This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
**ESSENTIAL RESPONSIBILITIES**
+ Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements.
+ Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding.
+ Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies.
+ Engages in RPM Coding educational meetings and annual coding Summit.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ None
**Substitutions**
+ None
**Preferred**
+ Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
**EXPERIENCE**
**Required**
+ 3 years HCC coding and/or coding and billing
**Preferred**
+ 5 years HCC coding and/or coding and billing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Certified Professional Coder (CPC)
+ Certified Risk Coder (CRC)
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Attention to Detail
+ Written and Oral Presentation Skills
+ Written Communications
+ Communication Skills
+ HCC Coding
+ MS Word, Excel, Outlook, PowerPoint
+ Microsoft Office Suite Proficient/ - MS365 & Teams
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Remote Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$26.49
**Pay Range Maximum:**
$41.03
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273522
$26.5-41 hourly 30d ago
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Medical Coder
Functional Medicine of Idaho
Medical coder job in Meridian, ID
Full-time Description
Review medical records and provider documentation for completeness and accuracy.
Assign accurate ICD-10, CPT and other applicable codes based on documentation and coding guidelines.
Ensure coding compliance with federal regulations, payer policies, and industry standards.
Query providers for clarification when documentation is insufficient or ambiguous.
Collaborate with billing and clinical teams to resolve coding issues and reduce denials.
Maintain up-to-date knowledge of coding changes, industry updates, and payer requirements.
Support audits by preparing coding reports and participating in chart reviews when necessary.
Protect patient confidentiality and ensure HIPAA compliance at all times.
Requirements
High school diploma or equivalent required; associate's or bachelor's degree preferred.
Minimum of 1 year minimum of coding experience in a clinical, hospital, or specialty practice setting.
Proficiency in medical terminology, anatomy, and physiology.
Strong knowledge of ICD-10 & CPT coding systems.
Experience with EHR systems and medical billing software
Excellent attention to detail and analytical skills.
Strong written and verbal communication abilities.
Ability to work independently and manage multiple priorities.
Salary Description $22.00
$44k-63k yearly est. 60d+ ago
Coding Specialist
Terry Reilly Health Services 3.7
Medical coder job in Nampa, ID
Job Description
At Terry Reilly we believe we are successful when we have a healthy, thriving community. This is accomplished as a result of our mission-driven and talented team.
We provide integrated care throughout the Treasure Valley with our medical, dental and behavioral health services - allowing our employees the unique ability to experience several disciplines of health care. It is important to us that our staff is given a healthy work-life balance, so we support and value your time in and out of the office. We also provide our employees with excellent benefits including options for low-cost healthcare.
GENERAL RESPONSIBILITIES
Has overall responsibility at all sites within Terry Reilly to support, train and audit clinician staff on the proper use and research techniques for CPT and ICD-10 coding consistent with the AAPC and CMS coding guidelines.
MINIMUM QUALIFICATIONS
2 years CPT and ICD coding experience.
Certified Professional Coder (CPC-A) credential or equivalent education. Recognized professional certification (IE CPC, CCA, etc.) Strong medical billing background including diagnosis codes and disease states.
Strong understanding of clinical workflows
Extensive knowledge of medical billing terminology and billing requirements, chart note interpretation.
Ability to work with minimal supervision.
Auditing of chart notes and maintain courteous and professional communication with providers.
Strong verbal communication skills.
Competence with spreadsheet (Excel) and word processing (Word) programs
$40k-48k yearly est. 8d ago
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
Medical coder job in Boise, ID
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
+ The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties.
+ The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references.
+ These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.).
+ The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$26.7 hourly 43d ago
Healthcare Revenue Cycle / HIM Manager
Oracle 4.6
Medical coder job in Boise, ID
As a Healthcare Revenue Cycle / HIM Manager, your responsibilities will include: 1. Supporting a remote team for daily operations of the healthcare revenue cycle / healthcare coding department. 2. Identifying and implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability.
3. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness.
4. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills.
5. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process.
6. Training and mentoring staff on revenue cycle processes and best practices.
7. Staying abreast with the latest trends and regulations in the healthcare industry to ensure compliance and operational efficiency.
8. Developing and implementing policies and procedures to enhance operational efficiency and improve revenue cycle performance.
9. Providing regular reports and updates to senior management about the status and performance of the revenue cycle.
10. This individual will manage routine client meetings to obtain updates on initiatives and address any issues.
Qualifications:
The ideal candidate for the Healthcare Revenue Cycle / HIM Manager will have the following qualifications:
1. A minimum of 7 years of experience in healthcare revenue cycle management, including account reconciliation, pre-collection, and post-collection.
3. Strong knowledge of healthcare financial management and medical billing processes.
4. Exceptional analytical and problem-solving skills with a strong attention to detail.
5. Proficient in using healthcare billing software and revenue cycle management tools, with a strong background in Oracle Health (Cerner) software.
6. Strong leadership skills with the ability to manage and motivate a team.
7. Excellent communication and interpersonal skills with the ability to interact effectively with all levels of the organization.
8. Strong knowledge of federal, state, and payer-specific regulations and policies.
9. Ability to work in a fast-paced environment and manage multiple priorities.
**Responsibilities**
Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
$87k-178.1k yearly 60d+ ago
Outpatient Coder
St. Luke's Health System 4.7
Medical coder job in Boise, ID
At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work.
What You Can Expect:
Under general supervision, the Outpatient Coder is responsible for reviewing applicable documentation and assigning appropriate procedure and diagnosis codes.
Reviews notations, diagnosis, or procedure information in medical record to assign or validate appropriate diagnosis and procedure codes, ensuring accuracy and appropriateness of codes.
Applies basic knowledge of coding to solve unique or new cases resulting in the assignment and sequencing of diagnosis and procedure codes.
Ensures documentation supports the level and type of service billed in compliance with billing regulations, provider documentation, procedures and coding guidelines.
Maintains a thorough understanding of coding classification systems, anatomy and physiology, medical terminology, pharmacology, disease processes, and surgical techniques.
Maintains compliance with quality and quantity standards along with demonstrated competency coding all types of records as outlined in Coding Policies.
Other duties and responsibilities as assigned.
Qualifications:
Education: High school diploma or equivalent
Experience: 1 year relevant experience
Licenses/Certifications: Must have at least one of the following credentials: AAPC-CIC (Certified Inpatient Coder), CCS (Certified Coding Specialist), CCS-P, COC (Certified Outpatient Coder), CPC (Certified Professional Coder), CPC-H, CRC (Certified Risk Adjustment Coder), RHIA (Registered Health Information Administrator), or RHIT (Registered Health Information Technician)
What's in it for you
At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
Interested but not ready to apply? Join our Talent Community and stay connected for future opportunities!
$50k-64k yearly est. Auto-Apply 20d ago
Pretrial Records Coordinator
Ada County (Id 3.6
Medical coder job in Boise, ID
Do you meet our minimum hiring standards? Checkherebefore applying. A Pretrial Records Coordinator performs administrative and support functions related to the Sheriff's Office. Work is performed under well-established guidelines set forth by State and Federal law. Scope of work requires a high degree of accuracy, confidentiality, organization, and attention to detail. This position is located in the Ada County Sheriff's Office, Court Services Bureau.
Pretrial Records Coordinators will start out at a Level I pay rate of $19.00/hr. As the required skills are acquired, they have the opportunity to promote to a Level II pay of $21.00/hr. and then to a Level III pay of $23.00/hr.
SHIFT INFORMATION
Generally Monday - Friday, day shift hours, with some flexibility required.
