Medical Coder
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 Medical Coder 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 Medical Coder 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 Medical Coder 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
Coder lll -Inpatient Coder
Medical coder job in Chicago, IL
WE ARE INSIGHT: At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!
These duties are to be performed in a highly confidential manner, following the mission, values, and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians,
volunteers, and guests.
POSITION PURPOSE: Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records 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, Clinical Modification (ICD-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI & ROM assignments and assignment of APC's and all required modifiers.
Assigns appropriate code(s) by utilizing coding guidelines established by:
* The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting
* American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification
* American Medical Association (AMA) CPT Assistant for CPT codes
* American Health Information Management Association (AHIMA) Standards of Ethical Coding
* Revenue Excellence/RHM Organization coding policies
ESSENTIAL FUNCTIONS:
* Knows, understands, incorporates, and demonstrates the Insight Hospital Mission, Vision, and Values in behaviors, practices, and decisions.
* Adheres to Insight Health confidentiality requirements as they relate to the release of any individual or aggregate patient information.
* Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs.
* Codes Complex Outpatient or Inpatient utilizing encoder software and online tools and references, in the assignment of ICD, CPT, HCPCS codes, MS-DRG, POA, SOI & ROM assignments, APC assignment and all required modifiers.
* Consults reference materials to facilitate code assignment.
* Understands appropriate link of diagnosis to procedure.
* Appends modifier(s) to procedure code or service when applicable.
* Collaborates with HIM and Patient Financial Services in resolving billing and utilization issues affecting reimbursement.
* Interprets bundling and unbundling guidelines (NCCI).
* Interprets LCDs/NCDs and payer policies.
* Tracks issues (i.e., missing documentation, charges or Inpatient queries that require follow-up to facilitate coding in a timely fashion).
* Investigates claims denials and/or appeals as directed.
* Consistently meets or exceeds coding quality and productivity standards.
* Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
* Identifies concerns and responsible for providing resolution of moderate to complex problems. Notifies appropriate leadership for resolution when appropriate.
* Performs other duties as assigned by Leadership.
* Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior
MINIMUM QUALIFICATIONS:
* Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate's degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor's degree in Health Information Management (HIM) or related healthcare field is preferred.
*
* Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA).
* Two (2) years of current Complex Outpatient or Inpatient coding experience is required. Three (3) to five (5) years of current Complex Outpatient or Inpatient coding experienced preferred. Current experience doing remote coding is a plus.
* Extensive comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG or APC grouping. Current experience doing remote coding is a plus.
* Current experience utilizing encoding/grouping software or CAC is preferred. Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred.
* Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools desirable.
* Strong written and oral communication skills, that may be used either on-site or in virtual working environments. Ability to communicate effectively with individuals and groups representing diverse perspectives.
* Ability to work with minimal supervision and exercise independent judgment.
* Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge. Must exhibit critical thinking skills and possess the ability to prioritize workload.
* Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills.
* Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions.
* Ability to change and be flexible with work priorities. Strong problem solving- abilities.
* Must be comfortable functioning in a virtual, collaborative, shared leadership environment.
* Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Insight Hospital, Chicago.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITION:
* Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles.
* Must possess the ability to comply with Insight Hospital policies and procedures.
* Must be able to spend majority of work time utilizing a computer, monitor, and keyboard.
* Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable.
* Must be able to work with interruptions and perform detailed tasks.
* If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading. Must be able to sit for long periods of time.
* Must be able to travel to Insight Hospital (10%) as applicable.
* If applicable, telecommuting (working remotely), must be able to comply with Insight Hospital Working Remote Policy.
Benefits:
* Paid Sick Time - effective 90 days after employment
* Paid Vacation Time - effective 90 days after employment
* Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month
* Short and long-term disability and basic life insurance - after 30 days of employment
Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs.
Insight is an equal opportunity employer and values workplace diversity!
Inpatient Coder - 3093509
Medical coder job in Chicago, IL
The Financial Coding Specialist reflects the mission, vision, and values of NM, 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.
Responsible for the translation of diagnoses and diagnostic/therapeutic procedures into codes using the International Classification of Diseases and Procedures and the Current Procedural Terminology systems. Generates accurate claims to insurance companies, verifying that infusion documentation and charges coordinate and appropriate modifiers are added. Research and resolves all inquiries from Revenue Cycle Departments in an efficient manner.
