Risk Adjustment Coder
Medical coder job in Greensboro, NC
We are seeking a Risk Adjustment Coder and Educator for an exciting contract-to-hire opportunity!
This role will be based in Greensboro, NC and offers a flexible hybrid schedule!
The Risk Adjustment Coder and Educator provides coding training and education to physicians, mid-levels, and support staff to help them understand and accurately capture HCCs. Working under general supervision, this role performs prospective and retrospective chart reviews, provider assessments, and delivers both one-on-one and group education.
Job Functions:
Abstract diagnosis codes from clinical notes to support provider and staff education on the importance of accurate HCC coding.
Prepare targeted, practice-specific education for providers and staff.
Act as a coding resource for practices and respond to inquiries in a timely manner.
Establish and maintain positive, professional working relationships with physicians, clinical staff, administrative staff, and internal team members.
Work with leadership to establish EMR access across all assigned practices.
Participate in internal meetings with cross-functional teams and complete daily logs and other process forms as directed by the supervisor.
Perform other duties as assigned.
Job Requirements:
High School Diploma or GED
Certified Professional Coder (CPC) required
CRC certification preferred (with CPC)
2-5 years of Risk Adjustment coding experience
Ability to work independently in a fast-paced environment
Must own current ICD-10 coding books
Risk Adjustment Coder
Medical coder job in Greensboro, NC
Software Guidance & Assistance, Inc., (SGA), is searching for a Risk Adjustment Coders for a Contract assignment with one of our premier Healthcare clients in Greensboro, NC. (Open to remote) Responsibilities : The Coding Educator Risk Adjustment provides coding trainings and education as well as supports physicians, mid-levels,and support staff on how to be understand and capture HCCs for appropriate organization members. Working under general supervision, this role provides prospective and retrospective chart reviews, provider assessments, and one-on-one and group education.
Abstracts diagnosis codes per THN policy from notes to be used to educate provider and staff on the importance of coding appropriately for HCC.
Prepares targeted education for providers and staff with practice specific information.
Acts as a coding resource for practices and responds in a timely manner to inquiries.
Establishes and maintains a positive and professional working relationship with physicians, clinical, administrative and other staff as well as THN internal staff.
Works with leadership team to establish EMR access within all practices.
Actively participates in THN POD meetings with other THN departments and completes daily logs and other process forms as directed by supervisor.
Performs other duties as assigned.
Required Skills:
HS Diploma/GED
MUST be a Certified Professional Coder (CPC only) - no other coding certs accepted
2-5 years of Risk Adjustment coding experience required
Ability to work independently in a fast paced environment
own ICD10 coding books (required)
Preferred Skills:
CRC certification preferred
SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at ******************* .
SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.
Medical Coder - Inpatient
Medical coder job in Greensboro, NC
Estimated Gross Weekly Pay: $0.00
About Alliance Services:
Alliance services, Inc. wants you on our team! As a nurse-founded, nurse-owned, minority-owned travel-nurse agency, it is our first priroity to ensure that we offer top pay and an outstanding employee experience from start to finish. Making sure that you receive the most generous pay package possible, and a career-enhancing clinical experience at the destination of your choice. Our dedicated recruiters are committed to providing excellent service to you and foster a greater sense of belonging as not just an employee, but as a valued member of our extended family.
Industry Leading Benefits:
Weekly pay via direct deposit and accessible payroll support
401k with 100% matching
Monthly reimbursement for health insurance
Maximum non-tax stipends available including lodging, meals and incidentals
24/7 On-call support
Health Information Manager
Medical coder job in Chapel Hill, NC
About Us Signature HealthCARE of Chapel Hill is a 108-bed facility that offers a wide array of services from short-term rehabilitation to traditional long-term care. It is our mission as a family-based organization to revolutionize the healthcare industry through a culture of resident centered healthcare services, personalized spirituality, and real quality of life initiatives.
Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions.
We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high performance ratings and accreditations. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report, we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.
Overview
Assist in maintaining residents' medical records in accordance with facility policies and with state and federal regulations; Serve as the designated Compliance Liaison for the facility.
How you Will make a difference
* Meet the physical and sensory requirements stated below and be able to work in the environment described.
* Exhibit positive customer service both to internal and external customers.
* Identify and participate in process improvement initiatives that improve customer experience, enhance workflow, and/or improve the work environment.
* Other special projects and duties, as assigned.
Health Information Oversight
* Manage all aspects of medical records throughout its lifecycle, including admission through discharge, and retention in long-term storage where applicable. Ensure accuracy, timeliness, completeness, security, and regulatory compliance.
* Upload paper-based patient records to the electronic chart promptly upon receipt.
* Maintain organized auxiliary clinical and administrative records in compliance with company retention policy to support legal discovery, reporting, and internal reference.
* Manage long-term storage of paper documents by labeling and preparing files, and sending records to offsite storage, in accordance with retention schedules. Assist in locating information housed in long- term storage, and place orders to retrieve requested information as needed.
* Follow up with hospitals and external providers to obtain documentation after transfers or appointments, ensuring timely inclusion in the patient chart.
* Track and follow up on physician visits to ensure regulatory compliance; obtain missing visit notes from providers and escalate delays to facility management for resolution.
* Conduct routine audits to verify required documentation; present findings in daily morning meetings, follow up on deficiencies, and integrate results into QAPI reporting.
* Coordinate all record requests by forwarding to facility management within 24 hours of receipt and communicating with requestors as needed.
* Respond to approved medical record requests by retrieving and releasing records in accordance with company policy and confidentiality standards.
* Serve as a subject matter expert for staff and leadership on standards and regulations related to health information management.
