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Medical Records Analyst jobs at Cambia Health Solutions - 265 jobs

  • Behavioral Health Coder

    Bestcare Treatment Services Inc. 3.5company rating

    Redmond, OR jobs

    JOB SUMMARY: The Behavioral Health Coder serves as an important member of the Billing Team. Primarily responsible for the coding and abstracting of client services. Standardized coding and classification systems, minimum data sets, data definitions and terminology will be utilized to ensure data is uniformly defined, collected, and verified. Ensure all coding and billing guidelines are adhered to for compliance with BestCare policies and practices, and ICD-10-CM and Medicare guidelines. ESSENTIAL FUNCTIONS: Serves as a coding subject-matter expert for the Billing staff to identify and help resolve issues to support quick and accurate billing, Is available as a resource for all BestCare sites on coding requirements and best practices; Maintains coding credentials as required by credentialing agency; Takes initiative to establish priorities, coordinates work activities and performs multiple and complex tasks while working independently and with minimal supervision in a remote setting; Completes special projects as assigned; Other related duties as assigned. ORGANIZATIONAL RESPONSIBILITIES: Performs work in alignment with BestCare's mission, vision, values; Supports the organization's commitment to fostering a culture of inclusivity, open-mindedness, equity, cultural awareness, compassion, and respect for all individuals; Strives to meet annual Program/Department goals and supports the organization's strategic goals; Adheres to the organization's Code of Conduct, Business Ethics, Employee Handbook, and all other policies, procedures, and relevant compliance standards; Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes; Attends and participates in required program/staff meetings (remotely with some in-person), and completes assigned training timely and satisfactorily; Ensures that any required certifications and/or licenses are kept current and renewed timely; Works independently as well as participates as a positive, collaborative team member; Performs other organizational duties as needed. REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period: Proficient in ICD-10 CM codes on patient medical records for medical coding purposes; Proficient with CMS billing rules and associated coding and billing requirements; Understanding of and proficiency in using Epic Software Systems; High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software; Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.), Strong interpersonal and customer service skills; Strong communication skills (oral and written); Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through; Excellent time management skills with a proven ability to meet deadlines; Critical thinking skills Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes; Ability to build and maintain positive relationships; Ability to function well and use good judgment in a high-paced and at times stressful environment; Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively; Ability to work effectively and respectfully in a diverse, multi-cultural environment; Ability to work independently as well as participate as a positive, collaborative team member. Requirements QUALIFICATIONS: EDUCATION AND/OR EXPERIENCE: Associate's degree in related field or combined equivalent in related education and experience Minimum 6 years of experience with Epic software systems Minimum 6 years of experience with revenue cycle billing Minimum 8 years of coding experience preferably Behavioral Health LICENSES AND CERTIFICATIONS: CPC, CRC, CCS Coding certification through AHIMA or AAPC required, or a more advanced certification (RHIT: Registered Health Information Technician, RHIA: Registered Health Information Associate) is required upon start Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization's auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations) Must be currently certified through AAPC or AHIMA PREFERRED: Bilingual in English/Spanish a plus COC Coding certification Salary Description $32.50-$42.64
    $47k-54k yearly est. 2d ago
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  • Nurse Paralegal/Claim Medical Record Analyst (Hybrid)

    Iha 4.5company rating

    Naperville, IL jobs

    Main Function: Responsible for the investigation, review and summary of medical records related to presuit medical malpractice claims of insureds and hospital members and clients. Outline of Responsibilities: Review, organize, and summarize medical charts and medical records to identify relevant information to the presuit claim Confer and collaborate with Claims and Litigation Supervisors and develop plan of action for medical record review and investigation Correspond with retained experts regarding their reviews as directed by Claims and Litigation Supervisor Evaluation and summary of medical billing and liens Draft medical timelines and memoranda of investigation Handle miscellaneous requests as needed to support Claims and Litigation Supervisors handling the claims Other duties as defined Qualifications: Associate's Degree (ADN) required, Bachelor's Degree (BSN/RN) or at least four (4) years of clinical experience required. Paralegal certification a plus. Hospital risk management or prior professional liability claims experience a plus. Knowledge of insurance and legal principles preferred. Basic knowledge of MS Office Suite. Excellent verbal and written communication skills required. Must possess and exercise analytical and critical thinking skills and be a team player who can manage multiple projects. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected status. We offer a competitive compensation package, including excellent benefits. Qualified candidates must apply online: Click here to apply ***************************************************************** Pay Range: $34.85 to $52.28 per hour, actual compensation is dependent on job-related factors such as experience, education, skills and qualifications for the role. IHA offers a full range of benefit programs based on eligibility. Click here to review our Benefit Summary
    $34.9-52.3 hourly Auto-Apply 60d+ ago
  • Nurse Paralegal/Claim Medical Record Analyst (Hybrid)

    Iha 4.5company rating

    Naperville, IL jobs

    Main Function: Responsible for the investigation, review and summary of medical records related to presuit medical malpractice claims of insureds and hospital members and clients. Outline of Responsibilities: Review, organize, and summarize medical charts and medical records to identify relevant information to the presuit claim Confer and collaborate with Claims and Litigation Supervisors and develop plan of action for medical record review and investigation Correspond with retained experts regarding their reviews as directed by Claims and Litigation Supervisor Evaluation and summary of medical billing and liens Draft medical timelines and memoranda of investigation Handle miscellaneous requests as needed to support Claims and Litigation Supervisors handling the claims Other duties as defined Qualifications: Associate's Degree (ADN) required, Bachelor's Degree (BSN/RN) or at least four (4) years of clinical experience required. Paralegal certification a plus. Hospital risk management or prior professional liability claims experience a plus. Knowledge of insurance and legal principles preferred. Basic knowledge of MS Office Suite. Excellent verbal and written communication skills required. Must possess and exercise analytical and critical thinking skills and be a team player who can manage multiple projects. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected status. We offer a competitive compensation package, including excellent benefits. Qualified candidates must apply online: Click here to apply ***************************************************************** Pay Range: $35.55 to $53.32 per hour, actual compensation is dependent on job-related factors such as experience, education, skills and qualifications for the role. IHA offers a full range of benefit programs based on eligibility. Click here to review our Benefit Summary
    $35.6-53.3 hourly Auto-Apply 60d+ ago
  • Medical Records Clerk

