Medical Coder jobs at Hospital Sisters Health System - 182 jobs
Health Clerk
Hospital Sisters Health System 4.8
Medical coder job at Hospital Sisters Health System
Pay Range:
$17.50 - $24.50
A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education.
Facilitates patient and clerical activities, including order entry, documentation, communication of information necessary for patient care, system management, chart assembly and analysis, customer service/public relations activities related to patient care and unit operations. Ensures accurate data collection and data entry to facilitate customer satisfaction and timely and accurate reimbursement for services.
Position Specifics:
Department: Surgery Administration
Core Function: Nursing Support
Schedule: PRN
Facility: St. John's Hospital
Location: Springfield , IL
Compensation: Compensation that aligns with your experience, plus shift differentials for nights and weekend
Education Qualifications
High School Diploma or GED is preferred.
Experience Qualifications
Working knowledge of medical terminology and/or previous course in medical terminology is desirable.
Certifications, Licenses and Registrations
Basic Life Support (BLS) is preferred.
Job Description
Scheduled Weekly Hours:
0
Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day.
Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments.
Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.
Benefits: HSHS provides a benefits package designed to support the overall well-being of our colleagues including their physical, emotional, financial, spiritual, and work health. Colleagues budgeted to work at least 32 hours per pay period are eligible for HSHS benefits.
Comprehensive and affordable health coverage includes medical, prescription, dental and vision coverage for full-time and part-time colleagues.
Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need.
Retirement benefits including HSHS
contributions.
Education Assistance benefits include up to $4,000 of educational assistance each calendar year and tuition discounts to select colleges with no waiting period.
Adoption Assistance provides financial support up to $7,500 for colleagues growing their families through adoption to reimburse application and legal fees, transportation, and more!
Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!
Benefits
HSHS and affiliates is an Equal Opportunity Employer (EOE).
HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.
$17.5-24.5 hourly Auto-Apply 10d ago
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Medical Coding Auditor
St. Luke's Hospital 4.6
Chesterfield, MO jobs
Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades.
Position Summary:
Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 40hrs/week and 100% remote.
Education, Experience, & Licensing Requirements:
Education: Associate degree in Health Services
Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience.
Licensure: RHIA, RHIT, or CCS certification
Benefits for a Better You:
Day one benefits package
Pension Plan & 401K
Competitive compensation
FSA & HSA options
PTO programs available
Education Assistance
Why You Belong Here:
You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.
$44k-65k yearly est. 2d ago
Medical Coding Specialist II - Inpatient
UW Health 4.5
Middleton, WI jobs
Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. Applicants hired into this position can work from most states. This will be discussed during the interview process.
To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.
Approved Remote Work States Listing
Be part of something remarkable
Join the #1 hospital in Wisconsin!
We are seeking a Medical Coding Specialist II - Inpatient to:
Determine and assign ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes.
Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows.
At UW Health, you will have:
An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
Qualifications
High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required
Work Experience
2 years of progressive inpatient facility coding experience Required
2 years or more of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center Preferred
Licenses & Certifications
Certified Coding Specialist (CCS) Upon Hire Required or
Certified Inpatient Coder (CIC) Upon Hire Required
Registered Health Information Technician (RHIT) Preferred
Registered Health Information Administrator (RHIA) Preferred
Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Job Description UW Hospital and Clinics benefits
$59k-74k yearly est. Auto-Apply 12h ago
Medical Coding Specialist II - Profee OB GYN/Multispecialty
UW Health 4.5
Middleton, WI jobs
Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process.
To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.
Approved Remote Work States Listing
Be part of something remarkable
Join the #1 hospital in Wisconsin!
We are seeking a Medical Coding Specialist II to:
Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.
