Medical Coder jobs at Kaiser Permanente

As part of the Strategic Transformation & Process Optimization team, you will drive strategic changes and optimization to enhance efficiency, effectiveness and performance outcomes for our Revenue Cycle operational teams. We are part of the larger Enterprise Operations Support team, partnering with and providing support for end-to-end revenue cycle processes. As the Coding & HIM Ops Process Director, you will be responsible for HB coding, PB coding, HIM Ops and CDI process management, driving standardization, best practice and process excellence across the enterprise. Oversees and directs team(s) of consultants to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Directs the development and implementation of complex business initiatives, systems, and/or processes to a desired future state. Drives the development of business strategy and ensures alignment and prioritization of long-term organizational objectives and business initiatives. Oversees the management of complex projects or project components, directs large and complex change management plans, and directs team members in performing complex data analyses to drive business initiatives. Oversees vendor management as required. Monitors and takes accountability for the compliance of team work activities by ensuring business plans and team members adhere to relevant policies and procedures. Essential Responsibilities: * Prepares individuals for growth opportunities and advancement; builds internal collaborative networks for self and others. Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Demonstrates continuous learning; oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs. Stays up to date with organizational best practices, processes, benchmarks, and industry trends; shares best practices within and across teams. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact. * Oversees the operation of multiple units within a department by identifying member and operational needs; ensures the management of work assignment completion; translates business strategy into actionable business requirements; ensures products and / or services meet member requirements and expectations while aligning with organizational strategies. Gains cross-functional support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and fosters resolution of escalated issues. Communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; prioritizes and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; ensures teams accomplish business objectives. * Oversees and directs team(s) of consultants to ensure the alignment, buy-in, and coordination of diverse stakeholders and business owners to drive the implementation of successful business initiatives and projects across multiple functional tracks or complex workstreams by ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and executive management; partnering with lead stakeholders to develop goals and set the prioritization of deliverables; driving business processes (e.g. project change management, communication) and setting the direction necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while preserving an independent perspective; and making formal presentations and providing reports to executive level audiences. * Directs the development of requirements for complex or specialized business, process, or system solutions spanning multiple business domain(s) by leveraging partnerships with key stakeholders and cross-functional teams as appropriate; providing guidance in the use of multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and overseeing the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions. * Directs the development and implementation of complex business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact current and future business operations across multiple domains; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to executive management and business stakeholders on how to integrate solutions and deliverables with current systems and processes across regions or domains to ensure growth; and directing the identification and validation of value gaps and opportunities for process enhancements or efficiencies. * Drives the development of business strategy and ensures alignment and prioritization of long-term organizational objectives and business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; partnering with executive stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; reviewing and refining strategic plans and performance metrics as appropriate; and overseeing a portfolio of diverse and complex initiatives to ensure delivery of measurable results and alignment with strategic objectives. * Serves as a lead advocate for continuous learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, and speaking events; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results. * Oversees the management of complex projects or project components by identifying and coordinating stakeholder contacts; assembling team based on project needs and team member strengths; monitoring the progress of developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; managing project financials and deliverables; proactively monitoring and identifying project or business initiative risks, issues, and trigger events which may impact long-term organizational business objectives; developing mitigation plans and strategies; and resolving risks or issues as appropriate. * Directs large and complex change management plans associated with business initiatives by leveraging and developing stakeholder relationships o obtain support and buy in for changes; partnering with executive management, project/program champions, and business owners to communicate and align improvement initiatives to set long-term business objectives; and empowering stakeholders to embrace a change management mindset, understand intent and purpose, and foster a culture of change. * Directs team members in performing complex data analyses to drive business initiatives by recommending appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; and identifying and alleviating risks through data-driven analysis. * Oversees vendor management as required by setting the standards for vendor performance levels; ensuring service level agreements are met; overseeing the management of vendor invoices; and partnering with rement and/ or Legal to develop service level and/or scope of work agreements as appropriate. * Monitors and takes accountability for the compliance of team work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