    Eastside Health and Rehabilitation Center 3.7company rating

    Pittsfield, IL jobs

    Are you a Medical Records Clerk seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU! What Will You Do in This Role? As a Medical Records Clerk, you will be responsible for maintaining resident medical records in accordance with State and Federal regulations, professional standard of practice and company policy and procedure. You will also be responsible for ensuring the management and accuracy of medical resident records from pre-admission to post discharge. Do You Have What It Takes? A fire and passion for working with seniors A flexible, fun, and energetic personality RHIA or RHIT credential preferred Minimum of two years of experience in medical records in a LTC/SNF/AL/MC setting highly preferred Experience with ICD coding preferred Must possess knowledge of medical terminology, laws, and regulations, as they pertain to LTC/SNF/AL/MC settings Must possess effective communication skills to maintain positive relationships with residents, families, staff, physicians, consultants, providers, and governmental agencies, their representatives, and the community Professional image in both appearance and behavior Excellent written and oral communication skills Why is Tutera THE Employer of Choice? Tutera Senior Living & Health Care is guided by one single purpose: To live the YOUNITE philosophy in every decision, every day. Based on genuine respect, YOUNITE is how we get to know residents and team members on a personal level. By asking about our employees' and residents' unique needs and preferences, we actively listen and then deliver. Do you want to work for a company where you are the driving force behind every decision made? Tutera offers stability; our family-owned company was founded in 1985! Tutera offers a competitive starting wage and amazing benefits! We take care of you so you can be a rockstar at work and at home! Tutera Senior Living & Health Care is dedicated to growing and developing our Tutera rockstars. Through Tutera University, every employee has the opportunity to learn new skills and become the best health care rockstar they can be! Apply today and let us show you how we are inspired by you. Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits. Benefits How Can You Benefit? Advanced Pay Financial Literacy Classes Employee Assistance Program offering Mental Health Resources, Legal Guidance, Financial Information, and more! Child Care Discount Health Insurance Dental Insurance Vision Insurance Life Insurance 401(k) for Eligible Locations Tuition Reimbursement Paid Time Off Holiday Pay Exclusive Tutera Perks Tutera University Advancement Opportunities Job ID 2026-15050
    $28k-33k yearly est. Auto-Apply 22d ago
  • Medical Records Specialist

    Ensemble Health Partners 4.0company rating

    Springfield, IL jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $15.00 - $16.05/hr based on experience We are seeking a Medical Records/Health Information Management Specialist. Job Responsibilities: Completes analysis/reanalysis of all records accurately and timely Completes accounts from Meditech System Waiting for Documentation and Missing Document work queues when missing documentation is received. Follow-up with ancillary/nursing departments for missing documentation as outlined. Follow-up with providers regarding missing documentation/dictation preventing the account from being coded. Completes unbilled spreadsheet with updates regarding the status of missing documentation and sends to management. Reviews medical record documentation in electronic medical records and, creates appropriate charting deficiencies in the deficiency management system, and assigns those deficiencies to the appropriate provider(s). Actively manages various analysis-specific work queues, electronic and manual, to ensure timely analysis and chart completion. Adheres to established company standards/policies and system workflow guidelines to add and re-assign accounts to appropriate work queues for processing. Identifies systematic problems and routes to the Manager for facility resolution. Promptly reports issues and trends not complying with facility or corporate policies/standards. Documents all workflows, including any alterations, modifications, and changes that will occur based on the processes that will be implemented or enhanced. Other duties as assigned Experience We Love: Knowledge of CMS, and Joint Commission regulations preferred EMR experience preferred Healthcare Revenue Cycle experience preferred (Acute care facility HIM experience) Certifications: CRCR Required within 9 months of hire (company paid) #LI-BM1 Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $15-16.1 hourly Auto-Apply 60d+ ago
  • Medical Records Specialist

    Ensemble Health Partners 4.0company rating

    OFallon, IL jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $15.50 - $16.55/hr based on experience * This position is onsite located at HSHS - St. Elizabeth's, Oh'Fallon, IL* We are seeking a Medical Records/Health Information Management Specialist. Job Responsibilities: Completes analysis/reanalysis of all records accurately and timely Completes accounts from Meditech System Waiting for Documentation and Missing Document work queues when missing documentation is received. Follow-up with ancillary/nursing departments for missing documentation as outlined. Follow-up with providers regarding missing documentation/dictation preventing the account from being coded. Completes unbilled spreadsheet with updates regarding the status of missing documentation and sends to management. Reviews medical record documentation in electronic medical records and, creates appropriate charting deficiencies in the deficiency management system, and assigns those deficiencies to the appropriate provider(s). Actively manages various analysis-specific work queues, electronic and manual, to ensure timely analysis and chart completion. Adheres to established company standards/policies and system workflow guidelines to add and re-assign accounts to appropriate work queues for processing. Identifies systematic problems and routes to the Manager for facility resolution. Promptly reports issues and trends not complying with facility or corporate policies/standards. Documents all workflows, including any alterations, modifications, and changes that will occur based on the processes that will be implemented or enhanced. Other duties as assigned Experience We Love: Knowledge of CMS, and Joint Commission regulations preferred EMR experience preferred Healthcare Revenue Cycle experience preferred (Acute care facility HIM experience) Certifications: CRCR Required within 9 months of hire (company paid) #LI-BM1 Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $15.5-16.6 hourly Auto-Apply 15d ago
  • Specialist, Release of Information