At UW Health, you will have:
An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
Qualifications
High School Diploma or equivalent and medical coding education Required or
In lieu of a medical coding education, an active coding certification Required
Associate's Degree in a healthcare related field Preferred
Work Experience
1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Required
2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred
Licenses & Certifications
Certified Professional Coder (CPC) Upon Hire Required or
Certified Outpatient Coder (COC) Upon Hire Required or
Certified Inpatient Coder (CIC) Upon Hire Required or
Certified Coding Specialist (CCS) Upon Hire Required or
Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or
Certified Coding Associate (CCA) Upon Hire Required or
Certified Risk Adjustment Coder (CRC) Upon Hire Required or
Registered Health Information Technician (RHIT) Upon Hire Required or
Registered Health Information Administrator (RHIA) Upon Hire Required
Registered Health Information Technician (RHIT) Preferred or
Registered Health Information Administrator (RHIA) Preferred
Our Commitment to Social Impact and BelongingUW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.Job DescriptionUW Medical Foundation benefits
$59k-74k yearly est. Auto-Apply 12h ago
Hospital Coding Specialist III (Remote)
Marshfield Clinic 4.2
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Hospital Coding Specialist III (Remote) Cost Center:101651098 System Support-Facility CodingScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; day shifts (United States of America) Job Description:
**May be eligible for a sign-on bonus!**
JOB SUMMARY
The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification of Diseases (ICD) Official Guidelines for Coding and Reporting and in the Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS-DRG (Medicare Severity-Diagnosis Related Group) or APR-DRG (All Patients Refined Diagnosis Related Groups) for complex, multi-specialty inpatient services. This individual understands and applies applicable medical terminology, anatomy and physiology, surgical technology, pharmacology and disease processes. The Hospital Coding Specialist III reviews professional and hospital inpatient medical record documentation and properly identifies and assigns:
ICD CM and PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, surgical procedures and/or other procedures.
MS-DRG /APR-DRG
Present on admission indicators
HAC (Hospital Acquired conditions) and when required, report through established procedures
PSI conditions and report through established procedures
Discharge Disposition code
Works collaboratively with the Clinical Documentation Improvement Specialists to address documentation concerns and DRG assignments
Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested
JOB QUALIFICATIONS
EDUCATION
The individual applying must meet the minimum qualifications in all three required sections below to be considered a candidate for interview. Please consider when listing minimum qualifications.
Minimum Required: AHIMA or AAPC approved Medical Coding Diploma or Health Information Management Degree or related program.
Preferred/Optional: None
EXPERIENCE
Minimum Required: Three years of progressive inpatient coding experience in an acute care facility.
Preferred/Optional: Experience with electronic health record systems. Academic or level I or II trauma experience is a plus.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position
Minimum Required: Active credential of Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) through the American Health Information Management Association (AHIMA); or AAPC (American Academy of Professional Coders) at the time of hire.
Preferred/Optional: If AAPC credential, preferred is CIC (Certified Inpatient Coder).
**May be eligible for a sign-on bonus!**
Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states:
Alabama
(limitations in some counties)
Arizona
(limitations in some counties)
Arkansas
Colorado
(limitations in some counties)
Florida
Georgia
Idaho
Illinois
(limitations in some counties)
Indiana
Iowa
Kansas
Kentucky
(limitations in some counties)
Louisiana
Maine
(limitations in some counties)
Michigan
Minnesota
(limitations in some counties)
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
(limitations in some counties)
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
(limitations in some counties)
Pennsylvania
(limitations in some counties)
South Carolina
South Dakota
Tennessee
Texas
(limitations in some counties)
Utah
Virginia
Wisconsin
Wyoming
Marshfield Clinic Health System will not employ individuals living in states not listed above.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
$57k-72k yearly est. Auto-Apply 6d ago
Medical Coding Specialist II - Inpatient
UW Health 4.5
Rockford, IL jobs
Work Schedule:
100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote.
At UW Health in northern Illinois, you will have:
• Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance
• Annual wellness reimbursement
• Opportunity for on-site day care through UW Health Kids
• Tuition reimbursement for career advancement--ask about our fully funded programs!
