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Medical Coder jobs at Health Advocates - 2767 jobs

  • HOSPITAL INPATIENT CODER SR

    Moffitt Cancer Center 4.9company rating

    Tampa, FL jobs

    The Hospital Inpatient Coder Senior will be expected to apply extensive knowledge in assigning ICD-10- CM diagnosis and ICD-10-PCS procedure codes and Medicare Severity-Diagnosis Related Groupers (MS-DRG) for complex hospital inpatient services. Applies clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation included in an inpatient record. Abstracts data in compliance with national and regional policies. Clarifies physician documentation by utilizing a facility-established query process. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM/ICD-10-PCS Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable. The Hospital Inpatient Coder Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership. Responsibilities: Coding Encounter Key Performance Indicator Requirements Constraints of systems Query Knowledge Team Support Special Projects Perform other duties as assigned Credentials and Experience: High School Diploma/GED Five (5) years in hospital inpatient coding experience with ICD-10 diagnosis, procedure codes and MSDRG. Any (one) of the following certifications is required: CCS) Certified Coding Specialist (CPC) Certified Professional Coder (COC) Certified Outpatient Coding (CCS-P) Certified Coding Specialist - Physician (RHIT) Registered Health Information Technician (RHIA) Registered Health Information Administrator (CIC) Certified Inpatient Coder *Any certification not listed above, but issued from a Governing Body listed below, will be considered by the business AHIMA ************* or AAPC ************ Minimum Skills/Specialized Training Required Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties. Experience in coding hospital inpatient electronic medical records. Excellent communication and interpersonal skills. Experience with automated patient care and coding systems. Competence with MS Office software Extensive knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and ICD-10-PCS coding guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS"). Preferred Experience Preferred qualifications include: • Experience with coding oncology-related services.
    $56k-69k yearly est. 5d ago
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  • Coder II - Outpatient - Coding & Reimbursement

    Lakeland Regional Health-Florida 4.5company rating

    Lakeland, FL jobs

    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.
    $43k-53k yearly est. 2d ago
  • Remote Director of Home Health Risk Management

    Humana Inc. 4.8company rating

    Washington, DC jobs

    A leading healthcare company is seeking a Director of Home Health Risk Management to identify and manage risks related to home health services. The ideal candidate will have at least 8 years of experience in the home health sector and 5 years in management. Responsibilities include developing risk strategies, leading a team, and communicating risks with executives. This remote role may require occasional travel to the company's offices. The position offers a competitive salary range of $150,000 - $206,300 and comprehensive benefits. #J-18808-Ljbffr
    $150k-206.3k yearly 1d ago
  • Behavioral Health Coder

    Bestcare Treatment Services Inc. 3.5company rating

    Redmond, OR jobs

    JOB SUMMARY: The Behavioral Health Coder serves as an important member of the Billing Team. Primarily responsible for the coding and abstracting of client services. Standardized coding and classification systems, minimum data sets, data definitions and terminology will be utilized to ensure data is uniformly defined, collected, and verified. Ensure all coding and billing guidelines are adhered to for compliance with BestCare policies and practices, and ICD-10-CM and Medicare guidelines. ESSENTIAL FUNCTIONS: Serves as a coding subject-matter expert for the Billing staff to identify and help resolve issues to support quick and accurate billing, Is available as a resource for all BestCare sites on coding requirements and best practices; Maintains coding credentials as required by credentialing agency; Takes initiative to establish priorities, coordinates work activities and performs multiple and complex tasks while working independently and with minimal supervision in a remote setting; Completes special projects as assigned; Other related duties as assigned. ORGANIZATIONAL RESPONSIBILITIES: Performs work in alignment with BestCare's mission, vision, values; Supports the organization's commitment to fostering a culture of inclusivity, open-mindedness, equity, cultural awareness, compassion, and respect for all individuals; Strives to meet annual Program/Department goals and supports the organization's strategic goals; Adheres to the organization's Code of Conduct, Business Ethics, Employee Handbook, and all other policies, procedures, and relevant compliance standards; Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes; Attends and participates in required program/staff meetings (remotely with some in-person), and completes assigned training timely and satisfactorily; Ensures that any required certifications and/or licenses are kept current and renewed timely; Works independently as well as participates as a positive, collaborative team member; Performs other organizational duties as needed. REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period: Proficient in ICD-10 CM codes on patient medical records for medical coding purposes; Proficient with CMS billing rules and associated coding and billing requirements; Understanding of and proficiency in using Epic Software Systems; High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software; Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.), Strong interpersonal and customer service skills; Strong communication skills (oral and written); Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through; Excellent time management skills with a proven ability to meet deadlines; Critical thinking skills Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes; Ability to build and maintain positive relationships; Ability to function well and use good judgment in a high-paced and at times stressful environment; Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively; Ability to work effectively and respectfully in a diverse, multi-cultural environment; Ability to work independently as well as participate as a positive, collaborative team member. Requirements QUALIFICATIONS: EDUCATION AND/OR EXPERIENCE: Associate's degree in related field or combined equivalent in related education and experience Minimum 6 years of experience with Epic software systems Minimum 6 years of experience with revenue cycle billing Minimum 8 years of coding experience preferably Behavioral Health LICENSES AND CERTIFICATIONS: CPC, CRC, CCS Coding certification through AHIMA or AAPC required, or a more advanced certification (RHIT: Registered Health Information Technician, RHIA: Registered Health Information Associate) is required upon start Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization's auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations) Must be currently certified through AAPC or AHIMA PREFERRED: Bilingual in English/Spanish a plus COC Coding certification Salary Description $32.50-$42.64
    $47k-54k yearly est. 4d ago
  • Health Information Manager/HIPAA Officer FT Day shift