    Kaiser Permanente 4.7company rating

    Portland, OR jobs

    Under indirect supervision, maintains confidentiality of protected health information (PHI). Reviews requests for health information. Abstracts case histories. Prepares medical records for use in legal proceedings. Supports compliance and Principles of Responsibility. Adheres to applicable federal and state laws and regulations, accreditation and licensing requirements, policies and procedures. Reports and/or resolves issues of non-compliance. Essential Responsibilities: This description is for recruitment posting purposes only. It has not received full HR review and approval. Meets compliance requirements by complying with all federal, state and local law, rules and regulations, as well as Kaiser Permanente-s policies and procedures for the release of health information by applying understanding of such law, and using judgment as to how best respond to a specific request based on the authorization provided for the release of PHI. * Accurately and proficiently analyze and interpret the health information to assure appropriate disclosure of health information to attorneys, insurance companies, outside providers of health care and others, as directed by the patient or as compelled by law or regulations. * Prepare health records in response to Subpoena Duces Tecum for court appearance or depositions. * Consult with health care providers to ascertain undocumented information such as patient data not entered into the health record by the provider. * Access various resources within the Kaiser Permanente system to locate health record information which may be found in secondary records, unfilled material, computerized data and dictated but not transcribed documentation in order to obtain time loss information, diagnosis, treatment, physical limitations or other required information requested by attorneys, insurance companies, outside providers and others. * Create summaries/abstracts of health information from paper and electronic health documentation. * Manipulate a variety of computer systems which are intricately designed programs in order to extract information regarding diagnosis, procedures, service utilization, length of stay, dates of service, ICD Codes, and provider identification. * Create / maintain documentation log of health information released so colleagues can clearly track what has been done. * Access Intranet and Internet to research laws and health related sources of information. * Compute costs for services provided and create lists for billing purposes. * Coordinate and track completion of physician forms and requests for narratives from attorneys, insurance companies, etc. May require communicating with physician regarding completion. * Performs other duties as assigned.
    $35k-58k yearly est. 6d ago
  • Specialist, Release of Information

    Kaiser Permanente 4.7company rating

    Portland, OR jobs

    Under indirect supervision, maintains confidentiality of protected health information (PHI). Reviews requests for health information. Abstracts case histories. Prepares medical records for use in legal proceedings. Supports compliance and Principles of Responsibility. Adheres to applicable federal and state laws and regulations, accreditation and licensing requirements, policies and procedures. Reports and/or resolves issues of non-compliance. Essential Responsibilities: This description is for recruitment posting purposes only. It has not received full HR review and approval. Meets compliance requirements by complying with all federal, state and local law, rules and regulations, as well as Kaiser Permanente-s policies and procedures for the release of health information by applying understanding of such law, and using judgment as to how best respond to a specific request based on the authorization provided for the release of PHI. - Accurately and proficiently analyze and interpret the health information to assure appropriate disclosure of health information to attorneys, insurance companies, outside providers of health care and others, as directed by the patient or as compelled by law or regulations. - Prepare health records in response to Subpoena Duces Tecum for court appearance or depositions. - Consult with health care providers to ascertain undocumented information such as patient data not entered into the health record by the provider. - Access various resources within the Kaiser Permanente system to locate health record information which may be found in secondary records, unfilled material, computerized data and dictated but not transcribed documentation in order to obtain time loss information, diagnosis, treatment, physical limitations or other required information requested by attorneys, insurance companies, outside providers and others. - Create summaries/abstracts of health information from paper and electronic health documentation. - Manipulate a variety of computer systems which are intricately designed programs in order to extract information regarding diagnosis, procedures, service utilization, length of stay, dates of service, ICD Codes, and provider identification. - Create / maintain documentation log of health information released so colleagues can clearly track what has been done. - Access Intranet and Internet to research laws and health related sources of information. - Compute costs for services provided and create lists for billing purposes. - Coordinate and track completion of physician forms and requests for narratives from attorneys, insurance companies, etc. May require communicating with physician regarding completion. - Performs other duties as assigned. Basic Qualifications: Experience Experience - Four (4) years of experience in disclosure of Protected Health Information (PHI), with an emphasis on the legal aspects, in a healthcare setting or a recent graduate of an accredited Associate Degree Health Information Management (HIM) program and two (2) years of experience in a healthcare setting. - One (1) year customer service experience. Education + - High School Diploma or GED. License, Certification, Registration + N/A Additional Requirements: + - Certification of medical terminology and abbreviations, current within two (2) years or final candidate(s) will need to complete the Kaiser Permanente medical terminology assessment with a minimum competency score of 84% or higher. + - Ability to type minimum 40 wpm with above average accuracy. + - Proficiency in the use of applicable computer software (e.g., MS Word, Excel, Outlook) and other work related tools (e.g., fax, copier, scanner, multi-line phone system, etc.). + - Ability to understand and communicate Washington and Oregon laws and regulations that relate to release of information and disclosure of PHI and principles of confidentiality. + - Familiarity with health record chart content, order, and ability to quickly scan large volumes of documents in paper form or online for sensitive information and requested documentation. + - Ability to consistently meet or exceed department quality and productivity standards. + - Strong organizational skills and ability to work independently and manage multiple priorities in a busy environment with frequent interruptions and time demands. + - Demonstrated courtesy, helpfulness and respect in dealing with customers. + - Good interpersonal skills with the ability to communicate effectively (both written and oral) with internal and external customers. + - Willingness to work in a Labor/Management Partnership environment. Preferred Qualifications: + - Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred. + - Comprehensive knowledge of anatomy and terminology preferred. + - Basic knowledge of biology/anatomy/disease processes preferred. + - Basic knowledge of laboratory tests and what they are ordered for preferred. + - Basic knowledge of drugs and what they are prescribed for preferred. + - Demonstrated accuracy, medical abstracting and time management skills preferred. + - Good knowledge of Kaiser Permanente function and departments preferred. + - Familiarity with Health Information Management policies and procedures (Privileged Information, Guidelines for Authorizations, Health Record Security, Health Record Documentation) preferred. + - Comprehensive knowledge of Federal law and Health Insurance Portability and Accountability Act of 1996 preferred. + - Strong knowledge of Oregon & Washington laws relating to health information preferred. COMPANY: KAISER TITLE: Specialist, Release of Information LOCATION: Portland, Oregon REQNUMBER: 1366079 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
    $35k-58k yearly est. 60d+ ago
  • Onsite Release of Information Specialist II - Pasco, WA

    Verisma Systems Inc. 3.9company rating

    Pasco, WA jobs

    Onsite Release of Information Specialist II (ROIS II) - Pasco, WA The Release of Information Specialist II (ROIS II) initiates the medical record release process by inputting data into Verisma Software. The ROIS II works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based out of a Verisma client site, in Pasco, WA The primary supervisor is Manager of Operations, Release of Information. Duties & Responsibilities: Process medical ROI requests in a timely and efficient manner Process requests utilizing Verisma software applications Support the resolution of HIPAA-related release issues Organize records and documents to complete the ROI process Read and interpret medical records, forms, and authorizations Provide exemplary customer service in person, on the phone and via email, depending on location requirements Interact with customers and co-workers in a professional and friendly manner Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained Attend training sessions, as required Live by and promote Verisma company values Perform other related duties, as assigned, to ensure effective operation of the department and the Company Minimum Qualifications: HS Diploma or equivalent, some college preferred RHIT certification, preferred 2+ years of medical record experience 2+ years of experience completing clerical or office work Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks Experience in a healthcare setting, preferred Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred Must be able to work independently Must be detail oriented
    $33k-45k yearly est. 2d ago
  • Release of Information Specialist