Compliance Liaison Duties
* Act as Compliance Liaison for facility
* Assist, when requested, in the:
* Annual Compliance risk assessment process by reminding stakeholders to complete the annual survey;
* Completion of annual Compliance education by reminding stakeholders of the due date;
* Periodic distribution of the code of conduct and compliance policies;
* Monthly distribution of Compliance Newsletter and Compliance Tips to stakeholders;
* Compliance investigations, by escalating allegations of violations of the Code of Conduct or policies to the compliance office;
* Function as a communication channel to and from the compliance office and assist compliance officer with addressing compliance questions.
What you Need to make a Difference
* Associates degree or higher in Health Information Management, Healthcare Administration, or related field from an accredited college is required. Extensive experience in Health Information may be considered in lieu of a degree.
* Registered Health Information Technician or Administrator (RHIT or RHIA) credential is preferred.
* Minimum of two years (2) experience in a health care facility required; Skilled nursing facility or other long-term care setting with Health Information Management experience is preferred.
* Knowledge of legal, ethical, and professional practice standards as they apply to Health Information Management.
* Knowledge of medical terminology, anatomy and physiology, and regulatory requirements.
* Possess strong analytical, critical thinking, and problem-solving skills.
* Demonstrate intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook; Experience with EMR and/or MatrixCare preferred.
* Highest level of professionalism and personal integrity with the ability to use independent judgement and maintain confidentiality.
RHIT/RHIA Certification Preferred
Our exceptional Benefits Package and Signature Perks include the following and more!
* Medical, Dental and Vision - Voluntary Life/Disability
* 401(K) and Roth 401(K)
* Tuition Forgiveness/Education Reimbursement
* A variety of additional specialized Insurances
* Pay Advance and Next Day Pay!
* Paid Time Off (PTO)
* Partner Perks and Discounts!
* Vital Links
At Signature HealthCARE, our team members are permitted - no, encouraged - to employ their talents and abilities to solve problems.
Our culture is built on three distinct pillars: Learning, Spirituality and Intra-preneurship.
Each pillar has its own staff and initiatives, ensuring that our unique culture permeates the entire organization.
Come see what the revolution is all about!
Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer - Minority / Female / Disability / Veteran and other protected categories
Auto-ApplyQualified Professional QP / Intensive In-Home IIH
Medical coder job in High Point, NC
We are hiring for:
Qualified Professional QP / Intensive In-Home IIH
Type:
Regular
If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!
Provides support to individuals with Mental Health (MH) or Substance Abuse Issues in residential, school, workplace and community settings for children, adolescents, and families. These interventions are strength-based and focused on promoting recovery, symptom reduction, increased coping skills, and achievement of the highest level of functioning in the community. Staff ratio takes into consideration evening and weekend hours, needs of special populations and geographical areas to be served. Persons who meet the requirements specified for Qualified Professional (QP) status have the knowledge, skills, and abilities required by the population and age to be served may deliver supports within the requirements of the staff definition specified in the service definitions. Relies on supervision and direction to provide quality services.
Calling all compassionate and caring behavioral health specialists who are looking to partner with a community based service provider offering mental health and substance abuse services where individuals live and work.
RHA Behavioral Health Services is looking for dedicated Behavioral Health Specialists (Qualified Professionals) to join our interdisciplinary healthcare team providing support to individuals in residential, school, workplace and community settings.
In this dynamic and rewarding role, there is an emphasis on creating interventions that are strength-based and focused on promoting recovery, symptom reduction, increased coping skills, and achievement of the highest level of functioning for the client in the community.
If you're looking for an opportunity to truly make a difference in the lives of the people that you serve then consider RHA Behavioral Health Services where we put people first!
Job Responsibilities
As a Behavioral Health Specialist you will be responsible for the development, implementation, monitoring and revision to the Person Centered Plan in conjunction with the interdisciplinary healthcare team.
Additional responsibilities of the Behavioral Health Specialist include:
Facilitating relationships and serving as a link between the company, parents, guardians, local agencies and the community
Minimizing the negative effects of psychiatric symptoms or substance dependence that interfere with the recipient's daily living and personal development, providing supportive counseling
Supporting the client in the development of various skill building activities, including: daily and community living skills, socialization skills, adaptation skills, and behavior and anger management
Participating in a first responder on-call system available to consumers and/or his/her natural support network on a 24/7/365 basis; coordinates “first response" resources according to consumer need and the PCP
Performing Case Management functions of linking and arranging for services and referrals
Working closely with other clinical/professional staff to maintain communication and providing feedback, standardizing procedures and expediting PCP implementation
Ensuring that all initial and reauthorizations for services occur in a timely fashion
Monitoring utilization of service to ensure that it is effective, appropriate, and within the limits set forth in both rule, PCP, and the service authorization
Candidates for the Behavioral Health Specialist role are considered “Qualified Professionals" based on the following criteria:
Education:
Bachelor Degree (Not Human Services field) & 4+ years full-time experience with population served OR
Bachelor Degree (in Human Services field) & 2+ years full-time experience with population served OR
Master's Degree or Higher & 1+ years full-time experience with population served.
License, Provisional License, Certificate, Registration, Permit issued by governing board regulating human service profession.
Definitions:
Human Service Degrees Include: Social Service, Sociology, Psychology, or other Human Service Degrees.
Populations Served Include: Mentally Ill-Child, Mentally Ill- Adult, Substance Abuse-Adult, Substance Abuse-Child
Pre-employment screening:
Complete criminal background
Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)
Drug testing
Education verification and other credentialing based on position requirements.
Proof of employment history or references (if required)
Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.
We offer the following benefits to employees:
Payactiv: early access to the money you've earned from hours you've already worked, before payday!
Employee perks and discount program: to help you save money!
Paid Time Off (full-time employees only)
Health/Insurance (full-time employees only)
401(k) retirement savings program
Wellbeing Programs: Physical, Emotional and Financial
Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
Training: Free CPR, first aid, and job-specific training opportunities
*contract/contingent workers and interns do not qualify for any of the above benefits
EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.
About RHA:
At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.
For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.
