This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School / GED
+ 1 year in Hospital coding
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC)
+ Familiarity with medical terminology
+ Strong data entry skills
+ An understanding of computer applications
+ Ability to work with members of the health care team
Preferred
+ Associate's degree in Health Information Management or Related Field
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
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Req ID: J272373
$23-35.7 hourly 38d ago
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Cape Cod Healthcare Neurosurgery
Stryker Corporation 4.7
Massachusetts jobs
3. Cape Cod Healthcare NeurosurgeryResultsJob DetailsExplore LocationCape Cod HealthCareHyannis, MA, United StatesCape Cod HealthCareCape Cod HealthCareHyannis, MA, United StatesThe insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.**Description**Cape Cod Healthcare is seeking a board-certified or board-eligible neurosurgeon to join its hospital-employed neurosurgery group. While the majority of the clinical volume is elective spinal surgery, we are seeking a candidate with an interest and capability in managing primary and metastatic central nervous system tumors. This role provides an excellent opportunity to practice the breadth of community neurosurgery, with an emphasis on spine, while also developing and leading tumor care within an integrated health system. Responsibilities & Practice Focus Perform elective spinal surgery (instrumented fusion, motion preservation, minimally invasive approaches, deformity correction) - the majority of expected surgical volume. Diagnose, operate, and manage postoperative care for primary and metastatic cranial and spinal tumors in collaboration with oncology and radiation oncology colleagues. Participate in general neurosurgical call coverage (cranial, trauma, spine) on a rotating basis. Contribute to multidisciplinary tumor board and neuro-oncology program development. Provide outpatient consultation, follow-up, and continuity of care for neurosurgical patients. Collaborate with advanced practice providers, hospitalists, and ICU staff to deliver comprehensive care. Qualifications MD or DO (or equivalent) with completion of neurosurgery residency. Board certified or board eligible in neurosurgery. Demonstrated interest or experience in the surgical treatment of CNS tumors (primary and metastatic). Proficiency in spinal surgical techniques, including minimally invasive and traditional approaches. Commitment to collegial practice, patient-centered care, and community engagement. Practice & Call Structure General neurosurgery call shared equally within the group. Expected case volume first year: 200-300 total cases. Approximate case mix: ~80% spine, ~20% cranial (tumor and other cranial pathologies). Support from experienced advanced practice providers in clinic and hospital. Active participation in tumor board and integrated cancer programs. Compensation & Benefits Competitive base salary with productivity and quality incentives. Comprehensive benefits package including health insurance, retirement plan, malpractice coverage, and CME allowance. Relocation assistance and support for professional development. Pathway to leadership in neurosurgical oncology within a community hospital system. About Cape Cod & Practice Environment Cape Cod Healthcare is a robust, integrated health system with two acute care hospitals, outpatient centers, and a unified Epic EMR platform. The neurosurgery team is collegial, community-focused, and dedicated to high-quality patient care. Cape Cod offers an exceptional lifestyle: coastal living with easy access to Boston and Providence, excellent schools, abundant outdoor recreation, and vibrant arts and culture.Cape Cod Healthcare NeurosurgeryCape Cod Healthcare NeurosurgeryOB/GYN Opportunity with Cape Cod Healthcare in...Cape Cod HealthcareHyannis,MA,United StatesCape Cod Healthcare NeurosurgeryCape Cod HealthcareHyannis,MA,United StatesLove Where you Live and Work~ Cape Cod Healthcare...Cape Cod HealthcareHyannis,MA,United States
#J-18808-Ljbffr
A leading healthcare provider in San Diego, California, seeks a professional to provide coding support and appeal guidance related to reimbursement issues. The ideal candidate has at least 5 years of experience in coding and auditing, and is a Certified Professional Coder (CPC). Responsibilities include acting as a liaison between departments, researching policies, and ensuring timely follow-up collections. A Bachelor's degree is preferred. This role offers competitive hourly pay between $36.830 and $53.230.
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$36.8-53.2 hourly 5d ago
Specialty Coder Senior - Neurosurgery
Christus Health 4.6
San Antonio, TX jobs
Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines.
Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership.
Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.
Responsibilities
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Assign codes for diagnoses, treatments, and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.
Abstracts required information from source documentation, to be entered into the appropriate CHRISTUS Health electronic medical record system.
Validates admit orders and discharge dispositions.
Works from assigned coding queue, completing and re-assigning accounts correctly.
Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner.
Meets or exceeds an accuracy rate of 95%.
Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
Assists in implementing solutions to reduce backend errors.
Identifies and appropriately reports all hospital‑acquired conditions (HAC).
Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists.
Has strong written and verbal communication skills.
Able to work independently in a remote setting, with little supervision.
Participates in both internal and external audit discussions.
All other work duties as assigned by the Manager.
Job Requirements Education/Skills
High school Diploma or equivalent years of experience required.
Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.
Experience
1 - 3 years of experience preferred.
Licenses, Registrations, or Certifications
None required.
Work Schedule
5 Days - 8 Hours
Work Type
Full Time
#J-18808-Ljbffr
$48k-58k yearly est. 4d ago
HOSPITAL INPATIENT CODER SR
Moffitt Cancer Center 4.9
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. 3d ago
Coder II - Outpatient - Coding & Reimbursement
Lakeland Regional Health-Florida 4.5
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. 5d ago
Clinical Reimbursement Specialist CRS
Laurel Health Care Company 4.7
Westerville, OH jobs
Are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Healthcare as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our Columbus, Ohio and surrounding facilities. If you love teaching and communicating with other nurses, this is a great role for you!
The successful applicant will have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations.
Benefits:
Competitive pay.
Medical, dental, and vision insurance.
401K with matching funds.
Life Insurance.
Employee discounts.
Tuition Reimbursement.
Student Loan Reimbursement.
Responsibilities:
Ensure the RAI process is complete and assessments are complete.
Audit Completion of MDS, CAA's and care plans within regulated time frames.
Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review.
Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff.
Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning.
Requirements:
Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required.
Knowledge of regulatory standards and compliance requirements.
Registered Nurse RN in the state.
50% travel with some overnight stays possible.
Ciena Healthcare:
We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
$33k-41k yearly est. 1d ago
Hospital Outpatient Coder II, FT, Days, - Remote
Prisma Health 4.6
Maryville, TN jobs
Inspire health. Serve with compassion. Be the difference.
Codes medical information into the organization billing/abstracting systems for multiple facilities. Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes. Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference.
Codes moderate to complex Outpatient Surgery, and Observation records from clinical documentation as well as Emergency department, ancillary and ambulatory clinic records; assigns modifiers as appropriate.
Adheres to department standards for productivity and accuracy. Operates under the general supervision of HIM Coding leadership.
Reviews work queues daily 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.
Responds to and follows up on priority accounts daily and any accounts assigned by Patient Financial services or Coding leader(s) for final coding.Communicates with leader when trending requests volumes impact productivity.
Queries physician or clinical area following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy.
Applies ICD and CPT codes to the Emergency department, outpatient ambulatory clinic records and ancillary service records based on review of clinical documentation and according to Official coding guidelines; assigns modifiers.
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, Associate degree or coding certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other approved coding certification program.
Experience - Two (2) years of coding experience in an acute care or ambulatory setting. Outpatient coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CCP-H), or Certified Outpatient Coder (COC).
Knowledge, Skills and Abilities
Demonstrates proficiency in utilizing official coding books as well as the electronic medical record and computer assisted coding/encoding software to facilitate code assignment.
Demonstrates continuous learning as evidenced by personally developed reference materials, online publications etc., to stay abreast of new and revised guidelines, practices and terminology, for reference and application.
Participates in on site, remote and/or external training workshops and training.
Ability to pass internal coding test.
Knowledge of electronic medical records and 3M or other Encoder System.
Ability to concentrate for extended periods of time; ability to solve problems with close attention to detail and to work and make decisions independently.
Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
Demonstrated competence in coding and correct extrapolation of official coding and select billing guidelines to specific coding situations.
Basic computer skills
Work Shift
Day (United States of America)
Location
Blount Memorial Hospital
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.