Responsibilities:
• Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
• Assigns Evaluation and Management codes for Facility Clinic visits
• Analyze and review clinical documentation to ensure documentation supports accurate charge capture and appropriate charging for services rendered
• Assigns appropriate CPT Collaborate with HB Coding, Revenue Integrity, Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise and HCPCS codes to medical procedures according to coding guidelines
• Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures
• Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant interprets coding conventions and instructional notes to select appropriate diagnose
Additional Functions
• Other duties as assigned
Qualifications
Required:
• Six months coding experience in an oncology setting. 2 years of physician and/or hospital billing including infusion billing.
• Thorough understanding of Medicaid, HMO's, PPO's and private insurance companies.
• ICD9, CPT, and chemotherapy infusion billing knowledge.
• Effective in identifying and analyzing problems.
• Generates alternatives and possible solutions.
• Above average keyboarding and data entry skills.
• Ability to multi-task and work in a fast-paced environment.
• Ability to work with physicians and other staff in a collaborative manner.
Preferred:
• Associate's degree
• CPC, CCS-P, COC, CCS, RHIT, or RHIA Certification
Certified Medical Coder
Medical coder job in Rockford, IL
The Certified Medical Coder is responsible for timely, accurate and comprehensive abstraction of provider services from the medical record, utilizing appropriate CPT-4 procedure and ICD-10 diagnosis codes. The Certified Medical Coder reviews the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges.
Coder II (Clinic & E/M Coding)
Medical coder job in Springfield, IL
**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. 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.
CODER CERTIFIED
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!
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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!
Auto-ApplyMedical Coder
Medical coder job in Skokie, IL
Medical Coder - ENT Specialty Focus
Employment Type: Full-time, Monday-Friday
Currence Physician Solutions, a subsidiary of ENT Partners, LLC, is a trusted leader in specialty revenue cycle management for over 40 years. We partner with ENT practices nationwide to deliver industry-leading billing, coding, and collections results - empowering physicians with the financial clarity to focus on patient care.
ENT Partners supports physicians in providing comprehensive ENT, Allergy, Audiology, and Sleep Medicine services while alleviating administrative burdens. Today, we support practices of all sizes - solo practitioners to large multi-site groups - across more than 25 clinics throughout the Midwest and East Coast.
Role Description
We are seeking a Medical Coder (ENT Specialty Focus) to join our high-performing coding team. This role is critical to ensuring the accuracy, compliance, and efficiency of our revenue cycle operations. While ENT experience is strongly preferred, we are open to coding professionals eager to specialize and grow in this unique field.
The ideal candidate is detail-oriented, thrives in a collaborative environment, and brings both technical accuracy and professional curiosity to support practice growth. This is a chance to join a national platform where your work directly impacts provider success and patient access to care.
Key Responsibilities
Assign accurate ICD-10, CPT, and HCPCS codes for ENT, Allergy, Audiology, and Sleep Medicine services.
Review provider documentation for completeness and compliance prior to coding.
Partner with providers and clinical staff to clarify documentation when needed.
Ensure coding practices meet CMS, payer-specific, and industry guidelines.
Research and resolve coding-related denials; assist with resubmission of corrected claims.
Stay current with coding updates, payer changes, and specialty-specific regulations.
Navigate and utilize EMR/EHR and billing systems (ECW, Epic, AdvancedMD experience preferred).
Maintain strict adherence to HIPAA and patient confidentiality.
Qualifications
High school diploma required, Associate's or Bachelor's in Health Information Management or related field preferred.
2+ years of medical coding experience in a healthcare or revenue cycle setting (ENT coding experience highly preferred).
Proficiency in ICD-10, CPT, and HCPCS.
Familiarity with ENT, Allergy, Audiology, or Sleep Medicine coding strongly preferred.
Certification (CPC, CCS, or equivalent) required or actively pursuing.
Strong knowledge of healthcare billing and insurance processes.
Excellent accuracy, attention to detail, and analytical/problem-solving skills.
Ability to work both independently and collaboratively within a team.
Compensation & Benefits
Pay: $23.00-$25.50 per hour, based on experience and qualifications.
Benefits include:
401(k) with company match
Medical, dental, vision, life, and disability insurance
Paid time off and holidays
Certification reimbursement & professional development assistance
Employee referral program
Why Join Us?
Be part of a national ENT platform with a reputation for excellence.
Develop specialty coding expertise in ENT, a growing and dynamic field.
