Medical coder jobs in Bismarck, ND

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: - Conduct a comprehensive medical record review to ensure billing is consistent with medical record. - Provide detailed written summary of medical record review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. - Review and discuss cases with Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing errors, abuse, and fraud. - Identify opportunities for savings related to potential cases which may warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements + Experience with researching coding, state regulations and policies. Working experience with Microsoft Excel + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 2 years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Prior auditing experience + Excellent analytical skills + Strong attention to detail and ability to review and interpret data + Excellent communication skills **Education** + GED or equivalent + AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment. Responsible for the coding of moderately complex patient classes i.e. ED, observations, same day care, etc. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder). EXPERIENCE: 1. One (1) year of hospital coding experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. Codes moderately complex patient classes. 2. Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.). 3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas. 4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals. 5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill. 6. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for long periods of time. 2. Must have visual and hearing acuity within the normal range. 3. Must have manual dexterity needed to operate computer and office equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. 3. May require travel. SKILLS AND ABILITIES: 1. Must be able to concentrate and maintain accuracy during constant interruptions. 2. Must possess independent decision-making ability. 3. Must possess the ability to prioritize job duties. 4. Must be able to handle high stress situations. 5. Must be able to adapt to changes in the workplace. 6. Must be able to organize and complete assigned tasks. 7. Must possess excellent written and verbal communication skills. 8. Must possess the knowledge of anatomy, physiology and medical terminology. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 538 SYSTEM HIM CDI

Worker Type: PRN Work Shift: Day Shift (United States of America) Pay Range: is listed below. Actual pay rate dependent upon experience. $23.50 - $34.50 Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for a variety of outpatient charts for multiple facilities within Avera Health. Accurate abstracting, along with other reporting and editing functions is also a major responsibility. The Coder II works independently to meet quality and production goals for the position with occasional guidance from other professional staff. What you will do * Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM, CPT, and HCPCS diagnosis and procedure codes for assigned patient charts across Avera's facilities. Understands ICD-10-CM, CPT and HCPC codes in depth, and be willing to update that knowledge through research or other educational opportunities. * The Coder II focuses on determining the appropriate APC/EAPC and/or medical coding for a variety of outpatient patient types including but not limited to, ER, ancillaries, imaging, lab, PT, OT, SP and/or dialysis in the outpatient service line. * Be willing on occasion to serve as a subject matter expert for other health professionals within Avera on these topics. * Query physicians and clinical documentation staff to ensure a full capture of the clinical record. * Assist with or lead communication between health information management, billing, and providers as needed. . * Maintains personal quality and production statistics in accordance to service line standards for a Coder 2. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: * Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA) within 180 Days or * Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Association (AHIMA) within 180 Days or * Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days or * Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) within 180 Days or * Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) within 180 Days or * Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 180 Days or * Registered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 180 Days Preferred Education, License/Certification, or Work Experience: * Associate's Health Information Administration or Health Information Technology * 1-3 years coding experience Expectations and Standards * Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community. * Promote Avera's values of compassion, hospitality, and stewardship. * Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. * Maintain confidentiality. * Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. * Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ****************.

If you are interested in serving your community and making an impact, we're looking for you!

If you are interested in serving your community and making an impact, we're looking for you!

**Job Summary and Responsibilities** CHI St. Alexius is looking for a Full Time EMR Process Improvement Coordinator to join the team! This position is responsible for supporting and overseeing the functions of the Clinic HIM department. Is responsible for process improvement, management of staff, is the department's electronic systems coordinator on numerous e-systems and is responsible for ensuring the integrity of the Clinc HIM department. **What You'll Do:** Maintain HIM staff job results by coaching, counseling, disciplining, planning, and appraising job results. Prep documents, scan, index, and verify documents in the electronic medical record (EMR). Understand and follow Release of Information policy and procedures. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team problem-solving methods. Manage workqueues, failed faxes, and chart corrections. Work with the OnBase Admin IT team for scanning. Assist with training new employees. **Job Requirements** **Required Education:** **High School Diploma or GED** **Preferred Education:** **Associate's Degree in HIM or a related business degree.** **Experience:** **Minimum of three years' experience, with at least two years in the medical field.** **Where You'll Work** Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come. CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota. CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care. **Pay Range** $15.51 - $20.74/hour We are an equal opportunity/affirmative action employer.

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40Salary Range: $19.00 - $30.50 Union Position: No Department Details • Flexible hours- so our employees can get personal tasks done at their leisure. • Variety of hours per day to select from: five 8 hrs, four 9hrs + one 4hr, or four 10's. • Multiple specialty coding- so the coder can learn a vast majority of areas. • Working remotely in the comfort of your own home. • Optional overtime approved frequently. Summary Assigns codes to diagnoses and procedures for outpatient medical records using current International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding classification systems. Coding assignments are made for the purposes of reimbursement, research, compliance with federal and state regulations/guidelines and for severity of illness. Job Description Meet productivity and quality standards. Requires ongoing review and adherence to a multitude of regulatory requirements that are constantly changing. Applies professional knowledge and uses critical thinking skills to assign codes to meet various payment groupings and medical necessity. Works extensively with electronic medical record. Prior coding classification education required. Previous hospital coding experience highly desirable. Prior computer and/or encoder software experience desirable. Work requires extreme attention to detail and work which meets high ethical standards, logical thinking and the ability to acquire an intricate knowledge of system software and hardware. Knowledge of components of the medical record. Extensive knowledge of anatomy, physiology, disease processes and medical terminology. Familiar with operative terms and pharmacology. Work extensively with protected health information and is required to adhere to HIPAA privacy and security regulations and policies related to same. Qualifications Associate's degree in health information technology. Bachelor's degree in Health Information Management (HIM) preferred. Extensive knowledge of anatomy, physiology, disease processes and medical terminology. Familiar with operative terms and pharmacology. Maintain certification in Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) by fulfilling continuing education requirements. New graduates eligible for certification must complete the certification examination at the earliest testing dates following employment, and all subsequent dates thereafter until the exam is satisfactorily completed. If an employee fails the exam two consecutive times, there will be an evaluation by the Department Director who will determine one of the following: (A) Continue employment if overall job performance is satisfactory. If allowed to continue employment, failure to pass the exam on the third opportunity will result in immediate termination. (B) If performance is not satisfactory, the employee may be terminated. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.

Responsible for reviewing outpatient medical records for proper coding assignment. Essential Functions and Responsibilities as Assigned: * Accurately assigns codes (CPT-4 and HCPCS) to outpatient medical records based on documentation in the medical record. * Accurately verifies, modifies, and abstracts patient data to meet the requirements of data integrity and organization specific protocols and requirements. * Understands the coding and classification system(s) revision cycle (ICD-10-CM and MSDRG annually) and takes the initiative to understand coding and classification system changes that impact coding, compliance, and reimbursement requirements. * Utilizes the multiple electronic and hard copy resources available to assist in understanding and accurately assigning coding and classification codes. * Works closely with the providers to identify the appropriate ICD-10, CPT and HCPCS codes in selecting the patients' care plans, associated orders for treatment and any co-morbid conditions. Provides education on the appropriate documentation to support all codes captured by the providers in the electronic health record. * Other related duties as assigned. Qualifications: Required: * High school diploma * One year outpatient coding experience * Current AHiMA registration or certification Preferred: * Certified Professional Coder (CPC) #LI-MNM * Additional Information * Schedule: Full-time * Requisition ID: 25005660 * Daily Work Times: 8am - 4:30pm * Hours Per Pay Period: 80 * On Call: No * Weekends: No

Where You'll Work Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come. CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota. CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care. Job Summary and Responsibilities CHI St. Alexius is looking for a Full Time EMR Process Improvement Coordinator to join the team! This position is responsible for supporting and overseeing the functions of the Clinic HIM department. Is responsible for process improvement, management of staff, is the department's electronic systems coordinator on numerous e-systems and is responsible for ensuring the integrity of the Clinc HIM department. What You'll Do: Maintain HIM staff job results by coaching, counseling, disciplining, planning, and appraising job results. Prep documents, scan, index, and verify documents in the electronic medical record (EMR). Understand and follow Release of Information policy and procedures. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team problem-solving methods. Manage workqueues, failed faxes, and chart corrections. Work with the OnBase Admin IT team for scanning. Assist with training new employees. Job Requirements Required Education: High School Diploma or GED Preferred Education: Associate's Degree in HIM or a related business degree. Experience: Minimum of three years' experience, with at least two years in the medical field. Not ready to apply, or can't find a relevant opportunity? Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.