• Abundant career growth opportunities to nurture professional development
• Strong shared governance structure
• Commitment to employee voice
Qualifications
High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required
Graduate of a Health Information Technology program. Preferred
Work Experience
2 years Two years of progressive inpatient facility coding experience. Required
2 years Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center. Preferred
Licensure and Certifications
Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC). Required
Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) AND Registered Health Information Technician (RH
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Health in northern Illinois benefits
$60k-76k yearly est. Auto-Apply 12h ago
Endovascular/Cardiology Coder (Remote)
Getixhealth 3.8
Brookfield, WI jobs
Job Title: Endovascular / Cardiology Coder (Remote)
Company: GetixHealth
Employment Type: Full-Time (FTE)
Pay Range: $28.00 - $29.00 per hour (
based on experience
) + Quarterly Bonus Eligible
Work Environment: Reliable high-speed internet is required and Candidates must successfully complete an internet speed test prior to hire
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Position Summary:
The Endovascular/Cardiology Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, HCPCS, and modifier codes for complex endovascular and cardiology procedures. This role requires strong specialty expertise, attention to detail, and adherence to regulatory and client-specific guidelines.
CIRCC-certified Interventional Cardiology & Endovascular coding role supporting Cath Lab and complex cardiac procedures
Essential Duties & Responsibilities
Review electronic health record (EHR) documentation and abstract accurate ICD-10-CM, CPT, HCPCS, and modifier codes
Determine appropriate code selection and sequencing in compliance with AMA, CMS, and client-specific guidelines
Submit provider queries when documentation clarification is required, following compliance and clinical documentation standards
Maintain professional coding conduct and confidentiality standards
Consistently meet established production and quality benchmarks
Assist with coding denials as needed
Participate in monthly quality assurance (QA) reviews
Provide training and support to new coding staff as assigned
Required Qualifications:
CIRCC certification - Required
One of the following certifications: CCS, RHIT, or CPC
Minimum 2 years of recent coding experience in:
Endovascular procedures
Cardiology (including open surgery)
Minimum 1 year of experience with:
Quality assurance reviews
Training or mentoring coding staff
Hands-on experience with EPIC EHR
Strong written communication skills
Ability to successfully complete a pre-employment coding assessment
Preferred Qualifications:
Experience coding for acute care hospitals
Familiarity with payer-specific and client-specific coding requirements
Strong analytical and problem-solving skills
Compensation:
$28.00 - $29.00 per hour, commensurate with experience and qualifications
About GetixHealth:
Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. We're more than revenue cycle experts-we're a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 1,800 employees, we foster a culture that values professionalism, innovation, and-above all-people.
GetixHealth provides comprehensive outsourced medical coding and revenue cycle services to acute care hospitals and physician practices nationwide. We are committed to accuracy, compliance, and delivering high-quality coding solutions to our clients.
Why Join GetixHealth:
Competitive pay within market range
Remote-friendly coding environment (if applicable)
Opportunity to work with complex, specialty-level cases
Collaborative team culture with growth opportunities
Benefits and Incentives:
Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
401(k) Retirement Savings Plan: Eligible to participate in the company's 401(k) plan at the beginning of the first calendar quarter following three (3) months of continuous service.
Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.
Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions.
GetixHealth is an Equal Opportunity and E-Verify Employer.
$28-29 hourly 29d ago
Clinician Coding Liaison - Onboarding Specialist
Advocate Health and Hospitals Corporation 4.6
Milwaukee, WI jobs
Department:
10395 Enterprise Revenue Cycle - Individualized Clinician Support Surg Hosp Based and Complex Specialties
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
First shift hours covering both CST and EST time zones.
The Liaison will work with all New Clinicians to the organization. The Liaison will be responsible for coding education for approximately the first 6 months that a Clinician joins the organization.
REMOTE
and
individuals can work remote for this opportunity for the following states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.
Pay Range
$34.90 - $52.35
Major Responsibilities:
Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and Population Health-to enhance documentation practices and system optimization.
Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.
Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.
Licensure, Registration, and/or Certification Required:
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additional credential preferred.
Education Required:
Completion of advanced training in revenue cycle management through a recognized or accredited program, equivalent in scope and rigor to post-secondary education. High school diploma or GED required.
Experience Required:
Typically requires 4 years of experience in expert-level professional coding.
