Post job

Medical Coder jobs at Community Health Systems - 25 jobs

  • Remote Physician Pro Fee Coding Specialist-Cardiology

    Community Health Systems 4.5company rating

    Medical coder job at Community Health Systems

    The Remote Physician Pro Fee Coding Specialist-Cardiology is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. + Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). + Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. + Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. + Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. + Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. + Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. + Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred + 2-4 years of experience in physician coding, professional fee coding, or medical billing required + Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred **Knowledge, Skills and Abilities** + Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. + Understanding of modifier usage, place-of-service coding, and payer billing guidelines. + Experience with electronic health records (EHR), coding software, and claim processing systems. + Ability to identify documentation deficiencies and escalate for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. + Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. **Licenses and Certifications** + Certified Coder-AHIMA or AAPC (CPC) required or + CCS-Certified Coding Specialist (CCS-P) required + Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $37k-56k yearly est. 60d+ ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Remote Physician Pro Fee Coding Specialist-Cardiology

    Community Health Systems 4.5company rating

    Medical coder job at Community Health Systems

    The Remote Physician Pro Fee Coding Specialist-Cardiology is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. Essential Functions Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred 2-4 years of experience in physician coding, professional fee coding, or medical billing required Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred Knowledge, Skills and Abilities Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. Understanding of modifier usage, place-of-service coding, and payer billing guidelines. Experience with electronic health records (EHR), coding software, and claim processing systems. Ability to identify documentation deficiencies and escalate for provider education. Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. Licenses and Certifications Certified Coder-AHIMA or AAPC (CPC) required or CCS-Certified Coding Specialist (CCS-P) required Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred
    $41k-63k yearly est. Auto-Apply 60d+ ago
  • Hospital Inpatient Coder

    HCA Healthcare 4.5company rating

    El Paso, TX jobs

    **Introduction** Do you want to join an organization that invests in you as an Inpatient Coder? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. **Benefits** Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (********************************************************************** **_Note: Eligibility for benefits may vary by location._** You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coder like you to be a part of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit, and/or validate the appropriate ICD-10-CM and ICD-10- PCS codes. You will perform coding and/or code/DRG validation across multiple entities. **What you will do in this role:** + Assigns, sequences, validates, and/or edits codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10CM and ICD-10-PCS to include: + Diagnosis description with appropriate 3-7 digit code assignment with corresponding Present On Admission (POA) + Procedure description with appropriate 7 digit ICD-10-PCS code, date and surgeon + Admitting Diagnosis + Discharge disposition + Where applicable, completes the coding portion of the IRF-PAI + Maintains or exceeds established accuracy standards + Maintains or exceeds established productivity standards + Utilizes the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGs + Initiates, reviews, and/or edits physician queries in compliance with Company and HSC policy where appropriate + As needed, may periodically be asked to perform Coding Account Resolution Specialist III (CARS III) duties **Qualifi** **ed** **Candidates Will Possess:** + Undergraduate degree in HIM/HIT **preferred** + 2+ years of acute care hospital inpatient coding **required** + RHIA, RHIT or CCS **strongly** **preferred** + High School graduate or GED equivalent **required** Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities. CLICK HERE for more information on Parallon HCA Coding (********************************************************************* **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Inpatient Coder opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $58k-71k yearly est. 12d ago
  • Inpatient Coder - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA). * Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. * Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility. * Coder Productivity: Meets and/or exceeds Conifer's inpatient coding productivity guidelines * Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. * Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls. * DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures * Proficient at writing AHIMA compliant physician queries * Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager * Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines. * Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency * Works collaboratively with CDI, Quality and other facility leadership * Functional knowledge of facility EMR, encoder, CDI tool and other support software Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * One to three years experience performing inpatient coding in acute care setting required * High school graduate or equivalent is required * Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements. CERTIFICATES, LICENSES, REGISTRATIONS * Required: AHIMA RHIT or RHIA or AAPC CCS approved credential PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to lift 15-20lbs * Ability to sit and work at a computer for a prolonged period of time. Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments if appropriate WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Hospital Work Environment * Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER * Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $27.30-$40.95 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $27.3-41 hourly 60d+ ago
  • Edit Senior Coder - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    This position will be functioning under minimal supervision while utilizing independent decision making. This position will assist the manager and supervisor in training new team members, coordinate inquiries from ancillary departments regarding DNFB and edit tasks. The Sr. Edit Coder will investigate and solve edit issues and communicate root cause data to management in order mitigate potential upstream and downstream impacts. Responsible for modifying and completing moderate to high complexity reviewing and resolving coding and charge edits using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Working in billing editor systems as required. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Performs claim edit reviews on outpatient encounters to validate appropriateness of the CPT codes, HCPCS Level II codes, and modifier assignments, APC group appropriateness, review for missed secondary diagnoses and/or procedures, and ensure compliance with all APC mandates and outpatient reporting requirements. Monitors medical visit code selection by departments against facility specific criteria for appropriateness. Assists in the development of such criteria as needed. Addresses CCI and LCD edits within the various billing editors while abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association. Meets and/or exceeds Conifer's Edit Coder productivity standards. * Runs and submits coding operational reports to leadership as requested, reviews data and identifies opportunities or trends. Demonstrates working knowledge of DNFB and uses data to drive performance excellence. Ability to analyze, display, and communicate data in meaningful manner. Ability to maneuver thru various electronic systems effectively. * Ability to deal with customer/partner issues and resolve conflict. Ability to multi-task and meet deadlines. Will act as a resource for Edit Coders. * Reviews claim denials and utilizes the medical record in determining accurate code assignment of all documented diagnoses and procedures adhering to the standards of ethical coding. * Monitors DNFB report for outstanding and/or uncoded encounters to ensure timeliness of coding completion. Brings identified issues to department managers for resolution. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Three years minimum hospital outpatient coding/edit experience * Advanced personal computing skills including MS Outlook, MS Word, MS Excel * Advanced technical skills required to learn and navigate a variety of software systems, trouble-shoot computer problems, and work efficiently in a virtual environment * Strong written and verbal communication skills * Ability to think/work independently, yet interact positively with team * Advanced problem-solving skills and ability to quickly analyze a situation. * Comprehensive knowledge of ICD-10 and CPT coding systems. * Strong knowledge base of changes in LCDs and NCDs. * Strong knowledge base of current NCCI and OCE guidelines * Attention to detail is critical to this position * Other functions as deemed necessary to complete and final bill claims accurately Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Previous auditing experience or strong training background in coding and reimbursement * Outstanding interpersonal communication skills as well as excellent oral and written communication skills * Comprehensive knowledge of the APC structure and regulatory requirements. * Knowledge of medical terminology, anatomy and physiology, disease process, and surgical procedures CERTIFICATES, LICENSES, REGISTRATIONS Required: AHIMA RHIT or RHIA or AAPC CCS, CPC approved credential PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to lift 15-20lbs * Ability to sit and work at a computer for a prolonged period of time * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Hospital Work Environment * Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $24.82 - $37.23 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $24.8-37.2 hourly 34d ago
  • Physician Services Coding Specialist II - Remote Radiology

