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
Medical coder job in Chicago, IL
Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (*****************************************************
Pay Range: $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
This position is responsible for overseeing the billing, coding guidelines and entire charge capture process for physicians including research charges for Rush University. This includes reconciliation of all charge tickets, assigning ICD-9, and ICD-10, and CPT codes, correct use of modifier linkage, and ensuring correct coding and billing government guidelines are followed. In addition, this individual will play a pivotal contact role with other Rush Departments and physicians to ensure compliance with Rush billing protocols. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures, including complying with all Rush University Medical Group Customer Service Standards. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
* Three years' experience in medical billing setting with active, practical experience with ICD-9, ICD-10 and CPT coding.
* Experience with the Center for Medicare and Medicaid regulations and 3rd party reimbursement.
* Coding Certification thru AAPC or AHIMA.
* RHIA/RHIT pending eligible.
* Ability to act independently, as necessary in coding, analyzing, reconciling, and updating billing activity.
* Strong communication, organization, critical thinking and problem solving skills.
* Ability to multi-task.
* Conscientious work habits, initiative, and dependability.
Preferred Job Qualifications:
* Associate or Bachelor's Degree.
Responsibilities:
1. Coordinate outpatient and inpatient physician and/or facility charge capture.
2. Responsible for abstracting and interpreting medical record data to assign appropriate CPT,ICD-9 and ICD-10 codes per CMS guidelines and regulations pertaining to coding and billing.
3. Review physician documentation of evaluation and management coding within a patient's medical record for accuracy and compliance in billing codes.
4. Collect and report missing, incorrect or incomplete charge slips to supervisor and practice administrator and maintain follow-up binder system to facilitate complete charge capture.
5. Correct any claim errors relating to coding on charges entered into the work queues.
6. Responsible for working and resolving coding denials.
7. Provide education to providers and staff regarding proper workflows and correct coding and documentation practices per state and federal regulations.
8. Attend appropriate training sessions and continuing education on current coding practices to stay up to date on physician billing practices.
9. Must maintain necessary CME required by AAPC or AHIMA
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Coder
Medical coder job in Waukegan, IL
Job DescriptionAI Coder
Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems.
They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models.
Why Join This Team?
Earn up to $32/hr, paid weekly.
Payments via PayPal or AirTM.
No contracts, no 9-to-5. You control your schedule.
Most experts work 5-10 hours/week, with the option to work up to 40 hours from home.
Join a global community of experts contributing to advanced AI tools.
Free access to the Model Playground to interact with leading LLMs.
Requirements
Bachelor's degree or higher in Computer Science from a selective institution.
Proficiency in Python, Java, JavaScript, or C++.
Ability to explain complex programming concepts fluently in Spanish and English.
Strong Spanish and English grammar, punctuation, and technical writing skills.
Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer.
What You'll Do
Teach AI to interpret and solve complex programming problems.
Create and answer computer-science questions to train AI models.
Review, analyze, and rank AI-generated code for accuracy and efficiency.
Provide clear and constructive feedback to improve AI responses.
Apply now to help train the next generation of programming-capable AI models!
Coding Specialist II
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!
GENERAL SUMMARY:
Analyzes physician/provider documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. 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, and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers.
These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Mercy 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.
Duties and Responsibilities:
* 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
* Insight Hospital coding policies
* Knows, understands, incorporates, and demonstrates the Insight Hospital in behaviors, practices, and decisions.
* Adheres to Insight Hospital 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 in determination of diagnoses procedures and modifiers to be coded and/or for APC assignment.
* Codes Emergency Department and Outpatient Observation utilizing encoder software and online tools and references, in the assignment of ICD, CPT, and HCPCS codes and 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 or charges) 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 is 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.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
* Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate 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), or Registered Health Information Administrator (RHIA) is required.
* Two years of current acute care coding emergency department and observation or physician coding experience is required.
* 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 is desirable.
* Well-developed 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 skills.
* 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-Chicago.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS:
* 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 the 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!
Medical Coder - 3041267
Medical coder job in Chicago, IL
. Principal Duties and Responsibilities: • Review clinical documentation in order to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system
• Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines
• Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed
• May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.
• Provides coding feedback to providers, clinical department leadership, and revenue cycle team
• Assist coding educators with education regarding documentation improvement
• Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans
• Assists with design and implementation of workflow updates and coding tools
• Support denial team on coding related denials
• Special projects as assigned
Knowledge, Skills and Abilities:
1. Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required; Certified Interventional Radiology Cardiovascular Coder (CIRCC) a Plus.