    St. Luke's Health System 4.7company rating

    Twin Falls, ID jobs

    At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work. The Release of Information (ROI) Specialist is a part of our Phones Team responsible for answering multi-line phones and handling continuation of care, coroner, and DME related requests, while ensuring the integrity and accuracy of the patients' health record and complying with HIPAA and state regulations. This position will serve as a point of contact for peers by resolving questions or issues that arise while processing requests. What You Can Expect * Answers multi-line phones for the HIM Department and forwards callers, as needed. * Logs all requests into the electronic health record to ensure the request is tracked from start to finish. * Processes requests received via telephone, fax, mail or electronically. * Responding to medical record requests from various sources * including continuation of care providers and entities, durable medical supply companies, and coroners/medical examiner's offices in a timely and efficient manner, and according to HIPAA and state regulations. * Adheres to HIPAA regulations by maintaining the confidentiality of protected health information, while maintaining the integrity and accuracy of patients' health records. * Follows organizational policies pertaining to the retrieval, storage, and destruction of records. * Communicates effectively with ROI staff at all locations to make sure requests are routed to the appropriate location and team. * Collaborates with various St. Luke's departments to ensure accurate of record. * Maintain knowledge of specialized workflows involving providers, including requests that require chart corrections or incomplete dictations. * Scans, indexes and categorize records into patients' charts. * Performs other duties as assigned. Qualifications * High School Diploma or equivalent * One (1) year of relevant experience At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
    $26k-32k yearly est. 7d ago
  • Onsite Release of Information Specialist - Naperville, IL

    Verisma Systems Inc. 3.9company rating

    Naperville, IL jobs

    The Release of Information Specialist (ROIS) initiates the medical record release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based out of a Verisma client site, in Naperville, IL. The primary supervisor is Manager of Operations, Release of Information. Duties & Responsibilities: Process medical ROI requests in a timely and efficient manner Process requests utilizing Verisma software applications Support the resolution of HIPAA-related release issues Organize records and documents to complete the ROI process Read and interpret medical records, forms, and authorizations Provide exemplary customer service in person, on the phone and via email, depending on location requirements Interact with customers and co-workers in a professional and friendly manner Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained Attend training sessions, as required Live by and promote Verisma company values Perform other related duties, as assigned, to ensure effective operation of the department and the Company Minimum Qualifications: HS Diploma or equivalent, some college preferred 2+ years of medical record experience 2+ years of experience completing clerical or office work Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks Experience in a healthcare setting, preferred Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred Must be able to work independently Must be detail oriented
    $30k-42k yearly est. 14d ago
  • Certified Coding Specialist

    Heart & Vascular Partners 4.6company rating

    Chicago, IL jobs

    Heart and Vascular Partners is a fast-paced, growing heart and vascular MSO seeking a Certified Coding Specialist! As the Certified Coding Specialist, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. If you are an organized and detail-oriented individual looking to make a positive impact in a healthcare setting, then this is the perfect role for you! Essential Functions of the Role: Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports 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-10-CM and CPT codes. Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial. Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees. Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery. 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. Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation. Educates and advises staff on proper code selection, documentation, procedures, and requirements. Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data. Minimum Qualifications: Knowledge of ICD-10-CM coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. Ability to read and interpret medical procedures and terminology. Ability to develop training materials, make group presentations, and to train staff Ability to exercise independent judgment; Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff. Ability to maintain confidentiality. Education and Experience: Possession of a Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association; or Possession of a Certified Professional Coder designation (CPC) issued by AAPC Remote Work Requirements Must be available to work during scheduled work hours, except for lunch and breaks A Quiet, distraction-free environment High-speed private internet connection Respond to all non-urgent calls and emails withing 1 business day Notify your manager immediately for any technical and/ or access issues that prevent you from completing your work Notify your manager at least 30 minutes prior to your scheduled start time for any unplanned days off. Work Environment This position is a Remote position Monday- Friday from 8:00 am - 5:00 PM. Physical Requirements This position requires full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk, and stand; talk or hear, both in person and by telephone; use hands repetitively to handle or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds. Equal Employment Opportunity Statement We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Salary and Benefits Full-time, Non-Exempt position. Competitive compensation and benefits package to include 401K; a full suite of medical, dental, and ancillary benefits; paid time off, and much more. The statements contained herein are intended to describe the general nature and level of work performed by the Certified Coding Specialist, but is not a complete list of the responsibilities, duties, or skills required. Other duties may be assigned as business needs dictate. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.
    $43k-50k yearly est. Auto-Apply 23d ago
  • MEDICAL RECORDS CLERK