BENEFITS
Low cost medical, dental, and vision insurances
Idaho PERSI retirement plan
Deferred Compensation plan 457(b) with a County match of up to 3%
Flexible Spending Accounts - Health and Dependent Care
Post-Employment Health Plan - 50% of unused sick leave above 240 hours
Employee Assistance Program (EAP)
No cost basic life, accidental death, and short-term disability insurances
Eleven (11) paid holidays annually
Paid vacation leave, sick leave, and parental leave
No cost gym access at three (3) County owned gym facilities
Wellness Program
Optional 401(k) and/or Roth IRA
Visit adacounty.id.gov/Human-Resources/Employee-Benefits to view details regarding our full benefits package.
Essential Functions
* Operates a central telephone console to receive and route calls;
* Performs intake appointments with defendants new to Pretrial, both telephonically and in person;
* Communicates to defendants what they can expect while on Pretrial;
* Assists in appointment scheduling for case managers;
* Reads and routes incoming e-mail;
* Creates and maintains files and other records;
* Updates databases utilized to maintain defendant information;
* Helps the public with inquiries by identifying and resolving problems and/or referring to appropriate staff for resolution;
* Drafts official court reports;
* Assists in the review and electronic filing of official court reports;
* Is familiar with contracted monitoring vendors and their processes;
* Proficient in the court system, able to research cases, court minutes and court orders;
* Explains policies and procedures pursuant to records requests from the public, third parties, officials, and other law enforcement agencies and departments;
* Processes and interprets information using the National Criminal Information Center (NCIC) and Idaho Law Enforcement Telecommunications System (ILETS) databases;
* Enters and maintains information in VINE (Victim Information Notification);
* Assists in the daily completion of risk assessments, including database research and interviews with defendants inside the jail;
* Assists in coverage of additional Pretrial LERT positions as needed;
* Operates general office equipment, including but not limited to printers, scanners, and other general office equipment.
Additional Functions
* May cross train in other law enforcement areas;
* May be required to deliver documents and/or evidence to other Ada County facilities or Agencies;
* Performs related functions as required.
Job Requirements
* Must possess a high school diploma or equivalent;
* Must have a valid and current driver's license;
* Knowledge of legal procedures, documents, and terminology preferred;
* Ability to type at least 40 wpm;
* Ability to effectively demonstrate initiative and problem-solving skills;
* Ability to understand and follow verbal and written instructions;
* Ability to communicate verbally and in writing;
* Ability to maintain confidentiality;
* Ability to maintain effective working relationships.
Other Requirements
* Must appear before an oral board and complete a polygraph and background investigation prior to hire;
* This position has been designated safety sensitive and therefore the incumbent is subject to random drug testing.
Work Environment & Physical Demands
* May be required to lift or move up to 35 pounds;
* May be required to sit or stand for extended periods of time;
* Work is performed in an office environment;
* Work duties and tasks may be performed within the jail environment in close contact with inmates and offenders.
Disclaimer:
To perform this job successfully, an individual must be able to perform the essential functions satisfactorily with or without reasonable accommodation. The above statements are intended to describe the general nature and level of work being assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of individuals in the job. This is not an employment agreement and/or an expressed or implied employment contract. Management has the exclusive right to alter this job description at any time without notice. Ada County provides Veteran's Preference for all County jobs except for those deemed "key positions" in accordance with Title 65, Chapter 5 of Idaho Code.
$19-21 hourly 15d ago
Medical Records Assistant (Non Nurse) HIM
Life Care Centers of America 4.5
Medical coder job in Boise, ID
The Medical Records Assistant (Non Nurse) assists with patients' clinical records, including coding, auditing, and record management in accordance with all applicable laws, regulations, and Life Care standards. Education, Experience, and Licensure Requirements
* High school diploma or equivalent
* Prior medical records experience preferred
Specific Job Requirements
* Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
* Effectively communicate with physicians, nursing staff, and allied health personnel
* Demonstrate efficient usage of complex computer software systems
* Functional knowledge in field of practice
* Make independent decisions when circumstances warrant such action
* Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
* Implement and interpret the programs, goals, objectives, policies, and procedures of the department
* Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
* Maintains professional working relationships with all associates, vendors, etc.
