Single Billing Office, Customer Service Specialist, FT, Days, - Remote
Prisma Health 4.6
Remote or Greenville, SC job
Inspire health. Serve with compassion. Be the difference.
Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs.
Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need.
Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed.
Ensures all work is compliant with privacy, HIPAA, and regulatory requirements.
Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance.
Answers all incoming calls from Prisma Health patients
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent OR post-high school diploma / highest degree earned
Experience - Two (2) years billing, bookkeeping, and/or accounting experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist.
Knowledgeable of the entire Revenue Cycle and Epic.
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70019935 System Billing Office
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$22k-28k yearly est. 7d ago
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Pharmacist-System Specialist, PRN
Prisma Health 4.6
Remote or Greenville, SC job
Inspire health. Serve with compassion. Be the difference.
Leads, oversees and ensures the successful delivery and management of projects/systems within scope, quality, schedule, and cost constraints that may be clearly defined or may require dynamic change management to deliver business value. Clinical subject matter expert, and often end user who participates in the selection, planning, and execution of products, services, or outcomes outside of the department scope or regular business duties. May also initiate projects under the direction of pharmacy administration to enhance existing operations. Works with pharmacy executives, directors, functional managers, and clinical pharmacists on a regular basis as well as non-pharmacy clinical, ancillary, informational services, and marketing teams. Collaborates with allocated project team members and evaluates productivity, communication, and teamwork. The job requires project and program management skills to oversee the deliverables for multiple special projects/systems simultaneously so that all projects/systems are integrated across the department. Helps identify project/system strengths, weaknesses, opportunities, and risks. This position allows remote work at the discretion of the reporting operational leader.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference
Management of systems/special projects:
-Assess feasibility through research and stakeholder engagement
-Collect project/system requirements, objectives, and acceptance criteria from sponsors and stakeholders
-Ensure that objectives are in line with department and enterprise objectives
-Identify, prioritize, and schedule deliverables, milestones, and required activities/tasks
-Engage operational leadership to estimate resource requirements, activity durations, and costs
-Prepare and update documents such as charter (scope), work breakdown structure, project sign off, and lessons learned
-Follow established standards and procedures for reporting and documentation
-Work with operational leadership to recruit or assign team members to tasks
-Evaluate individual and team performances and provide feedback to operational leadership
-Monitor project/system activities, ensuring the accuracy, quality, and integrity of the information
-Perform risk assessments and implement mitigation plans
-Ensure that the project/system results meet agreed upon business objectives
-Facilitate project closure by archiving project documents and conducting project review sessions with stakeholders
-Work with operational leadership to smoothly transition deliverables to the functional team(s)
Enhancement of operational productivity and performance:
-Actively evaluate operational workflow and develop process improvement initiatives where needed
-Anticipate, mitigate, and solve workflow problems
-Incorporate feedback from patients, clinical staff, ancillary staff, and leaders to improve performance
-Standardize yet customize workflow initiatives for individual clinical sites
Promotion of a successful project and operational team:
-Facilitate effective collaboration and communication among operational, clinical, and ancillary staff
-Guide and educate project/system and operational key stakeholders
-Unite teammates through conflict resolution and prevention
-Recognize individual and team wins
-Encourage leadership and professional development opportunities for the team
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Bachelor's degree in Pharmacy as a graduate from an ACPE approved College of Pharmacy. PharmD preferred.
Experience - Two (2) years of experience with project management, system management, project coordination, and/or general business management. Pharmacy experience preferred.
In Lieu Of
In lieu of an active SC Pharmacist license, may be a graduate of an ACPE accredited US college of Pharmacy with a SC intern certificate pending initial licensure or have completed requirements for reciprocity pending board of pharmacy interview for licensure.
Required Certifications, Registrations, Licenses
Licensed to practice as a Pharmacist or eligible to become licensed within 4 months of hire date in the state the team member is working.
Knowledge, Skills and Abilities
Demonstrated sensitivity to working in a political environment and to interacting with leadership
Ability to problem solve.
Ability to work in dynamic interdisciplinary team situations; handle urgent, stressful conditions.
Ability to exhibit excellent interpersonal skills in dealing with subordinates, peers, supervisors and others outside the department.
Knowledge of medical and pharmacy terminology; strong mathematical & computer skills. Understand BOP/DHEC/DEA rules/regulations
Work Shift
Variable (United States of America)
Location
Greenville Memorial Med Campus
Facility
7001 Corporate
Department
70017296 Pharmacy System Support
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$77k-108k yearly est. 7d ago
Hospital Outpatient Coder II, FT, Days, - Remote
Prisma Health 4.6
Remote or Maryville, TN job
Inspire health. Serve with compassion. Be the difference.
Codes medical information into the organization billing/abstracting systems for multiple facilities. Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes. Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference.
Codes moderate to complex Outpatient Surgery, and Observation records from clinical documentation as well as Emergency department, ancillary and ambulatory clinic records; assigns modifiers as appropriate.
Adheres to department standards for productivity and accuracy. Operates under the general supervision of HIM Coding leadership.
Reviews work queues daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on on-hold accounts daily for final coding.
