Responsibilities:
Conduct reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy.
Work collaboratively with clinical providers to improve revenue cycle integrity while seeking and identifying trends and opportunities for coding optimization.
Regularly conduct coding reviews of CPT, ICD-10, and modifier utilization.
Provide feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans.
Coordinate, schedule, and perform reviews of professional services and documentation performed by providers.
Evaluate clinical documentation to identify inconsistency or improvement opportunities that could impact reimbursement, revenue integrity, and/or reduce denials.
Review charge information submitted by certified coders, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation.
Prepare written reports of the audit findings to internal leadership, clinical leadership, and providers.
Qualifications:
Bachelor's Degree or Associates Degree with 5 years of applicable experience required.
Minimum of 3 years of Evaluation and Management and/or Surgical coding experience.
Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required.
In lieu of CPC or CCS-P certification will consider, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) certification in conjunction with applicable physician coding experience, including evaluation & management (E/M) and surgical coding experience.
Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines.
Demonstrate advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD10-CM and HCPCS code assignment by passing a department administered coding proficiency test.
Prior experience in an academic institution preferred.
Certified Interventional Radiology Cardiovascular Coder (CIRCC) a plus.
Experience working in a Teaching Hospital setting is preferred.
Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge; experience in Epic Ambulatory a plus.
Here is more information:
Position: MedicalCoder
Term: 6+ month contract with possible extension
Schedule: Remote, Monday-Friday 8am-5pm CST.
Pay: $45-50/hr
$45-50 hourly 2d ago
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Medical Records Clerk
Teksystems 4.4
Medical coder job in Evansville, IN
*Health Information Management Specialist* *Location:* Evansville, IN (On-site) *Schedule:* Full-time | Shifts: 6:00 AM - 2:30 PM CST OR 8:00 AM - 4:30 PM CST *Pay:* $16.00 - $17.50 per hour *About the Role* We are seeking a detail-oriented *Health Information Management (HIM) Specialist* to join our team. In this role, you will play a critical part in maintaining accurate medical records and supporting healthcare operations. If you thrive in a fast-paced environment and have a passion for accuracy and compliance, we want to hear from you!
*Key Responsibilities*
* Prepare, scan, index, and retrieve medical documents with precision.
* Conduct quality reviews to ensure compliance with organizational standards.
* Reconcile accounts and maintain accurate records in electronic systems.
* Answer phones and assist with inquiries related to health information management.
* Collaborate with team members to ensure smooth workflow and timely completion of tasks.
*Qualifications*
* *Education:* Bachelor's degree OR 1-2 years of experience in medical records or health information management.
* Proficiency in *Microsoft Office Suite* (Excel, Outlook, Teams, Word).
* Strong *attention to detail* and ability to organize documents sequentially.
* Ability to work under pressure and meet deadlines in a fast-paced environment.
*Additional Details*
* *Breaks:* 30-minute lunch + two 15-minute breaks daily.
* *Overtime:* May be available based on workflow.
* Candidates must complete an *Attention to Detail Assessment* prior to interview.
*Why Join Us?*
* Opportunity to work in a *critical healthcare support role*.
* Collaborative team environment with room for growth.
* Competitive pay and consistent schedule.
*Job Type & Location*
This is a Contract to Hire position based out of Evansville, IN.
*Pay and Benefits*The pay range for this position is $16.00 - $17.50/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*This is a fully onsite position in Evansville,IN.
*Application Deadline*This position is anticipated to close on Jan 23, 2026.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
$16-17.5 hourly 2d ago
Medical Coder
AFC Urgent Care 4.2
Medical coder job in Hinsdale, IL
Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement.
Description:
The MedicalCoder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The MedicalCoder performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on Evaluation and Management services. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The MedicalCoder also demonstrates understanding and knowledge to resolve Optum coding edits.
Responsibilities:
Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes.
Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers.
Provides documentation feedback to physicians.
Maintains coding reference information.
Trains physicians and other staff regarding documentation, billing and coding for their specialty.
Reviews and communicates new or revised coding guidelines and information with providers and their assigned specialty.
Attends meetings and educational roundtables, communicates pertinent information to physicians and staff.
Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues.
Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers. Adds MBO tracking codes as needed.
May collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals.
May work with Billing staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information
Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.
Qualifications
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) is preferred
Experience in Pain Specialty is Preferred
1 year experience in a relevant role
High School Diploma or Equivalent
$40k-54k yearly est. 15d ago
Colorectal Surgery Coder
Insight Global
Medical coder job in Danville, IL
Insight Global is looking a dedicated and experienced Colorectal Surgical MedicalCoder to join our team remotely. The ideal candidate will be responsible for accurately coding colorectal surgical procedures and diagnoses using ICD-10, CPT, and HCPCS codes. This role requires a strong understanding of medical terminology, anatomy, and surgical procedures, as well as excellent communication skills to interact with healthcare providers and ensure accurate coding and billing.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: ****************************************************
Skills and Requirements
Certified Professional Coder (CPC) certification required.
Minimum of 2-5 years of experience in general surgical coding, with a focus on colorectal procedures (professional fee based). Experience in oncology coding.
Additional certifications such as Certified General Surgery Coder (CGSC) or Certified Gastroenterology Coder (CGIC).
Experience with Athena/Epic EMR
$39k-55k yearly est. 10d ago
Clinical Documentation & Coding Specialist
Synapticure Inc.
