Medical Coder jobs at Halifax Health

This position is responsible for accurately assigning ICD-9-CM/ICD-10-CM diagnosis and procedure codes and CPT-4 procedure codes to inpatient and outpatient medical records using the 3M encoding software. The role includes assigning HCFA-DRG and APR-DRG groupers for inpatient records and abstracting clinical, financial, trauma, and quality management data into the organization's health information system. Additionally, this position monitors accounts receivable, abstract and claims rejections, and other related billing reports. Inpatient hospital coding constitutes 70% or more of the total coding workload. Experience Requirements Minimum of one (1) year of experience using ICD-10-CM/PCS and CPT-4 coding classification systems Working knowledge of encoder software, MS-DRG and APR-DRG groupers, and AHA Coding Guidelines Demonstrated proficiency in data entry and the ability to perform mathematical calculations accurately Education, Licensure, and Certification High school diploma or GED accredited by the U.S. Department of Education required Successful completion of a formal training program in ICD-10-CM/PCS and CPT coding, anatomy and physiology, and medical terminology required Certified Coding Specialist (CCS) credential required Position Details This is a part time (20 hours per week) hybrid position, combining remote work with regular on-site responsibilities and presence required based on departmental needs and organizational priorities. About Valley Children's Healthcare Valley Children's Healthcare is an award-winning pediatric healthcare system located in Madera, California, in the heart of the affordable Central Valley. The organization operates one of the nation's largest pediatric healthcare networks, including a 358-bed children's hospital and multiple outpatient clinics. Valley Children's offers access to three national parks and is within driving distance of California's world-renowned coastline, providing an exceptional balance of professional opportunity and quality of life.

Outpatient Coding Quality Educator Specialist - Coding 30697 Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Monday Friday Pay Rate: Min $63,793.60 Mid $79,747.20 Under the direction of the facility Coding and Reimbursement Manager, conducts coding quality reviews and audits of chart documentation to assess accuracy, ensure compliance with federal and payer policies, and identifies areas for improvement for hospital outpatient coding. Develops and delivers training on coding accuracy and compliance, staying updated on regulations and providing expert guidance to coders. Provides ongoing coding education and training to coding team and serves as mentor to all new coding team members. Serves as a subject matter expert and resource for coders, providers, and other staff on coding questions, regulatory changes, and best practice. Prepares reports of findings and meets with coders and Coding Leadership to provide education and training on accurate coding practices and compliance issues. Has thorough knowledge of acute care facility guidelines, modifiers, sequencing rules and the NCCI (National Correct Coding Initiative) edits, OCE (Outpatient Code Editor) edits, Official Guidelines for Coding and reporting for ICD-10-CM/PCS, CPT-4, and HCPCS coding conventions, APC payment classifications and Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback. Responsible for conducting coding and billing training programs for billing and coding specialists. Other duties will include implementing coding department policies and procedures and assisting with reviewing and appealing coding denials. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work: Outpatient Coding Quality Educator Specialist Actively participates in team development, achieving dashboards, and in accomplishing departmental goals and objectives. Performs internal quality assessment reviews on outpatient facility coders to ensure compliance with national coding guidelines and the LRH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed. Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans. Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. Researches coding opportunities and escalates as needed. Communicates Coding topics and/or question trends to Coding Leadership for global education. Prepares and presents coding compliance status reports to the Coding and Reimbursement Manager and Health Information Management AVP. Assists in ensuring coding staff adherence with coding guidelines and policy. Demonstrates and applies expert level knowledge of medical coding practices and concepts. Coaches and mentors coding staff as they develop and grow their coding skills. Provides skilled coding support through regularly scheduled coding meetings and as the need arises. Provide one-on-one coaching and support to coding professionals, offering constructive feedback and guidance to improve coding accuracy and documentation practices. Assists Coding Leadership with outpatient coding denials. Create educational materials, such as manuals, handouts, and multimedia presentations, that effectively communicate complex coding concepts and guidelines. Orients, develops and coordinates on-the-job training of instructing them on systems and policies and procedures in accordance to coding compliance guidelines. Experience essential: 5+ years acute care hospital outpatient coding experience and/or coding auditing 5-10 years of educational experience in a facility or consulting setting. Certification essential: CCS, CPC, RHIT, or RHIA Certification preferred: RHIA About Us: Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. To apply please send your resume to: Tiffany Hanson at: Tiffany.Hanson@my LRH.org

Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Flexible Hours and/or Flexible Schedule Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $19.37 Mid $24.22 Position Summary Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work Duties: Coder II - Outpatient Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment. Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement. Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers. Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines. Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames. Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities. Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Competencies & Skills Essential: Computer Experience, especially with computerized encoder products and computer-assisted coding applications. Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision. Knowledge of anatomy and physiology, pharmacology, and medical terminology. Qualifications & Experience Essential: High School or Equivalent Nonessential: Associate Degree Essential: High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college. Other information: Certifications Essential: CCS Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience Essential: 2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.

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

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

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

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

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

Job Details LHSD - SAN DIEGO, CA Fully Remote $27.00 - $31.00 HourlyDescription Who We Are: Lorian Health is a home health and hospice agency seeking energetic candidates to join our team of skilled professionals. Come join a home health agency that is thoughtful, generous, and family-oriented, placing focus on taking the best care of our patients and our employees! Lorian Health sets the highest quality standards for home health services in existence today. Foremost of these, is our belief in equanimity in regard to the treatment of all our patients. Lorian Health is committed to fostering a socially responsible environment within our organization and community and is determined to provide the highest caliber of health care for our patients and their families. What We Offer: We offer a comprehensive employee benefits package that includes, but is not limited to: Health, Dental, Vision, 401K with company match Competitive pay Paid vacation, holidays, and sick leave Full time includes company paid health insurance, dental insurance, vision insurance, paid life insurance, supplemental insurance and 401(k) plan with 4% match, as well as annual accrual of 10 vacation days,10 sick days, 9 holidays. Join our innovative team to help patients empower themselves to improve self-care. Qualifications Requirements: Must live in Pacific, Mountain or Central Time Zones Completion of coding specific coursework Current ICD-10 Coding Certification (HCS-D, BCHH-C, or HCS-H) Minimum of 1 year previous experience with Home Health ICD-10 coding with verified employment/experience are required. Minimum of 1 year previous experience with Hospice ICD-10 coding with verified employment/experience are required. Knowledge of and ability to follow appropriate skilled documentation under Medicare guidelines and conditions of participation. Knowledge of Patient Driven Grouping Models (PDGM) Knowledge of insurance reimbursement procedure. Ability to maintain confidentiality of records and information. Ability to be flexible, follow verbal and written instruction while working in a team oriented environment. Detail oriented with critical thinking and strong clinical judgement and analytical skills. Ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule. Excellent interpersonal relation skills including active listening, conflict resolution, and team building. Communicates effectively with the clinical and office staff involved in any given case in a constructive, goal directed, and professional manner Excellent computer skills to include Microsoft applications (i.e. Word/Excel) and ability to type at least 40 wpm Preferred: OASIS certification (COS-C, HCS-O) Background on OASIS E Graduate of Bachelor is Science in health field Experience with HCHB software

