Certified Medical Coder
Medical coder job in Dover, DE
Shift Information: Days, Full Time
Minimum Years of Experience: 5
Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to BHMG coding and billing staff.
Responsibilities:
1. Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits.
2. Audits all establish provider medical records on by annual basis:
a. Audits medical records for accurate CPT coding assignment.
b. Maintains audit lodge for BHMG
c. Compiles reports with an analysis of findings from the medical record audits.
d. Ensures the selected CPT code supports the clinical documentation contained in patient record.
e. Consistently meets established productivity targets for record audits.
3. Medical Staff Relationship:
a. Communicates (verbal/written) with providers to validate observations and suggest additional and/or more specific documentation
b. Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation.
c. Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
d. Communicates to participants the benefits of complete clinical documentation.
4. Trains new employees on the BHMG revenue cycle team on coding and documentation guidelines
5. Assistant Revenue Cycle manager with evaluation of coding activities and the performance evaluation of the revenue cycle personnel as needed
6. Performs coding procedures as needed and warranted
7. Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
8. All other duties as assigned within the scope and range of job responsibilities
Required Education, Credential(s) and Experience:
Education: Associate Degree Related field
Credential: Certified Professional Coder
Experience: Five (5) years in Inpatient /Outpatient coding and auditing experience
Preferred Education, Credential(s) and Experience:
Education Bachelor Degree Related field
Credential: Certified Professional Coder
Experience: Coding in multi-specialty group practice setting
Coder
Medical coder job in Delaware City, DE
Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems.
They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models.
Why Join This Team?
Earn up to $32/hr, paid weekly.
Payments via PayPal or AirTM.
No contracts, no 9-to-5. You control your schedule.
Most experts work 5-10 hours/week, with the option to work up to 40 hours from home.
Join a global community of experts contributing to advanced AI tools.
Free access to the Model Playground to interact with leading LLMs.
Requirements
Bachelor's degree or higher in Computer Science from a selective institution.
Proficiency in Python, Java, JavaScript, or C++.
Ability to explain complex programming concepts fluently in Spanish and English.
Strong Spanish and English grammar, punctuation, and technical writing skills.
Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer.
What You'll Do
Teach AI to interpret and solve complex programming problems.
Create and answer computer-science questions to train AI models.
Review, analyze, and rank AI-generated code for accuracy and efficiency.
Provide clear and constructive feedback to improve AI responses.
to help train the next generation of programming-capable AI models!
Medical Coder
Medical coder job in Dover, DE
Description SNA International seeks a bright, collaborative
Medical Coder
with a strong work ethic and experience with medical mortality coding experience to join the team at Armed Forces Medical Examiner's System in Dover, DE. SNA International's team works together in pursuit of the same cause: build a safe and just world by empowering organizations in the use of forensics, biometrics, and identity intelligence. Responsibilities include but are not limited to:
Assist medical examiners with mortality classification of autopsy reports
Provide auditing, adjudication, and provide medical mortality coding oversight
Retrieve death data on decedents who fall under AFMES jurisdiction
Provide coding for individual injuries, code for cause(s) of death,
Perform auditing, oversight, and adjudication support, and identify missing mortality data from 1998 cases to present and enter them into appropriate databases.
Develop standard operating procedures for coding and quality control within AFMES
provide coding expertise to take available death data using the ICD-10, code the primary, secondary, tertiary, and other similar related codes, causes of death using standard nosologic methods
Generate and maintain a data dictionary that defines the variables, codes, and terms used that are not in the ICD10.
Minimum Education and Experience Requirements:
Bachelor's degree (or equivalent experience) plus 5 years of medical mortality AIS coding.
Desired knowledge and experience in filing techniques; administrative typing; preparing and editing technical or general documentation using various software packages such as Microsoft Word, Microsoft PowerPoint, Microsoft Excel and Windows; transcription of documents, data entry, and preparing and editing management support documentation
Candidates must be US citizens and able to pass a NAC-I Security Background Investigation.
Please submit your resume and a cover letter that outlines why you should be considered for this position and position level. CVs without a cover letter will not be considered.
No phone calls.
SNA International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Auto-ApplyInpatient Facility Coder
Medical coder job in Wilmington, DE
Nemours is seeking a Coder! This position is responsible for the proper coding and abstracting of inpatient facility medical records using ICD-10-CM diagnosis and PCS codes in accordance with ICD 10 CM and PCS coding conventions and the Official Guidelines for Coding and Reporting.
Knowledge and adherence to the Official Coding Guidelines for ICD 10 CM and PCS is required. Participation in on-going coding training and education is essential and required for this position. Maintaining annual coding certification through the American Health Information Management Association (AHIMA) or the AAPC is also required.
Responsibilities:
* Translate diagnostic and procedural documentation into the appropriate ICD-10-CM, PCS, SOI, and ROM assignments
* Select the appropriate principal diagnosis code, secondary diagnoses, and procedure codes according to the UHDDS.
* Analyze the circumstances of admission to ensure proper sequencing, selection of discharge disposition, and Present on Admission (POA) assignment.
* Appropriate capture Complications and Comorbidities.
* Ensure appropriate DRG assignment.
* Identify cases that require further clarification based on the clinical indicators in the record.
* Communicate and work with the Clinical Documentation Specialist.