The Trial Master Files Records Specialist (TRS) is responsible to provide operational expertise to the core trial team, oversees the implementation of the TMF strategy for the trial and supports the core trial team in all aspects of TMF management, and in inspections or audits. The TRS provides and maintains oversight and guidance related to TMF activities throughout the course of the trial, to safeguard the protection of the trial subject, reliability of the trial results, compliance with study protocol, ICH-GCP and applicable regulations and ensure inspection readiness at all times. **Electronic Trial Master File (eTMF) Set Up** + Collaborates with the core trial team to create, implement and maintain the list of trial-specific expected records + Identifies all relevant trial level records required to reconstruct the trial, independent of owner or system hosting the record. + Responsible for the planning and tracking of all TMF trial level records according to internal and external standards and also to initiate the close out of the TMF + Responsible for the oversight of all outsourced local trial records specialist (LTRS) activity in each participating Operating Unit (OPU) + Establish Sponsor File Records + Create, finalize, and communicate the trial specific TMF Framework in collaboration with the core trial team + Review the draft trial specific list of essential records (LoER) and obtain input from the trial team + Finalize and communicate the final trial specific LoER to Clinical Trial (CT) Managers and LTRSs in all participating OPUs **Electronic Trial Master File (eTMF) Maintenance** + Maintain Global Trial Master File throughout trial + Communicate TMF timeliness, completeness and quality metrics to the CT Leaders and CT Managers through participation in Trial Oversight Meetings (TOM) + Maintain close collaboration, communication and support of trial teams to keep them informed with the latest documentation management updates. + Oversee TMF status and take appropriate action if the TMF does not fulfill the requirements (timeliness, completeness and quality) + Participate in Trial Oversight Meetings and present TMF topics + Support of the trial team in all aspects of TMF management and in inspections or audits + Supports the Corrective and Preventative Actions (CAPA) Lead in the development of actions and follow up on assigned actions resulting from audits and inspections + Update the trial specific TMF Framework if a main trial event is planned/occurs that has an effect on trial records (e.g. Clinical Trial Protocol amendment) and communicate to CT Managers and LTRSs in all participating OPUs + May contribute to non-trial projects as assigned **Electronic Trial Master File (eTMF) Close Out** + Close out Trial Master File + Inform the CT Leader about the list of exceptions on the global trial level regularly and finally when all records are received + Create the final global list of trial, country, and site-specific exceptions with input from the LTRS + Confirm the archiving pre-requisites have been met with input from trial team and LTRS (Trial Documentation Specialist) before the TMF can be moved to archive + Ensure availability of the final versions of records as defined in the electronic TMF (eTMF) Universe (all systems that hold TMF relevant records during or after the trial) including Clinical Operations (CO) as well as Biometrics, Data Managements and Statistics (BDS) on an ongoing basis during the conduct of the CT. Records can be in paper or electronic format **Skills:** + Excellent organizational and communication skills + Structured mindset in the approach of complex administrative tasks + Excellent time management with the ability to prioritize + Commitment to obtaining results and problem solving + Proficiency with Windows, MS Office (Word, PowerPoint, Excel, Outlook) + Proficiency in written and spoken English and (local language) **Knowledge and Experience:** + Experience in Clinical Operations preferred + Excellent knowledge in use of eTMF systems + Advanced knowledge of ICH-GCP and Good Documentation Practice, applicable SOPs, WIs, local procedures and List of Essential Elements **Education:** + High School Diploma required; Post Secondary/High School education in Business Administration or equivalent preferred \#LI-LO1 \#LI-REMOTE EEO Disclaimer Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ****************** Job Summary: The responsibilities include entering patient information into our software program. It will involve accessing various electronic medical records systems. Looking for a candidate who can type 50+ words per minute with accuracy and provide our customers with the highest quality product and customer service. Must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. Essential Job Functions: Accurately entering patient information into our software program Access various electronic medical records systems Provide a high level of customer service Physical Requirements: Ability to sit or stand for long periods of time Physical ability to lift and carry 25 lbs. of materials Manual dexterity and strength sufficient enough to enter information via computer keyboard for long periods of time, to write notes and information needed, and to pick up and hold paperwork, supplies and other items. Eyesight sufficient to effectively read documents and to accurately view information on a computer monitor Speaking and hearing ability sufficient to effectively communicate. Eye/hand coordination, hearing and visual acuity necessary for day-to-day tasks Information Governance Accountabilities: A high-level understanding of the organization's information governance program and role-specific accountabilities A thorough understanding of role requirements, including policies, procedures and processes, to include how individual work impacts the organization and its strategic and financial goals; and how tasks and projects affect the integrity of the organization's data and information Commitment to discuss questions and recommendations about processes and any observed variations in performing tasks in order to ensure a standardized approach to work and services provided Participation in education as for corporate compliance and role-specific functions and tasks HIPAA/Compliance: Maintain privacy of all patient, employee and volunteer information and access such information only on a need to know basis for business purposes. Comply with all regulations regarding corporate integrity and security obligations Report unethical, fraudulent or unlawful behavior or activity Maintain current and yearly HIPAA certification. Qualifications: Experience in a medical records office environment helpful but not , will train. Computer literate -- general working knowledge of Microsoft Word and Excel Ability to type 50+ wpm Focused on high quality work Self-motivated Team player Excellent organizational skills a must Extremely reliable Detail oriented a must Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Primary Location Rapid City, SD USA Department RCH Health Information Management Scheduled Weekly Hours 40 Starting Pay Rate Range $22.41 - $28.01 (Determined by the knowledge, skills, and experience of the applicant.) Job Summary HIM Coder II is responsible for coding a variety of services. Those services can include hospital outpatient, surgical services, hospital and clinic professional services as well as procedures and any ancillary services. The coder will be responsible for accurately assigning ICD- 10 codes, CPT and HCPCS codes in accordance with Monument Health guidelines, Official coding guidelines and payor standards. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: *Supportive work culture *Medical, Vision and Dental Coverage *Retirement Plans, Health Savings Account, and Flexible Spending Account *Instant pay is available for qualifying positions *Paid Time Off Accrual Bank *Opportunities for growth and advancement *Tuition assistance/reimbursement *Excellent pay differentials on qualifying positions *Flexible scheduling Job Description Essential Functions: Review and abstract information in the medical record to accurately code for that episode of care. Code hospital and professional services by accurately assigning ICD-10, CPT and HCPSCS codes for appropriate billing. Apply knowledge of medical science, medical terminology, anatomy and physiology and the official coding guidelines to select the correct codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local and National Coverage Determinations (LCD, NCD's), Medically unlikely edits (MUE's) and Medicare guidelines. Participate in coding education and training. Provide ongoing feedback to physicians and staff regarding coding guidelines and requirements. Query providers for missing documentation. Resolve payor edits and denials and respond to other teams including, compliance, revenue integrity and billing. Navigate and utilize encoder, grouper software and other coding resources. Maintain coding productivity and accuracy standards. Assist with patient audits. Obtains necessary information. All other duties as assigned. Additional Requirements Required: Education - High School Diploma/GED Equivalent in General Studies Preferred: Experience - 1+ years of Coding Experience Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Job Category Revenue Cycle Job Family Health Information Management Shift Employee Type Regular 10 Monument Health Rapid City Hospital, Inc. Make a difference. Every day. Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Rapid City, SD USA Department RCH Health Information Management Scheduled Weekly Hours 40 Starting Pay Rate Range $22.41 - $28.01 (Determined by the knowledge, skills, and experience of the applicant.) Job Summary HIM Coder II is responsible for coding a variety of services. Those services can include hospital outpatient, surgical services, hospital and clinic professional services as well as procedures and any ancillary services. The coder will be responsible for accurately assigning ICD- 10 codes, CPT and HCPCS codes in accordance with Monument Health guidelines, Official coding guidelines and payor standards. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: * Supportive work culture * Medical, Vision and Dental Coverage * Retirement Plans, Health Savings Account, and Flexible Spending Account * Instant pay is available for qualifying positions * Paid Time Off Accrual Bank * Opportunities for growth and advancement * Tuition assistance/reimbursement * Excellent pay differentials on qualifying positions * Flexible scheduling Job Description Essential Functions: * Review and abstract information in the medical record to accurately code for that episode of care. * Code hospital and professional services by accurately assigning ICD-10, CPT and HCPSCS codes for appropriate billing. * Apply knowledge of medical science, medical terminology, anatomy and physiology and the official coding guidelines to select the correct codes. * Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local and National Coverage Determinations (LCD, NCD's), Medically unlikely edits (MUE's) and Medicare guidelines. * Participate in coding education and training. * Provide ongoing feedback to physicians and staff regarding coding guidelines and requirements. * Query providers for missing documentation. * Resolve payor edits and denials and respond to other teams including, compliance, revenue integrity and billing. * Navigate and utilize encoder, grouper software and other coding resources. * Maintain coding productivity and accuracy standards. * Assist with patient audits. Obtains necessary information. * All other duties as assigned. Additional Requirements Required: Education - High School Diploma/GED Equivalent in General Studies Preferred: Experience - 1+ years of Coding Experience Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Job Category Revenue Cycle Job Family Health Information Management Shift Employee Type Regular 10 Monument Health Rapid City Hospital, Inc. Make a difference. Every day. Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. Position Highlights: Full-Time: Monday-Friday 8:00-4:30pm Location: This role will be performed at one location Bismarck ND 58501 Processing medical records along with by taking calls from patients, insurance companies, and attorneys to provide medical records status Documenting information on multiple platforms using two computer monitors. Preferred Customer Service and Data Entry and Release of Information experience Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan with matching contributions & Tuition Reimbursement You will: Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. Maintain confidentiality and security with all privileged information. Maintain working knowledge of Company and facility software. Adhere to the Company's and Customer facilities Code of Conduct and policies. Inform manager of work, site difficulties, and/or fluctuating volumes. Assist with additional work duties or responsibilities as evident or required. Consistent application of medical privacy regulations to guard against unauthorized disclosure. Responsible for managing patient health records. Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. Ensures medical records are assembled in standard order and are accurate and complete. Creates digital images of paperwork to be stored in the electronic medical record. Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. Answering of inbound/outbound calls. May assist with patient walk-ins. May assist with administrative duties such as handling faxes, opening mail, and data entry. Must meet productivity expectations as outlined at specific site. May schedules pick-ups. Other duties as assigned. What you will bring to the table: High School Diploma or GED Must be at least 18 years old. Ability to commute between locations as needed. Able to work overtime during peak seasons when required. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. Professional verbal and written communication skills in the English language. Bonus points if: Experience in a healthcare environment. Previous production/metric-based work experience. In-person customer service experience. Ability to build relationships with on-site clients and customers. Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our .

