Medical coder jobs in Caledonia, MI - 34 jobs

**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.

As the region's dedicated experts in exceptional musculoskeletal care, our doctors and staff at Lakeshore Bone & Joint Institute have served the orthopedic needs of northwest Indiana since 1968. With state-of-the-art facilities, we are dedicated to delivering the exceptional, compassionate care patients need to keep moving and keep enjoying their life. Under the supervision of the Billing Manager, the Certified Medical Coder will play a key role in reviewing and analyzing medical billing and coding for daily processing. They will review and accurately code office and hospital procedures for reimbursement. The employee will be responsible for performing annual coding audits of office visits, procedures, and surgeries Essential Functions: Review patient documents for accuracy to include but not limited to office visits, surgical, and non-surgical procedures. Ensure proper coding on provider documentation. Verify that all codes are current and active. Report missing and/or incomplete documentation to provider and/or clinical staff. Meet daily coding production expectations. Perform accurate charge entries. Understand coding and reimbursement regulations and recognize the order in which services are billed to ensure maximum reimbursement by reading various coding and insurance newsletters and websites. Accurately post services based on global services data by applying NCCI edits, AAOC, NASS and ASSH Global Guidelines for all applicable insurance carriers. Serve as a resource regarding insurance resolutions and coding questions. Communicate changes and updates in coding requirements from insurance carriers to supervisor. Post daily receipts and correct posting errors in practice management system. Assist with external and/or internal audits as requested. Review and make corrections based on the Missing Encounter Report. Audit charges provided by hospitals/surgical centers to capture all charges for posting. Other duties as assigned. Education: Associates and/or Bachelor's degree preferred. Experience: Minimum of 1-year of coding experience; orthopedic experience preferred. Abilities: Ability to analyze situations and solve problems Employ Critical thinking and problem solving Maintains composure and operates with emotional intelligence Ethical reasoning and decision-making Strong attention to detail Receptive and responsive to feedback Excellent verbal and written communication skills Time management, prioritization, and sense of urgency Physical Requirements While performing the duties of this job, the employee may be required to sit and/or stand for prolonged periods, work longer than eight (8) hour shifts, and to work both day/evening shifts. Work may hand dexterity as well as the need to reach, climb, balance, stoop, kneel, crouch, talk, and hear. The employee must occasionally lift and/or move up to 50 lbs. While performing the responsibilities of the job, the employee is required to talk and hear. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to focus. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions of the job. Environmental/Working Conditions Work is performed in an office environment. Involves frequent personal and telephone contact with patients and with testing sites and surgery departments. Work may be stressful at times. Interaction with others is constant and interruptive. Contact involves dealing with injured sick people. Compliance All employees have a responsibility to comply with our organization's policies and procedures, adhere to our Code of Conduct, complete required compliance training modules, and report any observations of non-compliance. EEO Statement We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

3-5 years experience preferred Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic, paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT)-4 / Healthcare Common Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI & ROM assignments and assignment of APC's and all required modifiers. Utilizes coding guidelines established by the Centers for Medicare/Medicaid Services (CMS), American Hospital Association (AHA) Coding Clinic for ICD-9-CM, American Medical Association (AMA) for CPT-4 codes and CPT Assistant, American Health Information Management Association (AHIMA) Standards of Ethical Coding, Unified Revenue Organization/Ministry Organization (URO/MO) coding policies and Trinity Health Coding Manual (TBA). SKILLS AND CERTIFICATIONS Bachelor's Degree in HIM preferred Registered HIT and/or Certified Coding Specialist (CCS) preferred Registered HIA preferred 1 year experience coding INPATIENT records IDEAL CANDIDATE The ideal candidate has at least 1 year experience coding inpatient records in an acute setting. Although the job description requires only an Associates, we are really looking for someone who a) has a Bachelor's degree in HIM, b) is a Registered Health Information Technician (RHIT), c) is a Certified Coding Specialist (CCS), or d) is a Registered Health Information Administrator (RHIA). IDEAL CANDIDATE SHOULD HAVE WORKED FOR THE FOLLOWING COMPANY(IES): Other healthcare organizations comparable in size with acute inpatient coding experience. Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