Medical coder job in Chicago, IL
About SynapticureAs a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases such as Alzheimer's, Parkinson's, and ALS.Our clinical and operational teams rely on accurate, high-quality documentation to ensure exceptional patient care, regulatory compliance, and optimal performance in value-based care programs. This role sits at the intersection of clinical reasoning, coding expertise, and documentation excellence.
The RoleSynapticure is seeking an experienced Clinical Documentation & Coding Specialist with deep expertise in Hierarchical Condition Category (HCC) coding and strong clinical interpretation skills-particularly in neurology, dementia, psychiatry, and behavioral health.In this role, you will execute the full lifecycle of chart preparation, diagnosis identification, documentation review, and accurate coding both before and after patient encounters. Your work ensures that providers have comprehensive, clinically supported information during visits and that Synapticure captures all relevant chronic conditions to support high-quality care and value-based performance.The ideal candidate is meticulous, clinically fluent, and highly organized-able to synthesize complex documentation from multiple sources and apply CMS risk adjustment guidelines with precision. You must be comfortable working independently, applying feedback consistently, and operating in a fast-paced, highly regulated environment.
Job Duties - What you'll be doing
Perform comprehensive chart preparation for dementia-care patients by reviewing multi-year clinical histories, consult notes, diagnostics, medication lists, and hospital records.
Identify suspected, undocumented, or insufficiently supported chronic conditions and prepare findings for provider review.
Review medical records for documentation gaps, inconsistencies, or unclear diagnostic specificity and flag issues in advance of visits.
Accurately assign ICD-10-CM codes in compliance with CMS HCC guidelines and official coding rules.
Validate that all diagnoses meet MEAT documentation standards and are supported within the medical record.
Review post-visit documentation to reconcile diagnoses, address missed opportunities, and provide coding recommendations.
Query providers for clarification when documentation is incomplete, ambiguous, or inconsistent, ensuring compliant query practices.
Provide feedback and education to providers on documentation needs for accurate HCC capture.
Collaborate with revenue cycle, CDI, and auditing teams to close documentation gaps and improve workflows.
Maintain high accuracy and productivity benchmarks in both chart prep and coding.
Participate in internal and external audits and implement corrective actions as needed.
Stay current with CMS, HHS, and payer-specific risk adjustment updates, especially those impacting neurology and dementia care.
Ensure CPT/HCPCS/ICD-10 coding for encounter-based services is accurate, compliant, and ready for timely claim submission.
Requirements - What we look for in you
High school diploma required; Associate's or Bachelor's degree in a health-related field preferred.
Active CPC or CCS certification (AAPC or AHIMA).
CRC certification strongly preferred.
2-3+ years of medical coding experience, including 1-2 years in HCC/risk adjustment.
Demonstrated experience performing detailed pre-visit chart preparation.
Experience coding neurology, psychiatry, behavioral health, or dementia conditions (strongly preferred).
Strong understanding of ICD-10-CM, HCC models, MEAT criteria, and CMS/HHS risk adjustment principles.
Ability to analyze medical records, identify unsupported diagnoses, and detect coding gaps.
Excellent communication skills for provider interaction and compliant query writing.
Proficiency with coding software, EHR platforms, and technology tools.
Ability to work independently, maintain accuracy under volume, and meet tight deadlines.
Preferred Qualifications
Experience with multiple payer HCC methodologies (CMS RAF, ACA HHS, MA, etc.).
Knowledge of CPT and HCPCS coding rules.
Experience in managed care, value-based care programs, or large health systems.
Advanced clinical literacy in neurology and dementia-related documentation patterns.
Experience navigating multiple EHR systems and data workflows.
Strong critical thinking and pattern-recognition skills for identifying clinical clues and documentation opportunities.
We're founded by a patient and caregiver, and we're a remote-first company. This means our values are at the heart of everything we do, and while we're located all across the country, these principles tie us together around a common identity:
Relentless focus on patients and caregivers. We provide exceptional experiences for the patients we serve and put them first in all decisions.
Embody the spirit and humanity of those living with neurodegenerative disease. With empathy, compassion, kindness, and hope, we honor the seriousness of our patients' circumstances.
Seek to understand, and stay curious. We listen first-with authenticity, humility, and a commitment to continual learning.
Embrace the opportunity. We act with urgency and intention toward our mission.
Competitive salary based on experience Comprehensive medical, dental, and vision coverage 401(k) plan with employer match Remote-first work environment with home office stipend Generous paid time off and sick leave Professional development and career growth opportunities
$40k-56k yearly est. Auto-Apply 34d ago
Coder - Hospital
Sarah Bush Lincoln Health Center 4.2
Medical coder job in Illinois
Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.
Department: Medical Record Management
Hours: Full-time
Required: High School Diploma, CCA coding certification is preferred
Pay: Based on experience, starting at $22.72
Responsibilities
Assists physicians with record
documentation needs by
requesting clarification for
additional information. Assists
in educating physicians and
ancillary staff members about
documentation needed for
coding process. Contacts
physician offices and/or SBL
departments as needed for
diagnostic information to code
the encounter, Assists with training new
coding staff as requested., Codes all types of encounters
as assigned and assists coworkers
as needed., Codes and finals inpatient and
outpatient services technical
encounters based on
established production standards., Meets quality standards of
having 95% of diagnoses and
procedures appropriately
and/or correctly coded.