If you are ready to make a difference in the lives of people we serve and support apply to join the team today.
Auto-ApplyQualified Professional (QP)
Medical coder job in Burlington, NC
PRIMARY DUTY, PURPOSE, AND OBJECTIVES:
The Qualified Professional (QP) is responsible for the clinical oversight and supervision of assigned services. This includes planning, monitoring, and preparation of billing documentation for billable services for assigned individuals. The QP meets criteria for Qualified Professional and performs clinical duties related to programming and records. Provides day-to-day oversight of staff and works to ensure seamless delivery of services.
JOB DUTIES, FUNCTIONS, AND RESPONSIBILITIES:
Essential Functions:
Familiar with all applicable federal, state, and local standards related to specified services and Ralph Scott Lifeservices, Inc. Policies and Procedures.
Maintains current and comprehensive knowledge of individuals, their issues, conditions, goals, and services.
Implements, monitors, and documents outcomes set forth in the person-centered plan.
On a weekly basis, monitors programs and data for accuracy, completeness, and progress. Provides written documentation and progress notes.
Provides direct monitoring of planned outcomes for individuals as well as performance of staff by on-site presence in assigned Apartment location(s) and direct contact with individuals on a schedule determined and/or approved by supervisor.
Works closely with Care Coordinators to ensure that needed services are being provided.
Provides monthly written clinical and administrative supervision of paraprofessionals.
Provides ongoing in-service training on the person-centered plan and current services
Reviews all documentation for assigned individuals.
Responsible for program plans, billing differentiation, and authorizations for assigned individuals.
Serves as an advocate for individuals receiving services.
Assures that work is done smoothly, efficiently and as scheduled according to the authorizations.
Schedule staff to adhere to established schedule and meet requirements for supporting residents.
Coordinate transportation for scheduled activities and appointments
Notify and coordinate with RSL maintenance as required for maintenance needs.
Operate within the established program budget.
Routine Required Functions:
Provides direct monitoring of planned outcomes for individuals as well as performance of staff by regular on-site presence in work locations.
Rotates “On-Call” responsibilities.
Participates in in-service training for professional development.
Will complete a minimum of 4 hours per year of professional training approved in advance by his/her supervisor over and above required training or updates of required training.
Serves as relief staff in emergencies.
Participates in Person Centered Planning activities for individuals.
Participates in Peer Council activities on a regular rotation. Maintains an active awareness of cultural competency of individuals and other employees and works to accommodate that diversity in work, training, and leisure activities.
Is familiar with RSL Policy and Procedure Manual and with the RSL Bloodborne Pathogens/TB/Infectious Disease Plans, Policies for Individuals Receiving Services, OSHA, and HIPPA.
Routinely follows safe work practices in all functions of the job.
Performs other duties as requested by his/her supervisor.
MEASURES FOR SUCCESS:
At Ralph Scott Lifeservices, care and compassion are at the core of our mission. We are committed to excellence, quality services and collaboration, recognizing that every team member plays a vital role in our success.
Employee's work performance positively supports the mission and culture of the organization.
Work is done competently, efficiently, and within budget.
Compliance is maintained with regulatory and accreditation standards.
Needs of individuals served are addressed and met; and, as often as possible, services are provided beyond minimum standards required.
Relevant concerns are presented to supervisory staff for review and resolution.
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
Working knowledge of developmental disabilities.
Ability to communicate both orally and in writing.
Proficient in Windows operating systems with competency in Microsoft Office Suite (Word, Excel) and/or Google Workspace (Docs, Sheets); efficient in managing email and Google Calendar; skilled in basic data entry and organizing digital files.
Ability to understand and apply operating policies and licensing and certification standards.
Ability to plan and supervise the work of others.
Working knowledge of simple budgeting.
Ability to work flexible work hours including evenings and weekends.
MINIMUM QUALIFICATIONS, EDUCATION AND EXPERIENCE:
A four-year degree in human services field, and must meet the criteria for a Qualified Professional as outlined in 10A NCAC 27G.014, and have an additional two years clinical and supervisory experience.
Must have own transportation for travel on RSL business.
Medical Records and Referrals Coordinator
Medical coder job in Burlington, NC
Job Description
What is PACE?
At Piedmont Health Senior Care, we are dedicated to enhancing the lives of seniors in our community through our Program of All-inclusive Care for the Elderly (PACE). We help seniors maintain their independence and continue living at home for as long as possible. We achieve this by offering comprehensive, personalized healthcare and related services, all tailored to the unique needs and aspirations of each senior we serve.
Our approach is unlike any other healthcare plan! PACE emphasizes a participant-centered strategy, focusing on providing the right care and services that best support each participant's unique needs and goals. We integrate and coordinate all aspects of care, leveraging a team of dedicated doctors, nurses, therapists, dieticians, and other specialized professionals who work together as a care team to manage and address the complete health needs of each.
Job Title - Medical Records and Referral Coordinator
Department - PACE
Reports to - Site Director
Benefits -
Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
403(b) Plan
Paid Holidays
CME (Continuing Medical Education)
About Position: The Medical Records and Referral Coordinator is responsible for maintaining an accurate and complete medical record per PHSC policy and procedure and for coordination of authorized participant appointments per PHSC policy and procedure.
Work Location: 1214 Vaughn Road Burlington, NC 27217 & 163 Chatham Business Dr, Pittsboro, NC 27312
Schedule: Monday through Friday, 8:00am - 5:00pm
This position will work 3 days per week at PACE Burlington on Monday/Wednesday/Friday and at PACE Pittsboro on Tuesday/Thursday.
Duties/ Responsibilities -
Complete referral documents in the electronic medical record.
Schedule appointments for referrals, contact families and participants with referral times to include mailing an appointment reminder card as well as a courtesy reminder call prior to the scheduled appointment; coordinate referral times with the participant's family first - if family is unavailable, arrange via PHSC Transportation Manager.