Enjoy a supportive, collaborative environment with strong leadership.
Gain exposure to multiple practice operations and broaden your professional skill set.
Join a company that values growth, compliance, and innovation in healthcare.
ENT Partners is a drug-free workplace and an Equal Opportunity Employer.
Medical Device QMS Auditor
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.
Auto-ApplyMedical Device QMS Auditor
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.
Auto-ApplyHOME HEALTH CODER/OASIS (PT DAYS)
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.
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
Auto-ApplyCertified Coding Specialist
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.
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Medical Records Specialist Home Health - Full-time
Medical coder job in Springfield, IL
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:
* 30 days PDO - Up to 6 weeks (PDO includes company observed holidays)
* Continuing education opportunities
* Scholarship program for employees
* Matching 401(k) plan for all employees
* Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
* Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
* Flexible spending account plans for full-time employees
* Minimum essential coverage health insurance plan for all employees
* Electronic medical records and mobile devices for all clinicians
* Incentivized bonus plan
Responsibilities
Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record.
Qualifications
Education and experience, essential
* Must possess a high school diploma or equivalent.
* Must have demonstrated experience in the use of a computer, including typing and clerical skills.
* Must have basic demonstrated technology skills, including operation of a mobile device.
Education and experience, preferred
* Six months experience in medical records in a health care office is highly preferred.
Requirements*
* Must possess a valid state driver license
* Must maintain automobile liability insurance as required by law
* Must maintain dependable transportation in good working condition
* Must be able to safely drive an automobile in all types of weather conditions* For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license.
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
Auto-ApplyEMS Biller and Coder
Medical coder job in Elmhurst, IL
EMS Biller and Coder
We are currently looking for an EMS Biller and Coder to join our Billing Department team! Below lists the duties, responsibilities and the qualifications needed for this position. We will train the right individual!
The EMS Biller and Coder are responsible for scrubbing sites for active health Insurance while complying with insurance, local, state, and federal billing. The EMS Biller and Coder are liable for adding appropriate key identifiers from the Patient Care Reports with coordinating ICD codes.
All representatives will conduct insurance verification as needed and are required to complete prebilling training to qualify for the role.
Responsibilities
Responsibilities of the EMS Biller and Coder
Reviews Patient Care Report thoroughly, utilizing all available documentation to establish medical necessity, selection of levels of service, origin/destination modifiers and the patient's condition at time of transport.
Keeps an open line of communication with internal and external departments in a professional, tactful manner to obtain missing documentation or to clarify existing documentation.
Assigns condition codes for the reason(s) of the transport with a minimum of 95% accuracy.
Meets established minimum coding productivity standards especially during training.
Reviews reports thoroughly to bill appropriately while following policies and procedures.
Utilizes software applications to complete pending assignments paying attention to urgent requests.
Attends department meetings and education sessions to further knowledge of billing and coding guidelines.
Places phone calls to insurance payers to obtain patient policy numbers when not available on insurance sites or other available documentation.
Ensure accuracy in data entry and consistent attention to detail while advancing with short keys for speed.
Demonstrates knowledge and compliance of insurance, local, state, and federal billing.
Ability to complete tasks efficiently both individually and in a group environment.
Handle assigned correspondence fulfilling any other duties as assigned by managerial staff.
Key Skills of the EMS Billing Coordinator
Well-versed with medical billing practices that include an understanding of insurance billing codes, regulations, and procedures.
Ability to investigate and resolve billing errors and disputes.
Effective communication skills with clients, insurance companies, patients, staff members and management.
Ability to manage multiple tasks and meet deadlines.
Must have great attention to detail with high accuracy.
Qualifications
Qualifications of the EMS Biller and Coder
College preferred but not ; Medical Billing or Coding Certified preferred but not .
Minimum two years' experience in customer care, account management or similar role.
Healthcare and Auto knowledge is preferred.
Must be a quick learner and motivated individual with excellent verbal communications skills.
Fluency in second language is a plus, Spanish preferred.
Ability to “multi-task” and manage spurs of high call volume / stress.
Positive, can-do attitude and with good judgement demonstrating ability to escalate account when needed.
Ability to receive and implement feedback.
Computer and Office Qualifications of the EMS Biller and Coder
Computer literacy is a must; Typing skillset of at least 45 WPM is highly desired
Experience working in an active office environment.
Must be able to work with 2 monitors and split screens to operate multiple sites simultaneously.