    Riverside Healthcare 4.1company rating

    Kankakee, IL jobs

    Riverside Miller Healthcare is seeking a dedicated and organized Medical Records Clerk to join our healthcare team in Kankakee, Illinois. This individual will play a crucial role in managing patient records and ensuring that all medical documentation is accurately maintained, secure, and accessible in compliance with healthcare regulations. This individual will also be responsible planning, purchasing, receiving, storing, distributing, and tracking all supplies and equipment for the clinical department. This role ensures cost-effective purchasing practices, accurate inventory control, vendor compliance, and adherence to federal and Illinois SNF regulations. The ideal candidate will be detail-oriented, proficient with medical record systems, and committed to maintaining confidentiality and accuracy in all aspects of record-keeping. Essential Job Duties: Manage and Maintain Medical Records: Organize, file, and retrieve patient medical records, ensuring they are up-to-date and accurate. Data Entry: Input patient information, diagnosis, treatment, and care details into the electronic health record (EHR) system with precision. Confidentiality and Compliance: Adhere to HIPAA and other regulatory requirements to maintain patient privacy and confidentiality at all times. Record Retrieval and Distribution: Provide requested medical records to authorized healthcare providers, staff, and patients in a timely and efficient manner. File System Management: Ensure the physical and digital filing systems are organized, complete, and compliant with healthcare standards and regulations. Document Processing: Prepare, process, and upload medical records for audits, insurance claims, and patient inquiries. Record Disposal: Assist in the proper destruction of outdated or no longer needed patient records in accordance with company policies and legal requirements. Communication: Coordinate with healthcare providers, patients, and administrative staff regarding record requests or discrepancies. Resolve order discrepancies, backorders, credits, and returns. Develop and maintain par levels Rotate stock, label storage areas, and minimize product expiration and waste. Track high-cost and high-use items (e.g., wound care, incontinence, enteral supplies). Implement systems to prevent loss, diversion, or misuse. Verify packing slips and invoices against purchase orders. Deliver and restock supplies to designated units and storage areas. Maintain clean, organized supply rooms. Monitor supply spend against budget. Prepare monthly utilization and variance reports. Follow CMS regulations, IDPH requirements, and facility policies. Maintain documentation for recall notices and product tracking. Ensure medical supplies are stored appropriately (temperature, humidity, security). Support emergency preparedness inventory (PPE, generators, disaster supplies). Participate in QAPI, infection prevention, and safety committees as requested. Train unit staff on proper supply request and storage processes. Nonessential Tasks: Assist with administrative tasks such as answering phones, scheduling, or general office duties when needed. Participate in team meetings to provide input on office procedures or record-keeping systems. Provide assistance to other departments or teams within Riverside Miller Healthcare as needed. Responsibilities Required Education and Licensure High school diploma or equivalent Preferred Education An associate's degree or higher in health information management, medical office administration, or related field is preferred. Certification as a Medical Records Technician (CMRT) or similar credential is preferred, but not required. Preferred Experience Previous experience working with medical records or in a healthcare setting is highly desirable. Experience with Point Click Care systems is a plus. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so your journey at and away from work is remarkable. Our Total Rewards package includes: Compensation Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift differential, on-call Opportunity for annual increases based on performance Benefits - .5 to 1.0 FTE Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program Benefits - .001 to .49 FTE: Paid Leave Hours accrued as you work Required Experience Strong organizational and multitasking abilities. Proficient in Microsoft Office Suite and EHR software. Attention to detail with an emphasis on accuracy and confidentiality. Excellent communication skills, both written and verbal. Knowledge of HIPAA regulations and healthcare privacy laws is essential Ability to work independently as well as part of a team. Employee Health and Safety Requirements Exposure/Sensory Requirements: Exposure to Chemicals: Limited, refer to the MSDS manual for handling any chemicals encountered. Video Display Terminals: Extensive exposure; frequent use of computer screens. Blood and Body Fluids: Limited potential; minimal direct contact with residents. TB or Airborne Pathogens: Limited potential; work is occasionally performed in areas with potential exposure. OSHA Compliance: All employees must adhere to OSHA regulations, including maintaining a safe workspace, proper ergonomics, and utilizing personal protective equipment (PPE) when necessary. Compliance with bloodborne pathogens standards, proper chemical handling, and exposure control is mandatory. Sensory Requirements: Speech: Essential for presentations, training sessions, telephone communication, facilitating meetings, and interacting with residents, families, and visitors. Vision: Required for reading memos, literature, and computer entry, ensuring accurate documentation and communication. Smell: Useful for identifying the presence of electrical or fire safety hazards. Hearing: Necessary for telephone communication, attending meetings, responding to alarms, and listening to employee concerns and emergency procedures. Touch: Required for writing, computer entry, and filing, ensuring accurate and efficient completion of tasks. Activity/Lifting Requirements: Physical Activity Distribution During a Normal Workday: Sitting: 50% Twisting: 4% Standing: 17% Crawling: 0% Walking: 17% Kneeling: 2% Lifting: 2% Driving: 0% Squatting: 2% Climbing: 0% Bending: 5% Reaching Above Shoulders: 1% Lifting Requirements: Up to 10 lbs: Occasionally Up to 20 lbs: Occasionally Up to 35 lbs: Occasionally Up to 50 lbs: Not required Up to 75 lbs: Not required Up to 100 lbs: Not required Over 100 lbs: Not required Lifting and Carrying Requirements: Lifting office supplies, carrying items approximately 20 feet, and placing them in overhead cabinets. For weights above 35 lbs, seek assistance or use appropriate lifting equipment. Maximum Consecutive Time (Minutes) During the Normal Workday for Each Activity: Sitting: 30 minutes Twisting: 2 minutes Standing: 10 minutes Crawling: 0 minutes Walking: 10-30 minutes Kneeling: 2 minutes Lifting: 2 minutes Driving: 0 minutes Squatting: 2 minutes Climbing: 0 minutes Bending: 2 minutes Reaching Above Shoulders: 1 minute Repetitive Use of Hands: Simple Grasping: Normal weight items, frequently Pushing & Pulling: Normal weight items, frequently Fine Manipulation: Regular use of computers for typing and data entry Repetitive Use of Foot or Feet in Operating Machine Control: None Environmental Factors & Special Hazards: Environmental Factors: Inside Hours: 8 hours per day Outside Hours: 0 hours Temperature: Normal range, typical indoor conditions Lighting: Average office lighting Noise Levels: Average, typical office environment Humidity: Normal range, typical indoor conditions Atmosphere: Generally controlled indoor environment with minimal risk factors. Special Hazards: None identified Protective Clothing Required: None required Pay Range USD $18.83 - USD $23.00 //Hr
    $18.8-23 hourly Auto-Apply 10d ago
  • Release of Information Specialist

