Medical Coder jobs at Hudson Headwaters - 123 jobs
Medical Biller/Coder
Betances Health Center 4.2
New York, NY jobs
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Perform billing/coding/collections duties, including review and verification of patient account information against insurance program specifications.
Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes, in addition to other documentation, accurately reflect and support the outpatient visit.
Interprets medical information such as diseases or symptoms in addition to diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.
Reviews Medicaid and Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denials. Ensures that all data complies with legal standards and guidelines.
Assist in the posting of Medicare, GHI, and all other INS payments as needed.
Provides technical guidance to the clinical providers and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to the approved coding principles/guidelines.
Educate and advise staff on proper code selection, documentation, procedures, and requirements.
Contact patients regarding account balances and payment plans.
Other duties will include special projects as assigned by the supervisor/CFO.
Requirements
KNOWLEDGE, EDUCATION, SKILLS, AND ABILITIES REQUIRED:
H.S graduate or equivalent; B.A. preferred.
2 + years of medical coding and administrative experience necessary; must be detail oriented and organized.
Familiarity with ICD-10-CM codes and procedures
Knowledge of eClinical Works preferred.
Working knowledge of medical terminology preferred
Strong knowledge of database programs and MS Office including Word, Excel, and Access a plus.
A high energy level, initiative, and a stickler for details.
Medical Billing/Coding certified a plus.
$37k-45k yearly est. 6d ago
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Hospital Coder
Albany Medical Health System 4.4
Albany, NY jobs
Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements.
Essential Duties and Responsibilities
* Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.
* Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines.
* Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
* Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
* Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
* Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim.
* Comply with comprehensive internal coding policies and procedures that are consistent with requirements.
* Attends coding meetings and roundtable sessions.
* Participates in daily huddles and LEAN problem-solving activities.
* Focused with no distractions while working and participating in meetings.
* Ensures camera on while attending Teams calls.
* Assists with organizing the shared drive for the medical coding department.
* Other duties as assigned by manager.
Qualifications
* High School Diploma/G.E.D. - required
* Prior experience in hospital medical coding - preferred
* Prior experience with 3M 360 and EPIC system - preferred
* Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency)
* Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency)
* Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency)
* Excellent written and verbal communication skills. (High proficiency)
* Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency)
* Detail-oriented and efficient while maintaining productivity.
* Coding certification / credential through AHIMA or AAPC and be in good standing. - required
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
* Standing - Occasionally
* Walking - Occasionally
* Sitting - Constantly
* Lifting - Rarely
* Carrying - Rarely
* Pushing - Rarely
* Pulling - Rarely
* Climbing - Rarely
* Balancing - Rarely
* Stooping - Rarely
* Kneeling - Rarely
* Crouching - Rarely
* Crawling - Rarely
* Reaching - Rarely
* Handling - Occasionally
* Grasping - Occasionally
* Feeling - Rarely
* Talking - Frequently
* Hearing - Frequently
* Repetitive Motions - Frequently
* Eye/Hand/Foot Coordination - Frequently
Working Conditions
* Extreme cold - Rarely
* Extreme heat - Rarely
* Humidity - Rarely
* Wet - Rarely
* Noise - Occasionally
* Hazards - Rarely
* Temperature Change - Rarely
* Atmospheric Conditions - Rarely
* Vibration - Rarely
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
$55.9k-83.8k yearly Auto-Apply 51d ago
Hospital Coder
Albany Med 4.4
New Scotland, NY jobs
Department/Unit:
Health Information Services
Work Shift:
Day (United States of America)
Salary Range:
$55,895.80 - $83,843.71The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements.
Essential Duties and Responsibilities
Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.
Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines.
Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim.
Comply with comprehensive internal coding policies and procedures that are consistent with requirements.
Attends coding meetings and roundtable sessions.
Participates in daily huddles and LEAN problem-solving activities.
Focused with no distractions while working and participating in meetings.
Ensures camera on while attending Teams calls.
Assists with organizing the shared drive for the medical coding department.
Other duties as assigned by manager.
Qualifications
High School Diploma/G.E.D. - required
Prior experience in hospital medical coding - preferred
Prior experience with 3M 360 and EPIC system - preferred
Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency)
Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency)
Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency)
Excellent written and verbal communication skills. (High proficiency)
Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency)
Detail-oriented and efficient while maintaining productivity.
Coding certification / credential through AHIMA or AAPC and be in good standing. - required
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Lifting - Rarely
Carrying - Rarely
Pushing - Rarely
Pulling - Rarely
Climbing - Rarely
Balancing - Rarely
Stooping - Rarely
Kneeling - Rarely
Crouching - Rarely
Crawling - Rarely
Reaching - Rarely
Handling - Occasionally
Grasping - Occasionally
Feeling - Rarely
Talking - Frequently
Hearing - Frequently
Repetitive Motions - Frequently
Eye/Hand/Foot Coordination - Frequently
Working Conditions
Extreme cold - Rarely
Extreme heat - Rarely
Humidity - Rarely
Wet - Rarely
Noise - Occasionally
Hazards - Rarely
Temperature Change - Rarely
Atmospheric Conditions - Rarely
Vibration - Rarely
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
$55.9k-83.8k yearly Auto-Apply 52d ago
Certified Medical Coder
Feed My People Food Bank 3.9
New York, NY 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
$28k-32k yearly est. 60d+ ago
Coder, Podiatry
Excelsior Orthopaedics Group 4.0
Amherst, NY jobs
The Podiatry Coder is responsible for reviewing, interpreting, and assigning accurate CPT, ICD-10-CM, and HCPCS codes specific to podiatric services, while ensuring compliance with federal regulations, payer policies, and organizational standards. This role reviews provider documentation and operative reports for podiatry-related procedures-including office visits, surgical procedures, wound care, and ancillary services-to abstract and code clinical data using standard classification systems.