This individual is responsible for directing health information management functions and activities of the organization, including medical record oversight, coding, transcription, release of information, and privacy of patient information. In addition, this individual serves as the HIPAA Privacy Officer. The director of medical records is appointed by the governing body (or responsible individual). Excellence in Practice: Organizes plans, directs and supervises department functions and activities to comply with established policies and procedures. Participates in the design, implementation and maintenance of the hospital electronic health record. Recruits and oversees staff within the department; develops job descriptions for departmental employees and works effectively with staff in the conduct of department operations. Establishes health information management policies and procedures on release of information, confidentiality, information security, patient privacy of information, information storage and retrieval, and record retention. Develops short- and long-range goals and objectives within the department in conjunction with the annual budget and monitors progress for the continued improvement of hospital services and operations. Serves as privacy officer for the organization; oversees patient rights to inspect, amend, restrict access to, and receive an accounting of disclosures of his/her patient health information; tracks access to protected health information. Communicates with and maintains effective working relationships with physicians. Maintains accurate and pertinent data and statistical information that satisfies the requirements of Medicare/Medicaid, auditors, Department of Health, etc. Provides education and training to employees and medical staff in areas relevant to health information management policies and procedures. Essential Job Requirements: Education: Registered Health Information Technician (RHIT) credential is required. Experience: A minimum of 3 years experience in health information management is required, supervisory experience is preferred. Also required is experience in working with computers and health information software and electronic medical records. License Requirements: RHIT credential

MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. NOTE: The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. This position requires the incumbent to physically report for work to the Fort Meade SD VAMC. Major duties include, but are not limited to, the following: * Responsible for reviewing the overall quality and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of patient records with an emphasis on improving documentation while the patient is still in-house while outpatient CDI focuses on improving clinical staff documentation of outpatient encounters through retrospective, ideally prior to coding and billing, review of outpatient encounters and extensive provider education. * Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. * Reviews clinical documentation and provides education to clinical staff on both inpatient and outpatient episodes of care including admissions and discharges, observation, emergency department/urgent care, and clinic visits. * Prepare and conduct provider education on documentation processes in the health record to include the impact of documentation on coding, workload, quality measures, reimbursement, and funding. * Provides education to providers on the need for accurate and complete documentation in the health record, appropriate code selection of Evaluation and Management (E/M), Current Procedural Terminology (CPT) and ICD-10 diagnosis codes, and ensuring documentation supports the codes selected to the highest degree of specificity. * Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. * Reviews VERA input on missed opportunities in provider documentation identified by the VERA coordinator and coordinate provider documentation education with the VERA coordinator. * Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. * Searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record. * Provides advice and guidance in relation to issues such as documentation requirements, liability issues, advance directives, informed consent, patient privacy and confidentiality, state reporting, etc. * Compiles, reviews, abstracts, analyzes and interprets medical data incidental to a variety of patient care and treatment activities. * Conducts daily reviews of all new admissions to designated clinical services to identify those with potential documentation improvements through periodic evaluation during the patient's stay. Work Schedule: Monday-Friday, 7:30am-4:00pm Telework: Ad-Hoc only, per Supervisor's discretion Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Looking for a career that makes you smile? We're seeking a Records Coordinator to join our growing team. How you'll make us better: Welcomes new patients and obtains orthodontic records. Responsible for maintaining an on time patient workflow. Provides direction in terms of following schedule or seeing the next available patient. Greets new patients and family members Familiarizes new patients and family with clinic layout Captures X-rays, photographs and scans Relays new patient information to treatment coordinator(s) and doctors Coordinates clinical records requests Manages patient treatment flow and scheduling Maintains strict compliance with State, Federal, and other regulations Performs after care communication May clean, sterilize, and prepare the equipment May cross train to support multiple roles within the clinic Your special skills: We're proud of our company culture and heritage of awesomeness. If you've got the following, you'll fit right in: Ability to establish and maintain good working relationships with patients and coworkers Ability to communicate effectively verbally and in writing Ability to listen and understand information verbally and in writing Prerequisites for success: High School Diploma or equivalent required Previous dental clinical experience preferred Bilingual a plus, but not required The Perks: In exchange for the dynamic contribution you'll bring to our team, we offer: Competitive salary Medical, dental, vision and life insurance Short and long-term disability coverage 401(k) plan 2 weeks paid time off in your first year + paid holidays Discounts on braces and clear aligners for you and your family members Why Smile Doctors? As the nation's leading Orthodontic Support Organization, Smile Doctors partners with local orthodontic practices to offer world-class patient care with hometown heart. We exist to love people first, straighten teeth second, and we work hard to maintain a people-first culture and cultivate a fun, encouraging environment. Smile Doctors offers every Team Member the opportunity to be a part of something bigger. We nurture both talents and strengths, building each person's abilities to help them find success in their career and beyond. As the fastest-growing organization of our kind in the industry, we're looking for passionate, innovative professionals who can join us in changing the way the world smiles.