2. In lieu of CPC or CCS-P certification we 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.
3. A minimum of two (3) years of coding experience in Radiology Coding/ Prior experience in an academic institution preferred
4. Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines.
5. Demonstrates an 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.
6. Demonstrates commitment to continuous learning and performs as a role model to other coding staff.
7. Experience working in a Teaching Hospital setting preferred.
8. Strong communication and organizational skills.
9. Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge, experience in Epic Ambulatory a plus
Per the HM:
"We are transitioning from Solventom to bring the coding for radiology and intervention radiology in-house. This will be a big undertaking as these services have been coded by a vendor for many years. We are looking for a seasoned coder that has in-depth knowledge regarding all kinds of radiology services and IR coding if possible. Radiology experience is a must and certification is a plus."
Medical Coder (In-Person)
Medical coder job in Burr Ridge, IL
Job Description
Innovative Ventures (affiliated with Metro Infectious Disease Consultants) is seeking a Full-Time Medical Coder who would be responsible for abstracting clinical information from a variety of medical documents and assigning appropriate ICD 10 C and/or CPT codes for the purpose of billing, using the International Classification of Disease and the Current Procedural Terminology.
This role would be located in-person (M-F) at the corporate location in Burr Ridge, IL.
Specific Duties (examples):
Review paper and electronic documents to abstract diagnosis and identify specific coding.
Detects billing compliance issues and addresses appropriately.
Clarify information or diagnosis by communicating with health care providers.
Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information.
Communicate with nursing for needed documentation for accurate coding.
Code physician office, hospital inpatient and outpatient visits for Infectious Disease and Rheumatology.
Assist billing department with billing, entering charges, entering demographics and processing monthly refunds.
Other duties as defined.
Requirements
High School Diploma or Equivalent Required
Current certification as a coding specialist preferred
Knowledge of medical terminology; ICD10, CPT-4, and HCPCS preferred
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
401(k)
Profit Sharing
Paid time off
Holiday Pay
$70,000-$75,000 ($22/hour + monthly bonus)
Orthopedic Medical Coder
Medical coder job in Westchester, IL
It's the people that make the difference. Are you ready to make your impact?
Midwest Orthopaedics at Rush is nationally recognized as a leader in comprehensive orthopedic services. The Orthopedic Program at Rush University Medical Center is ranked top 10 in Orthopedics by U.S. News and World Report. Founded in 2003, MOR is comprised of internationally-renowned Orthopedic and Spine surgeons who pioneer the latest advances in technology and surgical techniques to improve the lives and activity levels of patients around the world. MOR doctors are the official team physicians for the Chicago White Sox, Chicago Bulls, Chicago Fire Soccer Club and DePaul University Athletics.
Ready to join in? We are looking for a full-time, Medical Coder, with experience in orthopedic surgical coding, to be based at our corporate office in Westchester, IL. This position will be Monday thru Friday, no weekends or holidays.
Responsibilities
Performs audits of charges submitted, corrects errors, and develops procedures to eliminate future errors from occurring.
Ensures all encounters are properly entered with billing submitted, by making necessary corrections in the physician practice management system and billing submission systems.
Generates reports to review overall coding for accuracy and completeness, and to develop enhancements to the coding process.
Maintains a working knowledge of coding rules and regulations and the associated resources available, as well as familiarity with appropriate modifier usage.
Researches all information needed to correct and complete the billing process, including obtaining charge information from physicians, nursing staff, and/or technicians.
Responsible for working and managing the surgical appeals regarding Coding claim denials.
Ability to appropriately correspond with physicians and others in a professional manner regarding Coding scenarios and issues.
Other duties as assigned.
Education and/or Experience
High school diploma or general education degree (GED)
At least 3 years' experience as a Certified Medical Coder. Orthopedic surgical coding experience required.
Knowledge of CPT and ICD-9/ICD-10 codes.
Knowledge of utilizing the books for these codes, CodeX, EncoderPro, and Coding Companion for Orthopaedics Surgeons.
Knowledge of medical terminology and office procedures.
EMR; Athena experience is a plus.
Certificates, Licenses, Registrations
Certified Medical Coder
What's in it for you? MOR offers their employees a comprehensive compensation and benefits package.