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. ESSENTIAL DUTIES AND RESPONSIBILITIES * Assign ICD-10, CPT, HCPCS and modifiers codes from documentation * Review and appropriately resolve pre-bill edits * Review and appropriately resolve coding denials * Meet or exceed productivity standards * Meet or exceed accuracy rate of 95.5% in monthly internal audits * Effectively present coding issues to internal team members, internal clients, or external clients * Deliver information in a one-on-one or small group format to peers * Meet deadlines and complete assignments before monthly closing dates * Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines * Other duties as assigned Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE * Vocational or technical education beyond high school * Minimum of 3-5 years coding experience * CPC or CCS-P or equivalent certification Multi-specialty Evaluation and Management coding * Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations * Must possess knowledge of third-party reimbursement regulations and billing practices * Ability to examine documents for accuracy and completeness * Detail oriented with the ability to identify and resolve problems * Must possess knowledge of CCI, LCD, NCD and other applicable coding rules and regulations * Detail oriented with the ability to identify and resolve problems * Ability to communicate clearly and work effectively with co-workers * Ability to work as a team member in all activities * Conduct self in an ethical, honest, and professional manner * Demonstrate continued willingness to learn and grow * Proficient in Microsoft Word, Excel POSITION COMPETENCIES: * Builds Team Relationships - Invites others to share opinions. Partners with employees in other departments. Actively seeks ways to help team members. * Communicates Effectively - Expresses ideas clearly and succinctly with small or large audiences. Listens attentively to speaker's message without interruption. Tailors writing to audience using correct grammar and spelling. * Compliance with Laws, Policies and Procedures - Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines. * Develops Self - Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development. * Displays Adaptability - Performs well in high pressure or stressful situations. Works effectively when direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles. * Drives for Results - Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Response appropriately to urgent situations. * Focus on the Customer/Client - Ensures that clients have a positive experience. Responds to clients in a timely manner. Demonstrates tact and empathy when responding to clients. * Respects Others - Displays sensitivity to the needs and concerns of others. Interacts with others in an open, non-threatening manner. * Shows Reliability - Takes personal responsibility for actions and decisions. Consistently works assigned schedule. Acts responsibly and can be counted on to accomplish goals successfully. Compensation and Benefit Information Compensation Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $20.5-30.8 hourly 29d ago
  • Outpatient Coder II - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). * Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. * Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility. * Goal: Average coding quality standard of =>95% accuracy per monitoring period. * Does not meet = * Meets => 95% accuracy * Exceeds =>95.01% accuracy * Coding Labor Productivity: Meets and/or exceeds Conifer's coding productivity guidelines. * Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls * Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Proficient in outpatient diagnosis coding guidelines * Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines * Ability to establish and maintain effective working relationships as required by the duties of the position * Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager * Ability to establish and maintain effective working relationships as required by the duties of the position * Ability to concentrate and accomplish tasks with explicit accuracy * Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency * Functional knowledge of facility EMR, encoder and other support software Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * One year of experience performing medical record coding in acute care setting preferred * High school graduate or equivalent is required * Completion of basic coding course (academic, seminar, workshop or facility-based), including medical terminology and basic anatomy and physiology, or an equivalent combination of education and experience also required CERTIFICATES, LICENSES, REGISTRATIONS * Required: AHIMA or AAPC approved credential PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position, use computer and answer telephone * Ability to travel * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment * Hospital Work Environment OTHER * Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $20.5-30.8 hourly 60d+ ago
  • Remote Inpatient Coding Specialist ($5k Sign On Bonus)