    Unitypoint Health 4.4company rating

    Rock Island, IL jobs

    * Area of Interest: Patient Services * Salary Range: $15.87/hour - $23.81/hour * FTE/Hours per pay period: 1.0 * Department: Health Information Management * Shift: Mon-Fri/1st Shift * Job ID: 176548 We are seeking a dedicated and detail-oriented Medical Records Specialist to join our team! In this role, you will be responsible for receiving, validating, documenting, and responding to requests for information contained in legal medical records. You will handle inquiries from healthcare organizations, attorneys, insurance companies, patients, and other interested third parties in a timely and efficient manner. Location: Onsite - Trinity West Hospital - Rock Island, IL Hours: Monday-Friday, 8am-5pm Why UnityPoint Health? At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few: * Expect paid time off, parental leave, 401K matching and an employee recognition program. * Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. * Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities Release of Information: * Prepare medical information in accordance with facility policy and procedures in addition to state and federal laws. These requests are from or for patients, family members, insurance companies, attorneys, court orders/subpoenas, physicians and/or their office staff, other health care facilities and other third parties. * Responsible for notifying appropriate UnityPoint Health areas of any court order/subpoena related to the organization or its employees. * Log and fulfill requests or submits request to approved release of information vendor for fulfillment. * Completes invoice for appropriate requestors and follows up on requests for payment when fulfilled by the facility staff. * Responsible for receipt and validation of a properly executed HIPAA compliant authorization and/or request. * Collaborate with appropriate functional departments and staff to investigate and resolve issues related to documents, MPI, and other HIPAA requests such as accounting for disclosures. * Prioritize and respond to release of information requests within required timeframes. * Perform self-quality checks to assure record completeness, accuracy of the release, confidentiality and proper invoicing. * Meets measures as determined and required for job productivity, quality and performance improvement. * Maintains confidentiality of all patient and facility information processed. Customer Service: * Promptly and courteously answers phone calls or assists with phone coverage for release requests and questions. * Respond to and fulfill patient walk-in record requests. * Access and retrieve and/or coordinate retrieval of patient information from various computer systems and media. Qualifications * Must have Release of Inforamtion experience * High school diploma requried, Associates degree in HEalth Science preferred * Previous experience in a hospital/clinic setting or experience with electronic health records or other related office experience or customer service experience. * RHIT, RHIA, or CRIS cerficiation preferred #System123
    $15.9-23.8 hourly Auto-Apply 8d ago
  • Health Information Management (HIM) Specialist, Home Health

    Olympic Medical Center 4.8company rating

    Port Angeles, WA jobs

    Imagine working on Washington State's beautiful North Olympic Peninsula where recreational opportunities abound. Whether you enjoy hiking, camping, fishing, kayaking or cycling, the Olympic Peninsula is home to numerous adventures for outdoor enthusiasts. It's a great place to live, work, play and raise a family. Bordered by the scenic Olympic National Park, the Strait of Juan de Fuca and the Pacific Coast - with Seattle and Victoria, BC just a ferry ride away - you won't find a better location. You'll receive a competitive salary, excellent benefits, relocation assistance plus an amazing PNW lifestyle - a perfect combination! FTE: 100% WORK SHIFT Days PAY RANGE: $22.89 - $34.73 UNION: UFCW 3000-Home Health SHIFT DIFFERENTIALS/PREMIUMS: Weekend & Holiday Shifts: No On Call Shifts: No Premiums: Weekend Premium $4.00/hour Lead Premium $3.25/hour Preceptor Pay $1.00/hour Per Diem Premium 15% (on base plus steps, in lieu of benefits) Certification Premium $2.00/hour Weekend Coordinator Pay (chg) 5% on regular pay JOB DESCRIPTION: Serves as the primary support to the clinical teams for the collection and management of patient data. Works with team members to continuously improve data management systems. Responsible for ensuring that patient records are accurate and meet all quality, state, federal, accrediting, and agency requirements. Responsible for ICD-10 coding, processing of all Oasis, management of Provider orders and chart auditing. Supports and promotes patient data confidentiality in accordance with HIPAA rules and regulations. Applies working knowledge of clerical and office procedures specific to the area of assignment. EDUCATION High school graduate required. Medical terminology course preferred. Associate Degree in Computer Office Technology with Medical Specialization preferred. EXPERIENCE Two years' experience in medical records preferred. Home Health ICD-10 coding experience preferred. Excellent computer skills required. LICENSURE/CREDENTIALS ICD-10 coding certification preferred. BENEFITS INFORMATION: Click here for information about our benefits. Equal Employment Opportunity (EEO) Statement: Olympic Medical Center is an Equal Opportunity Employer that values workplace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability. For more information, please visit *************
    $22.9-34.7 hourly Auto-Apply 15d ago
  • Release of Information Specialist

    Unitypoint Health 4.4company rating

    Rock Island, IL jobs

    We are seeking a dedicated and detail-oriented Medical Records Specialist to join our team! In this role, you will be responsible for receiving, validating, documenting, and responding to requests for information contained in legal medical records. You will handle inquiries from healthcare organizations, attorneys, insurance companies, patients, and other interested third parties in a timely and efficient manner. Location: Onsite - Trinity West Hospital - Rock Island, IL Hours: Monday-Friday, 8am-5pm Why UnityPoint Health? At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities Release of Information: Prepare medical information in accordance with facility policy and procedures in addition to state and federal laws. These requests are from or for patients, family members, insurance companies, attorneys, court orders/subpoenas, physicians and/or their office staff, other health care facilities and other third parties. Responsible for notifying appropriate UnityPoint Health areas of any court order/subpoena related to the organization or its employees. Log and fulfill requests or submits request to approved release of information vendor for fulfillment. Completes invoice for appropriate requestors and follows up on requests for payment when fulfilled by the facility staff. Responsible for receipt and validation of a properly executed HIPAA compliant authorization and/or request. Collaborate with appropriate functional departments and staff to investigate and resolve issues related to documents, MPI, and other HIPAA requests such as accounting for disclosures. Prioritize and respond to release of information requests within required timeframes. Perform self-quality checks to assure record completeness, accuracy of the release, confidentiality and proper invoicing. Meets measures as determined and required for job productivity, quality and performance improvement. Maintains confidentiality of all patient and facility information processed. Customer Service: Promptly and courteously answers phone calls or assists with phone coverage for release requests and questions. Respond to and fulfill patient walk-in record requests. Access and retrieve and/or coordinate retrieval of patient information from various computer systems and media. Qualifications Must have Release of Inforamtion experience High school diploma requried, Associates degree in HEalth Science preferred Previous experience in a hospital/clinic setting or experience with electronic health records or other related office experience or customer service experience. RHIT, RHIA, or CRIS cerficiation preferred #System123
    $25k-31k yearly est. Auto-Apply 8d ago
  • Behavioral Health Coder