Knowledge, Skills & Abilities Required:
Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.
Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.
Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.
Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail.
Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams.
Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication.
Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment.
Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance.
Collaboration & Initiative: Strong ability to take initiative, contribute to process improvements, and work collaboratively within a team environment.
Physical Requirements and Working Conditions:
Follow organizational and divisional remote work policy and guidelines.
Operates all equipment necessary to perform the job.
Handles a fast paced and creative work environment moving independently from one task to another.
Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis.
This position may require travel, therefore, will be exposed to weather and road conditions.
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.
# REMOTE
#LI REMOTE
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$34.9-52.4 hourly Auto-Apply 60d+ ago
Coding Specialist
Ear, Nose & Throat Specialists of Wisconsin, Sc 4.4
Appleton, WI jobs
**This is an on-site position and candidates must be localout-of-area applicants should not apply.** Join Our Team at Ear, Nose, and Throat Specialists of Wisconsin! Are you passionate about helping others, love delivering great customer service, and thrive in a positive, team-first environment? If so, we'd love to meet you! Ear, Nose, and Throat Specialists of Wisconsin is growingand we're looking for someone with a welcoming personality and a can-do attitude to join our team! At ENT Specialists of Wisconsin, we believe in more than just workwe believe in balance, support, and a culture where every employee feels heard and valued. If you're looking for a workplace where people genuinely care about each other and where your contributions matter, you've found it. What Makes Our Workplace Special:
Flexible working hours for better work-life balance
Autonomy in your role and the ability to make a real impact
Growth opportunities and on-the-job training
A relaxed, casual environment with supportive, friendly coworkers
Fun company perks and a people-first culture
What You'll Do
Account for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications
Research and analyze data needs for reimbursement
Analyze medical records and identify documentation deficiencies
Assign codes for reimbursement; research and compliance with regulatory requirements utilizing guidelines
Research and facilitate a plan of action to correct discrepancies and prevent future coding errors
Maintains the integrity and confidentiality of financial and protected patient files
Physician credentialing
Serve as coding consultant to staff and providers
What We're Looking For:
A high school diploma or equivalent
CPC, CCSP, RIT or similar certification required
Minimum of 2 years' experience in a similar role
Excellent verbal and written communication skills with the ability to manage sensitive and confidential situations.
Availability for full-time hours (40/week)
Primary location(s): Appleton-Westhill Clinic
Why You'll Love Working Here:
Generous paid time off (starts accruing immediately!)
Schedule flexibility that fits your life
Comprehensive health care coverage (individual & family)
Annual education allowance
401(K) retirement plan + year-end profit sharing
Company-paid short- and long-term disability coverage
Paid holidaysincluding a personal floating holiday just for you
If you're looking to join a compassionate, dynamic team where people come first, apply today!
PI30f09fe289c4-31181-39372149
$44k-51k yearly est. 8d ago
Certified Medical Coder
Feed My People Food Bank 3.9
Chicago, IL jobs
We are seeking a Certified MedicalCoder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment.
Why work as a Coder Abstractor ?
Remote work schedule
Our dynamic work environment includes many opportunities for growth and development
Our efforts directly impact patient satisfaction and outcomes
Our employees work in positive, supportive, and compassionate environments built on our organizational values.
SKILLS
At least 1 years recent coding experience including coding surgical cases preferred.
Experienced in coding hospital inpatient and outpatient E/M services.
Thorough knowledge of medical terminology, ICD-10-CM and CPT4 coding necessary.
Understanding of both the medical and business side of healthcare operations.
Highly organized, self-motivated, detail-oriented and energetic team player.
Excellent verbal and written communication skills.
Strong computer skills including MSOffice, Internet, and E-mail.
Epic experience helpful
Summary:
Under general supervision, according to established policies, procedures and protocols, codes all disease and operations according to accepted classifications. Insure compliance with PRO data reporting and other regulatory licensing and accrediting agencies.