    Birmingham Green 4.0company rating

    Manassas, VA jobs

    * BIRMINGHAM GREEN Nursing Home and Assisted Living Facilities Health Information Manager/HIPPA Privacy-Security Officer Full-time Day shift Birmingham Green is a person-centered care-focused community located in Manassas, Virginia. We have been providing high-quality and affordable care for over 90 years. For a view into our world, Please visit our website at *********************** Responsibilities/Accountabilities We have an amazing opportunity for a Health Information Manager/HIPPA Privacy Security Officer: Health Information Manager: Must keep current on all guidelines and regulations related to the medical records function for both the Nursing Home and Assisted Living facilities. Analyzes requests for medical information, evaluates the legality of releases, extracts pertinent portions of medical records, copies, mails, and/or releases in accordance with departmental policies to safeguard patient confidentiality. Must maintain a log of all inquiries of released information. Assists in the development, documentation, and enforcement of policies and procedures in the handling of medical records. Creates patient folders and charts for new residents using unique identification numbers according to established protocols. Creates and distributes admissions packets to Unit Secretaries and ensures adequate supply. Retrieves patient charts and re-files charts in proper sequence; completes out-guides for pulled charts. Locates records that have been checked out or are missing, in accordance with departmental policies for safeguarding patient records. Recommends and implements changes in processes or practices within the medical records as deemed appropriate or necessary while maintaining compliance with nursing home and assisted living guidelines and regulations. Responsible for packing, labeling, and storing nursing documentation from Nursing Administration. Sorts and files loose paperwork in patient charts; maintains medical records in proper order. Thin charts as necessary, according to department policies. Files COC letters in residents' folders located in the Health Information Department. Ensures compliance with campus-wide practices. Picks up, processes, and delivers reports, x-rays, or slides; obtains approval signatures from medical service providers. (Doctor's signature on phone orders and P.O.S.) Follows departmental procedures for archiving and storing inactive records utilizing outside storage. Responsible for all storage protocols, including but not limited to boxing, labeling, calling for pick-up, maintaining appropriate logs, destruction, or retrieval of all records. Responsible for ensuring proper storage of records for the entire campus. Responsible for sending out Inventory letters listing the personal property of discharged or expired residents. Responsible for filing Medicare D in the neighborhoods and changing folders if the resident is transferred to another neighborhoods. Responsible for obtaining information on resident cards in the Health Information office. The file box must be kept up to date. Responsible for updating the Discharge Log. Responsible for chart audits for Quality Assurance review. (Nursing, case management, DNR, podiatrist, ophthalmologist, dental). Responsible for ensuring quality assurance audits for the entire campus. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Participates in state surveys as needed to provide required medical records information and documentation for nursing home and assisted living facilities, and directs other medical records staff as needed. Privacy Officer: Assists in the identification, implementation, and maintenance of the organization's information privacy policies and procedures in coordination with his/her immediate supervisor. Serves in a leadership role for the Privacy Oversight. Performs ongoing compliance monitoring activities. Has and maintains appropriate privacy and confidentiality consent & authorization forms, information notices, and materials reflecting current organization and legal practices and requirements. Oversees, directs, delivers, or ensures delivery of privacy training and orientation to all employees, volunteers, medical and professional staff, and applicable business associates. Participates in the development, implementation, and ongoing compliance monitoring of all business associate agreements to ensure that all privacy concerns, requirements, and responsibilities are addressed. Establishes and maintains a mechanism to track access to protected health information, within the purview of the organization and as required by law, to allow qualified individuals to review or receive a report on such activity. Oversees and ensures the right of the organization's patients to inspect, amend, and restrict access to protected health information, when appropriate. Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the practice/organization's privacy policies and procedures in coordination and collaboration with other similar functions and, when necessary, legal counsel. Ensures compliance with privacy practices and consistent application of sanctions for failure to comply with privacy policies for all individuals in the organization's workforce, extended workforce, and for all business associates, in cooperation with his/her immediate supervisor, Human Resources, the information security officer and legal counsel, as applicable. Initiates, facilitates, and promotes activities to foster information privacy awareness within the organization and related entities. Serves as the information privacy liaison for users of clinical and administrative systems. Reviews all system-related information security plans throughout the organization's network to ensure alignment between security and privacy practices, and acts as a liaison to the information systems department, if applicable. Works with all organization personnel involved with any aspect of release of protected health information, to ensure full coordination and cooperation under the practice/organization's policies and procedures and legal requirements Maintains current knowledge of applicable federal and state privacy laws and accreditation standards, and monitors advancements in information privacy technologies to ensure organizational adaptation and compliance. Cooperates with the U.S. Department of Health and Human Services' Office of Civil Rights, other legal entities, and organizations of officers in any compliance reviews or investigations. Security Officer: Maintains current and appropriate body of knowledge necessary to perform the information security management function. Effectively applies information security management knowledge to enhance the security of the open network and associated systems and services. Maintains working knowledge of legislative and regulatory initiatives. Interprets and translates requirements for implementation. Develops appropriate information security policies, standards, guidelines, and procedures. Works effectively with the Information Privacy Officer, other information security personnel, and the committee process. Provides meaningful input, prepares effective presentations, and communicates information security objectives. Participates in short- and long-term planning. Monitors Information Security Program compliance and effectiveness in coordination with the entity's other compliance and operational assessment functions. Oversees, directs, delivers, or ensures delivery of initial security training and orientation to all employees, volunteers, medical and professional staff, contractors, alliances, business associates, and other appropriate third parties. Establishes with management and operations a mechanism to track access to protected health information, within the purview of the organization, and as required by law, and to allow qualified individuals to review or receive a report on such activity. Ensures compliance with security practices and consistent application of sanctions for failure to comply with security policies for all individuals in the organization's workforce, extended workforce, and for all business associates, in cooperation with Human Resources, the information privacy officer, administration, and legal counsel as applicable. Initiates, facilitates, and promotes activities to foster information security awareness within the organization and related entities. Serves as the information security liaison for users of clinical and administrative systems. Reviews all system-related information security plans throughout the organization's network to ensure alignment between security and privacy practices and acts as a liaison to the information systems department. Conducts investigations of information security violations and computer crime. Works effectively with management and external law enforcement to resolve these instances. Reviews instances of noncompliance and works effectively and tactfully to correct deficiencies. Maintains current knowledge of applicable federal and state privacy laws and accreditation standards, and monitors advancements in information security technologies to ensure organizational adaptation and compliance. Serves as an information security consultant to the organization for all departments and appropriate entities. Cooperates with the Office of Civil Rights, other legal entities, and organization officers in any compliance reviews or investigations. Works with organization administration, legal counsel, and other related parties to represent the organization's information security interests with external parties (state or local government bodies) who undertake to adopt or amend privacy legislation, regulation, or standard. Verifies that IT systems meet predetermined security requirements. Experience/Skills/Education Required: Bachelor's degree in health information management or a related healthcare field. Knowledge and experience in state and federal information privacy laws, including but not limited to HIPAA. Demonstrated organization, facilitation, written and oral communication, and presentation skills. Recommended privacy certification such as Certified in Healthcare Privacy and Security (CHPS) and/or other healthcare industry-related credential, e.g., RHIA, RHIT. Three years of experience that is directly related to the duties and responsibilities. Benefits We offer a competitive package of benefits and perks, which includes: * Medical, dental, vision, long-term disability, life insurance, legal guard plan, and pet insurance * 23 days paid time off (employees can accrue up to 240 hours of paid time off) * 10 Paid Holidays * Retirement plans through the Virginia Retirement System (VRS) - **************** * Tuition Reimbursement * Employee Assistance Program (EAP) * Employee Discounts - LifeMart * Employee Discounts - Cafeteria How to Apply If you have been thinking about making a change and you want to make the right change in 2025, then this opportunity is for you. Join an extraordinary community and an exceptional team. Birmingham Green 8605 Centreville Rd. Manassas, VA 20110 Attn: Alice Decker, HR Director ************ ************ - Fax We sincerely thank all applicants for their interest in Birmingham Green.
    $70k-90k yearly est. 4d ago
  • Health Information Management Technician (On-Site)