Responds to and follows up on priority accounts daily and any accounts assigned by Patient Financial services or Coding leader(s) for final coding.Communicates with leader when trending requests volumes impact productivity.
Queries physician or clinical area following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy.
Applies ICD and CPT codes to the Emergency department, outpatient ambulatory clinic records and ancillary service records based on review of clinical documentation and according to Official coding guidelines; assigns modifiers.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Certification Program, Associate degree or coding certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other approved coding certification program.
Experience - Two (2) years of coding experience in an acute care or ambulatory setting. Outpatient coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CCP-H), or Certified Outpatient Coder (COC).
Knowledge, Skills and Abilities
Demonstrates proficiency in utilizing official coding books as well as the electronic medical record and computer assisted coding/encoding software to facilitate code assignment.
Demonstrates continuous learning as evidenced by personally developed reference materials, online publications etc., to stay abreast of new and revised guidelines, practices and terminology, for reference and application.
Participates in on site, remote and/or external training workshops and training.
Ability to pass internal coding test.
Knowledge of electronic medical records and 3M or other Encoder System.
Ability to concentrate for extended periods of time; ability to solve problems with close attention to detail and to work and make decisions independently.
Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
Demonstrated competence in coding and correct extrapolation of official coding and select billing guidelines to specific coding situations.
Basic computer skills
Work Shift
Day (United States of America)
Location
Blount Memorial Hospital
Facility
7001 Corporate
Department
70017512 HIM-Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$31k-39k yearly est. 7d ago
Risk Adjustment Coder Professional Billing II, FT, Days, - Remote
Prisma Health 4.6
Remote or Greenville, SC job
Inspire health. Serve with compassion. Be the difference.
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Conducts prospective review of charts to identify HCC opportunity.
Conducts retrospective review of charts to confirm documentation supports reporting.
Utilizes payor specific software to assist in capturing HCCs.
Communicates with providers about HCC opportunities for improvement.
Identifies suspect conditions that would potentially support reporting an HCC.
Participates in education offerings
Participates in monthly meetings
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
Experience - Five (5) years professional fee coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder (CPC), and
Certified Risk Adjustment Coder(CRC)
Knowledge, Skills and Abilities
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$28k-33k yearly est. 7d ago
Phlebotomist - Olentangy Draw Station
Central Ohio Primary Care-Employees 4.7
Columbus, OH job
Job Description
The Phlebotomist orders and transmits lab orders in the computer system. Responsibilities include processing blood, urine, stool specimens according to Laboratory procedures.
Full Time/Benefits Eligible
Monday- Friday 9:30am - 6:00pm
Columbus, OH
Duties/Responsibilities:
Ordering/Transmitting lab orders in computer system.
Assists in care of patient prior to, during, and after phlebotomy. Communicates with patients of all ages in a manner which promotes a comfortable and professional atmosphere.
Before performing blood draws verify patient name and date of birth.
Correct any diagnosis errors that flag in system.
Perform blood draws. Place patient name and date of birth on tube(s) in front of patient. Has knowledge of all routine containers and minimum volumes required for collection.
Processing of blood and urine specimens.
Stocks inventory and maintains a clean work area. Disposes biohazard material in the correct container.
Maintains patient confidentiality.
Attends required meetings and participates as requested.
All other assigned duties.
Requirements:
HS diploma or GED
Phlebotomy certificate
Strong phlebotomy and customer service skills
Previous experience in lab or clinical setting preferred
$28k-33k yearly est. 8d ago
Nocturnist Hospitalist Advanced Practice Provider (NP/PA)- COPC - Columbus
Central Ohio Primary Care-Employees 4.7
Columbus, OH job
COPC Hospitalist is looking for a Nurse Practitioner or Physician Assistant who is interested in a full-time position in the acute care/hospital setting in Columbus, Ohio.
The Advanced Practice Provider is responsible for providing health care services to hospitalized patients within the parameters of a standard care agreement or supervisory organization with an attending physician member of Central Ohio Primary Care (COPC) Hospitalists. Collaborates with physicians and other clinicians in providing a full scope of patient care in the hospital setting.
Job Description
Shifts will be 12am-7am, 16 shifts per month, covering both weekdays and weekends.
Work in our Inpatient Support Center helping to resolve immediate concerns regarding hospitalized patients.
Hospital admissions at our various hospital sites in the Columbus area.
Value Based Care for Hospitalized COPC patients.
Ongoing assistance with Transitions in and out of the Hospital for COPC patients
Monthly education-based APP meetings.
Hospitalist updates and education monthly.
Required Applicant Qualifications
Current certificate of authority to practice as an Acute Care Nurse Practitioner in the State of Ohio and certified by a national organization.
Graduate of a PA-C program that qualifies the graduate to sit for the certification examination recognized by the National Certification Commission for Physician Assistant (NCCPA).
Experience in Hospital setting preferred.
Flexibility and Eagerness to learn.
Benefits
A friendly and fast-paced environment working with passionate people.
Outstanding growth opportunities.
Competitive pay with ongoing CME support.
Medical, Dental and Vision Insurance.
Short/Long Term Disability, HSA, and Life Insurance.
401K plan with company matching contribution.
Recognition and rewards programs to recognize successful teams.