Ensures data quality and
optimum reimbursement
allowable under the federal
and state payment systems, Performs follow-up on
encounters that need to be
coded and finaled., Reviews and corrects all
encounters that are rejected
or denied., Reviews record thoroughly to
ascertain all
diagnoses/procedures. Codes
all diagnoses/procedures in
accordance to ICD-CM and CPT
coding principles, official
guidelines and regulations., Reviews record thoroughly to
ascertain all
diagnoses/procedures. Codes
all diagnoses/procedures in
accordance to ICD-CM and CPT
coding principles, official
guidelines and regulations.
Requirements
AS, High School (Required) CCA - Certified Coding Associate - American Health Information Management Association, Certified Coding Specialist- Hospital - Sarah Bush Lincoln, Certified Professional Coder-A - Sarah Bush Lincoln, Registered Health Information Adminstrator - American Health Information Management Association, Registered Health Information Technician - American Health Information Management Association
Compensation
Estimated Compensation Range
$22.72 - $35.22
Pay based on experience
$22.7-35.2 hourly Auto-Apply 60d+ ago
CODER CERTIFIED
Myhorizonhealth
Medical coder job in Paris, IL
Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you-our family, friends, and neighbors.
Position Summary:
Codes and/or bills the patient's medical record using pertinent information according to departmental and HMFP policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries.
Essential Functions (Responsibilities/Accountabilities):
Data entry for the facility software using the electronic health record and any scanned or written reports. Uses system for each patient appropriately.
Assign accurate Evaluation and Management codes per the CPT guidelines for AMA.
Utilize query worksheet or appropriate alternative as a communication tool with physicians to obtain an appropriate diagnosis to promote coding accuracy.
Regularly reviews coding changes and regulatory agency requirements; maintain current information concerning Medicare, Medicaid and private insurance regulations specific to coding and billing. Assign accurate and complete codes based upon physician documentation.
Maintain consistent turnaround time to meet established coding targets.
Maintain strict observation of rules pertaining to confidentiality and HIPAA.
Review regularly the “uncoded” patient encounter listing and obtain the required information to facilitate release of the final bill from the Business Office to the payor.
The responsibilities listed above are not all-inclusive; other activities may be required in support of the hospital's goals and objectives. Responsibilities include cross-training for coverage of positions and other functions in the Clinic.
Position Requirements:
Registered Health Information Technician/RHIT, Registered Health Information Administrator/RHIA, Certified Coding Specialist/CCS, or Certified Coding Specialist-physician base/CCS- required for this wage grade. Uncertified Coder is in a different category. Maintains continuing education and provides documentation of certification for inclusion with annual evaluation.
Previous coding experience is required.
Previous knowledge of CMS coding preferred.
Advanced knowledge of medical terminology is required with a working knowledge of disease processes, anatomy, physiology and pharmacology required
Position Information:
Location: 908 N Main Street Paris, IL 61944
Hours: Monday- Friday 40hrs per week
Pay Range:
Pay ranges from $21.351/hour to $34.161/hour (rate of pay is based on applicable years of experience)
Horizon Health is committed to caring not only for our patients, but for our staff as well. We offer you an extensive total compensation and benefits package. As an employee of Horizon Health, your benefits include a competitive salary, medical, dental and vision insurance, Employee 403(b), health savings account with Company match, as well as Vacation, Sick and Paid Holidays.
Access to our benefits summary can be found at the link below!
***************************************************************************
Intrigued? Don't wait, apply today. We are actively reviewing applicants for the Certified Coder. Be part of an organization that is dedicated to the growth and development of its colleagues. Here at Horizon Health, our employees speak for themselves. Join our family & begin an incredible career!
$21.4-34.2 hourly Auto-Apply 47d ago
Coder - Certified (BMG)
Beacon Health System 4.7
Medical coder job in South Bend, IN
Reports to the Manager of Professional Coding. Under general supervision and in accordance with the policies and procedures established by BMG Professional Coding, reviews and accurately codes office and hospital procedures for reimbursement requiring exercise of initiative and judgement.
MISSION, VALUES and SERVICE GOALS
* MISSION: We deliver outstanding care, inspire health, and connect with heart.
* VALUES: Trust. Respect. Integrity. Compassion.
* SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
Performs routine and non-routine revenue cycle, billing, coding and insurance functions by:
* Extracting relevant information from patient records, examining documents for missing information.
* Liaison with physicians and other parties to clarify information.
* Analyzing documentation and accurately applies CPT, ICD, and HCPCS codes to support compliant coding.
* Working rejected and denied claims based on assigned reports, and assists in complex denial resolution.
* Communicating updates on coding related changes and billing opportunities and guidelines to supervisor and/or providers.
* Assisting providers with required documentation, compliant coding and reimbursement.
* Monitoring provider documentation for trends and adherence to documentation standards and regulatory requirements through report and billing analysis. Communicates results to providers and management as needed.
* Participating in timely review of provider documentation and communication of results to supervisor.
* Auditing reports as necessary to identify and correct coding related errors.
* Achieving BMG's coding productivity and accuracy rates within 6 months of hire; maintains rates as evaluated by internal or external review.
Performs other functions to maintain personal competence and contributes to the overall effectiveness and efficiency of the department by:
* Working closely with other BMG Central Business Office associates.
* Presenting coding and compliance related topics to team members.
* Completing other job-related duties and projects as assigned.
ORGANIZATIONAL RESPONSIBILITIES
Associate complies with the following organizational requirements:
* Attends and participates in department meetings and is accountable for all information shared.
* Completes mandatory education, annual competencies and department specific education within established timeframes.
* Completes annual employee health requirements within established timeframes.