Must be able to sit / stand for 8 hours minimum in an office environment
Must be able to use Word, Excel Spreadsheet, Email, Chat Applications, and other software applications.
Must be able to read, comprehend, and apply job-related rules, policies, and procedures.
Salary or Wage Range USD $19.00 - USD $23.00 /Hr. rates offered based on years of experience
Auto-ApplyCertified Peer Specialist
Medical coder job in Saint Louis, MO
Job Title: Certified Peer Specialist
Department: Outpatient Services
Employment Type: Full-time
In this rewarding role, you will utilize your own experiences with mental health and/or substance use disorders to inspire hope and growth in others pursuing recovery. By connecting clients with valuable resources and offering guidance through peer support, you'll play a vital role in helping them navigate their journeys towards healing and independence.
Key Responsibilities:
Assist participants in developing treatment plans.
Complete regular communication with referral sources/guardians regarding progress, transition planning, and pertinent clinical issues and documentation.
Participate in staffing to assure continuity of care.
Make or assist in outside referral of issues not able to be addressed within the treatment milieu.
Assist in scheduling of treatment and arranging transportation.
Represent the agency in a professional manner.
May assist in the referral for medical issues of clients.
Document all services provided in accordance with appropriate state/CARF standards.
Provide crisis intervention as necessary.
Facilitate group education as scheduled.
Obtain trainings to assist in professional development meeting 36 hours every 2 years.
Education and/or Experience Qualifications:
Current certification as a Certified Peer Specialist (CPS) in the State of Missouri. If you don't currently have Peer Specialist credentials to meet this job requirement, you can submit an application to the state here: CPS Credential Application - Missouri Credentialing Board
Must self identify as a present or former client of mental health or substance use services OR self identify as a person in recovery from mental health or substance use disorder.
Be at least 21 years of age
Have a high school diploma or equivalent
New hire will complete a 5-Day Basic Training Program; following which, the individual must pass a State of Missouri approved certification examination within six months.
Position Perks & Benefits:
Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
Top-notch training: initial, ongoing, comprehensive, and supportive
Career mobility: advancement opportunities/promoting from within
Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness
Brightli is on a Mission:
A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.
As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.
We are an Equal Employment Opportunity Employer.
Preferred Family Health Care is a Smoke and Tobacco Free Workplace.
Auto-ApplyCertified Bilingual Specialist LBS2 (Chicago, IL - Midway)
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
Clerk III - Health Information
Medical coder job in Virden, IL
QUALIFICATIONS * Grade 12 education (MB Standards) or equivalent * Completion of a recognized Medical Terminology course or program * Recent experience in a patient reception/care area, specifically in registration of patients within an ADT system * Demonstrated knowledge of electronic health records (EHR) applications applicable to a hospital setting including ADT, clinical information systems, and electronic document management specific to scanning, retrieval, and indexing of health information
* Proficiency with Microsoft programs (Outlook, Word, Excel, Access and PowerPoint), as well as Internet applications and other Information Technology
* Above average understanding of privacy legislation including the Personal Health Information Act and the Mental Health Act, and regional policy and procedures related to confidentiality, use, and disclosure of personal health information
* Accurate keyboarding skills, with minimum 50 wpm
* Demonstrated knowledge and experience with health records management principles and processes
* Province of Manitoba Class 5 Drivers License, and access to a personal vehicle to provide service within Prairie Mountain Health
* Demonstrated organizational skills, and the ability to work independently
* Demonstrated problem solving and decision making skills
* Demonstrated flexibility to facilitate changes in techniques and procedures in a changing environment
* Demonstrated knowledge and competence of skills and concepts related to the position
* Demonstrated communication skills
* Ability to respect and promote confidentiality
* Ability to perform the duties of the position on a regular basis
* Ability to respect and promote a culturally diverse population
* Ability to work effectively and maintain positive working relationships with co-workers, clients and within interdisciplinary team
POSITION SUMMARY:
Reporting to the Manager, Health Information Services, the Clerk III Health Information is responsible for the accurate and timely registration and associated processing on the admission/ discharge/ transfer (ADT) system while adhering to provincial and regional Registration Guidelines and practices, supports communication within and outside of the facility and performs record processing and management functions, including secure storage.
RESPONSIBILITIES:
Overview:
* Registration and associated processing on the admission/ discharge/ transfer (ADT) system, including registrations, admissions, transfers, and discharges, adhering to provincial and regional registration guidelines and practices.