$234k-330k yearly est. 6d ago
Virtual Care Summer Non-Clinical Intern
Dekalb Health 4.4
Remote or Fort Wayne, IN job
Virtual Care is part of the larger Nursing Informatics team - reporting to Michelle Charles, SVP. Informatics focuses on the use of technology in the care of patients, as well as data analysis. The Virtual Care team is seeking an intern who will work in a hybrid of remote (local to Fort Wayne only) and on-site at the hospitals and the Business & Technology Center. Remote work will involve the use of a Parkview provided laptop to assist with data gathering, validation, and analysis. The various project work experienced as an intern provides a great opportunity to learn about healthcare and will prepare them for future roles.
The intern will receive training on the technology used in the hospital and department which the Virtual Care team supports, such as iPhones, iPads, video equipment, etc. Once trained, the intern may go to the hospital units helping to support the use of these devices or other technologies (working alongside other Virtual Care team members). The intern may be involved in observing and assisting with the implementation of new processes. For remote work, the intern may complete chart audits, gather data, create reports, and assist the teams with other similar tasks. Actual duties will depend upon the project work at that time.
Students will need to have knowledge of Microsoft Office tools, specifically Excel. Background in data analysis and data visualization is a plus. Students should be willing and able to assist the Virtual Care team in providing technical and workflow support in the hospital/department setting following training. Students will need good communication skills, as they may be interacting with Nurses and Patient Care Techs in the hospital.
Work Schedule
Monday-Friday, typically 8:00 a.m.-5:00 p.m. (day shift).
Some flexibility may be available. An internship is structured for 24-40 hours per week.
The preferred areas of study are students studying Nursing, Health Informatics, or similar fields with an interest in healthcare technology are encouraged to apply. All years of study are welcome.
Additional Notes:
Applicants must have their own transportation for local travel between hospitals and the Business & Technology Center.
Must be current undergraduate college student or graduate college student. Specific educational focus or degree may be preferred, depending on the internship hosting department. A specific license and/or certification may be preferred, depending on the hosting department of the internship. GPA of 3.0 or above Submission of Cover Letter Resume and Letter of Recommendation. Other qualifications may vary by department of internship.
$24k-28k yearly est. 60d+ ago
Athletic Trainer - COPC Sports, Spine & Joint
Central Ohio Primary Care-Employees 4.7
Westerville, OH job
Job Description
This position is responsible for providing administrative and clinical support to ensure efficient delivery of primary health care and creating a positive patient experience.
Full Time/Benefits Eligible
Monday - Friday 8am - 4:30pm
Westerville, OH
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Work closely with the clinical care team to deliver the best care for our patients.
Foster a climate allowing for direct communication between the care team, patient/caregiver and appropriate care providers to optimize outcomes.
Collaborate with other care team members to address gaps in care (chart prep).
Promote and facilitate improved clinical outcomes and patient satisfaction, as well as efficient use of resources.
Act as a patient advocate to ensure highest quality of care for our patients.
Interview patients regarding medical concerns and obtain medical history.
Measure and record vital signs, such as pulse rate, temperature, blood pressure, height and weight in patients' EHR.
Responsible for preparing injections
Assist in performing routine medical procedures as requested. Including casting, taping, and splinting
Assisting with Home Exercise Programs.
Review physician orders and lab requests and follows up as needed. Call in prescriptions/order refills as approved and directed.
Communicate test results to patients as directed.
Assist in patient education with related educational tools, periodicals, flyers, and handouts.
Assist with applicable forms and patient paperwork (not limited to processing of referrals, prior authorizations or pre-certifications, etc.).
Maintain a clean and well-organized work area. Maintain patient confidentiality in alignment with HIPAA regulation.
Attend meetings and participate in classroom activities as needed.
All other duties as assigned.
QUALIFICATIONS
:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education, Licensures & Certifications
Required: High School diploma or equivalent
Required: Graduate from an accredited profession athletic training education program
Required: Licensed Athletic Trainer in the State of Ohio
Knowledge, Skills & Abilities
Self-disciplined, energetic, passionate, and innovative
Ability to communicate clearly and effectively with patients and other external parties in a courteous and friendly manner
Ability to maintain confidentiality at all times
Ability to react calmly and effectively in emergency situations
Ability to interpret, adapt, and apply guidelines and procedures
Ability to communicate clearly and document efficiently in EHR
Knowledge and understanding of medical terminology
Knowledge of patient care and examination procedures
Knowledge of using medical equipment and instruments to administer patient care
Knowledge of common safety hazards and precautions to establish a safe work environment
Skill in assisting in a variety of treatments and medications, as directed
Skill in taking vital signs
Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public
Customer service skills; social perceptiveness and service oriented
Excellent time management skills and ability to multi-task and prioritize work
$42k-50k yearly est. 10d ago
Medical Assistant - Clinical Float
Central Ohio Primary Care 4.7
Westerville, OH job
The Medical Assistant provides both administrative and clinical support to ensure efficient primary care delivery while fostering a smooth, compassionate, and patient-focused experience. Qualified candidates must have reliable transportation and be willing to travel to our different practices throughout Central Ohio. Pediatric experience preferred, open to LPN's as well with Pediatric experience.
