Medical Coder
Medical coder job in Hinsdale, IL
Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement.
Description:
The Medical Coder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Medical Coder performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on Evaluation and Management services. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The Medical Coder also demonstrates understanding and knowledge to resolve Optum coding edits.
Responsibilities:
Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes.
Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers.
Provides documentation feedback to physicians.
Maintains coding reference information.
Trains physicians and other staff regarding documentation, billing and coding for their specialty.
Reviews and communicates new or revised coding guidelines and information with providers and their assigned specialty.
Attends meetings and educational roundtables, communicates pertinent information to physicians and staff.
Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues.
Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers. Adds MBO tracking codes as needed.
May collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals.
May work with Billing staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information
Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.
Qualifications
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) is preferred
Experience in Pain Specialty is Preferred
1 year experience in a relevant role
High School Diploma or Equivalent
Coder lll -Inpatient Coder
Medical coder job in Chicago, IL
WE ARE INSIGHT: At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!
These duties are to be performed in a highly confidential manner, following the mission, values, and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians,
volunteers, and guests.
POSITION PURPOSE: Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records.
Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI & ROM assignments and assignment of APC's and all required modifiers.
Assigns appropriate code(s) by utilizing coding guidelines established by:
* The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting
* American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification
* American Medical Association (AMA) CPT Assistant for CPT codes
* American Health Information Management Association (AHIMA) Standards of Ethical Coding
* Revenue Excellence/RHM Organization coding policies
ESSENTIAL FUNCTIONS:
* Knows, understands, incorporates, and demonstrates the Insight Hospital Mission, Vision, and Values in behaviors, practices, and decisions.
* Adheres to Insight Health confidentiality requirements as they relate to the release of any individual or aggregate patient information.
* Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs.
* Codes Complex Outpatient or Inpatient utilizing encoder software and online tools and references, in the assignment of ICD, CPT, HCPCS codes, MS-DRG, POA, SOI & ROM assignments, APC assignment and all required modifiers.
* Consults reference materials to facilitate code assignment.
* Understands appropriate link of diagnosis to procedure.
* Appends modifier(s) to procedure code or service when applicable.
* Collaborates with HIM and Patient Financial Services in resolving billing and utilization issues affecting reimbursement.
* Interprets bundling and unbundling guidelines (NCCI).
* Interprets LCDs/NCDs and payer policies.
* Tracks issues (i.e., missing documentation, charges or Inpatient queries that require follow-up to facilitate coding in a timely fashion).
* Investigates claims denials and/or appeals as directed.
* Consistently meets or exceeds coding quality and productivity standards.
* Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
* Identifies concerns and responsible for providing resolution of moderate to complex problems. Notifies appropriate leadership for resolution when appropriate.
* Performs other duties as assigned by Leadership.
* Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior
MINIMUM QUALIFICATIONS:
* Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate's degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor's degree in Health Information Management (HIM) or related healthcare field is preferred.
*
* Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA).
* Two (2) years of current Complex Outpatient or Inpatient coding experience is required. Three (3) to five (5) years of current Complex Outpatient or Inpatient coding experienced preferred. Current experience doing remote coding is a plus.
* Extensive comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG or APC grouping. Current experience doing remote coding is a plus.
* Current experience utilizing encoding/grouping software or CAC is preferred. Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred.
* Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools desirable.
* Strong written and oral communication skills, that may be used either on-site or in virtual working environments. Ability to communicate effectively with individuals and groups representing diverse perspectives.
* Ability to work with minimal supervision and exercise independent judgment.
* Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge. Must exhibit critical thinking skills and possess the ability to prioritize workload.
* Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills.
* Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions.
* Ability to change and be flexible with work priorities. Strong problem solving- abilities.
* Must be comfortable functioning in a virtual, collaborative, shared leadership environment.
* Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Insight Hospital, Chicago.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITION:
* Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles.
* Must possess the ability to comply with Insight Hospital policies and procedures.
* Must be able to spend majority of work time utilizing a computer, monitor, and keyboard.
* Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable.
* Must be able to work with interruptions and perform detailed tasks.
* If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading. Must be able to sit for long periods of time.
* Must be able to travel to Insight Hospital (10%) as applicable.
* If applicable, telecommuting (working remotely), must be able to comply with Insight Hospital Working Remote Policy.
Benefits:
* Paid Sick Time - effective 90 days after employment
* Paid Vacation Time - effective 90 days after employment
* Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month
* Short and long-term disability and basic life insurance - after 30 days of employment
Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs.
Insight is an equal opportunity employer and values workplace diversity!
Inpatient Coder - 3093509
Medical coder job in Chicago, IL
The Financial Coding Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsible for the translation of diagnoses and diagnostic/therapeutic procedures into codes using the International Classification of Diseases and Procedures and the Current Procedural Terminology systems. Generates accurate claims to insurance companies, verifying that infusion documentation and charges coordinate and appropriate modifiers are added. Research and resolves all inquiries from Revenue Cycle Departments in an efficient manner.
Responsibilities:
• Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
• Assigns Evaluation and Management codes for Facility Clinic visits
• Analyze and review clinical documentation to ensure documentation supports accurate charge capture and appropriate charging for services rendered
• Assigns appropriate CPT Collaborate with HB Coding, Revenue Integrity, Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise and HCPCS codes to medical procedures according to coding guidelines
• Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures
• Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant interprets coding conventions and instructional notes to select appropriate diagnose
Additional Functions
• Other duties as assigned
Qualifications
Required:
• Six months coding experience in an oncology setting. 2 years of physician and/or hospital billing including infusion billing.
• Thorough understanding of Medicaid, HMO's, PPO's and private insurance companies.
• ICD9, CPT, and chemotherapy infusion billing knowledge.
• Effective in identifying and analyzing problems.
• Generates alternatives and possible solutions.
• Above average keyboarding and data entry skills.
• Ability to multi-task and work in a fast-paced environment.
• Ability to work with physicians and other staff in a collaborative manner.
Preferred:
• Associate's degree
• CPC, CCS-P, COC, CCS, RHIT, or RHIA Certification
Certified Medical Coder
Medical coder job in Rockford, IL
The Certified Medical Coder is responsible for timely, accurate and comprehensive abstraction of provider services from the medical record, utilizing appropriate CPT-4 procedure and ICD-10 diagnosis codes. The Certified Medical Coder reviews the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges.
Coder-1
Medical coder job in Illinois
Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.
Department: Medical Records
Hours: Full-Time, 40 hours
Required: AS Degree, Certified Professional Coder preferred,
Pay: Based on experience, starting at $22.17
Responsibilities
Assists physicians with record
documentation needs by
requesting clarification for
additional information. Assists
in educating physicians and
ancillary staff members about
documentation needed for
coding process. Contacts
physician offices and/or SBL
departments as needed for
diagnostic information to code
the encounter, Assists with training new
coding staff as requested., Codes all types of encounters
as assigned and assists coworkers
as needed., Codes and finals inpatient and
outpatient services technical
encounters based on
established production standards., Meets quality standards of
having 95% of diagnoses and
procedures appropriately
and/or correctly coded.
Ensures data quality and
optimum reimbursement
allowable under the federal
and state payment systems, Performs follow-up on
encounters that need to be
coded and finaled., Reviews and corrects all
encounters that are rejected
or denied., Reviews record thoroughly to
ascertain all
diagnoses/procedures. Codes
all diagnoses/procedures in
accordance to ICD-CM and CPT
coding principles, official
guidelines and regulations., Reviews record thoroughly to
ascertain all
diagnoses/procedures. Codes
all diagnoses/procedures in
accordance to ICD-CM and CPT
coding principles, official
guidelines and regulations.
Requirements
AS (Required), High School (Required) Certified Professional Coder-A - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, Registered Health Information Technician w/in 2 yrs of hire - American Health Information Management Association
Compensation
Estimated Compensation Range
$22.72 - $35.22
Pay based on experience
Auto-ApplyMedical 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)
CODER CERTIFIED
Medical coder job in Paris, IL
Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you-our family, friends, and neighbors.
Position Summary:
Codes and/or bills the patient's medical record using pertinent information according to departmental and HMFP policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries.
Essential Functions (Responsibilities/Accountabilities):
Data entry for the facility software using the electronic health record and any scanned or written reports. Uses system for each patient appropriately.
Assign accurate Evaluation and Management codes per the CPT guidelines for AMA.
Utilize query worksheet or appropriate alternative as a communication tool with physicians to obtain an appropriate diagnosis to promote coding accuracy.
Regularly reviews coding changes and regulatory agency requirements; maintain current information concerning Medicare, Medicaid and private insurance regulations specific to coding and billing. Assign accurate and complete codes based upon physician documentation.
Maintain consistent turnaround time to meet established coding targets.
Maintain strict observation of rules pertaining to confidentiality and HIPAA.
Review regularly the “uncoded” patient encounter listing and obtain the required information to facilitate release of the final bill from the Business Office to the payor.
The responsibilities listed above are not all-inclusive; other activities may be required in support of the hospital's goals and objectives. Responsibilities include cross-training for coverage of positions and other functions in the Clinic.
Position Requirements:
Registered Health Information Technician/RHIT, Registered Health Information Administrator/RHIA, Certified Coding Specialist/CCS, or Certified Coding Specialist-physician base/CCS- required for this wage grade. Uncertified Coder is in a different category. Maintains continuing education and provides documentation of certification for inclusion with annual evaluation.
Previous coding experience is required.
Previous knowledge of CMS coding preferred.
Advanced knowledge of medical terminology is required with a working knowledge of disease processes, anatomy, physiology and pharmacology required
Position Information:
Location: 908 N Main Street Paris, IL 61944
Hours: Monday- Friday 40hrs per week
Pay Range:
Pay ranges from $21.351/hour to $34.161/hour (rate of pay is based on applicable years of experience)
Horizon Health is committed to caring not only for our patients, but for our staff as well. We offer you an extensive total compensation and benefits package. As an employee of Horizon Health, your benefits include a competitive salary, medical, dental and vision insurance, Employee 403(b), health savings account with Company match, as well as Vacation, Sick and Paid Holidays.
Access to our benefits summary can be found at the link below!
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Intrigued? Don't wait, apply today. We are actively reviewing applicants for the Certified Coder. Be part of an organization that is dedicated to the growth and development of its colleagues. Here at Horizon Health, our employees speak for themselves. Join our family & begin an incredible career!
Auto-ApplyCoder - Certified (BMG)
Medical coder job in South Bend, IN
Reports to the Manager of Professional Coding. Under general supervision and in accordance with the policies and procedures established by BMG Professional Coding, reviews and accurately codes office and hospital procedures for reimbursement requiring exercise of initiative and judgement.
MISSION, VALUES and SERVICE GOALS
* MISSION: We deliver outstanding care, inspire health, and connect with heart.
* VALUES: Trust. Respect. Integrity. Compassion.
* SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
Performs routine and non-routine revenue cycle, billing, coding and insurance functions by:
* Extracting relevant information from patient records, examining documents for missing information.
* Liaison with physicians and other parties to clarify information.
* Analyzing documentation and accurately applies CPT, ICD, and HCPCS codes to support compliant coding.
* Working rejected and denied claims based on assigned reports, and assists in complex denial resolution.
* Communicating updates on coding related changes and billing opportunities and guidelines to supervisor and/or providers.
* Assisting providers with required documentation, compliant coding and reimbursement.
* Monitoring provider documentation for trends and adherence to documentation standards and regulatory requirements through report and billing analysis. Communicates results to providers and management as needed.
* Participating in timely review of provider documentation and communication of results to supervisor.
* Auditing reports as necessary to identify and correct coding related errors.
* Achieving BMG's coding productivity and accuracy rates within 6 months of hire; maintains rates as evaluated by internal or external review.
Performs other functions to maintain personal competence and contributes to the overall effectiveness and efficiency of the department by:
* Working closely with other BMG Central Business Office associates.
* Presenting coding and compliance related topics to team members.
* Completing other job-related duties and projects as assigned.
ORGANIZATIONAL RESPONSIBILITIES
Associate complies with the following organizational requirements:
* Attends and participates in department meetings and is accountable for all information shared.
* Completes mandatory education, annual competencies and department specific education within established timeframes.
* Completes annual employee health requirements within established timeframes.
* Maintains license/certification, registration in good standing throughout fiscal year.
* Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
* Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
* Adheres to regulatory agency requirements, survey process and compliance.
* Complies with established organization and department policies.
* Available to work overtime in addition to working additional or other shifts and schedules when required.
Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:
* Leverage innovation everywhere.
* Cultivate human talent.
* Embrace performance improvement.
* Build greatness through accountability.
* Use information to improve and advance.
* Communicate clearly and continuously.
Education and Experience
* The knowledge, skills, and abilities are normally acquired through a High School diploma, GED or suitable equivalent. Graduate of an accredited medical coding program preferred. Two years physician coding experience in an applicable specialty preferred. Designation as a Certified Coding Specialist-Physician Based, Certified Professional Coder, Certified Medical Coder, or Certified Coding Associated required. Must complete a minimum of 12 hours of coding related education per year to field of concentration.
Knowledge & Skills
* Requires accuracy and proficiency with CPT, ICD and HCPCS code assignment.
* Demonstrates knowledge of regulatory and payer specific coding guidelines.
* Demonstrates proficiency in knowledge of anatomy, physiology and medical terminology.
* Demonstrates exceptional organizational skills and attention to detail.
* Proficient computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite.
* Ability to work independently and as a member of a team.
* Requires excellent communication skills, both oral and written, necessary to effectively speak to a diverse audience.
* Demonstrates working knowledge of HIPAA and ability to maintain confidentiality of all data.
Working Conditions
* Works in an office environment.
* May experience some mental/visual fatigue from careful and constant review of records, code books, and continued use of computer equipment.
Physical Demands
* Requires the physical ability and stamina to perform the essential functions of the position.
HIM Cert Coder IP - CFH
Medical coder job in Champaign, IL
The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters.
Qualifications
Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
Work Experience:
Knowledge of ICD10, CPT and HCPCs coding rules as applicable to the position. Ability to work with others collaboratively, both orally and in writing. Knowledge of medical science, anatomy and physiology required. Ability to perform computer data entry. Experience with encoders and other coding software preferred.
Responsibilities
Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient. Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. Develops methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.). Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties. Serve as liaison for coding and billing staff to ensure accurate charge capture. Reports any documentation and coding improvement needs based upon review findings. Responsible for maintaining coding certification, knowledge and skills to successfully perform job duties Performs provider and peer coding audits as requested Assist with monitoring of internal controls for coding and billing. Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel.
About Us
Find it here.
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************.
Compensation and Benefits
The compensation range for this position is $23.58per hour - $39.38per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
Auto-ApplyMental 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 ApplyProfessional Coder
Medical coder job in Lafayette, IN
Administration - Requisition #2551
Unity Healthcare is a comprehensive, multi-specialty healthcare provider with offices throughout North Central Indiana. We have over 20 specialties, including an award-winning surgery center. We are locally owned, which allows us to make decisions in the best interest of our patients and our community.
With our 60+ experienced Healthcare Professionals, innovative technology, and wide range of services and treatment options, we help each patient live his or her best life.
Responsibilities
Responsible for assigning ICD-10 diagnosis codes, CPT procedure codes, and modifiers
Responsible for entering claims into the practice management system
Assign codes and enter charges in compliance with AMA CPT, ICD-10, and any respective payor guidelines.
Requirements & Skills
Certified Professional Coder (CPC) or Certified Coding Specialist - Professional (CCS-P)
1-2 years of experience preferred
Certification in physician/outpatient coding
Knowledge of coding guidelines and payor policies
Strong attention to detail and organizational skills
Exceptional communication skills and the ability to adapt to a variety of specialty coding
Employment Details
Part-Time or Full-Time
Monday - Friday, 8:00 am - 5:00 pm
Unity Healthcare, LLC is an Equal Opportunity Employer
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-ApplyMedical Device QMS Auditor
Medical coder job in Chicago, IL
We exist to create positive change for people and the planet. Join us and make a difference too!
Job Title: QMS Auditor
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyHOME HEALTH CODER/OASIS (PT DAYS)
Medical coder job in Peotone, IL
The Home Health Coder/OASIS is responsible for ensuring accurate and timely coding of home health services, including OASIS (Outcome and Assessment Information Set) data, in compliance with regulatory requirements and Riverside Healthcares standards. This role plays a critical part in the home health billing and reimbursement process, directly contributing to optimal patient care and financial outcomes. The ideal candidate will have a strong background in home health coding, be detail-oriented, and possess a deep understanding of OASIS documentation submission.
Essential Duties
Review, analyze, and code home health care documentation according to current coding guidelines and regulations.
Ensure accurate and timely submission of OASIS assessments, collaborating with clinical staff to ensure completeness and accuracy.
Monitor and audit coding practices to maintain compliance with Medicare, Medicaid, and other third-party payer requirements.
Educate and provide feedback to clinical staff on coding documentation requirements to ensure accurate coding and billing.
Participate in quality improvement initiatives to optimize coding accuracy and efficiency.
Communicate with the billing department to resolve coding-related issues and ensure the correct reimbursement of home health services.
Maintain up-to-date knowledge of coding regulations, OASIS submission guidelines, and home health industry standards.
Assist in preparing for audits by providing necessary documentation and coding reports.
Patient Feedback Outreach: Conduct follow-up calls to patients to gather feedback on their recent experience with our services, ensuring we consistently meet and exceed patient expectations. Document and relay feedback to appropriate team members to support continuous improvement and employee performance evaluations.
Demonstrates flexibility with assignments within professional scope/duties/licensure.
Non-essential Duties
Assist with other administrative tasks as needed, including data entry and clerical support for the home health department.
Participate in staff meetings and ongoing education to stay current with industry practices.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so your journey at and away from work is remarkable. Our Total Rewards package includes:
Compensation
Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift differential, on-call
Opportunity for annual increases based on performance
Benefits - .5 to 1.0 FTE
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Benefits - .001 to .49 FTE:
Paid Leave Hours accrued as you work
Responsibilities
Preferred Experience
OASIS Certification (COS-C or HCS-O) is preferred.
Minimum of 2 years of experience in home health coding, is preferred.
Strong understanding of Medicare, Medicaid, and third-party payer regulations.
Proficient in the use of electronic health record (EHR) systems and coding software.
Excellent attention to detail, organizational skills, and the ability to work independently.
Strong communication skills to effectively collaborate with clinical staff and other departments.
Required Licensure/Education
High school diploma or equivalent required
Certification in Home Health Coding (HCS-D) or equivalent is required.
Preferred Education
Associates or Bachelors degree in Health Information Management, Nursing, or a related field preferred.
Employee Health Requirements
Exposure/Sensory Requirements:
Exposure to:
Chemicals: None
Video Display Terminals: Average
Blood and Body Fluids: None
TB or Airborne Pathogens: None
Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Command of English language, good speaking skills for verbal communication with public and employees.
Vision: Required to see computer screens, papers, fax printer, written materials.
Smell:
Hearing: Must be able to hear for verbal and telephone communication.
Touch: Computer, telephone, handwriting Activity/Lifting Requirements
Percentage of time during the normal workday the employee is required to:
Sit: 75%
Twist: 0%
Stand: 10%
Crawl: 0%
Walk: 5%
Kneel: 2%
Lift: 1%
Drive: 0%
Squat: 2%
Climb: 0%
Bend: 3%
Reach above shoulders: 2%
The weight required to be lifted each normal workday according to the continuum described below:
Up to 10 lbs: Continuously
Up to 20 lbs: Occasionally
Up to 35 lbs: Occasionally
Up to 50 lbs: Not Required
Up to 75 lbs: Not Required
Up to 100 lbs: Not Required
Over 100 lbs: Not Required
Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 360
Twist: 0
Stand: 30
Crawl: 5
Walk: 10
Kneel: 2
Lift: 5
Drive: 0
Squat: 5
Climb: 0
Bend: 5
Reach above shoulders: 5
Repetitive use of hands (Frequency indicated):
Simple grasp up to 10 lbs. Normal weight: 5# continuously
Pushing & pulling Normal weight: continuously
Fine Manipulation: Telephone, sorting papers, computer entry, writing, using fax, printers, typing.
Repetitive use of foot or feet in operating machine control:
Environmental Factors & Special Hazards
Environmental Factors (Time Spent):
Inside hours: 8
Outside hours : 0
Temperature: Normal Range
Lighting: Average
Noise levels: Average
Humidity: Normal Range
Atmosphere:
Special Hazards:
Protective Clothing Required:
Pay Range USD $24.12 - USD $29.50 //Hr
Auto-ApplyCertified Coding Specialist
Medical coder job in Hillsboro, IL
Job DescriptionDescription:
The Health Information Management Certified Coding Specialist performs coding and abstracting for inpatient and outpatient medical records accurately and timely to optimize reimbursement for all payer classes. Responsible for scanning medical records and filling in for the HIM Technician during their absence. Normally scheduled Monday through Friday.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Supports and promotes an environment conducive with the Mission, Vision, and Values of the hospital.
Analyses patients' records for principle and secondary diagnosis, procedures and assigns the appropriate codes per established guidelines.
Abstract any data required for the patients' record.
Ensures timely data entry of codes.
Facilitates flow of medical record data to assure accurate and prompt reimbursement, data collection and clinical data analysis.
Confers with physicians regarding diagnoses and procedures to ensure accuracy.
Follow up with the provider on any documentation that is insufficient or unclear.
Ensures that documentation is appropriate to meet medical necessity guidelines.
Ensures productivity and quality of coding the records.
Uses reference materials (coding books and 3M encoder) appropriately and efficiently.
Recognizes, interprets, and evaluates inconsistencies and discrepancies in medical record documentation and reports them appropriately.
Organizes and prioritizes assigned work and schedules time to accommodate work demands and turn-around time requirements.
Maintain orderly condition of assigned work area.
Maintain confidentiality of all patients, hospital, and physical related information
Communicate with other clinical team members regarding documentation.
Is knowledgeable of general hospital and department specific policies and procedures including release of information, amendment of medical records and other legal requirements.
Other duties may be assigned and are subject to change with or without prior notice.
OTHER RESPONSIBILITIES
Answer the telephone and perform routine clerical tasks.
Completes assigned daily duties.
Follows expected work practices.
Displays thoroughness and accuracy of work.
Works in a safe manner, including reporting unsafe equipment or environment.
Well organized, accepts assignments willingly and accomplishes them quickly.
Anticipates problems and suggests solutions.
Helps with not specifically assigned duties.
Works steadily and always keeps busy.
Maintain knowledge and skills necessary to communicate and interact with patients, visitors, and staff in the following age groups: Infant, Pediatric/adolescent, Adult, and Geriatric.
Ability to work well with a diverse work team.
Ability to work under pressure with time constraints.
Ability to concentrate.
Ability to work independently with minimal supervision.
Ability to work well with numbers.
Maintain appearance appropriate for job duties.
(The above statements describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned, as required, by Hillsboro Health.)
SUPERVISORY RESPONSIBILITIES
None
Requirements:
EDUCATION AND/OR EXPERIENCE
High school diploma or equivalency with college courses in medical terminology, anatomy, and coding
Minimum 1 year experience in Medical Coding field, knowledge of reimbursement systems and Medicare regulations
Excellent customer services skills
Degree in medical coding with a RHIA, RHIT, CCS or CPC
Must maintain an average accuracy of 97% or above.
CERTIFICATES, LICENSES, REGISTRATIONS
Coding Certification, CCS or CPC, RHIT or RHIA
PHYSICAL DEMANDS
Prolonged and extensive sitting
Constantly required to use arms, hands, and fingers for repetitive movement - typing, and occasional grasping, pulling, and pushing
Occasionally lift and/or move up to 25 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision and the ability to adjust focus.
WORK ENVIRONMENT
Work is sedentary.
Duties are performed within comfortable climate-controlled surroundings.
Frequently interacts with Medical Staff and Nursing Personnel
CORPORATE COMPLIANCE
Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health's Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows how to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.
BENEFITS
Please use the link below to visit our website for a list of benefits offered.
***************************************
EMS Biller and Coder
Medical coder job in Elmhurst, IL
EMS Biller and Coder
We are currently looking for an EMS Biller and Coder to join our Billing Department team! Below lists the duties, responsibilities and the qualifications needed for this position. We will train the right individual!
The EMS Biller and Coder are responsible for scrubbing sites for active health Insurance while complying with insurance, local, state, and federal billing. The EMS Biller and Coder are liable for adding appropriate key identifiers from the Patient Care Reports with coordinating ICD codes.
All representatives will conduct insurance verification as needed and are required to complete prebilling training to qualify for the role.
Responsibilities
Responsibilities of the EMS Biller and Coder
Reviews Patient Care Report thoroughly, utilizing all available documentation to establish medical necessity, selection of levels of service, origin/destination modifiers and the patient's condition at time of transport.
Keeps an open line of communication with internal and external departments in a professional, tactful manner to obtain missing documentation or to clarify existing documentation.
Assigns condition codes for the reason(s) of the transport with a minimum of 95% accuracy.
Meets established minimum coding productivity standards especially during training.
Reviews reports thoroughly to bill appropriately while following policies and procedures.
Utilizes software applications to complete pending assignments paying attention to urgent requests.
Attends department meetings and education sessions to further knowledge of billing and coding guidelines.
Places phone calls to insurance payers to obtain patient policy numbers when not available on insurance sites or other available documentation.
Ensure accuracy in data entry and consistent attention to detail while advancing with short keys for speed.
Demonstrates knowledge and compliance of insurance, local, state, and federal billing.
Ability to complete tasks efficiently both individually and in a group environment.
Handle assigned correspondence fulfilling any other duties as assigned by managerial staff.
Key Skills of the EMS Billing Coordinator
Well-versed with medical billing practices that include an understanding of insurance billing codes, regulations, and procedures.
Ability to investigate and resolve billing errors and disputes.
Effective communication skills with clients, insurance companies, patients, staff members and management.
Ability to manage multiple tasks and meet deadlines.
Must have great attention to detail with high accuracy.
Qualifications
Qualifications of the EMS Biller and Coder
College preferred but not ; Medical Billing or Coding Certified preferred but not .
Minimum two years' experience in customer care, account management or similar role.
Healthcare and Auto knowledge is preferred.
Must be a quick learner and motivated individual with excellent verbal communications skills.
Fluency in second language is a plus, Spanish preferred.
Ability to “multi-task” and manage spurs of high call volume / stress.
Positive, can-do attitude and with good judgement demonstrating ability to escalate account when needed.
Ability to receive and implement feedback.
Computer and Office Qualifications of the EMS Biller and Coder
Computer literacy is a must; Typing skillset of at least 45 WPM is highly desired
Experience working in an active office environment.
Must be able to work with 2 monitors and split screens to operate multiple sites simultaneously.
Must be able to sit / stand for 8 hours minimum in an office environment
Must be able to use Word, Excel Spreadsheet, Email, Chat Applications, and other software applications.
Must be able to read, comprehend, and apply job-related rules, policies, and procedures.
Salary or Wage Range USD $19.00 - USD $23.00 /Hr. rates offered based on years of experience
Auto-ApplyMedical Records Specialist I - Lafayette, IN
Medical coder job in Lafayette, IN
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**You will:**
+ **Schedule: Monday-Friday 8am-430pm (Hybrid)**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with patient walk-ins.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ Must meet productivity expectations as outlined at specific site.
+ May schedules pick-ups.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED
+ Must be at least 18 years old.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
**Bonus points if:**
+ Experience in a healthcare environment.
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
Certified 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
HIM Coder
Medical coder job in Monticello, IL
Job DescriptionDescription:
Shift: Day shift
Schedule: M-F 40 hours
Job Summary: Responsible for the conversion of diagnoses and treatment procedures in accordance with the rules, regulations and coding conventions as established by the American Hospital Association (Coding Clinic), ICD-10-CM, CMS, AHIMA, and Kirby Medical Center organizational/institutional coding guidelines. Under the direction of the lead coding manager, the coder will perform all tasks and duties in accordance with established standards, policies, procedures, protocols, and guidelines using classification of diseases. Requires skill in the sequencing of diagnoses/procedures to meet medical necessity requirements. Ensures that records are coded in an accurate and timely manner. Participates in the department's performance improvement activities.
Benefits:
40 hours PTO effective date of hire
Health, Dental, Vision and Life insurance effective date of hire
Generous 401(k) match effective after 90 days
Quality/Goal incentive annually
Free Wellness Program
Requirements:
Qualifications:
High School diploma or equivalent and medical coding education. In lieu of medical coding education, an active coding certification is required. Associate degree in healthcare related field preferred.
Certification as Certified Coding Specialist (CCS), or Certified Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) or Certified Professional Coder (CPC) required within one year of hire.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) preferred (will be considered in lieu of above certifications).
Required Skills:
Extremely detail-oriented with the ability to multi-task and follow through to meet established deadlines with stringent guidelines.
Ability to function under stress with many interruptions.
Highly analytical with critical thinking skills.
Must be self-motivated and strive for personal growth.
Knowledge or medical science, anatomy, and physiology required.
Ability to work flexible hours and possess the ability to accept change.
Ability to work with others collaboratively and communicate efficiently both orally and in writing.
Experience with Windows-based applications (e.g., Word, Excel, Outlook, etc.). Able to use multiple Electronic Health Records.
Since 1941, Kirby Medical Center has been the premier provider of healthcare in Piatt County and surrounding areas. We are committed and proud to provide quality and compassionate healthcare services to people in need. Our values-based culture, employee engagement, and award-winning healthcare have driven the success of our organization. Kirby Medical Center is an independent, not-for-profit hospital located on a beautiful campus in Monticello, IL with satellite clinics in Atwood, & Cerro Gordo, IL.
Kirby Medical Center offers an outstanding benefits package and state-of-the-art medical equipment. Ideal candidates enjoy a workplace where compassion, positive attitudes, respect, excellence, and stewardship are on display every day.
Coder I - PFS Billing Department - FT M-F
Medical coder job in Gibson City, IL
Job Details Gibson City, IL Full Time $25.00 - $32.00 HourlyDescription
The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve.
PRINCIPLE DUTIES AND RESPONSIBILITIES
1. Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes.
2. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
3. Knowledge and understanding of how to properly code using medical coding books.
4. Follow up with the provider on any documentation that is insufficient or unclear.
5. Ensure that all codes are current and active.
6. Ensures appropriate, accurate/timely follow-up is action taken on all denials and rejections received.
7. Adequately responds to coding questions and provide clarification to colleagues.
8. Develops and maintains appropriate communication with clinics.
9. Appropriately refers all non-routine issues to management for clarification.
10. Re-code and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers.
11. Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
12. Monitor CPT's and Diagnoses to assure they are coded correctly prior to billing.
13. All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
Qualifications
PHYSICAL REQUIREMENTS
1. Must be competent in the usage of PC's keyboard, calculations, copy machine, printers and other office equipment.
2. Light level of physical effort required for a variety of physical activities to include lifting standing and sitting at a workstation for up to four hours at a time.
Physical strength to perform the following lifting tasks:
• Floor to waist - 10 pounds
• Waist to shoulder - 10 pounds
• Shoulder to overhead - 10 pounds
• Carry 10 pounds for 15 feet
3. Work requires visual acuity necessary to observe and obtain information and use documentation.
4. Auditory acuity to hear others for purposed of fluent communication.
REPORTING RELATIONSHIP
Reports to the Director(s) of Patient Financial Services.
EDUCATION, KNOWLEDGE AND ABILITIES REQUIRED:
1. Work requires knowledge of CPT, ICD-10, and HCPC codes.
.
2. Must hold a current unexpired CPC or CCS certification from the AAPC, NHA, or AHIMA.
3. 2 years of previous experience with medical coding for a multi-specialty office or hospital system.
4. Knowledge of Medical Terminology.
5. Familiar with the Legal and Ethical Compliance with medical coding.
6. Previous experience in the policy and procedures of medical coding.
7. Requires analytical skills to evaluate medical charts and records.
8. Good communication skills to assist with coding questions and concerns from colleagues.
INFECTION EXPOSURE RISK LEVEL
Category 3 - No Risk - Your job does not involve exposure to blood, body fluids or tissue. You do not perform or help in emergency medical care or first aid as part of your job.
WORKING CONDITIONS
1. Works in an office where there are relatively few discomforts due to dust or dirt. There is some exposure to print noises.
2. Will work in an office with co-workers where traffic may be constant, subjecting your work to interruptions, which can produce stress and fatigue.