Inpatient Coder II
Medical coder job in Centennial, CO
**Job Summary and Responsibilities** You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval,
analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a
designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and
productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all
facilities.
Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:
- Alabama- Arizona- Arkansas- Colorado
- Florida- Georgia- Idaho- Indiana
- Iowa- Kansas - Kentucky- Louisiana
- Missouri- Mississippi- Nebraska- New Mexico
- North Carolina- Ohio- Oklahoma- South Carolina
- South Dakota- Tennessee- Texas- Utah
- Virginia- West Virginia- Wyoming
**Job Requirements**
In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:
+ High School Diploma/ GED Required
+ Associate Degree Preferred
+ A minimum of 4 years coding experience preferably in an inpatient acute care setting or a minimum of 2 years' experience and successful completion of the organizations internal coding program.
+ Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC), required or must be certified within One Year of hire.
+ Must demonstrate competency of inpatient coding guidelines and DRG assignment.
+ Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems.
+ Experience successfully working in a remote environment, preferred
+ Demonstrate intermediate to advanced technical coding competency in ICD-10 CM, CPT-4, HCPCS and Coding Modifiers
+ Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e.3M)
**Where You'll Work**
We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.
**Pay Range**
$27.86 - $42.43 /hour
We are an equal opportunity employer.
Risk Adjustment Coder
Medical coder job in Denver, CO
Full-time Description
*Hybrid Role, must be located in State of Colorado*
Join Carina Health Network and help us make Colorado communities healthier!
Are you passionate about population health and interested in improving patient experience and outcomes? If so, we support several community health organizations (CHO), and this company is for you!
At Carina Health Network, we are transforming community health by delivering proactive, data-informed, and whole-person care that drives measurable impact. Our work helps people stay healthier longer, by supporting community health organizations who have patients with chronic conditions like diabetes and high blood pressure, ensuring regular check-ups for older adults, and identifying mental health needs early. We help community health organizations prevent costly ER visits by connecting people with the right care at the right time. Through our value-based care programs, we empower frontline care teams to improve outcomes while earning fair, sustainable reimbursement. By saving money and reinvesting in community services, we strengthen the systems that care for the most vulnerable, making a real difference in the lives of patients and providers alike. Join us in reimagining the future of health care, where your work truly matters.
What You'll Do
The Value Based Coding Advisor will interact with operational and clinical leadership to assist in the identification of Risk Adjustment/HCC coding opportunities, and will provide targeted education to CHC providers, billers, coders, and support staff to support value-based contract initiatives.
Risk Adjustment/HCC Coding Support and Education
Educates providers and staff on coding regulations and changes as they pertain to risk adjustment and quality reporting to ensure compliance with federal and state regulations.
Assist the department, direct supervisor and Carina in the development of education tools related to risk adjustment/HCC coding and gap closure.
Supports the creation of education that will train CHC providers, billers, coders, and support staff, as well as Carina staff, for risk adjustment/HCC coding opportunities.
Maintains a database with the results of all medical chart reviews performed, with ability to report on progress and statistics on coding initiatives.
Pre-Visit Planning (PVP)
Performs weekly Pre-Visit Planning reviews for assigned CHC's and will query providers or other identified team member to further
Value-based contract initiatives including coding recommendations based on internal and external medical records, review of payer portals and suspected conditions, and review of care gap and clinical documentation.
CHC Support
Holds monthly meetings with identified coding champions, provide education and training to CHC providers, billers, coders, and support staff in proper coding guidelines; and documentation education based on PVP observations and monthly topics.
Provides monthly chart reviews of randomly selected patients and providers participating in Pre-Visit Planning (PVP) program to give feedback on missed opportunities and errors.
Gap Closure Success
Reviews patient charts to identify areas for quality gap closures and provide compliant documentation to appropriate payers resulting in gap closures for assigned CHC's.
Ensures that providers understand CPT II coding for the purposes of quality gap closure and reporting.
What We're Looking For
High School diploma or equivalent.
Minimum 2 years coding experience
The American Academy of Professional Coders (AAPC) Certified Risk Adjustment Coder (CRC) or AHIMA certification is required; Certified Professional Coder (CPC) Certification will be considered with Risk Adjustment/HCC Coding experience and willingness to obtain CRC within 1 year of employment
Risk Adjustment experience required.
FQHC billing experience is highly preferred
Experience with clinic billing and coding required
Knowledge of several EHR systems preferred (ECW, Athena, Greenway Intergy, Epic).
Clinical background preferred
Strong knowledge of CMS coding and quality guidelines.
Strong knowledge of PowerPoint, excel and Microsoft word with the ability to manipulate basic information and data required for preparing reports and delivering training.
Exceptional interpersonal, public speaking, and presentation skills to deliver training and education is preferred.
Ability to facilitate group discussions that challenge participants and promote discussion of new approaches and solutions based on data and value-based care initiatives.
Ability to travel to and within the state of Colorado- 25% travel within the state of Colorado with an unrestricted driver's license and an insured vehicle.
Working Environment
Work from home with 25% travel responsibilities within the state of Colorado
Prolonged periods of sitting at a desk and working on a computer
Why You'll Love Working Here
Insured group health, dental, & vison plans (Employer covers 100% cost for dental and vision)
Medical and dependent care flexible spending account options
*$900 Employer Contributions towards your choice of a Health Reimbursement Employer (HRA) or Health Savings Account (HSA)
401k retirement plan with up to a 4% employer contribution match
100% Employer-Paid Life, AD&D, Short-Term and Long-term disability plans paid for employees
Free 24/7 access to confidential resources through an Employee Assistance Program (EAP)
Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, and hospital indemnity coverage
17 days of paid vacation within 1 year of service
12 paid sick days accrued by 1 year of service
14 paid holidays (which includes 2 floating holidays)
1 Paid Volunteer Day
Employer-paid programs/courses for staff's growth and development
Cell phone and internet reimbursement
Competitive salary and full benefits
Annual, all expenses paid Staff Retreat
Flexible work (remote or hybrid)
Supportive, mission-driven team
Opportunities to learn and grow
Carina Health Network is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Salary Description $53,000 - $70,000/year
Hospital Surgery/Observation Coder
Medical coder job in Centennial, CO
Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
Check back shortly to view the job overview ... This posting is actively being updated by our Talent Acquisition Team!
Job Requirements
In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:
Check back shortly to view the job requirements and summary... This posting is actively being updated by our Talent Acquisition Team!
Where You'll Work
With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Medical Coding Specialist - Certified (On-Site)
Medical coder job in Evans, CO
Application Deadline: Accepted on an ongoing basis.
Founded in 1973, Sunrise Community Health is dedicated to delivering high quality, affordable healthcare to Weld, Larimer, and surrounding counties in northern Colorado. With exceptional providers and convenient locations, we support each patient's journey to wellness and are committed to our community's health and well-being.
Certified Medical Coding Specialist
The Certified Medical Coding Specialist is responsible for correctly coding healthcare claims to obtain reimbursement from insurance companies and government health care programs. This position is an in-person position in the Monfort Family Clinic in Evans, Colorado.
Position Summary:
With a Quality , Customer First , and Compassionate approach, The Medical Coding Specialist will:
Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
Assign codes for diagnosis, treatments, and procedures according to the appropriate classification system.