Duties/Responsibilities:
Work closely with assigned area team to ensure COPC and practice/site standards are being met to achieve patient satisfaction.
Prepare patients for examination and treatment. Obtain/verify patient histories, vital signs, and chief complaint.
Maintain patient files, records, and other information regarding lab and radiology results, referrals, etc.
Prepare exam and treatment rooms with necessary instruments. Clean exam rooms per OSHA requirements.
Administer injections, draw blood, and assist Physician in preparing for minor procedures/physicals.
Prepare and maintain (including sterilization) supplies and equipment for treatments. Adhere to OSHA and CLIA regulations.
May order and maintain clinical and office supplies and equipment.
Assist with scheduling of tests and treatments.
Attend required meetings as required or requested.
Participate in professional development activities and maintains professional affiliations.
Maintain patient confidentiality in alignment with HIPAA regulation.
Requirements:
Required: Graduate of a Medical Assistant (MA), Licensed RN or LPN in the State of Ohio
Preferred: Prior experience working in a Medical office
Knowledge and Skills:
Ability to remain flexible and adaptable to frequent assignment changes and varying clinical environments.
Ability to work with a variety of patient populations including Adults, Pediatrics, and specialty care.
Basic knowledge of immunizations, medications, and medical terminology.
Knowledge of Electronic Health Records systems preferred.
Must have proficient computer skills.
Skill in assisting in a variety of treatments and medications, as directed.
Skill in taking vital signs.
Skill in maintaining records and recording test results.
Skill in maintaining department quality assurance.
Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public.
Excellent written and verbal communication skills.
Excellent time management skills and ability to multi-task and prioritize work.
Strong critical thinking skills.
Ability to work independently and in a team environment; and able to lead by example.
Ability to maintain quality control standards.
Ability to react calmly and effectively in emergency situations.
Ability to interpret, adapt, and apply guidelines and procedures.
Ability to communicate clearly and document efficiently in an electronic health record.
Ability to efficiently work within an electronic health record.
Ability to clearly capture requests and messages from patients and document in electronic health record as well as communicate to medical professionals within office and patients.
$29k-34k yearly est. 60d+ ago
Clinical Assistant -Granville Pike Family Physicians
Central Ohio Primary Care 4.7
Lancaster, OH job
This position is responsible for providing clinical support to ensure efficient delivery of primary health care and creating a positive patient experience.
Full-Time/Benefits Eligible
Monday - Friday - 8:00am-4:30pm
Lancaster, OH
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Work closely with the clinical care team to deliver the best care for our patients.
Set-up EKG machines, administer injections, and perform routine specimen collection and tests.
Interview patients regarding medical concerns and obtain medical history.
Measure vital signs, such as pulse rate, temperature, blood pressure, weight, and height. Record vital signs and other health-related issues on patients' charts.
Assist in performing routine medical procedures as requested.
Prepare patients and treatment rooms for exams. Drape patients with covering and positions instruments and equipment.
Assist in patient education with related educational tools, periodicals, flyers, and handouts.
Maintain a clean and well-organized work area.
Maintain patient confidentiality in alignment with HIPAA regulation.
Attend meetings and participate in classroom activities as needed.
All other duties as assigned.
Education, Licensures & Certifications
Required: High school diploma or GED
Preferred: State Tested Nursing Assistant (STNA), Emergency Medical Technician (EMT), Phlebotomist or equivalent clinical background/training. Previous experience as a Patient Service Representative also considered.
Knowledge, Skills & Abilities
Ability to maintain confidentiality at all times
Ability to react calmly and effectively in emergency situations
Ability to interpret and apply guidelines and procedures
Ability to communicate clearly and document efficiently in an electronic health record
Ability to efficiently work within an electronic health record
Self-disciplined, energetic, passionate, and innovative
Knowledge and understanding of medical practices
Knowledge of patient care and examination procedures
Knowledge of medical terminology
Knowledge of examination, diagnostic, and treatment room procedures
Knowledge of common safety hazards and precautions to establish a safe work environment
Skill in assisting in a variety of treatments and medications, as directed
Skill in taking vital signs
Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public
Customer service skills; social perceptiveness and service oriented
$169k-302k yearly est. 2d ago
Medical Lab Technician (MT or MLT)- Day Shift
Central Ohio Primary Care 4.7
Westerville, OH job
The Medical Laboratory Technician (MLT/MT) performs all phases of pre-analytical, analytical and post-analytical testing in the laboratory. This position is responsible for performing routine procedures including preparing slides. They assist in maintaining databases and record keeping to ensure inspection preparedness.
Full Time/Benefits Eligible
Monday- Friday 7:30am-4pm, rotating weekends and holidays
Westerville, OH
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Perform waived, moderate and highly complex laboratory testing.
Testing conducted includes hematology, microbiology, molecular, chemistry, coagulation, urinalysis
Methods include manual kit tests, fully automated analyzers and microscopy
Testing performed on blood, urine and other body fluids
Follow all policy and procedures established by Laboratory Director and Management team.
Perform calibration and quality control checks for all types of instrumentation.
Perform routine laboratory maintenance on all types of laboratory instrumentation.
Perform unscheduled maintenance, troubleshooting, and repair on all instrumentation.
Ensure accurate results prior to reporting.