* Maintains license/certification, registration in good standing throughout fiscal year.
* Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
* Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
* Adheres to regulatory agency requirements, survey process and compliance.
* Complies with established organization and department policies.
* Available to work overtime in addition to working additional or other shifts and schedules when required.
Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:
* Leverage innovation everywhere.
* Cultivate human talent.
* Embrace performance improvement.
* Build greatness through accountability.
* Use information to improve and advance.
* Communicate clearly and continuously.
Education and Experience
* The knowledge, skills, and abilities are normally acquired through a High School diploma, GED or suitable equivalent. Graduate of an accredited medical coding program preferred. Two years physician coding experience in an applicable specialty preferred. Designation as a Certified Coding Specialist-Physician Based, Certified Professional Coder, Certified MedicalCoder, or Certified Coding Associated required. Must complete a minimum of 12 hours of coding related education per year to field of concentration.
Knowledge & Skills
* Requires accuracy and proficiency with CPT, ICD and HCPCS code assignment.
* Demonstrates knowledge of regulatory and payer specific coding guidelines.
* Demonstrates proficiency in knowledge of anatomy, physiology and medical terminology.
* Demonstrates exceptional organizational skills and attention to detail.
* Proficient computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite.
* Ability to work independently and as a member of a team.
* Requires excellent communication skills, both oral and written, necessary to effectively speak to a diverse audience.
* Demonstrates working knowledge of HIPAA and ability to maintain confidentiality of all data.
Working Conditions
* Works in an office environment.
* May experience some mental/visual fatigue from careful and constant review of records, code books, and continued use of computer equipment.
Physical Demands
* Requires the physical ability and stamina to perform the essential functions of the position.
$33k-42k yearly est. 14d ago
Physician Billing Coder III
Ann & Robert H. Lurie Children's Hospital of Chicago 4.3
Medical coder job in Chicago, IL
Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Day (United States of America)
Location
Ann & Robert H. Lurie Children's Hospital of Chicago
Job Description
Summary:
Conducts retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Accounts for concurrent inpatient billing accuracy and compliance for selected Divisions. Provides physician education on coding and documentation guidelines.
Essential Job Functions:
• Reviews and audits physicians' documentation in the medical record and the level of CPT code selection to verify accuracy through a concurrent coding program.
• Determines visit, procedure and diagnosis code(s) based on documentation.
• Initiates corrections and resolves discrepancies.
• Confers with the physicians to communicate and educate when deficiencies in documentation and code selection are identified.
• Meets with Division Heads and Clinical Practice Directors or designees to present statistical data on audit findings, provides useful recommendations and documentation tools.
• Keeps informed on coding and documentation guidelines.
• Performs monthly reconciliation between concurrent charges sent and entered.
• Ensures that all concurrent charges and necessary information are submitted to the billing service in a timely manner.
• Resolves all questions and problems with patients, third party payers, billing coordinators and coding and billing analysts and external billing services.
• Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.
• Other job functions as assigned.
Knowledge, Skills, and Abilities:
• Certification in one of the following: Certified as Professional Coder (CPC), Certified Coding Specialist - Physician (CCS-P), or Certified Professional Medical Auditor (CPMA) required.
• High school diploma required.
• Minimum of three years of coding experience required.
• Prior experience in Evaluation and Management Coding preferred.
• Demonstrates thorough knowledge of CPT and ICD-9 coding by passing a test.
• Demonstrates thorough knowledge of Evaluation and Management (E/M) by passing a proficiency test; required.
• Ability to use computer software (i.e.: EPIC, WORD, EXCEL and PowerPoint).
• Demonstrated knowledge and understanding of medical terminology, anatomy and physiology and coding classification systems in determining appropriate physician coding.
• Ability to communicate effectively, work independently and balance multiple priorities.
Education
Pay Range
$28.50-$46.60 Hourly
At Lurie Children's, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children's offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children's facilities
Discount purchasing program
There's a Place for You with Us
At Lurie Children's, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints - recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.
Lurie Children's and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.
Support email: ***********************************
$28.5-46.6 hourly Auto-Apply 21d ago
HIM Cert Coder Pro Fee - CFH
Carle Foundation Hospital 4.8
Medical coder job in Champaign, IL
The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters.
Qualifications
Education: Highschool Diploma or G.E.D
Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC),
Knowledge of ICD-10-CM, CPT, and HCPC coding rules and guidelines for code application, ability to work with others collaboratively and communicate efficiently, both orally and in writing. Knowledge of medical science, anatomy and physiology required. Ability to perform computer data entry. Experience with encoders or other coding software packages preferred.
Responsibilities
Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient. Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. Develops methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.). Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties. Serve as liaison for coding and billing staff to ensure accurate charge capture. Reports any documentation and coding improvement needs based upon review findings. Responsible for maintaining coding certification, knowledge and skills to successfully perform job duties Performs provider and peer coding audits as requested Assist with monitoring of internal controls for coding and billing. Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel.
About Us
Find it here.
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************.
Compensation and Benefits
The compensation range for this position is $23.58per hour - $39.38per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
$23.6-39.4 hourly Auto-Apply 6d ago
Medical Records Clerk at East Moline (72916)
Centurion 4.7
Medical coder job in East Moline, IL
Pay Rate: $22/hour Centurion is proud to be the provider of comprehensive services to the Illinois Department of Corrections. We are currently seeking a full-time Medical Records Clerk to join our team at East Moline Correctional Center located in East Moline, Illinois.
