Remote Inpatient Coding Specialist ($5k Sign On Bonus)
Medical coder job at LifePoint Health
Inpatient Coding Specialist Join Our Team and Earn a $5,000 Sign-On Bonus! Schedule: Flexible Shifts! You provide your manager with the days and start/end time you are available to complete your 40hrs per week. All United States time zones are welcome.
Job Location Type: Remote
Your experience matters
At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .
How you'll contribute
As an Inpatient Coding Specialist, you will be responsible for Assigning diagnosis and procedure codes using the appropriate coding classification system on all episodes of care inpatient encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure the accuracy of the information and resolve identified issues. Ensure the accurate selection of the principal diagnosis, principal procedure, and all applicable diagnoses and procedures. Ensure compliance with official guidelines (ICD-10-CM, ICD-10-PCS, and/or AHA Coding Clinic), AHIMA Standards of Ethical Coding, and LifePoint Health Support Center (HSC) policies and procedures.
A Inpatient Coding Specialist who excels in this role:
* Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM/PCS codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing.
* Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.
* Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.
* Follow coding workflows for service type to include addressing compliance reviews.
* Submit physician queries when clarification of documentation is needed.
* Facilitate a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive.
* May assist in training and reviewing the work of other coders for accuracy and efficiency.
* Make recommendations to the supervisor, and implement and monitor results as appropriate in support of the overall goals of the department.
* Seek advice and guidance as needed to ensure proper understanding.
* Assist others with responsibilities and adjusts work schedule to meet department needs.
* Use independent discretion/decision-making while effectively working remotely.
* Attend required educational webinars, conference calls, and other coding seminars, and participate in all formal and informal coding discussions.
* Maintain coding education hours and renew annual coding credentials as applicable.
* Complete all assigned compliance courses within the designated period.
* Conform to AHIMA's Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy, and ensure patient/employee privacy and dignity by maintaining confidentiality with no infractions.
* Other related job tasks or responsibilities as assigned.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
* Comprehensive Benefits: Multiple levels of medical, dental and vision coverage- tailored benefit options for part-time and PRN employees, and more.
* Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
* Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
* Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
* Professional Development: Ongoing learning and career advancement opportunities.
What we're looking for
* Education: Associate degree in health-related field preferred.
* Experience: One year of inpatient coding experience in an acute care hospital is preferred.
* Certifications: Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) preferred.
EEOC Statement
"Lifepoint Health an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
Employment Sponsorship Statement
"You must be work authorized in the United States without the need for employer sponsorship"
Medical Coder
Madera, CA jobs
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.
Outpatient Coding Quality Educator Specialist - Coding (req - 30697)
Lakeland, FL jobs
Outpatient Coding Quality Educator Specialist - Coding 30697
Active - Benefit Eligible and Accrues Time Off
Work Hours per Biweekly Pay Period: 80.00
Shift: Monday Friday
Pay Rate: Min $63,793.60 Mid $79,747.20
Under the direction of the facility Coding and Reimbursement Manager, conducts coding quality reviews and audits of chart documentation to assess accuracy, ensure compliance with federal and payer policies, and identifies areas for improvement for hospital outpatient coding. Develops and delivers training on coding accuracy and compliance, staying updated on regulations and providing expert guidance to coders. Provides ongoing coding education and training to coding team and serves as mentor to all new coding team members. Serves as a subject matter expert and resource for coders, providers, and other staff on coding questions, regulatory changes, and best practice. Prepares reports of findings and meets with coders and Coding Leadership to provide education and training on accurate coding practices and compliance issues.
Has thorough knowledge of acute care facility guidelines, modifiers, sequencing rules and the NCCI (National Correct Coding Initiative) edits, OCE (Outpatient Code Editor) edits, Official Guidelines for Coding and reporting for ICD-10-CM/PCS, CPT-4, and HCPCS coding conventions, APC payment classifications and Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback.
Responsible for conducting coding and billing training programs for billing and coding specialists. Other duties will include implementing coding department policies and procedures and assisting with reviewing and appealing coding denials.
Position Responsibilities
People At The Heart Of All That We Do
Fosters an inclusive and engaged environment through teamwork and collaboration.
Ensures patients and families have the best possible experiences across the continuum of care.
Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
Behaves in a mindful manner focused on self, patient, visitor, and team safety.
Demonstrates accountability and commitment to quality work.
Participates actively in process improvement and adoption of standard work.