    Beth Israel Lahey Health 3.1company rating

    Burlington, MA jobs

    When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Reviews and analyzes inpatient, Ambulatory Surgery, Emergency Department and Observation health records according to regulatory standards and hospital policy, utilizing the Electronic Health Record (EHR) work queues. Follows through with responsible providers and communicates needed information for completion of documentation. Indexes documents to the correct level as established by policies and procedures. Minimizes duplicate and overlapping entries and verifies data integrity :Essential Duties & Responsibilities including but not limited to:1. Utilizing the EHR work queues, analyzes OBS, SDC, ED, and inpatient medical records to ensure regulatory requirements, including Beth Israel Lahey Health (BILH) bylaws, rules and regulations, and JC standards for record completion are met.2. Accurately identifies deficiencies in the health record and the responsible physician, entering all deficiencies into the EHR.3. Edits and updates the completed deficiencies in the EHR system, maintaining timely and accurate information.4. Monitors physician completion activity to provide ongoing feedback regarding queries and incomplete record documentation.5. Supports the coding process by supplying coding staff with information according to established procedures or as needed and/or requested.6. Assists physicians and other clinicians seeking information to incomplete medical record documentation for completion.7. Assists in compiling and sending cumulative reports regarding incomplete records to Providers, Department Heads/Chairmen, and Administration.8. Utilizing the correction process, identifies and reports inconsistencies in documentation follows through to ensure accuracy.9. Handles telephone calls and/or problems concerning documentation in the electronic health record and notifies the supervisor/section leader of Discharge Analysis of problem calls.10. Performs Scanning, indexing, and quality control functions as needed.11. Incorporates BILH Mission Statement and Goals into daily activities.12. Complies with all BILH Policies.13. Complies with behavioral expectations of the department and BILH.14. Maintains courteous and effective interactions with colleagues and patients.15. Demonstrates an understanding of the job description, performance expectations, and competency assessment.16. Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.17. Participates in departmental and/or interdepartmental quality improvement activities.18. Participates in and successfully completes Mandatory Education.19. Performs all other duties as needed or directed to meet the needs of the department.Minimum Qualifications: Education: High School degree or equivalent Skills, Knowledge & Abilities:Ability to effectively organize and prioritize administrative duties.Ability to access and process electronic information utilizing computer technology.Ability to analyze information and apply a body of specialized knowledge.Experience: Minimum 1 year of experience performing administrative duties involving analysis and the application of specialized knowledge. Pay Range: $19.00 - $25.57The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled
    $19-25.6 hourly 4d ago
  • Health Information Technician