* Collect complete and accurate demographic and financial data including provincial health coverage and/or related 3rd party insurance.
* Complete all necessary registration forms, as required (e.g. patient labels/identification bands, financial forms, consent forms, provincial forms, releases, etc.)
* Retrieve clinical health information, as required (e.g. Allergy & Alert record).
* Release information in accordance with the Personal Health Information Act and the Mental Health Act and regional policy.
* Accurately complete and process Birth Registrations in accordance with the Vital Statistics Act.
* Follow downtime procedures for registration of patients / maintenance of ADT Downtime system.
* Reconciliation of ADT reports (e.g. midnight census) for admissions/discharges/transfers as well as copying and distribution following outlined procedures.
* Coordinate completion and processing of Death Registrations in accordance with the Vital Statistics Act.
* Maintenance of Morgue documentation, as required.
* Inform funeral homes of release and completion of certificate of death, as required.
* Coordinate funeral home and transport agency access to Morgue, as required.
* Retrieve, document & lock up patient valuables, as required.
* Coordinate and process appropriate bed placement within ADT with facility bed management personnel (i.e. Utilization Coordinators, Care Team Managers/Supervisors or facility designates), as required.
* Direct clients to appropriate clinical or treatment areas.
* Locate and retrieve records required for provision of care.
* Retrieve and return records as required.
* Review health records for accuracy and completion, in a timely manner, in accordance with minimum documentation requirements.
* Confirm and ensure regional chart sequence.
* Adhere to regional record processing practices to prepare and scan patient/clinical reports.
* Adhere to regional record management practices and policy for record security, storage and control and for retention and destruction of personal health information.
* Investigate and reconcile double health record numbers and overlays.
* Reconcile system information and prepare reports on a monthly basis or as required (e.g. month-end financial reports, third party billing reports, Area or Provincial Standards reports, etc).
* Operate switchboard to relay incoming calls.
* Page physicians and staff using paging equipment as well as overhead paging.
* Assist staff and the general public in a kind and helpful manner.
* Attend to various alarms at the Switchboard and notify the responsible department, (e.g. Blood Bank, Pharmacy, all CODES).
* Quick, appropriate and immediate response to the "Emergency" phone, if applicable, following established protocols.
* Respond to the buzzers for the various doors throughout the facility, if applicable.
* Maintain control of the keys for the facility, as required.
* Respond to patient inquiries via telephone.
* Comply with Provincial Productivity Standards re: job performance.
* Other duties as assigned.
Part Time Medical Records Clerk
Medical coder job in Bridgeton, MO
We are fast-paced, growing heart and vascular clinic seeking a Medical Records Clerk. In this role, you will be responsible for managing and maintaining medical records, ensuring accuracy and confidentiality of all patient information. You will also be responsible for entering data into the medical records system, verifying the accuracy of information and responding to requests for medical records. If you have strong organizational and interpersonal skills, enjoy working with computers, and have a strong attention to detail, this is the perfect opportunity for you.
Essential Functions of the Role:
Collect and maintain patient information, such as medical history, reports, and examination results.
Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system.
Compile data for insurance forms and reports.
Make sure medical records are secure, confidential, and stored properly.
Enter data into electronic medical records.
Retrieve medical records for physicians, technicians, and other medical personnel.
Process requests from attorneys and insurance companies for medical records.
Retrieve information from manual or automated files as requested.
Scan and index medical records into the appropriate system.
Answer telephone inquiries and assist with other clerical tasks.
Resolve any discrepancies in medical record information.
Contact patients, doctors, and other health care professionals to obtain missing information or records.
Minimum Qualifications:
High school diploma or equivalent
1-3 years of experience in medical records or related field
Knowledge of medical terminology
Familiarity with medical coding
Excellent organizational and communication skills
Strong computer skills
Ability to work independently
Ability to maintain confidentiality
Ability to multitask
Ability to work in a fast-paced environment
Work Environment
This position is Monday- Friday from 8:00 am - 5:00 PM.
Physical Requirements
This position requires full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk, and stand; talk or hear, both in person and by telephone; use hands repetitively to handle or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds.
Equal Employment Opportunity Statement
We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Salary and Benefits
Part-time, Non-Exempt position. Competitive compensation and benefits package to include 401K; a full suite of medical, dental, and ancillary benefits; paid time off, and much more.