The Medical Records Clerk maintains offender health records, retrieves health records for scheduled appointments, files offender health data, initiates records for new or transferred intakes. They review health records for completeness, files records as required, prepares reports as needed and more.
$22 hourly 4d ago
Medical Device QMS Auditor
Bsigroup
Medical coder job in Chicago, IL
We exist to create positive change for people and the planet. Join us and make a difference too!
Job Title: QMS Auditor
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
$39k-60k yearly est. Auto-Apply 49d ago
Medical Device QMS Auditor
Environmental & Occupational
Medical coder job in Chicago, IL
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
* Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
* Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
* Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
* Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
* Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
* Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
* Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
* Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
* Associate's degree or higher in Engineering, Science or related degree required
* Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
* The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
* Knowledge of business processes and application of quality management standards.
* Good verbal and written communication skills and an eye for detail.
* Be self-motivated, flexible, and have excellent time management/planning skills.
* Can work under pressure.
* Willing to travel on business intensively.
* An enthusiastic and committed team player.
* Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
$39k-60k yearly est. Auto-Apply 48d ago
HOME HEALTH CODER/OASIS (PT DAYS)
Riverside Healthcare 4.1
Medical coder job in Peotone, IL
The Home Health Coder/OASIS is responsible for ensuring accurate and timely coding of home health services, including OASIS (Outcome and Assessment Information Set) data, in compliance with regulatory requirements and Riverside Healthcares standards. This role plays a critical part in the home health billing and reimbursement process, directly contributing to optimal patient care and financial outcomes. The ideal candidate will have a strong background in home health coding, be detail-oriented, and possess a deep understanding of OASIS documentation submission.
HYBRID | IN-PERSON AVAILABILITY NEEDED FOR STAFF MEETINGS
FTE/Hours Per Week
0.6 FTE = 24 hours per week | 48 hours per pay period
Flexibility to work additional hours if necessary preferred
Location
When Remote: Work-From-Home
When In-Office: Peotone, Illinois
Essential Duties
Review, analyze, and code home health care documentation according to current coding guidelines and regulations.
Ensure accurate and timely submission of OASIS assessments, collaborating with clinical staff to ensure completeness and accuracy.
Monitor and audit coding practices to maintain compliance with Medicare, Medicaid, and other third-party payer requirements.
Educate and provide feedback to clinical staff on coding documentation requirements to ensure accurate coding and billing.
Participate in quality improvement initiatives to optimize coding accuracy and efficiency.
Communicate with the billing department to resolve coding-related issues and ensure the correct reimbursement of home health services.
Maintain up-to-date knowledge of coding regulations, OASIS submission guidelines, and home health industry standards.
Assist in preparing for audits by providing necessary documentation and coding reports.
Patient Feedback Outreach: Conduct follow-up calls to patients to gather feedback on their recent experience with our services, ensuring we consistently meet and exceed patient expectations. Document and relay feedback to appropriate team members to support continuous improvement and employee performance evaluations.
Demonstrates flexibility with assignments within professional scope/duties/licensure.
Non-essential Duties
Assist with other administrative tasks as needed, including data entry and clerical support for the home health department.
Participate in staff meetings and ongoing education to stay current with industry practices.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so your journey at and away from work is remarkable. Our Total Rewards package includes:
Compensation
Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift differential, on-call
Opportunity for annual increases based on performance
Benefits - .5 to 1.0 FTE
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Benefits - .001 to .49 FTE:
Paid Leave Hours accrued as you work
Responsibilities
Preferred Experience
OASIS Certification (COS-C or HCS-O) is preferred.
Minimum of 2 years of experience in home health coding, is preferred.
Strong understanding of Medicare, Medicaid, and third-party payer regulations.
Proficient in the use of electronic health record (EHR) systems and coding software.
Excellent attention to detail, organizational skills, and the ability to work independently.
Strong communication skills to effectively collaborate with clinical staff and other departments.
Required Licensure/Education
High school diploma or equivalent required
Certification in Home Health Coding (HCS-D) or equivalent is required.
Preferred Education
Associates or Bachelors degree in Health Information Management, Nursing, or a related field preferred.
Employee Health Requirements
Exposure/Sensory Requirements:
Exposure to:
Chemicals: None
Video Display Terminals: Average
Blood and Body Fluids: None
TB or Airborne Pathogens: None
Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Command of English language, good speaking skills for verbal communication with public and employees.
Vision: Required to see computer screens, papers, fax printer, written materials.
Smell:
Hearing: Must be able to hear for verbal and telephone communication.
Touch: Computer, telephone, handwriting Activity/Lifting Requirements
Percentage of time during the normal workday the employee is required to:
Sit: 75%
Twist: 0%
Stand: 10%
Crawl: 0%
Walk: 5%
Kneel: 2%
Lift: 1%
Drive: 0%
Squat: 2%
Climb: 0%
Bend: 3%
Reach above shoulders: 2%
The weight required to be lifted each normal workday according to the continuum described below:
Up to 10 lbs: Continuously
Up to 20 lbs: Occasionally
Up to 35 lbs: Occasionally
Up to 50 lbs: Not Required
Up to 75 lbs: Not Required
Up to 100 lbs: Not Required
Over 100 lbs: Not Required
Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 360
Twist: 0
Stand: 30
Crawl: 5
Walk: 10
Kneel: 2
Lift: 5
Drive: 0
Squat: 5
Climb: 0
Bend: 5
Reach above shoulders: 5
Repetitive use of hands (Frequency indicated):
Simple grasp up to 10 lbs. Normal weight: 5# continuously
Pushing & pulling Normal weight: continuously
Fine Manipulation: Telephone, sorting papers, computer entry, writing, using fax, printers, typing.