Pay Range: $25.00 - $30.00 per hour. Compensation at MOR is determined by many factors, which may include but are not limited to, job-related skills and level of experience, education, certifications, geographic location, market data and internal equity. Base pay is only a portion of the total rewards package.
Medical, Dental and Vision Insurance.
Paid Time Off and Paid Holidays.
Company-paid life and long-term disability insurance.
Voluntary life, AD&D, and short-term disability insurance.
Critical Illness and Accident Insurance.
401(k) Savings Plan.
401(k) Employer Contribution.
Pet Insurance.
Commuter Benefits.
Employee Assistance Program (EAP).
Tax-Advantaged Accounts (FSA, HSA, Dependent Care FSA).
HSA Employer Contribution (when enrolled in a HDHP).
Tuition Reimbursement.
Excellent working relationship with prestigious group of physicians in Orthopedics in the US and #1 in Illinois and Indiana.
Our employees make the difference in our patients' lives, and we value their contributions. Midwest Orthopaedics at Rush offers a comprehensive compensation and benefits package and an opportunity to grow and develop your career with an industry leader. Come see what we're all about.
CODING Apprenticeship
Medical coder job in Chicago, IL
Thank you for your interest in i.c.stars! YOUR FUTURE IN TECH, STARTS TODAY!
We are now accepting applications for the upcoming cycle. APPLY TODAY!
Who are we?:
i.c.stars |* is an immersive, technology-based leadership training program for promising young adults.
The basics:
Participants in the program start as *Interns. As an i.c.stars |* Intern, you participate in a 16-week paid training program, which includes:
project-based learning to build leadership skills and emotional intelligence
core technical skills training in coding: JavaScript, HTML, CSS, C#, and SQL
Networking opportunities with Executives and Professionals in the IT field
Career preparation and placement assistance
Upon completing the 16-weeks, *Interns graduate to become *Residents. Residency includes:
20 months of professional and social service support
Access to laptops and software
Business and Leadership Development events
College Enrollment Assistance
Our minimum requirements:
Minimum age 18 or older
Demonstrate financial need
GED recipient or High School graduate (Bachelor degree candidates are not eligible, some college accepted)
Have never attended a coding bootcamp in the past
Available to attend training from 8AM-8PM, Monday-Friday for 16 weeks
6 months previous full-time work experience preferred
Agree to a strict 'On Time, No Absence' policy
Medical 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.
Mental Health Coder
Medical coder job in Merrillville, IN
We are seeking a highly skilled and detail-oriented Mental Health Coder to join our team. The ideal candidate will be responsible for accurately coding mental health and behavioral health services, including psychotherapy, psychological testing, neuropsychological testing, treatment plans, and all relevant add-on codes.
Key Responsibilities:
Review and analyze clinical documentation to ensure accurate coding of mental health services.
Apply current coding guidelines for psychotherapy, psychological testing, and neuropsychological testing.
Code treatment plans and ensure all add-on codes are utilized correctly.
Maintain up-to-date knowledge of coding changes, regulations, and best practices in mental health coding.
Collaborate with healthcare providers to clarify documentation and coding requirements.
Conduct audits and provide feedback to improve coding accuracy and compliance.
Stay informed about changes in mental health and behavioral health regulations.
Qualifications:
Certification in medical coding (e.g., CPC, CCS, CCA) preferred.
Minimum of 2 experience in mental health coding.
Strong knowledge of ICD-10, CPT, and HCPCS coding systems related to mental health.
Familiarity with electronic health record (EHR) systems.
Excellent attention to detail and organizational skills.
Strong communication skills, both written and verbal.
Ability to work independently and as part of a team.
How to Apply:
Interested candidates should submit their resume and a cover letter detailing their relevant experience to ************************* with the subject line "Mental Health Coder Application."
Easy 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-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 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
Coder
Medical coder job in Chicago, IL
Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity **Work Type:** Full Time (Total FTE between 0.9 and 1.0) **Shift:** Shift 1 **Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (*****************************************************
**Pay Range:** $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
**Summary:**
This position is responsible for overseeing the billing, coding guidelines and entire charge capture process for physicians including research charges for Rush University. This includes reconciliation of all charge tickets, assigning ICD-9, and ICD-10, and CPT codes, correct use of modifier linkage, and ensuring correct coding and billing government guidelines are followed. In addition, this individual will play a pivotal contact role with other Rush Departments and physicians to ensure compliance with Rush billing protocols. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures, including complying with all Rush University Medical Group Customer Service Standards. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
**Other information:**
**Required Job Qualifications:**
-Three years' experience in medical billing setting with active, practical experience with ICD-9, ICD-10 and CPT coding.
