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  • Certified Medical Coder

    Infojini Inc. 3.7company rating

    Health information coder job in Columbus, OH

    Certified Coding Specialist Duration: 06-07+ months with strong possibility of extension Shift timing: Mon- Fri: 8:00 a.m. and 5:30 p.m (8 hrs/day & 40 hrs/week) Pay Rate: $34/hr on W2 JOB ID- RFQ- ICD-10 Interview Process: Two-part in-person testing This is on-site position, 5 days a week. When a candidate has completed the probation period/training, it will be reviewed.BWC location, 30 W. Spring St., Columbus, OH Minimum Requirements: • Proficient in diagnosis coding using ICD-10-CM and in coding procedures using CPT and using nationally recognized correct coding guidelines. • Current coding credentials from AHIMA (CCS, RHIT, or RHIA) OR AAPC (CPC) • At least 2 years' experience in ICD-10-CM diagnosis and CPT coding • Ability to handle time-sensitive coding issues. • Resume with references.
    $34 hourly 1d ago
  • Certified Medical Coders

    Prokatchers LLC

    Remote health information coder job

    Job Title : Certified Medical Coders - Inpatient Duration : 3 Months Contract (with possible extension) Education : High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS. Shift Details : 8:00 AM-04:00 PM General Description: ·Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application. ·Seeking certified coders with a strong inpatient coding background. ·Candidate should be able to work with minimal training. Inpatient and ED experience. Starts onsite for training, then transitions to remote work once duties are mastered. Education: High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.
    $42k-67k yearly est. 5d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    Remote health information coder job

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 4d ago
  • HIM Coder-Outpatient

    Rush University Medical Center

    Remote health information coder job

    Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Medical Records **Work Type:** Full Time (Total FTE 1.0) **Shift:** Shift 1 **Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (***************************************************** **Pay Range:** $29.36 - $47.79 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. **Summary:** Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures. **Other information:** Knowledge, Skills, and Abilities: High School (GED) required RHIA, RHIT, and/or CCS Certification required Minimum 3 years experience in medical record coding required Knowledge of medical terminology and anatomy and physiology required Windows applications, Outlook, WebEx and other apps as needed to perform role Cooperates well with others Competent attention to detail and accuracy Proficient with computer use and software applications Ability to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in private work-from-home space Ability to apply local, state, and federal coding guidelines with attention to detail. **Responsibilities:** - Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail - Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail - Completes UHDDS data abstraction as required - Maintains a log of work performed - Completes other assigned duties as directed by management Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. **Position** HIM Coder-Outpatient **Location** US:IL:Chicago **Req ID** 20921
    $29.4-47.8 hourly 60d+ ago
  • HIM Coder - Remote (Part Time 17 hours/week) CCS Required

    Virtua 4.5company rating

    Remote health information coder job

    At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only. Remote Type: 100% Remote Employment Type: Employee Employment Classification: Regular Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 17 Additional Locations: Job Information: Please note all candidates must complete onsite testing in Marlton, NJ. Summary: Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Position Responsibilities: Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA), Uniform Hospital Discharge Data Set (UHDDS) hospital specific guidelines and rules/conventions. Records coded include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Sequences principal (or first-listed) diagnosis and principal procedures according to documentation found in the medical records and UHDDS definitions. Utilizes ongoing knowledge and reference material regarding DRGs to validate DRG assignments. Accurately utilizes written federal and state regulations and written guidelines regarding definitions and prioritizing of abstract data elements to assure uniformity of database. Records abstracted include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Verifies and/or abstracts required data into computer system according to procedure. Utilizes equipment and processes appropriately, to ensure efficient coding and abstracting; utilizes the established downtime procedures as needed. Participates in maintaining DNB and accounts receivable goal. Maintains department level competencies. Participates in performance improvement activities. Position Qualifications Required / Experience Required: Minimum of two years inpatient records coding experience Ability to perform functions in a Microsoft Windows environment Ability to be detailed oriented and perform tasks at a high level of accuracy Ability to make sound decisions Demonstrate good communication and teamwork skills Previous experience with an electronic legal health record system Required Education: High School Diploma or GED required Knowledge of Anatomy & Physiology/ Medical terminology required Coding education Training/Certifications/Licensure: AHIMA Certification: Certified Coding Specialist (CCS) required for all employees hired after 10/1/2025. Non-CCS-Certified Hourly Rate: $26.22 - $40.65 Hourly Rate: $27.80 - $43.12 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.
    $27.8-43.1 hourly Auto-Apply 47d ago
  • Health Information Management Inpatient Coder, FT, Days, - Remote