Perform routine laboratory procedures such as preparing slides.
Process and prepare specimens for laboratory testing.
Perform phlebotomy procedures to obtain samples for laboratory testing.
Assist with supply inventory.
Maintain a clean and well-organized work environment.
Collect data, prepare reports, answer correspondence and compile statistics as directed.
Analyze proficiency testing material and submit results.
Attend required meetings and participate in committees as requested.
Fulfill continuing education requirement by completing written assignments or attending workshops.
Follows OSHA guidelines
Maintains patient confidentiality.
All other duties as assigned.
QUALIFICATIONS:
Required: Knowledge of current medical terminology as it relates to laboratory medicine
Required: Knowledge of laboratory instrumentation and testing to perform quality control, calibration and troubleshooting of instrumentation
Education, Licensures & Certifications
Required: ASCP or equivalent certification as an MLT and/or A.A.S in Medical Laboratory Technology
Knowledge, Skills & Abilities
Knowledge of computer instrument interfaces
Knowledge of medical terminology to communicate with medical staff regarding laboratory procedures and results
Skill in performing a full range of laboratory tests
Skill in establishing and maintaining effective working relationships with patients, medical staff and the public
Ability to read and understand information about instrumentation in the laboratory field
Ability to follow written protocols
Ability to work independently
Ability to communicate clearly
$45k-58k yearly est. 46d ago
Ambulatory Coder Professional Billing, FT, Days, - Remote
Prisma Health 4.6
Remote or Columbia, SC job
Inspire health. Serve with compassion. Be the difference.
Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
Responsible for resolving all assigned pre-billing edits
Communicates billing related issues and participates in meetings to improve overall billing process
Provides feedback to providers in order to clarify and resolve coding concerns.
Assists in identifying areas that need additional training.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
Experience - Two (2) years professional coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder-CPC
Knowledge, Skills and Abilities
Maintains knowledge of governmental and commercial payer guidelines.
Participates in coding educational opportunities (webinars, in house training, etc.).
Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)
Location
Corporate
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift
Day (United States of America)
Rad Tech Peds/Ortho-LaGrange/Columbus, GA
Shift: FT Day
*Sign on Bonus Eligible**
Must be flexible with work hours to meet department needs. Must be dependable, accountable and cooperative. Assists with providing safe, age appropriate care to the patient by performing all exams provided by the department according to department procedures. Has the knowledge and ability to properly and safely obtain a quality diagnostic study. Responsible for performing a wide variety of technical procedures requiring independent judgment, ingenuity and initiative in the utilization of the equipment for the diagnosis and/or treatment of diseases. Able to independently perform job functions. Sets up the equipment to provide imaging service and positions patient for the procedure. Works with students during their clinical rotation.
Core Responsibilities and Essential Functions:
Equipment
- Demonstrates the ability to adjust technique so that patient receives the lowest possible dose of ionizing radiation and that image quality is maintained.
- Reports problems regarding malfunctioning equipment to supervisor or service provider, so that problem can be corrected in a timely manner.
- Cleans, disinfects and maintains equipment in accordance with infection control policy and department schedule.
- Ability to operate all aspects of the system.
- Ability to operate all radiographic equipment in a safe and competent manner. Assuring that equipment is not abused and is left in good working order. Patient Care
- Obtains complete clinical history, gathers examination data and assesses for contraindicating conditions.
- Follows established procedures for the administration of contrast medias so that no patient condition deteriorates, and no patient suffers undue pain, due to error or poor technique if applicable.
- Ensures that all studies have proper patient identification and right and left marker are utilized appropriately.
- Reviews radiographic images for clinically acceptable results and releases patients.
- Responds to emergency situations and provides for the restocking of the crash cart and maintenance of life support equipment if applicable.
- Assists other technologists in all modalities when needed if applicable.
- Observes patient condition and properly evaluates situations when physician intervention is necessary so that no patient condition deteriorates as the result of misjudgment.
- Verifies two unique patient identifiers and correct clinical order prior to performing a procedure per policy.
- Ensures patient's privacy and comfort is accommodated.
- Demonstrates competence in the determination and application of appropriate procedures, equipment, supplies and techniques based on the age of patients.
- Organizes schedule, time and priorities so that required activities are accomplished within designated time frames.
- Uses critical thinking skills.
- Asks clarifying questions.
- Seeks clarification on ambiguous orders.
- Understands, demonstrates and documents preprocedural verification and Time Out process when appropriate if applicable.
- Demonstrates and understands pre-and-post procedural care.
- Preps the patient for the procedure.
- Demonstrates and understands sterile technique if applicable.
- Maintains competency with venipuncture, where applicable. Education and Communication
- Patiently and clearly explains purpose and nature of exam to patient prior to starting of procedure, to minimize anxiety and facilitate cooperation using AIDET; Acknowledge, Introduce, Discuss, Explain, and Thank you of all patients and family members.
- Ensures that patient's questions, concerns or contraindications are satisfactorily addressed, notifying physician when this cannot be accomplished, prior to the initiation of the procedure.
- Participates in the orientation and training of departmental employees.
- Provides patients with preparatory instruction and explanation of procedures.
- Required documentation is concise, legible and includes precise terminology.