Job Description Job Title: Medical Records Clerk/Coder Department: Medical Records/Health Information Management (HIM) Reports To: Supervisor of Medical Records Assign diagnostic and procedure codes, check records for completeness, correct claim charges, and keep updated on coding guidelines, scan records, assist patients and coworkers, perform release of information functions. Qualifications and Requirements: 1. License and Certifications Preferred: RHIA, RHIT, CCA, CCS 2. Educational Requirements: • Must be able to read, write, speak and understand English • High School Education • Health Information Management degree preferred 3. Experience Requirements: Computer experience with Microsoft Word and Microsoft Excel 4. Special Skills or Training: • Knowledge of medical coding, medical terminology, and medical record technology. • Skills in English grammar, composition and communication. • Skills in establishing and maintaining working relationships with staff. • Ability to maintain confidentiality. 5. Physical Requirements: • Prolonged sitting and standing; walking, bending, lifting, grasping, fine hand coordination • Ability to use office equipment such as computer, copy machine, scanner, label maker, telephone and printer. Essential Duties and Responsibilities: 1. Code diagnoses and procedures on clinic, nursing home, inpatient, emergency room, and outpatient records, using the ICD-10-CM, CPT and HCPCS coding books. 2. Check completed records, including lab orders and medication charges, to be sure all diagnoses have been listed by the provider and that all reports are in the record and all entries are properly signed. 3. Confirm the listing of diagnoses and query the provider if there are changes to be considered. 4. Make note of discrepancies, errors, or omissions on records and work with staff for corrections. 5. Maintain helpful and cooperative relationships with staff and other employees in the facility and staff and other employees of other healthcare institutions. 6. Fax, email, or mail copies of records for which there is a request with proper authorization. 7. Locate and retrieve records requested by authorized staff. 8. Scan documents into electronic medical record. 9. Maintain Resident and Patient Confidentiality. 10. Know and comply with Residents' Rights rules. 11. Treat Residents, Patients, Visitors and Co-workers with kindness, dignity and respect at all times. 12. Attend and participate in orientation, training, mandatory education, in-services, staff meetings and education courses as instructed to further improve knowledge and skills. 13. Promote teamwork; encourage others to work to the best of their ability; assist with training of new co-workers, if needed. 14. Have a positive attitude; accept change willingly; follow facility rules, regulations and job assignments; accept suggestions well for work improvement; perform well with minimum supervision; do what is requested without complaint; cooperate with supervisor and show respect at all times; speak well of company and job. 15. Lack of absences and tardiness; give timely notice of absences; take allowed time for breaks. 16. Follow company dress code.