* Review medical record information using Epic.
* Abstract records in an accurate manner according to established procedures and guidelines.
* Meet and/or exceed coding quality and productivity standards.
* Review and address coding validation edits, 3M edits, and participate in Coding Prebill reviews as well as peer reviews.
* Demonstrate and incorporate a working knowledge of the Epic system for retrieval of clinical data for coding purposes.
* Assist with coding shadowing and cross training as needed.
Qualifications:
* High School Diploma required; Associate Degree is preferred.
* Certified Coding Specialist Certification (CCS), Certified Inpatient Coder (CIC), or CPC is required.
* Minimum one year coding experience is required.
* Knowledge of the Official Coding Guidelines for ICD 10 CM and PCS is required.
* Previous experience with All Patient Refined (APR) Diagnostic Related Groups (DRGs) is preferred.
* Pediatric inpatient coding experience is preferred.
Auto-ApplyInpatient Facility Coder
Medical coder job in Wilmington, DE
Nemours is seeking a Coder! This position is responsible for the proper coding and abstracting of inpatient facility medical records using ICD-10-CM diagnosis and PCS codes in accordance with ICD 10 CM and PCS coding conventions and the Official Guidelines for Coding and Reporting.
Knowledge and adherence to the Official Coding Guidelines for ICD 10 CM and PCS is required. Participation in on-going coding training and education is essential and required for this position. Maintaining annual coding certification through the American Health Information Management Association (AHIMA) or the AAPC is also required.
Responsibilities:
Translate diagnostic and procedural documentation into the appropriate ICD-10-CM, PCS, SOI, and ROM assignments
Select the appropriate principal diagnosis code, secondary diagnoses, and procedure codes according to the UHDDS.
Analyze the circumstances of admission to ensure proper sequencing, selection of discharge disposition, and Present on Admission (POA) assignment.
Appropriate capture Complications and Comorbidities.
Ensure appropriate DRG assignment.
Identify cases that require further clarification based on the clinical indicators in the record.
Communicate and work with the Clinical Documentation Specialist.
Review medical record information using Epic.
Abstract records in an accurate manner according to established procedures and guidelines.
Meet and/or exceed coding quality and productivity standards.
Review and address coding validation edits, 3M edits, and participate in Coding Prebill reviews as well as peer reviews.
Demonstrate and incorporate a working knowledge of the Epic system for retrieval of clinical data for coding purposes.
Assist with coding shadowing and cross training as needed.
Qualifications:
High School Diploma required; Associate Degree is preferred.
Certified Coding Specialist Certification (CCS), Certified Inpatient Coder (CIC), or CPC is required.
Minimum one year coding experience is required.
Knowledge of the Official Coding Guidelines for ICD 10 CM and PCS is required.
Previous experience with All Patient Refined (APR) Diagnostic Related Groups (DRGs) is preferred.
Pediatric inpatient coding experience is preferred.
About Us
Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.
As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.
Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.
To learn more about Nemours Children's and how we go well beyond medicine, visit us at *************** .
Senior Certified Professional Coder, Special Investigations Unit (Aetna SIU)
Medical coder job in Dover, DE
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.
**Activities include:**
+ Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation.
+ Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects.
+ Provide detailed written summary of medical record review findings.
+ Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
+ Review and discuss cases with Medical Directors to validate decisions.
+ Independently research and accurately apply state or CMS guidelines related to the audit.
+ Assist with investigative research related to coding questions, state and federal policies.
+ Identify potential billing errors, abuse, and fraud.
+ Identify opportunities for savings related to potential cases which may warrant a prepayment review.
+ Maintain appropriate records, files, documentation, etc.
+ Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics.
+ Mentor New Coders, providing training, coding, and record review guidance.
+ Collaboration with investigators, data analytics and plan leadership on SIU schemes.
+ Act as management back-up and supports the team when the manager is out of the office.
+ Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement.
**Required Qualifications**
+ AAPC Coding certification - Certified Professional Coder (CPC)
+ 3+ years of experience in medical coding or documentation auditing.
+ Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10.
+ CMS 1500 and UB04 data elements
+ Experience with researching coding and policies.
+ Experience with Microsoft products; including Excel and Word
+ Prior experience auditing others' work and providing feedback.
+ Experience mentoring others.
+ Must be able to travel to provide testimony if needed.
**Preferred Qualifications**
+ 3+ years or more previous experience with Behavioral Health coding/auditing of records
+ Licensed Clinical Social Worker (LCSW)
+ Licensed Independent Social Worker (LISW)
+ Licensed Master Social Worker (LMSW)
+ Licensed Professional Counselor (LPC)
+ Excellent communication skills
+ Excellent analytical skills
+ Strong attention to detail and ability to review and interpret data.
**Education**
+ AAPC Certified Professional Coder Certification (CPC)
+ GED or High School diploma
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $112,200.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 12/06/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
EHR/EMR Principal Data Analyst
Medical coder job in Delaware
Are you a collaborative Data Engineer with a EHR/EMR background looking to work for a mission driven global organization?
Do you consider yourself a SME in the EHR/EMR Data Analytics space?
About the role - We are seeking a Principal Data Analyst with an EHR/EMR expertise to provide the technical and operational expertise that supports ClinicalPath's sales, implementation, and product teams. This role combines a deep understanding of EHR integrations with hands-on technical skills in SQL, reporting, and automation. You will be a key partner in customer-facing technical discussions-helping clarify integration requirements, supporting security and compliance assessments, and ensuring a seamless handoff into implementation. This position is ideal for someone who thrives at the intersection of technology, healthcare workflows, and customer engagement.
About the team - ClinicalPath is a clinical decision-support system used mainly in cancer care. It gives doctors evidence-based treatment pathways so they can choose the best possible care plan for each patient.
Requirements
Possess extensive and current SQL skills for query writing, optimization, and troubleshooting.
Have a deep familiarity with EHR/EMR systems and integration workflows, including HL7, FHIR, and ADT message formats.
Experience supporting or executing technical assessments, security reviews, or RFPs.
Possess the ability to easily communication with both technical and clinical stakeholders.
Proven ability to manage and maintain technical documentation and customer-facing collateral.
Experience in technical or customer-facing role (product operations, solutions engineering, or technical account management).
Understanding of cloud infrastructure (AWS, Azure) and healthcare data security best practices.
Responsibilities
Customer & Sales Support
Participating in customer-facing technical and sales discussions to assess EHR integration needs, data exchange requirements, and clinical workflows.
Providing expert guidance on interoperability standards (HL7, FHIR, ADT, API integrations) and their application within the ClinicalPath platform.
Supporting the completion of technical documentation, risk/security questionnaires, and compliance assessments (HIPAA, ISO 27001).
Maintaining and refresh demo environments (Figma-based and live) to ensure technical accuracy and consistency with current product capabilities.
Serving as a technical liaison during the contracting and pre-implementation phase, ensuring accurate documentation and clear communication of requirements.
Technical Execution & Operations
Writing, optimizing, and troubleshooting SQL queries to support reporting, analytics, and data-driven product operations.
Developing and maintaining recurring reporting and extract processes, including payer, client, and internal data feeds.
Maintaining up-to-date technical documentation, architecture diagrams, and internal FAQs to support consistency and knowledge sharing.
Cross-Functional Collaboration & Improvement
Partnering closely with product, implementation, and customer success teams to translate customer requirements into clear, actionable specifications.
Identifying opportunities to streamline demo, handoff, and documentation processes for greater operational efficiency.
Contributing to product and process improvements based on recurring customer feedback or integration challenges.
Supporting data analysis and technical insights for leadership teams across sales, product, and operations.
Elsevier is a global leader in advanced information and decision support for science and healthcare. We believe that by working together with the communities we serve, we can shape human progress to go further, happen faster, and benefit all. For more than 140 years, we've helped impact makers to advance science and healthcare to advance human progress, and that same mission drives us today.
U.S. National Base Pay Range: $113,100 - $188,500. Geographic differentials may apply in some locations to better reflect local market rates. If performed in Maryland, the pay range is $118,700 - $197,900. This job is eligible for an annual incentive bonus. We know that your wellbeing and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer to our US full- and part-time employees working at least 20 hours or more per week: ● Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits ● Retirement Benefits: 401(k) with match and an Employee Share Purchase Plan ● Wellbeing: Wellness platform with incentives, Headspace app subscription, Employee Assistance and Time-off Programs ● Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity ● Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits ● Health Savings, Health Care, Dependent Care and Commuter Spending Accounts ● In addition to annual Paid Time Off, we offer up to two days of paid leave each to participate in Employee Resource Groups and to volunteer with your charity of choice
We are committed to providing a fair and accessible hiring process. If you have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support Form or please contact **************.
Criminals may pose as recruiters asking for money or personal information. We never request money or banking details from job applicants. Learn more about spotting and avoiding scams here.
Please read our Candidate Privacy Policy.
We are an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law.
USA Job Seekers:
EEO Know Your Rights.
Auto-ApplyHealthcare Revenue Cycle / HIM Manager
Medical coder job in Dover, DE
As a recognized authority and leading contributor, this project management professional, provides consistent innovative and high quality solution leadership. Responsible for guiding the successful implementation of non-routine and complex business solutions ensuring high quality and timely delivery within budget to the customer's satisfaction.
**Responsibilities**
Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
Medical Records Specialist
Medical coder job in Newark, DE
Responsibilities We are seeking a detail-oriented Medical Records Specialist to join our team! Rockford Center is a 138-bed mental health facility located in Newark, DE, providing easy access to a full complement of inpatient and partial behavioral health programs for children and adolescents, adults, and older adults. Rockford is the only child inpatient behavioral health facility in DE, offers an experienced and tenured senior management team, and serves New Castle County and northern Maryland. Website: Psychiatric and Substance Abuse Services | Rockford Center | Newark, DE The Medical Records Specialist plays a critical role in maintaining the integrity, confidentiality, and accuracy of patient health records within a behavioral health hospital setting. This position is responsible for organizing, managing, and safeguarding medical documentation in compliance with federal, state, and organizational regulations, including HIPAA. The Specialist collaborates with clinical and administrative staff to ensure timely and accurate documentation, supports audits and quality improvement initiatives, and facilitates the release of information processes. The ideal candidate demonstrates attention to detail, strong organizational skills, and a commitment to supporting patient care through meticulous recordkeeping. Responsibilites: * Maintain and update patient medical records in accordance with hospital policies and regulatory standards. * Ensure compliance with HIPAA and other privacy regulations when handling protected health information. * Process requests for release of information from patients, providers, and third parties, ensuring proper authorization and documentation. * Audit medical records for completeness and accuracy, identifying missing documentation or discrepancies. * Scan, index, and file medical documents into health record system in a timely and organized manner. * Collaborate with clinical and administrative staff to resolve documentation issues and support continuity of care. * Assist with chart preparation and record retrieval for internal and external audits, legal requests, and quality reviews. * Monitor record retention schedules and support secure destruction of outdated records per policy. 5% * Respond to inquiries regarding medical records professionally and promptly, maintaining confidentiality at all times. * Stay current with changes in health information management practices, behavioral health documentation standards, and applicable regulations. * Performs other duties as assigned/required by this position. Benefits: *
Competitive Compensation * Chamberlain University Partnership discount * In-house Psychiatric Nurse Residency Transition-to-Practice * Orientation (Could earn 20 CEUs) * Career development opportunities across UHS and its 300+locations! * Diverse programming to expand your experience and energize your career * HealthStream online learning catalogue with plenty of free CEU courses About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Qualifications Requirements: * High school diploma or equivalent required * Associate's degree or completion of at least 12 college credits preferred * Minimum of 1 year experience in a medical office or healthcare setting * Familiarity with medical terminology and EHR systems preferred * Excellent customer service and communication skills * Strong attention to detail and organizational abilities * Ability to handle sensitive information with discretion EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Phone and Medicals Records Clerk
Medical coder job in Bear, DE
Job DescriptionBenefits:
401(k)
Competitive salary
Health insurance
Paid time off
Benefits/Perks
Competitive Compensation
Career Advancement
We are seeking a Phone and Medical Records Clerk to join our team. In this role, you will answer patient phone calls, collect patient information, process patient admissions, and be responsible for the general organization and maintenance of patient records. The ideal candidate is highly organized with excellent attention to detail.
Responsibilities
Follow all clinic procedures in the accurate maintenance of patient records
Deliver medical charts to various departments
Ensure all patient paperwork is completed and submitted in an accurate and timely manner
File patient medical records and information
Maintain the confidentiality of all patient medical records and information
Provide hospital departments with appropriate documents and forms
Process patient admissions and discharge records
Other administrative and clerical duties as assigned
Handle all referrals sent to the practice and scheduling patients
Responsible for medication and imaging prior authorizations after training period
Qualifications
Previous experience as a Medical Records Clerk or in a similar role is preferred
Knowledge of medical terminology and administrative processes
Familiarity with information management programs, Microsoft Office, and other computer programs
Excellent organizational skills and attention to detail
Strong interpersonal and verbal communication skills
Health Information Management Specialist/Medical Records
Medical coder job in Bear, DE
Full-time Description
WESTSIDE IS LOOKING FOR MEDICAL RECORDS / HEALTH INFORMATION SPECIALISTS!
JOIN A CARING, DEDICATED TEAM WHO HELPS PATIENTS AND FAMILIES GAIN ACCESS TO HEALTHCARE, AND NAVIGATE COMMUNITY SERVICES AND RESOURCES.
Westside Family Healthcare is a nonprofit organization that provides high quality primary medical care without regard to ability to pay. The Health Information Management (HIM) Specialist gathers, processes, and maintains patient medical records in compliance with ethical, legal, and HIPAA confidentiality regulations.
Since opening our doors in 1988, Westside has been driven by our mission to improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay. With 240 team members, five health centers, one mobile health unit and over 27,000 patients all across Delaware, Westside is committed to improving health, one patient, one family, one community at a time.
WORKING AT WESTSIDE MEANS WORKING IN A PRIMARY CARE MEDICAL HOME.A Primary Care Medical Home is not a special building. It is a way to provide healthcare that puts the patient at the center of health care decision-making.
Our Mission: To improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay
Our Vision: Achieve health access for all
Our Values:
Compassion: Lead with compassion
Service: Serve with humility
Excellence: Be exceptional
Empowerment: Empower all people
OUR BENEFITS: Our benefit package includes medical insurance (two plans to choose from), dental insurance (through Guardian Dental), vision insurance, life insurance paid by Westside with the option to purchase more paid, short-term disability paid for by Westside, long term disability paid by the employee, a 401(k) retirement plan with a match, and supplemental insurances. We offer a generous PTO package and flexibility to provide work/life balance. Westside Family Healthcare is an Equal Opportunity Employer that values diversity.
RESPONSIBILITIES
Protect the security of medical records to ensure that confidentiality is maintained in accordance 1.with HIPAA regulations.
Collect, sort, and distribute paper mail within the office. 2.
Evaluate and process incoming documents for provider review and scan into the electronic medical 3.records (EMR) system in accordance with Westside Family Healthcare HIM Department policies.
Evaluate, log, and distribute incoming patient medical forms needing provider completion; assist 4.with form completion when appropriate as outlined in HIM department protocols.
On a daily basis, collect paper medical documents from designated areas within the office sort and 5.scan them into the EMR.
After scanning, maintain paper medical records for 1 month in a secured office location, protecting 6.them from unauthorized disclosure in accordance with HIPAA regulations.
Monitor Medical Records site pool inbox on a daily basis and handle requests appropriately. 7.
Obtain patient medical records needed for the management of patient care. 8.
Send requests to HIM Supervisor to retrieve paper medical records from off-site archives as 9.necessary.
Process release of information (ROI) requests needed for patient continuity of care in accordance 10.with Westside Family Healthcare policies and HIPAA regulations.
Actively participate in PCMH team Quality Improvement activities.
Requirements
MINIMUM OBJECTIVE QUALIFICATIONS
High school diploma or GED
Previous experience using computers and programs, including Microsoft Office
Six months of medical office support training or experience.
Some knowledge of HIPAA regulations.
Ability to travel between work sites as requested
Electronic Health Record Analyst
Medical coder job in Wilmington, DE
Job Details
Applicants must be currently authorized to work in the United States. ChristianaCare will not sponsor applicants for this position for an employment visa now or in the future.
Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!
ChristianaCare Offers:
Medical, Dental, Vision, Life Insurance, etc.
Two retirement planning offerings, including 403(b) with company contributions.
Generous paid time off with annual roll-over and opportunities to cash out.
12-week paid parental leave
Tuition assistance
Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!
Primary Function:
The primary function of the EpicCare Clinical Documentation Analyst is to support the design, build, configuration, testing, implementation, and optimization of clinical communications and Teamwork. This role involves conducting workflow analysis, customizing the module to meet clinical and operational requirements, and providing training and support to end-users. The analyst will also be responsible for troubleshooting issues, creating detailed documentation, and collaborating with cross-functional teams to ensure successful project delivery.
Principal Duties and Responsibilities:
Lead the implementation and configuration of the EpicCare Teamwork module, ensuring it meets the specific needs of clinical departments.
Conduct detailed workflow analysis to understand current processes and identify areas for improvement using the Epic system.
Customize the EpicCare Teamwork module to align with the clinical and operational requirements.
Ensure the effective implementation and optimization of clinical communications and scheduling and workflow efficiency for healthcare providers.
Develop and execute comprehensive test plans to validate the functionality and performance of the EpicCare Teamwork module.
Provide training and support to end-users, including physicians, nurses, and administrative staff, to ensure effective use of the Epic system.
Identify and resolve issues related to the EpicCare Teamwork module, working closely with IT and clinical teams to troubleshoot and implement solutions.
Create and maintain detailed documentation of system configurations, workflows, and training materials.
Collaborate with cross-functional teams, including IT, clinical staff, and project managers, to ensure successful project delivery.
Holding weekly communications with team members to discuss deliverable status, risks, budget, and upcoming milestones.
Working with Epic representatives, the organization, and end users to ensure the system meets the organization's business needs.
Utilize best practices and methodologies for Epic implementations, ensuring compliance with healthcare regulations and standards.
Education and Experience Requirements:
Minimum Bachelor's degree in Healthcare, Information Technology, or a related field or higher preferred.
2-3 years of experience working with Epic systems or similar EHR platform required.
High School diploma with 5 years of related experience may be considered in lieu of bachelor's degree.
Epic certification in clinical documentation modules preferred.
Familiarity with clinical workflows and documentations processes.
Annual Compensation Range $85,862.40 - $137,384.00This pay rate/range represents ChristianaCare's good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.
Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
Post End Date
Dec 20, 2025
EEO Posting Statement
ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit *********************************************************
Auto-ApplyElectronic Health Record Analyst
Medical coder job in Wilmington, DE
Job Details Applicants must be currently authorized to work in the United States. ChristianaCare will not sponsor applicants for this position for an employment visa now or in the future. Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!
ChristianaCare Offers:
* Medical, Dental, Vision, Life Insurance, etc.
* Two retirement planning offerings, including 403(b) with company contributions.
* Generous paid time off with annual roll-over and opportunities to cash out.
* 12-week paid parental leave
* Tuition assistance
* Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!
Primary Function:
The primary function of the EpicCare Clinical Documentation Analyst is to support the design, build, configuration, testing, implementation, and optimization of clinical communications and Teamwork. This role involves conducting workflow analysis, customizing the module to meet clinical and operational requirements, and providing training and support to end-users. The analyst will also be responsible for troubleshooting issues, creating detailed documentation, and collaborating with cross-functional teams to ensure successful project delivery.
Principal Duties and Responsibilities:
* Lead the implementation and configuration of the EpicCare Teamwork module, ensuring it meets the specific needs of clinical departments.
* Conduct detailed workflow analysis to understand current processes and identify areas for improvement using the Epic system.
* Customize the EpicCare Teamwork module to align with the clinical and operational requirements.
* Ensure the effective implementation and optimization of clinical communications and scheduling and workflow efficiency for healthcare providers.
* Develop and execute comprehensive test plans to validate the functionality and performance of the EpicCare Teamwork module.
* Provide training and support to end-users, including physicians, nurses, and administrative staff, to ensure effective use of the Epic system.
* Identify and resolve issues related to the EpicCare Teamwork module, working closely with IT and clinical teams to troubleshoot and implement solutions.
* Create and maintain detailed documentation of system configurations, workflows, and training materials.
* Collaborate with cross-functional teams, including IT, clinical staff, and project managers, to ensure successful project delivery.
* Holding weekly communications with team members to discuss deliverable status, risks, budget, and upcoming milestones.
* Working with Epic representatives, the organization, and end users to ensure the system meets the organization's business needs.
* Utilize best practices and methodologies for Epic implementations, ensuring compliance with healthcare regulations and standards.
Education and Experience Requirements:
* Minimum Bachelor's degree in Healthcare, Information Technology, or a related field or higher preferred.
* 2-3 years of experience working with Epic systems or similar EHR platform required.
* High School diploma with 5 years of related experience may be considered in lieu of bachelor's degree.
* Epic certification in clinical documentation modules preferred.
* Familiarity with clinical workflows and documentations processes.
Annual Compensation Range $85,862.40 - $137,384.00
This pay rate/range represents ChristianaCare's good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.
Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
Post End Date
Dec 20, 2025
EEO Posting Statement
ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit *********************************************************
Auto-ApplySpecialist Study Management
Medical coder job in Wilmington, DE
US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website ************************
We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well.
Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset.
Job Description
Bachelor's degree is preferred
3-5 years of experience in clinical trial DOCUMENT MANAGEMENT and regulatory documents is required
Operational responsibility to set-up the local Trial Master File (eTMF) and Investigator Site File including tracking of documents. Maintain and close the local TMF (in electronic or paper form depending on study) ensuring International Conference of Harmonisation Guidelines for Good Clinical Practice (ICH/GCP) compliance and local requirements. Support the CRA in the maintenance and close out activities for the ISF.
Contribute to the production and maintenance of study documents, ensuring template and version compliance.
Create and/or import clinical-regulatory documents into the Global Electronic Library (GEL) according to the Global Document List (GDL) ensuring compliance with the Client Authoring Guide for Regulatory Documents to support publishing in GEL
Contribute to electronic applications/submissions by handling clinical-regulatory documents according to the requested technical standards i.e. Submission Ready Standards (SRS), supporting effective publishing and delivery to regulatory authorities
Set-up, populate and accurately maintain information in Client tracking and communication tools (e.g. IMPACT, SharePoint etc) and support others in the usage of these systems
Skills and Competencies
Experience with electronic trial master file system(s) including uploading, reviewing, QC, approval of study required documents.
Working knowledge of the Clinical Study Process and an understanding of the range of working procedures relating to it, together with an understanding of the ICH/GCP guidelines
Working knowledge of clinical study documents
Ability to develop advanced computer skills to increase efficiency in day-to-day tasks
Good verbal and written communication
Good interpersonal skills and ability to work in an international team environment
Willingness and ability to train others on study administration procedures
Display excellent organization and time management skills, excellent attention to detail, and ability to multi-task in a high volume environment with shifting priorities
Team oriented and flexible; ability to respond quickly to shifting demands and opportunities
Integrity and high ethical standards
Qualifications
Experience with electronic trial master file system(s) including uploading, reviewing, QC, approval of study required documents.
Additional Information
Sneha Shrivastava
Sr Technical Recruiter
862 - 579 - 4236
TMF Records Specialist - FSP
Medical coder job in Dover, DE
The Trial Master Files Records Specialist (TRS) is responsible to provide operational expertise to the core trial team, oversees the implementation of the TMF strategy for the trial and supports the core trial team in all aspects of TMF management, and in inspections or audits. The TRS provides and maintains oversight and guidance related to TMF activities throughout the course of the trial, to safeguard the protection of the trial subject, reliability of the trial results, compliance with study protocol, ICH-GCP and applicable regulations and ensure inspection readiness at all times.
**Electronic Trial Master File (eTMF) Set Up**
+ Collaborates with the core trial team to create, implement and maintain the list of trial-specific expected records
+ Identifies all relevant trial level records required to reconstruct the trial, independent of owner or system hosting the record.
+ Responsible for the planning and tracking of all TMF trial level records according to internal and external standards and also to initiate the close out of the TMF
+ Responsible for the oversight of all outsourced local trial records specialist (LTRS) activity in each participating Operating Unit (OPU)
+ Establish Sponsor File Records
+ Create, finalize, and communicate the trial specific TMF Framework in collaboration with the core trial team
+ Review the draft trial specific list of essential records (LoER) and obtain input from the trial team
+ Finalize and communicate the final trial specific LoER to Clinical Trial (CT) Managers and LTRSs in all participating OPUs
**Electronic Trial Master File (eTMF) Maintenance**
+ Maintain Global Trial Master File throughout trial
+ Communicate TMF timeliness, completeness and quality metrics to the CT Leaders and CT Managers through participation in Trial Oversight Meetings (TOM)
+ Maintain close collaboration, communication and support of trial teams to keep them informed with the latest documentation management updates.
+ Oversee TMF status and take appropriate action if the TMF does not fulfill the requirements (timeliness, completeness and quality)
+ Participate in Trial Oversight Meetings and present TMF topics
+ Support of the trial team in all aspects of TMF management and in inspections or audits
+ Supports the Corrective and Preventative Actions (CAPA) Lead in the development of actions and follow up on assigned actions resulting from audits and inspections
+ Update the trial specific TMF Framework if a main trial event is planned/occurs that has an effect on trial records (e.g. Clinical Trial Protocol amendment) and communicate to CT Managers and LTRSs in all participating OPUs
+ May contribute to non-trial projects as assigned
**Electronic Trial Master File (eTMF) Close Out**
+ Close out Trial Master File
+ Inform the CT Leader about the list of exceptions on the global trial level regularly and finally when all records are received
+ Create the final global list of trial, country, and site-specific exceptions with input from the LTRS
+ Confirm the archiving pre-requisites have been met with input from trial team and LTRS (Trial Documentation Specialist) before the TMF can be moved to archive
+ Ensure availability of the final versions of records as defined in the electronic TMF (eTMF) Universe (all systems that hold TMF relevant records during or after the trial) including Clinical Operations (CO) as well as Biometrics, Data Managements and Statistics (BDS) on an ongoing basis during the conduct of the CT. Records can be in paper or electronic format
**Skills:**
+ Excellent organizational and communication skills
+ Structured mindset in the approach of complex administrative tasks
+ Excellent time management with the ability to prioritize
+ Commitment to obtaining results and problem solving
+ Proficiency with Windows, MS Office (Word, PowerPoint, Excel, Outlook)
+ Proficiency in written and spoken English and (local language)
**Knowledge and Experience:**
+ Experience in Clinical Operations preferred
+ Excellent knowledge in use of eTMF systems
+ Advanced knowledge of ICH-GCP and Good Documentation Practice, applicable SOPs, WIs, local procedures and List of Essential Elements
**Education:**
+ High School Diploma required; Post Secondary/High School education in Business Administration or equivalent preferred
\#LI-LO1
\#LI-REMOTE
EEO Disclaimer
Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Health Information Specialist I
Medical coder job in Dover, DE
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.
This is a Remote role
- Full-Time: Monday - Friday, 8:00 am - 4:30 pm EST
- Comfortable working in a high-volume production environment.
- Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical record status
- Documenting information in multiple platforms using two computer monitors.
- Proficient in Microsoft office (including Word and Excel)
We offer:
Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor
Company equipment will be provided to you (including computer, monitor, virtual phone, etc.)
- Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and Tuition Assistance
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 Professional Coder, Special Investigations Unit (Aetna SIU)
Medical coder job in Dover, DE
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.
Activities include:
- Conduct a comprehensive medical record review to ensure billing is consistent with medical record.
- Provide detailed written summary of medical record review findings.
- Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
- Review and discuss cases with Medical Directors to validate decisions.
- Assist with investigative research related to coding questions, state and federal policies.
- Identify potential billing errors, abuse, and fraud.
- Identify opportunities for savings related to potential cases which may warrant a prepayment review.
- Maintain appropriate records, files, documentation, etc.
- Ability to travel for meetings and potential to testify
**Required Qualifications**
+ AAPC Coding certification - Certified Professional Coder (CPC)
+ 3+ years of experience in medical coding or documentation auditing.
+ Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements
+ Experience with researching coding, state regulations and policies. Working experience with Microsoft Excel
+ Must be able to travel to provide testimony if needed.
**Preferred Qualifications**
+ 2 years or more previous experience with Behavioral Health coding/auditing of records
+ Licensed Clinical Social Worker (LCSW)
+ Licensed Independent Social Worker (LISW)
+ Licensed Master Social Worker (LMSW)
+ Prior auditing experience
+ Excellent analytical skills
+ Strong attention to detail and ability to review and interpret data
+ Excellent communication skills
**Education**
+ GED or equivalent
+ AAPC Certified Professional Coder Certification (CPC)
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$43,888.00 - $102,081.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 12/06/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Healthcare Revenue Cycle / HIM Manager
Medical coder job in Dover, DE
As a Healthcare Revenue Cycle / HIM Manager, your responsibilities will include: 1. Supporting a remote team for daily operations of the healthcare revenue cycle / healthcare coding department. 2. Identifying and implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability.
3. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness.
4. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills.
5. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process.
6. Training and mentoring staff on revenue cycle processes and best practices.
7. Staying abreast with the latest trends and regulations in the healthcare industry to ensure compliance and operational efficiency.
8. Developing and implementing policies and procedures to enhance operational efficiency and improve revenue cycle performance.
9. Providing regular reports and updates to senior management about the status and performance of the revenue cycle.
10. This individual will manage routine client meetings to obtain updates on initiatives and address any issues.
Qualifications:
The ideal candidate for the Healthcare Revenue Cycle / HIM Manager will have the following qualifications:
1. A minimum of 7 years of experience in healthcare revenue cycle management, including account reconciliation, pre-collection, and post-collection.
3. Strong knowledge of healthcare financial management and medical billing processes.
4. Exceptional analytical and problem-solving skills with a strong attention to detail.
5. Proficient in using healthcare billing software and revenue cycle management tools, with a strong background in Oracle Health (Cerner) software.
6. Strong leadership skills with the ability to manage and motivate a team.
7. Excellent communication and interpersonal skills with the ability to interact effectively with all levels of the organization.
8. Strong knowledge of federal, state, and payer-specific regulations and policies.
9. Ability to work in a fast-paced environment and manage multiple priorities.
**Responsibilities**
Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
EHR/EMR Principal Data Analyst
Medical coder job in Dover, DE
Are you a collaborative Data Engineer with a EHR/EMR background looking to work for a mission driven global organization? Do you consider yourself a SME in the EHR/EMR Data Analytics space? About the role - We are seeking a Principal Data Analyst with an EHR/EMR expertise to provide the technical and operational expertise that supports ClinicalPath's sales, implementation, and product teams. This role combines a deep understanding of EHR integrations with hands-on technical skills in SQL, reporting, and automation. You will be a key partner in customer-facing technical discussions-helping clarify integration requirements, supporting security and compliance assessments, and ensuring a seamless handoff into implementation. This position is ideal for someone who thrives at the intersection of technology, healthcare workflows, and customer engagement.
About the team - ClinicalPath is a clinical decision-support system used mainly in cancer care. It gives doctors evidence-based treatment pathways so they can choose the best possible care plan for each patient.
Requirements
+ Possess extensive and current SQL skills for query writing, optimization, and troubleshooting.
+ Have a deep familiarity with EHR/EMR systems and integration workflows, including HL7, FHIR, and ADT message formats.
+ Experience supporting or executing technical assessments, security reviews, or RFPs.
+ Possess the ability to easily communication with both technical and clinical stakeholders.
+ Proven ability to manage and maintain technical documentation and customer-facing collateral.
+ Experience in technical or customer-facing role (product operations, solutions engineering, or technical account management).
+ Understanding of cloud infrastructure (AWS, Azure) and healthcare data security best practices.
Responsibilities
Customer & Sales Support
+ Participating in customer-facing technical and sales discussions to assess EHR integration needs, data exchange requirements, and clinical workflows.
+ Providing expert guidance on interoperability standards (HL7, FHIR, ADT, API integrations) and their application within the ClinicalPath platform.
+ Supporting the completion of technical documentation, risk/security questionnaires, and compliance assessments (HIPAA, ISO 27001).
+ Maintaining and refresh demo environments (Figma-based and live) to ensure technical accuracy and consistency with current product capabilities.
+ Serving as a technical liaison during the contracting and pre-implementation phase, ensuring accurate documentation and clear communication of requirements.
Technical Execution & Operations
+ Writing, optimizing, and troubleshooting SQL queries to support reporting, analytics, and data-driven product operations.
+ Developing and maintaining recurring reporting and extract processes, including payer, client, and internal data feeds.
+ Maintaining up-to-date technical documentation, architecture diagrams, and internal FAQs to support consistency and knowledge sharing.
Cross-Functional Collaboration & Improvement
+ Partnering closely with product, implementation, and customer success teams to translate customer requirements into clear, actionable specifications.
+ Identifying opportunities to streamline demo, handoff, and documentation processes for greater operational efficiency.
+ Contributing to product and process improvements based on recurring customer feedback or integration challenges.
+ Supporting data analysis and technical insights for leadership teams across sales, product, and operations.
Elsevier is a global leader in advanced information and decision support for science and healthcare. We believe that by working together with the communities we serve, we can shape human progress to go further, happen faster, and benefit all. For more than 140 years, we've helped impact makers to advance science and healthcare to advance human progress, and that same mission drives us today.
U.S. National Base Pay Range: $113,100 - $188,500. Geographic differentials may apply in some locations to better reflect local market rates.
If performed in Maryland, the pay range is $118,700 - $197,900.
This job is eligible for an annual incentive bonus.
We know that your wellbeing and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer to our US full- and part-time employees working at least 20 hours or more per week:
● Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits
● Retirement Benefits: 401(k) with match and an Employee Share Purchase Plan
● Wellbeing: Wellness platform with incentives, Headspace app subscription, Employee Assistance and Time-off Programs
● Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity
● Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits
● Health Savings, Health Care, Dependent Care and Commuter Spending Accounts
● In addition to annual Paid Time Off, we offer up to two days of paid leave each to participate in Employee Resource Groups and to volunteer with your charity of choice
We are committed to providing a fair and accessible hiring process. If you have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support Form or please contact **************.
Criminals may pose as recruiters asking for money or personal information. We never request money or banking details from job applicants. Learn more about spotting and avoiding scams here .
Please read our Candidate Privacy Policy .
We are an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law.
USA Job Seekers:
EEO Know Your Rights .
RELX is a global provider of information-based analytics and decision tools for professional and business customers, enabling them to make better decisions, get better results and be more productive.
Our purpose is to benefit society by developing products that help researchers advance scientific knowledge; doctors and nurses improve the lives of patients; lawyers promote the rule of law and achieve justice and fair results for their clients; businesses and governments prevent fraud; consumers access financial services and get fair prices on insurance; and customers learn about markets and complete transactions.
Our purpose guides our actions beyond the products that we develop. It defines us as a company. Every day across RELX our employees are inspired to undertake initiatives that make unique contributions to society and the communities in which we operate.
Health Information Specialist I
Medical coder job in Dover, DE
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.
This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
Position Highlights
- Remote- Equipment Provided
- Full-time, Mo-Fri 8:00-4:30 **PST**
- Processing medical records requests- Customer service- phone calls
- Full benefits: PTO, Health, Vision, Dental, 401k savings plan, and tuition assistance
- Tremendous growth opportunities both locally and nationwide
What We're Looking For
- Strong customer service and clerical skills
- Proficient in Microsoft Office, including Word and Excel
- Comfortable working in a high-volume production environment
- Medical office experience preferred
- Willingness to learn and grow within Datavant
**You will:**
+ 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.
+ 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.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**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 (**************************************** .