    Prisma Health 4.6company rating

    Remote health information coder job

    Inspire health. Serve with compassion. Be the difference. Codes medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Data reported by this incumbent is used to meet licensure requirements, is used for statistical purposes, and for financial and billing purposes. Incumbent(s) operate under the general supervision of HIM Coding leadership. Essential Functions * All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. * Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. * Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding. * Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. * Adheres to department standards for productivity and accuracy. * Identifies and trends coding issues escalating identified concerns * Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. * Performs other duties as assigned. Supervisory/Management Responsibilities * This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements * Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. * Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred. In Lieu Of * In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered. Required Certifications, Registrations, Licenses * Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities * Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. * Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. * Knowledge of electronic medical records and 3M or Encoder System. * Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. * Knowledge of MS DRG prospective payment system and severity systems. * Ability to concentrate for extended periods of time. * Ability to work and make decisions independently. Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70017512 HIM Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
    $30k-40k yearly est. 48d ago
  • Medical Records Coder

    Nextstep Technology Inc.

    Remote health information coder job

    Job DescriptionDescription: About the Company NextStep Technology Inc. is seeking a Medical Records Analyst. The medical records analyst is primarily responsible for review of health information. The MRA reviews the medical records for specific criteria and validation of specific code year sets submitted from selected organizations to government and commercial client. The position requires review of protected health information and must maintain strict confidentiality when addressing or referring to such records. The incumbent must have the ability to use a variety of office equipment, computer software, the ability to use sound and professional judgement, and to work independently. The candidate(s) will be hired as an employee up to 40 hours per week (flexible scheduling). This is a remote position About the Role The medical records analyst is primarily responsible for review of health information. Responsibilities Analyze protected health information according to project specific rules. Participates in the Intake Process of records. Assigns ICD-9/10-CM codes according to the guidelines as defined by the AMA. Discusses project related discrepancies with Team Lead(s). Maintain coding credentials and continuing education or Possess and maintains a current and comprehensive understanding of coding rules, changes, and guidelines as defined by the AMA. Other duties as assigned Requirements: Must possess a minimum of one (3-6) years of experience in abstracting and ICD-9/ICD-10 coding of general acute hospital (inpatient and outpatient) and physician medical records by applying ICD-9/ICD-10 Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics. ICD9 proficiency required. Knowledge in anatomy and physiology, pathology of disease and medical terminology required. Ability to write appropriate correspondence and effectively communicate with other members of NS personnel, clients, and customers as necessary. Must be able to work independently with little or no supervision and use professional judgment as detailed in the AHIMA Code of Ethics. Passing score on a administered coder assessment must be achieved before further consideration. Required Skills Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or CCS (Certified Coding Specialist).
    $58k-94k yearly est. 20d ago
  • Remote - Clinic/Outpatient Coder III

    Mosaic Life Care 4.3company rating

    Remote health information coder job

    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
  • Outpatient SDS Coding Specialist, Fully Remote, CCS or RHIT certified, FT, 08A-4:30P

    Baptist Health South Florida 4.5company rating

    Remote health information coder job

    Accurately codes Outpatient Surgery and Observation records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM and CPT4 coding system for BHSF facilities. Ensures compliance of coding rules and regulations according to Regulatory Agencies (CMS, OIG). Works as a team to meet departmental goals and AR goals. Abstracts prescribed data elements from the medical records. Estimated pay range for this position is $26.50 - $34.45 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Licenses & Certifications: * AHIMA Certified Coding Specialist. CCS or RHIT * AHIMA Registered Health Information Technician. Additional Qualifications: * Required Coding Certificate. * With extensive relevant experience and not CCS or RHIT certified upon hire they must obtain within 2 years, except for BRRH employees. * Knowledge of encoder system, outpatient prospective payment system (OPPS), APCs and Ambulatory Surgical Center payment system (ASC). * Knowledge and thorough understanding of National and Local Coverage Determination, NCD and LCD, Policies. * Competency in Word and Excel. * Ability to communicate effectively with coworkers, management staff and physicians. Minimum Required Experience: 3 years of outpatient Same Day Surgery SDS coding
    $26.5-34.5 hourly 1d ago
  • Donor Information Associate 3