Duties and Responsibilities
Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures.
Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies.
Communicate with podiatrists and clinical staff to clarify documentation and support accurate, compliant coding.
Monitor coding edits, denials, and rejections related to podiatry services; assist with corrections and appeals as needed.
Collaborate with the billing team to resolve coding and reimbursement issues.
Stay current with coding guidelines, podiatry-specific regulations, and payer updates.
Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies.
Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed.
Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines.
Collect and verify all the information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details.
Evolve in your role when performing supplemental responsibilities as assigned.
Qualifications
Requirements and Qualifications
Associates degree preferred; HS diploma or GED required.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required.
Proven experience (1+ years) as a Coder or in a similar role required; experience in podiatry coding preferred.
Demonstrated ability and understanding of an electronic health record (EHR/EMR) and coding software is preferred.
Knowledge of orthopedic, physical therapy, or podiatry medical terminology is desirable.
Ability to work independently and collaboratively in a fast-paced, team-oriented environment.
Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.
Physical Demands
Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment
Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff.
Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment
Occasional standing and walking required
Occasional lifting and carrying items weighing up to 10 pounds.
The pay range for this position is determined based on several factors, including the candidate's years of experience, qualifications, training, licenses, designations, and the overall market conditions.
This job description does not state or imply that the duties and responsibilities listed are the only ones required of this position. Team members in this role will be required to perform other job-related duties at the discretion of the employer and
may have additional duties assigned as necessary.
Excelsior Orthopaedics and Buffalo Surgery Center are committed to the full inclusion of all applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.
$43k-55k yearly est. 13d ago
Prof Coding Specialist I
Maimonides Medical Center 4.7
New York, NY jobs
About Us We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clincal progams rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine.
Overview
Professional and Outpatient Coding Services
Professional Outpatient Coding Specialist
Full Time
Permanent
Monday-Friday
8:00AM-4:00PM
35 hours Per Week
Responsibilities
Contact with physician office staff, billing office staff, and, on occasion, compliance and regulatory personnel.
Qualifications
HS Diploma or equivalent required. Successful completion of a program in ICD 10/CPT 4 coding recognized by the American Health Information Management Association or AAPC Required. 1-year prior coding experience preferred.
Knowledge of medical terminology, disease processes, pharmacology, anatomy, physiology required. Must pass departmental coding proficiency test. Good oral communication and interpersonal skills required.
Bilingual Preferred
Pay Range
USD $37.79 - USD $39.58 /Hr.
Equal Employment Opportunity Employer
Maimonides Medical Center (MMC) is an equal opportunity employer.
$37.8-39.6 hourly 60d+ ago
Medical Coder and Auditor
CNY Family Care, LLP 3.2
East Syracuse, NY jobs
Family Care Practice
Full-Time
Monday - Friday
Flexible Schedule (hybrid schedule after required onsite training period)
$22.00 -$28.00 per hour (depending on experience)
MedicalCoder and Auditor Benefits:
Generous paid time-off that increases with years of service
8 paid holidays per year
Closed on major holidays
Annual performance review, performance-based merit increase
Health, dental and vision benefits available with coverage effective the first of the month following date of hire
Full complement of voluntary benefits
$1,000 annual employer HSA contribution for employees enrolled in CNYFC high deductible health plan
Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan
Waiver program for health benefits ($3,000 annually)
401K after six months with up to 7% combined employer match and annual discretionary profit-sharing contribution
Free onsite parking
Free lunch daily
CNY Family Care's commitment to excellence sets us apart and guides us as we provide care for our community. The MedicalCoder and Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in outpatient office health records; correct evaluation and management (E/M) service levels, appropriate procedure codes, and any necessary modifiers.
MedicalCoder and Auditor Responsibilities:
Navigate the patient health record, office visit notes, and procedure reports in the determination of diagnoses, reason for visit, procedures, and modifiers to be coded.
Code outpatient records utilizing coding books, online tools, and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers.
Document individual encounter audit findings and communicates results to providers.
Access charge work queues to validate and assign charges.
Perform all required EMR functions as efficiently as possible and according to procedure.
Run the delinquent data reports for unsigned charts to ensure all applicable accounts have been received, coded and billed in accordance with practice standards.
Utilize EMR reports and/or communication tools to track missing documentation or queries that require follow-up to facilitate coding in a timely fashion.
Maintain current knowledge of changes in Outpatient coding and reimbursement guidelines and regulations e.g., new modifiers.
Maintain CEUs as appropriate for coding credentials as required by credentialing associations.
$22-28 hourly 19d ago
Senior Hospital Coder
Albany Med 4.4
New Scotland, NY jobs
Department/Unit:
Health Information Services
Work Shift:
Day (United States of America)
Salary Range:
$60,367.47 - $90,551.20The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding.
Essential Duties and Responsibilities
Optimize hospital reimbursement by auditing and monitoring inpatient and outpatient records and investigating unbilled cases.
Understands the hospital inpatient/outpatient and CBO billing and registration systems.