The Benefits of Working :
Competitive salaries
Full benefits, paid holidays, and paid time off (up to 19 days your first year)
Tuition reimbursement and ongoing educational opportunities
Retirement savings plan with employer match and personal consulting
Wellness plans, an employee assistance program and employee discounts
Applicant Location: Remote USA Only
$30k-34k yearly est. 60d+ ago
Coder Lead - Trauma/Plastics
Advocate Health and Hospitals Corporation 4.6
Milwaukee, WI jobs
Department:
13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical and Complex
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Remote
Desired experience: Trauma/Plastics
Pay Range
$30.70 - $46.05
Major Responsibilities:
Acts as a resource and role model to team members, which includes training/orienting, providing day-to-day work direction, and giving input on performance. Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues.
Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers. Meets or exceeds department quality and production standards.
Performs informal quality reviews on a monthly basis providing coding education to coding team members for accuracy. May assist with provider education/orientation regarding policy requirements of federal and state government agencies.
Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding guidelines, procedures and protocols. Detects, reports and acts as a resource to assist in resolving billing compliance issues. Serves as liaison between business office, medical records, patient care and/or coding department by providing feedback to caregivers and leaders.
Responsible for processing denial management claims and addressing patient concerns. Serves as a resource to caregivers regarding pre-authorizations, referrals, and estimating charges prior to a patient's visit. Coordinates payer audit reviews and acts as a resource for coding-related audits.
Participates in various department projects including but not limited to researching new services, claim scrubbing, quality checks/assessing errors, presenting demonstrations, etc. Acts as the system/application administrator; ensures the integrity of the system and recognizes performance issues. Performs calibration and troubleshooting procedures and escalates unresolved issues as needed.
Suggests modifications to current policies and procedures that are needed to coincide with requirements of insurance payers. Serves as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver.
Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate.
Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
Meets and exceeds departmental quality (95% or more) and productivity standards (100%). Achieves productivity expectations to support discharged not final billed (DNFB). Assist in the production of annual edit review based on CPT, ICD and HCPCS changes as well as assist in development of edits based on publications and society updates.
Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time. Answer and prioritize correspondence at all levels e.g., coding assistants, coders, leads, supervisors, and managers.
Licensure, Registration, and/or Certification Required:
Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
Education Required:
Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist (or equivalent experience)
Experience Required:
Typically requires 7 years of experience in professional coding that includes experiences in revenue cycle processes and health information workflows or related health care leadership experience.
Knowledge, Skills & Abilities Required:
Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. Knowledgeable in researching coding related topics and issues.
Advanced profiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
Excellent computer skills including the use of Microsoft officeproducts, electronic mail, including exposure or experience with electronic coding systems or applications.
Excellent communication (oral and written) and interpersonal skills.
Excellent organization, prioritization, and reading comprehension skills.
Excellent analytical skills, with a high attention to detail.
Ability to work independently and exercise independent judgment and decision making.
Ability to meet deadlines while working in a fast-paced environment.
Ability to take initiative and work collaboratively with others.
Physical Requirements and Working Conditions:
Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able tocontinuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
Operates all equipment necessary to perform the job.
This 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.
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.
# REMOTE
#LI -REMOTE
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$30.7-46.1 hourly Auto-Apply 60d+ ago
Medical Coder
Afc Urgent Care 4.2
Hinsdale, IL jobs
Company Overview: Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR - based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement. Description: The MedicalCoder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The MedicalCoder performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on Evaluation and Management services. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The MedicalCoder also demonstrates understanding and knowledge to resolve Optum coding edits.
Responsibilities:
Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes.
Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers.
Provides documentation feedback to physicians.
Maintains coding reference information.
Trains physicians and other staff regarding documentation, billing and coding for their specialty.
Reviews and communicates new or revised coding guidelines and information with providers and their assigned specialty.
Attends meetings and educational roundtables, communicates pertinent information to physicians and staff.
Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues.
Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers. Adds MBO tracking codes as needed.
May collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals.
May work with Billing staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information
Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.