- Reads email each day scheduled to work and follows through with assignment.
- Completes mandatory departmental and Hospital-wide education without prompting. Quality Control
- Consistently produces high quality images including appropriate collimation, shielding, technique selection, penetration and positioning.
- Ensures that equipment is fully operational prior to each use, by checking for proper calibration and operating deficiencies.
- Sends all studies to PACS; prints CD's as necessary. All exams are complete in RIS including image oriented, marked, labeled, and notes are accurate.
- Studies that have been transmitted after hours by teleradiography are printed and scanned into PACS, if applicable.
- Checks for prior exams and assures that they are loaded, if necessary, and properly labeled prior to sending to PACS. Operations
- Restocks linens and supplies, and maintains Diagnostic Imaging Services in clean and orderly condition.
- Transports patients, positions patients, and helps them on and off procedure table.
- Performs patient charging activities on the day the service is rendered.
- Applies shielding, supportive and immobilization devices and equipment.
- Willingly lends knowledge and assistance to others upon request as needed and routinely as time is available, without prompting, so that all working time is used for departmental advantage.
- Performs routine duties of clerical and support personnel in accordance with procedure when warranted to
- ensure continuity and quality of services.
- Keeps supervisor informed on all responsibilities on an ongoing basis, ensuring prompt notification in the event of problems or potential problems.
- Maintains an individual productivity rate equal to other co-workers.
- Maintains Joint Commission and any other regulatory agency standards.
- Ability to transfer / retrieve images on the PACS system.
- Takes call when necessary.
- Any other duties as assigned
Required Minimum Education:
Graduate of an AMA approved School of Radiologic Technology. Required
Required Minimum License(s) and Certification(s):
ARRT Radiography 1.00 Required
Basic Life Support 2.00 Required
BLS - Instructor 2.00 Required
BLS - Provisional 2.00 Required
Required Minimum Skills:
Must exhibit excellent communication skills because this position requires frequent verbal and written communications with: physicians, patients, visitors, departmental staff and nursing staff.
Candidate must be able to explain or give directions to maintain goodwill, and obtain cooperation with all contacts.
Must possess the ability to function independently and under pressure while still actively participating in a team environment.
Employee must exhibit excellent customer service skills at all times.
Must be able to perform effectively in a stressful and fast paced work environment.
Must have the ability to prioritize appropriately.
Must be detail oriented and have the capacity to effectively multitask throughout the work shift.
Must have excellent communication skills and the capacity to interact professionally with a variety of “customers”, including but not limited to patients, families, co-workers, volunteers, and physicians throughout the work shift.
Must possess the ability to function independently, yet productively as a cooperative team member with various work teams associated with the position.
Must be compliant, with a willingness to follow all Hospital policies as well as the established practices, protocols and procedures of the position, department and applicable professional standards Competent in all aspects of Diagnostic Radiology, patient positioning, exposure factors and radiation protection.
Must have an understanding of anatomy and pathology as to how they affect the quality of a procedure.
Competent in all aspects of Diagnostic Radiology, patient positioning, exposure factors and radiation protection.
Must have an understanding of anatomy and pathology as to how they affect the quality of a procedure..
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift
Day (United States of America)
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Wellstar Medical Group is seeking a board certified/board eligible neurologists to join our Outpatient Neurology offices located in Marietta. This is a Hybrid position working In-Patient 7on/7off (Days) then 2 weeks Out-Patient.
The incoming Neurologist will join an established practice that focuses on providing high quality compassionate care and be part of a collaborative service line of 115 plus physicians and advance practice providers in Neurosciences.
Doctor of Medicine (M.D.) degree or equivalent
Clinical residency in Neurology
Must possess or be able to obtain a valid State of Georgia Medical License
DEA License
Board Certified or Board Eligible by the American Board of Psychiatry and Neurology (ABPN)
Fellowship in subspecialty
We proudly offer a competitive compensation and comprehensive benefits package, including:
Competitive Compensation Plan (including guaranteed income + incentive opportunities)
Sign on and relocation package
Comprehensive benefit package
Paid occurrence-based malpractice insurance
Retirement accounts including a 403b + match and a 457b
Leadership Development Opportunities
Integrated EMR system (Epic)
Cross-specialty collaborative team environment
work-life balance programs
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
$191k-348k yearly est. Auto-Apply 60d+ ago
Phlebotomist - Olentangy Draw Station
Central Ohio Primary Care 4.7
Columbus, OH job
The Phlebotomist orders and transmits lab orders in the computer system. Responsibilities include processing blood, urine, stool specimens according to Laboratory procedures.
Full Time/Benefits Eligible
Monday- Friday 9:30am - 6:00pm
Columbus, OH
Duties/Responsibilities:
Ordering/Transmitting lab orders in computer system.
Assists in care of patient prior to, during, and after phlebotomy. Communicates with patients of all ages in a manner which promotes a comfortable and professional atmosphere.
Before performing blood draws verify patient name and date of birth.
Correct any diagnosis errors that flag in system.
Perform blood draws. Place patient name and date of birth on tube(s) in front of patient. Has knowledge of all routine containers and minimum volumes required for collection.
Processing of blood and urine specimens.