Review claims data to ensure assigned codes meet required legal and insurance rules and that required authorizations are in place prior to submission.
Evaluate and re-file appeals for patient claims that were denied.
Ensure correct patient allocation is set.
Void any duplicate charges or charges entered in error.
Identify and report error patterns.
Notify coding supervisors of missing orders or needed documentation clarification.
Ensure timely and efficient billing of all electronic claim's submission.
Accurately enter payment and adjustments in the A/R system.
Collect health information as documented by medical providers and code them appropriately.
Consult medical providers for further clarification and understanding of items on patient charts to avoid any misinterpretations.
Provide accurate account information to patients about their A/R accounts and make any necessary corrections.
Comply with HIPAA, federal regulations, and Sunrise Community Health policies.
Minimum Qualifications:
High School Diploma.
Associate (AA) Degree and/or Certificate in Medical Coding.
Certified Professional Coder (CPC); preferred coding certification from AHIMA or AAPC.
2 years' experience as a medical coder and/or training; or equivalent combination of education and experience.
Perks and Benefits:
At Sunrise, we pride ourselves in over 50 years of exceptional support to our community and employees. Sunrise is dedicated to guiding every employee towards professional growth and development by supporting them through training and tuition reimbursement. We value a healthy work life balance by providing generous paid time off. Employee opinions are valued, and we listen to employees through employee engagement surveys and the sharing of diverse ideas!
Sunrise Community Health offers a generous range of benefits based on working 30/hrs. or more per week.
Generous PTO and Leave Times:
Up to 8 weeks of Paid Time Off (Vacation, Personal, 12 Observed Holidays, and Sick Leave)
Health, Medical, and Wellness Benefits:
Medical Insurance
Dental & Vision Insurance
Basic Life & AD&D Insurance
Voluntary Life Insurance
Long-Term Disability (LTD)
FSA Medical Flexible Spending Account
FSA Dependent Care Spending Account
Employee Assistance Program
Financial Benefits:
Competitive 401K Plan
Loan Forgiveness Programs*
Employee Referral Bonus Program
Professional Development:
Tuition and Training Reimbursement
Agency Wide Training
Master Class Educational Tool
Get Involved:
Employee Recognition Programs
Current immunizations are required to work at Sunrise Community Health and may vary dependent upon the position. Influenza (Flu) is required for ALL staff. COVID vaccine is highly encouraged.
Sunrise Community Health is an Equal Opportunity Employer. We value a diverse, inclusive workforce that enriches our culture and our mission to provide affordable access to quality healthcare for all. Qualified applicants for employment will be considered without regard to an individual's race, color, sex, gender identity, gender expression, religion, age, national origin or ancestry, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military or veteran status, or any other basis protected by federal, state, or local laws. Accommodations are available for applicants with disabilities.
Auto-ApplyMedical Coder II
Medical coder job in Colorado Springs, CO
Job Details Colorado Springs Explorer Location - COLORADO SPRINGS, CO Colorado Springs Pikes Peak Location - Colorado Springs, CO; Colorado Springs Quail Lake Location - Colorado Springs , CO High School $23.41 - $26.92 Hourly Admin - ClericalJob Posting Date(s) 12/26/2025Description
POSITION SUMMARY: The Medical Coder II position is responsible for analyzing and interpreting medical records to apply correct ICD-10-CM, CPT, and HCPCS Level II codes in accordance with Official Coding Guidelines, government regulation, and company policy in a complete and timely fashion. This person also takes on necessary special projects and tasks, performs coding audits, and provides feedback and education to other coders. The ideal candidate for this position will be detail oriented and will have a collaborative spirit and excellent communication skills.
MISSION: Improving lives, Optimizing wellness, Promoting independence.
COMPETENCIES:
Medical Coding Expertise
Problem Solving
Teamwork
Effective Communication
Results Oriented
Personal Credibility
Quality Focus
People Focus
Flexibility
RESPONSIBILITIES AND DUTIES:
ESSENTIAL JOB FUNCTIONS:
Reviews participant medical records to apply appropriate ICD-10-CM, CPT, and HCPCS Level II codes.
Performs coding audits and provides feedback and education to other coders.
Reviews medical staff documentation to ensure consistency and completeness.
Properly applies official guidelines from government sources and other supporting references.
Meets coding accuracy and productivity standards, as set by the organization. Analyzes feedback and works with internal auditors to improve coding performance. Writes and provides follow-up on provider queries for clarification of documentation.
Performs new enrollee and subsequent semi-annual review of current and past participant medical records. Identifies and summarizes definitive diagnoses and suspecting opportunities for provider review.
Reviews coding reports to ensure ongoing diagnoses are appropriately documented and coded. Identifies errors/irregularities requiring follow-up. Analyzes reports to monitor both favorable and unfavorable trends. Works with supervisor and colleagues to identify and plan appropriate and effective next steps.
Obtains and prepares data for periodic/special reports, as needed.
Maintains a positive and productive working relationship with coding staff, leadership, and other colleagues in order to gain organization-specific guidance and coding knowledge.
Stays current in changing regulatory environment and requirements through webinars, publications, and other sources.
Participates in projects related to year-end and other audits as needed, including retrospective Risk Adjustment coding reviews and related projects.
Actively participates in Coding Department team meetings and special projects to ensure the team successfully meets its strategic goals.
Qualifications
High school Diploma or equivalent required.
AAPC CPC/CRC or AHIMA CCS/CCS-P coding certification strongly preferred.
Minimum 5 years experience with medical coding and medical terminology is required.
Medicare and Medicaid coding experience with a working knowledge of compliance and federal and state rules and regulations required.
Minimum 5 years experience with electronic health records systems required.
Coding experience relating to PACE (Program of All-Inclusive Care for the Elderly) strongly preferred.
Associate's degree in a related field preferred.
Risk Adjustment (HCC) coding experience and/or CRC credential preferred.
Experience in coding for ancillary services and/or home care nursing preferred.
Medical Coder
Medical coder job in Colorado Springs, CO
Join Our Team as a Medical Coder at Colorado Physician Partners!
Are you detail-oriented and passionate about ensuring accurate medical documentation and billing? Colorado Physician Partners is seeking a dedicated Medical Coder to play a key role in our healthcare team. In this position, you'll collaborate closely with our clinical and administrative staff to ensure precise coding of medical procedures and diagnoses, supporting optimal patient care and efficient revenue cycle management. Your expertise will help maintain compliance with industry standards and contribute to a professional, trustworthy environment for both patients and providers.
General summary of duties: Responsible for understanding clinical documentation and how it relates to medical coding, coding guidelines and payer rules. Responsible for transcribes a patient's medical history into a database using standardized codes. This includes diagnosis and treatment and is typically later used for insurance and medical billing purposes.
Essential Responsibilities and Examples of Duties: (This list may not include all of the duties assigned.)
Understands various payer types and how coding is impacted.
Utilize and navigate the EHR and Practice Management software appropriately to review documentation and process charges efficiently and accurately.
Analyzes provider documentation to ensure the appropriate CPT, HCPCS, ICD-10-CM codes and modifiers are fully supported and accurately reported.