    Rti Surgical Inc. 4.5company rating

    Remote health information coder job

    RTI Surgical is now Evergen! This rebranding reflects our strategic evolution as a leading CDMO in regenerative medicine and comes at the end of a significant year for the business, including the successful acquisitions of Cook Biotech in IN. and Collagen Solutions, MN. Our new brand identity emphasizes our unique positioning as the only CDMO offering a comprehensive portfolio of allograft and xenograft biomaterials at scale. Evergen is a global industry-leading contract development and manufacturing organization (CDMO) in regenerative medicine. As the only regenerative medicine company that offers a differentiated portfolio of allograft and xenograft biomaterials at scale, Evergen is headquartered in Alachua, FL, and has manufacturing facilities in West Lafayette, IN., Eden Prairie and Glencoe, MN., Neunkirchen, DE., Glasgow, UK., and Marton, NZ. Read more about this change and Evergen's commitment to advancing regenerative medicine here: ************************ RESPONSIBILITIES Makes recommendations with a focus on maximizing the quality and cost efficiency of services as a subject matter expert Utilizes vast medical knowledge to determine donor eligibility Works with external partners to obtain complete and accurate medical chart information Analyzes and organizes confidential medical information systems consisting of detailed paper and electronic medical records with high level of accuracy Manages donor medical records and databases for statistical reports Performs quality reviews of work within the department and assists with educating and training of other associates Completes training as coordinator, first review, second review, and one other role Ensures donor medical records are complete, accurate, and confidential Locates, prints, scans and organizes paper and electronic medical charts with high accuracy Verifies information within the medical charts and assists with archiving of records Maintains department inbox Mentors less-experienced team members Other duties as assigned REQUIREMENTS: Education Associate degree* Bachelor's degree, preferred Experience 6 or more years chart reviewing experience 5 years of industry experience, preferred *Additional experience may be substituted for educational requirements Certification CTBS, preferred Lean Six Sigma, preferred Skills High attention to detail Excellent written and verbal communication Microsoft Office Suite Digital Chart Software Confidentiality Travel N/A Safety: Physical Requirement Move or lift objects up to 25 pounds Frequent (>75%) stationary position (standing or sitting) while utilizing digital displays Frequent (>75% fine manipulation using hands and fingers (typing, opening, writing, clicking, paper sorting, etc.) Working Environment Onsite: Office environment with assigned workstation Remote positions only: Home office environment with minimum distractions More about Evergen: Evergen provides customers across a diverse set of market segments with leading-edge expertise, scale, and flexibility across end-to-end services including design, development, regulatory support, verification and validation, manufacturing, and supply chain management. Evergen is rooted in a steadfast commitment to quality, integrity, and patient safety with a focus on five key values: Accountable: We own our actions and decisions. Agile: We embrace change to stay ahead of the curve and evolve to drive innovation and growth. Growth Mindset: We embrace challenges as opportunities for continuous learning. Customer-Centric: We prioritize customers at every touch point. Inclusive: We thrive on the richness of our diversity and ensure every voice is heard, respected, and celebrated. At Evergen, we are committed to fostering an inclusive workplace where we embrace the richness of our diversity and ensure that every voice is heard, respected, and celebrated. We believe that by embracing diversity and promoting inclusivity, we not only uphold our values but also strengthen our position as the CDMO of Choice in regenerative medicine solutions. We recognize that cultivating a growth mindset is essential to our success, and we are dedicated to continuous learning and improvement in our diversity, equity, and inclusion efforts. Through accountability and action, we strive to create an environment where individuals can thrive, innovate, and contribute their unique perspectives to drive our collective success. Montagu Private Equity (“Montagu”), a leading European private equity firm, acquired RTI in 2020 and has supported the transformation of the company to its next level of potential. #LI-Remote
    $55k-95k yearly est. Auto-Apply 52d ago
  • Inpatient Coding Specialist, Fully Remote, $5000 Bonus, CCS or RHIT certified, FT, 08A-4:30P