Qualifications
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) is preferred
Experience in Pain Specialty is Preferred
1 year experience in a relevant role
High School Diploma or Equivalent
American Family Care is the leading provider of urgent care with more than 200 centers nationally and ranked by Inc. Magazine as one of the fastest-growing companies in the U.S. We offer a fast-paced, collaborative environment with health benefits and opportunities for advancement within a growing organization. We have locations in Willowbrook, IL and coming soon in Naperville, IL.
$40k-54k yearly est. Auto-Apply 60d+ ago
Medical Coder
AFC Urgent Care 4.2
Hinsdale, IL jobs
Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement.
Description:
The MedicalCoder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The MedicalCoder performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on Evaluation and Management services. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The MedicalCoder also demonstrates understanding and knowledge to resolve Optum coding edits.
Responsibilities:
Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes.
Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers.
Provides documentation feedback to physicians.
Maintains coding reference information.
Trains physicians and other staff regarding documentation, billing and coding for their specialty.
Reviews and communicates new or revised coding guidelines and information with providers and their assigned specialty.
Attends meetings and educational roundtables, communicates pertinent information to physicians and staff.
Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues.
Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers. Adds MBO tracking codes as needed.
May collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals.
May work with Billing staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information
Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.
Qualifications
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) is preferred
Experience in Pain Specialty is Preferred
1 year experience in a relevant role
High School Diploma or Equivalent
$40k-54k yearly est. 17d ago
Coder - Hospital
Sarah Bush Lincoln Health Center 4.2
Illinois jobs
Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.
Department: Medical Record Management
Hours: Full-time
Required: High School Diploma, CCA coding certification is preferred
Pay: Based on experience, starting at $22.72
Responsibilities
Assists physicians with record
documentation needs by
requesting clarification for
additional information. Assists
in educating physicians and
ancillary staff members about
documentation needed for
coding process. Contacts
physician offices and/or SBL
departments as needed for
diagnostic information to code
the encounter, Assists with training new
coding staff as requested., Codes all types of encounters
as assigned and assists coworkers
as needed., Codes and finals inpatient and
outpatient services technical
encounters based on
established production standards., Meets quality standards of
having 95% of diagnoses and
procedures appropriately
and/or correctly coded.
Ensures data quality and
optimum reimbursement
allowable under the federal
and state payment systems, Performs follow-up on
encounters that need to be
coded and finaled., Reviews and corrects all
encounters that are rejected
or denied., Reviews record thoroughly to
ascertain all
diagnoses/procedures. Codes
all diagnoses/procedures in
accordance to ICD-CM and CPT
coding principles, official
guidelines and regulations., Reviews record thoroughly to
ascertain all
diagnoses/procedures. Codes
all diagnoses/procedures in
accordance to ICD-CM and CPT
coding principles, official
guidelines and regulations.
Requirements
AS, High School (Required) CCA - Certified Coding Associate - American Health Information Management Association, Certified Coding Specialist- Hospital - Sarah Bush Lincoln, Certified Professional Coder-A - Sarah Bush Lincoln, Registered Health Information Adminstrator - American Health Information Management Association, Registered Health Information Technician - American Health Information Management Association
Compensation
Estimated Compensation Range
$22.72 - $35.22
Pay based on experience
$22.7-35.2 hourly Auto-Apply 60d+ ago
Certified Medical Coder
Hudson Physicians Sc 4.1
Hudson, WI jobs
JOB SUMMARY: The primary purpose of the position is to review both procedural and diagnostic (ICD-10) coding to ensure appropriate billing and insurance regulations are met. This position will be staffed during clinic hours and is largely remote. Occasionally in-person meetings with providers will be required. Must live within reasonable traveling distance from Hudson, WI.
CORE DUTIES AND RESPONSIBILITIES:
Have in-depth understanding of coding and compliance rules and regulations.
Responsible for reviewing provider documentation, coding and posting charges for healthcare services; including Primary Care, Lab/Pathology, Podiatry and more.
Provide coding education and engage with assigned providers.
Research and communicate governmental and payer-specific rules and regulations to ensure coding compliance.
Identify and communicate best practices based on provider documentation, insurance payer medical policies and CMS guidelines.