Repetitive use of foot or feet in operating machine control:
Environmental Factors & Special Hazards
Environmental Factors (Time Spent):
Inside hours: 8
Outside hours : 0
Temperature: Normal Range
Lighting: Average
Noise levels: Average
Humidity: Normal Range
Atmosphere:
Special Hazards:
Protective Clothing Required:
Pay Range USD $24.12 - USD $29.50 //Hr
$24.1-29.5 hourly Auto-Apply 7d ago
Certified Coding Specialist
Hillsboro Area Hospital Inc. 4.1
Medical coder job in Hillsboro, IL
Job DescriptionDescription:
The Health Information Management Certified Coding Specialist performs coding and abstracting for inpatient and outpatient medical records accurately and timely to optimize reimbursement for all payer classes. Responsible for scanning medical records and filling in for the HIM Technician during their absence. Normally scheduled Monday through Friday.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Supports and promotes an environment conducive with the Mission, Vision, and Values of the hospital.
Analyses patients' records for principle and secondary diagnosis, procedures and assigns the appropriate codes per established guidelines.
Abstract any data required for the patients' record.
Ensures timely data entry of codes.
Facilitates flow of medical record data to assure accurate and prompt reimbursement, data collection and clinical data analysis.
Confers with physicians regarding diagnoses and procedures to ensure accuracy.
Follow up with the provider on any documentation that is insufficient or unclear.
Ensures that documentation is appropriate to meet medical necessity guidelines.
Ensures productivity and quality of coding the records.
Uses reference materials (coding books and 3M encoder) appropriately and efficiently.
Recognizes, interprets, and evaluates inconsistencies and discrepancies in medical record documentation and reports them appropriately.
Organizes and prioritizes assigned work and schedules time to accommodate work demands and turn-around time requirements.
Maintain orderly condition of assigned work area.
Maintain confidentiality of all patients, hospital, and physical related information
Communicate with other clinical team members regarding documentation.
Is knowledgeable of general hospital and department specific policies and procedures including release of information, amendment of medical records and other legal requirements.
Other duties may be assigned and are subject to change with or without prior notice.
OTHER RESPONSIBILITIES
Answer the telephone and perform routine clerical tasks.
Completes assigned daily duties.
Follows expected work practices.
Displays thoroughness and accuracy of work.
Works in a safe manner, including reporting unsafe equipment or environment.
Well organized, accepts assignments willingly and accomplishes them quickly.
Anticipates problems and suggests solutions.
Helps with not specifically assigned duties.
Works steadily and always keeps busy.
Maintain knowledge and skills necessary to communicate and interact with patients, visitors, and staff in the following age groups: Infant, Pediatric/adolescent, Adult, and Geriatric.
Ability to work well with a diverse work team.
Ability to work under pressure with time constraints.
Ability to concentrate.
Ability to work independently with minimal supervision.
Ability to work well with numbers.
Maintain appearance appropriate for job duties.
(The above statements describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned, as required, by Hillsboro Health.)
SUPERVISORY RESPONSIBILITIES
None
Requirements:
EDUCATION AND/OR EXPERIENCE
High school diploma or equivalency with college courses in medical terminology, anatomy, and coding
Minimum 1 year experience in Medical Coding field, knowledge of reimbursement systems and Medicare regulations
Excellent customer services skills
Degree in medical coding with a RHIA, RHIT, CCS or CPC
Must maintain an average accuracy of 97% or above.
CERTIFICATES, LICENSES, REGISTRATIONS
Coding Certification, CCS or CPC, RHIT or RHIA
PHYSICAL DEMANDS
Prolonged and extensive sitting
Constantly required to use arms, hands, and fingers for repetitive movement - typing, and occasional grasping, pulling, and pushing
Occasionally lift and/or move up to 25 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision and the ability to adjust focus.
WORK ENVIRONMENT
Work is sedentary.
Duties are performed within comfortable climate-controlled surroundings.
Frequently interacts with Medical Staff and Nursing Personnel
CORPORATE COMPLIANCE
Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health's Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows how to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.
BENEFITS
Please use the link below to visit our website for a list of benefits offered.
***************************************
$35k-42k yearly est. 19d ago
HIM Coder
Kirby Medical Center 4.3
Medical coder job in Monticello, IL
Job DescriptionDescription:
Shift: Day shift
Schedule: M-F 40 hours
Job Summary: Responsible for the conversion of diagnoses and treatment procedures in accordance with the rules, regulations and coding conventions as established by the American Hospital Association (Coding Clinic), ICD-10-CM, CMS, AHIMA, and Kirby Medical Center organizational/institutional coding guidelines. Under the direction of the lead coding manager, the coder will perform all tasks and duties in accordance with established standards, policies, procedures, protocols, and guidelines using classification of diseases. Requires skill in the sequencing of diagnoses/procedures to meet medical necessity requirements. Ensures that records are coded in an accurate and timely manner. Participates in the department's performance improvement activities.
Benefits:
40 hours PTO effective date of hire
Health, Dental, Vision and Life insurance effective date of hire
Generous 401(k) match effective after 90 days
Quality/Goal incentive annually
Free Wellness Program
Requirements:
Qualifications:
High School diploma or equivalent and medical coding education. In lieu of medical coding education, an active coding certification is required. Associate degree in healthcare related field preferred.