$31k-39k yearly est. 2d ago
Risk Adjustment Coder Professional Billing II, FT, Days, - Remote
Prisma Health 4.6
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
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.
Conducts prospective review of charts to identify HCC opportunity.
Conducts retrospective review of charts to confirm documentation supports reporting.
Utilizes payor specific software to assist in capturing HCCs.
Communicates with providers about HCC opportunities for improvement.
Identifies suspect conditions that would potentially support reporting an HCC.
Participates in education offerings
Participates in monthly meetings
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 - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
Experience - Five (5) years professional fee coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder (CPC), and
Certified Risk Adjustment Coder(CRC)
Knowledge, Skills and Abilities
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
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.
$28k-33k yearly est. 2d ago
Ambulatory Coder Professional Billing, FT, Days, - Remote
Prisma Health 4.6
Columbia, SC jobs
Inspire health. Serve with compassion. Be the difference.
Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.
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.
Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
Responsible for resolving all assigned pre-billing edits
Communicates billing related issues and participates in meetings to improve overall billing process
Provides feedback to providers in order to clarify and resolve coding concerns.
Assists in identifying areas that need additional training.
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 - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
Experience - Two (2) years professional coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder-CPC
Knowledge, Skills and Abilities
Maintains knowledge of governmental and commercial payer guidelines.
Participates in coding educational opportunities (webinars, in house training, etc.).
Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)
Location
Corporate
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
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.
$28k-33k yearly est. 2d ago
HIM Data Specialist
Valley Children's Healthcare 4.8
Madera, CA jobs
Health Information Management Data Specialist
Responsible for case identification, accessioning, and data abstraction for multiple clinical registries, including the California Perinatal Quality Care Collaborative (CPQCC), ImproveCareNow (ICN), and the Pediatric Cardiac Critical Care Consortium (PC4). Accurately abstracts required data elements from the medical record and enters, validates, and maintains data within Valley Children's Healthcare comparative database systems and registries. Supports both internal and external administrative, clinical, and statistical reporting needs.
Experience
Minimum of one (1) year of related experience required
Education / Licenses / Certifications
Associate degree (2-year) in Health Information Technology required
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required
Active California Registered Nurse (RN) license preferred
About Valley Children's Healthcare
The award winning Valley Children's Healthcare, is located in the heart of the affordable, Central Valley of California in Madera, just a short drive to 3 national parks and your choice of California coastline beaches. The hospital is one of the largest pediatric healthcare networks in the Country with a 358-bed hospital and several outpatient clinics.
$130k-183k yearly est. 2d ago
Medical Coder
Unitedhealth Group 4.6
Saint Paul, MN jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The MedicalCoder delivers quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a payer-centric approach to care. As a MedicalCoder you will suggest and review claim information and procedure codes for all specialties and health services. Ensuring proper records is just one way your work will impact on the health and wellness of our members on a huge scale.
Schedule: A 40-hour work week, Monday through Friday between the hours of 7 am to 7:00pm. The schedule will be determined by the supervisor upon hire.
Location: National remote
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Analyzes and codes claim information in a timely and accurate manner
Responsible for written explanations ensuring quality data and timely review
Completes assigned work ensuring department benchmarks are met or exceeded consistently in accordance with current industry standards and use of current technologies
Maintains professional skills and remains engaged in the goals and vision of the organization to ensure the department functions efficiently and accurately with integrity
Performs other duties as assigned
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: uhgbenefits
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma/GED (or higher)
Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA required. Will consider CPC -A. OR Certified Coding Specialist (CCS), Physician-based (CCS-P) certification through the American Health Information Management Association (AHIMA) and/or Certified Professional Coder (CPC) through American Academy of Professional Coders (AAPC)
6+ months of experience/knowledge of durable medical equipment coding, professional fee billing, reimbursement and third-party payers regulations
6+ months of experience/knowledge of medical terminology
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
Intermediate level of computer proficiency of MS Office (MS Word, Excel, Outlook and Power Point)
Ability to work with individuals at all organizational levels, particularly peers, team members, other departments, patients, and the community is required
Soft Skills:
Ability to work independently and as a team, and maintain good judgment and accountability
Demonstrated ability to work well with health care providers
Strong organizational and time management skills
Ability to multi-task and prioritize tasks to meet all deadlines
Ability to work well under pressure in a fast-paced environment
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #GREEN
$20-35.7 hourly 6d ago
Senior Coder - Outpatient
Highmark Health 4.5
Medical coder job at Highmark
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.
**ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)
+ Acts as a mentor and subject matter expert to others. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School/GED
+ 5 years of Hospital and/or Physician Coding
+ 1 year of Coding - all specialties and service lines
+ Extensive knowledge in Trauma/Teaching/Observation guidelines
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Any of the following:
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
+ Registered Health Information Associate (RHIA)
+ Certified Coding Specialist Physician (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
Preferred
+ Associate's Degree
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J270102
$23-35.7 hourly 33d ago
Health Information Management (HIM) Coder - Outpatient - PER DIEM
Rome Health 4.4
Rome, NY jobs
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. 6d ago
Behavioral Health Coder (20 Hours)
Open Sky Community Services 4.3
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. Must be currently geographically local to Central Massachusetts
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 35d ago
Behavioral Health Coder (20 Hours)
Open Sky Community Services 4.3
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. Must be currently geographically local to Central Massachusetts
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 3rd 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. Responsibilities 2025-10459
$25.6 hourly Auto-Apply 34d ago
Health Information Coder (ICD-10CM)
Lindengrove Communities 3.9
Fitchburg, WI jobs
Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines.
This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin.
Responsibilities
* Maintains and actively promotes effective communication with all individuals.
* Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values.
* Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement.
* Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes.
* Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate.
* Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines.
* Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies.
* Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
* Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary.
* Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency.
* Maintains confidentiality, privacy and security in all matters pertaining to this position.
* Performs other duties, as assigned.
Requirements
* High School education or equivalent.
* Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date.
* One (1) year of coding experience preferred.
* Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology.
* Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA).
* Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred.
* Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications.
* Strong organizational, analytical, and problem-solving skills, and attention to detail.
* Strong Keyboarding and filing abilities.
* Ability to exhibit professionalism, flexibility, dependability, and a desire to learn.
* Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms.
* Commitment to quality outcomes and services for all individuals.
* Ability to relate well to all individuals.
* Ability to maintain and protect the confidentiality of information.
* Ability to exercise independent judgment and make sound decisions.
* Ability to adapt to change.
Benefits
* Employee Referral Bonus Program.
* Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution)
* Paid Time Off and Holidays acquired from day one of hire.
* Health (low to no cost), Dental, & Vision Insurance
* Flexible Spending Account (Medical and Dependent Care)
* 401(k) with Company Match
* Financial and Retirement Planning at No Charge
* Basic Life Insurance & AD&D - Company Paid
* Short Term Disability - Company Paid
* Voluntary Ancillary Coverage
* Employee Assistance Program
* Benefits vary by full-time, part-time, and PRN status.
If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you!
Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting.
The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all.
#IlluminusHQ
Salary Description
$22 - $25 per hour depending on experience
$22-25 hourly 52d ago
HOME HEALTH CODER/OASIS (PT DAYS)
Riverside Healthcare 4.1
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 7d ago
HIM Coder
Kirby Medical Center 4.3
Monticello, IL jobs
Job DescriptionDescription:
Shift: Day shift
Schedule: M-F 40 hours
Job Summary: Responsible for the conversion of diagnoses and treatment procedures in accordance with the rules, regulations and coding conventions as established by the American Hospital Association (Coding Clinic), ICD-10-CM, CMS, AHIMA, and Kirby Medical Center organizational/institutional coding guidelines. Under the direction of the lead coding manager, the coder will perform all tasks and duties in accordance with established standards, policies, procedures, protocols, and guidelines using classification of diseases. Requires skill in the sequencing of diagnoses/procedures to meet medical necessity requirements. Ensures that records are coded in an accurate and timely manner. Participates in the department's performance improvement activities.
Benefits:
40 hours PTO effective date of hire
Health, Dental, Vision and Life insurance effective date of hire
Generous 401(k) match effective after 90 days
Quality/Goal incentive annually
Free Wellness Program
Requirements:
Qualifications:
High School diploma or equivalent and medical coding education. In lieu of medical coding education, an active coding certification is required. Associate degree in healthcare related field preferred.