    Lifepoint Hospitals 4.1company rating

    Brentwood, TN jobs

    Inpatient Coding Specialist Join Our Team and Earn a $5,000 Sign-On Bonus! Schedule: Flexible Shifts! You provide your manager with the days and start/end time you are available to complete your 40hrs per week. All United States time zones are welcome. Job Location Type: Remote Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier . How you'll contribute As an Inpatient Coding Specialist, you will be responsible for Assigning diagnosis and procedure codes using the appropriate coding classification system on all episodes of care inpatient encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure the accuracy of the information and resolve identified issues. Ensure the accurate selection of the principal diagnosis, principal procedure, and all applicable diagnoses and procedures. Ensure compliance with official guidelines (ICD-10-CM, ICD-10-PCS, and/or AHA Coding Clinic), AHIMA Standards of Ethical Coding, and LifePoint Health Support Center (HSC) policies and procedures. A Inpatient Coding Specialist who excels in this role: * Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM/PCS codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing. * Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards. * Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area. * Follow coding workflows for service type to include addressing compliance reviews. * Submit physician queries when clarification of documentation is needed. * Facilitate a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive. * May assist in training and reviewing the work of other coders for accuracy and efficiency. * Make recommendations to the supervisor, and implement and monitor results as appropriate in support of the overall goals of the department. * Seek advice and guidance as needed to ensure proper understanding. * Assist others with responsibilities and adjusts work schedule to meet department needs. * Use independent discretion/decision-making while effectively working remotely. * Attend required educational webinars, conference calls, and other coding seminars, and participate in all formal and informal coding discussions. * Maintain coding education hours and renew annual coding credentials as applicable. * Complete all assigned compliance courses within the designated period. * Conform to AHIMA's Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy, and ensure patient/employee privacy and dignity by maintaining confidentiality with no infractions. * Other related job tasks or responsibilities as assigned. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage- tailored benefit options for part-time and PRN employees, and more. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). * Professional Development: Ongoing learning and career advancement opportunities. What we're looking for * Education: Associate degree in health-related field preferred. * Experience: One year of inpatient coding experience in an acute care hospital is preferred. * Certifications: Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) preferred. EEOC Statement "Lifepoint Health an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Employment Sponsorship Statement "You must be work authorized in the United States without the need for employer sponsorship"
    $49k-61k yearly est. 49d ago
  • Inpatient Corporate Coder - Remote based in the US

    Tenet Healthcare Corporation 4.5company rating

    Dallas, TX jobs

    Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. The Corporate Coder ("CC") functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated. * Accurately and productively code/abstract patient health documentation for Tenet facilities. * Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. * Assisting in coding quality reviews/audits and second level reviews as needed. * Attends Tenet coding educations and maintains coding credentials. Required: * High school graduate or equivalent is required * 1-3 years inpatient coding experience. * Skilled and working knowledge of MS Office suite. * Strong technical background and electronic medical record experience. * Successful completion of at least one AHIMA (American Health Information Management Association) certified program with achievement of the correlating professional credential preferred (RHIA, RHIT, and / or CCS, etc.). Preferred: * Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements. * 3+ years of inpatient coding experience. * Coding experience in a large, complex health system. A pre-employment coding proficiency assessment will be administered. Compensation * Pay: $26.40 to $39.00 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: * Medical, dental, vision, disability, life, AD&D and business travel insurance * Paid time off (vacation & sick leave) * Discretionary 401k match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. * For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM7 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $26.4-39 hourly 7d ago
  • PRN Inpatient Corporate Coder - Remote based in the US