    Blackstone Valley Community Health Care 3.9company rating

    Pawtucket, RI jobs

    Health Information Technicians maintain the integrity of all patient health information that is received from external/internal sources, respond to patient and facility requests for patient related information, and integrate received clinical information into the Electronic Health Record. Disclose health information in compliance with Rhode Island General Laws, Federal Public Health Laws and HIPAA Privacy Regulations. Assist the Manager and Director of Health Information in the various duties associated with Health Information. Monitors and ensures compliance, privacy, and information management aligns with overall organizational goals. EDUCATION, EXPERIENCE, & SKILLS High School Diploma or its equivalent Minimum of 3 - 5 years' experience with medical records procedures and/or electronic medical records Experience with medical terminology preferred OTHER REQUIREMENTS Reliable transportation Bilingual ability in English and Spanish, Portuguese or Creole speaking abilities preferred Cultural sensitivity necessary to work with a diverse patient and staff population Ability to work independently and collaboratively Knowledge of computers and electronic medical records required Knowledge of Microsoft Suite preferred Strong communication skills, both verbal and written 8-5pm M-F
    $27k-32k yearly est. 4d ago
  • Medical Coder

    Graystone Ophthalmology Associates Pa 3.6company rating

    Hickory, NC jobs

    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: The Medical Coder is responsible for accurately assigning CPT, ICD-10, and HCPCS codes to patient encounters to ensure proper billing and compliance with regulatory requirements. This role supports revenue cycle efficiency by ensuring claims are coded correctly, reducing denials, and assisting providers with documentation improvement. Other duties may be assigned. FINANCIAL OPERATIONS & REPORTING Review medical documentation for accuracy and completeness. Assign appropriate CPT, ICD-10, and HCPCS codes according to established guidelines. Ensure coding compliance with federal, state, and payer-specific requirements. Collaborate with physicians and clinical staff to clarify diagnoses and procedures when necessary. Work with billing team to resolve coding-related claim rejections or denials. Maintain up-to-date knowledge of coding regulations, payer requirements, and ophthalmology-specific coding changes. Assist with audits and provide feedback to improve documentation and compliance. Support process improvements to strengthen revenue cycle performance.
    $59k-71k yearly est. 21d ago
  • Remote - Clinic/Outpatient Coder III

    Mosaic Life Care 4.3company rating

    Remote

    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.
    $24.7-37.1 hourly 60d+ ago
  • Remote - Inpatient Coder II

    Mosaic Life Care 4.3company rating

    Remote

    Remote - Inpatient Coder II Inpatient Coding PRN Status Day Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology. This position works under the supervision of the Manager and is employed by Mosaic Health System. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials. Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record. Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding. Ensures data accuracy by responding to coding edits received. Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral. Mentors and assists with training coders. Completes analysis by utilizing reports, record reviews, etc. Other duties as assigned. Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required. CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required. Three years experience in coding in an acute care setting required.
    $24.7-37.1 hourly 60d+ ago
  • Medical Coder