Review, code and post charges for hospital outpatient and inpatient services if applicable to service lines worked.
Work CCI/LMRP edits, claims manager rules and coding related denials.
Assist patients and staff with coding and pricing issues.
Provide support for customer service issues.
Perform chart audits to assess overall understanding of CMS guidelines and increase clinic reimbursement.
Attend department meetings, educational seminars, and trainings.
Other duties as assigned.
SUPPLEMENTAL DUTIES AND RESPONSIBILITIES:
Maintain confidentiality.
Displays the ability to work independently and multi-task.
Work effectively under pressure in a fast-paced environment.
Possess strong analytical, grammatical, spelling a communication skills.
Attend relevant training sessions, department and employee meetings.
Abide by clinic protocols, ergonomic recommendations and OSHA standards.
Maintain a neat and well-groomed professional appearance.
WORKING CONDITIONS:
Is subject to interruptions, imposed deadlines and frequent problem-solving activities.
May be subject to hostile and emotionally upset patients, staff, and personnel from other agencies.
Standard Office Environment- with the option to work from home.
PHYSICAL DEMANDS:
Abide by the ergonomic recommendations of the position.
Must possess sight/hearing senses or use prosthetic devices that will enable these senses to function adequately.
Sit for several hours.
Subject to lifting and carrying supplies averaging 25 lbs. (i.e. cartons of paper, medical supplies, office supplies, etc.).
Repetitive motions involving use of phone and keyboard.
Qualifications
EDUCATION: Required: Certification Professional Coder (AAPC) or Certified Coding Specialist certification (HIMA).
EXPERIENCE: Minimum: 2 years clinical coding experience with strong E/M coding background. Experience in podiatry and lab coding is preferred.
Desired: 2-5 years in primary care and/or multi-specialty
KNOWLEDGE:
Ability to work independently with minimal instruction in a team environment.
Excellent verbal and written communication skills.
Ability to prioritize and multi-task.
Demonstrated PC skills in Word and Excel.
Maintain positive working relationships.
Knowledge of Oracle PowerChart and Cerner PM productions are a plus.
$43k-49k yearly est. 6d 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 54d 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 10d 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. 2d 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
$20.2-25.3 hourly 60d+ ago
Health Clerk
Hospital Sisters Health System 4.8
Medical coder job at Hospital Sisters Health System
Pay Range:
$17.00 - $23.80
A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education.
Facilitates patient and clerical activities, including order entry, documentation, communication of information necessary for patient care, system management, chart assembly and analysis, customer service/public relations activities related to patient care and unit operations. Ensures accurate data collection and data entry to facilitate customer satisfaction and timely and accurate reimbursement for services.
Department: IMCU
Core Function: Nursing Support
Schedule: Part Time, Days (7am-7pm)
Facility: St. John's Hospital
Clinic Location: Springfield, IL
Compensation that aligns with your experience
Education Qualifications
High School Diploma or GED is preferred.
Experience Qualifications
Working knowledge of medical terminology and/or previous course in medical terminology is desirable.
Certifications, Licenses and Registrations
Basic Life Support (BLS) is preferred.
Job Description
Scheduled Weekly Hours:
24
Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day.
Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments.
Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.
Benefits: HSHS provides a benefits package designed to support the overall well-being of our colleagues including their physical, emotional, financial, spiritual, and work health. Colleagues budgeted to work at least 32 hours per pay period are eligible for HSHS benefits.
Comprehensive and affordable health coverage includes medical, prescription, dental and vision coverage for full-time and part-time colleagues.
Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need.
Retirement benefits including HSHS
contributions.
Education Assistance benefits include up to $4,000 of educational assistance each calendar year and tuition discounts to select colleges with no waiting period.
Adoption Assistance provides financial support up to $7,500 for colleagues growing their families through adoption to reimburse application and legal fees, transportation, and more!
Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!
Benefits
HSHS and affiliates is an Equal Opportunity Employer (EOE).
HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.
$17-23.8 hourly Auto-Apply 10d ago
Learn more about Hospital Sisters Health System jobs