    Tenet Healthcare Corporation 4.5company rating

    Dallas, TX jobs

    Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. Tenet Healthcare has immediate needs for remote, home-based Inpatient Corporate Coders to support the hospital business. Corporate Coders can be based anywhere in the country with home internet access. The Corporate Coder ("CC") functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated. * Accurately and productively code/abstract patient health documentation for Tenet facilities. * Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. * Assisting in coding quality reviews/audits and second level reviews as needed. * Attends Tenet coding educations and maintains coding credentials. Required: * Associates or higher-level degree in a Health Information Management discipline. * 1-3 years inpatient coding experience. * Skilled and working knowledge of MS Office suite. * Strong technical background and electronic medical record experience. * Successful completion of at least one AHIMA (American Health Information Management Association) certified program with achievement of the correlating professional credential preferred (RHIA, RHIT, and / or CCS, etc.). Preferred: * Bachelor's or higher-level degree in a Health Information Management discipline. * 3+ years of inpatient coding experience. * Coding experience in a large, complex health system. A pre-employment coding proficiency assessment will be administered. Compensation * Pay: $26.40 to $39.00 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: * Medical, dental, vision, disability, AD&D, and life insurance * Paid time off (vacation & sick leave) * Discretionary 401k match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. * For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM7 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $26.4-39 hourly 43d ago
  • Inpatient Corporate Coder - Remote based in the US

    Tenet Healthcare 4.5company rating

    Remote

    The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated. Accurately and productively code/abstract patient health documentation for Tenet facilities. Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. Assisting in coding quality reviews/audits and second level reviews as needed. Attends Tenet coding educations and maintains coding credentials. Required: Associates or higher-level degree in a Health Information Management discipline. Successful completion of at least one AHIMA (American Health Information Management Association) certified program with achievement of the correlating professional credential preferred (RHIA, RHIT, and / or CCS, etc.). 1-3 years of inpatient coding experience. Skilled and working knowledge of MS Office suite. Strong technical background and electronic medical record experience. Preferred: Bachelor's or higher-level degree in a Health Information Management discipline. 3-4 years of inpatient coding experience. Coding experience in a large, complex health system. A pre-employment coding proficiency assessment will be administered. Compensation Pay: $26.40 to $39.00 per hour. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D and business travel insurance Paid time off (vacation & sick leave) Discretionary 401k match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM7
    $26.4-39 hourly Auto-Apply 1d ago
  • Sr Certified Medical Coder RN

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide regular reports on project status and progress; report project results to identify coding improvement opportunities. Collaborate with other business units to identify and implement process efficiency and quality improvement practices. Work with IT resources to implement system efficiencies and configuration enhancements to improve claims processing operations. Apply Coding Guidelines as described in the ICD-10 Coding Manual. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: RN Degree. One year experience preferred in hospital inpatient coding. Nursing experience in managed care organization or acute care hospital. One year of experience in a clinical setting or acute care hospital; RN, PA, MD, APRN, DO or MBBS license required. Coding Credential Required: Valid/Current CPC Certification, through APPC preferred or CIC through AAPC or CCS through AHIMA; RHIA/RHIT Credentials-Preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $68.7k-123.7k yearly Auto-Apply 60d+ ago
  • Remote Coder III-IP Coder

    Community Health Systems 4.5company rating

    Medical coder job at Community Health Systems

    We know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides opportunity for career advancement. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 14 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Job Summary As a member of the 100% US Based HIM Central Services coding team, the Coder IP provides inpatient coding assistance for a set of HIM Central Services-supported CHS hospitals. The coder IP reviews patient records and assigns accurate codes for each diagnosis and procedure, applying knowledge of medical terminology, disease processes, and pharmacology while demonstrating strong data quality and integrity skills. Independent decision-making is required for accurate ICD-10-CM and PCS code assignments, which play a key role in determining CHS's reimbursement potential while ensuring adherence to compliant coding standards and corporate policies for accurate billing. Essential Functions Performs remote coding for CHS hospitals for all inpatient types via review of electronic medical records. Primarily codes inpatient records and may have experience in outpatient coding. Submits queries to providers for documentation clarification to include diagnosis clarification based on clinical indicators and coding specificity requirements. Consults the Manager, Corporate Coding or other available resources and works out difficult codes and/or coding problems. Attends coding education as scheduled. Maintains productivity levels set forth by Community Health Systems while maintaining a 95% coding accuracy rate. Collaborates with facility CDI to ensure complete and accurate final coding based on available documentation. Performs other duties as assigned. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Associate Degree in Health Information Management or related field preferred or 1 year coding certification in Health Information Management or related field preferred 1-3 years acute care hospital inpatient coding experience including coding complex cardiac and neuroscience procedures required 1-3 years Experience with virtual desktop image, electronic medical record systems, encoding systems as well as word processing and spreadsheet software required Knowledge, Skills and Abilities Knowledge of related prospective payment systems, anatomy, physiology, and medical terminology. Broad knowledge of pharmacology indications for drug usage and related adverse reactions. Ability to maintain confidentiality of patient information in accordance with HIPAA guidelines. Ability to work effectively with co-workers, management and physicians. Ability to read and understand oral and written instructions and follow written protocols. Licenses and Certifications Certified Coder-AHIMA or AAPC Certified Inpatient Coder (CIC) required or Certified Coder-AHIMA or AAPC Certified Coding Specialist (CCS) required or RHIT - Registered Health Information Technician AHIMA RHIT required or RHIA - Registered Health Information Administrator AHIMA RHIA required or
    $41k-63k yearly est. Auto-Apply 60d+ ago
  • Certified Cancer Registrar