Provides expertise to Billing Staff in addressing appeals for denials due to potential coding errors.
Reviews charge line codes for accuracy to support the charge posting process.
Execute daily workload within full compliance of state and federal coding regulations.
Meets or exceeds any set coding goals.
Review, analyze, code and process charges.
Review of ICD-10-CM, CPT and HCPCS coding of provider documentation.
Summarizes and reports the trends of provider documentation to appropriate leadership.
Maintains required continuing education and certifications that are essential to the position.
Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding accuracy.
Collaborates with Coding team, Coding Leadership and Provider Staff on coding training, reviews, and shares knowledge as it is gained.
Utilizes appropriate resources to accurately abstract data and code provider and nurse visits.
Stay abreast of code changes and documentation requirements as they occur.
Communicates with providers and support staff as needed to resolve any coding issues.
Performs other related duties as required and assigned.
Assist with other duties within the revenue cycle.
Peer review.
Attend weekly huddles.
Attend mandatory trainings and in person meetings.
Typical physical demands:
Work may require sitting for long periods of time, stooping, bending, and stretching for files and supplies, and occasionally lifting files or paper weighing up to 30 pounds.
Ability to sufficiently operate a keyboard, calculator, telephone, copier, and such other office equipment as necessary.
Must be able to record, prepare, and communicate appropriate reports in a verbal and written format.
It is necessary to view and type on computer screens for long periods and to work in an environment which can be very stressful.
Typical working conditions:
Work is done in a typical physician business office department or at home if on hybrid schedule.
Interaction with others can be constant and activities can be frequently interrupted.
It is necessary to view and type on computer screens for frequent periods and to work in an environment which can be a very collaborative practice.
Other Related Job Requirements:
3+ years coding primary care experience.
HCC Certification preferred
Extensive knowledge of medical terminology, anatomy, and physiology
Personable and professional demeanor.
Maintain neat and clean appearance.
Maintain sense of responsibility
Ability to read, write and speak English clearly and concisely.
Ability to read, understand, and follows complex oral and written instructions.
Ability to maintain quality control standards.
Ability to react calmly and effectively in emergency situations.
Ability to interpret, adapt, and apply guidelines and procedures.
Prioritizes work and completes in a timely manner to satisfy deadlines.
Communicates questions or concerns for prompt resolution. Participates in problem-solving discussions.
Actively seeks to acquire and maintain skills and continuing education appropriate to this position.
Initiates and attends meetings as needed if applicable.
Performs related work as required.
Job Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Knowledge, skills, and abilities:
High school diploma or equivalent education required.
CPC (AAPC) or CCS (AHIMA) certification required.
3+ years coding primary care experience.
Salary Range:
$17.45 - $23.27
Auto-ApplyHealth Clerk
Medical coder job in Rifle, CO
At Wamsley Elementary, "We Encourage Success" - in our students, in our teachers, in our staff, and in our families. Our school is focused on creating the best culture and climate for our staff, our students and our families. We emphasize inclusion because if our students feel loved, if our teachers feel supported, and our families feel welcomed, students feel free to learn and explore, teachers are creative and families support the development of their child.
Wamsley Elementary and staff set high expectations focused on perseverance, growth mindset, positive energy and a sense of urgency.
Learn more about Wamsley Elementary
Position Summary:
The job of Health Clerk was established for the purpose/s of providing support to the school site operations with specific responsibilities for administering basic first aid and dispensing prescribed medications under the direction of a registered nurse; coordinating with other personnel in supporting students with special needs and assisting them with medical procedures; documenting activities in accordance with established guidelines and/or regulatory requirements; and conducting prescribed health screenings and services. Duties may vary according to job assignment.
Please click HERE to see the full job description.
Status: (Full Time or Part Time and Hours Worked)
Title:
Location: Wamsley Elementary School, Rifle CO
Salary Range:
* Classified no in district experience salary range: $17.41-$18.84
* Classified in district experience salary range: $17.41-$38.44
Salary Schedules
Benefits: Garfield Re-2 School District offers benefits including medical, dental, and vision coverage, prescription drug coverage, medical and dependent care flexible spending accounts, aflac products, employee assistance programs, surgery plus opportunities, paid time off, sick leave, vacation leave, holiday pay, PERA retirement plan with 21.4% contribution, identity theft protection, local discounts, Verizon Wireless discount, and more.
Benefit Guide
Visit Rifle- ***********************
Medical Records Clerk
Medical coder job in Edwards, CO
Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.
About the opportunity: The Health Information Management (HIM) Technician ensures a quality patient and provider experience by accurately processing Shaw Cancer Center patient medical records as needed for patient care, such as requesting medical records from other healthcare providers, collecting medical records, scanning patient records, coordinating release of information documentation, and identifies documentation deficiencies for physicians and providers all in accordance with Federal, State, Hospital, and Accrediting Body requirements. Routinely interacts with the public and physicians and providers. What you will do:
Works with providers and clinical staff to obtain complete medical records, primarily for established patients, using the medical records work list / work queue in the EHR. Thoroughly documents progress within the EHR of all tasks, including retrieval of pertinent patient materials. On a daily basis, reviews and rectifies those HIM work assignment queues, uses standard processes and protocols to monitor and follow up with patients, hospitals, medical practices, and other parties on patient records statuses.
Facilitates the use of the EHR by capturing paper documentation, properly preparing the paper for scanning, scanning, and indexing documents within 1 hour of receipt. Is able to distinguish document types, operate the scanning unit effectively, and scan all documents to the appropriate patient records and to the appropriate documentation type location with 100% accuracy. Performs QA on scanning done by others, identifies errors by clinical staff, and addresses errors with the clinical staff. Trains staff on proper scanning and indexing of documents.
Interacts with providers, clinical staff, and the public (patients, insurers, attorneys, State and Federal agencies, etc.) to accommodate requests for copies of patient information. Understands the release of information policies and associated Federal, State, and Hospital policies. Assists with release of information periodically or when on weekend rotation. Obtains appropriate release request document and verifies patient identity prior to release. Accurately logs releases in hospital logging system. Efficiently prepares copies of requested in paper, CD, PDF, Fax and other approved electronic formats. Accommodates patient and physician requests within same day. Ensures only the minimum necessary is disclosed in accordance with HIPAA requirements.
Assists in processing paperwork and completing administrative tasks associated with clinical care including managing records requests, orders, scanning, and uploading records.
Resolves problems independently, ensures continuous communication with clinical and non-clinical team members, and appropriately escalates issues to leadership.
Recognizes emergencies and appropriately responds using standard operating procedures and critical thinking skills.
As an integral member of the business office team and to encourage growth of team members' skills and knowledge, the HIM Tech I is cross-trained and can cover the roles, as needed, of Patient Access Representative I.
Responsible for coordinating with other business office team members when out of the office to ensure HIM activity continues seamlessly.
Role models the principles of Just Culture and Organizational Values
Performs other duties as assigned. Must be HIPAA compliant.
This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. What you will need: Experience:
One year of medical office or clinical experience required.
Working knowledge of medical terminology preferred.
Prior experience with medical records; collecting, scanning, and requesting preferred.
License(s):
N/A
Certification(s):
N/A
Computer / Typing:
Use of a computer, keyboard, and mouse, and experience with basic Microsoft Office applications required.
Typing skills of no less than 20 WPM required.
Ability to search resources and/or Internet to locate physician and healthcare facility information to make appropriate decisions.
Must possess the computer skills necessary to complete work assignments, online learning requirements for job specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Must have working knowledge of the English language, including reading, writing, and speaking English. Education:
Bachelor's degree in related field preferred
PRN (POOL) benefits include: Wellbeing reimbursement funds and 403(b) contribution eligibility.
Pay is based upon relevant education and experience per hour.
Hourly Pay:$21.32-$25.40 USD
Auto-ApplyCertified Professional Coder
Medical coder job in Littleton, CO
Job Description
OnPoint Medical Group is searching for an outstanding Certified Professional Coder to join our team! Come join a great group of medical professionals as our network continues to grow!
OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible.
Our "Circle of Care" has one primary goal - to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands.
SUMMARY
Certified Professional Coder requirements include translating a patient's medical record into the appropriate CPT, HCPCS, and ICD10 codes to be submitted on a claim to insurance carriers following local, state, and federal medical billing laws and guidelines.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The following statements are illustrative of the essential duties of the job and do not include other non-essential or peripheral duties that may be required. We retain the right to modify or change the essential and additional functions of the job at any time.
1. Coding
• Working directly healthcare providers, and staff to ensure the medical documentation supports the CPT and Diagnosis codes that are being billed out to payers following payer specific guidelines
• Report coding queries to the practice managers and executive director staff daily.
• Post visit review and claim submission
• Other coding duties as assigned
• Coding A/R tasks as assigned
2. Productivity
• Submitting a minimum of 90-100 claims per day out of preassigned clinics
• Dropping claims within 3 days of note completion
3. Policies
• Work within guidance of Billing Compliance Plan
• Work within Federal, State and Local Billing Guidelines
• Attend scheduled coding meetings
• Maintain coding certification including timely submission of continuing education to AAPC or AHIMA
4. Maintain and follow strict privacy, confidentiality, and safety protocols. Comply with all government regulations around the following:
• HIPAA
• OSHA
• PCIDSS
5. Other Administrative Duties
a. Claim submission policies
b. Maintain a clean and organized work environment
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Education/Experience
• High School Diploma or High School Equivalency
• Strong computer skills required
• 5 years healthcare experience
• 2+ years coding experience
• CPC or AHIMA Certification
Preferred Education/Experience
• Some college - medical, business, accounting focus
• Bilingual
• EMR experience preferred - Athenahealth practice management system
SUPERVISORY RESPONSIBILITIES
This position does not have any supervisory responsibilities
JOB ELEMENTS/WORKING CONDITIONS
• While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.
• Occasionally required to walk; sit; and stoop, kneel, crouch, or crawl.
• Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.
WORK ENVIROMENT
The above statements describe the general nature and level of work performed by people assigned to this classification. They are not an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
BENEFITS OFFERED
Health insurance plan options for you and your dependents
Dental, and Vision, for you and your qualified dependents
Company Paid life insurance
Voluntary options for short-term disability, and long-term disability coverage
AFLAC Plans
FSA options
Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
Paid Time-Off earned
This position will be posted for a minimum of 5 days and may be extended.
Salary: $26 - $31 / hour
The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.
OnPoint Medical Group is an EEO Employer.
Certified Addiction Specialist JBBS
Medical coder job in Brighton, CO
JBBS Certified Addiction SpecialistLocation: BrightonSchedule: Full-time / M-F, 8a-4p As part of a multi-disciplinary team, the Certified Addiction Specialist will provide direct support to individuals experiencing mental health, substance abuse challenges, and withdrawal management needs.
Essential Duties
✓ Provides substance use disorder treatment services to inmates under the supervision of licensed addiction professionals and in compliance with guidelines
✓ Interviews clients to obtain health history and/or complete intake evaluation, which may include necessary paperwork
✓ Refers to licensed clinicians for follow up as needed; under general supervision, performs counseling, care plan development, case management
✓ Provides services to individuals requiring assistance in dealing with substance abuse problems, including alcohol and/or drug abuse
✓ Acts as patient advocate; listens to inmate concerns and provides counseling and direction
✓ Facilitates individual counselor and group treatment sessions, guiding group behavior
✓ Utilizes a variety of crisis intervention techniques to respond to aggressive behavior
✓ Maintains appropriate clinical documentation, both handwritten and electronically, in an accurate and timely manner to maintain inmate mental health records
Minimum Education/Experience Requirements
✓ Bachelor's degree or higher in Substance Use Disorders/Addiction and/or related counseling subjects (social work, mental health counseling, marriage & family, psychology) from a regionally
accredited institution of higher learning
✓ Active Certified Addiction Specialist (CAS) credential required
✓ One (1) plus years of work experience in a similar position and/or healthcare environment
Additional Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Competencies
✓ Clear and effective verbal and written communication with all coworkers, supervisors, jail administration, and patients
✓ Excellent verbal and written comprehension
✓ Excellent deductive reasoning and problem-solving abilities
✓ Excellent organizational skills; independent worker and self-starter
✓ Ability to use a computer and use/learn a variety of software, including site-specific computer programs
✓ Must demonstrate ability to appropriately and safely use standard medical equipment
✓ Ability to respect the dignity and confidentiality of inmates
✓ Demonstrated proficiency in excellent customer service
Employment Requirements
✓ Must maintain all certifications, educational requirements, licensing, etc. for this position
✓ Must have current CPR/BLS certification
✓ Must have current TB test (taken within one year)
✓ Must adhere to all facility policies and procedures as well as the policies and procedures listed in the Employee Handbook
✓ Willing to assist coworkers in the job duties and work overtime if required; may act as a resource to other coworkers
✓ Maintains confidentiality, dignity, and security of health records and protected health information in compliance with HIPAA requirements
Security Requirements
✓ Must undergo security training and orientation on facility safety policies and procedures
Physical/Mental Requirements
This position routinely requires (but is not limited to) the following:
✓ Ability to both remain stationary and move/traverse throughout the facility, including up and down flights of stairs
✓ Ability to position oneself in different spaces
✓ Ability to convey and discern information in a conversation, frequently communicate with patients; must be able to exchange accurate information.
✓ Ability to identify and detect objects and assess situations from a variety of distances
✓ Ability to stay calm in stressful and demanding situations
✓ Frequently transports objects up to 50 pounds
Work Environment
Work is performed inside a correctional facility. Employees are exposed to some level of risk and/or harm by inmates including exposure to blood borne pathogens. Employee is expected to work in accordance with all security rules and regulations to minimize the risk of danger and/or harm to themselves or other employees.Correctional Nurse / Correctional Healthcare / Correctional Nursing / Corrections / County Corrections / Corrections Nurse / Corrections Healthcare / Correctional Medicine / Forensic Nursing / Jail Nursing
Other
Employee must comply with all current and future State, Federal, and Local laws and regulations, court orders, Administrative Directives and standards and policies and procedures of the site where assigned, including those of professional organizations such as ACA, NCCHC, etc. Employee must treat every other member of the CorrHealth team, all correctional personnel, all inmates and third parties in the facility with the proper dignity and respect. Actions or communications that are inappropriate or degrading will not be tolerated.