    Baptisthlth

    Remote health information coder job

    Inpatient Coding Specialist, Fully Remote, $5000 Bonus, CCS or RHIT certified, FT, 08A-4:30P-154910Description Accurately codes Inpatient records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM/PCS coding system. Ensures compliance of coding rules and regulations according to Regulatory Agencies (CMS, OIG). Works as a team to meet departmental goals and AR goals. Abstracts prescribed data elements from the medical records.Qualifications Degrees: High School,Cert,GED,Trn,Exper. Licenses & Certifications: AHIMA Certified Coding Specialist. AHIMA Registered Health Information Technician. Additional Qualifications: Required coding certificate - AHIMA CCS or RHIT If not CCS or RHIT certified upon hire they must obtain within 2 years, except for BRRH employees. Knowledge and thorough understanding of encoder system, Inpatient Prospective Payment System (IPPS), DRG/MSDRGs and National and Local Coverage Determination, NCD and LCD, Policies. Competency in Word and Excel. Ability to communicate effectively with coworkers, management staff, and physicians. Minimum Required Experience: 3 years of IP facility coding Job CorporatePrimary Location RemoteOrganization CorporateSchedule Full-time Job Posting Dec 5, 2025, 5:00:00 AMUnposting Date Ongoing Pay Grade T39EOE, including disability/vets Refer a friend for this job Tell us about a friend who might be interested in this job. All privacy rights will be protected.Refer a friend
    $43k-61k yearly est. Auto-Apply 8d ago
  • Certified Coding Specialist I-Profee

    Pinnacle Health Systems

    Remote health information coder job

    UPMC is seeking to hire a Certified Coding Specialist I to join our Coding Department. This is a work-from-home position, working Monday through Friday during standard business hours. To qualify for this position, you must have at least five years of coding experience. As a Certified Coding Specialist I, you will have the same responsibilities as a Certified Specialty Coder, plus provide training on code selection for new and existing staff. Specifically, you will be working on denials, special projects in targeted specialties to assist in the reduction of denials. You will perform audits to determine code and charge selection accuracy as well as summarize coder accuracy for Managers. Identify topics for training and education, research topics and assist with the assembly of training materials and CDI process. Assist with audit reviews including all internal, external, and RAC associated coding audits. Supervise on-site staff. Review and approve adjustments to accounts. Responsible for Kronos approval and sign-off. Responsibilities: * Adhere to internal system-wide policies, competencies, behaviors and procedures to ensure efficient work processes. Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements. * Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. * Supervises staff including assignments and Kronos approval and signoff. Also assist with recruitment. * Code all diagnoses and procedures by assigning and verifying the proper ICD and CPT codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. * Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. * Investigate and resolve reimbursement issues, including denials, in a timely manner and demonstrate proficiency on billing system. * Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling. Prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. * Advise and instruct coders/providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification. * Progress within the training period toward meeting departmental coding accuracy standards within the first year of employment by assigning correct principal diagnosis/procedure, complications and co-morbidities, and secondary diagnoses as reviewed by the designated trainer. Coder should meet appropriate coding productivity standards within the time frame established by management staff. * Train all new Coders to observe established coding guidelines and to utilize the appropriate billing system. * Refer problem accounts to appropriate coding or management personnel for resolution. * Lead, participate in and/or assist with departmental coding audits. * Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions. * High school graduate or equivalent. * Graduate of an approved certified coding program preferred. * Proficient computer skills with MS excel knowledge preferred. * Five years surgical coding experience (includes anesthesia coding) OR advanced E/M coding experience. Licensure, Certifications, and Clearances: CPC or Certified Coding Specialist (CCS) specialty certification required * Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) * Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $37k-56k yearly est. 21d ago
  • Risk Adjustment Coding Specialist