    HCA Healthcare 4.5company rating

    Largo, FL jobs

    **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Certified Cancer RegistrarParallon. **Fully flexible schedule after training!** **Sign-on bonus eligible*!** **Benefits** Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (********************************************************************** **_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Certified Cancer Registrar for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! **Job Summary and Qualifications** As a Certified Cancer Registrar, work from home, you will be responsible for case finding and abstraction of cancer data for HCA hospitals. **In this role you will:** + Completes case-finding for assigned facilities, including review of pathology reports, the disease index, suspense list in Meditech and merging appropriate cases into Metriq + Responsible for reviewing medical records to abstract information according to the standards of the American College of Surgeons (ACOS) and the appropriate State Central Cancer Registry + Performs timely abstraction of assigned cases to ensure compliance with ACOS standards, i.e. within six months of patient contact + Completes edit checks and makes appropriate changes on a timely basis + Follow ACOS and state data standards and coding instructions to abstract all reportable cases + Attend state and national educational activities as approved by Director + Submit data to the National Cancer Data Base (NCDB) in accordance with the annual Call for Data + Submit data monthly to the appropriate State Central Cancer Registry + Resolve errors resulting in the rejection of records from the NCDB and the state data systems **What you will need** : + Oncology Data Specialist (ODS) certification **required** + 1-3 years of Cancer Data Abstraction experience **required** + 3-5 years of Cancer Data Abstraction or Medical Records experience preferred **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage you to apply for our Certified Cancer Registrar opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing - apply today!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. *Eligibility requirements may apply.
    $61k-90k yearly est. 15d ago
  • Certified Cancer Registrar

    HCA 4.5company rating

    Largo, FL jobs

    Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Certified Cancer Registrar Parallon. Fully flexible schedule after training! Sign-on bonus eligible*! Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. We are seeking a(an) Certified Cancer Registrar for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! Job Summary and Qualifications As a Certified Cancer Registrar, work from home, you will be responsible for case finding and abstraction of cancer data for HCA hospitals. In this role you will: * Completes case-finding for assigned facilities, including review of pathology reports, the disease index, suspense list in Meditech and merging appropriate cases into Metriq * Responsible for reviewing medical records to abstract information according to the standards of the American College of Surgeons (ACOS) and the appropriate State Central Cancer Registry * Performs timely abstraction of assigned cases to ensure compliance with ACOS standards, i.e. within six months of patient contact * Completes edit checks and makes appropriate changes on a timely basis * Follow ACOS and state data standards and coding instructions to abstract all reportable cases * Attend state and national educational activities as approved by Director * Submit data to the National Cancer Data Base (NCDB) in accordance with the annual Call for Data * Submit data monthly to the appropriate State Central Cancer Registry * Resolve errors resulting in the rejection of records from the NCDB and the state data systems What you will need: * Oncology Data Specialist (ODS) certification required * 1-3 years of Cancer Data Abstraction experience required * 3-5 years of Cancer Data Abstraction or Medical Records experience preferred Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage you to apply for our Certified Cancer Registrar opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. * Eligibility requirements may apply.
    $61k-90k yearly est. 16d ago
  • Certified Cancer Registrar Part Time

    HCA 4.5company rating

    Largo, FL jobs

    Introduction Do you have the career opportunities as a Certified Cancer Registrar Part Time you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nations leading provider of healthcare services, HCA Healthcare. This position is part time with flexibility after training. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Certified Cancer Registrar Part Time where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications As a Certified Cancer Registrar, work from home, you will be responsible for case finding and abstraction of cancer data for HCA hospitals. In this role you will: * Completes case-finding for assigned facilities, including review of pathology reports, the disease index, suspense list in Meditech and merging appropriate cases into Metriq * Responsible for reviewing medical records to abstract information according to the standards of the American College of Surgeons (ACOS) and the appropriate State Central Cancer Registry * Performs timely abstraction of assigned cases to ensure compliance with ACOS standards, i.e. within six months of patient contact * Completes edit checks and makes appropriate changes on a timely basis * Follow ACOS and state data standards and coding instructions to abstract all reportable cases * Attend state and national educational activities as approved by Director * Submit data to the National Cancer Data Base (NCDB) in accordance with the annual Call for Data * Submit data monthly to the appropriate State Central Cancer Registry * Resolve errors resulting in the rejection of records from the NCDB and the state data systems What you will need: * Oncology Data Specialist (ODS) certification required * 1-3 years of Cancer Data Abstraction experience required * 3-5 years of Cancer Data Abstraction or Medical Records experience preferred Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Certified Cancer Registrar Part Time opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $61k-90k yearly est. 37d ago
  • HIM Director