The statements contained herein are intended to describe the general nature and level of work performed by the Medical Records Clerk, but is not a complete list of the responsibilities, duties, or skills required. Other duties may be assigned as business needs dictate. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.
Auto-ApplyHIM Coder
Medical coder job in Monticello, IL
Full-time Description
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.
Salary Description $20.22-$25.28 per hour DOE
Coder I - PFS Billing Department - FT M-F
Medical coder job in Gibson City, IL
Job Details Gibson City, IL Full Time $25.00 - $32.00 HourlyDescription
The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve.
PRINCIPLE DUTIES AND RESPONSIBILITIES
1. Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes.
2. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
3. Knowledge and understanding of how to properly code using medical coding books.
4. Follow up with the provider on any documentation that is insufficient or unclear.
5. Ensure that all codes are current and active.
6. Ensures appropriate, accurate/timely follow-up is action taken on all denials and rejections received.
7. Adequately responds to coding questions and provide clarification to colleagues.
8. Develops and maintains appropriate communication with clinics.
9. Appropriately refers all non-routine issues to management for clarification.
10. Re-code and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers.
11. Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
12. Monitor CPT's and Diagnoses to assure they are coded correctly prior to billing.
13. All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
Qualifications
PHYSICAL REQUIREMENTS
1. Must be competent in the usage of PC's keyboard, calculations, copy machine, printers and other office equipment.
2. Light level of physical effort required for a variety of physical activities to include lifting standing and sitting at a workstation for up to four hours at a time.
Physical strength to perform the following lifting tasks:
• Floor to waist - 10 pounds
• Waist to shoulder - 10 pounds
• Shoulder to overhead - 10 pounds
• Carry 10 pounds for 15 feet
3. Work requires visual acuity necessary to observe and obtain information and use documentation.
4. Auditory acuity to hear others for purposed of fluent communication.
REPORTING RELATIONSHIP
Reports to the Director(s) of Patient Financial Services.
EDUCATION, KNOWLEDGE AND ABILITIES REQUIRED:
1. Work requires knowledge of CPT, ICD-10, and HCPC codes.
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2. Must hold a current unexpired CPC or CCS certification from the AAPC, NHA, or AHIMA.
3. 2 years of previous experience with medical coding for a multi-specialty office or hospital system.
4. Knowledge of Medical Terminology.
5. Familiar with the Legal and Ethical Compliance with medical coding.
6. Previous experience in the policy and procedures of medical coding.
7. Requires analytical skills to evaluate medical charts and records.
8. Good communication skills to assist with coding questions and concerns from colleagues.
INFECTION EXPOSURE RISK LEVEL
Category 3 - No Risk - Your job does not involve exposure to blood, body fluids or tissue. You do not perform or help in emergency medical care or first aid as part of your job.
WORKING CONDITIONS
1. Works in an office where there are relatively few discomforts due to dust or dirt. There is some exposure to print noises.
2. Will work in an office with co-workers where traffic may be constant, subjecting your work to interruptions, which can produce stress and fatigue.
Medical Records
Medical coder job in Gainesville, MO
Job Description
About the Role:
The Medical Records position plays a critical role in managing and maintaining accurate and confidential health information for residents and employees. This role ensures that all medical documentation complies with legal, regulatory, and company standards, supporting occupational health and safety initiatives. The successful candidate will be responsible for answering phones, organizing, updating, and securely storing medical records to facilitate efficient retrieval and reporting, maintaining employee files, and assisting with human resources and payroll. Ultimately, the position supports a safe and healthy work environment by ensuring that medical data is handled with the utmost integrity and confidentiality. Hours are 8:30am - 3:00pm, Monday through Friday.
Minimum Qualifications:
High school diploma or equivalent required; associate degree or certification in health information management preferred.
Knowledge of data privacy laws and regulations, including HIPAA compliance.
Basic computer and phone skills.
Responsibilities:
Maintain and update resident and employee records in compliance with company policies and legal regulations.
Ensure confidentiality and security of all medical information in accordance with HIPAA and other relevant standards.
Coordinate with healthcare providers and internal departments to collect and verify medical documentation.
Respond to requests for medical information from authorized personnel while safeguarding privacy.
Skills:
The required skills are essential for accurately managing and safeguarding sensitive medical records on a daily basis, ensuring compliance with legal and company standards. teams. Data privacy is critical to protect resident and employee information and maintain trust.