* Maintains confidentiality of all proprietary and/or confidential information
* Understand and follow company policies including harassment and compliance procedures
* Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
Essential Functions
* Accurately audit and complete ongoing reviews of all patients' clinical records to ensure documentation and performance compliance
* Accurately maintain current, overflow, and discharged record filing system
* Understand and apply LTC payment systems, including Medicare
* Apply the use of ICD 10 CM coding
* Understanding of HIPAA requirements
* Exhibit excellent customer service and a positive attitude towards patients
* Assist in the evacuation of patients
* Demonstrate dependable, regular attendance
* Concentrate and use reasoning skills and good judgment
* Communicate and function productively on an interdisciplinary team
* Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
* Read, write, speak, and understand the English language
An Equal Opportunity Employer
$35k-41k yearly est. 5d ago
Cancer Registrar II
Sutter Health 4.8
Medical coder job in Boise, ID
We are so glad you are interested in joining Sutter Health! Sutter Health, Northern California's largest health network with 29 acute care hospitals, more than 5,000 primary care physicians and specialists, home health, occupational health, psychiatric care and more provides comprehensive medical services in more than 100 Northern California communities. Our mission, vision and values lay the foundation for our day-to-day work in doctors' offices, home health and hospice programs, hospitals, laboratories, research facilities, administrative offices and medical education services. As a unified health care network, we partner to spread innovation, improve access to health care services and put our patients' needs first-all to achieve the highest levels of quality, access and affordability.
Assures complete and accurate data are collected and maintained for all reportable malignancies, including reportable benign tumors. Review any applicable data from the patient's medical record, including imaging, pathology, treatment summaries, physician's office notes, in- and out-patient visits. Stay abreast of industry changes by regulatory organizations, learn from constructive feedback, work independently, and make decisions with limited information. Uses knowledge of cancer disease processes, tumor nomenclature, medical terminology, medical procedures, anatomy, and physiology.
Additional Requirements:
EDUCATION:
* Associate's: Associate of Arts degree in a health-related field.
* Completion of accredited Cancer Registrar training program.
CERTIFICATION & LICENSURE:
* ODS-Oncology Data Specialist.
TYPICAL EXPERIENCE:
* 1-year recent relevant experience.
SKILLS AND KNOWLEDGE:
* Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
* Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline.
* General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), CNExT cancer data collection, electronic health records (EHR), and EPIC.
* Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
* Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
* Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
* Ensure the privacy of each patient's protected health information (PHI).
* Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives.
Pay range (CA, NJ, WA): $35.28-$44.09 / hr.
Pay range (CO, FL, GA, IL, MI, NV, NC, OH, OR, PA, TX, VA): $32.08-$40.09 / hr.
Pay range (AZ, AR, ID, LA, MO, MT, SC, TN, UT): $29.40-$36.75 / hr.
Job Shift:
Varied
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $35.28 to $44.09 / hour. CA, NJ, WA Pay Range is $35.28 to $44.09 / hour. CO, FL, GA, IL, MI, NV, NC, OH, OR, PA, TX, VA Pay Range is $32.08 to $40.09 / hour. AZ, AR, ID, LA, MO, MT, SC, TN, UT Pay Range is $29.40 to $36.75 / hour.
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
$35.3-44.1 hourly 27d ago
Health Information Specialist II - LRH
Datavant
Medical coder job in Boise, ID
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 8:00AM-4:30 PM EST
+ Location: This role will be performed at one location (Remote)
+ Comfortable working in a high-volume production environment.
+ Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status.
+ Documenting information in multiple platforms using two computer monitors.
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **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.
+ May schedules pick-ups.
+ Assist with training associates in the HIS I position.
+ Generates reports for manager or facility as directed.