Assist with educating providers, clinicians, and others by advocating proper documentation practices and further specificity for both diagnoses and procedures when needed to more precisely reflect the acuity, severity, and the occurrence of events. Bring to the attention of the organization management any identified inappropriate coding practices that do not comply with requirements.
Assist in problem solving processes and workgroups, including participating in the development of query policies that support documentation improvement and meet regulatory, legal, and ethical standards for coding and reporting.
Assist leadership in team collaboration, leading meetings and onboarding new staff.
Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
Responsible for communicating both verbally and written to physicians, clinical departments, medicalcoders, and management teams.
Query and/or consult as needed with the provider for clarification and additional documentation prior to final code assignment in accordance with acceptable healthcare industry practices.
Provides feedback to coding staff on quality scores.
Communicates with management when trends or concerns arise regarding poor quality.
Schedules calls and is available for coding staff when they have questions related to coding.
Leads a morning huddle one week each quarter in a 12-month calendar year.
Communicates to Coding Support Specialist on topics for monthly meetings.
Research new coding clinics, guidelines, and concepts and provides education to staff.
Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
Research coding forums and coding issues related to registration status.
Works with a multitude of software systems at once, navigating efficiently between them. These systems include Meditech, Soarian Clinicals and Financials, 3M HDM and 360, Outlook, MS Teams, Word, Outlook, Excel, Glens Falls Hospital Citrix, Saratoga Hospital Citrix.
Assists with organizing the shared drive for the medical coding department.
Assist in development and compliance of comprehensive internal coding policies and procedures that are consistent with requirements.
Actively participates in discussions and projects to improve turnaround time for coding.
Participates in daily huddles and LEAN problem-solving activities.
Demonstrates change-leadership skills. Supporting the collaboration of coders to improve inefficiencies and solve problems.
Connect with coders when necessary. Being a mentor and guide to their success.
Qualifications
High School Diploma/G.E.D. - required
Associate's Degree In Health Information Management or related program - preferred
1-3 years Experience in a leadership, supervision, or code auditing position providing quality feedback to staff. - required
2 or more years of experience coding ICD-10-CM/PCS and/or CPT coding. - required
Experience with 3M 360 and EPIC - preferred
Applicants must receive a minimum score of 85% on a coding assessment.
(High proficiency)
Expert level with reading a medical record to assign ICD-10-CM, ICD-10-PCS, and CPT4 codes, abstract data elements for billing and reporting, and assign DRG, APC, and APG as appropriate. (High proficiency)
Highly skilled in team development, critical thinking, organization, verbal, and written communication. Skilled in team-oriented job tasks with providing detail and accuracy, strong customer service skills. (High proficiency)
Ability to work independently and effectively with a team. Knowledge in revenue cycle operations. (High proficiency)
Coding certification / credential through AHIMA or AAPC and be in good standing - required
RHIT / RHIA - preferred
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Lifting - Rarely
Carrying - Rarely
Pushing - Rarely
Pulling - Rarely
Climbing - Rarely
Balancing - Rarely
Stooping - Rarely
Kneeling - Rarely
Crouching - Rarely
Crawling - Rarely
Reaching - Rarely
Handling - Occasionally
Grasping - Occasionally
Feeling - Rarely
Talking - Frequently
Hearing - Frequently
Repetitive Motions - Frequently
Eye/Hand/Foot Coordination - Frequently
Working Conditions
Extreme cold - Rarely
Extreme heat - Rarely
Humidity - Rarely
Wet - Rarely
Noise - Occasionally
Hazards - Rarely
Temperature Change - Rarely
Atmospheric Conditions - Rarely
Vibration - Rarely
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
$60.4k-90.6k yearly Auto-Apply 16d ago
Senior Hospital Coder - TSH
Albany Medical Health System 4.4
Albany, NY jobs
Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding.
Essential Duties and Responsibilities
* Optimize hospital reimbursement by auditing and monitoring inpatient and outpatient records and investigating unbilled cases.
* Understands the hospital inpatient/outpatient and CBO billing and registration systems.
* Assist with educating providers, clinicians, and others by advocating proper documentation practices and further specificity for both diagnoses and procedures when needed to more precisely reflect the acuity, severity, and the occurrence of events. Bring to the attention of the organization management any identified inappropriate coding practices that do not comply with requirements.
* Assist in problem solving processes and workgroups, including participating in the development of query policies that support documentation improvement and meet regulatory, legal, and ethical standards for coding and reporting.
* Assist leadership in team collaboration, leading meetings and onboarding new staff.
* Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
* Responsible for communicating both verbally and written to physicians, clinical departments, medicalcoders, and management teams.
* Query and/or consult as needed with the provider for clarification and additional documentation prior to final code assignment in accordance with acceptable healthcare industry practices.
* Provides feedback to coding staff on quality scores.
* Communicates with management when trends or concerns arise regarding poor quality.
* Schedules calls and is available for coding staff when they have questions related to coding.
* Leads a morning huddle one week each quarter in a 12-month calendar year.
* Communicates to Coding Support Specialist on topics for monthly meetings.
* Research new coding clinics, guidelines, and concepts and provides education to staff.
* Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
* Research coding forums and coding issues related to registration status.
* Works with a multitude of software systems at once, navigating efficiently between them. These systems include Meditech, Soarian Clinicals and Financials, 3M HDM and 360, Outlook, MS Teams, Word, Outlook, Excel, Glens Falls Hospital Citrix, Saratoga Hospital Citrix.
* Assists with organizing the shared drive for the medical coding department.
* Assist in development and compliance of comprehensive internal coding policies and procedures that are consistent with requirements.
* Actively participates in discussions and projects to improve turnaround time for coding.
* Participates in daily huddles and LEAN problem-solving activities.
* Demonstrates change-leadership skills. Supporting the collaboration of coders to improve inefficiencies and solve problems.
* Connect with coders when necessary. Being a mentor and guide to their success.
Qualifications
* High School Diploma/G.E.D. - required
* Associate's Degree In Health Information Management or related program - preferred
* 1-3 years Experience in a leadership, supervision, or code auditing position providing quality feedback to staff. - required
* 2 or more years of experience coding ICD-10-CM/PCS and/or CPT coding. - required
* Experience with 3M 360 and EPIC - preferred
* Applicants must receive a minimum score of 85% on a coding assessment.
(High proficiency)
* Expert level with reading a medical record to assign ICD-10-CM, ICD-10-PCS, and CPT4 codes, abstract data elements for billing and reporting, and assign DRG, APC, and APG as appropriate. (High proficiency)
* Highly skilled in team development, critical thinking, organization, verbal, and written communication. Skilled in team-oriented job tasks with providing detail and accuracy, strong customer service skills. (High proficiency)
* Ability to work independently and effectively with a team. Knowledge in revenue cycle operations. (High proficiency)
* Coding certification / credential through AHIMA or AAPC and be in good standing - required
* RHIT / RHIA - preferred
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
* Standing - Occasionally
* Walking - Occasionally
* Sitting - Constantly
* Lifting - Rarely
* Carrying - Rarely
* Pushing - Rarely
* Pulling - Rarely
* Climbing - Rarely
* Balancing - Rarely
* Stooping - Rarely
* Kneeling - Rarely
* Crouching - Rarely
* Crawling - Rarely
* Reaching - Rarely
* Handling - Occasionally
* Grasping - Occasionally
* Feeling - Rarely
* Talking - Frequently
* Hearing - Frequently
* Repetitive Motions - Frequently
* Eye/Hand/Foot Coordination - Frequently
Working Conditions
* Extreme cold - Rarely
* Extreme heat - Rarely
* Humidity - Rarely
* Wet - Rarely
* Noise - Occasionally
* Hazards - Rarely
* Temperature Change - Rarely
* Atmospheric Conditions - Rarely
* Vibration - Rarely
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
$60.4k-90.6k yearly Auto-Apply 57d ago
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
Albany, NY jobs
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
+ The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties.
+ The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references.
+ These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.).
+ The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$26.7 hourly 53d ago
Medical Coder
Jericho Road Ministries Inc. 4.7
Buffalo, NY jobs
Jericho Road Community Health Center is actively seeking a MedicalCoder . This position is full-time, within the Medical Billing Department, working at the 1021 Broadway location.
Work with a Purpose
Jericho Road Community Health Center offers the opportunity to engage in a movement far larger than any one individual. We believe that we can all be people with positive influence. We influence each other, our clients and patients, our families and communities. We are part of a global team that influences the health and wellbeing of communities internationally. Every day, Jericho Road's mission of caring for communities and advocating for systemic health equity guides us in our collective purpose. We are looking for individuals who share that goal and are committed to that service. As a federally qualified health center (FQHC), our organization's mission is deeply rooted in making fundamental changes in the communities we serve, advocating for social justice and meeting people where they are. With global clinics across the world, the impact you make will transcend borders, with opportunities to engage in meaningful work at our Sierra Leone, Goma or Nepal global clinics.
Why Jericho: Jericho Road offers competitive pay and benefits including medical (single-high coverage paid in full by employer), HSA, dental, vision, employer paid life insurance benefit, supplemental insurances, tuition discounts, generous paid time off, the opportunity for global travel to our three global health clinics, and loan forgiveness for applicable positions. Jericho Road values both work and life. The option of a flexible 40-hour workweek is possible within certain teams.
R esponsibilities:
Assigns diagnostic codes from provider documentation, entering essential information into practice management system
Follow the official coding guidelines including Encoder Pro, CPT Assistant, CMS Documentation Guidelines, Official Guidelines for Coding and Reporting and other similar authoritative resources.
Regularly and consistently meet quality and productivity standards established by management.
Review provider documentation and abstract diagnosis codes, procedure codes and supply codes.
Complete administrative tasks, such as data reporting, in a timely manner.
Communicate with management regarding coding workload, turnaround time expectations and deliverables.
Email providers as needed
Participate in department meetings, coding training, organizational mandatory training, and compliance training.
Attend continuing education classes to maintain coding proficiency and certification requirements.
Qualifications:
High School diploma or GED.
Experience in coding work and/or Medical Billing preferred.
Willingness to train certified coders without experience.
One of the following coding credentials required: RHIT, CCS, CCS-P, CPC, COC (formerly CPC-H), or CPC-P.
Previous experience with the Medent EMR system preferred
Working knowledge of billing concepts, practices, and procedures.
Assist with projects outside of coding as needed
Rate: $18.50-$21.50 an hour. Individual compensation is based on various factors unique to each candidate, including skill set, experience, qualifications, and other position related components.
Job postings are not intended to be an exhaustive list of duties. You will be expected to perform different tasks as necessitated or required by your role within the organization and the overall missional objectives of the organization.
Jericho Road is an Equal Opportunity Employer. We are an inclusive organization and actively promote equity of opportunity for all.
$18.5-21.5 hourly Auto-Apply 60d+ ago
Certified Professional Coder
Slocum-Dickson Medical Group 4.5
New Hartford, NY jobs
Full-time Description
JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements.
DUTIES & RESPONSIBILITIES:
Responsible for reviewing and submitting charges from the coding workqueues (WQ).
Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated.
Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader.
If indicated, arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number.
Reviews and processes re-submits.
Works closely with the Business Office staff. When able, assists the Business Office in certain areas as determined by the Business Office Director and Coding and Compliance Manager.
Maintains, at a minimum, a 95% accuracy rate.
Maintains level of productivity as established for the department.
Provides education regarding proper E&M documentation of services, and coding education to new and existing providers as needed.
Researches and responds to coding questions from all providers, Administration, and Business Office staff.
Utilizes department coding reference material to assist with coding bundling edits, follow-up days, coding research, etc.
Assists with the development and recommends changes to policies and procedures to improve professional coding.
Upon identifying any coding, billing, documentation, and/or system issues, immediately notifies the Coding and Compliance Manager and/or Data Collection Team Leader.
Assists with monthly pre-billing Evaluation and Management audits and Administrative reviews as needed.
Maintains working knowledge of CPT, ICD-10, HCPCS coding guidelines, governmental regulations, and third party requirements regarding coding and billing.
Attends meetings as requested.
Attends all required in-service programs and employee informational meetings as designated by Coding and Compliance Manager.
Practices time management, keeping authorized break periods within accepted policy. Maintains level of productivity as established for the department.
Works overtime when requested.
20. Complies with established SDMG attendance policy.
21. Complies with all SDMG policies and outlined in our Employee Handbook.
22. Provides proper notification for absences and scheduled time-off in accordance with SDMG policy.
23. Complies with SDMG Remote Coding policy and procedure.
24. Complies with SDMG policies and procedures pertaining to Incident Reporting and promptly notifies Coding and Compliance Manager and/or Data Collection Team Leader of all incidents.
25. Knowledgeable of individual responsibilities and duties pertaining to SDMG safety/emergency preparedness including emergency codes.
26. Demonstrates a knowledge of proper body mechanics to be used in the work setting.
27. May be exposed to hazardous drugs.
28. Attends OSHA training upon initial employee orientation and annually completes an OSHA competency.
29. Assists with other duties as assigned by the Health Information Services Director/Data Collection Team Leader.
This is not a remote position; on-site only.
RELATIONSHIP WITH OTHERS: Must maintain a professional attitude with providers and clinical staff as well as staff and management in the Business Office at all times. Must exhibit a high degree of attention to detail, organization, and ability to work independently as well as part of a team
Requirements
EDUCATION/EXPERIENCE/KNOWLEDGE: Associates degree preferred. CPC or CCS-P credential required. In-depth knowledge of CPT, ICD-10, HCPCS Level II coding required. Possess knowledge of medical terminology and Evaluation and Management (E&M) documentation requirements. 3 years of multi-specialty coding experience preferred. Ability to use a computer, printer, mouse, calculator, copier, etc.
Must maintain appropriate level of continuing education as required to maintain credentials.
Salary Description Based on experience $23.00 to $39.36 hourly
$23-39.4 hourly 60d+ ago
Medical Coder
Stony Brook Community Medical, PC 3.2
Commack, NY jobs
Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager.
Responsibilities:
Audits records to ensure proper submission of services prior to billing on pre-determined selected charges.
Receives hospital information to properly bill provider services for hospital patients.
Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided.
Supplies correct HCPCS code on all procedures and services performed.
Supplies correct CPT code on all procedures and services performed.
Contacts providers to train and update them with correct coding information.
Attends seminars and in-services as required to remain current on coding issues.
Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies.
Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
Maintains all mandatory in-services.
Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately.
Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
Quantitative analysis - Performs a comprehensive review of the record to ensure the presence of all component parts, such as patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports that appear to be indicated by the nature of the treatment rendered.
Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
Reviews department edits in billing software and make any corrections based on supported documentation and medical necessary.
Performs other related duties, which may be inclusive, but not listed in the job description.
$22k-28k yearly est. 43d ago
CERTIFIED PROFESSIONAL CODER
Slocum-Dickson Medical Group, PLLC 4.5
New Hartford, NY jobs
Job DescriptionDescription:
JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements.
DUTIES & RESPONSIBILITIES:
Responsible for reviewing and submitting charges from the coding workqueues (WQ).
Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated.
Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader.
If indicated, arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number.
Reviews and processes re-submits.
Works closely with the Business Office staff. When able, assists the Business Office in certain areas as determined by the Business Office Director and Coding and Compliance Manager.
Maintains, at a minimum, a 95% accuracy rate.
Maintains level of productivity as established for the department.
Provides education regarding proper E&M documentation of services, and coding education to new and existing providers as needed.
Researches and responds to coding questions from all providers, Administration, and Business Office staff.
Utilizes department coding reference material to assist with coding bundling edits, follow-up days, coding research, etc.
Assists with the development and recommends changes to policies and procedures to improve professional coding.
Upon identifying any coding, billing, documentation, and/or system issues, immediately notifies the Coding and Compliance Manager and/or Data Collection Team Leader.
Assists with monthly pre-billing Evaluation and Management audits and Administrative reviews as needed.