    Bestcare Treatment Services Inc. 3.5company rating

    Redmond, OR jobs

    Job DescriptionDescription: JOB SUMMARY: The Behavioral Health Coder serves as an important member of the Billing Team. Primarily responsible for the coding and abstracting of client services. Standardized coding and classification systems, minimum data sets, data definitions and terminology will be utilized to ensure data is uniformly defined, collected, and verified. Ensure all coding and billing guidelines are adhered to for compliance with BestCare policies and practices, and ICD-10-CM and Medicare guidelines. ESSENTIAL FUNCTIONS: Serves as a coding subject-matter expert for the Billing staff to identify and help resolve issues to support quick and accurate billing, Is available as a resource for all BestCare sites on coding requirements and best practices; Maintains coding credentials as required by credentialing agency; Takes initiative to establish priorities, coordinates work activities and performs multiple and complex tasks while working independently and with minimal supervision in a remote setting; Completes special projects as assigned; Other related duties as assigned. ORGANIZATIONAL RESPONSIBILITIES: Performs work in alignment with BestCare's mission, vision, values; Supports the organization's commitment to fostering a culture of inclusivity, open-mindedness, equity, cultural awareness, compassion, and respect for all individuals; Strives to meet annual Program/Department goals and supports the organization's strategic goals; Adheres to the organization's Code of Conduct, Business Ethics, Employee Handbook, and all other policies, procedures, and relevant compliance standards; Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes; Attends and participates in required program/staff meetings (remotely with some in-person), and completes assigned training timely and satisfactorily; Ensures that any required certifications and/or licenses are kept current and renewed timely; Works independently as well as participates as a positive, collaborative team member; Performs other organizational duties as needed. REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period: Proficient in ICD-10 CM codes on patient medical records for medical coding purposes; Proficient with CMS billing rules and associated coding and billing requirements; Understanding of and proficiency in using Epic Software Systems; High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software; Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.), Strong interpersonal and customer service skills; Strong communication skills (oral and written); Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through; Excellent time management skills with a proven ability to meet deadlines; Critical thinking skills Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes; Ability to build and maintain positive relationships; Ability to function well and use good judgment in a high-paced and at times stressful environment; Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively; Ability to work effectively and respectfully in a diverse, multi-cultural environment; Ability to work independently as well as participate as a positive, collaborative team member. Requirements: QUALIFICATIONS: EDUCATION AND/OR EXPERIENCE: Associate's degree in related field or combined equivalent in related education and experience Minimum 6 years of experience with Epic software systems Minimum 6 years of experience with revenue cycle billing Minimum 8 years of coding experience preferably Behavioral Health LICENSES AND CERTIFICATIONS: CPC, CRC, CCS Coding certification through AHIMA or AAPC required, or a more advanced certification (RHIT: Registered Health Information Technician, RHIA: Registered Health Information Associate) is required upon start Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization's auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations) Must be currently certified through AAPC or AHIMA PREFERRED: Bilingual in English/Spanish a plus COC Coding certification
    $47k-54k yearly est. 22d ago
  • HOME HEALTH CODER/OASIS (PT DAYS)

    Riverside Healthcare 4.1company rating

    Peotone, IL jobs

    The Home Health Coder/OASIS is responsible for ensuring accurate and timely coding of home health services, including OASIS (Outcome and Assessment Information Set) data, in compliance with regulatory requirements and Riverside Healthcares standards. This role plays a critical part in the home health billing and reimbursement process, directly contributing to optimal patient care and financial outcomes. The ideal candidate will have a strong background in home health coding, be detail-oriented, and possess a deep understanding of OASIS documentation submission. HYBRID | IN-PERSON AVAILABILITY NEEDED FOR STAFF MEETINGS FTE/Hours Per Week 0.6 FTE = 24 hours per week | 48 hours per pay period Flexibility to work additional hours if necessary preferred Location When Remote: Work-From-Home When In-Office: Peotone, Illinois Essential Duties Review, analyze, and code home health care documentation according to current coding guidelines and regulations. Ensure accurate and timely submission of OASIS assessments, collaborating with clinical staff to ensure completeness and accuracy. Monitor and audit coding practices to maintain compliance with Medicare, Medicaid, and other third-party payer requirements. Educate and provide feedback to clinical staff on coding documentation requirements to ensure accurate coding and billing. Participate in quality improvement initiatives to optimize coding accuracy and efficiency. Communicate with the billing department to resolve coding-related issues and ensure the correct reimbursement of home health services. Maintain up-to-date knowledge of coding regulations, OASIS submission guidelines, and home health industry standards. Assist in preparing for audits by providing necessary documentation and coding reports. Patient Feedback Outreach: Conduct follow-up calls to patients to gather feedback on their recent experience with our services, ensuring we consistently meet and exceed patient expectations. Document and relay feedback to appropriate team members to support continuous improvement and employee performance evaluations. Demonstrates flexibility with assignments within professional scope/duties/licensure. Non-essential Duties Assist with other administrative tasks as needed, including data entry and clerical support for the home health department. Participate in staff meetings and ongoing education to stay current with industry practices. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so your journey at and away from work is remarkable. Our Total Rewards package includes: Compensation Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift differential, on-call Opportunity for annual increases based on performance Benefits - .5 to 1.0 FTE Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program Benefits - .001 to .49 FTE: Paid Leave Hours accrued as you work Responsibilities Preferred Experience OASIS Certification (COS-C or HCS-O) is preferred. Minimum of 2 years of experience in home health coding, is preferred. Strong understanding of Medicare, Medicaid, and third-party payer regulations. Proficient in the use of electronic health record (EHR) systems and coding software. Excellent attention to detail, organizational skills, and the ability to work independently. Strong communication skills to effectively collaborate with clinical staff and other departments. Required Licensure/Education High school diploma or equivalent required Certification in Home Health Coding (HCS-D) or equivalent is required. Preferred Education Associates or Bachelors degree in Health Information Management, Nursing, or a related field preferred. Employee Health Requirements Exposure/Sensory Requirements: Exposure to: Chemicals: None Video Display Terminals: Average Blood and Body Fluids: None TB or Airborne Pathogens: None Sensory requirements (speech, vision, smell, hearing, touch): Speech: Command of English language, good speaking skills for verbal communication with public and employees. Vision: Required to see computer screens, papers, fax printer, written materials. Smell: Hearing: Must be able to hear for verbal and telephone communication. Touch: Computer, telephone, handwriting Activity/Lifting Requirements Percentage of time during the normal workday the employee is required to: Sit: 75% Twist: 0% Stand: 10% Crawl: 0% Walk: 5% Kneel: 2% Lift: 1% Drive: 0% Squat: 2% Climb: 0% Bend: 3% Reach above shoulders: 2% The weight required to be lifted each normal workday according to the continuum described below: Up to 10 lbs: Continuously Up to 20 lbs: Occasionally Up to 35 lbs: Occasionally Up to 50 lbs: Not Required Up to 75 lbs: Not Required Up to 100 lbs: Not Required Over 100 lbs: Not Required Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.): Maximum consecutive time (minutes) during the normal workday for each activity: Sit: 360 Twist: 0 Stand: 30 Crawl: 5 Walk: 10 Kneel: 2 Lift: 5 Drive: 0 Squat: 5 Climb: 0 Bend: 5 Reach above shoulders: 5 Repetitive use of hands (Frequency indicated): Simple grasp up to 10 lbs. Normal weight: 5# continuously Pushing & pulling Normal weight: continuously Fine Manipulation: Telephone, sorting papers, computer entry, writing, using fax, printers, typing. Repetitive use of foot or feet in operating machine control: Environmental Factors & Special Hazards Environmental Factors (Time Spent): Inside hours: 8 Outside hours : 0 Temperature: Normal Range Lighting: Average Noise levels: Average Humidity: Normal Range Atmosphere: Special Hazards: Protective Clothing Required: Pay Range USD $24.12 - USD $29.50 //Hr
    $24.1-29.5 hourly Auto-Apply 18d ago
  • Medical Records Specialist