Stewardship
Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
Knows and adheres to organizational and department policies and procedures.
Standard Work: Outpatient Coding Quality Educator Specialist
Actively participates in team development, achieving dashboards, and in accomplishing departmental goals and objectives.
Performs internal quality assessment reviews on outpatient facility coders to ensure compliance with national coding guidelines and the LRH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed.
Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans.
Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. Researches coding opportunities and escalates as needed. Communicates Coding topics and/or question trends to Coding Leadership for global education.
Prepares and presents coding compliance status reports to the Coding and Reimbursement Manager and Health Information Management AVP.
Assists in ensuring coding staff adherence with coding guidelines and policy. Demonstrates and applies expert level knowledge of medical coding practices and concepts.
Coaches and mentors coding staff as they develop and grow their coding skills. Provides skilled coding support through regularly scheduled coding meetings and as the need arises. Provide one-on-one coaching and support to coding professionals, offering constructive feedback and guidance to improve coding accuracy and documentation practices.
Assists Coding Leadership with outpatient coding denials.
Create educational materials, such as manuals, handouts, and multimedia presentations, that effectively communicate complex coding concepts and guidelines.
Orients, develops and coordinates on-the-job training of instructing them on systems and policies and procedures in accordance to coding compliance guidelines.
Experience essential:
5+ years acute care hospital outpatient coding experience and/or coding auditing
5-10 years of educational experience in a facility or consulting setting.
Certification essential:
CCS, CPC, RHIT, or RHIA
Certification preferred:
RHIA
About Us:
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
To apply please send your resume to:
Tiffany Hanson at: Tiffany.Hanson@my LRH.org
Coder II - Outpatient - Coding & Reimbursement
Lakeland, FL jobs
Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Active - Benefit Eligible and Accrues Time Off
Work Hours per Biweekly Pay Period: 80.00
Shift: Flexible Hours and/or Flexible Schedule
Location: 210 South Florida Avenue Lakeland, FL
Pay Rate: Min $19.37 Mid $24.22
Position Summary
Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes.
Position Responsibilities
People At The Heart Of All That We Do
Fosters an inclusive and engaged environment through teamwork and collaboration.
Ensures patients and families have the best possible experiences across the continuum of care.
Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
Behaves in a mindful manner focused on self, patient, visitor, and team safety.
Demonstrates accountability and commitment to quality work.
Participates actively in process improvement and adoption of standard work.
Stewardship
Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
Knows and adheres to organizational and department policies and procedures.
Standard Work Duties: Coder II - Outpatient
Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding
Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment.
Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement.
Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers.
Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines.
Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames.
Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.
Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily.
Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
Competencies & Skills
Essential:
Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.
Knowledge of anatomy and physiology, pharmacology, and medical terminology.
Qualifications & Experience
Essential:
High School or Equivalent
Nonessential:
Associate Degree
Essential:
High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.
Other information:
Certifications Essential: CCS
Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Experience Essential:
2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.
HIM MPI COORDINATOR
Indianapolis, IN jobs
24564 HIM MPI COORDINATOR Apply now » Division:Eskenazi Health Sub-Division: Hospital Schedule: Full Time Shift: Days Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.
FLSA Status
Non-Exempt
Job Role Summary
The HIM MPI Coordinator is responsible for reducing and eliminating MPI duplicate records in multiple legacy systems. This position performs merges and unmerges, and provides follow-up information to registration staff and leaders to reduce errors and improve registration process.