Full-time Description CODER: Reviews medical documentation from physicians and other healthcare providers. Assigns diagnostic and procedure codes for inpatient, outpatient, symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Provides accurate and timely ICD-10 CM and CPT procedure coding, and may utilize HCPCS, in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and update medical record documentation to accurately reflect healthcare coding and substantiate appropriate service reimbursement. Working with other departments and organizations to assure availability and quality of information used in statistical reporting for local facility management and helping identify overall healthcare trends, issues and concerns. Follow up of coding denials and regular maintenance of coding work queues. INSURANCE APPLICATION SUPPORT: Updates Winner Regional patient billing system with current demographic and insurance information for hospital and clinic charges. The insurance application support is responsible for investigating and confirming valid insurance data if unable to determine from the source document. The insurance application support may also be responsible for preparing charge tickets for data entry. The insurance application support may also perform follow-up with payers where claims have been filed. Performs re filing of claims when necessary. MEDICAL BILLER: Manages patient's accounts following guidelines for disposition of unpaid services, i.e. intervening with third party payers. Answers incoming calls from patients and third-party payers requesting information on their account Submits and follows up on insurance claims Attributes to include: Knowledge of CAH & RHC coding guidelines, patient account policies, insurance participation/payer guidelines, and individual clinic practices/standards of operation. Knowledge of insurance processing functions. Skills in verbal and written communication. Ability to work effectively with patients, physicians, managers, directors, staff and the public. Ability to work with the compliance department to achieve coding goals. Knowledge of insurance procedures and practices Knowledge of computerized system. Skill in operating office equipment Ability to deal courteously with patients, outside organizations, co-workers on the telephone and in person. Ability to react calmly and effectively in conflict situations. Ability to speak clearly and concisely. Ability to establish priorities, coordinate work activities and meet deadlines. Bimonthly provider chart audits and provider feedback. Knowledge of medical billing practices, insurance procedures and practices. Tact and courtesy in dealing with all customers. Able to work with limited supervision. Must have good knowledge of claim processing. Must be able to pay attention to details. Must be able to understand all insurance updates. Must be able to concentrate on work tasks amidst distractions. Must exert self-control in difficult situations. Consistently projects a positive image of the facility. Requirements Education/Experience: High School diploma or GED is required. One year experience in data processing. Prefer one year of patient service experience in a health care organization, preferably in a medical office setting Knowledge of medical terminology and anatomy Experience in registration and insurance verification is preferred. Experience in medical billing is preferred. Computer skills are essential. Experience in Epic with both HB and PB a plus. Required Credentials (Licensure, Certification, or Registration): Certified Professional Coder CPC) Certification Employment Variables: Work is performed in an office environment. Work hours vary according to the workload and supervisory scheduling. Initial Tuberculosis (TB) test and drug screening are required by Winner Regional Health. Rubella titer will also be drawn upon hire and immunization is required if no past exposure or indication of immunization. Required to wear name tag provided by WRH and to follow the dress code of WRH. Job Knowledge and Skills: Ability to read, write, speak and understand the English language and follow oral or written instruction. Excellent oral and written communication skills, work with customers and co-workers in a professional manner. Direct Supervisor: Director of Revenue Cycle PART II: CODE OF CONDUCT Honesty - We will do the right thing at all times, even if it is difficult, maintaining strong, ethical practices. We protect the confidentiality of others, including patients, staff and the facility as a whole. We will take responsibility for our actions. Expertise - We will demonstrate superior judgment, training and skill, at all times, demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability, utilizing all resources and tools available. Approachability - We will be non-judgmental, friendly, and open and willing to listen to everyone we come into contact with while performing our duties. We are humble and learn from others. Respect - We will be understanding and sensitive to others' feelings; caring and responding in a manner that sets them at ease, keeping the situation in perspective without minimizing others' feelings or reactions. We will listen to others with full attention in a sincere, civil fashion, being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming another's name. Teamwork - We willingly work together with a common approach, trusting and supporting members of our organization, using our skills and resources, sharing information to achieve a common aim. PART III: ESSENTIAL FUNCTIONS Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job, along with the corresponding performance standards. Function Explanation Coding Duties (CPC) Code physician professional services accurately and in a timely manner. Maintain and routinely work queues and follow up on coding denials. Verifies accuracy of patient information in the database as needed. Demonstrates ability to review patient related correspondence, literature and reports. Promptly investigates problems and demonstrates ability to resolve routine problems and appropriately refers complex problems as appropriate to the Site Supervisor. Participates with other staff to seek account resolution Updates patient account database. Provides CPT and ICD-10 coding on clinic charges. Attend required meetings and participate in committees as requested. Works with physician/provider to resolve coding issues. Ensures that provider education and updates are provided at opportune times Handles coding/billing