Join OBHG: Join the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation's largest and only dedicated provider of customized obstetric hospitalist programs. Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health. Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24/7 real-time triage and hospital-based obstetric coverage across the United States. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination! Location: SC Upstate area strongly preferred (Remote). Open to exceptional remote candidates in SC, NC, GA (must be located in these states to be eligible). The Good Stuff We Offer: Hourly Compensation Range: $21.00 - $24.00 per hour + eligibily for RCM bonus A mission based company with an amazing company culture. Paid time off & holidays so you can spend time with the people you love. Medical, dental, and vision insurance for you and your loved ones. Health Savings Account (with employer contribution) or Flexible Spending Account options. Employer Paid Basic Life and AD&D Insurance. Employer Paid Short- and Long-Term Disability. Optional Short Term Disability Buy-up plan. 401(k) Savings Plan, with ROTH option. Legal Plan. Identity Theft Services. Mental health support and resources. Employee Referral program - join our team, bring your friends, and get paid. Medical Coder Position Summary: The Certified Coder is responsible for the data abstraction, evaluation and auditing of Provider assigned CPT, HCPC codes, ICD-10 CM for obstetrics. Essential Medical Coder Responsibilities: Assigns and sequences diagnoses and procedures in accordance ICD-10 CM Official Coding Guidelines, CPT Assistant, Physician at Teaching Hospital Rules and Evaluation and Management Documentation Guidelines Experience with billing, collections from insurance companies and patients, insurance follow up, charge entry Analyze and resolve charge entry coding errors Familiar with revenue cycle management processes Ability to work with eBridge, Putty and Lyra software Report and analyze errors, trends, and findings Compose reports using Microsoft Excel and Word Ability to interpret regulatory and payer rules and directives concerning coding Ability to function in a high volume environment producing quality work Solid interpersonal and telephone communication skills Ability to consistently work independently and problem solve Must be able to multi-task and prioritize job responsibilities Must be dependable, responsible and team oriented Strong attention to detail (such as interpretation of clinical data including medical terminology and disease processes) Demonstrate a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times Strong working knowledge of HIPAA as it relates to the entire revenue cycle management cycle process Perform other duties as assigned. Essential Skills/Credentials/Experience/Education Certified AAPC Coder Associate or Bachelor's Degree, OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE Skill in operating a personal computer; must be proficient in Word, Excel, Power Point. Ability to compose letters, memos, and other correspondence. Effective interpersonal skills required in interactions with Ob Hospitalists and personnel. Ability to work with highly confidential materials. Must possess high ethical standards. Enhances professional growth and development through in-service meetings, education, programs, conferences, etc. Physical Demands (per ADA guidelines) Sitting for long periods of time. Occupation requires this activity more than 66% of the time (5.5+ hrs/day)

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

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: Minimum: CSS. Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: Minimum: 1 year. Preferred: 3 years.

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: Minimum: CSS. Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: Minimum: 1 year. Preferred: 3 years. Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love. Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work. Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter. If you're already a Cottage Health employee, please apply on this link only. CH Health Information Management, Part Time Regular , 8 hour, Days, Santa Barbara Cottage Health

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: * Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. * Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: * Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. * Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: * Minimum: CSS. * Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: * Minimum: 1 year. * Preferred: 3 years.

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

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

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

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

Day (United States of America) HIM/Coding Specialist - HospiceThe Coding Specialist I is responsible for the coding of hospice accounts using ICD-10-CM diagnosis and procedure codes and CPT-4 code sets. The coder will verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered and assign appropriate modifiers. - Minimum 2 year college coding course including anatomy, physiology, medical terminology, CPT-4 and ICD-10-CM and PCS - Minimum 1 year ED/Ancillary coding or charging in an acute care setting. - Must have or be eligible for RHIT, CCS, CCSP, CPC or equivalent certifications - Knowledge of Hospice Local Coverage Determinations and National Coverage Determinations - Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required - The ability to organize, prioritize, analyze, and implement daily tasks, must be a self starter and be able to work with minimal supervision - The ability to handle multiple responsibilities and tasks in stressful situations - Problem solving, analytical and critical thinking skills - The ability to maintain confidentiality, knowledge of HIPAA laws - ICD-10-CM and ICD-10 PCS trained - Experience with Encoders, CAC, EHRs and general computer skills. - Work within the Halifax Health Hospice Health Information Management Department with records, scanning, inquiries, death certificates, billing information. - Provide appropriate copies of consents, billing information, compliance forms, admission, death lists, and census to the appropriate team members on a daily basis. - Excellent organizational skills, strong attention to detail, superior data entry skills and team-oriented work ethics - Review medical record information and documentation for appropriate code assignment including principal diagnosis, co-morbidities and complications, secondary conditions and procedures. - Query attending physicians for documentation and diagnostic clarification - Support and participate in process and quality improvement initiatives - Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines Works under supervision of HIM Coordinator/Manager Daily contact with interdisciplinary care team members, physician's offices, health care facilities and community agencies. Occasional contact with patients and families. WORK CONDITIONS: General office environment, exposed to electrical/mechanical power equipment. Traveling required from main office sites to other office site for coverage/meetings. Light physical efforts (lift/carry up to 20 lbs.), continuously sedentary work, standing/walking, lifting supplies/equipment, manual dexterity and mobility, reaching, stopping, bending, kneeling, crouching.