    Axis Community Health 4.3company rating

    Pleasanton, CA jobs

    : Axis Community Health, a nonprofit established in 1972, provides comprehensive healthcare services to over 15,000 individuals across all age groups in the Tri-Valley area. The mission of Axis Community Health is to provide quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community. Our mission is rooted in delivering high-quality patient care, encompassing primary healthcare, mental health support, and dental services. We are committed to ensuring access to essential healthcare services for every member of our community, irrespective of financial status, living situation, or insurance coverage. Job Summary: The Medical Coder is responsible for reviewing, coding, and processing medical, dental, and behavioral health encounters to ensure accurate and compliant documentation, coding, and billing specific to a Federally Qualified Health Center (FQHC). This role assigns appropriate ICD-10, CPT, and HCPCS Level II codes in accordance with federal, state, and payer-specific guidelines, including FQHC billing rules. The Medical Coder also resolves coding-related denials, supports timely reimbursement, and helps maintain compliance with Medi-Cal, Medicare, HRSA, and commercial insurance requirements. This position may assist with staff training, process improvements, and collaboration across billing, compliance, and clinical teams to ensure accurate encounter data and strengthen revenue cycle operations. Qualifications: High school diploma or equivalent; Associates degree in Health Information Technology or related field preferred. Minimum two years of outpatient medical coding experience, preferably in a community health center, FQHC, or similar ambulatory care setting. Current coding certification from CPC, CCA, CCS, RHIT, or RHIA. Strong knowledge of ICD-10, CPT, HCPCS Level II, and outpatient coding guideline. Familiarity with FQHC specific coding and billing, including PPS, wrap/PPS add-on, and documentation requirements. Proficiency in reviewing clinical documentation for accuracy and completeness. Ability to analyze and resolve coding-related denials. Advanced knowledge of FQHC coding standards, encounter-based reimbursement models, and HRSA/UDS reporting requirements. Experience processing specialty billing for chiropractic, acupuncture, podiatry, cardiology, and others. Knowledge of outside entity account reconciliation. Ability to retrieve patient information, input information, and locate information and resources. Knowledge of EPIC EPM/EHR is highly desirable. Wisdom dental software knowledge is a plus. Excellent time management skills to meet goals and objectives and the ability to be at work regularly and on time. Strong analytical, employee relations, and interpersonal skills. Excellent writing, business communication, editing, and proofreading skills. Ability to interact effectively, professionally, and in a supportive manner with persons of all backgrounds. Proactive, self-motivated and able to work independently as well as on a team with the ability to exercise sound independent judgment. Ability to maintain a high level of confidentiality and a professional demeanor and must positively represent the organization at all times. Must be able to adjust priorities quickly as circumstances dictate. Must be a dynamic self-starter with demonstrated ability to work independently or in a group setting. A can-do attitude, attention to detail, ability to organize and set priorities, with ability to multi-task effectively. Ability to type a minimum of 35 WPM with minimal errors. Must have good computer skills using Microsoft Office and the ability to use Axis departmental systems. Must be able to use office equipment (i.e. copier, fax, etc.). Essential Duties/Responsibilities Review and assign accurate ICD-10, CPT, and HCPCS codes for medical, dental, and behavioral health encounters. Ensure all coding complies with federal, state, Medicaid/Medi-Cal, Medicare, commercial payer, and FQHC-specific billing guidelines. Verify that provider documentation supports the codes billed and request clarifications when needed. Review and correct encounter data prior to claim submission to reduce errors and delays. Work closely with providers to improve documentation accuracy and coding completeness. Analyze and resolve coding-related denials rejections; submit corrected claims as needed. Support the billing team with research on payer guidelines and policy updates. Maintain proficiency in UDS reporting requirements and ensure accurate coding for quality metrics. Collaborate with senior management to ensure adherence to HRSA, PPS, and encounter documentation standards. Conduct internal chart audits as assigned to verify coding accuracy and identify training needs. Assist in training clinical and billing staff on coding updates, documentation requirements, and best practices. Stay current on changes in coding regulations, payer updates, E/M guidelines, and FQHC billing requirements. Collaborate with the CFO and Billing Manager to enhance workflows aimed at improving overall efficiency and effectiveness of the billing department. Participate in staff meetings, and attend other meetings and training events as assigned. May be required to perform other related duties, responsibilities, and special projects as assigned. Benefits: Employer paid health, dental, and vision benefits to the employee. Option to participate in a 403(B) retirement plan with employer matching contribution. Partial educational reimbursement. 12 paid holidays. Accrued paid time off with each pay period. Employee discount programs. Connect with Axis: Company Page: ************************** Facebook: ******************************************** LinkedIn: ****************************************************** Annual Gratitude Report: ************************************************************** Physical, Cognitive, and Environmental Working Conditions: Work is normally performed in a typical clinic office work environment (and, in some cases, telecommuting sites). The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations can be made to enable individuals with disabilities to perform the essential functions of this position if the accommodation request does not cause an undue hardship Physical: Occasionally required to carry/lift/push/pull/move up to 20lbs. Frequently required to perform moderately difficult manipulative tasks such as typing, writing, reaching over the shoulder, reaching over the head, reaching outward, sitting, walking on various surfaces, standing, and bending. Occasional travel to other Axis health centers and other occasional travel will be required. Equipment: Frequently required to use repetitive motion of hands and feet to operate a computer keyboard, telephone, copier, and other office equipment for extended periods. Sensory: Frequently required to read documents, written reports, and signage. Must be able to distinguish normal sounds with some background noise, as in answering the phone, interacting with staff etc. Must be able to speak clearly, understand normal communication, and be understood. Cognitive: Must be able to analyze the information being received, count accurately, concentrate and focus on the given task, summarize the information being received, accurately interpret written data, synthesize information from multiple sources, write summaries as needed, interpret written or verbal instructions, and recognize social or professional behavioral cues. Environmental Conditions: Frequent exposure to varied office (medical clinic/office) environments. Rare exposure to dust and loud noises. Disclaimer: This job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, Axis Community Health reserves the right to modify or change the requirements of the job based on business necessity. Key Search Words: Medical Coder, Billing and Coding Specialist, Health Information Coder, Clinical Coder, Coding Specialist, Revenue Cycle Coder, Coding Compliance Specialist, Outpatient Coder, Documentation Specialist, Revenue Cycle Department, Patient Financial Services, Coding and Compliance, Billing and Coding Team, Communication Skills, Multitasking, Problem Solving, Organizational Skills, Customer Relations, Administrative Procedures, Microsoft Office, EHR, EPIC, Medi-Cal, Medicare, #LI-Onsite
    $58k-76k yearly est. 21d ago
  • Medical Coder