+ Must exceed level 1 productivity expectations as outlined at specific site.
+ Participates in project teams and committees to advance operational strategies and initiatives as needed.
+ Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training.
+ Other duties as assigned. **What you will bring to the table:**
+ High School Diploma or GED.
+ Must be 18 years of age or older.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ 1-year Health Information related experience.
+ Meets and/or exceeds Company's Productivity Standards
+ 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.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment. **Bonus points if:**
+ 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.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$16-$20.50 USD
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, (************************************************************** Id=**********48790029&layout Id=**********48795462) 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 Privacy Policy (**************************************** .
$16-20.5 hourly 32d ago
Medical Records Assistant (Non Nurse) HIM
Life Care Center of Treasure Valley 4.6
Medical coder job in Boise, ID
The Medical Records Assistant (Non Nurse) assists with patients' clinical records, including coding, auditing, and record management in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements
High school diploma or equivalent
Prior medical records experience preferred
Specific Job Requirements
Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
Effectively communicate with physicians, nursing staff, and allied health personnel
Demonstrate efficient usage of complex computer software systems
Functional knowledge in field of practice
Make independent decisions when circumstances warrant such action
Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
Implement and interpret the programs, goals, objectives, policies, and procedures of the department
Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
Maintains professional working relationships with all associates, vendors, etc.
Maintains confidentiality of all proprietary and/or confidential information
Understand and follow company policies including harassment and compliance procedures
Displays integrity and professionalism by adhering to Life Care's
Code of Conduct
and completes mandatory
Code of Conduct
and other appropriate compliance training
Essential Functions
Accurately audit and complete ongoing reviews of all patients' clinical records to ensure documentation and performance compliance
Accurately maintain current, overflow, and discharged record filing system
Understand and apply LTC payment systems, including Medicare
Apply the use of ICD 10 CM coding
Understanding of HIPAA requirements
Exhibit excellent customer service and a positive attitude towards patients
Assist in the evacuation of patients
Demonstrate dependable, regular attendance
Concentrate and use reasoning skills and good judgment
Communicate and function productively on an interdisciplinary team
Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
Read, write, speak, and understand the English language
An Equal Opportunity Employer
$33k-40k yearly est. 5d ago
TECHNICAL RECORDS SPECIALIST (MSHS - Central Office) Caldwell
Community Counsil of Idaho
Medical coder job in Caldwell, ID
Status: Non-Exempt / Hourly Supervisor: Program Support Specialist Essential Duties and Responsibilities (This is not an exhaustive list of all duties/responsibilities. Other duties may be assigned) * Answer telephone inquiries, greet walk-in visitors, provide information, refer inquired to the proper recipient, and take and forward telephone and electronic messages
* Review and process payments from MSHS centers, forward payments to accounting
* Prepare, receive, and route incoming/outgoing correspondence, mail and letters
* Perform general office record preparation and maintenance duties including work processing, data processing and input, copying, faxing, filing and related duties
* Track outstanding invoices from MSHS centers to prompt payment
* Resolve conflict and/or discrepancies on invoices with vendors
* Process bills, payment requests, and related financial documents
* Ability to multitask, meet deadlines, and remain calm and professional under pressure
* Maintain standards of confidentiality of CC Idaho clients and records
* Perform all work duties and activities in accordance with CC Idaho policies, procedures, and safety practices
$28k-36k yearly est. 38d ago
Senior Coder - Outpatient
Highmark Health 4.5
Medical coder job in Boise, ID
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.
**ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)
+ Acts as a mentor and subject matter expert to others. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School/GED
+ 5 years of Hospital and/or Physician Coding
+ 1 year of Coding - all specialties and service lines
+ Extensive knowledge in Trauma/Teaching/Observation guidelines
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Any of the following:
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
+ Registered Health Information Associate (RHIA)
+ Certified Coding Specialist Physician (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
Preferred
+ Associate's Degree
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J270102
$23-35.7 hourly 33d ago
Medical Coder
Functional Medicine of Idaho
Medical coder job in Meridian, ID
Job DescriptionDescription:
Review medical records and provider documentation for completeness and accuracy.