    Pacificsource 3.9company rating

    Remote health information coder job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Risk Adjustment Coding Specialist is responsible for comprehensive clinical documentation and coding chart review assigned for PacificSource Medicare Advantage Plans. This individual will collaborate with the Risk Adjustment Coding Manager to ensure the chart review process is maintained in accordance with coding expectations and meets the Medicare program regulations and coding guidelines set forth by the Centers for Medicare and Medicaid Services. This individual will be responsible to lead the application of a standardized HCC chart review process as a foundation of coding guidance supporting Medicare Advantage FFS lines of business, engage and develop strong relationships with all stakeholders at PacificSource Health Plans. This individual will also identify opportunities to improve provider documentation and deliver customized provider-specific documentation improvement recommendations to the Risk Adjustment Coding Manager for escalation purposes. Essential Responsibilities: Provide support and coding expertise to all programs that support risk adjustment and data validation efforts for assigned PacificSource Health Plans, along with other ad hoc and long-term projects assigned by the Risk Adjustment Coding Manager. Assign appropriate ICD-10-CM codes, mapping to risk adjustment models as applicable. Comply with the Standards of Ethical Coding as set forth by the American Academy of Professional Coders and adhere to official coding guidelines. Comply with the Standards of Ethical Coding as set forth by the American Academy of Professional Coders and adhere to official coding guidelines. Assist in obtaining patient records from provider Electronic Health Record (EHR) systems. Assist in obtaining remote EHR access for our chart review vendors and internal PacificSource teams. Supporting Responsibilities: Reliability and a commitment to meeting tight deadlines. Personal discipline to work remotely without direct supervision. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Complete other projects and duties as needed and assigned. SUCCESS PROFILE Work Experience: A minimum of 3 years of experience as a certified coder in professional setting. A minimum 2 years of risk adjustment HCC Coding experience. Ability to code using an ICD-10-CM code book. Computer proficiency (including MS Windows, MS Office, and High-speed Internet access. Education, Certificates, Licenses: Active certified coder certification (CRC, CPC, CCS - P) through AHIMA or AAPC. Certified Professional Coder certification through AHIMA or AAPC. A CRC certification is required for this role. Knowledge: Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation. Strong clinical knowledge related to chronic illness diagnosis, treatment, and management. Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred). Reliability and a commitment to meeting tight deadlines. Exemplary attention to detail and completeness. Strong organization, interpersonal, and customer service, written and oral communication, and analytical skills. Competencies: Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $48k-59k yearly est. Auto-Apply 55d ago
  • Health Information Management (HIM) Coder - Outpatient - PER DIEM

    Rome Health 4.4company rating

    Remote health information coder job

    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.
    $40k-52k yearly est. 28d ago
  • Medical Records Coder 1

    Inova Health System 4.5company rating

    Remote health information coder job

    Inova Health is looking for a dedicated Medical Records Coder 1 to join the HB Coding Operations team. This role is Full-time working daytime hours Monday to Friday | REMOTE. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave. Medical Records Coder 1 Job Responsibilities: Resolves OCE and medical necessity edits. Appends or corrects modifiers and resolves NCI, LCD, NCD, OCE and MUE edits when required. Meets Coding quality standards established by the Coding Operations Director and the Coding Manager. Makes recommendations to physicians on documentation required to support ICD-10 diagnosis codes. Ensures that ICD-910-CM diagnosis productivity rate meets minimum standards according to policies and procedures. Assigns the appropriate ICD-10-CM diagnosis codes to Outpatient records after review of the Outpatient medical record documentation Minimum Requirements: Education: High School diploma or GED equivalent and completion of an AHIMA-approved coding or health information technology program. Certification: CCA, RHIA, RHIT, or CCS certification from AHIMA, or CPC-A, CPC, or COC certification from AAPC upon start.
    $66k-82k yearly est. Auto-Apply 17h ago
  • Health Information Specialist I