Job DescriptionDescription: CPC-As are not being considered at this time. We're coding rebels with a cause. KODE is a health-tech company developed by medical coders for medical coders looking to change the way things are done in the industry. Our company may be young but we're growing rapidly. That also means we're not buried in outdated policies and bureaucracies.Coders play a critical role in healthcare, but have you ever felt like you're just a cog in the machine? At KODE there are no cogs, there are people. We aren't looking for a coder to fill an open position simply. We're looking for a new teammate passionate about professional coding who wants to join our collective mission to be awesome.We're serious about two things: coding and treating you like the professional you are. If this intrigues you, please keep reading. About this Role We're looking for a Facility Inpatient Coder to join our company! Responsibilities: Review medical records to assign appropriate ICD-10, CPT, HCPCS codes accurately Review physician documentation and perform audits to determine accuracy as needed Meet and exceed acceptable productivity & quality standards Review tasks and correct codes as needed Work collaboratively with coding team to improve coding outcomes Perform miscellaneous job-related duties as assigned Required Qualifications: Associate degree in Health Information Management or equivalent 3+ years of professional specialty coding experience required RHIA, RHIT, CCS by AHIMA or AAPC coding credentials Additional Skills & Abilities: Has working knowledge of coding guidelines Ability to use independent judgment to manage and impart confidential information Advanced knowledge of medical coding, electronic medical record systems, and coding systems Ability to analyze and solve problems Strong communication and interpersonal skills Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation Knowledge of current and developing issues and trends in medical coding diagnosis and procedure code assignment Requirements:

Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors. Bargaining Unit: UUP Job Summary: The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Outpatient Coder / TH Medical Records Specialist. The successful candidate will: * Report to the Coding Manager and Director of HIM Department. * Abstract clinical information from the medical record and assign appropriate ICD-10 CM and ICD-10 PCS/or CPT codes according to established procedures. * Maintain optimal standards of coding and assume uniformity of coding for compliance and reimbursement. * Ensure the selection of accurate and descriptive codes from the appropriate classification system. * Ensure the confidentiality of data contained in the patients medical records. * Analyze the information contained in the medical records. * Analyze the information contained in the medical records to ensure that the most appropriate codes are used. * Queries the physicians for the appropriate documentation. * Work collaboratively with all departments and hospital staff. * Perform other related duties as assigned. Required Qualifications: * RHIA or RHIT or CCS or CPC coding certification. * Ability to make coding decisions based on use of established coding guidelines. * Must have ability to work independently and be a self-starter. Preferred Qualifications: * BS Degree with related Health Information Management experience. * 3-5 years direct coding experience in an acute care setting. Work Schedule: Monday to Friday; 9:00am to 5:00pm (Full-Time) Salary Grade/Rank: SL-2 Salary Range: Commensurate with experience and qualifications Executive Order: Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at ************** or via email at ****************. Equal Employment Opportunity Statement: SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws. Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply. If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at *****************

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you're ready for a rewarding new career, join Team Bronson and be part of the experience. Location BHG Bronson Healthcare Group 6901 Portage Road Title Professional Onsite Coder The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical cases (e.g. Neurosurgery, Cardiothoracic Surgery). Employees providing direct patient care must demonstrate competencies specific to the population served. High school diploma or general education degree (GED) required 12-18 months coding experience in a health care setting preferred CPC or RHIT (Registered Health Information Technician) required within 12 months of hire * Must have working knowledge of ICD-10 and CPT coding with emphasis on area of specialty working in * Strong medical terminology * Ability to utilize word processing, spreadsheet, presentation programs, databases, and other software relevant to the job * Requires excellent communication skills and positive customer relations orientation * Must have excellent communication skills (orally, face to face and/or by telephone, and in writing) and a positive customer relations orientation * Must be able to work independently and demonstrate effective problem-solving Work which produces very high levels of mental/visual fatigue, e.g. CRT work between 70 and 90 percent of the time, and work involving extremely close tolerances and considerable hand/eye coordination for sustained periods of time. The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects. * Perform detailed review of provider documentation/dictation for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). * Perform research on code selection. * Reviews work queues and/or post charges into Practice Management System for provider hospital and office billing, and complex surgery cases, validating documentation with correct dates of service and confirming selection of appropriate billing codes. * Provide codes for surgical cases for insurance authorization. * Run reports (e.g., Charge Summary) as necessary for physician review and CBO. * Maintain necessary spreadsheets tracking authorizations and surgical case/procedures. * Communicates in a positive persuasive manner with physician on rationale for selected codes. * Relays messages to providers. * General clerical duties including internal/external correspondence and answering telephones. * Completes required forms or letters as necessary. * Performs other duties as may be assigned. Shift First Shift Time Type Full time Scheduled Weekly Hours 40 Cost Center 1401 HIM Coding and Charging (BHG) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates ("Bronson") strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!

Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/ clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Position Summary: Responsible for charge capture process for professional charges within the SMHC system, including but not limited to: verifying and/or analyzing medical record documentation to determine the principle and all secondary diagnoses and procedures; and assigning diagnostic and procedural codes using coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and SMHC. Assists in the orientation and training of new employees within the coding and charge capture area. What the Inpatient Coder will need: * Education Minimum - Associates Degree in allied health related field, including classes in medical terminology, anatomy and physiology; or two years of increasingly responsible medical records experience with exposure to medical terminology, anatomy, physiology, and coding; or an equivalent combination of education and experience. * Credentials/Licensure Minimum - Certified Coding Specialist credentialing * Minimum - One - three (1-3) years of professional coding experience with multiple surgical specialties * Preferred - prior experience in coding for neurosurgery, thoracic surgery, and / or gynecologic oncology procedures * Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations. * Solid understanding of ICD-9 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans. * Ability to maintain accurate records and to prioritize and organize work effectively. * Ability to exercise independent judgment as appropriate within standard practices and procedures. What the Inpatient Coder will do: * Performs coding and charge entry of surgical services dropped in Epic with a generic placeholder or PBSUR. * Detailed in code selections. Maintains accuracy of 95% or greater. * Performs accurate resolve of assigned hospital-based and surgical charge review errors and claim edits in Epic, keeping WQ aging < 2 days. * Reviews documentation in Epic or other sources to appropriately determine ICD-10, CPT, HCPCS, and modifier assignment. * Researches all information needed to complete coding process. * Follows daily, weekly & monthly productivity requirements. * Resolves coding discrepancies related to coding and revenue capture. * Participates in the liaison process between the Centralized Coding, Providers, Managers, and Leadership. * Obtains and maintains relevant education to perform essential functions; keeps coding credentials (CPT, CCS) current at all times. * Serves as a resource for providers, managers, peers. * Performs other related duties as assigned. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis. Position Summary Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships. The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results. Key Responsibilities: Customer Experience & Engagement * Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors. * Build lasting relationships that encourage repeat business and client referrals. * Educate and inspire customers by connecting instruction and equipment performance to game improvement. Instruction & Coaching * Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels. * Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction. * Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement. * Proactively organize clinics and performance events to build customer engagement and community participation. Fitting & Equipment Performance * Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology. * Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals. * Educate customers on product features, benefits, and performance differences across brands. * Accurately enter and manage custom orders, ensuring all specifications are documented precisely. Operational & Visual Excellence * Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards. * Ensure equipment, software, and technology remain functional and calibrated. * Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions. * Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays. Performance & Business Growth * Achieve key performance indicators (KPIs) such as: * Lessons and fittings completed * Sales per hour and booking percentage * Clinic participation and conversion to sales * Proactively grow the STUDIO business through client outreach, networking, and relationship management. * Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience. Qualifications and Skills Required * Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment. * Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers. * Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule). * Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines. * Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred. * Experience: * 2+ years of golf instruction and club fitting experience preferred. * Experience with swing analysis tools and custom club building highly valued. * Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments. * Availability: Must maintain flexible availability, including nights, weekends, and holidays. * Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment. We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination. An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.