Essential Functions and Responsibilities
Supports efforts to migrate to an enterprise-wide MPI, including clean-up of existing identified duplicate records
Develops and maintains systems for identifying individuals with more than one medical record number or medical record numbers applied to more than one patient in multiple legacy systems
Works daily in the EPIC system reports and queues that include but are not limited to: Identity Events Report and G3 Conversion Patient Errors queue
Provides follow-up trend information on duplicates, changes, and trends to leadership
Supports reduction and elimination of duplicate creations through coordination with local system leadership and suggested improved practices
Helps to manage HIM support ticket system
Monitors death updates in the system
Develops and maintains communication systems and processes for notifying other departments of duplicates and surviving numbers to assure synchronization of indices throughout the organization
Assists in developing and maintaining written MPI policies and procedures
Monitors, accesses, and reports the accuracy and integrity of electronic and manual merging of duplicates
Develops MPI-related training materials for HIM and non-HIM based staff that may have MPI back-up responsibilities
Participates in departmental processes to educate the user community of the appropriate protocols to help select a medical record number should a duplicate exist
Strictly adheres to the policies on Confidentiality of Patient Medical Records
Job Requirements
High school diploma or equivalent
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred
Knowledge, Skills & Abilities
Skills in effective planning and organization
Strong analytic and healthcare-related electronic systems experience preferred
In-depth knowledge of local, state and federal regulatory laws, Eskenazi Health policies and procedures, Indiana State Department of Health regulations and Joint Commission accreditation standards
Working knowledge of document imaging processes, guidelines and protocols
Familiarity with information systems used at Eskenazi Health including but not be limited to: EPIC, Hyland OnBase, Datacap, G3, Cactus is preferred
Proficient in all Microsoft Office suites of products
Excellent oral and written communication skills; excellent customer service skills
Excellent organizational skills
Ability to proficiently use a Microsoft Windows workstation
Ability to work as an effective team member and/or lead MPI-related projects
Ability to define, analyze and measure root causes for data integrity issues
Knowledge of mandated retention periods for medical records
Knowledge of medical terminology
Accredited by The Joint Commission and named as one of Indiana's best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute, Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.
Apply now »
Coding Specialist
Durham, NC jobs
Exciting Career Opportunity with Avance Care!
Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC.
Avance Care is dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independent primary care practices, we offer comprehensive services to support the physical, mental, and emotional health of our patients.
As a Coding Specialist, you'll support and maintain coding compliance and patient assessments by applying Certified Professional Coding (CPC) principles to claim documentation process, reducing institutional, legal and financial risk.
This is a full-time role involving 8 hours weekday shifts with no weekends schedule.
We operate in a busy, fast-paced environment, and we seek a candidate who thrives under such conditions.
We offer a comprehensive benefits package available on the first of the month following 30 days of employment.
Selected Responsibilities
Actively abstract and code daily patient encounters through chart documentation, billing for all services, and appropriate assignment of E&M coding related to chart documentation, time, and medical decision making
Thorough understanding of clinic coding (E/M) documentation requirements and HCC concepts impacting population Health Risk Adjustment reimbursement initiatives
Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC guidelines
Maintains knowledge regarding policies and procedures with Medicare/Medicaid Carriers and third-party payers, including HCC and RAF guidelines
Effectively work with and support providers through structured communication as it related to chart documentation and coding practices
Understand and apply Correct Coding Initiative (CCI) edits and modifiers, as sometimes specifically required by 3 rd party payers or Medicare
Assign missing procedure CPT, or HCPCS from the Current Procedure Manual and Common Procedure Coding System Manual when necessary
Candidates should preferably have one of the following certifications: Certified Professional Coder (CPC) required, Certified Professional Coder (CPC-A) preferred, or Certified Risk Adjustment Coder (CRC) highly preferred along with at least one year of E&M Coding experience.
Other Priorities
Strong verbal and written communication
Knowledge of insurance practices
Knowledge of CPT, HCPCs, and ICD-10 coding
Time management and workload prioritization skills
If you are excited to join a growing organization focused on changing the way healthcare is delivered to patients in North Carolina, please submit your resume.
All offers of employment are contingent upon the successful completion of a background check and drug screen.
Avance Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, gender identification, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.
Clinical Reimbursement Specialist
Knoxville, TN jobs
The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient records and clinical care programs. in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements
Registered nurse with an active state license and MDS and RAI experience.
Specific Job Requirements
Make independent decisions when circumstances warrant such action
Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
Implement and interpret the programs, goals, objectives, policies, and procedures of the department
Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
Maintains professional working relationships with all associates, vendors, etc.
Maintains confidentiality of all proprietary and/or confidential information
Understand and follow company policies including harassment and compliance procedures
Displays integrity and professionalism by adhering to Life Care's
Code of Conduct
and completes mandatory
Code of Conduct
and other appropriate compliance training
Essential Functions
Exhibit excellent customer service and a positive attitude towards patients
Assist in the evacuation of patients
Demonstrate dependable, regular attendance
Concentrate and use reasoning skills and good judgment
Communicate and function productively on an interdisciplinary team
Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
Read, write, speak, and understand the English language
An Equal Opportunity Employer
Trauma Coder
Pickerington, OH jobs
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.
Summary:
This position performs coding and abstracting functions for Trauma Patients including Emergency Department, Observation, Observation in a bed and the inpatient setting.
Responsibilities And Duties:
60%
• Assigns appropriate admit, & principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting
and maintaining the minimum Coder productivity requirements.
• Assign Present on Admission POA indicator to all inpatient account diagnoses as required by official coding guidelines.
• Accurately Assign ICD10 diagnosis/procedure codes, AIS scoring at the minimum standards of 95% quality and meeting and maintaining the minimum Coder productivity requirements.
Review Diagnosis and CC/MCC for maximum SOI/ROM Clinical understand of laboratory and radiology values Knowledge of quality outcomes indicators Work with CDS to improve physician documentation and case mix index Assign Principal Diagnosis accurately at least 95% or better
• Monitor and appropriately assign codes when appropriate
• Responsible for recognizing when it is necessary to obtain further clarification from physician when documentation is inadequate, ambiguous, or unclear for coding purposes.
• Assists providers and supervisors with reviewing accounts denied by NTDB and other governing bodies for appropriate documentation to support original coding.
35%
• Abstracts all data elements necessary to complete NTDB and TQIP requirements and meet hospital-reporting requirements.
• In the event of insufficient, missing, or conflicting documentation, follows department policy for follow up and physician query.
• Identifies problem cases in EPIC and forwards to appropriate staff for follow up.
5%
• Verifies demographics, account number, service and identify missing or incorrect forms in each record.
The major duties, responsibilities and listed above are not intended to be all-inclusive of the duties, responsibilities and to be performed by employees in this job. Employee is expected to all perform other duties as requested by supervisor.
Minimum Qualifications:
Additional Job Description:
SPECIALIZED KNOWLEDGE
Associate's degree or 1-3 years of coding experience in an acute care/hospital setting.
Specialized Knowledge: AIS Scoring, ICD-10CM and PCS classification systems, Advanced Anatomy & Physiology, Pathophysiology, Pharmacology, Medical Terminology, inpatient documentation schemes. Knowledge of Hospital Acquired Conditions (HAC), Present on Admission (POA), Severity of Illness (SOI), Risk of Mortality (ROM), and Quality outcome indicators. Knowledge of operative reports, clinical lab, and radiology results for physician queries. Knowledge of Clinical Documentation improvement programs. Knowledge of NTDB and TQIP abstracting elements.
Work Shift:
Day
Scheduled Weekly Hours :
40
Department
Trauma Services
Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry
Equal Employment Opportunity
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
Home Health and Hospice Coder
San Diego, CA jobs
Job Details LHSD - SAN DIEGO, CA Fully Remote $27.00 - $31.00 HourlyDescription
Who We Are:
Lorian Health is a home health and hospice agency seeking energetic candidates to join our team of skilled professionals. Come join a home health agency that is thoughtful, generous, and family-oriented, placing focus on taking the best care of our patients and our employees!
Lorian Health sets the highest quality standards for home health services in existence today. Foremost of these, is our belief in equanimity in regard to the treatment of all our patients.
Lorian Health is committed to fostering a socially responsible environment within our organization and community and is determined to provide the highest caliber of health care for our patients and their families.
What We Offer:
We offer a comprehensive employee benefits package that includes, but is not limited to:
Health, Dental, Vision, 401K with company match
Competitive pay
Paid vacation, holidays, and sick leave
Full time includes company paid health insurance, dental insurance, vision insurance, paid life insurance, supplemental insurance and 401(k) plan with 4% match, as well as annual accrual of 10 vacation days,10 sick days, 9 holidays.
Join our innovative team to help patients empower themselves to improve self-care.
Qualifications
Requirements:
Must live in Pacific, Mountain or Central Time Zones
Completion of coding specific coursework
Current ICD-10 Coding Certification (HCS-D, BCHH-C, or HCS-H)
Minimum of 1 year previous experience with Home Health ICD-10 coding with verified employment/experience are required.
Minimum of 1 year previous experience with Hospice ICD-10 coding with verified employment/experience are required.
Knowledge of and ability to follow appropriate skilled documentation under Medicare guidelines and conditions of participation.
Knowledge of Patient Driven Grouping Models (PDGM)
Knowledge of insurance reimbursement procedure.
Ability to maintain confidentiality of records and information.
Ability to be flexible, follow verbal and written instruction while working in a team oriented environment.
Detail oriented with critical thinking and strong clinical judgement and analytical skills.
Ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule.
Excellent interpersonal relation skills including active listening, conflict resolution, and team building.
