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.
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
Clinical Reimbursement Specialist CRS
Medical coder job in Charlotte, NC
Are you are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our North Carolina facilities. If you love teaching and communicating with other nurses, this is a great role for you!
The successful applicant will live in North Carolina, and have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations.
Join us with an attractive benefits offering:
Competitive pay
Medical, dental, and vision insurance
401K with matching funds
Life Insurance
Employee discounts
Tuition Reimbursement
Student Loan Reimbursement
Responsibilities:
Ensure the RAI process is complete and assessments are complete.
Audit Completion of MDS, CAA's and care plans within regulated time frames.
Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review.
Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff.
Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning.
Requirements:
Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required.
Knowledge of regulatory standards and compliance requirements.
Registered Nurse RN in the state.
50% travel with some overnight stays possible.
Ciena Healthcare
We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
Medical Coder
Medical coder job in Hickory, NC
Job Details Hickory Office - HICKORY, NC Full Time DayDescription
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: The Medical Coder is responsible for accurately assigning CPT, ICD-10, and HCPCS codes to patient encounters to ensure proper billing and compliance with regulatory requirements. This role supports revenue cycle efficiency by ensuring claims are coded correctly, reducing denials, and assisting providers with documentation improvement.
Other duties may be assigned.
FINANCIAL OPERATIONS & REPORTING
Review medical documentation for accuracy and completeness.
Assign appropriate CPT, ICD-10, and HCPCS codes according to established guidelines.
Ensure coding compliance with federal, state, and payer-specific requirements.
Collaborate with physicians and clinical staff to clarify diagnoses and procedures when necessary.
Work with billing team to resolve coding-related claim rejections or denials.
Maintain up-to-date knowledge of coding regulations, payer requirements, and ophthalmology-specific coding changes.
Assist with audits and provide feedback to improve documentation and compliance.
Support process improvements to strengthen revenue cycle performance.
Senior Medical Coder
Medical coder job in Raleigh, NC
Perform dictionary coding in accordance with study specific coding conventions using MedDRA and WHO Drug within various coding systems. Manage end-to-end delivery of clinical data management coding responsibilities concurrently for single/multiple projects ensuring quality and timeliness. Provide leadership and mentorship to Medical Coding Specialists as needed. Create, review, and maintain guidance and training documentation for coding guidelines an accordance with ICH guidance, official coding guidelines and dictionary definitions
Responsibilities:
Perform coding in accordance with study specific coding conventions as outlined in the Data Management Plan (DMP)
Perform coding using MedDRA and WHO Drug of (eCRF) verbatim terms using various coding systems
Provide independent review of coded data by ensuring consistent code assignment within a project by reviewing coding and re-assignment
Responsible for medical coding review, synonym dictionaries review, therapeutically aligned coding conventions
Create, review, and maintain guidance and training documentation for coding guidelines an accordance with ICH guidance, official coding guidelines and dictionary definitions
Provide support to other departments concerning dictionary use and code assignment
Ensure compliance with industry quality standards, regulations, guidelines and procedures
Management of query assignment within eCRF systems for questionable verbatim terms
Preparation of specific study coding reports for accuracy and consistency as well as client requirements
Interaction with clients regarding specific coding requests and coding timelines
Participate in system upgrades, including User Acceptance Testing (UAT) to maintain a validated coding environment
Perform coding related study close activities ensuring all coding is accurate and proper documentation is complete
Liaise with Clinical Data Managers and Programmers for purposes of project requirements
Communicate issues that require decisions, including proposal for a solution
CTCAE coding and review
Experience:
5+ years in Pharmaceutical/Biotechnology industry or CRO environment
Thorough knowledge and experience with WHODrug AND MedDRA dictionaries
Knowledge of ICH/GCP guidelines, 21 CFR Part 11 and clinical trial methodology
Excellent verbal and written communication skills
Detail oriented, ability to multitask with strong prioritization, planning and organization skills
Excellent team player
Proficiency in Microsoft Office Applications
Working knowledge of MedDRA and WHODrug best practice documents
Good understanding of Clinical Data Management processes and the applicable regulatory requirements
Good overview of all systems lined to the coding process, and understanding of their interactions and dependencies
Education:
Bachelor of Science degree in biology or health-related field preferred
Language Skills Required:
Speaking: English (Required)
Writing/Reading: English (Required)
Inpatient Facility Coder
Medical coder job in Wilmington, NC
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-ApplyRCM Coder
Medical coder job in Jacksonville, NC
Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina.
Essential Functions
Post medical charges into NextGen software in a timely manner to meet daily and monthly goals.
Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
Identifies diagnostic and procedural information and assigns codes for reimbursements
Ability to navigate around CPT, ICD-10, and HCPCS.
Work with providers to correct the diagnosis or procedure codes so that the claim can be processed.
Identify coding or billing problems from EOBs and work to correct the errors in a timely manner
Maintain in depth knowledge of all payers.
Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close.
Update patient demographic and insurance
Transfer open balances to correct insurance
Work with patients and guarantors to secure payment
Resolves disputed claims by gathering, verifying, and providing additional information
Identify problem accounts and escalate as appropriate.
Write appeals and include supporting documentation
Run appropriate reports and contact insurance companies to resolve unpaid claims
Meet set department metrics and threshold set forth by manager.