Certification as Certified Coding Specialist (CCS), or Certified Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) or Certified Professional Coder (CPC) required within one year of hire.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) preferred (will be considered in lieu of above certifications).
Required Skills:
Extremely detail-oriented with the ability to multi-task and follow through to meet established deadlines with stringent guidelines.
Ability to function under stress with many interruptions.
Highly analytical with critical thinking skills.
Must be self-motivated and strive for personal growth.
Knowledge or medical science, anatomy, and physiology required.
Ability to work flexible hours and possess the ability to accept change.
Ability to work with others collaboratively and communicate efficiently both orally and in writing.
Experience with Windows-based applications (e.g., Word, Excel, Outlook, etc.). Able to use multiple Electronic Health Records.
Since 1941, Kirby Medical Center has been the premier provider of healthcare in Piatt County and surrounding areas. We are committed and proud to provide quality and compassionate healthcare services to people in need. Our values-based culture, employee engagement, and award-winning healthcare have driven the success of our organization. Kirby Medical Center is an independent, not-for-profit hospital located on a beautiful campus in Monticello, IL with satellite clinics in Atwood, & Cerro Gordo, IL.
Kirby Medical Center offers an outstanding benefits package and state-of-the-art medical equipment. Ideal candidates enjoy a workplace where compassion, positive attitudes, respect, excellence, and stewardship are on display every day.
$52k-62k yearly est. 29d ago
HIM Coder
Kirby Medical Center 4.3
Monticello, IL jobs
Full-time Description
Shift: Day shift
Schedule: M-F 40 hours
Job Summary: Responsible for the conversion of diagnoses and treatment procedures in accordance with the rules, regulations and coding conventions as established by the American Hospital Association (Coding Clinic), ICD-10-CM, CMS, AHIMA, and Kirby Medical Center organizational/institutional coding guidelines. Under the direction of the lead coding manager, the coder will perform all tasks and duties in accordance with established standards, policies, procedures, protocols, and guidelines using classification of diseases. Requires skill in the sequencing of diagnoses/procedures to meet medical necessity requirements. Ensures that records are coded in an accurate and timely manner. Participates in the department's performance improvement activities.
Benefits:
40 hours PTO effective date of hire
Health, Dental, Vision and Life insurance effective date of hire
Generous 401(k) match effective after 90 days
Quality/Goal incentive annually
Free Wellness Program
Requirements
Qualifications:
High School diploma or equivalent and medical coding education. In lieu of medical coding education, an active coding certification is required. Associate degree in healthcare related field preferred.
Certification as Certified Coding Specialist (CCS), or Certified Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) or Certified Professional Coder (CPC) required within one year of hire.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) preferred (will be considered in lieu of above certifications).
Required Skills:
Extremely detail-oriented with the ability to multi-task and follow through to meet established deadlines with stringent guidelines.
Ability to function under stress with many interruptions.
Highly analytical with critical thinking skills.
Must be self-motivated and strive for personal growth.
Knowledge or medical science, anatomy, and physiology required.
Ability to work flexible hours and possess the ability to accept change.
Ability to work with others collaboratively and communicate efficiently both orally and in writing.
Experience with Windows-based applications (e.g., Word, Excel, Outlook, etc.). Able to use multiple Electronic Health Records.
Since 1941, Kirby Medical Center has been the premier provider of healthcare in Piatt County and surrounding areas. We are committed and proud to provide quality and compassionate healthcare services to people in need. Our values-based culture, employee engagement, and award-winning healthcare have driven the success of our organization. Kirby Medical Center is an independent, not-for-profit hospital located on a beautiful campus in Monticello, IL with satellite clinics in Atwood, & Cerro Gordo, IL.
Kirby Medical Center offers an outstanding benefits package and state-of-the-art medical equipment. Ideal candidates enjoy a workplace where compassion, positive attitudes, respect, excellence, and stewardship are on display every day.
Salary Description $20.22-$25.28 per hour DOE