    Tenet Healthcare Corporation 4.5company rating

    Jasper, AL jobs

    The Director of HIM is responsible for developing, administering, and managing systems related to health information management services and revenue cycle management functions at a facility/facilities level that support and comply with the Corporate directives. This position serves as a Subject Matter Expert (SME) in health records maintenance, health records processing, electronic health record systems, EHR management, clinical documentation guidelines, HIPAA Privacy and Security, Release of Information, chart completion/delinquency process, transcription, coding and reimbursement, regulatory compliance, and revenue cycle management. The Director of HIM evaluates operations and technology continuously and recommends changes and methods for improving processes and is accountable for ensuring that policies and procedures are consistently administered efficiently and effectively to manage health information and health information services. This position serves as an advocacy for privacy and confidentiality of health information and ensures compliance with related regulations and standards established by State, Federal, accrediting, and other regulatory agencies. Customer and Employee Satisfaction: * Develops positive customer relationships by displaying professional and helpful behaviors, as well as mutual respect for patients, physicians, team members, visitors, and family/significant others. * Communicates openly and honestly; following through with assignments; behaving in a fair and consistent manner; and supporting teamwork at all levels of the organization. Health Information Management: * Directs plans, develops, and implements systems for documentation, storage, and retrieval of health record information in accordance with accrediting/ regulatory and Conifer requirements. * Assists HIM OPS Market Director to develop, implement, and assess long-range and short-term goals; conducts studies and analyzes reports and makes recommendations concerning staffing, organization, budget, and workflow. * Monitors local/national trends and legislation in health information management and adjusts HIM processes accordingly * Directs, plans, organizes, monitors, and evaluates the work assignments of direct reports to ensure effective and efficient operations and compliance with established standards, rules, and regulations * Collects, analyzes and enters data/documentation for all required reporting in a timely manner and prior to deadline. Privacy/Confidentiality/Release of Information * Directs and evaluates compliance to privacy, information security, and confidentiality of health information standards throughout CRI and reports known exceptions * Ensures compliance with related regulations and standards established by State, Federal, accrediting, and other regulatory agencies. * Monitors completion of required compliance, privacy, information security, and other mandatory training in a timely manner prior to deadlines. Data Collections Systems: Confidentiality/Release of Information * Directs and coordinates development and implementation of systems necessary for timely and accurate collection of clinical revenue integrity data and statistical information * Monitors HIM operations performance through dashboards, productivity standards, and benchmarking against peer organizations. * Provides support in generating KPI reports, monitoring trends and taking action to address/resolve identified issues Electronic Medical Record (EMR) and Legal Medical Record Assessment Mechanisms * Directs evaluation, selection, and implementation of systems and/or system enhancement/redesign to effectively meet department and organization requirements and goals while complying with the Nationally established guidelines. * Determine EMR best practices; revise and implement policies and procedures; follow up on action plans and modify workflows as needed to achieve consistent high quality outputs from HIM Operation areas. Fiscal Management * Responsible for HIM OPS/Market financial budget and staffing plan * Manages HIM operations to budget and resolves variances * Develops annual capital budget and long term capital plan that include new technologies to obtain productivity efficiencies and cost savings Revenue Management * Effectively manages the DNFB report on a daily basis * Identifies HIM OPS responsibilities and addresses on a daily basis * Monitors, evaluates, areas outside of HIM that are negatively impacting DNFB/DNFC and addresses options for resolution to assist in management of the DNFM/DNFC. Personnel Management * Effectively recruist, develops, and retain qualified staff * Coachs and mentors staff in order to improve performance, meet productivity standards and expand responsibility * Identifies talent and actively develops skills to support the functioning of the department * Monitors, evaluates, appraises, or disciplines employees' activities according to organizational guidelines. Management of Information Standard Administrative Responsibility * Directs and coordinates maintenance and compliance of The Joint Commission, Medicare Conditions of Participation, and DNV requirements/standards related to information management and medical record documentation and content. FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Annual budget: up to 3.5 million SUPERVISORY RESPONSIBILITIES If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (titles) HIM Managers, HIM Supervisors Indirect Reports (titles) HIM Specialists To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable consideration may be given to other candidates per Senior Management discretion. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Understanding of HIM processes in an electronic health record environment with ability to research, design, and implement best practices * Advanced knowledge of The Joint Commission, Medicare Conditions of Participation, and DNV requirements related to information management and medical record documentation and content; proficiency in interpreting and implementing measures to comply with these requirements * Ability to effectively interpret and apply organizational policies, procedures, and systems * Ability to handle multiple complex assignments * Demonstrated knowledge of multi-department and cross-functional project planning, project management and change management * Ability to identify and resolve problems of varying degrees of complexity using strong analytical and logic skills * Ability to troubleshoot, isolate, and lead resolutions of issues * Advance knowledge of compiling and reporting statistical data * Ability to develop and maintain positive relationships with direct reports, corporate leadership, and hospital/medical staff leadership * Ability to monitor and maintain a budget * Excellent interpersonal and organizational skills and attention to detail * Strong written communication and presentation skills * Computer knowledge of MS Office * Ability to carry out instructions furnished in written, oral, or diagram form. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * Bachelor's degree in Health Information Management and/or closely related field and seven (7) years progressively responsible related experience to include at least three (3) years in supervisory capacity * Previous successful Manager or Director level experience in hospital and/or academic hospital/health system environment with an EMR strongly preferred REQUIRED CERTIFICATIONS/LICENSURE Include minimum certification required to perform the job. * Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or active participation in a higher level of education towards obtaining a RHIA or RHIT is required PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position, use computer and answer telephone * Ability to travel * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments * Duties may require bending, twisting and lifting of materials up to 25 lbs. * Duties may require driving an automobile to off-site locations. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment * Hospital Work Environment * Work environment is at a moderate level * Capacity to work productively and independently in a virtual office setting or at hospital setting if required to travel for assignment. TRAVEL * Up to 50% travel may be required Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $94k-111k yearly est. 22d ago
  • HIM Director

