ensure timely processing. Monitors work queues and works assigned electronic work lists, Epic queues, OnBase queues, and document discrepancies to ensure timely resolution. Completes other tasks as assigned to support the Health Information Management (HIM) department and overall organizational goals. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive Minimum Requirements Education - High school diploma or equivalent OR post-high school diploma/highest degree earned Experience - Two (2) years of experience in health information management, transcription, ROI, or chart analysis. Epic credential or experience preferred. In Lieu Of The education and experience requirements noted above, an Associate Degree in Health Information Management may be considered. Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT) preferred Knowledge, Skills and Abilities Proficient in EMR systems and document imaging platforms (e.g., Epic, ROI software). Familiar with HIPAA guidelines, minimum necessary standards, and authorization validation. Working knowledge of transcription tools, medical terminology, and chart completion requirements. Excellent customer service and communication skills-verbal, written, and interpersonal. Detail-oriented with strong organizational, time management, and data entry skills. Work Shift Variable (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70017502 HIM-Operations Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Hospice Reimbursement Group, a division of Medical Services of America Inc., is currently seeking experienced Full-Time Hospice Reimbursement Specialist for our corporate office in Lexington, SC. MSA offers competitive pay and excellent benefits 40 hours paid time off during the first year of employment Medical, Vision & Dental Insurance Company paid life insurance 401(k) retirement with a generous company match Opportunities for advancement Other great benefits This person will be responsible for submitting and re-billing claims Submits claims for all pay sources and locations as assigned. Tracks reasons for unpaid claims and re-bills claims as necessary. Files electronic and/or written appeal requests in a timely manner. Works with locations to resolve any issues that may affect billing. Job Requirements High School Diploma or General Education Degree (GED) required. Previous hospice reimbursement experience preferred. Previous medical office billing/collection experience preferred. MSA is an Equal Opportunity Employer

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This position will be coding for vascular surgery. Job Summary Summary: Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement. Participates in peer review to ensure accuracy and timeliness standards are maintained. Resolve complex coding questions that arise from team. Does this position require Patient Care? No Essential Functions -Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines. -Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes. -Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. -Manages complex coding situations and supports peers through challenging questions. -Peer reviews records for management to ensure accuracy of information. -Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. -Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. -Identifies reportable elements, complications, and other procedures. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience Medical Coding Experience 2-3 years required Knowledge, Skills and Abilities - In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. - Strong understanding of coding guidelines, regulations, and industry best practices. - Excellent leadership and team management skills, with the ability to motivate and develop coding team members. - Strong communication and interpersonal skills to effectively collaborate with healthcare providers, coders, and other stakeholders. - Strong problem-solving skills to address coding-related challenges and implement effective solutions. - Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This position will be coding for Cardiology. Seeking candidates with EP and Cath lab coding experience Job Summary Summary: Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. Does this position require Patient Carre? No Essential Functions: Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information. -Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies. -Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes. -Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials. -Utilize coding software, encoders, and electronic health record systems to facilitate the coding process. -Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives. -Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges. Qualifications Education High School Diploma or Equivalent required Licenses and Credentials Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred Experience Medical Coding Experience 3-5 years required Knowledge, Skills and Abilities - In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. - Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations. - Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes. - Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding. - Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff. - Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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.

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 DescriptionDescription: Full Time, Remote Exempt / Salary Organization High Country Community Health (HCCH) is a federally funded Community and Migrant Health Center with medical locations in Watauga, Avery, Burke, and Surry Counties. The mission of HCCH is to provide comprehensive and culturally sensitive primary health care services that may include dental, mental and substance abuse services to the medically under-served population of Watauga, Avery, Burke, and Surry Counties and the surrounding rural communities. Supervisory Relationship: Reports to: Deputy CFO Job Summary and Responsibilities Provides thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and patient complexity of care. Utilizes knowledge of official coding guidelines, HCC standards, Risk Adjustment Factor (RAF) scoring, and physician query briefs. Will participate in Provider education on the importance of diagnosis specificity and documentation guidelines. The Risk Adjustment Coder works to maintain a thorough knowledge of our current automated eClinicalsWork (eCW) enterprise billing system, through which the coding and documentation review are functionalized to provide support to HCCH providers and staffs as necessary. Provides subject matter expertise to others including staff in the Billing department as necessary. This position requires professional maturity, responsibility, integrity, and subject matter expertise to complete the work timely; communicate setbacks to deliverables. and to collaborate with others to meet production and quality standards. Responsibilities include: -Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines -Validate and ensure the completeness, accuracy, and integrity of coded data. -Concurrently, prospectively, and retrospectively review medical records to identify unclear, ambiguous, or inconsistent documentation ensuring full capture of severity, accuracy, and quality. -Query providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. -Utilizes approved resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS and ensures documentation in the medical record follows official coding guidelines, internal guidelines, and AHIMA physician query brief standards. -Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. -Comply with HIPAA laws and regulations. -Maintain coding quality and productivity standards set forth by HCCH. -Maintain competency in evolving areas of coding, guidelines, and risk adjustment reimbursement reporting requirements. -Assist in internal and external coding audits to ensure the quality and compliance of coding practices. -Provide ongoing feedback to physicians and other providers regarding coding guidelines and requirements, including education and support for improvement in HCC coding, and RAF scoring. -Assist with educational in-services for physicians, other providers, and clinic staff relating to coding and documentation compliance as well as new policies and procedures relating to clinical documentation compliance related to billing. -Maintains complete confidentiality of patient information. -Assists with developing, implementing, and reviewing policies, procedures, and forms related to areas of responsibility. -Other duties as assigned by your Supervisor. Requirements: Requirements/Skills/Experience -High-speed internet access -Strong clinical knowledge related to chronic illness diagnosis, treatment, and management. -Knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred. -Personal discipline to work remotely without direct supervision -Dental coding skills a plus -Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation. Qualifications: -Bachelor's degree in allied health or any related field required. -Minimum 2 years of progressive Professional Risk Adjustment Coding experience required. -Active Certified Risk Adjustment Coder certification (CRC and/or CPC) required -Candidates hired with active CPC, but without Certified Risk Adjustment Coder certification (CRC) must obtain CRC certification within 9 months of hire. Travel Requirements None. Salary Commensurate with experience, education and certifications

Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)

Job Description The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting. The Coder is also responsible to assist the Revenue Cycle team. Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided. Job Requirements Minimum Education Requirement Training/certification from an accredited coding/billing program. Must be certified upon hire, or successfully complete certification exam within 3 months of hire. Minimum Experience Requirement Three years' experience in medical office billing preferred. Working knowledge of computers, billing and basic office software, especially Excel. Ability to communicate with all levels of staff. Analytical ability to detect trends in reimbursement/collections and to recommend or take corrective action. Prior experience using encoder software. Demands are typical of a position in a medical billing office, with extensive periods of sitting at a desk working on a computer. External applicants, as well as position incumbents who become disabled, must be able to perform the essential functions, either unaided or with the assistance of a reasonable accommodation, to be determined on a case-by-case basis. Required Skills Because medical billing duties are so varied, a flexible skill set is needed to perform them well. The following skills and personality traits are necessary to succeed in the field of medical billing/collections. Ability to multi-task Ability to understand insurance denials and payer remittances Ability to understand different insurance policies/coverages Ability to employ people skills to handle different personalities and situations Essential Functions Coder responsibilities below are subject to change as the job demands change: Using encoder software to compliantly apply appropriate CPT/HCPC and ICD codes to claims. Use claims submission software to review and resolve any rejected/denied or otherwise unpaid claims. Promptly reports any trends or issues impacting timely coding and billing of claims to management team. Collaborates with team, including providers, practice managers and revenue cycle to resolve. Act as a consultant for billing/coding questions from BMS practice staff. Maintain coding credential and staying up to date on changing guidelines by obtaining an appropriate number of CEUs Researching unpaid claims. Submitting appeals as necessary. Researching and resolving credit balances. Employee Statement of Understanding I understand that this document is intended to describe the general nature and level of work being performed. The statements in this document are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. Monday thru Friday 8am to 430pm Full Time FTE 40 hour per week

Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: • High School Diploma or GED required. Associate degree preferred. • Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services. • Knowledge of insurance industry and medical terminology/anatomy required. Required Skills / Abilities: • Good oral and written skills. • Detailed oriented with strong organizational skills. • Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. • Demonstrates the ability to work in a high pressure environment • Strong active listening skills, attention to detail, and decision-making skills are required • Pleasant, friendly attitude with the ability to adapt to change is essential • Superior problem- solving abilities is required • Ability to collaborate with all departments • Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. • Possess excellent customer service skills and be well organized. • Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently • Must be comfortable taking direction from Leadership Supervisory Responsibilities: • None Essential Job Functions: These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers. • Review assigned charts for correct ICD10 and CPT coding. • Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. • Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. • Must maintain coding credentials thru AAPC. • Ability to research coding questions in order to remain compliant with third party and regulatory guidelines. • Perform other assigned duties. Position Category: Certified Coding Specialist I • Candidate has no previous medical billing or insurance industry experience • Candidate has no previous coding experience Certified Coding Specialist II • Candidate has less than 5 years of medical billing or insurance industry experience and/or • Candidate has less than 5 years of medical coding experience Certified Coding Specialist III • Candidate has more than 5 years of medical billing or insurance industry experience and/or • Candidate has more than 5 years of medical coding experience Physical Requirements: Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.

Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: • High School Diploma or GED required. Associate degree preferred. • Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services. • Knowledge of insurance industry and medical terminology/anatomy required. Required Skills / Abilities: • Good oral and written skills. • Detailed oriented with strong organizational skills. • Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. • Demonstrates the ability to work in a high pressure environment • Strong active listening skills, attention to detail, and decision-making skills are required • Pleasant, friendly attitude with the ability to adapt to change is essential • Superior problem- solving abilities is required • Ability to collaborate with all departments • Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. • Possess excellent customer service skills and be well organized. • Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently • Must be comfortable taking direction from Leadership Supervisory Responsibilities: • None Essential Job Functions: These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers. • Review assigned charts for correct ICD10 and CPT coding. • Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. • Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. • Must maintain coding credentials thru AAPC. • Ability to research coding questions in order to remain compliant with third party and regulatory guidelines. • Perform other assigned duties. Position Category: Certified Coding Specialist I • Candidate has no previous medical billing or insurance industry experience • Candidate has no previous coding experience Certified Coding Specialist II • Candidate has less than 5 years of medical billing or insurance industry experience and/or • Candidate has less than 5 years of medical coding experience Certified Coding Specialist III • Candidate has more than 5 years of medical billing or insurance industry experience and/or • Candidate has more than 5 years of medical coding experience Physical Requirements: Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.

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.

UC Health is hiring a Full Time Digital Health Systems Co-Op Student Co-Op students participate in an organized co-op program sponsored by a university. The Co-op student will provide a variety of support tasks while participating in a mentoring and learning environment. The student may work in different functional areas within IS&T. About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. System Development and Support * Assist in the development, implementation, and evaluation of digital health solutions that address specific patient needs, community health goals, or organizational objectives * Ensure all programs comply with healthcare regulations, security and quality standards Project Support and Stakeholder Collaboration * Support UCH teams with user testing, troubleshooting, & refinement of digital health tools * Collaborate with clinicians, IT, & administrative staff to improve digital health experience Data Collection and Reporting * Collect, review, analyze, interpret and communicate program data to track performance metrics and outcomes * Present regular reports for UCH DHS, and other stakeholders as assigned * Use data to identify areas for improvement and make evidence-based decisions to optimize program delivery Compliance and Risk Management * Assist with ensuring programs adhere to healthcare laws, regulations, and accreditation standards * Identify potential risks and barriers related to program implementation and delivery, taking corrective actions when needed Training and Development * Help create training materials and provide support to contribute to documentation of processes, workflows, and lessons learned Other duties as assigned * Minimum Required: High School Diploma or GED * 0 - 6 Months equivalent experience * The Co-Op is a current student in a University Sponsored program pursuing a degree. Typically, the co-op student has completed 1 year of college training before assuming a co-op work assignment REQUIRED SKILLS AND KNOWLEDGE: * Gather and assess information pertaining to its reliability, reasonability and completeness; * Prepare summaries of that information using standard Microsoft Office tools (MS Excel, MS Word, etc.); * Have good writing skills, such that they are able to summarize their analyses and assessments; * Work with UC Health associates from all areas of the campus; * Have good inter-personnel skills. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer.

UC Health is hiring a Full Time Digital Health Systems Co-Op Student Co-Op students participate in an organized co-op program sponsored by a university. The Co-op student will provide a variety of support tasks while participating in a mentoring and learning environment. The student may work in different functional areas within IS&T. About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. Minimum Required: High School Diploma or GED 0 - 6 Months equivalent experience The Co-Op is a current student in a University Sponsored program pursuing a degree. Typically, the co-op student has completed 1 year of college training before assuming a co-op work assignment REQUIRED SKILLS AND KNOWLEDGE: Gather and assess information pertaining to its reliability, reasonability and completeness; Prepare summaries of that information using standard Microsoft Office tools (MS Excel, MS Word, etc.); Have good writing skills, such that they are able to summarize their analyses and assessments; Work with UC Health associates from all areas of the campus; Have good inter-personnel skills. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer. System Development and Support Assist in the development, implementation, and evaluation of digital health solutions that address specific patient needs, community health goals, or organizational objectives Ensure all programs comply with healthcare regulations, security and quality standards Project Support and Stakeholder Collaboration Support UCH teams with user testing, troubleshooting, & refinement of digital health tools Collaborate with clinicians, IT, & administrative staff to improve digital health experience Data Collection and Reporting Collect, review, analyze, interpret and communicate program data to track performance metrics and outcomes Present regular reports for UCH DHS, and other stakeholders as assigned Use data to identify areas for improvement and make evidence-based decisions to optimize program delivery Compliance and Risk Management Assist with ensuring programs adhere to healthcare laws, regulations, and accreditation standards Identify potential risks and barriers related to program implementation and delivery, taking corrective actions when needed Training and Development Help create training materials and provide support to contribute to documentation of processes, workflows, and lessons learned Other duties as assigned