Assist with special projects and other job-related duties as needed.
Minimum Qualifications
High School Diploma.
2 years of Professional coding/billing experience
AAPC certification preferred
Experience Medicare, Medicaid and other commercial and private payers.
Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people.
Excellent customer service and professionalism.
Maintains patient confidentiality.
Proficient computer skills.
Organized and efficient.
Self-motivated to meet objectives
Benefits:
401(k)
Health, Dental and Vision insurance
Employee assistance program
AFLAC
Paid time off
Hospital Coding Spec II (Observation)
Medical coder job in North Carolina
Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment. Responsible for the coding of moderately complex patient classes i.e. ED, observations, same day care, etc.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High School Diploma or Equivalent.
2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder).
EXPERIENCE:
1. One (1) year of hospital coding experience.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. Codes moderately complex patient classes.
2. Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.).
3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas.
4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals.
5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill.
6. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Must be able to sit for long periods of time.
2. Must have visual and hearing acuity within the normal range.
3. Must have manual dexterity needed to operate computer and office equipment.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment.
2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
3. May require travel.
SKILLS AND ABILITIES:
1. Must be able to concentrate and maintain accuracy during constant interruptions.
2. Must possess independent decision-making ability.
3. Must possess the ability to prioritize job duties.
4. Must be able to handle high stress situations.
5. Must be able to adapt to changes in the workplace.
6. Must be able to organize and complete assigned tasks.
7. Must possess excellent written and verbal communication skills.
8. Must possess the knowledge of anatomy, physiology and medical terminology.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Non-Exempt)
Company:
SYSTEM West Virginia University Health System
Cost Center:
548 SYSTEM HIM Coding Analysis
Auto-ApplyMedical Coder
Medical coder job in Butner, NC
Job DescriptionWe are looking for individuals who want to join our team in Butner, NC. Apply now! Job Opportunity: Medical Coder Make a Difference Behind the Mission
Are you passionate about providing detail oriented medical administration? Do you want your work to directly support the health and well-being of incarcerated inmates in North Carolina prisons? If so, this opportunity might be a perfect fit.
French Consulting is seeking a Medical Coder to deliver expert healthcare administration support at the Federal Correctional Complex in Butner, North Carolina. You'll play a pivotal role in ensuring efficient healthcare administration. Your efforts will directly contribute to positive patient outcomes supporting efficient use of taxpayer's investment in community security.
What You'll Do
Medical Coding
Assign Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of outpatient primary care encounters.
Review encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care.
Educate and provide feedback to providers and clinical staff to resolve documentation issues to support coding compliance.
Assign accurate codes to encounters based upon provider responses to coding queries.
Support DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels.
Use MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other Facilities.
Team Collaboration
You will be the expert source of reference for medical staff having questions, issues, or concerns related to coding.
Collaborate effectively with healthcare team members, and patients to enhance care and resolve concerns.
You'll respond to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding.
You'll collaborate with and supports medical coding auditors, trainers, and compliance specialists in providing education and feedback to providers and staff.
Participate in staff development programs, cross-training initiatives, and performance improvement activities.
Professional Development & Documentation
Maintain accurate, timely, and concise patient records, both manual and electronic.
Engage in self-directed learning, continuing education, and competency validation.
Contribute to the orientation, training, and evaluation of newly assigned personnel.
Comply with legal, regulatory, and FCI-specific policies in all aspects of patient care.
Who You Are
You thrive in a secure environment, managing detailed healthcare records.
You communicate effectively and professionally with patients and multidisciplinary teams.
You are mission-focused and want to make a meaningful difference in the lives of incarcerated inmates.
You are adaptable, collaborative, and eager to support a culture of continuous learning.
Qualifications
Education: Completed a university or technical school program resulting in completion of ONE of the following:
1) An Associate's degree or higher in Health Information Management, Healthcare Administration, or a biological science; OR
2) A university certificate in medical coding; OR
3) At least 30 semester hours' university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR
4) Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR
5) Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision.
Experience and Certification: 2 Years of experience in a healthcare or insurance environment and at a minimum of a certificate in one of the following:
Registered Health Information Administrator (RHIA)
Registered Health Information Technician (RHIT)
Certified Coding Specialist (CCS)
Certified Coding Assistant (CCA)
Certified Professional Coder (CPC)
Have a thorough knowledge of Medicare payment principles including: Medicare Inpatient Prospective Payment System, Medicare Outpatient Prospective Payment System, Medicare Ambulatory Surgical Center Payment Rates, Medicare Part B Physician Fee Schedule, Medicare Anesthesia Physician Services, Medicare Clinical Laboratory Fee Schedule, and Medicare Drugs and Biological Payment Amounts.
Proficient in database software.
Requires strong analytical, organizational and customer service skills.
Strong oral and written communication skills.
The individual selected to perform these services must be able to pass a drug screening and law enforcement agency background check to include credit checks.
Experience in clinical correctional setting (preferred).
Ability to complete FCI credentialing and screening requirements and have a favorable credit report.
Why You'll Love It Here
💻 Supportive, collaborative team environment with ongoing professional development.
🌍 Help keep communities safe providing expert support to U.S. correctional facilities.