Assign accurate ICD-10, CPT and other applicable codes based on documentation and coding guidelines.
Ensure coding compliance with federal regulations, payer policies, and industry standards.
Query providers for clarification when documentation is insufficient or ambiguous.
Collaborate with billing and clinical teams to resolve coding issues and reduce denials.
Maintain up-to-date knowledge of coding changes, industry updates, and payer requirements.
Support audits by preparing coding reports and participating in chart reviews when necessary.
Protect patient confidentiality and ensure HIPAA compliance at all times.
Requirements:
High school diploma or equivalent required; associate's or bachelor's degree preferred.
Minimum of 1 year minimum of coding experience in a clinical, hospital, or specialty practice setting.
Proficiency in medical terminology, anatomy, and physiology.
Strong knowledge of ICD-10 & CPT coding systems.
Experience with EHR systems and medical billing software
Excellent attention to detail and analytical skills.
Strong written and verbal communication abilities.
Ability to work independently and manage multiple priorities.
$44k-63k yearly est. 4d ago
Coding Specialist
Terry Reilly Health Services 3.7
Medical coder job in Nampa, ID
At Terry Reilly we believe we are successful when we have a healthy, thriving community. This is accomplished as a result of our mission-driven and talented team. We provide integrated care throughout the Treasure Valley with our medical, dental and behavioral health services - allowing our employees the unique ability to experience several disciplines of health care. It is important to us that our staff is given a healthy work-life balance, so we support and value your time in and out of the office. We also provide our employees with excellent benefits including options for low-cost healthcare.
GENERAL RESPONSIBILITIES
Has overall responsibility at all sites within Terry Reilly to support, train and audit clinician staff on the proper use and research techniques for CPT and ICD-10 coding consistent with the AAPC and CMS coding guidelines.
MINIMUM QUALIFICATIONS
* 2 years CPT and ICD coding experience.
* Certified Professional Coder (CPC-A) credential or equivalent education. Recognized professional certification (IE CPC, CCA, etc.) Strong medical billing background including diagnosis codes and disease states.
* Strong understanding of clinical workflows
* Extensive knowledge of medical billing terminology and billing requirements, chart note interpretation.
Ability to work with minimal supervision.
* Auditing of chart notes and maintain courteous and professional communication with providers.
* Strong verbal communication skills.
* Competence with spreadsheet (Excel) and word processing (Word) programs
$40k-48k yearly est. 9d ago
Health Information Specialist I - Kalamazoo, MI
Datavant
Medical coder job in Boise, ID
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.
This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate 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.
**Position Highlights** **:**
+ Full-Time: Monday-Friday 7:30AM-4:00 PM EST
+ Location: This role will be performed at one location in Kalamazoo, MI
+ Comfortable working in a high-volume production environment.
+ Documenting information in multiple platforms using two computer monitors.
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
**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.
+ 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.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**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.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. 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.
Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices.
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, (************************************************************** Id=**********48790029&layout Id=**********48795462) 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 Privacy Policy (**************************************** .
$30k-40k yearly est. 3d ago
Health Record Specialist
St. Luke's Health System 4.7
Medical coder job in Boise, ID
At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work.
Under general supervision, the Health Record Specialist is responsible for scanning and indexing documents from ambulatory clinics and hospitals, ensuring accurate and timely processing of health records.
Schedule
Wednesday through Sunday 6:00 am. to 2:30 p.m.
What You Can Expect
Responsible for verifying, importing, prepping, scanning and maintaining patient health information in the electronic medical record in an accurate and timely manner.
Validates completeness of medical record content through a review of documents and provides notification to provider(s) of incomplete status.
Reviews electronic medical records to ensure compliance with rules, regulations, and company policy.