Maintains working knowledge of CPT, ICD-10, HCPCS coding guidelines, governmental regulations, and third party requirements regarding coding and billing.
Attends meetings as requested.
Attends all required in-service programs and employee informational meetings as designated by Coding and Compliance Manager.
Practices time management, keeping authorized break periods within accepted policy. Maintains level of productivity as established for the department.
Works overtime when requested.
20. Complies with established SDMG attendance policy.
21. Complies with all SDMG policies and outlined in our Employee Handbook.
22. Provides proper notification for absences and scheduled time-off in accordance with SDMG policy.
23. Complies with SDMG Remote Coding policy and procedure.
24. Complies with SDMG policies and procedures pertaining to Incident Reporting and promptly notifies Coding and Compliance Manager and/or Data Collection Team Leader of all incidents.
25. Knowledgeable of individual responsibilities and duties pertaining to SDMG safety/emergency preparedness including emergency codes.
26. Demonstrates a knowledge of proper body mechanics to be used in the work setting.
27. May be exposed to hazardous drugs.
28. Attends OSHA training upon initial employee orientation and annually completes an OSHA competency.
29. Assists with other duties as assigned by the Health Information Services Director/Data Collection Team Leader.
This is not a remote position; on-site only.
RELATIONSHIP WITH OTHERS: Must maintain a professional attitude with providers and clinical staff as well as staff and management in the Business Office at all times. Must exhibit a high degree of attention to detail, organization, and ability to work independently as well as part of a team
Requirements:
EDUCATION/EXPERIENCE/KNOWLEDGE: Associates degree preferred. CPC or CCS-P credential required. In-depth knowledge of CPT, ICD-10, HCPCS Level II coding required. Possess knowledge of medical terminology and Evaluation and Management (E&M) documentation requirements. 3 years of multi-specialty coding experience preferred. Ability to use a computer, printer, mouse, calculator, copier, etc.
Must maintain appropriate level of continuing education as required to maintain credentials.
$42k-51k yearly est. 27d ago
Health Information Management -HIM - Coder - Inpatient -REMOTE
Rome Health 4.4
Rome, NY jobs
Health Information Management - HIM - Coder - Inpatient
The Inpatient Coder is responsible for coding discharged inpatient encounters. May work in collaboration with Clinical Documentation Improvement nurses. Utilizes Clintegrity encoder for DRG assignment. Submits coding queries as necessary for appropriate provider clarification. Maintains coding knowledge and certifications. Maintains working knowledge of Medicare rules and regulations.
Understands importance coding plays in the revenue cycle process
Meets or exceeds coding productivity and quality standards
Assists with DRG appeals as necessary
Assists Coding Manager with identifying problems or trends that need immediate attention
Adheres to all department and hospital policies and procedures
High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified Professional Coder (CPC) required.
KNOWLEDGE AND SKILLS REQUIRED:
Must possess critical thinking and analytical skills. Knowledgeable in medical terminology, anatomy and physiology, ICD-10 and PCS coding guidelines, CPT, HCPCS, and basic coding principles according to whether assigned to inpatient or outpatient duties.
About Rome Health
Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College.
The best care out there. Here.
$40k-52k yearly est. 5d ago
Health Information Management (HIM) Coder - Outpatient - PER DIEM
Rome Health 4.4
Rome, NY jobs
Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO.
•Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred
•Experience with Clintegrity, Paragon, One Content helpful
•Fully remote after training
Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required.
Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems.
Excellent oral and written communication skills. Must have a positive, respectful attitude.
About Rome Health
Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
$40k-52k yearly est. 60d+ ago
Medical Records Specialist (Entry-Level)
Glens Falls Hospital 4.5
Glens Falls, NY jobs
The Impact You Can Make
Team Impact
Responsible for preparing electronic charts for upcoming clinic schedule. Responsible for gathering medical records for incoming and outgoing referrals. Responsible for working with insurance companies, patient assistance programs, and patients to address financing care, which could include prior authorization for specific tests. Work to be completed in a timely, accurate and efficient manner while remaining sensitive to the needs of the patients, their families, and fellow employees to ensure a smooth and orderly workflow. The percentage may vary depending on the needs of the center.
The Glens Falls Hospital Impact
Mission
Our Mission is to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting.
How You Will Fulfill Your Potential
Responsibilities
Serves as a liaison with physicians, clinical staff, Medical and Radiation Oncology, external providers and specialist involved in the management of patient care. Also works with other hospital departments, and ancillary hospital personnel to ensure each patient chart is prepped with appropriate records for scheduled appointment.
Reviews physician orders and ensures orders and results have been received for all required exams and procedures; obtains additional orders from physician when necessary to prevent omission of a required test or procedure.
Activates any lab orders pertinent to patient visit as well as addressing Medical Necessity and ABNs.
Manages retrieval of paper charts previously purged, ensuring any paper documents are scanned into the EMR.
Has a working knowledge of downtime procedures in the event of a system failure. Works appropriately to complete paper documentation tools for providers to use in place of EMR.
Appropriately scans downtime paperwork into chart when system is once again available.
Ensure all paper documentation received into medical records department is appropriately scanned into EMR. Properly requests and follows through on any imaging discs. Works with Imaging department to ensure Images are imported into EMR prior to provider seeing patient.
Release of Information (ROI) Receives and executes ROI as appropriate to other providers, organizations, insurance companies and patients, upon request. Facilitates proper involvement from appropriate department of hospital for any legal requests.