    Afc Urgent Care 4.2company rating

    Hinsdale, IL jobs

    Company Overview: Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR - based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement. Description: The Medical Coder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Medical Coder performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on Evaluation and Management services. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The Medical Coder also demonstrates understanding and knowledge to resolve Optum coding edits. Responsibilities: Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes. Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers. Provides documentation feedback to physicians. Maintains coding reference information. Trains physicians and other staff regarding documentation, billing and coding for their specialty. Reviews and communicates new or revised coding guidelines and information with providers and their assigned specialty. Attends meetings and educational roundtables, communicates pertinent information to physicians and staff. Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues. Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers. Adds MBO tracking codes as needed. May collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals. May work with Billing staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded. Qualifications Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) is preferred Experience in Pain Specialty is Preferred 1 year experience in a relevant role High School Diploma or Equivalent American Family Care is the leading provider of urgent care with more than 200 centers nationally and ranked by Inc. Magazine as one of the fastest-growing companies in the U.S. We offer a fast-paced, collaborative environment with health benefits and opportunities for advancement within a growing organization. We have locations in Willowbrook, IL and coming soon in Naperville, IL.
    $40k-54k yearly est. Auto-Apply 60d+ ago
  • HIM Certified Coder Per Diem

    Women & Infants Hospital 4.3company rating

    Rhode Island jobs

    Job Summary: The HIM Certified Coder reviews medical records and appropriately assigns Diagnosis and Procedure codes. Classification systems include ICD-9CM, CPT, HCPCS as well as other specialty systems as required by diagnostic category and current coding standards. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD9 (ICD10 when applicable), AMA CPT and CMS coding guidelines. Specifications: High school graduation plus active certification as a Certified Coding Specialist (CCS) with evidence of additional education in Medical Terminology and Anatomy & Physiology required. . Minimum of 2 year s experience in a hospital inpatient or outpatient setting required. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values. WIH - Internal Posting Period: 3/19/2025-3/28/2025
    $63k-79k yearly est. 60d+ ago
  • Medical Coder II

    Waianae Coast Comprehensive Health Center 4.3company rating

    Waianae, HI jobs

    Under limited supervision, performs coding on all diagnoses, procedures, professional services, and supplies following the American Medical Association (AMA) official coding/reporting guidelines and other third party payer criteria for the purpose of reimbursement, research, and compliance with state and federal regulations. This person provides feedback to WCCHC physicians and/or professional staff to facilitate monitoring of medical records to reflect accurate and timely documentation of medical services and charges. Answer coding questions, assists in the development of programs and plans for orienting and training medical support staff in basic coding techniques. Education/Experience: 1. High School Diploma or equivalent 2. Current CPC or CCS certification, AND 3. Two (2) years of medical coding experience in each of the following coding classification systems: a. ICD-9-CM b. CPT-4 c. E&M d.HCPCS OR 4. Equivalent combination of desired education/certification and work experience An Equal Employment Opportunity / Affirmative Action Employer
    $61k-69k yearly est. Auto-Apply 60d+ ago
  • HIM Certified Coder 40D