Match consultation documents with referral orders and close referrals out via the appointment database.
Work closely with Medical Records Coordinator to ensure consultation documents are processed efficiently and relevant goals are being met.
Schedule and coordinate outside appointments for participants based on days of attendance/time/availability of transportation services to include the coordination with clinical staff when an aide/family escort is needed.
Work with the Medical Providers to reschedule appointments as needed per our PHSC appointment guideline as well as based on transportation services availability.
Document appointments within Centricity and appointment database.
Notify Nurse Care Manager of any scheduled procedures and give forms to be filled out; need to go over with participant prior to the scheduled appointment.
Make weekly schedule for authorized appointments and distribute.
Complete appointment paperwork (chart note/rationale for visit/etc.)
Consistently follows authorization and referral policies and procedures to include maximum number of appointments that can be approved and arranged per day.
Audit medical records for being up-to-date and complete.
Ensure referrals are completed according to determined goals, and referrals reports for open, held, and closed appointments are reviewed on at least a weekly basis with supervisor, providers, and Site Director.
Provides administrative support to the PACE Center as needed.
Ensures that Piedmont Health SeniorCare maintains an accurate and complete medical record as well as ensures the safety of participant confidential information, security of the facility and all data according to Federal and State Regulations.
Contacts outside offices for medical records, notes, images, follow-up and cancellations.
Ensures medical notes from specialty appointments, hospitalizations, etc are received and uploaded to the chart on a timely basis (no later than a week after appointment.
Close out the medical record of deceased and/or disenrolled participants.
Establishes and maintains medical records for each participant, including: requesting, scanning, uploading records, notes, images, follow-up and cancellations from external sources to include, labeling information once scanned into computer system as well as closes out referrals.
Achieves quality goals for medical records of a complete and accurate current medical record for every participant.
Abides by all established SeniorCare policies, rules and regulations, including patient, staff and SeniorCare information.
Perform all other duties as assigned.
Qualifications -
Education: Associates Degree in relevant field required or 2-3 years of relevant experience, education, or certification.
Required:
Must be able to work effectively in a team environment.
Strong oral and written communication skills.
Must meet a standardized set of competencies established by Piedmont Health SeniorCare and approved by CMS before working independently.
Preferred: One year of work experience with the frail or elderly preferred.
Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment.
Pay Range : $17.66/Hourly - $23.74/Hourly
EEO Statement
Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
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Health Information Management (HIM) Specialist
Medical coder job in Danville, VA
Schedule: Monday-Friday.
Your experience matters
At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a Health Information Management Specialist on our team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .
More about our team
Sovah Health is a regional health care delivery system with 2 hospital campuses - Danville and Martinsville. Each facility has a 24/7 Emergency Room, Outpatient Imaging Center, and over 20 primary and specialty care physician clinics. Our Danville location is also a teaching hospital that trains medical students and physician residents specializing in family and internal medicine.
The Health Information Management & Clinical Documentation Integrity team support excellent care, ensuring medical records are accurate & available. We promote well-being and high productivity through characteristics like open communication, and support for work-life balance. Our assignments allow for flexible schedule, and an opportunity to partner with all hospital departments.
How you'll contribute
A Health Information Management Specialist who excels in this role:
Performs various clerical activities within the Health Information Management department, including medical record assembly, imaging activities, generation and filing of medical records.
Analyzes the assembled record for chart completion deficiencies in accordance with regulatory and medical staff guidelines.
Assigns deficiencies to appropriate medical staff and enters data for tracking and monitoring. Updates or clears deficiencies as documentation is completed.
Provides professional, confidential support to callers and visitors, including physicians, patients, and families.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
· Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
· Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
· Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
· Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
· Professional Development: Ongoing learning and career advancement opportunities.
What we're looking for
Applicants should have a high school diploma or equivalent. Additional requirements include:
Minimum of 2 years previous experience of health information management or similar clerical experience required.
Ability to work in a fast-paced and stressful environment.
EEOC Statement
Sovah Health - Danville is an Equal Opportunity Employer. Sovah Health - Danville is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Auto-ApplyRecord Coordinator
Medical coder job in Danville, VA
ESSENTIAL JOB FUNCTIONS:
Reconcile, analyze, record and review documents for proper completion
Attribute testing and scan of Gaming and non-gaming documents
Data input (MS Office and industry specific software)
File and store supporting documents
Systemically generate W-2G
Develop and maintain excellent relationships with operations, property management, patrons and team members
Performs periodic physical inventories and related inventory control procedures
Performs special projects and tasks as assigned
EDUCATION and/or EXPERIENCE:
High school diploma or equivalent required.
Prior experience in records preferred.
Qualifications:
Organized and attention to detail
Excellent communication skills
Must be a team player in a professional environment
Proficient in Microsoft Office
Must be available to work weekends
Ability to perform assigned duties under frequent time sensitive deadlines.
Ability to uphold and demonstrate high level of integrity in all situations
PHYSICAL, MENTAL AND ENVIRONMENTAL DEMANDS:
Must be able to work flexible hours including evenings, weekends, and holidays as needed.
Must be able to speak, read, write and understand English.
Must be able to tolerate areas containing secondhand smoke.
Ability to maintain regular, predictable attendance according to schedule.
Fast paced environment, multiple tasks to be handled under time constraint.
Ability to simultaneously manage several projects, and not be frustrated by changing priorities and unforeseen obstacles to achieving objectives.
Respond to visual and aural cues.
Must have manual dexterity to operate all office equipment.
Must be able to recognize and respond to individuals with questions.
Must be able to maneuver around office and property.
Must be able to work independently.
Must be able to lift and carry 10 pounds.
Must be able to bend, crouch, kneel, twist and work at a desk/counter when performing functions of the job.
Auto-ApplyHealth Information Management (HIM) Specialist
Medical coder job in Danville, VA
Schedule: Monday-Friday. Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a Health Information Management Specialist on our team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .
More about our team
Sovah Health is a regional health care delivery system with 2 hospital campuses - Danville and Martinsville. Each facility has a 24/7 Emergency Room, Outpatient Imaging Center, and over 20 primary and specialty care physician clinics. Our Danville location is also a teaching hospital that trains medical students and physician residents specializing in family and internal medicine.
The Health Information Management & Clinical Documentation Integrity team support excellent care, ensuring medical records are accurate & available. We promote well-being and high productivity through characteristics like open communication, and support for work-life balance. Our assignments allow for flexible schedule, and an opportunity to partner with all hospital departments.
How you'll contribute
A Health Information Management Specialist who excels in this role:
* Performs various clerical activities within the Health Information Management department, including medical record assembly, imaging activities, generation and filing of medical records.
* Analyzes the assembled record for chart completion deficiencies in accordance with regulatory and medical staff guidelines.
* Assigns deficiencies to appropriate medical staff and enters data for tracking and monitoring. Updates or clears deficiencies as documentation is completed.
* Provides professional, confidential support to callers and visitors, including physicians, patients, and families.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
* Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
* Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
* Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
* Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
* Professional Development: Ongoing learning and career advancement opportunities.
What we're looking for
Applicants should have a high school diploma or equivalent. Additional requirements include:
* Minimum of 2 years previous experience of health information management or similar clerical experience required.
* Ability to work in a fast-paced and stressful environment.
EEOC Statement
Sovah Health - Danville is an Equal Opportunity Employer. Sovah Health - Danville is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Certified Cancer Registrar, Cancer Data Services
Medical coder job in Winston-Salem, NC
Department: 37277 Wake Forest Baptist Medical Center - LC: Cancer Data Services Status: Part time Benefits Eligible: No Hours Per Week: 0 Schedule Details/Additional Information: Varies Certified Cancer Registrar, Cancer Data Services PRN, 8 hours per week, day shift
Job Summary: Performs accurate, consistent, and complete abstracting of patient records. Conducts quality analysis of records to ensure compliance with CAP protocols, AJCC staging, and ACOS requirements. Queries database and creates reports on requested subsets of cancer patient data.
Education: High School Diploma or GED General Studies Required, Associates Health Science or related field
Preferred Certifications and Licensures Credential Required/Preferred: Certified Cancer Registrar Required
Experience: 2+ Cancer Registry Required
Additional Knowledge, Skills, and Abilities -
* Demonstrate knowledge of anatomy and physiology, AJCC and Seer Staging, ICO-3 manual, Collaborative Staging, Multiple Primary Histology Manual, and COC FORDS manual.
* Working knowledge of ACOS requirements.
* Knowledge of Cancer data software systems.
* Proficiency in Microsoft Excel and Microsoft Word.
* Strong investigative and analytical skills with detail orientation.
* Excellent verbal and written communication skills.
* Ability to function as a self-paced individual.
Job Specific Duties
* Pathology & AJCC Staging Reviews all path reports on Chartmax and attach staging form;
* Queue shall be empty by the end of each month.
* Ensures that CAP protocol for cancer is on each appropriate path report.
* Ensures that AJCC staging has been done by the physician.
Technical Knowledge
* Demonstrates thorough working knowledge of all required manuals required for abstracting.
* These include AJCC Staging Manual Ed. 6, International Classification of Diseases for Oncology, #r3 Edition, Surveillance, Epidemiology and End Results Summary, Collaborative Staging Manual Multi-primary Histology Manual in addition to Facility Registry Data Standards Special Events Participate in community outreach, screening, education, and support activities of the Cancer Program as agreed upon with department manager.
* Teamwork Effectively promotes a positive work environment while at work and outside the facility.
* Demonstrates a high level of teamwork, cooperation, and respect for co-workers and staff.
* Participates in marketing the Center and its programs, both in and outside the facility, on an ongoing basis.
* Assists the Cancer Program Coordinator as requested Cancer Conference Participates in weekly Tumor Board conference as assigned, documenting meeting minutes and decisions made on the decision of care for individual patients.
* Quality Assurance Performs QA on Radiation Oncology patient list, ICD9 list, and Chemotherapy list each month.
Data Submission
* Submits data monthly to the ACOS National Cancer Database, and to the State Tumor Registry in accordance with NC requirements, ensuring that data is reported accurately and in correct format.
* Reports departmental statistics to department manager by the 4th day of the month.
Operations Support
* Maintains day to day operations within the Cancer Registry Department in the absence of the Oncology Program Manager.
* ACOS Accreditation Maintains up-to-date knowledge of ACOS program accreditation standards and ensures that departmental processes are adjusted to meet standards.
Professionalism
* Upholds a professional working relationship at all times and adheres to department rules.
* Practices teamwork and adheres to Standards of Behavior. Other Duties Performs other duties as assigned by management.
Employee Standards Communication:
* Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message.
Collaboration:
* Works with others respectfully and openly; provides help to achieve shared goals.
Service:
* Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message.
Safety:
* Meets or exceeds patient and employee safety requirements while promoting and achieving quality outcomes.
Accountability:
* Takes ownership for goals and outcomes; effectively and efficiently uses available resources to successfully complete tasks.
Improvement:
* Identifies opportunities and takes action to continuously improve processes.
* Maintains effectiveness and flexibility during change.
Pay Range
$26.10 - $39.15
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
* Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
* Premium pay such as shift, on call, and more based on a teammate's job
* Incentive pay for select positions
* Opportunity for annual increases based on performance
Benefits and more
* Paid Time Off programs
* Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
* Flexible Spending Accounts for eligible health care and dependent care expenses
* Family benefits such as adoption assistance and paid parental leave
* Defined contribution retirement plans with employer match and other financial wellness programs
* Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
HIM Operations Specialist - HIM Operations
Medical coder job in Chapel Hill, NC
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. This position is responsible for processing all release of information 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 patients 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. Associates will also be responsible for Analyzing patient information to ensure compliance with standards established by Federal/State & Joint Commission & CMS regulations and will monitor the chart completion activities of all physician including the limitation of Admitting and Scheduling Procedures. They will work cooperatively with all HIM leadership, staff, physicians and internal and external customers to ensure goals are met and quality targets are reached and maintained.
Responsibilities:
1. Provides customer service support and processes correspondence and requests for patient information in accordance with organizational policies, HIPAA, State and Federal regulations, and ensures the validity of dates and content of the requests in a timely manner.
2. Prioritize release of information requests, retrieves medical records from active and inactive and interdepartmental locations, electronically tracks and delivers records in accordance with established procedures.
3. Processes requests, assures confidentially is maintained, handles STAT requests, sends action letters timely, ensures turnaround times are between 3 and 5 days, enters requests, and requests charts in a timely manner.
4. Performs self-quality checks on all work to assure accuracy of the release and that confidentiality is maintained.
5. Handles all requests and inquiries for patient health information whether received via mail, fax, phone or in-person.
6. Ensures the requesting party has a legal right to request a patient's medical information
7. Provide excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems. Helps resolve customer service matters in a polite manner.
8. Coordinates activities with outside vendor copier service to ensure medical records are available by the deposition date. Analyzes and monitors record completion activities of suspended physicians and generates automated incomplete record notices to physicians. Assists physicians in record completion
9. Analyzes patient information to ensure compliance with standards established by Federal/State & Joint Commission & CMS regulations. Evaluates scanned images for proper indexing, patient verification, and legibility according to department standards. Identifies scanning quality and indexing errors, with immediate correction through rescanning of the batch and/or image.
10. Works closely with departmental leaders to promptly research and resolve issues reported by physicians, other departments, and customers.
Other Information
Other information:
Education Requirements:
● High school diploma or general education degree (GED)
Licensure/Certification Requirements:
● No licensure or certification required.
Professional Experience Requirements:
● Requires one (1) year of general medical record experience
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: HIM Operations
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.66 - $26.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Health Information Specialist I
Medical coder job in Chapel Hill, NC
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:
Full-Time: Monday-Friday 8:00AM-4:30 PM EST
Location: This role will be performed at one location working front desk at Chapel Hill, NC
Comfortable working in a high-volume production environment.
Documenting information in multiple platforms using two computer monitors.
Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
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.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. 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.
Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices.
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, 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 .
Auto-ApplyReceptionist Reimbursement Specialist #1320-0-5
Medical coder job in Martinsville, VA
Piedmont Community Services is seeking a dedicated and professional Reimbursement Specialist to serve as the first point of contact for clients, staff, and visitors. This position plays a critical role in ensuring efficient front office operations, maintaining a welcoming environment, and supporting essential administrative and financial processes. The Reimbursement Specialist is responsible for managing client flow, scheduling appointments, answering incoming calls, monitoring the waiting area, and handling client concerns in a courteous and professional manner. This role requires excellent interpersonal and organizational skills, attention to detail, and the ability to manage multiple tasks in a fast-paced environment. In addition to front desk responsibilities, this position supports all relevant staff in the office, financial operations by collecting and verifying client financial data, processing payments, and performing financial assessments in accordance with PCS Collections and Reimbursement policies. Candidates must have strong typing skills, customer service, and knowledge of insurance billing practices. High School diploma required or Associate's degree preferred with 1-3 years' experience office setting. Salary is commensurate with appropriate education and experience as it relates to the position.
Must be willing to consent to background checks, including checks for barrier crimes, and drug screening as part of the application process.
Surgery Billing and Reimbursement Specialist
Medical coder job in Winston-Salem, NC
Full-time Description
The Billing and Reimbursement Specialist is responsible for the day-to-day billing of all surgeries, ensuring that all claims go out accurate and for following-up on any claims that are paid incorrectly or denied, in a timely manner
Requirements
*Ensures that diagnosis codes and CPT codes are entered into the system accurately to post the charges daily.
*Verifies that authorization has been obtained, if applicable, before submitting the claims.
*Submits claims daily.
*Checks clearinghouse after claim submission out of computer system to make sure no corrections are necessary/fix issues that the clearinghouse catches.
*Sends out patient statements on monthly basis.
*Assists with daily payment posting.
*Ensures prompt follow-up on any claims that were paid incorrectly or denied.
*Answers patient's questions regarding billing issues.
Salary Description $20-$22/hour
Coder Credentialed - Inpatient
Medical coder job in Greensboro, NC
The Coder Credentialed accurately codes and abstracts medical information for billing and statistical purposes, and entering the information into a computerized database. Working independently under general supervision, this role ensures timely coding and completion of patient accounts to meet established department standards and/or goals.
Responsibilities
Maintains timely coding and completion of patient accounts to meet established department and regulatory standards and goals.
Maintains accuracy in accordance with department and regulatory standards.
Monitors uncoded accounts and performing other workflow processes to ensure optimal revenue cycle performance.
Interacts with clinical staff and providers to improve documentation in order to accurately reflect severity of illness and appropriately support medical necessity and claims submission.
Completes all mandated education prior to deadline.
Collaborates with other team members to assist in the continuing education of the coding profession and ensure optimal performance.
Performs other duties as assigned.
Qualifications
EDUCATION:
Required: High School Diploma or equivalent
EXPERIENCE:
Required: 3 years
LICENSURE/CERTIFICATION/REGISTRY/LISTING:
Required: American Health Information Management Association (AHIMA) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician's based (CCS-P) OR from the American Academy of Professional Coders (AAPC) - Certified Profession Coder (CPC), or Certified Outpatient Coder (COC), or Certified Inpatient Coder (CIC)
Auto-ApplyIDD Qualified Professional ICF
Medical coder job in Greensboro, NC
We are hiring for:
IDD Qualified Professional ICF
Type:
Regular
If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!