OTHER DUTIES & RESPONSIBILITIES (NON-ESSENTIAL): Other pertinent duties as assigned
Education/Accredited Programs
High School Diploma
1 year experience in a healthcare environment
Licenses/Certifications/Registrations
None
Skills/Abilities
Excellent customer service skills.
Excellent command of the English language.
Knowledge of medical terminology.
Knowledge of some anatomy/physiology preferred.
Excellent computer and phone skills.
Problem solving/trouble shooting techniques.
Excellent written and oral communication skills.
Scanning experience
Communities We Serve
Located in the foothills of the beautiful Adirondack mountains, Glens Falls is conveniently located a short drive away from the capital region and Lake George. Work at the top of your profession and jumpstart your next career here at Glens Falls Hospital!
All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.
Salary Range
The expected base rate for this Glens Falls, New York, United States-based position is $17.25 to $27.27 per hour. Exact rate is determined on a case-by-case basis commensurate with experience level, as well as education and certifications pertaining to each position which may be above the listed job requirements.
Benefits
Glens Falls Hospital is committed to providing our people with valuable and competitive benefits offerings, as it is a core part of providing a strong overall employee experience. A summary of these offerings, which are available to active, full-time and part-time employees who work at least 30 hours per week, can be found here.
$17.3-27.3 hourly Auto-Apply 7d ago
Peer Specialist-Certified-ST531501
ICL 3.7
New York, NY jobs
Under the general supervision of the Team Leader/Program Supervisor or designee, Peer Specialists serve as role models, educate recipients about self-help techniques and self-help group processes, teach effective coping strategies based on personal experience, teach symptom management skills, assist in clarifying rehabilitation and recovery goals and assist in the development of community support systems and networks. The Peer Specialist assists assigned individuals in developing and maintaining viable living, working and social situations in the community by obtaining needed medical, social, psychosocial, educational, financial, vocational and other services. Participates in the provision of crisis intervention services to participants. Travels to/visits recipients' residences or apartments to provide counsel and assistance and to help the recipients, within their capabilities and interests, in maintaining the greatest degree of independent living. The majority of duties are often performed independently under general supervision. The Peer Specialist assists service recipients through supportive counseling to participate as fully as possible in the life of the community with the intent of achieving individual goals that foster personal growth and the highest level of independence possible and desired.
THIS IS A FIELD OPPORTUNITY
ESSENTIAL TASKS:
To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions unless this causes undue hardship to the agency.
Travels to/visits recipients' residences to provide supportive services on a schedule established by the program. Counsels recipients regarding plans for meeting service needs, and aids the recipients to mobilize inner capabilities and environmental resources to attain goals.
Educates recipients about self-help techniques and self-help group processes
Teaches recipients effective coping strategies based on personal experience
Teaches symptom management skills
Assists in clarifying rehabilitation and recovery goals.
Assists in maintaining up-to-date, accurate individual case records on each assigned recipient.
Assists in obtaining and developing resource information for recipients in all aspects of their care; disseminates this information to recipients in a manner that is clear and understandable.
Assist the recipient in meeting service plan goals.
Helps facilitate individualized services to the recipient that meet the diverse needs of the recipient and focus on the discharge-planning goal.
Explains the types of clinical services, and ICL programs available to recipients; helps instruct the recipient in daily living skills, socialization skill enhancement and conflict resolution.
Performs crisis assessment and nonverbal and verbal crisis intervention.
Assists in referring recipients to community resources and other organizations. Accompanies recipients on regularly scheduled or emergency visits to medical treatment facilities, social agencies, government offices, or other locations associated with the treatment or assistance of the recipient.
Advocates on behalf of recipient with outside service providers and within ICL.
Assists resident/recipient in finding and getting into vocational training or other training opportunities, and works with other team members in addressing the needs of recipients
Immediately reports serious incidents, serious incident allegations, incidents, or sensitive situations to supervisors. Completes incident reports in accordance with ICL policy. Accounts for recipients and files missing person reports on recipients not accounted for in accordance with ICL policy and procedure.
Complies with attendance and timekeeping rules and reports reliably and regularly to work on an on-going basis.
Attends regularly scheduled clinical meetings, staff meetings and supervision as well as in-service training and development activities.
Complies with agency infection control policies.
.Other job-related duties that may be assigned.
ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES:
Ability to work with recipients/residents, families, and staff in a caring and respectful manner, and with due understanding of and consideration for cultural differences.
Ability to serve as a role model to residents/recipients.
Ability to complete written forms and reports in an accurate and timely manner.
Ability to communicate effectively with staff, recipients/residents, families, and the public.
Ability to prepare accurate and timely documentation, reports and other written material as assigned.
Ability to secure the cooperation of and work effectively with others
MINIMUM EDUCATION AND EXPERIENCE QUALIFICATIONS:
Must be currently certified or obtain a Peer Specialist certification (provisional or professional) within a year of hire, with experience as a recipient of mental health services.
Must be currently certified or obtain a Recovery Peer Advocate certification from the NY Certification Board within a year of hire, with experience as a recipient of mental health services.
Experience with homelessness or the criminal justice system is also preferred.
This position description is a guide to the critical and essential functions of the job, not and all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are review and revised to meet the changing needs of the agency at the sole discretion of management.