    Datavant

    Remote health information coder job

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. Position Highlights This is a Remote Role Full Time: Monday-Friday 8:00 AM to 4:30 PM Central Time. All Datavant Holidays are non-covered days. Ability working in a high-volume environment. Will answer incoming calls and assist patients via Ring Central Documenting information in multiple platforms using two computer monitors. Proficient in Microsoft office (including Word and Excel) Preferred Skills Knowledge of HIPAA and medical terminology Familiar with different EHR and Billing Systems Detailed Oriented We offer: Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance You will: Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. Maintain confidentiality and security with all privileged information. Maintain working knowledge of Company and facility software. Adhere to the Company's and Customer facilities Code of Conduct and policies. Inform manager of work, site difficulties, and/or fluctuating volumes. Assist with additional work duties or responsibilities as evident or required. Consistent application of medical privacy regulations to guard against unauthorized disclosure. Responsible for managing patient health records. Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. Ensures medical records are assembled in standard order and are accurate and complete. Creates digital images of paperwork to be stored in the electronic medical record. Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. Answering of inbound/outbound calls. May assist with patient walk-ins. May assist with administrative duties such as handling faxes, opening mail, and data entry. Must meet productivity expectations as outlined at specific site. May schedules pick-ups. Other duties as assigned. What you will bring to the table: High School Diploma or GED. Ability to commute between locations as needed. Able to work overtime during peak seasons when required. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. Professional verbal and written communication skills in the English language. Detail and quality oriented as it relates to accurate and compliant information for medical records. Strong data entry skills. Must be able to work with minimum supervision responding to changing priorities and role needs. Ability to organize and manage multiple tasks. Able to respond to requests in a fast-paced environment. Bonus points if: Experience in a healthcare environment. Previous production/metric-based work experience. In-person customer service experience. Ability to build relationships with on-site clients and customers. Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.
    $15-18.3 hourly Auto-Apply 29d ago
  • Release of Information Specialist

    Charlie Health

    Remote health information coder job

    Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role The Release of Information Specialist supports secure and authorized exchange of protected health information at Charlie Health. This role will be responsible for ensuring Charlie Health complies with all state and federal privacy laws while providing access to care documentation. Our team is composed of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way. We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities Maintains confidentiality and security with all protected information. Receives and processes requests for patient health information in accordance with company, state, and federal guidelines. Ensures seamless and secure access of protected health information. Establishes proficiency in Health Information Management (HIM) electronic document management (EDM) systems. Answers calls to the medical records department and responds to voice messages. Retrieves electronic communication, faxes, opening postal mail, and data entry. Responds to internal requests via email, slack, or any other communication platform. Documents inquiries in the requests for information log and track steps of the process through completion. Determines validity from documentation provided on authorizations, subpoenas, depositions, affidavits, power attorney directives, short term disability insurance, workers compensation, health care providers, disability determination services, state protective services, regulatory oversight agencies and any other sources. Sends invalid request notifications as needed. Retrieves correct patient information from the electronic medical record (EMR) and other record sources. Verifies correct patient information and dates of services on all documents before releasing. Provides records in the requested format. Acts in an informative role within the organization regarding general release of information questions and assists with developmental training. Documents accounting of disclosures not requiring patient authorization. Scans or uploads documents and correspondence in EMR. Communicates feedback, new ideas, fluctuating volumes, difficulties, or concerns to the HIM Director. Participates in teams to advance operations, initiatives, and performance improvement. Assists with other administrative duties or responsibilities as evident or required. Requirements Associates Degree required or equivalent in release of information experience. 1 year experience in a behavioral health medical records department, or related fields. Experience in a healthcare setting is highly desirable. Experienced use of email, phones, fax, copiers, MS office, and other business applications. Ability to prioritize multiple tasks and respond to requests in a fast-paced environment. Ability to maintain strict confidentiality. Extreme attention to detail as it relates to accurate information for medical records. Professional verbal and written communication skills in the English language. Work authorized in the United States and native or bilingual English proficiency Familiarity with and willingness to use cloud-based communication software-Google Suite, Slack, Zoom, Dropbox, Salesforce-in addition to EMR and survey software on a daily basis. Please note that members of this team who live within 45 minutes of a Charlie Health office are expected to adhere to a hybrid work schedule. Please note that this role is not available to candidates in Alaska, California, Colorado, Connecticut, Maine, Massachusetts, Minnesota, New Jersey, New York, Oregon, Washington State, or Washington, DC. Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. The total target base compensation for this role will be between $44,000 and $60,000 per year at the commencement of employment. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. Li-RemoteOur Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.
    $44k-60k yearly Auto-Apply 30d ago
  • Remote Release of Information Specialist