-Experience with the Center for Medicare and Medicaid regulations and 3rd party reimbursement.
-Coding Certification thru AAPC or AHIMA.
-RHIA/RHIT pending eligible.
-Ability to act independently, as necessary in coding, analyzing, reconciling, and updating billing activity.
-Strong communication, organization, critical thinking and problem solving skills.
-Ability to multi-task.
-Conscientious work habits, initiative, and dependability.
**Preferred Job Qualifications:**
-Associate or Bachelor's Degree.
**Responsibilities:**
1. Coordinate outpatient and inpatient physician and/or facility charge capture.
2. Responsible for abstracting and interpreting medical record data to assign appropriate CPT,ICD-9 and ICD-10 codes per CMS guidelines and regulations pertaining to coding and billing.
3. Review physician documentation of evaluation and management coding within a patient's medical record for accuracy and compliance in billing codes.
4. Collect and report missing, incorrect or incomplete charge slips to supervisor and practice administrator and maintain follow-up binder system to facilitate complete charge capture.
5. Correct any claim errors relating to coding on charges entered into the work queues.
6. Responsible for working and resolving coding denials.
7. Provide education to providers and staff regarding proper workflows and correct coding and documentation practices per state and federal regulations.
8. Attend appropriate training sessions and continuing education on current coding practices to stay up to date on physician billing practices.
9. Must maintain necessary CME required by AAPC or AHIMA
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
**Position** Coder
**Location** US:IL:Chicago
**Req ID** 22807
Coder
Medical coder job in Chicago, IL
Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems.
They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models.
Why Join This Team?
Earn up to $32/hr, paid weekly.
Payments via PayPal or AirTM.
No contracts, no 9-to-5. You control your schedule.
Most experts work 5-10 hours/week, with the option to work up to 40 hours from home.
Join a global community of experts contributing to advanced AI tools.
Free access to the Model Playground to interact with leading LLMs.
Requirements
Bachelor's degree or higher in Computer Science from a selective institution.
Proficiency in Python, Java, JavaScript, or C++.
Ability to explain complex programming concepts fluently in Spanish and English.
Strong Spanish and English grammar, punctuation, and technical writing skills.
Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer.
What You'll Do
Teach AI to interpret and solve complex programming problems.
Create and answer computer-science questions to train AI models.
Review, analyze, and rank AI-generated code for accuracy and efficiency.
Provide clear and constructive feedback to improve AI responses.
to help train the next generation of programming-capable AI models!
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!
Medical Coder - 2909711
Medical coder job in Chicago, IL
Qualifications: - Outpatient Coder who can code all Hospital services - RHIA, RHIT, CCS, or COC Certification Job Descriptions: • Review clinical documentation in order to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system
• Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines
• Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed
• May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.
• Provides coding feedback to providers, clinical department leadership, and revenue cycle team
• Assist coding educators with education regarding documentation improvement
• Escalate coding and documentation issues to revenue cycle leadership, and assist in facilitating corrective action plans
• Assists with design and implementation of workflow updates and coding tools
• Support the denial team on coding-related denials
• Special projects as assigned
Coder
Medical coder job in Mundelein, IL
Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems.
They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models.
Why Join This Team?
Earn up to $32/hr, paid weekly.
Payments via PayPal or AirTM.
No contracts, no 9-to-5. You control your schedule.
Most experts work 5-10 hours/week, with the option to work up to 40 hours from home.
Join a global community of experts contributing to advanced AI tools.
Free access to the Model Playground to interact with leading LLMs.
Requirements
Bachelor's degree or higher in Computer Science from a selective institution.
Proficiency in Python, Java, JavaScript, or C++.
Ability to explain complex programming concepts fluently in Spanish and English.
Strong Spanish and English grammar, punctuation, and technical writing skills.
Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer.
What You'll Do
Teach AI to interpret and solve complex programming problems.
Create and answer computer-science questions to train AI models.
Review, analyze, and rank AI-generated code for accuracy and efficiency.
Provide clear and constructive feedback to improve AI responses.
to help train the next generation of programming-capable AI models!
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