    Heritage Behavioral Health Center 4.0company rating

    Decatur, IL jobs

    Medical Records Specialist - Decatur, Illinois Salary: $18 - $23/hour (range is based on education and experience in this role) Schedule: Full-Time | Every other Friday off (paid wellness day) Looking for a career where your work truly matters? Heritage Behavioral Health Center is hiring passionate professionals! About Heritage Behavioral Health Center We are a mission-driven Certified Community Behavioral Health Clinic located in Decatur, Illinois, dedicated to improving mental health and substance use care for individuals across a multi-county area. At Heritage, we recognize that every role impacts client care-no matter the position. Why You'll Love Working Here: Collaborative, mission-driven work environment Every other Friday off - paid wellness days Competitive salaries aligned with state and national benchmarks At Heritage, we believe in taking care of our staff so they can focus on caring for the individuals we serve. Our team members are our greatest asset-and we treat them as such! Your Role: Medical Records Specialist As a Medical Records Specialist, you will play a vital role in maintaining accurate and confidential client records to support quality care. Core Responsibilities: Digitize all patients' existing paper records and information Distribute and relocate medical charts within the agency Maintain accurate records by following agency procedures Ensure patient charts, paperwork, and reports are completed accurately and on time Keep all medical records confidential and protected Complete clerical duties including answering phones, responding to emails, and processing patient admission and discharge records Knowledge, Skills, and Abilities: Proven work experience as a Medical Records Clerk or similar role Proficient in information management programs and MS Office Strong attention to detail with excellent organizational skills Relevant training and/or certifications as a Medical Records Clerk Good written and verbal communication skills Qualifications: High school diploma or equivalent (minimum requirement) Computer proficiency in Microsoft Office (Word, Excel, Outlook) Data entry experience Proven excellence in customer service Ability to manage multiple tasks simultaneously Experience working with a wide variety of customers including individuals with mental illness or substance use disorders Reliable transportastion What We Offer: Generous Time Off: Vacation, sick, personal, and holiday leave Wellness Benefits: Paid wellness day every other Friday, Employee Assistance Program (EAP), and fitness reimbursement Insurance: Health, dental, vision, flexible spending accounts, and additional life insurance. Health insurance includes substantial agency contributions toward the cost. Retirement: 401(k) and Roth options Professional Growth: Tuition assistance and continuing education opportunities Loan Forgiveness: Eligible through the National Health Service Corps Ready to make a difference? Apply today and join a team that cares about your well-being as much as the individuals we serve!
    $18-23 hourly Auto-Apply 27d ago
  • Medical Records Specialist

    Heritage Behavioral Health Center 4.0company rating

    Decatur, IL jobs

    Job Description Medical Records Specialist - Decatur, Illinois Salary: $18 - $23/hour (range is based on education and experience in this role) Schedule: Full-Time | Every other Friday off (paid wellness day) Looking for a career where your work truly matters? Heritage Behavioral Health Center is hiring passionate professionals! About Heritage Behavioral Health Center We are a mission-driven Certified Community Behavioral Health Clinic located in Decatur, Illinois, dedicated to improving mental health and substance use care for individuals across a multi-county area. At Heritage, we recognize that every role impacts client care-no matter the position. Why You'll Love Working Here: Collaborative, mission-driven work environment Every other Friday off - paid wellness days Competitive salaries aligned with state and national benchmarks At Heritage, we believe in taking care of our staff so they can focus on caring for the individuals we serve. Our team members are our greatest asset-and we treat them as such! Your Role: Medical Records Specialist As a Medical Records Specialist, you will play a vital role in maintaining accurate and confidential client records to support quality care. Core Responsibilities: Digitize all patients' existing paper records and information Distribute and relocate medical charts within the agency Maintain accurate records by following agency procedures Ensure patient charts, paperwork, and reports are completed accurately and on time Keep all medical records confidential and protected Complete clerical duties including answering phones, responding to emails, and processing patient admission and discharge records Knowledge, Skills, and Abilities: Proven work experience as a Medical Records Clerk or similar role Proficient in information management programs and MS Office Strong attention to detail with excellent organizational skills Relevant training and/or certifications as a Medical Records Clerk Good written and verbal communication skills Qualifications: High school diploma or equivalent (minimum requirement) Computer proficiency in Microsoft Office (Word, Excel, Outlook) Data entry experience Proven excellence in customer service Ability to manage multiple tasks simultaneously Experience working with a wide variety of customers including individuals with mental illness or substance use disorders Reliable transportastion What We Offer: Generous Time Off: Vacation, sick, personal, and holiday leave Wellness Benefits: Paid wellness day every other Friday, Employee Assistance Program (EAP), and fitness reimbursement Insurance: Health, dental, vision, flexible spending accounts, and additional life insurance. Health insurance includes substantial agency contributions toward the cost. Retirement: 401(k) and Roth options Professional Growth: Tuition assistance and continuing education opportunities Loan Forgiveness: Eligible through the National Health Service Corps Ready to make a difference? Apply today and join a team that cares about your well-being as much as the individuals we serve!
    $18-23 hourly 29d ago

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