Certification as Certified Coding Specialist (CCS), or Certified Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) or Certified Professional Coder (CPC) required within one year of hire.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) preferred (will be considered in lieu of above certifications).
Required Skills:
Extremely detail-oriented with the ability to multi-task and follow through to meet established deadlines with stringent guidelines.
Ability to function under stress with many interruptions.
Highly analytical with critical thinking skills.
Must be self-motivated and strive for personal growth.
Knowledge or medical science, anatomy, and physiology required.
Ability to work flexible hours and possess the ability to accept change.
Ability to work with others collaboratively and communicate efficiently both orally and in writing.
Experience with Windows-based applications (e.g., Word, Excel, Outlook, etc.). Able to use multiple Electronic Health Records.
Since 1941, Kirby Medical Center has been the premier provider of healthcare in Piatt County and surrounding areas. We are committed and proud to provide quality and compassionate healthcare services to people in need. Our values-based culture, employee engagement, and award-winning healthcare have driven the success of our organization. Kirby Medical Center is an independent, not-for-profit hospital located on a beautiful campus in Monticello, IL with satellite clinics in Atwood, & Cerro Gordo, IL.
Kirby Medical Center offers an outstanding benefits package and state-of-the-art medical equipment. Ideal candidates enjoy a workplace where compassion, positive attitudes, respect, excellence, and stewardship are on display every day.
$52k-62k yearly est. 29d ago
Certified Bilingual Specialist LBS2 (Chicago, IL - Midway)
Focused Staffing
Medical coder job in Chicago, IL
Chicago, IL - Midway Classroom Instruction - Bilingual Education LBS2Full-Time / On-site Apply for this job As a LBS2/Bilingual Specialist you will advance student achievement among English language learners. Collaborate with the organizational curriculum team to develop a vertically aligned, research-based, and effective curriculum. Provide modeling, coaching, and staff development for administrators, teachers, paraprofessionals, and related service staff. Responsibilities
Instruct ELL students with disabilities in academic subjects.
Travel to sites to train teachers, staff, and administration in ELL curriculum, supports and interventions.
Attend IEP meetings in person/Virtual for ELL students.
Prepare and adapt materials for use in the classroom for ELL students; maintain classrooms and materials in good order.
Attend Curriculum Team Meetings
Supervise students, in groups or individually, monitoring behavior to ensure that it aligns with programmatic expectations.
Develop and update IEP goals and progress for EL students on assigned caseload.
Monitor credits and courses required for graduation for students on assigned caseload; prepare assignments; grade assignments; prepare reports.
Contact student's parents in case of crisis, emergency, and for general feedback
Coordinate and communicate with other staff members in order to ensure consistent application of the academic and therapeutic program.
Have awareness of all students in the program in order to ensure consistent application of the academic therapeutic program.
Maintain confidentiality of students and student records.
Attend all staff meetings and in-service training as requested.
Support and promote administrative policies and goals.
Qualifications
ISBE PEL Endorsed or Approved for LBS2/Bilingual Specialist
Must be flexible in the ability to teach multiple grade levels as student populations change
Ability to teach a classroom of students within all basic instructional areas
Ability to work with youth with emotional/behavioral/academic difficulties
Ability to be flexible, work in teams and creatively problem solve
Excellent interpersonal and communication skills, with demonstrated ability to speak and write clearly and persuasively
This is not intended to be all-inclusive and the employee shall perform other reasonably related school duties as assigned by administrators. This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.
About UsWe have evolved into a dynamic, responsive, multi-state education non-profit, operating numerous private and public/private partnership schools. The organization still firmly adheres to its policy to never give up on a child and that no student will be rejected, suspended, or expelled.Our mission is “To provide innovative solutions to critical problems in education and human services.” We bring a framework of educational practices that have been designed and are supported through evidence based practices. Our collaborative process with various school and community stakeholders has resulted in programs designed to educate, support, challenge, empower and celebrate students who present with a range of academic, social and emotional needs. At the beginning of a student's experience with us, a collaborative meeting is held that includes the student, significant people in their lives, our staff and other professionals as appropriate. During that meeting, a comprehensive assessment of the student's past, present and future desires is used to establish a student centered plan (MAP) that serves as a foundation of the student's programming. A guiding principle of us is ‘we do not give up', while also holding our students and staff to high expectations. The educational offerings at our program provides students with a quality education that is designed to nurture and enhance the skills and maturity needed to meet the challenges of being productive adults and citizens in a rapidly changing 21st century world.Students Served: PK-21
$37k-53k yearly est. 5d ago
Medical Records Specialist
Primecare Community Health 3.9
Medical coder job in Chicago, IL
39 Paid Days Off Each Year
The Medical Records Specialist is responsible for processing all release of information, specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. The Medical Records Specialist must always 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 PrimeCare's policy and HIPAA regulations.
Duties and Responsibilities
Reviews all medical records forms for completeness and ensures that each provider has initialed, dated, and signed all paperwork before being scanned.
Sorts, maintains, and scans documents, correspondence, labs, and tests into the electronic medical record within 24 hours following established chart organization.
Ensures HIPAA, consent for treatment, and other required documents are updated annually and in the medical record.
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 medical record.
Ensures medical records are assembled in standard order and are accurate and complete.