$37k-46k yearly est. 6d ago
Referral Transcriptionist-Medical Record Coordinator
Albany Medical Health System 4.4
Albany, NY jobs
Department/Unit: Patient Engagement Center Work Shift: Day (United States of America) Salary Range: $41,136.28 - $57,590.79 The Referral Transcriptionist - Medical Record Coordinator is responsible for transcribing referrals from external providers with a high degree of accuracy. Including review of medical record history/chart to interpret radiological hazards (ie: Pacemakers). This function identifies STAT Referrals and routes external referrals to appropriate Workqueues. High degree of accuracy is required to ensure timely and accurate scheduling. Additionally, all new visits and specialty referrals require obtaining medical records from Physician Offices and Hospitals to ensure Providers have the patient's medical record history in advance of scheduled services.
Essential Duties and Responsibilities
* In Epic, transcribe incoming referrals into orders, from our Community Physicians, with high degree of accuracy to ensure appropriate routing to Scheduling WQ's for timely and accurate scheduling of physician and medical imaging orders.
* Must interpret information provided on referrals to ensure accurate diagnosis and medical information; review medical history to ensure no patient harm due to implants.
* Contact external Provider offices and Hospitals for medical records for all new visits and referrals to specialty services.
* Manage returned mail to the Patient Engagement Center, following up with provider offices to obtain accurate patient information and updating Epic accordingly.
* Complete reconciliation of incoming medical records to ensure all medical record information received is complete. Upload to the patient's encounter in Epic.
* Demonstrates effective teamwork by interacting in a positive manner with colleagues and creating a collaborative work environment. Initiates open communication, conveys positive intent, offers to assist colleagues to ensure all tasks are completed timely.
Functional Competencies
* Attention to detail; ability to interpret information accurately
* Excellent keyboard skills
* Excellent customer service; interpersonal skill
* Ability to work productively in a team environment
* Strong organizational skill
* Excellent Time Management
Qualifications
* High School Diploma/G.E.D. - required
* Associate's Degree - preferred
* Demonstrated success in customer service; 3-5 direct customer/patient experience with expectation of high accuracy of detailed information; Ability to manage high volume and quick turnaround of information needs. - required
* Understanding of medical record information; medical terminology - required
* Ability to handle high volume workload and stressful environment
* Strong ability to multi-task and prioritize workload
* Ability to engage patients/customers in a calm, respectful manner; regardless of tone or attitude of patient/customer via telephone
* Demonstrated attention to detail with minimal error
* Ability to interpret information and transcribe
* Computer literacy with strong keyboard skill; ability to manage fax transmittals via PDF software.
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
* Standing - Occasionally
* Walking - Occasionally
* Sitting - Constantly
* Talking - Constantly
* Hearing - Constantly
* Repetitive Motions - Constantly
* Eye/Hand/Foot Coordination - Constantly
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
$41.1k-57.6k yearly Auto-Apply 37d ago
Referral Transcriptionist-Medical Record Coordinator
Albany Med 4.4
Albany, NY jobs
Department/Unit:
Patient Engagement Center
Work Shift:
Day (United States of America)
Salary Range:
$41,136.28 - $57,590.79The Referral Transcriptionist - Medical Record Coordinator is responsible for transcribing referrals from external providers with a high degree of accuracy. Including review of medical record history/chart to interpret radiological hazards (ie: Pacemakers). This function identifies STAT Referrals and routes external referrals to appropriate Workqueues. High degree of accuracy is required to ensure timely and accurate scheduling. Additionally, all new visits and specialty referrals require obtaining medical records from Physician Offices and Hospitals to ensure Providers have the patient's medical record history in advance of scheduled services.
Essential Duties and Responsibilities
In Epic, transcribe incoming referrals into orders, from our Community Physicians, with high degree of accuracy to ensure appropriate routing to Scheduling WQ's for timely and accurate scheduling of physician and medical imaging orders.
Must interpret information provided on referrals to ensure accurate diagnosis and medical information; review medical history to ensure no patient harm due to implants.
Contact external Provider offices and Hospitals for medical records for all new visits and referrals to specialty services.
Manage returned mail to the Patient Engagement Center, following up with provider offices to obtain accurate patient information and updating Epic accordingly.
Complete reconciliation of incoming medical records to ensure all medical record information received is complete. Upload to the patient's encounter in Epic.
Demonstrates effective teamwork by interacting in a positive manner with colleagues and creating a collaborative work environment. Initiates open communication, conveys positive intent, offers to assist colleagues to ensure all tasks are completed timely.
Functional Competencies
Attention to detail; ability to interpret information accurately
Excellent keyboard skills
Excellent customer service; interpersonal skill
Ability to work productively in a team environment
Strong organizational skill
Excellent Time Management
Qualifications
High School Diploma/G.E.D. - required
Associate's Degree - preferred
Demonstrated success in customer service; 3-5 direct customer/patient experience with expectation of high accuracy of detailed information; Ability to manage high volume and quick turnaround of information needs. - required
Understanding of medical record information; medical terminology - required
Ability to handle high volume workload and stressful environment
Strong ability to multi-task and prioritize workload
Ability to engage patients/customers in a calm, respectful manner; regardless of tone or attitude of patient/customer via telephone
Demonstrated attention to detail with minimal error
Ability to interpret information and transcribe
Computer literacy with strong keyboard skill; ability to manage fax transmittals via PDF software.
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Talking - Constantly
Hearing - Constantly
Repetitive Motions - Constantly
Eye/Hand/Foot Coordination - Constantly
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.