The Qualified Professional serves as the center of the interdisciplinary service team, which consists of nurses, Direct Care Associates, the Administrator and Group Home Manager, to guide the development of person-centered plans and overall programs based on the information you gain from interviewing the people we serve. A Qualified Professional serves as the primary individual contributor, coordinating and monitoring the array of services and supports needed to address each person's goals and desired outcomes as identified through the personal outcome interview, including health and well-being, psychological, and promotion of personal independence. The QP assists each person in identifying and communicating his or her requests and needs for services and supports. The QP supervises, integrates and coordinates person centered plans, and monitors progress towards personal, clinical, and functional outcomes. The QP initiates periodic reviews, investigations, modifications and adjustments by soliciting the person's feedback as the person wants and needs change.
REPORTS TO:
Area Clinical/Operational Supervisor or above.
SUPERVISORY RESPONSIBILITIES:
This position has no supervisory responsibilities.
DUTIES AND RESPONSIBILITIES:
Coordinating IDT meetings and the ISPs
Assisting each person we support to identify and communicate his or her requests and needs for services and supports through direct interviews
Supervising, integrating and coordinating person-centered plans and monitoring progress towards personal, clinical and functional outcomes
Initiating periodic reviews, investigations, modifications, and adjustments by soliciting the feedback of the people we support as their needs and goals change
Reviewing assessments completed by the people we support and other members of the interdisciplinary team to best help the people we support to meet their full potentials
Supervising and writing the person-centered plan based on assessments, interviews, and observations
Overseeing many aspects of residential activity, including home appearance, leisure materials, cleanliness, and community integration to ensure that the people we support are healthy and safe
Visiting vocational centers, residential homes and any other area RHA provides services in to assess how person-centered plans are implemented
Reporting to the Administrator and working closely with colleagues to maintain communication and provide feedback, standardize procedures, expedite person-centered plan implementation and workflow and improve employee performance
Monitoring activities to ensure that quality assurance and/or state survey improvements are being made
Serving as the link between the people we serve and their families and legal guardians to gain approval for services provided
All other duties as assigned.
MINIMUM QUALIFICATIONS:
Bachelor's degree in Social Work, Social Services, Human Services or Special Education required; Master's degree a plus
Minimum 2 years experience working with persons with intellectual and/or developmental disabilities required; 1-year experience if paired with Master's degree
Working knowledge of applicable regulations that apply to our service offerings
Valid driver's license, auto insurance, and reliable transportation
Supervisory/management experience and experience writing person-centered (individualized service) plans preferred
Must be at least 18 years of age.
PHYSICAL DEMANDS AND WORK ENVIRONMENT:
Regularly required to lift 50 lbs.
Must be able to lift a minimum of 30 lbs.
Must be able to pull minimum of 30 lbs.
Must be able to squat, kneel, crawl, crouch, climb, and stoop.
Must be able to regularly use hands to finger, handle, or feel objects, tools, or controls.
Required to regularly stand and walk.
Must be able to demonstrate proficiency in CPR from the floor level requiring to work on hands, knees, bending, standing and lifting.
Vision requirements include close vision, distance vision, and peripheral vision.
Must be able to talk and hear.
RHA is an Equal Employment Opportunity Employer, prohibits discrimination based on the following protected categories: race, creed, color, national origin, nationality, ancestry, age, sex/gender, marital status, civil status, domestic partnership status, familial status, religion, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States, or disability.
Pre-employment screening:
Complete criminal background
Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)
Drug testing
Education verification and other credentialing based on position requirements.
Proof of employment history or references (if required)
Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.
We offer the following benefits to employees:
Payactiv: early access to the money you've earned from hours you've already worked, before payday!
Employee perks and discount program: to help you save money!
Paid Time Off (full-time employees only)
Health/Insurance (full-time employees only)
401(k) retirement savings program
Wellbeing Programs: Physical, Emotional and Financial
Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
Training: Free CPR, first aid, and job-specific training opportunities
*contract/contingent workers and interns do not qualify for any of the above benefits
EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.
About RHA:
At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.
For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.
If you are ready to make a difference in the lives of people we serve and support apply to join the team today.
Auto-ApplyQualified Professional (QP)
Medical coder job in Burlington, NC
Job DescriptionDescription:
PRIMARY DUTY, PURPOSE, AND OBJECTIVES:
The Qualified Professional (QP) is responsible for the clinical oversight and supervision of assigned services. This includes planning, monitoring, and preparation of billing documentation for billable services for assigned individuals. The QP meets criteria for Qualified Professional and performs clinical duties related to programming and records. Provides day-to-day oversight of staff and works to ensure seamless delivery of services.
JOB DUTIES, FUNCTIONS, AND RESPONSIBILITIES:
Essential Functions:
Familiar with all applicable federal, state, and local standards related to specified services and Ralph Scott Lifeservices, Inc. Policies and Procedures.
Maintains current and comprehensive knowledge of individuals, their issues, conditions, goals, and services.
Implements, monitors, and documents outcomes set forth in the person-centered plan.
On a weekly basis, monitors programs and data for accuracy, completeness, and progress. Provides written documentation and progress notes.
Provides direct monitoring of planned outcomes for individuals as well as performance of staff by on-site presence in assigned Apartment location(s) and direct contact with individuals on a schedule determined and/or approved by supervisor.
Works closely with Care Coordinators to ensure that needed services are being provided.
Provides monthly written clinical and administrative supervision of paraprofessionals.
Provides ongoing in-service training on the person-centered plan and current services
Reviews all documentation for assigned individuals.
Responsible for program plans, billing differentiation, and authorizations for assigned individuals.
Serves as an advocate for individuals receiving services.
Assures that work is done smoothly, efficiently and as scheduled according to the authorizations.