This role is responsible for accurately and appropriately coding ambulance claims, including claim submission, follow-up on denied claims, and ensuring compliance with relevant billing regulations to facilitate timely reimbursement for services. ESSENTIAL JOB FUNCTIONS 1. Examines patient care reports to gather essential information for insurance documentation. 2. Contacts facilities, hospitals, or patients to acquire missing information and physician certification statements. 3. Collects data such as insurance company names, policyholder details, policy numbers, and services provided to accurately complete claim and/or billing records. 4. Communicates with insurance companies to verify coverage, determine payor schedules, and gather benefit details. 5. Assigns relevant codes based on documented information in the patient care report and determines the appropriate level of ambulance service. 6. Allocates charges for services supported by documentation in the patient care report. 7. Reviews medical records to assess the medical necessity of ambulance transport and enters suitable ICD, CPT, or HCPCS code for claims. 8. Verifies the presence of all required documents before submitting reimbursement claims to ensure inclusive records. 9. Calculates total bills, indicating amounts payable by insurance and patients, and processes claim submissions by mail or electronically. 10. Ensures each account is billed to the correct payer following the appropriate billing schedule. 11. Follows up with companies and individuals regarding unpaid claims to secure payment. 12. Communicates in a professional manner when addressing patients' and families' questions regarding statements, in order to provide accurate information. 13. Prepares outgoing mail, bills, invoices, statements, and reports. 14. Manages denial resolution and accounts receivable follow-up. 15. Posts payments and compiles reports. 16. Performs charge entry tasks. 17. Handles aging accounts. 18. Commitment to maintaining confidentiality and compliance with HIPAA and other privacy regulations. 19. Performs other duties as required or assigned. EDUCATION/EXPERIENCE 1. High school degree or GED required 2. One year of experience with medical billing and coding systems, or a certificate for medical coding, preferred 3. Knowledge of medical billing software preferred KNOWLEDGE/SKILLS/ABILITIES 1. Knowledge of the Health Insurance Portability and Accountability Act (HIPAA) 2. Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes) 3. Knowledge of medical terminology, abbreviations, and acronyms 4. Knowledge of medical billing 5. Attention to detail to review records and claims for errors or discrepancies 6. Strong communication skills are required to clearly explain procedures and resolve issues with providers, insurers, and patients 7. Understanding of various insurance plans and procedures 8. Ability to work independently and collaboratively 9. Ability to prioritize tasks and meet deadlines 10. Intermediate Microsoft Office and Google Workspace skills PHYSICAL REQUIREMENTS 1. Talking - expressing or exchanging ideas by means of the spoken word to impart oral information to others accurately (1-2 hrs. daily). 2. Hearing - perceiving the nature of sound by ear (1-2 hrs. daily). 3. Sitting - remaining in a seated position (6-8 hrs. daily). 4. Lifting - raising or lowering an object under 20 lbs. from one position to another (infrequently). 5. Work Environment - general office work and exposure to elements within the office environment (6-8 hrs. daily).