Stocks inventory and maintains a clean work area. Disposes biohazard material in the correct container.
Maintains patient confidentiality.
Attends required meetings and participates as requested.
All other assigned duties.
Requirements:
HS diploma or GED
Phlebotomy certificate
Strong phlebotomy and customer service skills
Previous experience in lab or clinical setting preferred
$28k-33k yearly est. 7d ago
Health Information Management Inpatient Coder, FT, Days, - Remote
Prisma Health-Midlands 4.6
Remote or Columbia, SC job
Inspire health. Serve with compassion. Be the difference.
Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation.
Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership.
Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines.
Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding.
Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding.
Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns
Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.
Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred.
In Lieu Of
In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered.
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.
Knowledge, Skills and Abilities
Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality.
Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment.
Knowledge of electronic medical records and 3M or Encoder System.
Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
Knowledge of MS DRG prospective payment system and severity systems.
Ability to concentrate for extended periods of time.
Ability to work and make decisions independently.
Work Shift
Day (United States of America)
Location
5 Medical Park Rd Richland
Facility
7001 Corporate
Department
70017512 HIM-Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$30k-40k yearly est. Auto-Apply 60d+ ago
Medical Assistant - Clinical Float
Central Ohio Primary Care-Employees 4.7
Westerville, OH job
Job Description
The Medical Assistant provides both administrative and clinical support to ensure efficient primary care delivery while fostering a smooth, compassionate, and patient-focused experience. Qualified candidates must have reliable transportation and be willing to travel to our different practices throughout Central Ohio. Pediatric experience preferred, open to LPN's as well with Pediatric experience.
Duties/Responsibilities:
Work closely with assigned area team to ensure COPC and practice/site standards are being met to achieve patient satisfaction.
Prepare patients for examination and treatment. Obtain/verify patient histories, vital signs, and chief complaint.
Maintain patient files, records, and other information regarding lab and radiology results, referrals, etc.
Prepare exam and treatment rooms with necessary instruments. Clean exam rooms per OSHA requirements.
Administer injections, draw blood, and assist Physician in preparing for minor procedures/physicals.
Prepare and maintain (including sterilization) supplies and equipment for treatments. Adhere to OSHA and CLIA regulations.
May order and maintain clinical and office supplies and equipment.
Assist with scheduling of tests and treatments.
Attend required meetings as required or requested.
Participate in professional development activities and maintains professional affiliations.
Maintain patient confidentiality in alignment with HIPAA regulation.
Requirements:
Required: Graduate of a Medical Assistant (MA), Licensed RN or LPN in the State of Ohio
Preferred: Prior experience working in a Medical office
Knowledge and Skills:
Ability to remain flexible and adaptable to frequent assignment changes and varying clinical environments.
Ability to work with a variety of patient populations including Adults, Pediatrics, and specialty care.
Basic knowledge of immunizations, medications, and medical terminology.
Knowledge of Electronic Health Records systems preferred.
Must have proficient computer skills.
Skill in assisting in a variety of treatments and medications, as directed.
Skill in taking vital signs.
Skill in maintaining records and recording test results.
Skill in maintaining department quality assurance.
Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public.
Excellent written and verbal communication skills.
Excellent time management skills and ability to multi-task and prioritize work.
Strong critical thinking skills.
Ability to work independently and in a team environment; and able to lead by example.
Ability to maintain quality control standards.
Ability to react calmly and effectively in emergency situations.
Ability to interpret, adapt, and apply guidelines and procedures.
Ability to communicate clearly and document efficiently in an electronic health record.
Ability to efficiently work within an electronic health record.
Ability to clearly capture requests and messages from patients and document in electronic health record as well as communicate to medical professionals within office and patients.
$29k-34k yearly est. 19d ago
Family Medicine Physician (MD/DO) - COPC - Hilliard Family Medicine
Central Ohio Primary Care 4.7
Hilliard, OH job
COPC is the largest independent physician-owned primary care group in the nation. We are seeking an experienced full-time Family Medicine Physician to join Hilliard Family Medicine, 3958 Leap Road, Suite 101, Hilliard, Ohio 43026.
This is a large and busy outpatient practice consisting of 6 family physicians and 2 APPs. There are several medical assistants and patient service reps to support the providers and patients. They need to add a new Physician to the team. The candidate can be certified in Family Medicine or Internal Medicine/Peds.
About the practice:
This COPC practice has established a reputation as a primary care group that serves the community. They provide the best primary care for all ages with a focus on health education, disease prevention and management to keep their patients well.
The practice is open 5 days a week; M-F.
Why is COPC different?
Central Ohio Primary Care was founded in 1996 when a group of 33 physicians joined together to give greater focus to patient care than the administrative duties that were weighing them down. From the onset, COPC physicians have always been dedicated to finding new ways to offer the best patient care. Today we have over seventy-seven practices, a team of hospitalists, Same Day centers and ancillary services.
Our goal is to provide the highest quality preventative and chronic care and education to keep patients out of the hospital whenever possible. We collaborate with local health systems while staying uniquely independent. We refer our patients to the best specialists regardless of affiliation. Our model proves that people come first, and the best care and competitive pricing aren't mutually exclusive. This method of care delivery offers higher quality patient care with greater efficiency and fewer unnecessary costs.
Rooted in a long history of clinical excellence and a commitment to the highest ethical standards, COPC is building a model for primary care that creates a more holistic view of patient care and gives physicians more time to focus on building relationships with patients and each other. We constantly strive to be the best for our patients, the best for our employees and the BEST FOR PRIMARY CARE.
Additional COPC Services:
COPC has their own Lab, radiology services and vaccine repository which saves COPC patients time and money.
COPC has a Care Navigation team available to answer patients' medical questions when their Physician is not available.
COPC Same Day Centers & Pediatric Support Centers are open for COPC patients needing immediate medical care during the day, some evenings, and weekends.
COPC Hospitalist Team provides care for COPC patients when they are admitted to the hospital.
COPC uses state of the art EHR - EPIC.
Benefits:
401K with employer match and Profit-sharing plan.
Term life insurance.
Long-term disability.
Health, vision, and dental insurance.
Health savings account.
Occurrence - Medical Malpractice.
4 weeks of Vacation and Holidays.
Flexibility in work schedule.
CME Allowance.
First Year Salary Guarantee with Shareholder Status after 18 months.
Additional incentive opportunities earned when quality care measures are reached.
Starting Bonus and a Retention Bonus.
Requirements:
Doctor of Medicine (MD/DO).
Completed a three-year Family Medicine or Internal Medicine/Peds Residency.
Board-certified.
Third year residents are welcome to apply!
Please Note: This is not a H-1B or J-1 Visa opportunity.
$216k-305k yearly est. 60d+ ago
Risk Adjustment Coder Professional Billing II, FT, Days, - Remote
Prisma Health-Midlands 4.6
Remote or Greenville, SC job
Inspire health. Serve with compassion. Be the difference.
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Conducts prospective review of charts to identify HCC opportunity.
Conducts retrospective review of charts to confirm documentation supports reporting.
Utilizes payor specific software to assist in capturing HCCs.
Communicates with providers about HCC opportunities for improvement.
Identifies suspect conditions that would potentially support reporting an HCC.
Participates in education offerings
Participates in monthly meetings
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
Experience - Five (5) years professional fee coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder (CPC), and
Certified Risk Adjustment Coder (CRC)
Knowledge, Skills and Abilities
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$28k-33k yearly est. Auto-Apply 38d ago
Athletic Trainer - COPC Sports, Spine & Joint
Central Ohio Primary Care 4.7
Westerville, OH job
This position is responsible for providing administrative and clinical support to ensure efficient delivery of primary health care and creating a positive patient experience.
Full Time/Benefits Eligible
Monday - Friday 8am - 4:30pm
Westerville, OH
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Work closely with the clinical care team to deliver the best care for our patients.
Foster a climate allowing for direct communication between the care team, patient/caregiver and appropriate care providers to optimize outcomes.
Collaborate with other care team members to address gaps in care (chart prep).
Promote and facilitate improved clinical outcomes and patient satisfaction, as well as efficient use of resources.
Act as a patient advocate to ensure highest quality of care for our patients.
Interview patients regarding medical concerns and obtain medical history.
Measure and record vital signs, such as pulse rate, temperature, blood pressure, height and weight in patients' EHR.
Responsible for preparing injections
Assist in performing routine medical procedures as requested. Including casting, taping, and splinting
Assisting with Home Exercise Programs.
Review physician orders and lab requests and follows up as needed. Call in prescriptions/order refills as approved and directed.
Communicate test results to patients as directed.
Assist in patient education with related educational tools, periodicals, flyers, and handouts.
Assist with applicable forms and patient paperwork (not limited to processing of referrals, prior authorizations or pre-certifications, etc.).
Maintain a clean and well-organized work area. Maintain patient confidentiality in alignment with HIPAA regulation.
Attend meetings and participate in classroom activities as needed.
All other duties as assigned.
QUALIFICATIONS
:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education, Licensures & Certifications
Required: High School diploma or equivalent
Required: Graduate from an accredited profession athletic training education program
Required: Licensed Athletic Trainer in the State of Ohio
Knowledge, Skills & Abilities
Self-disciplined, energetic, passionate, and innovative
Ability to communicate clearly and effectively with patients and other external parties in a courteous and friendly manner
Ability to maintain confidentiality at all times
Ability to react calmly and effectively in emergency situations
Ability to interpret, adapt, and apply guidelines and procedures
Ability to communicate clearly and document efficiently in EHR
Knowledge and understanding of medical terminology
Knowledge of patient care and examination procedures
Knowledge of using medical equipment and instruments to administer patient care
Knowledge of common safety hazards and precautions to establish a safe work environment
Skill in assisting in a variety of treatments and medications, as directed
Skill in taking vital signs
Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public
Customer service skills; social perceptiveness and service oriented
Excellent time management skills and ability to multi-task and prioritize work
Zippia gives an in-depth look into the details of Luthern Health Network, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Luthern Health Network. The employee data is based on information from people who have self-reported their past or current employments at Luthern Health Network. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by Luthern Health Network. The data presented on this page does not represent the view of Luthern Health Network and its employees or that of Zippia.
Luthern Health Network may also be known as or be related to Lutheran Health Network and Luthern Health Network.