🤝 A culture that values your skills, expertise, and input.
Ready to Join Us?
If you're ready to make a real difference supporting your community? We'd love to hear from you.
Apply today and bring your expertise, compassion, and dedication to a team that values your contribution.
--
French Consulting is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.
Powered by JazzHR
87tSGKESrN
Combination Inspector - Code Specialist II
Medical coder job in Falls Church, VA
Combination Inspector - Code specialist II
$92,904.00 - $106,990.00
Onsite
Open Until Filled
The City of Falls Church Building Safety Division is recruiting for full-time Combination Inspector with electrical experience. The individual selected will review plans (electrical) and perform combination construction inspections as technical assistant to the Building Official in the enforcement of the Virginia Uniform Statewide Building Code.
The City of Falls Church, Virginia, located less than seven miles from the heart of Washington D.C., is a unique and historic city. Falls Church is affectionately known as “The Little City” due to its small size and close-knit community atmosphere. Despite its small geographical area, Falls Church boasts a rich history and a vibrant community spirit, and is one of the most densely populated and fastest growing localities in Virginia. Situated between Arlington and Fairfax Counties, Falls Church takes pride in its independent spirit, walkable neighborhoods, and outstanding schools. With a population of approximately 16,000, the City is known as the “Little City” as we confront many of the same challenges as large cities across the country but with strong community involvement and a people first approach to government service.
The City of Falls Church is experiencing transformative growth in its commercial districts, where 1950s-era strip commercial shopping areas are being redeveloped with higher densities, a mix of uses, and walkable, bike friendly design. Falls Church seeks to maintain a high quality of life in established residential neighborhoods adjacent to commercial districts through urban street design, traffic calming, and excellent government services.
The individual selected for this position should be self-motivated and have or will quickly obtain the necessary certifications to review electrical plans and perform inspections. Inspections may include all trades in our fast growing, beautiful, diverse, well educated, urban jurisdiction. We are asking a lot, but we have a lot to offer to a person who desires a comprehensive experience with a local government agency.
Responsibilities:
Performs as technical assistant to the Building Official, enforcing the Virginia Uniform Statewide Building Code, the Virginia Rehabilitation Code, the Virginia Maintenance Code and the Virginia Amusement Devise Regulations;
Performs electrical plan reviews and assists with commercial combination plan reviews (building, plumbing, energy efficiency, fire alarm and fire suppression);
Performs residential inspections for one- and two-family dwellings;
Performs damage assessment and safety inspections of damaged structures;
Performs maintenance code inspections of existing buildings on a complaint basis;
Coordinates with the Fire Marshal, the Health Department and city staff on full code and maintenance code inspections;
Issues warnings, violation notices and stop-work orders;
Answers questions from private citizens, contractors and builders concerning code;
Documents inspections and plan reviews and provides other documentation consistent with division policy and record keeping;
Assists in scheduling inspections and coordinates with other inspectors to maximize use of time;
Attends meetings and conferences and testifies in court on code violation cases;
Obtains and maintains pertinent State and ICC certifications and attends regular training; Coordinates with other Departments and Divisions within the City; and,
Performs related tasks as required.
Qualifications:
Graduation from high school and certified by the Commonwealth of Virginia or ICC as an Electrical code inspector or plan reviewer;
At least four years of experience in the construction or inspection related field with thorough knowledge of all types of building construction materials, methods, and stages of construction.
Demonstrated ability to read and interpret plans accurately and to compare them with construction in progress, identify color utility markings and distinguish conductor color coding,
Strong verbal and written communication skills to contact building owners, contractors and the public and affect satisfactory working relationships;
Demonstrated steadfastness and tact in enforcing building ordinances and codes.
Ability to obtain electrical examiner certification and those of additional trades;
Combination residential inspector certification and commercial electrical inspector certification plus at least one additional commercial inspection certification.
A valid driver's license in the state of residence is required.
An equivalent combination of training and experience may be considered.
Hours:
Monday-Friday, 7:00 a.m. to 3:30 p.m. (some flexibility within); 40 hours per week.
Salary and Benefits:
Starting salary range $92,904.00 - $106,990.00, depending on qualifications. In addition, the City also offers a comprehensive benefits package including health insurance, dental insurance, pension plan, deferred compensation plan, flexible spending account, life and long-term disability insurance, paid holidays, vacation and sick leave, free parking, credit union membership, and more. See the following link ****************************** for additional information.
How to Apply:
To apply, please complete the online application at the following link ************************** and upload your cover letter and resume.
Our commitment to an inclusive workplace: The City of Falls Church is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the federal, state and/or local laws or regulations. Accommodations may be requested for applicants with disabilities. To request a reasonable accommodation, please contact the Human Resources Department at ************************ or ************. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
All City facilities are smoke free.
EC PreK TA @ Chicod
Medical coder job in Greenville, NC
Exceptional Children (EC) / Pre-K Teacher Assistant Reports To: Classroom Teacher and Principal Employment: 10 months, 7.5 hours daily About Chicod School: Chicod School is a vibrant PreK-8 community where staff, students, and families work together to ensure every child grows and succeeds. Our school is known for its strong sense of teamwork, supportive culture, and dedication to helping each student reach their full potential. We take pride in our collaborative approach, caring staff, and commitment to excellence in education.