Required Knowledge, Experience, or Licensure/Registration
High School diploma, G.E.D., or work experience commensurate with work experience
Two years previous medical office experience (preferred)
Computer experience
Bilingual (English/Spanish) preferred
Good communication and interpersonal skills
Strong customer service skills
Ability to organize and manage multiple tasks
Comfortable bringing new ideas, process improvement suggestions, and feedback to management
Benefits
27 days of PTO each year, accrued each pay period
3 personal days
1 floating holiday
8 paid holidays
Medical/Dental/Vision coverage available the 1st of the month following 30 days
Company-paid life, short-term disability, and long-term disability coverage
Discretionary 403(b) match and profit sharing after meeting service requirements
Flexible spending accounts
Accident & critical illness coverage
Pet insurance
Salary
All wages are based on relevant years of experience. The minimum rate is the wage that someone without medical record specialist experience will earn.
PrimeCare Health is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all applicants. Therefore, PrimeCare does not discriminate on the basis of creed, color, national origin, sex, gender identity, sexual orientation, age, religion, marital or parental status, alienage, disability, political affiliation or belief, military or military discharge status.
$32k-37k yearly est. Auto-Apply 10d ago
Medical Records Specialist
Heritage Behavioral Health Center 4.0
Medical coder job in Decatur, IL
Medical Records Specialist - Decatur, Illinois
Salary: $18 - $23/hour (range is based on education and experience in this role)
Schedule: Full-Time | Every other Friday off (paid wellness day)
Looking for a career where your work truly matters? Heritage Behavioral Health Center is hiring passionate professionals!
About Heritage Behavioral Health Center
We are a mission-driven Certified Community Behavioral Health Clinic located in Decatur, Illinois, dedicated to improving mental health and substance use care for individuals across a multi-county area. At Heritage, we recognize that every role impacts client care-no matter the position.
Why You'll Love Working Here:
Collaborative, mission-driven work environment
Every other Friday off - paid wellness days
Competitive salaries aligned with state and national benchmarks
At Heritage, we believe in taking care of our staff so they can focus on caring for the individuals we serve. Our team members are our greatest asset-and we treat them as such!
Your Role: Medical Records Specialist
As a Medical Records Specialist, you will play a vital role in maintaining accurate and confidential client records to support quality care.
Core Responsibilities:
Digitize all patients' existing paper records and information
Distribute and relocate medical charts within the agency
Maintain accurate records by following agency procedures
Ensure patient charts, paperwork, and reports are completed accurately and on time
Keep all medical records confidential and protected
Complete clerical duties including answering phones, responding to emails, and processing patient admission and discharge records
Knowledge, Skills, and Abilities:
Proven work experience as a Medical Records Clerk or similar role
Proficient in information management programs and MS Office
Strong attention to detail with excellent organizational skills
Relevant training and/or certifications as a Medical Records Clerk
Good written and verbal communication skills
Qualifications:
High school diploma or equivalent (minimum requirement)
Computer proficiency in Microsoft Office (Word, Excel, Outlook)
Data entry experience
Proven excellence in customer service
Ability to manage multiple tasks simultaneously
Experience working with a wide variety of customers including individuals with mental illness or substance use disorders
Reliable transportastion
What We Offer:
Generous Time Off: Vacation, sick, personal, and holiday leave
Wellness Benefits: Paid wellness day every other Friday, Employee Assistance Program (EAP), and fitness reimbursement
Insurance: Health, dental, vision, flexible spending accounts, and additional life insurance. Health insurance includes substantial agency contributions toward the cost.
Retirement: 401(k) and Roth options
Professional Growth: Tuition assistance and continuing education opportunities
Loan Forgiveness: Eligible through the National Health Service Corps
Ready to make a difference? Apply today and join a team that cares about your well-being as much as the individuals we serve!
$18-23 hourly Auto-Apply 17d ago
Medical Reimbursement Specialist
Gailey Eye Clinic 3.2
Medical coder job in Bloomington, IL
The Medical Reimbursement Specialist is responsible for all aspects of posting payments and answering calls from patients, insurance companies, and satellite offices regarding billing and insurance questions.
Essential Functions and Responsibilities:
Accurately posts all patient payments, insurance payments, denials, and no pays in a timely manner.
Calculates Estimated Out of Pockets.
Answer calls and work closely with patients, insurance companies, and satellite offices regarding billing and insurance questions.
Participates in departmental activities with team members which include cross-training, process improvement, and professional development.
Inform the patient accounts manager or lead of any changes and updates concerning the collection or payments of accounts.
Other duties as assigned.
This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, duties, skills, or working conditions associated with a particular job. It is intended to be only a general description of the principal requirements common to positions of this type. Employees in this job may perform other duties as assigned.
Minimum Job Requirements (Education, Experience, Skills):
High school diploma or equivalent.
Medical office experience preferred.
Great attention to detail and data entry accuracy.
Ability to handle all interactions in a professional, friendly, and enthusiastic manner.
Excellent and professional customer service skills.
Regular and reliable attendance is required.
Physical Demands:
This position requires incumbent to sit at desk and/or stand for long hours during regularly scheduled work hours. This job may include, but are not limited to sitting, reaching, stooping, crouching, kneeling, climbing, twisting, hearing and repetitive motions. Incumbent must have the ability to lift up to 25 pounds. Travel could be required to satellite offices.
Working Conditions and Environment:
Incumbent works in a temperature controlled medical office environment.
Pay: The starting range for this position is $17.00 - $19.74/hr. depending on skills, experience, and qualifications as well as market considerations. (posting updated 1/2/2025)
How much does a medical coder earn in Champaign, IL?
The average medical coder in Champaign, IL earns between $33,000 and $64,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.