COMPANY INFORMATION: As a federally qualified health center (FQHC) Family Health Center serves all people with quality healthcare, dignity, and respect. We envision a seamless health care delivery system that is proactively responsible for the medical, dental and psychosocial needs of underserved individuals, children and families residing in Kalamazoo County. MISSION: To provide clinical excellence with outstanding patient experience while ensuring that all members of the community have access to quality, comprehensive, patient-centered health care. Full-Time Medical Billing & Coding Specialist POSITION SUMMARY: The Medical Billing & Coding Specialist is responsible for reviewing daily patient account transactions with a high level of speed and accuracy. Assists with the collection of insured accounts and maintenance of documents. Posts payments to transactions to patient accounts accurately. DUTIES AND RESPONSIBILITIES: * Performs insurance/patient payment posting and resolves payment transaction discrepancies with assistance from the Lead/Supervisor/Manager when necessary. * Working knowledge of ICD-10, CPT, and HCPCS to review chart notes and ensure appropriate codes are assigned to all claims regarding diagnosis and procedures for provider services performed. * Working knowledge of payer websites and practice management systems with the ability to recognize and resolve front/back-end claim denials from assigned payers and all others as determined necessary by the Billing Supervisor/Manager, utilizing collection procedures and adjusting of patient accounts when necessary. * Answer patient questions regarding statements in person and through phone calls. * Knowledge of appropriate third-party liability (TPL) and government websites (i.e. CHAMPS, WPS, Connex, Availity, HMO Medicaid websites preferred, and working knowledge of ICD-10, CPT, and HCPCS. * Ability to use Microsoft Office, Internet, practice management system and relational database system software. * Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions. * Attend all departmental and organizational meetings as required. COMPETENCIES: Collaborative * Displays willingness to make decisions, resolve conflict and delegate work assignments in a timely manner * Adapts to change, takes responsibility for own actions to advance team goals * Speaks and writes clearly and persuasively in formal and informal presentations * Actively participates in meetings and uses listening skills to keep an open mind * Solicits input from appropriate stakeholders, explains reasoning for decisions and uses strong interpersonal skills to communicate and influence others * Gives recognition to others for results Solid Character * Balances team and individual responsibilities while assessing own strengths and weaknesses * Exhibits objectivity and openness to others' views * Welcomes feedback, builds positive team spirit, supports all team members * Develops alternative solutions, supports and shares expertise with other team members while building positive morale * Demonstrates knowledge of company policies and treats people with respect * Works ethically and with integrity, uphold organizational values * Keeps commitments, shows respect and sensitivity for cultural differences * Educates others on the value of diversity, promotes a positive work environment where all feel free to contribute Organizational Support * Completes administrative tasks correctly and on time, and develops strategies to achieve organizational goals and values * Supports affirmative action and respect diversity, understands organization's strengths and weaknesses, analyzes market and competition, and identifies external threats and opportunities while adapting strategy to changing conditions * Prioritizes and plans work activities while understanding business implications of decisions * Demonstrates accuracy and thoroughness within approved budget and displays original thinking and creativity * Displays knowledge of market and competition that aligns with strategic goals * Meets challenges with resourcefulness, generates suggestions for improving work, develops innovative approaches and ideas Leadership * Displays passion and optimism while exhibiting confidence in self and others * Inspires respect and trust while motivating others to perform well and influencing actions and opinions of others * Coordinates projects, develops workable implementation plans, includes staff in planning, decision-making, and process improvement * Communicates and completes changes and progress of projects on time and on budget while managing project team activities to overcome resistance * Makes self-available to staff, provides regular performance feedback * Develops individual team member skills and encourages growth Safety and Security * Promotes safety precautions and security measures to ensure the safety of both staff and patients * Adheres to data security guidelines, including appropriate use of EMR systems and IT resources TYPICAL WORKING CONDITIONS: * The noise level in the work environment is usually quiet to moderate. TYPICAL PHYSICAL DEMANDS: * While performing the duties of this job, the employee is regularly required to use hands for use of a PC as well as other office equipment. * The employee is frequently required to stand, walk; sit and talk and use hearing to listen. The employee is occasionally required to reach with hands and arms and stoops and kneel. * The employee must occasionally lift and/or move up to 25 pounds. * Specific vision abilities required by this job include close vision, color vision and ability to adjust focus. QUALIFICATIONS: * Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. * To perform this job successfully, an individual should have working knowledge of Microsoft Office utilizing Excel Spreadsheet software and Word processing software. Ability to use Internet, practice management system and relational database system software. Must have the ability to learn additional software to support the Accounting/Finance function. * Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions. EDUCATION/EXPERIENCE/CERTIFICATIONS/LICENSES: * Must have a minimum of a high school diploma * Prefer an Associate Degree in Business with emphasis in Accounting/Finance from an accredited college or university in addition to one year of experience or equivalent combination of education and experience. * 1-2 years accounts receivable billing experience required. Areas of Family Medicine/internal medicine, preferred. PT/OT, and Behavioral Health a plus. * Prefer knowledge of EPIC system; must have appropriate third-party liability (TPL) and government website knowledge (i.e. CHAMPS, Connex, WPS, Availity, HMO Medicaid plans). * Working knowledge of ICD-10, HCPCS, and CPT. Apply today to help make a difference in our community! Family Health Center is an equal opportunity employer and reserves the right to adjust this role based on organizational needs.

Job Description COMPANY INFORMATION: As a federally qualified health center (FQHC) Family Health Center serves all people with quality healthcare, dignity, and respect. We envision a seamless health care delivery system that is proactively responsible for the medical, dental and psychosocial needs of underserved individuals, children and families residing in Kalamazoo County. MISSION: To provide clinical excellence with outstanding patient experience while ensuring that all members of the community have access to quality, comprehensive, patient-centered health care. Full-Time Medical Billing & Coding Specialist POSITION SUMMARY: The Medical Billing & Coding Specialist is responsible for reviewing daily patient account transactions with a high level of speed and accuracy. Assists with the collection of insured accounts and maintenance of documents. Posts payments to transactions to patient accounts accurately. DUTIES AND RESPONSIBILITIES: Performs insurance/patient payment posting and resolves payment transaction discrepancies with assistance from the Lead/Supervisor/Manager when necessary. Working knowledge of ICD-10, CPT, and HCPCS to review chart notes and ensure appropriate codes are assigned to all claims regarding diagnosis and procedures for provider services performed. Working knowledge of payer websites and practice management systems with the ability to recognize and resolve front/back-end claim denials from assigned payers and all others as determined necessary by the Billing Supervisor/Manager, utilizing collection procedures and adjusting of patient accounts when necessary. Answer patient questions regarding statements in person and through phone calls. Knowledge of appropriate third-party liability (TPL) and government websites (i.e. CHAMPS, WPS, Connex, Availity, HMO Medicaid websites preferred, and working knowledge of ICD-10, CPT, and HCPCS. Ability to use Microsoft Office, Internet, practice management system and relational database system software. Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions. Attend all departmental and organizational meetings as required. COMPETENCIES: Collaborative Displays willingness to make decisions, resolve conflict and delegate work assignments in a timely manner Adapts to change, takes responsibility for own actions to advance team goals Speaks and writes clearly and persuasively in formal and informal presentations Actively participates in meetings and uses listening skills to keep an open mind Solicits input from appropriate stakeholders, explains reasoning for decisions and uses strong interpersonal skills to communicate and influence others Gives recognition to others for results Solid Character Balances team and individual responsibilities while assessing own strengths and weaknesses Exhibits objectivity and openness to others' views Welcomes feedback, builds positive team spirit, supports all team members Develops alternative solutions, supports and shares expertise with other team members while building positive morale Demonstrates knowledge of company policies and treats people with respect Works ethically and with integrity, uphold organizational values Keeps commitments, shows respect and sensitivity for cultural differences Educates others on the value of diversity, promotes a positive work environment where all feel free to contribute Organizational Support Completes administrative tasks correctly and on time, and develops strategies to achieve organizational goals and values Supports affirmative action and respect diversity, understands organization's strengths and weaknesses, analyzes market and competition, and identifies external threats and opportunities while adapting strategy to changing conditions Prioritizes and plans work activities while understanding business implications of decisions Demonstrates accuracy and thoroughness within approved budget and displays original thinking and creativity Displays knowledge of market and competition that aligns with strategic goals Meets challenges with resourcefulness, generates suggestions for improving work, develops innovative approaches and ideas Leadership Displays passion and optimism while exhibiting confidence in self and others Inspires respect and trust while motivating others to perform well and influencing actions and opinions of others Coordinates projects, develops workable implementation plans, includes staff in planning, decision-making, and process improvement Communicates and completes changes and progress of projects on time and on budget while managing project team activities to overcome resistance Makes self-available to staff, provides regular performance feedback Develops individual team member skills and encourages growth Safety and Security Promotes safety precautions and security measures to ensure the safety of both staff and patients Adheres to data security guidelines, including appropriate use of EMR systems and IT resources TYPICAL WORKING CONDITIONS: The noise level in the work environment is usually quiet to moderate. TYPICAL PHYSICAL DEMANDS: While performing the duties of this job, the employee is regularly required to use hands for use of a PC as well as other office equipment. The employee is frequently required to stand, walk; sit and talk and use hearing to listen. The employee is occasionally required to reach with hands and arms and stoops and kneel. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision and ability to adjust focus. QUALIFICATIONS: Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. To perform this job successfully, an individual should have working knowledge of Microsoft Office utilizing Excel Spreadsheet software and Word processing software. Ability to use Internet, practice management system and relational database system software. Must have the ability to learn additional software to support the Accounting/Finance function. Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions. EDUCATION/EXPERIENCE/CERTIFICATIONS/LICENSES: Must have a minimum of a high school diploma Prefer an Associate Degree in Business with emphasis in Accounting/Finance from an accredited college or university in addition to one year of experience or equivalent combination of education and experience. 1-2 years accounts receivable billing experience required. Areas of Family Medicine/internal medicine, preferred. PT/OT, and Behavioral Health a plus. Prefer knowledge of EPIC system; must have appropriate third-party liability (TPL) and government website knowledge (i.e. CHAMPS, Connex, WPS, Availity, HMO Medicaid plans). Working knowledge of ICD-10, HCPCS, and CPT. Apply today to help make a difference in our community! Family Health Center is an equal opportunity employer and reserves the right to adjust this role based on organizational needs.

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, 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 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

3-5 years experience preferred Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic, paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT)-4 / Healthcare Common Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI & ROM assignments and assignment of APC's and all required modifiers. Utilizes coding guidelines established by the Centers for Medicare/Medicaid Services (CMS), American Hospital Association (AHA) Coding Clinic for ICD-9-CM, American Medical Association (AMA) for CPT-4 codes and CPT Assistant, American Health Information Management Association (AHIMA) Standards of Ethical Coding, Unified Revenue Organization/Ministry Organization (URO/MO) coding policies and Trinity Health Coding Manual (TBA). SKILLS AND CERTIFICATIONS Bachelor's Degree in HIM preferred Registered HIT and/or Certified Coding Specialist (CCS) preferred Registered HIA preferred 1 year experience coding INPATIENT records IDEAL CANDIDATE The ideal candidate has at least 1 year experience coding inpatient records in an acute setting. Although the job description requires only an Associates, we are really looking for someone who a) has a Bachelor's degree in HIM, b) is a Registered Health Information Technician (RHIT), c) is a Certified Coding Specialist (CCS), or d) is a Registered Health Information Administrator (RHIA). IDEAL CANDIDATE SHOULD HAVE WORKED FOR THE FOLLOWING COMPANY(IES): Other healthcare organizations comparable in size with acute inpatient coding experience. Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors. Bargaining Unit: UUP Job Summary: The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Inpatient Coder. Reporting to the Coding Manager and to the Director of the Health Information Management, the successful candidate will: * Abstract clinical information from the medical record and assign appropriate ICD-10cm and ICD-10PCS or CPT codes according to established procedures. * Maintain optimal standard of coding and assume uniformity of coding for compliance and reimbursement. * Ensure the selection of accurate and descriptive codes from the appropriate classification system. * Ensure the confidentiality of data contained on the patients' medical records. * Analyze the information contained in the medical record to ensure that the most appropriate codes are used. * Query the physicians for appropriate documentation. * Work collaboratively with all department and hospital staff. * Perform other related duties as assigned. Required Qualifications: * RHIA or RHIT or CCS coding certification. * 1+ year in a supervisory/administrator capacity. * Ability to make coding decisions based on use of established coding guidelines. * Ability to work independently and be a self-starter. Preferred Qualifications: * Bachelor of Science Degree with related Health Information Management experience, and 3-5 years direct coding experience in an acute care setting preferred. Work Schedule: Monday to Friday; 9:00am to 5:00pm Salary Grade/Rank: SL-2 Salary Range: Commensurate with experience and qualifications Executive Order: Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at ************** or via email at ****************. Equal Employment Opportunity Statement: SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws. Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply. If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at *****************

COMPANY INFORMATION: As a federally qualified health center (FQHC) Family Health Center serves all people with quality healthcare, dignity, and respect. We envision a seamless health care delivery system that is proactively responsible for the medical, dental and psychosocial needs of underserved individuals, children and families residing in Kalamazoo County. MISSION: To provide clinical excellence with outstanding patient experience while ensuring that all members of the community have access to quality, comprehensive, patient-centered health care. Full-Time Medical Billing & Coding Specialist POSITION SUMMARY: The Medical Billing & Coding Specialist is responsible for reviewing daily patient account transactions with a high level of speed and accuracy. Assists with the collection of insured accounts and maintenance of documents. Posts payments to transactions to patient accounts accurately. DUTIES AND RESPONSIBILITIES: Performs insurance/patient payment posting and resolves payment transaction discrepancies with assistance from the Lead/Supervisor/Manager when necessary. Working knowledge of ICD-10, CPT, and HCPCS to review chart notes and ensure appropriate codes are assigned to all claims regarding diagnosis and procedures for provider services performed. Working knowledge of payer websites and practice management systems with the ability to recognize and resolve front/back-end claim denials from assigned payers and all others as determined necessary by the Billing Supervisor/Manager, utilizing collection procedures and adjusting of patient accounts when necessary. Answer patient questions regarding statements in person and through phone calls. Knowledge of appropriate third-party liability (TPL) and government websites (i.e. CHAMPS, WPS, Connex, Availity, HMO Medicaid websites preferred, and working knowledge of ICD-10, CPT, and HCPCS. Ability to use Microsoft Office, Internet, practice management system and relational database system software. Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions. Attend all departmental and organizational meetings as required. COMPETENCIES: Collaborative Displays willingness to make decisions, resolve conflict and delegate work assignments in a timely manner Adapts to change, takes responsibility for own actions to advance team goals Speaks and writes clearly and persuasively in formal and informal presentations Actively participates in meetings and uses listening skills to keep an open mind Solicits input from appropriate stakeholders, explains reasoning for decisions and uses strong interpersonal skills to communicate and influence others Gives recognition to others for results Solid Character Balances team and individual responsibilities while assessing own strengths and weaknesses Exhibits objectivity and openness to others' views Welcomes feedback, builds positive team spirit, supports all team members Develops alternative solutions, supports and shares expertise with other team members while building positive morale Demonstrates knowledge of company policies and treats people with respect Works ethically and with integrity, uphold organizational values Keeps commitments, shows respect and sensitivity for cultural differences Educates others on the value of diversity, promotes a positive work environment where all feel free to contribute Organizational Support Completes administrative tasks correctly and on time, and develops strategies to achieve organizational goals and values Supports affirmative action and respect diversity, understands organization's strengths and weaknesses, analyzes market and competition, and identifies external threats and opportunities while adapting strategy to changing conditions Prioritizes and plans work activities while understanding business implications of decisions Demonstrates accuracy and thoroughness within approved budget and displays original thinking and creativity Displays knowledge of market and competition that aligns with strategic goals Meets challenges with resourcefulness, generates suggestions for improving work, develops innovative approaches and ideas Leadership Displays passion and optimism while exhibiting confidence in self and others Inspires respect and trust while motivating others to perform well and influencing actions and opinions of others Coordinates projects, develops workable implementation plans, includes staff in planning, decision-making, and process improvement Communicates and completes changes and progress of projects on time and on budget while managing project team activities to overcome resistance Makes self-available to staff, provides regular performance feedback Develops individual team member skills and encourages growth Safety and Security Promotes safety precautions and security measures to ensure the safety of both staff and patients Adheres to data security guidelines, including appropriate use of EMR systems and IT resources TYPICAL WORKING CONDITIONS: The noise level in the work environment is usually quiet to moderate. TYPICAL PHYSICAL DEMANDS: While performing the duties of this job, the employee is regularly required to use hands for use of a PC as well as other office equipment. The employee is frequently required to stand, walk; sit and talk and use hearing to listen. The employee is occasionally required to reach with hands and arms and stoops and kneel. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision and ability to adjust focus. QUALIFICATIONS: Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. To perform this job successfully, an individual should have working knowledge of Microsoft Office utilizing Excel Spreadsheet software and Word processing software. Ability to use Internet, practice management system and relational database system software. Must have the ability to learn additional software to support the Accounting/Finance function. Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions. EDUCATION/EXPERIENCE/CERTIFICATIONS/LICENSES: Must have a minimum of a high school diploma Prefer an Associate Degree in Business with emphasis in Accounting/Finance from an accredited college or university in addition to one year of experience or equivalent combination of education and experience. 1-2 years accounts receivable billing experience required. Areas of Family Medicine/internal medicine, preferred. PT/OT, and Behavioral Health a plus. Prefer knowledge of EPIC system; must have appropriate third-party liability (TPL) and government website knowledge (i.e. CHAMPS, Connex, WPS, Availity, HMO Medicaid plans). Working knowledge of ICD-10, HCPCS, and CPT. Apply today to help make a difference in our community! Family Health Center is an equal opportunity employer and reserves the right to adjust this role based on organizational needs.