Communicates effectively with the clinical and office staff involved in any given case in a constructive, goal directed, and professional manner
Excellent computer skills to include Microsoft applications (i.e. Word/Excel) and ability to type at least 40 wpm
Preferred:
OASIS certification (COS-C, HCS-O)
Background on OASIS E
Graduate of Bachelor is Science in health field
Experience with HCHB software
HIM Coder - Medical Records - PRN
Topeka, KS jobs
Part time
Shift:
Variable Less than 12 hour shift (United States of America)
Hours per week:
20
Job Information Exemption Status: Non-Exempt Reviews medical record documentation for assigning accurate ICD-10-CM diagnosis, procedure and CPT codes and chart abstracting for hospital related services, including "dual" medical coding, also known as Single Path Coding, for various specialties.
Education Qualifications
High School Diploma / GED Required
Experience Qualifications
2 years Coding experience. Preferred
Skills and Abilities
Knowledge of medical terminology. (Required proficiency)
Knowledge of coding and regulatory guidelines. (Required proficiency)
Licenses and Certifications
Registered Health Information Administrator (RHIA) - AHIMA Required or
Registered Health Information Technician (RHIT) - AHIMA Required or
Certified Coding Specialist - CCS Required or
Certified Professional Coder - AAPC CPC also accepted. Required
Certified Coding Associate - AHIMA CCA also accepted Required
What you will do
Selects and assigns appropriate ICD-10-CM diagnosis, procedure and CPT codes utilizing encoding system and application following coding guidelines.
Ensures appropriate MS-DRG/APR DRG is assigned.
Utilizes Electronic Medical Record (EMR) to identify and enter key administrative and clinical data elements into discrete fields within the EHR.
Comply with all legal requirements regarding coding guidelines and policies.
Proficient with medical necessity documentation guidelines.
Complies with payer specific guidelines for appropriate code assignment.
Works coding queues as assigned by manager or designee.
Collaborates with Clinical Documentation Improvement (CDI) team for clinical expertise and query opportunities.
Submit coding queries to physicians for medical record documentation clarification.
Converse with providers or other health care professionals on coding and/or billing practices, if needed.
Works professionally, independently and completes assignments in a timely manner.
Meets coding productivity and accuracy standards.
Participates at coding and department meetings/huddles.
Participates at CDI/Coding and other educational sessions.
Attends All Employee Meetings.
Continually self-educates on current coding guidelines and regulatory changes utilizing electronic reference material.
Required for All Jobs
Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
Performs other duties as assigned
Patient Facing Options
Position is Not Patient Facing
Remote Work Guidelines
Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
Stable access to electricity and a minimum of 25mb upload and internet speed.
Dedicate full attention to the job duties and communication with others during working hours.
Adhere to break and attendance schedules agreed upon with supervisor.
Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.
Remote Work Capability
Hybrid
Scope
No Supervisory Responsibility
No Budget Responsibility
Physical Demands
Balancing: Occasionally 1-3 Hours
Carrying: Rarely less than 1 hour
Climbing (Stairs): Rarely less than 1 hour
Crawling: Rarely less than 1 hour
Crouching: Rarely less than 1 hour
Eye/Hand/Foot Coordination: Continuously greater than 5 hours
Feeling: Continuously greater than 5 hours
Grasping (Fine Motor): Continuously greater than 5 hours
Grasping (Gross Hand): Continuously greater than 5 hours
Handling: Continuously greater than 5 hours
Hearing: Occasionally 1-3 Hours
Kneeling: Rarely less than 1 hour
Lifting: Rarely less than 1 hour up to 10 lbs
Operate Foot Controls: Rarely less than 1 hour
Pulling: Rarely less than 1 hour up to 10 lbs
Pushing: Rarely less than 1 hour up to 10 lbs
Reaching (Forward): Occasionally 1-3 Hours up to 10 lbs
Reaching (Overhead): Rarely less than 1 hour up to 10 lbs
Repetitive Motions: Continuously greater than 5 hours
Sitting: Continuously greater than 5 hours
Standing: Occasionally 1-3 Hours
Stooping: Rarely less than 1 hour
Talking: Occasionally 1-3 Hours
Walking: Rarely less than 1 hour
Physical Demand Comments:
Vision requirements include close vision and ability to adjust focus.
Working Conditions
Burn: Rarely less than 1 hour
Chemical: Rarely less than 1 hour
Dusts: Rarely less than 1 hour
Electrical: Rarely less than 1 hour
Explosive: Rarely less than 1 hour
Extreme Temperatures: Rarely less than 1 hour
Infectious Diseases: Rarely less than 1 hour
Mechanical: Rarely less than 1 hour
Noise/Sounds: Occasionally 1-3 Hours
Other Atmospheric Conditions: Rarely less than 1 hour
Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour
Radiant Energy: Rarely less than 1 hour
Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour
Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour
Hazards (other): Rarely less than 1 hour
Vibration: Rarely less than 1 hour
Wet and/or Humid: Rarely less than 1 hour
Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.
Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
Auto-ApplyVirtual HIM Outpatient Coding Aud I
Dallas, TX jobs
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day.
PRIMARY PURPOSE
Conducts audits of medical record coding to ensure compliance with established guidelines, provides results of audits, and assists with educational activities related to findings to promote adherence to state/federal laws and regulatory requirements.
MINIMUM SPECIFICATIONS
Education:
- Must be a graduate of a Health Information Management program or must have successfully completed an approved Coding educational program.
Experience
- Must have six (6) years of proven coding experience in an acute care setting.
Equivalent Education and/or Experience
- May have an equivalent combination of education and experience in lieu of specified requirements.
Certification/Registration/Licensure
- Because of the lag in SCCE, HCCA, NCRA, and AHIMA updating the status of certifications, current employees whose certification is granted through one of these associations are allowed up to seven (7) calendar days, after expiration, to provide proof of renewal. Although an additional seven (7) calendar days is allowed to provide proof of renewal, there cannot be a lapse in the certification's "active" status.
- Must possess one of the below certifications:
- Registered Health Information Administrator (RHIA)
- Registered Health Information Technician (RHIT)
- Certified Coding Specialist (CCS),
- Certified Professional Coder (CPC)
- Certified Coding Specialist - Physician (CCS-P)
- Certified Inpatient Coder (CIC)
- Certified Outpatient Coder (COC)
- Certified Professional Medical Auditor (CPMA)
Required Tests for Placement
- Must score a minimum of 85% on a pre-employment coding test.
Skills or Special Abilities
- Must be able to demonstrate time management, organizational, oral and written communication skills.
- Must be proficient and demonstrate and advanced knowledge in ICD-9-CM and CPT/HCPCS coding and abstracting and have an advanced clinical knowledge of medical terminology, disease process and pharmacology.
- Must be able to demonstrate knowledge of reimbursement (Medicare and Medicaid) principles and methodologies (MS-DRG and APC).
- Must have a working knowledge of the compliance guidelines related to coding and billing. - Must have strong skills in diplomacy, professionalism and trustworthiness.
- Must be able to demonstrate excellent computer skills, including word processing, spreadsheet and database management software proficiency.
Responsibilities
1. Conducts quality reviews on all coders using the "official coding guidelines" as published in AHA Coding Clinic and AMA CPT Assistant, and hospital policy, including specific payer guidelines, rules, regulations in analyzing questionable documentation to ensure the accuracy and completeness of clinical and financial information reported for billing of hospital services. Provides feedback to the coders on findings as needed. Provides reports of findings to the Coding Compliance Manager. The Outpatient area utilizes the CMS regulatory coding and billing guidelines, the National Correct Coding Initiative, the Local and National Coverage Determinations to resolve billing edits.
2. Analyzes medical record documentation to assure that coding and abstracting of data is in compliance with the official coding guidelines as published in the American Hospital Association s Coding Clinic for ICD-9-CM and the American Medical Associations CPT Assistant.
3. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. Provides input as requested to assist in the development of effective internal controls that promote adherence to applicable state/federal laws, and the program requirements of accreditation agencies and federal, state, and private health plans.
4. Stays abreast of the latest developments, advancements, and trends in medical records coding by attending educational programs, reading professional journals, actively participating in professional organizations, and maintaining certification. Integrates knowledge gained into current work practices.
5. Assists in ensuring that abstracted coded data and other elements are correct and appropriate. Assists in ensuring that data being submitted to state/federal and other regulatory agencies is correct and appropriate.
6. Maintains a positive working relationship with physicians, nurses, medical staff and hospital employees to ensure that all work-related encounters are productive.
7. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals for the department and Parkland.
8. This position is 100% Virtual. Virtual employees must also comply with all Parkland policies and procedures governing the use of Parkland information resources. Virtual employees must maintain all equipment lent by Parkland for performing the agreed upon job duties in good working condition. All employment responsibilities and conditions in applicable Parkland policies and procedures apply to employees while working virtually.
Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.
Health Information Management -HIM - Coder - Inpatient -REMOTE
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), 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.
Health Information Management (HIM) Coder - Outpatient - PER DIEM
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.
Health Information Management - HIM - Coder - Inpatient - REMOTE
Rome, NY jobs
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.
Health Information Management (HIM) Coder - Outpatient - PER DIEM
Rome, NY jobs
Job Description
Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO.
•Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred
•Experience with Clintegrity, Paragon, One Content helpful
•Fully remote after training
Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required.
Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems.
Excellent oral and written communication skills. Must have a positive, respectful attitude.
About Rome Health
Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
Behavioral Health Coder (20 Hours)
Worcester, MA jobs
Description and Responsibilities Come join our billing team! Open Sky is looking for a skilled, part-time Behavioral Health Coder to provide coding support to the organization. They will audit clinical documentation for Evaluation and Management and psychotherapy services by validating coded data, ensuring services rendered support reimbursement and reporting purposes. The coder will also evaluate electronic health records to identify any documentation deficiencies and ensure all revenue is captured.
Other Key Responsibilities:
* Serve as resource and subject matter expert to staff.
* Collaborate with clinicians on documentation discrepancies.
* Support the VP of Accounting & Financial Reporting and the Billing Manager with projects related to third party billing.
* Comply with behavioral health coding guidelines and policies.
Qualifications
* High School diploma, GED or equivalent, required.
* Certified professional coder with specialization in behavioral health, required.
* 3-5 years of experience in human/social services, healthcare, or related field, required.
* Experience in a behavioral health setting with use of electronic health record, required.
* Must have knowledge of payor guidelines and 3rd party billing practices.
* Valid drives license and acceptable driving history, required.
About Us
At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life.
Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL.
At Open Sky, you'll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond.
As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives.
Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today!
Benefits of Working for Open Sky Include:
* Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities
* Generous paid time off plan - you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!)
* We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications.
* Medical, Dental and Vision Insurance with Prescription Plan
* 403b Retirement Plan with Employer Match
* Life Insurance (100% Employer-Paid)
* Eligible employer for the Public Student Loan Forgiveness Program
* And more!
Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status.
Base Rate
USD $25.58/Hr. Responsibilities 2025-10459
Auto-ApplyHealth Information Coder (ICD-10CM)
Fitchburg, WI jobs
Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines.
This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin.
Responsibilities
* Maintains and actively promotes effective communication with all individuals.
* Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values.
* Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement.
* Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes.
* Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate.
* Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines.
* Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies.
* Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
* Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary.
* Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency.
* Maintains confidentiality, privacy and security in all matters pertaining to this position.
* Performs other duties, as assigned.
Requirements
* High School education or equivalent.
* Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date.
* One (1) year of coding experience preferred.
* Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology.
* Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA).
* Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred.
* Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications.
* Strong organizational, analytical, and problem-solving skills, and attention to detail.
* Strong Keyboarding and filing abilities.
* Ability to exhibit professionalism, flexibility, dependability, and a desire to learn.
* Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms.
* Commitment to quality outcomes and services for all individuals.
* Ability to relate well to all individuals.
* Ability to maintain and protect the confidentiality of information.
* Ability to exercise independent judgment and make sound decisions.
* Ability to adapt to change.
Benefits
* Employee Referral Bonus Program.
* Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution)
* Paid Time Off and Holidays acquired from day one of hire.
* Health (low to no cost), Dental, & Vision Insurance
* Flexible Spending Account (Medical and Dependent Care)
* 401(k) with Company Match
* Financial and Retirement Planning at No Charge
* Basic Life Insurance & AD&D - Company Paid
* Short Term Disability - Company Paid
* Voluntary Ancillary Coverage
* Employee Assistance Program
* Benefits vary by full-time, part-time, and PRN status.
If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you!
Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting.
The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all.
#IlluminusHQ
Salary Description
$22 - $25 per hour depending on experience
HOME HEALTH CODER/OASIS (PT DAYS)
Peotone, IL jobs
The Home Health Coder/OASIS is responsible for ensuring accurate and timely coding of home health services, including OASIS (Outcome and Assessment Information Set) data, in compliance with regulatory requirements and Riverside Healthcares standards. This role plays a critical part in the home health billing and reimbursement process, directly contributing to optimal patient care and financial outcomes. The ideal candidate will have a strong background in home health coding, be detail-oriented, and possess a deep understanding of OASIS documentation submission.
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
Auto-ApplyHIM Coder
Monticello, IL jobs
Job DescriptionDescription:
Shift: Day shift
Schedule: M-F 40 hours
Job Summary: Responsible for the conversion of diagnoses and treatment procedures in accordance with the rules, regulations and coding conventions as established by the American Hospital Association (Coding Clinic), ICD-10-CM, CMS, AHIMA, and Kirby Medical Center organizational/institutional coding guidelines. Under the direction of the lead coding manager, the coder will perform all tasks and duties in accordance with established standards, policies, procedures, protocols, and guidelines using classification of diseases. Requires skill in the sequencing of diagnoses/procedures to meet medical necessity requirements. Ensures that records are coded in an accurate and timely manner. Participates in the department's performance improvement activities.
Benefits:
40 hours PTO effective date of hire
Health, Dental, Vision and Life insurance effective date of hire
Generous 401(k) match effective after 90 days
Quality/Goal incentive annually
Free Wellness Program
Requirements:
Qualifications:
High School diploma or equivalent and medical coding education. In lieu of medical coding education, an active coding certification is required. Associate degree in healthcare related field preferred.
Certification as Certified Coding Specialist (CCS), or Certified Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) or Certified Professional Coder (CPC) required within one year of hire.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) preferred (will be considered in lieu of above certifications).
Required Skills:
Extremely detail-oriented with the ability to multi-task and follow through to meet established deadlines with stringent guidelines.
Ability to function under stress with many interruptions.
Highly analytical with critical thinking skills.
Must be self-motivated and strive for personal growth.
Knowledge or medical science, anatomy, and physiology required.
Ability to work flexible hours and possess the ability to accept change.
Ability to work with others collaboratively and communicate efficiently both orally and in writing.
Experience with Windows-based applications (e.g., Word, Excel, Outlook, etc.). Able to use multiple Electronic Health Records.
Since 1941, Kirby Medical Center has been the premier provider of healthcare in Piatt County and surrounding areas. We are committed and proud to provide quality and compassionate healthcare services to people in need. Our values-based culture, employee engagement, and award-winning healthcare have driven the success of our organization. Kirby Medical Center is an independent, not-for-profit hospital located on a beautiful campus in Monticello, IL with satellite clinics in Atwood, & Cerro Gordo, IL.
Kirby Medical Center offers an outstanding benefits package and state-of-the-art medical equipment. Ideal candidates enjoy a workplace where compassion, positive attitudes, respect, excellence, and stewardship are on display every day.
Coder Inpatient, Marshall Medical Center South, HIM, Full Time, Days
Boaz, AL jobs
The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.
An inpatient coder is responsible for utilizing coding policies and procedures in evaluating the diagnostic and procedural information within the medical record for determination of accurate DRG or APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database.
An inpatient coder functions under the direct authority and supervision of the Coding Supervisor and Director of the Health Information Management Department.
Some of the many skills performed
Coding of diagnoses and procedures for:
Inpatients
Observation
Other Outpatient Service Types, if appropriate
Qualifications
EDUCATION:
High school graduate or equivalent
2 years or more in Health Information Management
1-2 years' experience in inpatient coding
LICENSURE/CERTIFICATION:
RHIA, RHIT, or CCS certification preferred
Certification must be obtained within one (1) year of employment
About Us
Lake Guntersville, a mountain-lakes jewel, is located approximately 30 miles from metro Huntsville - and is home to Marshall Medical Centers.
Marshall Medical Centers, an affiliate of the Huntsville Hospital Health System, serves the residents of Marshall County and the surrounding area (population approximately 125,000). With two hospitals, eight outpatient locations and a highly-trained team of physicians practicing 28 specialties, Marshall Medical is a confident, convenient choice for local healthcare. Residents can remain close to home and receive excellent care - often provided by those who are neighbors and friends.
Marshall Medical Center South is a 150-bed hospital in Boaz, Alabama, and opened in 1956. Marshall Medical Center North, in Guntersville, opened in 1990 - and - is a 90-bed facility. In addition to the two hospitals, the Gary R. Gore Medical Complex is conveniently located mid-county and is home to several outpatient clinics and a 22,000 square foot comprehensive Cancer Care Center.
Named by the Joint Commission as a “Top Quality Performer” among America's hospitals, Marshall Medical Centers' patients can be assured they are being treated in an environment where a premium is placed on quality and best practices.
Auto-Apply