    Verisma Systems Inc. 3.9company rating

    Remote health information coder job

    Release of Information Specialist I (ROIS I) The Release of Information Specialist I (ROIS I) initiates the medical record release process by inputting data into Verisma Software. The ROIS I works quickly and carefully to ensure documentation is processed accurately and efficiently. This position may be done remotely. The primary supervisor is Manager of Operations, Release of Information. Duties & Responsibilities: Process medical ROI requests in a timely and efficient manner Process requests utilizing Verisma software applications Support the resolution of HIPAA-related release issues Organize records and documents to complete the ROI process Read and interpret medical records, forms, and authorizations Provide exemplary customer service in person, on the phone and via email, depending on location requirements Interact with customers and co-workers in a professional and friendly manner Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained Attend training sessions, as required Live by and promote Verisma company values Perform other related duties, as assigned, to ensure effective operation of the department and the Company Minimum Qualifications: HS Diploma or equivalent, some college preferred RHIT certification, preferred 2+ years of medical record experience 2+ years of experience completing clerical or office work Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks Experience in a healthcare setting, preferred Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred Must be able to work independently Must be detail oriented
    $34k-53k yearly est. 11d ago
  • Risk Adjustment Medical Record Coder

    Bluecross Blueshield of Tennessee 4.7company rating

    Remote health information coder job

    The Risk Adjustment & Quality Division at BCBST is seeking a skilled Risk Adjustment Medical Record Coder to support our mission of delivering accurate and compliant coding practices. What You'll Do: In this role, you will perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with BCBST policy. Preferred Qualifications: CRC (Certified Risk Adjustment Coder) certification is a plus. If not currently certified, you must obtain it within one year of hire. Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and Affordable Care Act (ACA) programs highly preferred. What Sets You Apart: Self-motivated and proactive, thriving in a remote work environment A true team player, ready to engage in team chats and support colleagues A learner, eager to grow and adapt in a constantly evolving industry Job Responsibilities Maintain compliance with CMS risk adjustment diagnosis coding guidelines. Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding). Assist with the intake and quality assurance of medical records as necessary. Perform or participate in special projects as directed by management. ICD-10 Coding assessment is required. Job Qualifications Education Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience. Experience 1 year - Progressive medical coding and health care experience required. Skills\Certifications Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA). Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training. Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint). Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks. Must be a team player, be organized and have the ability to handle multiple projects. Excellent oral and written communication skills. Strong interpersonal and organizational skills. Understanding of ICD-10 coding standards required. Number of Openings Available 0 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
    $66k-80k yearly est. Auto-Apply 3d ago
  • PGA Certified STUDIO Performance Specialist

    PGA Tour Superstore 4.3company rating

    Health information coder job in Columbus, OH

    Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis. Position Summary Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships. The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results. Key Responsibilities: Customer Experience & Engagement * Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors. * Build lasting relationships that encourage repeat business and client referrals. * Educate and inspire customers by connecting instruction and equipment performance to game improvement. Instruction & Coaching * Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels. * Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction. * Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement. * Proactively organize clinics and performance events to build customer engagement and community participation. Fitting & Equipment Performance * Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology. * Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals. * Educate customers on product features, benefits, and performance differences across brands. * Accurately enter and manage custom orders, ensuring all specifications are documented precisely. Operational & Visual Excellence * Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards. * Ensure equipment, software, and technology remain functional and calibrated. * Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions. * Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays. Performance & Business Growth * Achieve key performance indicators (KPIs) such as: * Lessons and fittings completed * Sales per hour and booking percentage * Clinic participation and conversion to sales * Proactively grow the STUDIO business through client outreach, networking, and relationship management. * Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience. Qualifications and Skills Required * Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment. * Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers. * Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule). * Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines. * Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred. * Experience: * 2+ years of golf instruction and club fitting experience preferred. * Experience with swing analysis tools and custom club building highly valued. * Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments. * Availability: Must maintain flexible availability, including nights, weekends, and holidays. * Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment. We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination. An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
    $31k-41k yearly est. Auto-Apply 21d ago

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