Position Summary:
The EC/Pre-K Teacher Assistant plays an essential role in supporting the academic, social, and emotional growth of our youngest learners. Under the direction of a certified teacher, this position assists with classroom instruction, daily routines, and individualized student support within a nurturing, inclusive environment.
Key Responsibilities:
* Support the classroom teacher in implementing engaging lessons that meet student learning goals and developmental needs.
* Work individually or in small groups with students to reinforce concepts, build independence, and encourage positive behavior.
* Assist with classroom organization, preparation of materials, and supervision of daily routines such as arrival, meals, rest, and dismissal.
* Collect data and provide input on student progress toward learning or IEP goals.
* Support students with personal care needs, as outlined in their plans.
* Help maintain a safe, caring, and inclusive learning environment for all students.
* Collaborate with teachers, specialists, and colleagues to ensure students' needs are met through a team-based approach.
* Communicate positively and respectfully with students, staff, and families.
* Participate in professional learning and staff development opportunities.
* Perform other duties as assigned to support the success of Chicod School's EC and Pre-K programs.
Why Join the Chicod School Family?
* Supportive leadership and a collaborative staff community.
* Opportunities for professional growth and learning.
* A welcoming school culture.
* The chance to make a lasting impact in a school that feels like family.
Coding Specialist
Medical coder job in Durham, NC
Exciting Career Opportunity with Avance Care!
Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC.
Avance Care is dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independent primary care practices, we offer comprehensive services to support the physical, mental, and emotional health of our patients.
As a Coding Specialist, you'll support and maintain coding compliance and patient assessments by applying Certified Professional Coding (CPC) principles to claim documentation process, reducing institutional, legal and financial risk.
This is a full-time role involving 8 hours weekday shifts with no weekends schedule.
We operate in a busy, fast-paced environment, and we seek a candidate who thrives under such conditions.
We offer a comprehensive benefits package available on the first of the month following 30 days of employment.
Selected Responsibilities:
Actively abstract and code daily patient encounters through chart documentation, billing for all services, and appropriate assignment of E&M coding related to chart documentation, time, and medical decision making
Thorough understanding of clinic coding (E/M) documentation requirements and HCC concepts impacting population Health Risk Adjustment reimbursement initiatives
Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC guidelines
Maintains knowledge regarding policies and procedures with Medicare/Medicaid Carriers and third-party payers, including HCC and RAF guidelines
Effectively work with and support providers through structured communication as it related to chart documentation and coding practices
Understand and apply Correct Coding Initiative (CCI) edits and modifiers, as sometimes specifically required by 3
rd
party payers or Medicare
Assign missing procedure CPT, or HCPCS from the Current Procedure Manual and Common Procedure Coding System Manual when necessary
Candidates should preferably have one of the following certifications: Certified Professional Coder (CPC) required, Certified Professional Coder (CPC-A) preferred, or Certified Risk Adjustment Coder (CRC) highly preferred along with at least one year of E&M Coding experience.
Other Priorities:
Strong verbal and written communication
Knowledge of insurance practices
Knowledge of CPT, HCPCs, and ICD-10 coding
Time management and workload prioritization skills
If you are excited to join a growing organization focused on changing the way healthcare is delivered to patients in North Carolina, please submit your resume.
All offers of employment are contingent upon the successful completion of a background check and drug screen.
Avance Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, gender identification, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.
Auto-ApplyCertified Medical Coder (CPC)
Medical coder job in Asheville, NC
> Position: Certified Medical Coder (CPC) Location: Minnie Jones Health Center 257 Biltmore Avenue Asheville, NC Job Id: 770 # of Openings: 1 CERTIFIED MEDICAL CODER Medical, Dental and Behavioral Health Outpatient Billing Western NC Community Health Services (WNCCHS) is a Federally Qualified Health Center (FQHC). We are committed to caring for our patients with purpose and integrity and providing our team members with the support they need. Are you organized, detail-oriented, and good at time management, this could be a great position for you! We are seeking a Medical Coder to join our growing team. This position is based at our Minnie Jones Health Center, 257 Biltmore Avenue, Asheville, NC 28801.
All Billing employees are eligible for a hybrid work arrangement after 90 days of successful performance. The hybrid arrangement is currently the same for all members of the Billing team: 4 days remote, 5 days on-site. All team members are on-site Tuesday.
RESPONSIBILITIES- Includes but not limited to the following:
* Daily contact with patients and /or insurance companies to research, resolve, and respond to billing or claim related inquires
* Work on patient account balances in the practice management software as sliding scale fees are updated and develop payment plans as needed
* Send delinquent patient accounts to collection agencies
* Resolve incomplete/inaccurate Routing Slips/Billing Sheets problems prior to claim submission by obtaining information and correcting data
* Verify and correct coding issues, providing coding support to providers/billing staff; sequence and assign modifiers, ICD 10-CM and CPT codes correctly on charges
* Ensure billing denials and rejections are investigated, followed up on and resolved in a timely manner
* Resolves coding and medical necessity claim denials, ensures provider collaboration with implementing corrective action plan and education
* Conduct chart coding audits, providing guidance and educational opportunities to providers
* Proactively helps provide action plans for improving coding compliance, reviewing and follow-up external audit results
* Ensure that all entries in the practice management database are logical and internally consistent during daily journal close
* Close accounting periods on a timely basis
* Transmit all claims (secondary or manual) to the appropriate carrier on a timely basis.
* Review electronic transmission reports for errors.
* Correct all electronic transmission errors until a "clean" transmission is achieved.
* Assist in the development and ongoing maintenance of processes and procedures revolving around system use, billing/coding rules, specific guidelines/manuals, and payer bulletins/websites
* Review Explanation of Benefits (EOB) reports.
* Enter payments timely from RAs/EOBs in the practice management database to maintain insurance AR and patient statement production current and accurate
* Reconcile EOBs to information entered in the patient's account by balancing insurance claims from payers with receipts from patient payments provided by Patient Services staff (front desk)
* Conduct clinical coding audits of provider charts to review appropriate code selection
* As requested, maintain special electronic spreadsheets and compile reports for management.
* Participate in quality management activities
* Occasionally, other appropriate duties and responsibilities may be assigned by the supervisor.
QUALIFICATIONS:
Required:
* Experience- One year full-time in a similar position required.
* Knowledge- Medical billing procedures, coding, and payer guidelines.
* Education- High school diploma or equivalent, Medical Coding, preferred.
* Certification(s)/Licensure- AAPC Certified Professional Coder (CPC); or willing to train and test for certification within 1 year of employment.
Preferred:
* Interact in a friendly and professional manner with a wide range of staff, physicians and public.
* Plan, prioritize and complete delegated tasks with attention to detail.
* Ability to multitask and work well under pressure is essential.
* Expert knowledge of medical office operations.
* Proficient in the use of Microsoft Office programs to produce correspondence, documents, presentations, records, and spreadsheets.
* Excellent verbal and written communication skills.
* Familiarity with role of FQHCs in the community preferred.
* Bilingual candidates (English/Spanish/Russian) preferred
WORK/LIFE BENEFITS:
* Competitive health plans for employees and dependents including medical, dental, vision, and telehealth
* Eleven (11) Paid Holidays
* Two (2) Floating Holidays
* Accrued PTO (total of 156 hours in the 1st year)
* No weekends or holiday work required
* Employee Assistance Network
* Free parking
FINANCIAL WELL-BEING BENEFITS:
* 403(b) Retirements Savings with Match
* Employer-Paid Short /Long-Term Disability Insurance and Life Insurance
* HRSA and Public Non-Profit Student Loan Forgiveness Program
CAREER GROWTH:
* Monthly staff meetings and trainings
* Leadership Academy
* EPIC EHR platform
* Relias Learning Management System (LMS)
Western North Carolina Community Health Services is an equal opportunity employer, and all qualified applicants will receive consideration for employment, services, programs, or activities without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Hourly range based on certification and experience $18.50 to $23.00
APP - Gastro Health - Alexandria, Virginia
Medical coder job in Alexandria, VA
Gastro Health is seeking a Full-Time Nurse Practitioner or Physician Assistant to join our team!
To support our continued growth, we are seeking a full-time NP or PA in beautiful Northern Virginia to serve our patients in Alexandria and the surrounding communities.
Gastro Health is an extensive and diverse group of professionals dedicated to digestive and liver health. Now with 140 locations in seven states, our team of physicians, advanced practice providers, nutritionists, technicians, and support team are on a mission to provide outstanding medical care and an exceptional healthcare experience.
Practice Details
In-office Monday through Friday
No night or weekend call
Average 12-18 patients per day
Collaboration with 2 board-certified gastroenterologists and 3 advanced practice providers
Full-Time Benefits
Company-paid Malpractice Insurance
Competitive Salary
Annual productivity bonus
21 days PTO plus Paid Holidays
CME allowance + 3 CME days
Group Health Benefits (Medical, Dental & Vision)
Retirement Plans (401k, Profit Sharing)
Short- & Long-Term Disability
Healthcare & Dependent Flexible Spending Accounts
Job Duties
Monday - Friday care center outpatient
Examine, diagnose, and coordinate treatment plans for patients with acute illnesses and exacerbations of chronic disease (under the supervision of physicians)
Order, interpret, and make diagnoses of lab tests and imaging scans
Record progress notes, instruct and counsel patients, and modify treatment plans as needed
Write/refill prescriptions appropriate for diagnosis
Review patient results, including pathology
Document patient information in eClinicalWorks in a timely manner
Other duties related to the specialty of gastroenterology as assigned
Candidate Requirements
Active NP or PA license in the state of Virginia
Certification as an advanced practice provider with prescriptive authority
GI experience preferred
Ability to build strong working relationships with the healthcare team
Demonstrate integrity, adaptability, and the desire to make a positive impact in the lives of our patients and teammates
Bilingual in Spanish preferred
What Makes Gastro Health Different?
Collaboration: We strive to ensure a shared workload among you and your colleagues, which means a reasonable patient volume and great work-life balance.
Stability: We care about your mental well-being as much as your financial success. That's why we offer competitive compensation without sacrificing all your free time.
Support: Our co-investment model allows you to receive access to best-in-class medical technology, clinical research, continuing education, marketing and operational support, and administrative assistance.
Security: As a fast-growing national healthcare organization, we offer a competitive compensation package and opportunities for your personal and professional growth.
Thank you for your interest in joining our growing Gastro Health team!
Auto-ApplyMedical Coding Auditor (CPC)
Medical coder job in Wilmington, NC
Farragut Square Group provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities.
As part of our ongoing commitment to be #AlwaysBetter for our people, clients, and communities, we have created a culture of belonging that champions your individuality and authenticity as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career so you can live a life you love both in and outside of the office.
With us, you'll find:
A Firm where everyone belongs: Our award-winning culture prioritizes warmth and authenticity - we encourage you to be yourself!
Enthusiasm for diverse perspectives: We're smarter and stronger when everyone has a voice and a seat at the table. We welcome unique viewpoints and ideas, and we make opportunities for you and your career to thrive.
Support to feel your best and do your best: Wellness is integral to building a successful career and a rich life. That's why our benefits program supports your physical, emotional, mental and financial health, with an emphasis on work/life balance.
Real rewards for real work: We offer generous compensation packages that recognize hard work and excellence.
Job Description:
About Farragut Square Group
Farragut Square Group is a healthcare research and advisory firm serving private equity sponsors, institutional investors, and healthcare corporates. We help our clients move fast, scale smart, and stay compliant.
Farragut Square is looking to expand by hiring a Medical Coding Auditor. This role is perfect for a CPC certified Auditor who thrives in a fast-paced yet thoughtful team environment. This position will report to the VP of Billing & Coding within the group.
As a Medical Coding Auditor you will:
Perform accurate and compliant auditing reviews of pertinent medical records and physician services to identify and report audit outcomes and need for coding education.
Coding reviews include practice and ASC based services, ensuring compliance with ICD-10 CM, ICD-10 PCS, CPT, CDT, HCPCS coding and Modifier guidelines.
Explain findings in a clear and concise manner to internal team members. Communicate in a way that demonstrates knowledge of regulations and requirements of CMS, payors, and Federal and state laws.
Interact in a professional and courteous way with client practices to help them locate missing documents and provide necessary chart information.
Qualifications:
CPC designation is a must. The candidate must have audit experience, and have experience performing billing and coding reviews in the medical field
CPMA and/or Inpatient Coding and Coding Instructor Credentials a plus but not required.
5+ years of current audit work within a physician practice or hospital system.
Excellent communication and time management abilities, as this position is remote.
Familiarity with medical and experience with outpatient medical coding guidelines and willingness to learn about the various sub-specialty coding guidelines in the outpatient setting. Examples of sub-specialties include: ophthalmology, urgent care, gastrointestinal, pain management and autism/ABA, as well as willingness to learn others specialties.
Ability to use Microsoft Excel and Word.
Demonstrated ability to perform in high productivity, fast-paced environment.
When submitting for this position, please include an explanation of your relevant experience within the medical audit space. (250 words max)
Successful candidates will be provided with outstanding career opportunities and will receive a competitive total rewards package with the opportunity to earn performance-based bonuses.
Target Hiring Range $65,000 - $80,000
Please note that quoted salary ranges are not guarantees of what final salary offers may be. Base pay is based on market location and may vary depending on job-related knowledge, skills, experience, and geographic location. Base pay is only one part of the Total Rewards that MWE provides to compensate and recognize our staff professionals for their work. Full time positions are eligible for a discretionary bonus and a comprehensive benefits package.
#LI - Hybrid #LI - JL1 #MedicalAudit #CPC #CPMA #AAPC
As part of our ongoing commitment to be #AlwaysBetter for our people, clients and communities, we have created a culture of belonging that champions your individuality as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career. With McDermott, you can live a life you love both in and outside of the office.
Physical Demands and Work Environment:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical Demands:
While performing the duties of this job, the employee is required to sit, use hands, reach with hands and arms, stoop, talk and hear
Employee must occasionally lift up to twenty (20) pounds
Work Environment:
Typical indoor office environment
Disclaimer:
The above statements are intended to describe the general nature and level of the work being performed by people within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job.
Auto-ApplyMedical Records Coder II-Inpatient
Medical coder job in North Carolina
PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke's reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
*Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments.
Occ Summary-
The Medical Records Coder II (Inpatient) is a certified Coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM, ICD-10-PCS and/or CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures.
Duties and Responsibilities of this Level
Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT coding conventions.
Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits.
Assist with research, development and presentation of continuing education programs on areas of specialization.
Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.
Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding.
Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM, ICD-10-PCS and/or CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
Maintain a thorough understanding of medical record practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc.
Assist with special projects as required.
Perform other related duties incidental to the work described herein.
Required Qualifications at this Level
Education: High school diploma required.
Experience
RHIA certification- no experience required RHIT certification- no experience required CCS certification- one year of coding experience required CPC or HCS-D certification- two years of coding experience required
Degrees, Licensures, Certifications
Must hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding RegisteredHealth Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Health Information Management Coder
Medical coder job in Falls Church, VA
The Health Information Management (HIM) Coder is responsible for assigning procedures and diagnostic codes to patient records, including all primary and secondary diagnosis(s) for all patients admitted to Capital Caring Health. Using different forms of coding libraries, the HIM Coder will also routinely monitor all active records and update them in accordance with state and federal guidelines, accreditation standards, as well as Capital Caring's Policies and Procedures.
Location: Falls Church, VA
Hours: Monday-Friday: 8:00am-5:00pm
COVID-19 vaccine required to be completed upon start.
Responsibilities
The Health Information Management (HIM) Coder is responsible for coding all primary and secondary diagnosis(s) on all patients admitted to Capital Caring.
Qualifications
Experience Requirements
Must have 2 years of coding experience (ICD-10-CM, CPT) in a healthcare facility.
Education Requirements
Must have an Associate Degree or previous coding experience with a home health and/or hospice organization.
Required Certificates and/or Licenses
Must have CCS-P or a CPC or AAPC or AHIMA certification.
Auto-ApplyCertified Peer Specialist
Medical coder job in Charlotte, NC
Job DescriptionCertified Peer Specialist
Job Details
Job Type
Full-time
Charlotte, NCDescription
Certified Peer Specialist (CPS) services consist of peer support services; advocacy for Persons in Recovery (PIRs); sharing of coping skills and providing recovery information for PIRs. The CPS performs a wide range of tasks to assist PIRs in regaining control over their own recovery process. This includes but is not limited to the development of natural supports, development of social interactions in the community and management of symptoms that challenge wellness in an individual. A commitment to the RHD values should be demonstrated as job duties are performed.
Reports to: Program Director/Site Supervisor
Essential Duties and Functions
Direct Care
Delivers peer support services such as education, advocacy, and to foster engagement in treatment process
Provide recovery support education for persons enrolled, staff, and family members. This may include but is not limited to:
Wellness Recovery Action Plans (WRAP) for enrollees,
Self-help/mutual peer support groups,
training and orientation of new enrollees,
training and orientation for staff and Team members.
Supporting person centered interventions as identified in service plans for everyone served
As appropriate, may facilitate group therapy sessions such as:
WRAP
Recovery Support Groups
Community Meetings
Symptom and Coping Skills
Assist individuals with independent living preparation.
Administrative
Complete required documentation of services in a timely manner according to agency policy.
Other
Maintain one's own physical, mental, and emotional well-being so that the CPS can function appropriately in the job and can model healthy functioning to those we serve.
Performs other tasks as assigned by leadership team, to support individuals' recovery.
Requirements
Certified Peer Specialist Certification
HS Diploma/GED
At least 2 years working with others in Mental Health Recovery
Maintain 18 credit hours of additional training each year.
Physical requirements
Lifting Requirements
Medium: exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds constantly to move objects.
Physical requirements
Stand or Sit (stationary position)
Walk
Use hands or fingers to handle or feel (operate, activate, prepare, inspect, position)
Climb (stairs/ladders)
Talk/Hear (communicate, converse, convey, express/exchange information)
See (detect, identify, recognize, inspect, assess)
Pushing or Pulling
Repetitive Motion
Reaching (high or low)
Kneel, Stoop, Crouch or Crawl (position self, move)
About Company:Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment. Apis Services, Inc. and affiliate's provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.
Medical Record Clerk
Medical coder job in Durham, NC
USTECH is a global firm providing a wide-range of talent on-demand and total workforce solutions. Through the USTECH Talent Network of 100% company-owned and managed offices, we provide highly-skilled professionals whose education, skills and experience are vetted and matched to your unique hiring needs, work environment and company requirements.
Our 24x7 global service delivery drives time and cost out of any recruiting and staffing process (15-30% cost reduction in most cases) across all of our services and solutions, providing you with the talent you need on-demand when, where and how you need it.
Job Description
Job Title
:
Medical Record Clerk
JOB ID- :
(14809)
Location
:
Durham, NC 27713
Duration
:
(at first 1+ month contract)
Qualifications:
Candidate will need to have experience indexing medical records and scanning.
This is a special short term project.
Must be able to stand long periods of time and able to lift up to 50 lbs.
Thanks ,
Asma.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Medical Auditor
Medical coder job in Asheville, NC
Are you an experienced Medical Coder seeking a career growth? Are you a Certified Auditor interested in a new work opportunity? If so, then we want to connect with you!
MAHEC is now accepting candidates for Medical Auditor. This integral role supports MAHEC's mission of educating the next generation of healthcare professionals by completing internal quality assessment reviews on Care Provider coding and effectively builds relationships with MAHEC Care Providers to educate and foster complete, accurate, timely, and consistent coding. The Auditor/Provider Educator is responsible for documentation to ensure compliance with national coding guidelines and MAHEC policies.
We welcome experienced Medical Coders interested in becoming a Certified Professional Medical Auditor, and MAHEC offers an employer-sponsored pathway to CPMA certification if hired for the position!
This is a hybrid work opportunity, with roughly 50-60% onsite work to support in-person collaboration and Medical Provider audit trainings, blended with dedicated work-from-home time for focused independent work during your work week.
This full-time position is eligible for MAHEC's full Total Rewards Package, including healthcare coverage, pet insurance, up to 30 days PTO annually and more!
SPECIFIC RESPONSIBILITIES:
Auditing - Medical Coding
Conducts quality assessment reviews as pre-billing audits and include outpatient, inpatient, and surgical records.
Collaborates with the Clinical Business Office (CBO) Director and Business Office Manager to review and educate the coding team to improve accuracy, integrity and quality of patient data to ensure minimal variation in coding practices.
Develops internal audit plan in collaboration with the Compliance Officer.
Complete service based audits as needed.
Performs pre-billing and procedure audits of evaluation and management services for patient encounters by utilizing national coding and payer specific guidelines to ensure accuracy of diagnosis codes and provider documentation; track accuracy and trend data to identify areas for improvement.
Provides technical guidance and education to providers in identifying and resolving issues or errors.
Reviews claim denials pertaining to coding and medical necessity issues and collaborates with key stakeholders to implement corrective actions to include education or workflow changes.
Develops quality audit reports that analyze the data, identify trends/opportunities and proposes strategies for resolution and educational opportunities.
Stays current of coding, compliance and billing requirements by various government/regulatory agencies and payors to effectively apply this knowledge to complex coding, quality and compliance situations.
In collaboration with the Compliance Officer, helps facilitate external pre-billing audits conducted throughout the year, including but not limited to, identifying and suspending encounters, reviewing external auditor responses, follow-up with external auditor and provider education.
Engages in proactive thinking by recommending actions for improving coding compliance or workflow improvement opportunities.
Provider/Learner Education - Medical Coding
Provides provider education based on the quality monitoring review findings and trends.
Orients new Residents and other Learners as needed to appropriate medical coding practices.
Assists physicians and other providers with coding presentations as needed.
Meets with Residents/Learners on a regular schedule and individually on an as needed basis to review completeness and appropriateness of patient encounter documentation in compliance with coding guidelines.
Education for new providers during their orientation process to ensure understanding of MAHEC billing and coding practices
Responds in a timely manner to inquiries from other departments regarding patient charges, appropriate diagnosis coding and other coding questions related to the revenue cycle.
Serves as a resource for department managers, staff, providers and administration to obtain information or clarification on accurate and ethical coding and documentation standards, guidelines and regulatory requirements and new coding initiatives.
Maintains open dialogue, promotes collaboration and good working relationships with all members actively engaged in the Revenue Cycle at MAHEC.
KEY COMPETENCIES:
Communication Skills
Effectively and respectably communicate with other individuals, whether it be a colleague, patient, or patient's family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties, especially in complex and difficult situations, to ultimately provide the best care possible to our patients and their families.
Decision Making
Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills, critical thinking skills, confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time.
HealthCare Knowledge
Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team, as appropriate. This also includes keeping up with your licensure and yearly training requirements within your area expertise along with MAHEC's organizational training. Finally, the ability to apply the depth of knowledge maintained and gained through this process in real life scenarios as appropriate.
Interpersonal Skills
Showing the ability to meet difficult situations with grace, professionalism, and understanding. Within your area of expertise, showing respect and showing empathy where appropriate with your colleagues, patients, and their family at all times, even when its most difficult to do so. This is done, in part, by effective listening, being your authentic self, showing responsibility and dependability, and being patient with others.
Organizational Values
Adherence to MAHEC's founding principles and incorporating them every day. This includes, among others, having integrity and accountability, reverence for other cultures and equitable practices, ability to manage change, and displaying a clear understanding of organizational dynamics. Doing these things creates a culture where people want to do the best for each other and gives personal ownership towards the goal of helping people in their time of need.
Problem Solving
Having an analytical mind and ability to work autonomously to solve complex problems that may arise. The wherewithal to think logically.
SPECIFIED SKILLS
COMPUTER
Must have advanced computer skills including Microsoft Office Suite.
Allscripts PM/EMR Pro software experience preferred.
EDUCATION AND EXPERIENCE
MINIMUM QUALIFICATIONS:
Two (2) years of medical coding and/or auditing experience.
Proficient use and extensive working knowledge of billing procedures, application and use of ICD-10, CPT and modifiers using professional coding guidelines consistent with CMS compliance and other federal regulations.
REQUIRED CERTIFICATION:
Certified Professional Coder (CPC) and or Certified Coding Specialist (CCS) through an accredited certification board such as AAPC and or AHIMA.
PREFERRED QUALIFICATIONS:
Three (3) or more years of medical coding and auditing experience.
Federally Qualified Healthcare Organization (FQHC) experience.
Allscripts PM/EMR Pro software experience.
DESIRED CERTIFICATION:
Certified Professional Medical Auditor (CPMA).
Certified Risk Adjustment Coder (CRC).
SCHEDULE:
On site training and regular attendance on-site is an essential function of this hybrid position. Typical MAHEC business hours are Monday - Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader.
At MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive.
All MAHEC employees and learners will be required to receive the Flu vaccines or have an approved exemption from MAHEC's Employee Health division.
MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer. Black, Indigenous, People of Color and Spanish/English bilingual persons are strongly encouraged to apply. With this in mind, studies show that women, gender diverse, and BIPOC candidates are less likely to apply unless they meet all of the qualifications listed in the job description.
If you are interested in this role, and you have related experience and qualifications, we encourage you to apply or reach out to ******************* for support in your job search process. You could be the talent we are seeking for this or other opportunities.
Auto-Apply