Schedule staff to adhere to established schedule and meet requirements for supporting residents.
Coordinate transportation for scheduled activities and appointments
Notify and coordinate with RSL maintenance as required for maintenance needs.
Operate within the established program budget.
Routine Required Functions:
Provides direct monitoring of planned outcomes for individuals as well as performance of staff by regular on-site presence in work locations.
Rotates “On-Call” responsibilities.
Participates in in-service training for professional development.
Will complete a minimum of 4 hours per year of professional training approved in advance by his/her supervisor over and above required training or updates of required training.
Serves as relief staff in emergencies.
Participates in Person Centered Planning activities for individuals.
Participates in Peer Council activities on a regular rotation. Maintains an active awareness of cultural competency of individuals and other employees and works to accommodate that diversity in work, training, and leisure activities.
Is familiar with RSL Policy and Procedure Manual and with the RSL Bloodborne Pathogens/TB/Infectious Disease Plans, Policies for Individuals Receiving Services, OSHA, and HIPPA.
Routinely follows safe work practices in all functions of the job.
Performs other duties as requested by his/her supervisor.
MEASURES FOR SUCCESS:
At Ralph Scott Lifeservices, care and compassion are at the core of our mission. We are committed to excellence, quality services and collaboration, recognizing that every team member plays a vital role in our success.
Employee's work performance positively supports the mission and culture of the organization.
Work is done competently, efficiently, and within budget.
Compliance is maintained with regulatory and accreditation standards.
Needs of individuals served are addressed and met; and, as often as possible, services are provided beyond minimum standards required.
Relevant concerns are presented to supervisory staff for review and resolution.
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
Working knowledge of developmental disabilities.
Ability to communicate both orally and in writing.
Proficient in Windows operating systems with competency in Microsoft Office Suite (Word, Excel) and/or Google Workspace (Docs, Sheets); efficient in managing email and Google Calendar; skilled in basic data entry and organizing digital files.
Ability to understand and apply operating policies and licensing and certification standards.
Ability to plan and supervise the work of others.
Working knowledge of simple budgeting.
Ability to work flexible work hours including evenings and weekends.
MINIMUM QUALIFICATIONS, EDUCATION AND EXPERIENCE:
A four-year degree in human services field, and must meet the criteria for a Qualified Professional as outlined in 10A NCAC 27G.014, and have an additional two years clinical and supervisory experience.
Must have own transportation for travel on RSL business.
Requirements:
HIM Operations Specialist - HIM Operations
Medical coder job in Chapel Hill, NC
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. This position is responsible for processing all release of information 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 patients 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. Associates will also be responsible for Analyzing patient information to ensure compliance with standards established by Federal/State & Joint Commission & CMS regulations and will monitor the chart completion activities of all physician including the limitation of Admitting and Scheduling Procedures. They will work cooperatively with all HIM leadership, staff, physicians and internal and external customers to ensure goals are met and quality targets are reached and maintained.
Responsibilities:
1. Provides customer service support and processes correspondence and requests for patient information in accordance with organizational policies, HIPAA, State and Federal regulations, and ensures the validity of dates and content of the requests in a timely manner.
2. Prioritize release of information requests, retrieves medical records from active and inactive and interdepartmental locations, electronically tracks and delivers records in accordance with established procedures.
3. Processes requests, assures confidentially is maintained, handles STAT requests, sends action letters timely, ensures turnaround times are between 3 and 5 days, enters requests, and requests charts in a timely manner.
4. Performs self-quality checks on all work to assure accuracy of the release and that confidentiality is maintained.
5. Handles all requests and inquiries for patient health information whether received via mail, fax, phone or in-person.
6. Ensures the requesting party has a legal right to request a patient's medical information
7. Provide excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems. Helps resolve customer service matters in a polite manner.
8. Coordinates activities with outside vendor copier service to ensure medical records are available by the deposition date. Analyzes and monitors record completion activities of suspended physicians and generates automated incomplete record notices to physicians. Assists physicians in record completion
9. Analyzes patient information to ensure compliance with standards established by Federal/State & Joint Commission & CMS regulations. Evaluates scanned images for proper indexing, patient verification, and legibility according to department standards. Identifies scanning quality and indexing errors, with immediate correction through rescanning of the batch and/or image.
10. Works closely with departmental leaders to promptly research and resolve issues reported by physicians, other departments, and customers.
**Other Information**
Other information:
**Education Requirements:**
● High school diploma or general education degree (GED)
**Licensure/Certification Requirements:**
● No licensure or certification required.
**Professional Experience Requirements:**
● Requires one (1) year of general medical record experience
**Knowledge/Skills/and Abilities Requirements:**
**Job Details**
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: HIM Operations
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.66 - $26.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Professional Physician Coder
Medical coder job in Greensboro, NC
The Professional Physician Coder accurately and efficiently accesses wide range physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. This role is an entry level professional physician coding role.
Responsibilities
Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS?all levels).
Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials).
Notifies Team Lead, Manager, and/or Compliance department of any compliance violations that are discovered during the review process.
Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
Utilizes resource material available in department to support accurate coding practices.
Maintains patient confidentiality. Maintains reasonably regular, punctual attendance consistent with the organization's policies, the ADA, FMLA and other federal, state, and local standards.
Performs other duties as assigned.
Qualifications
EDUCATION:
Required: High school diploma or equivalent; Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required
Preferred: Associate degree preferably with Medical Office Billing
EXPERIENCE:
Required: Entry level physician certified coding experience in professional or physician practice coding.
Preferred: Prior physician practice experience is highly desirable.
LICENSURE/CERTIFICATION/REGISTRY/LISTING:
Required: One of the following national certifications: Certified Professional Coder (CPC) through the American Academy of Professional Coders. CPC-A is a minimum requirement. Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA). Certified Medical Coder (CMC) through Practice Management Institute.
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