Must be able to pass a background check and pre-employment drug test (as applicable).
Medical Records Clerk
Medical coder job in Englewood, CO
Medical Records Clerk | Englewood, CO Reports to Director, Patient Access Employment Type: Full Time is 100% in-office in Englewood, Colorado. Invision Sally Jobe (ISJ) is a network of imaging centers built and managed through a partnership between Radiology Imaging Associates and HealthOne. Our imaging centers are conveniently located throughout the South Denver area and offer a variety of exams using state of the art equipment. Our services include MRI, CT, digital mammography, ultrasound, pain management, DXA, X-Ray, and image guided biopsies. Our mission is to improve the health of patients in the communities we serve by proving them with the highest quality imaging and associated medical care.
Summary of Position: Performs clerical duties within the medical records department which include but is not limited to answering phones for the medical records department, assist in processing requests related to patient files, obtain and share prior imaging and records requests, assist with fulfilling billing requests, assist with audits, and data entry/indexing requests
Job Responsibilities:
Answer phones in the medical records department and process requests related to patient files in accordance with the release of information policies & procedures.
Index new imaging and record requests
Send reports to referring offices in accordance with the release of information policies & procedures.
Download CD images to and from outside facilities
Scan and/or upload information into system to retain digitally as needed
Request images and reports as part of the chart preparation for patient care
Burn CDs as needed or relay requests for printing to appropriate site(s)
Complete legal requests received from outside entities
Work within multiple medical imaging systems
Other clerical duties as assigned
Supervisory Responsibilities:
None
Experience/Skill Requirements:
Basic medical terminology required
Previous clerical, customer service and insurance background preferred
Excellent customer service
Organized and detail oriented
Dependable
Work well with others
Proficient with computers and strong typing skills
Must be able to multi-task and work in a fast paced environment
Education Requirements:
High School diploma or GED
Compensation for this role is between $20 to $26 per hour
In accordance with Colorado law, the range provided is Invision Sally Jobe's reasonable estimate of the base compensation for this role, and is based on non-discriminatory factors such as experience, knowledge, skills, and abilities. This position will receive applications on an ongoing basis and will remain open until filled.
Our benefits include:
Medical, dental, and vision insurance
Term life insurance, AD&D, and EAP
Long Term Disability
Generous Paid Time Off
Paid holidays
Voluntary income protection options (ie. supplemental life insurance, accident, critical illness)
Profit-sharing 401(k) retirement plan
Tuition reimbursement
Full-time employees will become eligible for benefits on the 1st day of the month following 30 days of employment. Part-time employees may have access to some of these benefits, which may be on a pro-rated basis. PRN employees are not eligible for benefits.
*Peer Specialist- COPA/ CPFS CERTIFIED
Medical coder job in Colorado Springs, CO
Job Details Southpointe 665 HR/Mktg - Colorado Springs, CO Full Time $18.00 - $18.00 Hourly AnyDescription
As a vital member of the inter-disciplinary team, the Peer Specialist uses his or her lived experiences of recovery, plus skills learned in formal training, to deliver services in behavioral health settings to promote whole person health, mind-body recovery and resiliency. Assists with outreach and peer-based services through the promotion of hope, responsibility, empowerment, and self-sufficiency. Engages clients into services and/or programs aligned with their own recovery path. Fosters the development of connections between individuals and the treatment team. Provides support to individuals experiencing their first episode of psychosis and/or experiencing substance use disorders within their personally defined recovery. Teaches and/or demonstrates healthy relationship concepts, effective communication and other various skills.
Essential Functions:
Serves as a peer mentor/role model by using his or her lived experience of recovery, plus skills learned in formal training, to deliver services in behavioral health settings to promote whole person health, mind-body recovery and resiliency. Shows compassion, dignity and respect; possesses active and reflective listening skills; has a clear sense of boundaries; and is far enough in the recovery process that they can manage job difficulties without compromising their own personal wellness and recovery.
Assists with outreach and peer-based services through the promotion of hope, responsibility, empowerment, and self-sufficiency.
Engages clients into services and/or programs aligned with their recovery by fostering connections between the client and their treatment team.
Educates clients in the learning of new skills in order to increase independence and integrate into the community.
Maintains current knowledge and information on community resources. Assists in the completion of consumer forms within the scope of position in addition to assisting with training, supporting, and guiding clients into volunteer opportunities.
Preserves community relationships that will have a positive impact on services offered to individuals with mental health and substance use issues.
Appropriately applies key concepts and philosophies of Diversus when working with clients in a strengths-based, solution focused approach.
Alerts team of potential crisis interventions as needed.
The environment at Diversus is fluid. Roles and responsibilities may be altered to accommodate changing business conditions and objectives. Employees may be asked to perform duties that are outside of the specific work that is listed. This position may require you to work standard hours, as well as flexible hours before and after standard hours, and overtime in excess of 40 hours in a work week.
Qualifications
Knowledge/Skills/Abilities:
High school diploma or equivalent
Self-identified consumer in recovery from mental illness and/or substance use,
OR a parent of a child with similar mental illness and/or substance use disorder,
OR an adult with an on-going and/or personal experience with a family member with a similar mental illness and/or substance use disorder.
Successful completion of NAMI/COPA/CPFS Peer Provider training program.
Mental Health First Aid Training (completed within 60 days of hire)
Excellent customer service skills.
Proficient computer skills, to include Microsoft Suite, with the ability to type 25+ w.p.m. for the input and output of client information, using electronic medical records.
Strong written and oral communication skills with the capability to accurately and professionally implement and document services rendered.
Ability to develop professional working relationships with partner agencies.
Demonstrated ability to maintain personal wellness and recovery tool.
Shares our commitment to these values and priorities:
Passion Innovation Excellence
Humility FUN Corporate Citizenship
Transparency Integration Value in Diversity
Diversus Health does not discriminate against applicants or employees on the basis of age 40 and over, color, disability, gender identity, genetic information, military or veteran status, national origin, race, religion, sex, sexual orientation or any other applicable status protected by state or local law.
Medical Records Coordinator
Medical coder job in Denver, CO
Job Details Optimal Home Care Inc. - Denver, CO Full Time $19.00 - $22.00 HourlyDescription
Optimal Home Care Inc. is a thriving and growing company that has served over 34,000 patients since 2004.
We are committed to providing the best possible experience for our patients, their families, and our staff. We offer astounding benefits including:
Competitive benefits package
401K plan + 15% matching
EAP Program
Opportunity for growth
Professional, supportive culture
We are a cutting edge, value driven agency that is looking to add skilled and passionate individuals to our team. Thank you for considering Optimal Home Care Inc. for you career aspirations.
Purpose:
The overall goal of this position is to assist in ensuring the health records function within the agency are in compliance with company policy and protocol as well as state and federal regulations.
Tasks/Duties & Job Responsibilities:
Provide a team approach to building Optimal's reputation of quality service, dependability, and ownership of delivering great care to our patients, sources, and staff.
Read and respond professionally to emails and phone calls in a timely and effective manner.
Monitor all incoming faxes, performs quality inspection and moves document to proper department or personnel.