General Definition and Scope of Job Patient Registration Clerks register patients for multiple services in a timely and efficient manner, providing privacy and confidentiality at all times. Registration clerks must be knowledgeable in specific requirements pertaining to insurances, such as M.S.P. (Medicare Secondary Payer) to insure accuracy and compliance. Is knowledgeable of the roles of registration and is responsible for all hospital codes. Greets and assists patients, families, and other visitors, and assures that they are triaged to the proper location, keeping in mind their dignity and identity. Performs a variety of clerical duties relating to record filing, answering telephones, directing inquiries and mail distribution. JOB STATUS: Casual What are the Minimum Skills, Experience and Educational Requirements? High school graduate with courses in business and computers. Ability to read, write and speak the English language effectively. Must have excellent communication and customer service skills. One year of medical office experience preferred, with understanding of medical and insurance terms. Must be able to type 50 wpm, error-free. Experience with computer, copy machine, fax and other office equipment preferred. What are the Critical Demands of the Job? Must be able to sit approximately 80% of the day as required. Must be able to type/keyboard at least 70% of the day as required. May be exposed to patients with contagious conditions. Work is subject to frequent interruptions and changing priorities. Must be able to relate to patients of all age groups. May be required to assist transporting patients in wheelchair. Must be able to remain calm when exposed to emergencies including illness (mental and physical), disease, trauma and death. What are the Working Conditions? Works in well-lighted office environment with comfortable surroundings. Stressful at times due to emergency situations and interruptions. Prolonged sitting.

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. 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** **This is a Remote Role** + Full Time: 8:00am-4:30pm CST + Ability working in a high-volume environment. + Release of Information processing + Managing incoming faxes + Occasional call support + Documenting information in multiple platforms using two computer monitors. + Proficient in Microsoft office (including Word and Excel) **Preferred Skills** + Knowledge of HIPAA and medical terminology + Familiar with different EHR and Billing Systems + Experience working with subpoenas **We offer:** + Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor + Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) + 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. 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 (******************************************************************************************************* . 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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