calls and questions from patients and other staff to seek account resolution. Submit State lab bills, lab charges (Chlamydia/GC). Sanford Pathology Bill Medicaid referral cards Answers billing questions Customer Service Introduces self immediately when working with customers. Help create a positive experience when interacting with patients, visitors, and coworkers and demonstrates effective listening skills. Meets internal and external customer requests by either completing the task or seeking the appropriate assistance of others. Demonstrates understanding of Performance Improvement principles and activities by participating and/or supporting department/organizational performance improvement initiatives. Demonstrates compliance with the Code of Conduct through actions, behaviors, and words. Greets every employee and customer with a warm and friendly smile. Computerized Insurance Records Accurately updates computer system to reflect correct patient demographics and insurance regarding hospital and clinic charges Completes demographic updates in a timely manner and prioritizes duties based on date of service and revenue amounts. Reviews updated accounts receivable to ensure that all charges have been filed to correct insurance carrier. Make changes/corrections as needed. Corrects patient or insurance carrier as needed to receive current and correct demographic and insurance information. Communicates need for assistance and pertinent insurance updates to customer service staff. Meet or exceed performance standards set by the department. Ensures correct reparation of charge tickets has been completed for data entry, including hash totals when requested Professional Development Identifies own learning needs and goals and develops a plan to meet them Accepts coding assignments as able to enhance learning Participate in learning opportunities Additional Duties Identifies accounts that have had no insurance response and phone payer as a follow up. Processes refunds to patients and insurance companies Enters accurate notes on patient accounts. Attends required meetings and participates on committees as requested. Respects at all times the confidentiality of patient and uses complete discretion when discussing patient Other tasks as assigned. PART IV: COMPLIANCE Compliance Must comply with the Corporate Compliance Policy and all laws, rules, regulations and standards of conduct relating to the position. The employee has a duty to report any suspected violations of the law or the standards of conduct to the Compliance Officer or the Director of Revenue Cycle. PART V: PHYSICAL AND MENTAL REQUIREMENTS General Activity In a regular workday, employee may: Sit 2-3 Hours at a time; up to 8-10 Hours during the day Stand 0-2 Hours at a time; up to 0-2 Hours during the day Walk .5 Hours at a time; up to 1 Hours during the day Motion Employee is required: (In terms of a regular workday, "Occasionally" equals 1% to 33%, "Frequently" 34% to 66%, "Continuously", greater than 67%.) Bend/Stoop Occasionally Kneel, Duration 30 sec Occasionally Squat Occasionally Balance Occasionally Crawl, Distance Occasionally Twist Occasionally Climb, Height Occasionally Keyboarding/Mousing Frequently Reach above shoulder level Occasionally Physical Demand Employee's job requires he/she carry and lift loads from the floor, from 12 inches from the floor, to shoulder height and overhead. Employee's job requires a pushing/pulling force to move a load (not the weight of the load). Physical Demand Classification: Carrying/lifting weight and pushing/pulling force: Sedentary Occasionally 10 lbs. Frequently Negligible Constantly Negligible Sensory Requirements: Yes/No Explanation (if Yes) Speech - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. Yes Ability to exchange information with staff and patients on the phone. Responds to patient's concerns and questions. Extensive interactions with customers, co-workers and supervisors in person. Vision (VDT) - Are there specific vision requirements for the job? Yes Must be able to read numbers and names. Must be able to distinguish colors and view a computer screen Must be able to edit and proof work and to discern small print and a variety of handwriting. Must be able to operate office equipment. Hearing - Ability to receive detailed information through oral communications, and to make fine discriminations in sound; i.e., making fine adjustments on machine parts, using a telephone, taking blood pressures. Yes Vital for communications with other clinic staff and patients directly or via telephone Environmental Factors Yes/No Explanation (if Yes) Working on unprotected heights No Being around moving machinery No Exposure to marked changes in temperature and humidity No Driving automotive equipment Yes To deliver papers for signatures Wearing personal protective equipment No Exposure to atmospheric conditions (i.e. fumes, dust, odors, mists, gases, or poor ventilation) No Exposure to extreme noise or vibration No Exposure to blood, body fluids and waste No Exposure to radiation No Exposure to other hazards (i.e. mechanical, electrical, burns, or explosives) No Emotional/Psychological Factors Yes/No Explanation (if Yes) Stress: Exposed to stressful situations Yes Must be able to effectively deal with concerns of upset patients or other clinic staff. On occasion when information is needed and not available. Working with a variety of coworkers at one lime. High accountability. Must be able to establish priorities Works in an environment of frequent interruptions. May be monitored for productivity and quality. Concentration: Must be able to concentrate on work tasks amidst distractions. Yes Work must be done accurately. Constant interruptions in a multi-task clerical environment. Must exert self-control. Yes Must be able to display control and confidence under stress or amidst distractions. PART VI: JOB RELATIONSHIPS Supervises 1 No supervisory responsibilities 0 Supervisory responsibility # Direct Reports: depends upon shift # Indirect Reports: Age of Patient Populations Served 0 Neonates: 1-30 days 0 Infant: 30 days - 1 yr 0 Children: 1- 12 yrs 0 Adolescents: 13- 18 yrs 0 Adults: 19- 70 yrs 0 Geriatrics: 70+ yrs 1 All 0 Not applicable Internal Contacts 0 Patients 1 Providers: (i.e. Physicians, Therapists, Social Workers) 1 Staff: (i.e. clinical and administrative support staff) 0 Volunteers 0 Others: External Contacts 0 Patients 0 Families/Significant Others 1 Providers 1 Vendors 1 Community and Health Agencies 1 Regulatory agencies 0 Other: Job Applicants