    Community Health Systems 4.5company rating

    Medical coder job at Community Health Systems

    The Director, Health Information Management (HIM) is responsible for the overall development, management, and operational success of the HIM department. This role oversees key HIM functions, including Unbilled/Revenue Cycle, Master Patient Index (MPI), Medical Record Imaging and Chart Management, Forms, and Release of Information (ROI). The Director collaborates with the Facility Privacy Officer (FPO) to ensure compliance with HIPAA and applicable State/Federal privacy regulations. This position establishes and enforces policies, ensures compliance with accrediting agencies, and supervises staff to maintain data quality, integrity, confidentiality, retention, and security of health information. Essential Functions Monitors and reports incomplete and delinquent medical records, ensuring timely completion and communicating findings to hospital leadership and appropriate committees. Tracks, monitors, and reports Health Information Management (HIM) Key Performance Indicators (KPIs), including Operative Reports, History and Physicals, Delinquency Rate, and Scanning Turnaround Time; leads targeted action plans for improvement. Oversees timely discharge record processing to ensure prompt record availability for continuity of care, chart completion, and coding. Serves as chair or co-chair of the Facility Forms Committee, ensuring consistency, standardization, and version control of all clinical and administrative forms. Coordinates Master Patient Index (MPI) integrity activities, including duplicate resolution, patient identity management, and demographic data validation. Oversees medical record imaging and chart management functions, ensuring timely scanning, indexing, and quality assurance of electronic health records. Partners with the Facility Privacy Officer (FPO) to monitor and support Release of Information (ROI) processes, safeguarding compliance with HIPAA and state-specific privacy regulations. Coordinates with IT and EHR support teams to identify and resolve system issues impacting data integrity, record accessibility, or HIM workflows. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Leadership Responsibilities Supervision and Staff Management Provides leadership, mentorship and professional development opportunities for departmental staff. Schedules employees to ensure effective use of resources. Consults with leadership on any potential staffing issues. Conducts performance evaluations, sets goals and provides feedback to staff on their performance and development. Strategic Planning and Financial Oversight Collaborates with hospital leadership to set the strategic direction for the department, including budgeting, resource allocation and long-term planning. Monitors expenditures, ensuring cost-effective delivery of services. Evaluates and implements new technologies to enhance operational efficiency. Develops and implements departmental policies and procedures and protocols to optimize quality and overall efficiencies. Quality Assurance and Regulatory Compliance Ensures compliance with all relevant regulatory bodies. May oversee the accreditation process with relevant agencies ensuring that services meet or exceed industry standards. Participates in audits, inspections and accreditation processes as applicable. Follows established quality control practices to ensure accuracy, consistency and safety. Collaboration and Communication Works closely with leadership teams to coordinate and improve service delivery. Stays up-to-date with industry advancements, new technologies, and regulatory changes. Staff Responsibilities May work in a staff role, when required. Ensures that duties and responsibilities are fulfilled while meeting all competencies established for that job. Qualifications Bachelor's Degree in relevant field required or Seven (7) plus years of direct experience in lieu of a Bachelor's degree required Master's Degree preferred 3-5 years of experience in closely related field with Bachelor's degree required 3-5 years of previous leadership experience preferred Knowledge, Skills and Abilities Strong leadership, organizational, and communication skills. Ability to collaborate with interdisciplinary teams and manage cross-functional relationships. Foster a positive work environment that promotes teamwork, professionalism, and continuous improvement. Communicate effectively with leadership, team members, and stakeholders. Ability to work effectively with others, delegate responsibilities, and independently manage tasks while meeting established deadlines. Problem-solving and critical thinking skills. In depth knowledge of industry best practices and regulatory compliance (if applicable). Strong organizational and time management skills. Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis tools. Licenses and Certifications RHIT - Registered Health Information Technician required or RHIA - Registered Health Information Administrator required
    $101k-127k yearly est. Auto-Apply 36d ago
  • HIM Lead