About this Job: MedStar Ambulatory Services is currently seeking a CPC Certified Coder with 1 - 2 years of coding experience to join our team! This is a full time, Monday-Friday position, with a hybrid schedule after the successful completion of the 90-day probationary period. Hybrid schedule includes working remotely on Mondays & Fridays and working on-site Tuesday - Thursday. Business office is located in Columbia, Maryland. General Summary of Position Job Summary - Codes and abstracts Ambulatory Surgery Center (ASC) services using CPT, ICD-10-CM, HCPCS and other applicable patient classification schemes. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Abstracts and ensures accuracy of diagnoses procedure patient demographics and other required data elements. Adhere to all compliance regulations and maintains annual compliance education. Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification. Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure. Meets established Quality standards as defined by policies. Meets established Productivity standards as defined by policies. Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews). Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic procedural codes and appropriate modifiers using standard guidelines and maintaining departmental accuracy standards. Exhibits knowledge of other work-related equipment. Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Participates in multi-disciplinary quality and service improvement teams. Minimal Qualifications Education High School Diploma or GED required Associate's degree in coding related studies and/or Bachelor's degree in coding related studies preferred Courses in Medical Terminology Anatomy & Physiology ICD-CM required and CPT-4 preferred Experience 1-2 years Coding experience and experience with clinical information systems (3M grouper electronic medical records computer assisted coding) preferred Licenses and Certifications Certified Professional Coder (CPC) required Knowledge Skills and Abilities Verbal and written communication skills. Basic computer skills required. This position has a hiring range of : USD $23.65 - USD $42.03 /Hr.

This position is responsible for accurately assigning ICD-9-CM/ICD-10-CM diagnosis and procedure codes and CPT-4 procedure codes to inpatient and outpatient medical records using the 3M encoding software. The role includes assigning HCFA-DRG and APR-DRG groupers for inpatient records and abstracting clinical, financial, trauma, and quality management data into the organization's health information system. Additionally, this position monitors accounts receivable, abstract and claims rejections, and other related billing reports. Inpatient hospital coding constitutes 70% or more of the total coding workload. Experience Requirements Minimum of one (1) year of experience using ICD-10-CM/PCS and CPT-4 coding classification systems Working knowledge of encoder software, MS-DRG and APR-DRG groupers, and AHA Coding Guidelines Demonstrated proficiency in data entry and the ability to perform mathematical calculations accurately Education, Licensure, and Certification High school diploma or GED accredited by the U.S. Department of Education required Successful completion of a formal training program in ICD-10-CM/PCS and CPT coding, anatomy and physiology, and medical terminology required Certified Coding Specialist (CCS) credential required Position Details This is a part time (20 hours per week) hybrid position, combining remote work with regular on-site responsibilities and presence required based on departmental needs and organizational priorities. About Valley Children's Healthcare Valley Children's Healthcare is an award-winning pediatric healthcare system located in Madera, California, in the heart of the affordable Central Valley. The organization operates one of the nation's largest pediatric healthcare networks, including a 358-bed children's hospital and multiple outpatient clinics. Valley Children's offers access to three national parks and is within driving distance of California's world-renowned coastline, providing an exceptional balance of professional opportunity and quality of life.

Remote - Clinic/Outpatient Coder III Outpatient Coding PRN Status Variable Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Expected to be proficient in assigning ICD-10-CM and/or CPT codes for following types of services: Outpatient: Complex Surgeries, Observations (non-obstetric), Interventional radiology, radiation oncology and/or non-complex inpatient coding encounters. Clinic coder: Either proficient in coding for all non-surgery specialty areas, primary care, or complex surgeries. This position works under the guidance and supervision of the HIM Outpatient APC and Clinic Coding Manager and is employed by Mosaic Health System. Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Communicates with providers, querying providers to ensure the highest level of specificity is provided in documentation. May assist in training of newly hired coders. Caregiver may work in conjunction with Patient Financial Services to verify and modify charges and coding to ensure accuracy of supporting documentation, payer rules and correct coding. Working reports for clean-up, auditing services, edits, and denials. Ensures data accuracy of State HIDI data by responding to edits received. Performs other duties as assigned. Must have coding education, HS Diploma and Medical Terminology and Anatomy and Physiology Required to obtain CCS - Certified Coding Specialist or RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician or CPC and/or CCSP - Certified Professional Coder within 180 days of employment. Must also obtain COC - Certified Outpatient Coding within 180 days of employment. Five years experience in a Health Information Services department performing a job that requires detail, and familiarity with patient medical record preferred.

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

Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)

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

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: Minimum: CSS. Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: Minimum: 1 year. Preferred: 3 years.

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: Minimum: CSS. Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: Minimum: 1 year. Preferred: 3 years. Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love. Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work. Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter. If you're already a Cottage Health employee, please apply on this link only. CH Health Information Management, Part Time Regular , 8 hour, Days, Santa Barbara Cottage Health

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

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), or 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.

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.

Job Description 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), or 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.

Job Description Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.

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

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. 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

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.

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

Job Description Rome Health is seeking an experienced HIM Coder. The HIM Coder is responsible for coding discharged patient encounters which may include inpatient, observation, skilled nursing, behavioral health, emergency room, surgical, ancillary, or clinics. Duties may include abstracting and charge verification. EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION, AND LICENSURE: 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), or Certified Professional Coder (CPC) required. 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.