Responsible for reception, organization, and accurate and timely placement of documents into patient chart of Start of Care (SOC) documentation.
Receive, inspect and accurately upload each physician order in timely manner to assist in scheduling accuracy.
Ensure MD orders and Lab Results are uploaded accurately and timely.
Responsible for receiving wound care photos and converting photos and uploading both accurately and timely.
Support entire agency in requested documentation and faxing.
Perform medical Records reviews to patient charts. Run reports to ensure accuracy in uploading and to uncover deficiencies and provide improvements to processes.
Certify that each new patient receives Medication Profile via mail within 14 days of SOC.
Compile, bill and execute all medical record requests in compliance with HIPPAA regulations in a timely manner.
Qualifications
Education: High School Diploma or G.E.D. required and Bachelor's degree from an accredited college or university preferred
Experience: One to three years of computer and general office duty skills required preferably in a Home Care agency setting. Intermediate experience in Excel, Word, Outlook, Adobe preferred.
Effective with both written and verbal communication
Strong organizational skills and a detailed orientation
Possess adequate and effective interpersonal skills
Physically capable to perform basic office type duties
Medical Records Specialist
Medical coder job in Avon, CO
Join The Steadman Clinic Team and embark on a rewarding career where you'll play a crucial role in delivering exceptional patient experiences for professional athletes and community members alike.
At our Traer Creek Plaza Medical Office in Avon, you'll play an essential role directly supporting patient experiences. As part of The Steadman Clinic Team, you'll be immersed in a culture of excellence that values efficiency, attention to detail, and exceptional communication. You'll also be surrounded by the stunning mountain communities that are home to our clinics, allowing you to enjoy a unique lifestyle that balances professional growth with outdoor adventure and the rewarding experience of making a positive difference in people's lives. If you thrive in a fast-paced, collaborative environment, apply today to become a vital part of our dynamic team at our Traer Creek Medical Office.
POSITION DETAILS
Job Title: Medical Record Specialist (3rd Party Requests)
Status: This is a full-time, year-round, benefits eligible position.
Classification: Non-Exempt - Hourly
Schedule: M-F
Location: This is an in-office position, primarily based at our Avon location.
Pay Range: The entry pay rate for this position is $22.00-$24.00 DOE.
POSITION OVERVIEW
The Medical Record Specialist plays a vital role providing general clerical support to promote efficient and accurate processing of patient records within the Medical Records department. This position involves retrieving, filing, and delivering medical records in a timely manner, while adhering to State, CMS, HIPAA, and HHS regulations. The Medical Record Specialist is also responsible for maintaining confidentiality, providing excellent customer service, and ensuring the accuracy and integrity of medical documentation.
CORE RESPONSIBILITIES
Demonstrate in-depth knowledge of HIPAA, HHS ordinances, and other relevant regulations to ensure compliance in all aspects of medical record management.
Respond promptly and professionally to inquiries from medical staff, department personnel, and billing departments regarding medical records. Retrieve and provide medical records from various platforms and providers as necessary.
Address issues related to missing medical reports or records. Coordinate with clinic staff to resolve discrepancies, and request records from off-site storage when required.
Organize, scan, and maintain medical records and reports, ensuring completeness and accuracy.
Verify the correct entry of data into the electronic medical record (EMR) system on a daily basis.
Conduct routine qualitative analysis of medical records, ensuring all documentation is accurate and complete. Review incoming records for compliance with required documentation standards.
Perform regular maintenance and archiving of physical and electronic medical records as required.
Assist with the maintenance and care of departmental facilities, equipment, and supplies. Report inventory needs and equipment malfunctions to supervisors.
Ensure patient records and sensitive information are maintained confidentially and securely in compliance with HIPAA and other relevant policies. Access and use patient information only as necessary for job duties.
Foster strong working relationships within the department and across other departments. Work collaboratively to ensure the smooth operation of the medical record process and support optimal patient care.
Perform other related duties as assigned
Please note, the responsibilities and scope outlined in this document are not exhaustive and may evolve based on the business's needs. This job description serves as a general overview of key duties and responsibilities but is not intended to be a comprehensive list of all tasks required for the position. Duties may change at any time, with or without notice, and at the sole discretion of The Steadman Clinic.
Requirements
MINIMUM QUALIFICATIONS
High School Diploma or equivalent work experience required.
At least one year of clerical experience in a medical or healthcare setting is preferred.
Proficiency in operating computers and performing data entry required.
Familiarity with medical record management systems and electronic health records (EHR) systems is preferred.
Completion of courses in medical terminology, HIPAA compliance, or privacy training is preferred.
Excellent customer service and communication skills (both written and verbal).
Strong organizational skills with the ability to prioritize and manage multiple tasks.
Proven ability to work independently and handle complex tasks in a fast-paced environment.
Ability to problem-solve and manage workflows effectively.
Strong attention to detail and commitment to maintaining the accuracy and confidentiality of medical records.
Must maintain a professional attitude and demeanor while interacting with patients, staff, and external stakeholders. Ability to contribute to a cohesive, high-functioning team dedicated to providing exceptional patient care.
EMPLOYEE BENEFITS:
We support our employees and their families with a robust, comprehensive benefits package to ensure life in the mountains doesn't come with compromise. Come work with us to enhance your career and thrive in our mountain communities. Benefits eligible employees receive the following:
Health, Dental and Vision Insurance with generous premium subsidies for you and your family.
401(k) Retirement with a Safe Harbor contribution amount equal to 4% of eligible compensation and discretionary profit-sharing contribution.
Time Off Benefits: Staff receive 7 paid holidays annually. Employees can also earn up to 155 hours of PTO within their first year. In addition, employees accrue sick time of 1 hour per 30 hours worked, up to 48 hours / year.
$1000 Wellness Bonus to encourage adopting and maintaining wellness and an active lifestyle.
Tuition & Education Reimbursement to support continuing education and career advancement.
Employee Assistance Program with confidential support from licensed professionals.
Leave Benefits: The Steadman Clinic covers the cost of paid family medical leave in Colorado, basic life and AD&D, short- and long-term disability.
HOW TO APPLY: Applications will be accepted and reviewed on a rolling basis for 30 days from the date of posting. If the position remains vacant after this period, applications will continue to be accepted until the role is filled. Once the position is filled, the job posting will be removed. To apply, please submit your online application through the “Apply” link on this page. Applicants should include a resume and a brief cover letter.
We are an Equal Opportunity Employer. We are committed to equal treatment of all employees without regard to race, national origin, religion, gender, age, sexual orientation, veteran status, physical or mental disability or other basis protected by law.
Salary Description Starts at $22/hour
Hospital Surgery/Observation Coder
Medical coder job in Centennial, CO
**Job Summary and Responsibilities** You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
This is an advanced level coding position that codes and abstracts Outpatient records for data retrieval,
analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a
designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and
productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all
facilities.
Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:
- Alabama- Arizona- Arkansas- Colorado
- Florida- Georgia- Idaho- Indiana
- Iowa- Kansas - Kentucky- Louisiana
- Missouri- Mississippi- Nebraska- New Mexico
- North Carolina- Ohio- Oklahoma- South Carolina
- South Dakota- Tennessee- Texas- Utah
- Virginia- West Virginia- Wyoming
**Job Requirements**
In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:
+ High School Diploma/GED Required
+ Associates Degree Preferred
+ A minimum of 3 years coding experience in an acute care setting
+ Must demonstrate competency of outpatient coding guidelines and APC assignment
+ Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems
+ Demonstrate intermediate to advanced technical coding competency in ICD-10 CM, CPT-4, HCPCS and Coding Modifiers
+ Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e. 3M)
+ Experience successfully working in a remote environment, preferred
+ Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credential (COC, CIC, CPC-H, CPC), required ormust be certified within one year of hire.
+ Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credential (COC, CIC, CPC-H, CPC), required ormust be certified within one year of hire.
**Where You'll Work**
We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.
**Pay Range**
$25.50 - $38.82 /hour
We are an equal opportunity employer.
Hospital Surgery/Observation Coder
Medical coder job in Centennial, CO
Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
This is an advanced level coding position that codes and abstracts Outpatient records for data retrieval,
analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a
designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and
productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all
facilities.
Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:
* Alabama- Arizona- Arkansas- Colorado
* Florida- Georgia- Idaho- Indiana
* Iowa- Kansas - Kentucky- Louisiana
* Missouri- Mississippi- Nebraska- New Mexico
* North Carolina- Ohio- Oklahoma- South Carolina
* South Dakota- Tennessee- Texas- Utah
* Virginia- West Virginia- Wyoming
Job Requirements
In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:
* High School Diploma/GED Required
* Associates Degree Preferred
* A minimum of 3 years coding experience in an acute care setting
* Must demonstrate competency of outpatient coding guidelines and APC assignment
* Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems
* Demonstrate intermediate to advanced technical coding competency in ICD-10 CM, CPT-4, HCPCS and
Coding Modifiers
* Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and
coding systems (i.e. 3M)
* Experience successfully working in a remote environment, preferred
* Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credential (COC, CIC, CPC-H, CPC), required or
must be certified within one year of hire.
* Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credential (COC, CIC, CPC-H, CPC), required or
must be certified within one year of hire.
Where You'll Work
We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.
Risk Adjustment Coder
Medical coder job in Denver, CO
Job DescriptionDescription:
*Hybrid Role, must be located in State of Colorado*
Join Carina Health Network and help us make Colorado communities healthier!
Are you passionate about population health and interested in improving patient experience and outcomes? If so, we support several community health organizations (CHO), and this company is for you!
At Carina Health Network, we are transforming community health by delivering proactive, data-informed, and whole-person care that drives measurable impact. Our work helps people stay healthier longer, by supporting community health organizations who have patients with chronic conditions like diabetes and high blood pressure, ensuring regular check-ups for older adults, and identifying mental health needs early. We help community health organizations prevent costly ER visits by connecting people with the right care at the right time. Through our value-based care programs, we empower frontline care teams to improve outcomes while earning fair, sustainable reimbursement. By saving money and reinvesting in community services, we strengthen the systems that care for the most vulnerable, making a real difference in the lives of patients and providers alike. Join us in reimagining the future of health care, where your work truly matters.
What You'll Do
The Value Based Coding Advisor will interact with operational and clinical leadership to assist in the identification of Risk Adjustment/HCC coding opportunities, and will provide targeted education to CHC providers, billers, coders, and support staff to support value-based contract initiatives.
Risk Adjustment/HCC Coding Support and Education
Educates providers and staff on coding regulations and changes as they pertain to risk adjustment and quality reporting to ensure compliance with federal and state regulations.
Assist the department, direct supervisor and Carina in the development of education tools related to risk adjustment/HCC coding and gap closure.
Supports the creation of education that will train CHC providers, billers, coders, and support staff, as well as Carina staff, for risk adjustment/HCC coding opportunities.
Maintains a database with the results of all medical chart reviews performed, with ability to report on progress and statistics on coding initiatives.
Pre-Visit Planning (PVP)
Performs weekly Pre-Visit Planning reviews for assigned CHC's and will query providers or other identified team member to further
Value-based contract initiatives including coding recommendations based on internal and external medical records, review of payer portals and suspected conditions, and review of care gap and clinical documentation.
CHC Support
Holds monthly meetings with identified coding champions, provide education and training to CHC providers, billers, coders, and support staff in proper coding guidelines; and documentation education based on PVP observations and monthly topics.
Provides monthly chart reviews of randomly selected patients and providers participating in Pre-Visit Planning (PVP) program to give feedback on missed opportunities and errors.
Gap Closure Success
Reviews patient charts to identify areas for quality gap closures and provide compliant documentation to appropriate payers resulting in gap closures for assigned CHC's.
Ensures that providers understand CPT II coding for the purposes of quality gap closure and reporting.
What We're Looking For
High School diploma or equivalent.
Minimum 2 years coding experience
The American Academy of Professional Coders (AAPC) Certified Risk Adjustment Coder (CRC) or AHIMA certification is required; Certified Professional Coder (CPC) Certification will be considered with Risk Adjustment/HCC Coding experience and willingness to obtain CRC within 1 year of employment
Risk Adjustment experience required.
FQHC billing experience is highly preferred
Experience with clinic billing and coding required
Knowledge of several EHR systems preferred (ECW, Athena, Greenway Intergy, Epic).
Clinical background preferred
Strong knowledge of CMS coding and quality guidelines.
Strong knowledge of PowerPoint, excel and Microsoft word with the ability to manipulate basic information and data required for preparing reports and delivering training.
Exceptional interpersonal, public speaking, and presentation skills to deliver training and education is preferred.
Ability to facilitate group discussions that challenge participants and promote discussion of new approaches and solutions based on data and value-based care initiatives.
Ability to travel to and within the state of Colorado- 25% travel within the state of Colorado with an unrestricted driver's license and an insured vehicle.
Working Environment
Work from home with 25% travel responsibilities within the state of Colorado
Prolonged periods of sitting at a desk and working on a computer
Why You'll Love Working Here
Insured group health, dental, & vison plans (Employer covers 100% cost for dental and vision)
Medical and dependent care flexible spending account options
*$900 Employer Contributions towards your choice of a Health Reimbursement Employer (HRA) or Health Savings Account (HSA)
401k retirement plan with up to a 4% employer contribution match
100% Employer-Paid Life, AD&D, Short-Term and Long-term disability plans paid for employees
Free 24/7 access to confidential resources through an Employee Assistance Program (EAP)
Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, and hospital indemnity coverage
17 days of paid vacation within 1 year of service
12 paid sick days accrued by 1 year of service
14 paid holidays (which includes 2 floating holidays)
1 Paid Volunteer Day
Employer-paid programs/courses for staff's growth and development
Cell phone and internet reimbursement
Competitive salary and full benefits
Annual, all expenses paid Staff Retreat
Flexible work (remote or hybrid)
Supportive, mission-driven team
Opportunities to learn and grow
Carina Health Network is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Requirements:
Medical Coding Specialist - Non-Certified (On-Site)
Medical coder job in Evans, CO
Application Deadline: Accepted on an ongoing basis.
Founded in 1973, Sunrise Community Health is dedicated to delivering high quality, affordable healthcare to Weld, Larimer, and surrounding counties in northern Colorado. With exceptional providers and convenient locations, we support each patient's journey to wellness and are committed to our community's health and well-being.
Non-Certified Medical Coding Specialist:
The Non-Certified Medical Coding Specialist is responsible for correctly coding healthcare claims to obtain reimbursement from insurance companies and government health care programs, such as Medicare.
Position Summary:
With a Quality , Customer First , and Compassionate approach, The Non-Certified Medical Coding Specialist will:
Analyzes patient charts carefully to know the diagnosis and represent every item with specific codes.
Assigns codes for diagnosis, treatments, and procedures according to the appropriate classification system.
Reviews claims data to ensure assigned codes meet required legal and insurance rules and that required authorizations are in place prior to submission.
Evaluates and re-files appeals for patient claims that were denied.
Ensures correct patient allocation is set.
Voids any duplicate charges or charges entered in error.
Identifies and reports error patterns.
Notifies coding supervisors of missing orders or needed documentation clarification.
Ensures timely and efficient billing of all electronic claims' submission.
Accurately enters payment and adjustments in the A/R system.
Collects health information as documented by medical providers and codes them appropriately.
Consults medical providers for further clarification and understanding of items on patient charts to avoid any misinterpretations.
Provides accurate account information to patients about their A/R accounts and makes any necessary corrections.
Complies with HIPAA, federal regulations, and Sunrise Community Health policies.
Minimum Qualifications:
High school diploma or equivalent required.
Associate's degree or certificate in Medical Coding preferred; Certified Professional Coder (CPC) credential is a plus.
Coding certification through AHIMA or AAPC and/or a minimum of two years of medical coding experience, training, or an equivalent combination of education and experience.
Perks and Benefits:
At Sunrise, we pride ourselves in over 50 years of exceptional support to our community and employees. Sunrise is dedicated to guiding every employee towards professional growth and development by supporting them through training and tuition reimbursement. We value a healthy work life balance by providing generous paid time off. Employee opinions are valued, and we listen to employees through employee engagement surveys and the sharing of diverse ideas!
Sunrise Community Health offers a generous range of benefits.
Generous PTO and Leave Times:
Up to 8-weeks of Paid Time Off (to include Vacation, Personal, 12 observed Holiday, and Sick Leave)
Health, Medical, and Wellness Benefits:
Medical Insurance
Dental & Vision Insurance
Basic Life & AD&D Insurance
Voluntary Life Insurance
Long-Term Disability (LTD)
FSA Medical Flexible Spending Account
FSA Dependent Care Spending Account
Employee Assistance Program
Financial Benefits:
Competitive 401K Plan
Loan Forgiveness Programs*
Referral Bonus
Professional Development:
Tuition and Training Reimbursement
Agency Wide Training
Master Class Subscription
Get Involved:
Employee Recognition Programs
* Providers can apply for the State or Federal loan repayment program.
Current immunizations are required to work at Sunrise Community Health and may vary dependent upon the position. Influenza (Flu) Vaccines are required for ALL staff. COVID vaccine is highly encouraged.
Sunrise Community Health is an Equal Opportunity Employer. We value a diverse, inclusive workforce that enriches our culture and our mission to provide affordable access to quality healthcare for all. Qualified applicants for employment will be considered without regard to an individual's race, color, sex, gender identity, gender expression, religion, age, national origin or ancestry, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military or veteran status, or any other basis protected by federal, state, or local laws. Accommodations are available for applicants with disabilities.
Auto-ApplyCertified Professional Coder
Medical coder job in Highlands Ranch, CO
OnPoint Medical Group is searching for an outstanding Certified Professional Coder to join our team! Come join a great group of medical professionals as our network continues to grow!
OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible.
Our "Circle of Care" has one primary goal - to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands.
SUMMARY
Certified Professional Coder requirements include translating a patient's medical record into the appropriate CPT, HCPCS, and ICD10 codes to be submitted on a claim to insurance carriers following local, state, and federal medical billing laws and guidelines.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The following statements are illustrative of the essential duties of the job and do not include other non-essential or peripheral duties that may be required. We retain the right to modify or change the essential and additional functions of the job at any time.
1. Coding
• Working directly healthcare providers, and staff to ensure the medical documentation supports the CPT and Diagnosis codes that are being billed out to payers following payer specific guidelines
• Report coding queries to the practice managers and executive director staff daily.
• Post visit review and claim submission
• Other coding duties as assigned
• Coding A/R tasks as assigned
2. Productivity
• Submitting a minimum of 90-100 claims per day out of preassigned clinics
• Dropping claims within 3 days of note completion
3. Policies
• Work within guidance of Billing Compliance Plan
• Work within Federal, State and Local Billing Guidelines
• Attend scheduled coding meetings
• Maintain coding certification including timely submission of continuing education to AAPC or AHIMA
4. Maintain and follow strict privacy, confidentiality, and safety protocols. Comply with all government regulations around the following:
• HIPAA
• OSHA
• PCIDSS
5. Other Administrative Duties
a. Claim submission policies
b. Maintain a clean and organized work environment
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Education/Experience
• High School Diploma or High School Equivalency
• Strong computer skills required
• 5 years healthcare experience
• 2+ years coding experience
• CPC or AHIMA Certification
Preferred Education/Experience
• Some college - medical, business, accounting focus
• Bilingual
• EMR experience preferred - Athenahealth practice management system
SUPERVISORY RESPONSIBILITIES
This position does not have any supervisory responsibilities
JOB ELEMENTS/WORKING CONDITIONS
• While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.
• Occasionally required to walk; sit; and stoop, kneel, crouch, or crawl.
• Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.
WORK ENVIROMENT
The above statements describe the general nature and level of work performed by people assigned to this classification. They are not an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
BENEFITS OFFERED
Health insurance plan options for you and your dependents
Dental, and Vision, for you and your qualified dependents
Company Paid life insurance
Voluntary options for short-term disability, and long-term disability coverage
AFLAC Plans
FSA options
Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
Paid Time-Off earned
This position will be posted for a minimum of 5 days and may be extended.
Salary: $26 - $31 / hour
The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.
OnPoint Medical Group is an EEO Employer.
Auto-ApplyInpatient Coder II
Medical coder job in Centennial, CO
Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval,
analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a
designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and
productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all
facilities.
Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:
* Alabama- Arizona- Arkansas- Colorado
* Florida- Georgia- Idaho- Indiana
* Iowa- Kansas - Kentucky- Louisiana
* Missouri- Mississippi- Nebraska- New Mexico
* North Carolina- Ohio- Oklahoma- South Carolina
* South Dakota- Tennessee- Texas- Utah
* Virginia- West Virginia- Wyoming
Job Requirements
In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:
* High School Diploma/ GED Required
* Associate Degree Preferred
* A minimum of 4 years coding experience preferably in an inpatient acute care setting or a minimum of 2
years' experience and successful completion of the organizations internal coding program.
* Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC), required or must be certified within One Year of hire.
* Must demonstrate competency of inpatient coding guidelines and DRG assignment.
* Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems.
* Experience successfully working in a remote environment, preferred
* Demonstrate intermediate to advanced technical coding competency in ICD-10 CM, CPT-4, HCPCS and
Coding Modifiers
* Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and
coding systems (i.e.3M)
Where You'll Work
We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.