    Community Health System 4.5company rating

    Medical coder job at Community Health Systems

    The Health Information Management (HIM) Lead oversees daily HIM operations and supports process improvement initiatives within the department. This position is responsible for training new team members, monitoring quality and productivity, and assisting with assigned HIM workflows such as chart reconciliation, electronic health record (EHR) task queues, unbilled account resolution, and physician documentation deficiencies. The HIM Lead ensures compliance with organizational standards, regulatory guidelines, and supports the HIM leadership team in driving operational excellence. Essential Functions * Provides training, orientation, and ongoing support for new and existing HIM staff on departmental processes and systems. * Monitors daily workflows and key performance indicators for assigned HIM functions (e.g., chart reconciliation, prepping/scanning, task queues, unbilled accounts). * Identifies process gaps or performance issues and partners with HIM leadership to develop and implement corrective action plans. * Assists with HIM department operations and performs tasks as needed to ensure workflow continuity. * Tracks and reports productivity and quality metrics to HIM leadership on a routine basis. * Serves as a subject matter expert and resource for staff questions, issue resolution, and process clarification. * Supports internal audits, compliance efforts, and adherence to privacy, security, and documentation standards. * Participates in departmental meetings, training initiatives, and continuous improvement projects. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. Qualifications * 2-4 years of experience in a Health Information Management or Medical Records department required Knowledge, Skills and Abilities * Proficiency in EHR systems, Microsoft Excel, Word, and PowerPoint. * Strong attention to detail and ability to manage multiple priorities effectively. * Excellent interpersonal and communication skills; able to interact professionally with clinical and non-clinical staff. * Familiarity with medical terminology, documentation standards, and HIM best practices. * Ability to analyze data and generate reports to track performance and compliance. * Strong problem-solving and process improvement skills. Licenses and Certifications * RHIT - Registered Health Information Technician preferred * RHIA - Registered Health Information Administrator preferred
    $39k-76k yearly est. 7d ago
  • HIM Tech I - Evenings

    Community Health Systems 4.5company rating

    Medical coder job at Community Health Systems

    The Health Information Management (HIM) Technician is responsible for ensuring the accuracy, integrity, and accessibility of patient health records to support coding, reimbursement, physician chart completion, and regulatory compliance. This position plays a critical role in chart deficiency management, unbilled management, mandated registry reporting, and electronic health record (EHR) maintenance. The HIM Technician also assists providers with medical record deficiencies, oversees suspension processes, and maintains delinquency statistics in accordance with state regulations, hospital policies, HIM procedures, and Joint Commission (JC) standards. **Essential Functions** + Manages chart deficiency workflows, including notifying and assisting providers with incomplete medical records, monitoring deficiencies, and ensuring compliance with hospital and regulatory guidelines. + Processes unbilled accounts, supporting timely coding, reimbursement, and revenue cycle operations. + Ensures accurate filing and maintenance of health records, filing documents in the electronic health record (EHR) system in a timely and organized manner. + Oversees the suspension process for delinquent records, ensuring compliance with hospital medical staff rules, HIM policies, and regulatory requirements. + Monitors and maintains delinquency statistics, generating reports and escalating concerns as needed to HIM leadership. + Performs mandated registry reporting, such as tumor registry and Master Patient Index (EMPI) reconciliation, ensuring compliance with reporting requirements. + Processes and maintains medical records across multiple health information systems, ensuring accuracy, completeness, and security. + Assists HIM leadership with operational reports, audits, and quality improvement initiatives to enhance documentation workflows. + Ensures compliance with HIPAA, Joint Commission (JC), and facility policies, maintaining the confidentiality and security of patient health information. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + 0-1 years of experience in health information management, medical records, or healthcare clerical support required + Experience in document scanning, indexing, or electronic medical records (EMR) systems preferred **Knowledge, Skills and Abilities** + Strong understanding of medical record workflows, documentation requirements, and regulatory compliance. + Knowledge of chart deficiency processes, provider suspension workflows, and unbilled management procedures. + Proficiency in EHR systems, document management, and health information technology platforms. + Strong organizational and problem-solving skills to ensure timely and accurate documentation. + Effective communication and collaboration with providers, HIM leadership, and interdisciplinary teams. + Ability to analyze, generate, and interpret HIM reports, including deficiency tracking and unbilled account monitoring. + Attention to detail and ability to handle sensitive patient information with confidentiality and professionalism. **Licenses and Certifications** + RHIT - Registered Health Information Technician preferred or + RHIA - Registered Health Information Administrator preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $27k-31k yearly est. 34d ago

Learn more about Community Health Systems jobs

View all jobs