    Care New England 4.4company rating

    Rhode Island jobs

    Job Summary: The HIM Certified Coder reviews medical records and appropriately assigns Diagnosis and Procedure codes. Classification systems include ICD-9CM, CPT, HCPCS as well as other specialty systems as required by diagnostic category and current coding standards. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD9 (ICD10 when applicable), AMA CPT and CMS coding guidelines. Specifications: High school graduation plus active certification as a Certified Coding Specialist (CCS) with evidence of additional education in Medical Terminology and Anatomy & Physiology required. . Minimum of 2 year s experience in a hospital inpatient or outpatient setting required. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values. WIH - Internal Posting Period:3/19/2025 - 3/28/2025
    $43k-56k yearly est. 60d+ ago
  • Health Information Management (HIM) Coder - Outpatient - PER DIEM

    Rome Health 4.4company rating

    Rome, NY jobs

    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.
    $40k-52k yearly est. 60d+ ago
  • Health Information Management -HIM - Coder - Inpatient -REMOTE

    Rome Health 4.4company rating

    Rome, NY jobs

    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), 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.
    $40k-52k yearly est. 8d ago
  • SMRMC Full Time 1373-HIM Coder/Certified Level 2-7181

    Southwest Mississippi Regional Medical Center 4.3company rating

    McComb, MS jobs

    Job Summary: The Health Information Coder is expected to provide exceptional customer care to Southwest Health consumers, visitors, and staff. The HIM Coder is responsible for using coding work queues daily in the electronic health record and selecting the most accurate and applicable codes per coding guidelines. The HIM Coder must communicate with their Coding Supervisor and Billing Staff daily for prompt resolution of coding issues and claim processing issues. The HIM coder is expected to participate in bi-weekly meetings, monthly, quarterly, and yearly coding education through various educational sources. The HIM Coder must maintain coding certifications and continuing education units and must be willing to perform any task assigned by supervisor or Department Head. Additional Responsibilities: Reviewing and coding patient encounters of all specialties. Ensure that all codes are accurately assigned. Report missing or incomplete documentation to the analysis area or submit queries to providers if necessary. Meet daily coding productivity and quality standards set forth by the department. Review charge code entries for accuracy and makes corrections as needed. Serve as a resource regarding insurance denials and coding questions from the Revenue Cycle team. Adhere to and follow all coding guidelines and legal requirements to ensure compliance with Federal and State regulations. General Functions: Complete required continuing education to maintain coding credentials and license. Support and assist the Coding Manager of HIM and Revenue Cycle leadership on special projects as requested. Work directly with other departments and attend all internal/external meetings and training.
    $63k-82k yearly est. Auto-Apply 60d+ ago
  • Behavioral Health Coder (20 Hours)

    Open Sky Community Services 4.3company rating

    Worcester, MA jobs

    Description and Responsibilities Come join our billing team! Open Sky is looking for a skilled, part-time Behavioral Health Coder to provide coding support to the organization. They will audit clinical documentation for Evaluation and Management and psychotherapy services by validating coded data, ensuring services rendered support reimbursement and reporting purposes. The coder will also evaluate electronic health records to identify any documentation deficiencies and ensure all revenue is captured. This position begins with a hybrid schedule and has the opportunity to become remote after the organizations introductory period is successfully completed. Candiate must currently be geographically local to Central Massachusetts for consideration. Other Key Responsibilities: Serve as resource and subject matter expert to staff. Collaborate with clinicians on documentation discrepancies. Support the VP of Accounting & Financial Reporting and the Billing Manager with projects related to third party billing. Comply with behavioral health coding guidelines and policies. Qualifications High School diploma, GED or equivalent, required. Applicants must currently reside geographically local to Central Massachusetts. Certified professional coder with specialization in behavioral health, required. 3-5 years of experience in human/social services, healthcare, or related field, required. Experience in a behavioral health setting with use of electronic health record, required. Must have knowledge of payor guidelines and 3 rd party billing practices. Valid drives license and acceptable driving history, required. About Us At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life. Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL. At Open Sky, you'll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond. As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives. Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today! Benefits of Working for Open Sky Include: Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities Generous paid time off plan - you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!) We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications. Medical, Dental and Vision Insurance with Prescription Plan 403b Retirement Plan with Employer Match Life Insurance (100% Employer-Paid) Eligible employer for the Public Student Loan Forgiveness Program And more! Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status. Base Rate USD $25.58/Hr.
    $25.6 hourly Auto-Apply 47d ago
  • HOME HEALTH CODER/OASIS (PT DAYS)

    Riverside Healthcare 4.1company rating

    Peotone, IL jobs

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

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