Identifies and assigns any deficiency to the appropriate provider to complete minimum documentation requirements.
Monitors the status of incomplete medical records and notifies providers of pending and delinquent medical records to support timely record completion.
Monitors work queues for indexing documentation into the electronic health record.
Documents and transcribes in the patient health record appropriate health information. Creates new encounters and orders to accommodate patient health information as appropriate.
Routinely communicates with physicians and their office staff, as well as other health care facilities.
Responds to requests for health information and follows established facility standards, state and federal guidelines.
Processes the release of health information/medical records for continuity of care purposes.
Other duties and responsibilities as assigned.
Qualifications
Education: High school diploma or equivalent
Experience: One (1) year relevant experience
What's in it for you
At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
Interested but not ready to apply? Join our Talent Community and stay connected for future opportunities!
$28k-33k yearly est. Auto-Apply 6d ago
Coder - Inpatient
Highmark Health 4.5
Medical coder job in Boise, ID
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School / GED
+ 1 year in Hospital coding
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC)
+ Familiarity with medical terminology
+ Strong data entry skills
+ An understanding of computer applications
+ Ability to work with members of the health care team
Preferred
+ Associate's degree in Health Information Management or Related Field
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J272373
$23-35.7 hourly 37d ago
Health Information Specialist I
Datavant
Medical coder job in Boise, ID
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.
Datavant is a data platform company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.
By joining Datavant today, you're stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs.
This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates 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.
**Position Highlights:**
+ Full-Time: Monday-Friday 8:30-5:00 PM OR 8:00-4:30pm EST
+ Location: This role will be performed - Remote - WFH
+ 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 records.
+ 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 a specific site.
+ May schedules pick-ups.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machines, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**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.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. 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.
_At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be_ _anonymous and_ _used to help us identify areas of improvement in our recruitment process._ _(_ _We can only see aggregate responses, not individual responses. In fact, we aren't even able to see if you've responded or not_ _.)_ _Responding is your choice and it will not be used in any way in our hiring process_ _._
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15-$18.32 USD
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, (************************************************************** Id=**********48790029&layout Id=**********48795462) 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 Privacy Policy (**************************************** .
$15-18.3 hourly 59d ago
Release of Information Specialist
St. Luke's Health System 4.7
Medical coder job in Boise, ID
At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work.
The Release of Information (ROI) Specialist is a part of our Phones Team responsible for answering multi-line phones and handling continuation of care, coroner, and DME related requests, while ensuring the integrity and accuracy of the patients' health record and complying with HIPAA and state regulations. This position will serve as a point of contact for peers by resolving questions or issues that arise while processing requests.
What You Can Expect
Answers multi-line phones for the HIM Department and forwards callers, as needed.
Logs all requests into the electronic health record to ensure the request is tracked from start to finish.
Processes requests received via telephone, fax, mail or electronically.
Responding to medical record requests from various sources
including continuation of care providers and entities, durable medical supply companies, and coroners/medical examiner's offices in a timely and efficient manner, and according to HIPAA and state regulations.
Adheres to HIPAA regulations by maintaining the confidentiality of protected health information, while maintaining the integrity and accuracy of patients' health records.
Follows organizational policies pertaining to the retrieval, storage, and destruction of records.
Communicates effectively with ROI staff at all locations to make sure requests are routed to the appropriate location and team.
Collaborates with various St. Luke's departments to ensure accurate of record.
Maintain knowledge of specialized workflows involving providers, including requests that require chart corrections or incomplete dictations.
Scans, indexes and categorize records into patients' charts.
Performs other duties as assigned.
Qualifications
High School Diploma or equivalent
One (1) year of relevant experience
What's in it for you
At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
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The average medical coder in Boise, ID earns between $38,000 and $73,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Boise, ID
$52,000
What are the biggest employers of Medical Coders in Boise, ID?
The biggest employers of Medical Coders in Boise, ID are: