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  • Senior Inpatient HIM Coder

    Oracle 4.6company rating

    Medical coder job in Boise, ID

    **About the Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. **Requirements and Qualifications:** + A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. + Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. + In-depth understanding of supporting evidence requirements for accurate coding. + Practical experience using grouper software for MS-DRG and APR-DRG assignment. + Strong communication skills to interact effectively with the billing department regarding coding-related issues. + Stay abreast of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates. + Familiarity with 3M 360 or Optum HIM encoder software is preferred. + AHIMA Certified RHIA or RHIT certification is mandatory. + Associate's or Bachelor's degree in Health Information Management (HIM) is required. **Responsibilities** **Job Responsibilities:** + Collaborate closely with product management and engineering teams to contribute to the creation and improvement of AI models for medical coding. + Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in extracting ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes, along with relevant modifiers from diverse clinical documentation. + Assist in the development of AI algorithms to generate precise MS-DRGs for accurate reimbursement. + Perform data collection, entry, verification, and analysis tasks to monitor and evaluate the performance of AI models against defined business goals. + Serve as a subject matter expert, ensuring the quality and integrity of medical coding data used in product development. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $75,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
    $75k-178.1k yearly 42d ago
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  • Hierarchical Condition Category (HCC) Coding Specialist

    Highmark Health 4.5company rating

    Medical coder job in Boise, ID

    This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273522
    $26.5-41 hourly 32d ago
  • Medical Coder

    Functional Medicine of Idaho

    Medical coder job in Meridian, ID

    Job DescriptionDescription: Review medical records and provider documentation for completeness and accuracy. Assign accurate ICD-10, CPT and other applicable codes based on documentation and coding guidelines. Ensure coding compliance with federal regulations, payer policies, and industry standards. Query providers for clarification when documentation is insufficient or ambiguous. Collaborate with billing and clinical teams to resolve coding issues and reduce denials. Maintain up-to-date knowledge of coding changes, industry updates, and payer requirements. Support audits by preparing coding reports and participating in chart reviews when necessary. Protect patient confidentiality and ensure HIPAA compliance at all times. Requirements: High school diploma or equivalent required; associate's or bachelor's degree preferred. Minimum of 1 year minimum of coding experience in a clinical, hospital, or specialty practice setting. Proficiency in medical terminology, anatomy, and physiology. Strong knowledge of ICD-10 & CPT coding systems. Experience with EHR systems and medical billing software Excellent attention to detail and analytical skills. Strong written and verbal communication abilities. Ability to work independently and manage multiple priorities.
    $44k-63k yearly est. 6d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Cheyenne, WY

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 45d ago
  • Coding Specialist

    Terry Reilly Health Services 3.7company rating

    Medical coder job in Nampa, ID

    At Terry Reilly we believe we are successful when we have a healthy, thriving community. This is accomplished as a result of our mission-driven and talented team. We provide integrated care throughout the Treasure Valley with our medical, dental and behavioral health services - allowing our employees the unique ability to experience several disciplines of health care. It is important to us that our staff is given a healthy work-life balance, so we support and value your time in and out of the office. We also provide our employees with excellent benefits including options for low-cost healthcare. GENERAL RESPONSIBILITIES Has overall responsibility at all sites within Terry Reilly to support, train and audit clinician staff on the proper use and research techniques for CPT and ICD-10 coding consistent with the AAPC and CMS coding guidelines. MINIMUM QUALIFICATIONS * 2 years CPT and ICD coding experience. * Certified Professional Coder (CPC-A) credential or equivalent education. Recognized professional certification (IE CPC, CCA, etc.) Strong medical billing background including diagnosis codes and disease states. * Strong understanding of clinical workflows * Extensive knowledge of medical billing terminology and billing requirements, chart note interpretation. Ability to work with minimal supervision. * Auditing of chart notes and maintain courteous and professional communication with providers. * Strong verbal communication skills. * Competence with spreadsheet (Excel) and word processing (Word) programs
    $40k-48k yearly est. 11d ago
  • Coder I

    Ivinson Memorial Hospital 2.9company rating

    Medical coder job in Laramie, WY

    At Ivinson Memorial Hospital we are committed to excellence, trust, healing, and integrity. We pride ourselves in providing compassionate, world-class care to our community. At Ivinson we offer a competitive total rewards package including; full medical, dental, and vision insurance, retirement plans, paid time off and tuition reimbursement opportunities. Ivinson aims to improve the care provided for our patients and create a work-life balance for our employees by creating a culture of transparency, teamwork, accountability, and trust. Base salary starts at: $23.03/hr. E S S E N T I A L F U N C T I O N S Codes hospital outpatient, same day, emergency, radiology, oncology, ambulance, recurring accounts and/or physician services. Reviews and assigns appropriate CPT, HCPCS , ICD-10-CM codes and modifiers as required by coding guidelines. Utilize classification software to assign clinical codes for reimbursement and data analysis (i.e. diagnosis codes, procedures codes, E/M codes, and APC's). Works with medical staff as indicated to clarify coding and sequencing issues. Abstracts additional data from the medical record, medical staff, patient chart, or department to ensure accurate coding. Resolves coding related claim edits in SSI. Other duties as assigned. E D U C A T I O N High school diploma or equivalent preferred. E X P E R I E N C E Previous healthcare, billing or medical records experience required. Two (2) years of coding experience in a hospital setting preferred. Previous Health Information Records ICD-10 and CPT Coding experience preferred. C R E D E N T I A L S Certification through AHIMA or AAPC, such as CCS, CCA, CIC, CPC, COC, RHIA, or RHIT or equivalent is required within one year of employment. K N O W L E D G E, S K I L L S A N D A B I L I T I E S Maintains confidentiality of all personnel and patient care and relations information. Actively participates in Strategic Plans for the department and organization. Actively participates Education programs. Follows hospital and departmental policies and procedures. Must be free from governmental sanctions involving health care and/or financial practices. Complies with the hospital's Corporate Compliance Program including, but not limited to, the Code of Integrity, laws and regulations. Must have a working knowledge of medical terminology, anatomy and physiology. Strong working knowledge of Microsoft Office applications. Excellent customer service skills, including but not limited to: a friendly personality, tact, patience, empathy and a helpful, professional attitude both in person and on the telephone. Ability to effectively communicate with staff, managers and the general public verbally and in writing. Demonstrate effective listening skills. Excellent organization and time management skills and ability to establish priorities effectively. Possess exceptional problem solving skills. Ability to work effectively without immediate supervision. Ability to learn new computer software programs. Ability to recognize and protect confidential information. Demonstrate ethical and legal accountability for the position.
    $23 hourly 14d ago
  • Outpatient Coder

    St. Luke's Health System 4.7company rating

    Medical coder job in Boise, ID

    At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work. What You Can Expect: Under general supervision, the Outpatient Coder is responsible for reviewing applicable documentation and assigning appropriate procedure and diagnosis codes. Reviews notations, diagnosis, or procedure information in medical record to assign or validate appropriate diagnosis and procedure codes, ensuring accuracy and appropriateness of codes. Applies basic knowledge of coding to solve unique or new cases resulting in the assignment and sequencing of diagnosis and procedure codes. Ensures documentation supports the level and type of service billed in compliance with billing regulations, provider documentation, procedures and coding guidelines. Maintains a thorough understanding of coding classification systems, anatomy and physiology, medical terminology, pharmacology, disease processes, and surgical techniques. Maintains compliance with quality and quantity standards along with demonstrated competency coding all types of records as outlined in Coding Policies. Other duties and responsibilities as assigned. Qualifications: Education: High school diploma or equivalent Experience: 1 year relevant experience Licenses/Certifications: Must have at least one of the following credentials: AAPC-CIC (Certified Inpatient Coder), CCS (Certified Coding Specialist), CCS-P, COC (Certified Outpatient Coder), CPC (Certified Professional Coder), CPC-H, CRC (Certified Risk Adjustment Coder), RHIA (Registered Health Information Administrator), or RHIT (Registered Health Information Technician) What's in it for you At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers. Interested but not ready to apply? Join our Talent Community and stay connected for future opportunities!
    $50k-64k yearly est. Auto-Apply 21d ago
  • MEDICAL CODER II (ON-SITE) - CODING

    Surgery Partners 4.6company rating

    Medical coder job in Post Falls, ID

    Northwest Specialty Hospital is seeking a detail-oriented Medical Coder II to join our Coding Team! We need someone with a professional demeanor, can work well under stress/stress situations, will provide great customer service, and can multitask! In this role you will be responsible for reviewing and analyzing medical records, assigning appropriate codes to diagnoses, procedures, and services, and ensuring accurate and timely submission of claims to insurance companies and government agencies to ensure compliance and proper reimbursement. This position will work closely with healthcare providers and billing staff to ensure compliance with coding guidelines and regulations. This position will play a crucial role in maintaining the financial health of healthcare organizations while ensuring the integrity of patient data. The Medical Coder II will need to project a professional demeanor and appearance while maintaining the confidentiality of medical information, physicians, coworkers, and Northwest Specialty Hospital as appropriate. Other duties as assigned. Qualifications and Preferred Experience: * Demonstrates eligibility for employment in the United States. * High school diploma. * Strong knowledge of medical terminology, anatomy, physiology, and disease processes. * Familiarity with ICD-10-CM and CPT coding systems. * Strong attention to detail and analytical skills. * Proficiency in computer applications, including coding software and Microsoft Office. * Excellent communication and interpersonal skills. * Ability to work independently and as part of a team. * Willingness to adhere to coding guidelines and regulations through Continuing Education courses. * Existing and active certification from AAPC or AHIMA. * Four years of coding experience in a healthcare setting, with a focus on inpatient, outpatient, or specialty coding required. About Northwest Specialty Hospital: Northwest Specialty Hospital is widely known for being a center of excellence and is proudly owned and operated by local physicians. The physicians have invested personally, professionally and financially in the care of the patients and the staff. They have dedicated their lives to creating a hospital that allows them to practice on their own terms and do what's best for patients. Northwest Specialty Hospital includes 12 operating rooms and 28 inpatient beds, along with a variety of clinics and services throughout Kootenai County, that span across multiple specialties. Northwest Specialty Hospital has earned numerous awards for patient care, surgical skill, medical care, and employee satisfaction. Northwest Specialty Hospital has been recognized as one of the Best Places to Work in the Inland Northwest for seven years!! Companies throughout Washington and Idaho were selected based on employee feedback about benefits, work environment, job satisfaction, and other factors. We continue to receive this distinguished honor based on our great company culture, patient focused approach, and robust benefits package! Some of our amazing perks and benefits offered to employees are: * Company-sponsored events such as sporting events, BBQs and holiday parties * Comprehensive health care coverage with option of plans that have 100% employer-paid premiums for Medical, Dental, & Vision Insurance * Tuition reimbursement * Growth opportunities, ongoing education, training, leadership courses * A generous 401K retirement plan * A variety of discounts throughout the hospital and community are available to employees * Wellness benefits offered to staff such as: weight loss challenge, access to a dietitian, and discount gym memberships * Culture that promotes and supports work/life balance Northwest Specialty Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
    $54k-74k yearly est. 29d ago
  • Coder

    Heritage Health 3.9company rating

    Medical coder job in Coeur dAlene, ID

    Responsible for providing expertise in reviewing and assigning accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers. This position reports to the Director of Revenue Cycle. Minimum qualifications: High school graduate or equivalent. Associates degree in medical coding or related field preferred. Certified Professional Coder (CPC) credential is required; AAPC preferred. One-year FQHC medical billing and/or coding experience preferred. Why You Should Join our Team: Passionate Purpose: We're committed to enhancing lives, every day. Unmatched Support: We are committed to a fun and supportive team environment. Balanced Lifestyle: No weekends or holidays, ensuring a healthy work-life balance. Collaborative Care: Work with a dedicated team to provide the best patient outcomes in the right settings. Exceptional Rewards: Competitive pay, and benefits Benefits: Health Insurance: 100% employer-paid employee coverage for medical, dental, and vision plans for full-time employees. Life Insurance: Employer-paid for 1x annual salary up to $200k (optional coverage available for additional cost). Disability Insurance: Short-term disability insurance based on age & salary. 100% employer-paid long-term disability insurance. Retirement: 403 (b) plan: Heritage Health matches up to 4% of employee contributions. Paid Time Off Benefits: 120 hours Paid Time Off (PTO) in your first year, 56 hours Extended Illness Bank (EIB) in your first year, 8 paid holidays for full-time employees, amounts are pro-rated for part-time employees who are .5 FTE or higher. Employee Assistance Program (EAP): Enjoy free telehealth visits for healthcare, counseling, and health and wellness coaching for all employees and their immediate household members. Requirements Key Success Factors: • Working knowledge of current CPT and ICD10 codes and basic medical terminology. • Skill in operating computer, calculator, copiers, printer, telephone. • Establish and maintain positive working relations with coworkers. • Displays strong organization skills with the ability to prioritize and be detail oriented. • Proficient in Microsoft Office, including Outlook, Word, and Excel. • Excellent communication skills, both written and oral • Demonstrate the initiative to provide quality of service and improve efficiency. • Ability to perform in a fast-paced environment while being professional, courteous and calm. • Understand and interpret policies and regulations. • Ability to compose queries in an understandable manner. Essential Functions: • Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. • Review of electronic medical records initiated by a health care provider. • Review and verify component parts of medical records to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures. • Codes and/or reviews principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS - all levels, and any other coding classification systems that may be required). • Perform edit checks on data entered prior to transmittal and corrects errors as indicated. • Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations. • Examine all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and the results obtained are adequately described. • Research and manage coding related queries to clinical staff and provide guidance. • Communicates finding and current coding, documentation and billing updates to the Senior Compliance Specialist and direct leadership in a timely manner. • Remains current of trends and changes in the laws and regulations governing medical record coding and documentation. • Demonstrates an understanding for confidentiality to protect the patient and the corporation. • Heritage Health staff have an active role in our Patient Centered Medical Home model of care. This role is designated as part of the Heritage Health PCMH Care Team. • Regular and predictable attendance is an essential function of this position. • Performs other job-related duties as assigned. Salary Description $25.39 - $36.14
    $47k-59k yearly est. 3d ago
  • Medical Coder

    Grand Peaks 4.1company rating

    Medical coder job in Saint Anthony, ID

    Requirements Requirements (not remote) Must pass a criminal background check High school diploma or GED required Must have experience and training in medical coding, or equivalent experience in patient care or the health insurance industry Certified Coder certificate is required Strong teamwork and communication skills Must be a self-starter who can work independently and manage multiple tasks Must be able to train in our St. Anthony location Please send your complete resume with references. Join an exceptional team dedicated to improving the health of our community-apply today!
    $37k-49k yearly est. 60d+ ago
  • Central Characterization Program (CCP) Records Analyst I/II/III at INL

    Salado Isolation Mining Contractors

    Medical coder job in Idaho Falls, ID

    Central Characterization Program (CCP) Records Analyst I/II/III at INL (156) Requisition ID **156** - Posted - **BI-RE Records Program Support** - **Idaho Falls, ID, US - INL** - **Administrative** î‚™ **Be part of the nation's only repository for the disposal of nuclear waste known as Transuranic (TRU) waste.** Salado Isolation Mining Contractors, LLC (SIMCO), managing and operating contractor of the Waste Isolation Pilot Plant (WIPP) is currently seeking a qualified individual to serve as a **_Central Characterization Program (CCP) Records Analyst I/II/III_** and join our team located in Idaho Falls (INL), Idaho. **Responsibilities** This position will report to the WIPP Records Program Manager and support implementation of federal, Department of Energy (DOE), state, and WIPP's Records Management Organization (WRMO) requirements regarding the creation, receipt, approval, processing, distribution, use, configuration control, storage, retrieval, retention, and disposition of electronic and hard copy sensitive unclassified documents and records. Will manage the incoming and outgoing communication documents and records for all WIPP departments and organizational managers in the active stage of their lifecycle. Upload documents into the Electronic Documents and Records Management System (EDRMS) and establish electronic relationships in support of configuration control. Will participate in and/or lead efforts associated with WRMO tools migrations, enhancements, or implementation of electronic records management program. The successful candidate will have wide-ranging experience, and use professional concepts and WIPP objectives to resolve complex issues in creative and effective ways. Will develop resolutions to complex problems that require the frequent use of creativity and where analysis of situations or data requires an in-depth evaluation of variable factors. Work is accomplished without considerable direction. May exert significant latitude in determining objectives of assignment, and determine the methods and procedures needed for new assignments. Role Expectations: + Self-motivated with strong attention to detail. + Wide range of computer skills to include implementation of requirements or enhancements for Records Management-related applications. + Ability to solve issues or problems based on experience, professional concepts, and organizational objectives. + Ability to deliver clear and concise communications to employees, managers of all levels. + Knowledge using Documentum and other Records Management tools. + Work in a configuration management environment. + Work in records management required to satisfy DOE regulatory, legal, and contractual requirements, RCRA and NMED requirements/activities directing program team to furnish complete historical records of project operations. + Advanced knowledge of document control work processes with CCP project and generator site Team. + Support of all CCP Document Control/Records Management (DC/RM) Program activities and personnel. **Job Duties** + Safety and security are a primary responsibility for all WIPP employees. Maintains required safety and security training, assures safety and security compliance, and makes safety and security an integral part of every task, including taking the necessary steps to stop work if continuing the job is unsafe or compromises security. + Provide guidance and recommendations to customer organizations on procedures and processes. + Identify and implement process improvement initiatives. + Resolve issues or challenges associated with managing information in sensitive and unclassified environment. + Foster a mutually respectful and inclusive work environment that is free from discrimination and harassment. + Demonstrate understanding of Records Management regulations and drivers and methods to ensure compliance to ensure compliance in the processing records in an compliant Electronic Content Management System. + Develop positive customer relationships and provide exceptional customer service. + Coordinate work activities and processes effectively with project team members. + Demonstrate knowledge in records management requirements to manage records pertaining to the Resource Conservation and Recovery Act and the New Mexico Environment Department. + Perform configuration management requirements as they relate to document control and records management. **Minimum Requirements** _These requirements must be met to be considered for this posting. Uploaded resumes and completed applications are the means of determination._ - Associate's degree with two (2) years of office/clerical experience, or - High School Diploma or Equivalency with four (4) years of office/clerical experience is required. _Must be at least 18 years of age; U.S. citizenship is required except in limited circumstances. See DOE Order 472.2 for additional information._ **Preferred Requirements** - WIPP or DOE-related experience. **What We Offer** + Medical, dental and vision insurance: + Coverage on date of hire + Surgical concierge service + EAP services including wellness plans, estate planning, financial counseling and more + Modern work arrangements to include 4-day workweeks (four 10-hour days)* + Relocation assistance* + Shuttle commuter service from the local areas + Paid time off (PTO) and paid holidays + Tuition reimbursement program + On-site fitness center and other wellness support including some public gym membership reductions + Company paid short term disability + Company paid life insurance (1x annual salary) + Pension plan that provides monthly annuity after retirement and 401(k) with .50 matching up to 6% + Voluntary benefits of: + Accident, Critical Illness, and Hospital Indemnity + Long-term disability program + Health and Flexible savings accounts + Life and accidental death and dismemberment insurance _*These benefits vary by position._ Non-exempt grade level(s) 24-27. Minimum salary $53,509 per year of a larger salary range --the specific salary offered to a candidate will be influenced by a variety of factors, particularly the candidate's relevant experience and education. **Equal Opportunity** _Equal employment opportunity, including veterans and individuals with disabilities._ _If you are an applicant with a disability who requires a reasonable accommodation to complete any part of the application process or are limited in the ability-or unable to use-the online application system and need an alternative method for applying, you may contact ************** or email *************************** for assistance. Upon receipt of this information, we will respond to you promptly to obtain more information about your request._ _Reviews, and tests for the absence of any illegal drug as defined in 10 CFR 707.4, will be conducted by SIMCO and a background investigation by the Federal government may be required to obtain an access authorization prior to employment, and subsequent reinvestigations may be required._ _Posting Duration: This posting will be open for application submissions for a minimum of seven (7) calendar days, including the posting date. SIMCO reserves the right to extend the posting date at any time._ EOE including Disability/Protected Veterans. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
    $53.5k yearly 49d ago
  • Records Management Specialist

    Booth Management Consulting

    Medical coder job in Idaho Falls, ID

    Booth Management Consulting LLC (BMC) is a diverse CPA firm that provides accounting, auditing, and management consulting services to public and private clients nationwide. Our employee-friendly company environment emphasizes quality of life, initiative, creativity, strong work ethics, and loyalty. We seek qualified, motivated, and progressive individuals to join our team as a Records Management Specialist. Position Summary This position will support the U.S. Department of Energy, Idaho Operations Office (DOE-ID), in collaboration with the Office of Nuclear Energy (NE) programs and other Department of Energy offices, by providing a wide range of records management support. Key Responsibilities Organizes, maintains, and disposes of paper and electronic records in accordance with federal regulations and agency procedures (e.g., DOE O 481.1E, DOE O 483.1B, DOE P 485.1A). Develops and implements efficient filing systems, ensuring data integrity and accessibility. Experience & Qualifications High School Diploma or GED plus 3 years relevant experience in records management or library science; OR Associate's Degree plus 1-year relevant experience. Strong knowledge of federal records management principles and regulations (e.g., NARA, DOE Orders). Meticulous organizational skills. Experience with electronic document management systems. Proficient in Microsoft Office Suite. Experience working in a DOE environment is preferred. BMC is an equal employment opportunity (EEO)/affirmative action (AA) employer that is committed to providing a workplace that is free from discrimination based on race, color, ethnicity, religion, sex, national origin, age, marital status, sexual orientation, gender identity and expression, disability, veteran status, pregnancy, genetic information or any other status protected by applicable federal, state, local or international law. These protections also extend to applicants.
    $34k-46k yearly est. 3d ago
  • Records Management Specialist | Professional Administrative & Management Support Services (PAMSS) [DOEID0026025]

    Prosidian Consulting

    Medical coder job in Idaho Falls, ID

    ProSidian is a Management And Operations Consulting Services firm that focuses on providing value to clients through tailored solutions based on industry-leading practices. ProSidian provides enterprise services/solutions for Risk Management | Compliance | Business Process | IT Effectiveness | Engineering | Environmental | Sustainability | Human Capital. We help forward-thinking clients solve problems and improve operations. Launched by Management Consultants, our multidisciplinary teams bring together the talents of global professionals to complete a wide range of engagements for public and private, defense and civilian government, and non-profit organizations. Our solution-centric services are deployed across the enterprise, target drivers of economic profit (growth, margin, and efficiency), and are aligned at the intersections of assets, processes, policies, and people delivering value. See Link To the ProSidian website at ***************** Job Description ProSidian Seeks a Records Management Specialist | Professional Administrative & Management Support Services (PAMSS) [DOEID0026025] for Program Support on a Exempt W2: No Overtime Pay Basis Working On-Site (Client Site) in The United States (Idaho) Area Full-Time generally located across the United States (Idaho) Across The United States - Mountain West Region Region supporting DOEID oversees nuclear energy research, cleanup, and lab operations, advancing national energy and environmental missions. We seek Records Management Specialist | Professional Administrative & Management Support Services (PAMSS) [DOEID0026025] candidates with relevant Federal Energy & Nuclear Sector Experience (functional and technical area expertise also ideal) to support professional services engagement for Federal Energy & Nuclear Sector Clients such as DOEID. This as a Full-Time ProSidian W-2 Professional Administrative & Management Support Services (PAMSS) Functional Area / Swim Lane / Category Discipline - Professional Administrative & Management Support Services (PAMSS) Supply/Service Initiative and an employed position with commensurate benefits and competitive salary. JOB OVERVIEW Provide services and support as a Records Management Specialist [Professional Administrative & Management Support Services (PAMSS)] in the Federal Energy & Nuclear Industry Sector focussing on Management And Operations Solutions for clients such as Department of Energy (DOEID) | DOE Idaho Operations Office Generally Located In United States (Idaho) and across the United States - Mountain West Region Region (Of Country/World) Working On-Site (Client Site). Manages records lifecycle, ensures compliance with federal records regulations, and supports audits. Professional Administrative & Management Support Services (PAMSS) deliver integrated administrative, analytical, and operational support enabling efficient, compliant, mission-focused organizational performance. Records/information management is administrative support with specialized focus; map to mid admin specialist. Records governance ensuring federal information compliance RESPONSIBILITIES AND DUTIES - Records Management Specialist | Professional Administrative & Management Support Services (PAMSS) [DOEID0026025] Manage records lifecycle, ensure NARA compliance The role(s) are located in the United States - Mountain West Region Region, at or near United States (Idaho). Initially identified Work Site Address (Working On-Site (Client Site): U.S. Department of Energy - Idaho Operations Office (DOE-ID) Office of Nuclear Energy | 1955 Fremont Avenue Idaho Falls, ID 83402 Qualifications Desired Qualifications For Records Management Specialist | Professional Administrative & Management Support Services (PAMSS) [DOEID0026025] (DOEID0026025) Candidates: 4-6 years records management experience Education / Experience Requirements / Qualifications High School Diploma or GED + 3 years relevant experience in records management or library science. - Equivalency: Associate's Degree + 1 year relevant experience. Bachelor's degree 4-6 years records management experience This position aligns with functional and technical requirements in the Federal Energy & Nuclear Sector and Records Management Specialist Candidates principally support Professional Administrative & Management Support Services (PAMSS) Functional Area / Swim Lane / Category Disciplines. Skills Required Primarily focused on Management and Financial Consulting, Acquisition and Grants Management Support, and Business Program and Project Management Services initiatives and aligned with Program Support activities Professional Administrative & Management Support Services (PAMSS) Functional Area Activities. Strong knowledge of federal records management principles and regulations (e.g., NARA, DOE Orders); meticulous organizational skills; experience with electronic document management systems; proficient in Microsoft Office Suite. Records systems, compliance Competencies Required Detail orientation, accountability Ancillary Details Of The Roles Supports audits and FOIA - Standard Skills Required: Proficiency in project management methodologies and tools. | Exceptional leadership and interpersonal skills for effective team management. | Outstanding time management and prioritization abilities to meet project milestones. | Adaptability to changing project requirements and priorities | Ability to multi-task and pay close attention to detail. | Excellent analytical, organizational and time management skills | Strong communication skills, both oral and written. - EEO Statement: We attract the best people in the industry, supporting their efforts to learn and grow. We strive to create a challenging and progressive work environment. We Provide career opportunities spanning various disciplines and geographic locations, with projects that our employees plan, design, build, and operate as diverse as the needs of our clients. - Ful Time Regular VISA Sponsorship: NoWe will not support sponsorship, i.e., H-1B or TN Visas for this position. U.S. Citizenship Required You must be a United States Citizen - Background Check And Drug testing: ProSidian reserves the right to require background checks, including criminal, employment, education, licensure, etc. as well as credit and motor vehicle when applicable for certain positions. In addition, ProSidian may conduct drug testing for designated positions. Standard Skills Required: Proficiency in project management methodologies and tools. | Exceptional leadership and interpersonal skills for effective team management. | Outstanding time management and prioritization abilities to meet project milestones. | Adaptability to changing project requirements and priorities | Ability to multi-task and pay close attention to detail. | Excellent analytical, organizational and time management skills | Strong communication skills, both oral and written. - EEO Statement: We attract the best people in the industry, supporting their efforts to learn and grow. We strive to create a challenging and progressive work environment. We Provide career opportunities spanning various disciplines and geographic locations, with projects that our employees plan, design, build, and operate as diverse as the needs of our clients. - Ful Time Regular VISA Sponsorship: NoWe will not support sponsorship, i.e., H-1B or TN Visas for this position. U.S. Citizenship Required You must be a United States Citizen - Background Check And Drug testing: ProSidian reserves the right to require background checks, including criminal, employment, education, licensure, etc. as well as credit and motor vehicle when applicable for certain positions. In addition, ProSidian may conduct drug testing for designated positions. Other Details Compliance-focused role #TechnicalCrossCuttingJobs #Federal Energy & Nuclear #Jugaad #Copitas #AskWhy #Zakat #PokaYoke #AskidaEmek Additional Information As a condition of employment, all employees must meet the requirements of their roles: establish, manage, pursue, and achieve annual goals and objectives with Documented Goals for each of the firm's Eight ProSidian Global Competencies [1 - Personal Effectiveness | 2 - Continuous Learning | 3 - Leadership | 4 - Client Service | 5 - Business Management | 6 - Business Development | 7 - Technical Expertise | 8 - Innovation & Knowledge Sharing (Thought Leadership)]; and support all business development and other efforts on behalf of ProSidian. Eight ProSidian Global Competencies Personal Effectiveness - The ability to manage tasks, time, and relationships efficiently, achieving consistent, impactful results. Continuous Learning - Ongoing pursuit of knowledge, skills, and adaptability to remain relevant, competent, and professionally competitive. Leadership - Inspiring, guiding, and motivating others toward shared goals, fostering accountability, collaboration, and strategic organizational success. Client Service - Delivering responsive, high-quality solutions that address client needs, build trust, and strengthen long-term partnerships. Business Management - Coordinating people, processes, and resources to achieve strategic objectives, operational efficiency, and sustainable organizational performance. Business Development - Identifying, pursuing, and securing growth opportunities through strategic relationships, market insight, and innovative solutions. Technical Expertise - Applying specialized knowledge, analytical skills, and practical experience to solve complex problems with accuracy. Innovation & Knowledge Sharing (Thought Leadership) - Generating creative solutions, sharing insights, and influencing industry direction through expertise, collaboration, and continuous improvement. ------------ --------------- ------------ OTHER REQUIREMENTS Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint, and Word, proficient with Adobe Acrobat, data analytic tools, and Visio, and the ability to quickly learn other tools, as necessary. Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint, and Word, proficient with Adobe Acrobat, data analytic tools, and Visio, and the ability to quickly learn other tools, as necessary. Commitment - to work with intelligent, interesting people with diverse backgrounds to solve the most significant challenges across private, public, and social sectors. Curiosity - the ideal candidate exhibits an inquisitive nature and the ability to question the status quo among a community of people they enjoy and teams that work well together. Humility - exhibits grace in success and failure while doing meaningful work where skills have an impact and make a difference. Willingness - to constantly learn, share, and grow and to view the world as their classroom. ------------ --------------- ------------ BENEFITS AND HIGHLIGHTS ProSidian Employee Benefits and Highlights - Your health and well-being are crucial to ProSidian. At ProSidian, we invest in our employees to help them maintain their health and achieve work-life balance. We are pleased to offer the Employee Benefits Program, designed to promote your health and personal well-being. Our growing list of benefits currently includes the following for Full-Time Employees: Competitive Compensation: The pay range is competitive and includes group health benefits, pre-tax employee benefits, and performance incentives. The company contributes a fixed dollar amount each month toward the plan chosen for medical and dental benefits, with contributions deducted on a pre-tax basis. Group Medical / Dental / Vision Health Insurance Benefits: ProSidian partners with network providers to offer eligible employees a variety of medical and dental plans, including high-deductible health plans and PPOs. ProSidian also provides plans for both high and low vision.. 401(k) Retirement Savings Plan: The 401(k) Retirement Savings Plans allow eligible employees to save for retirement. A variety of investment options are available, along with support from a personal financial planner. The plan operates as a pre-tax Safe Harbor 401(k) Retirement Savings Plan that includes a company match. Vacation and Paid Time-Off (PTO) Benefits: Eligible employees can use PTO for vacations, doctor's appointments, or personal events. These benefits include 2 weeks of vacation, 3 sick days, 10 ProSidian holidays, and government holidays.. Pre-Tax Payment Programs: Pre-Tax Payment Programs are premium-only plans (POPs) that provide eligible employees with a comprehensive Flexible Spending Account (FSA) Plan and associated tax benefits. Purchasing Discounts & Savings Plans: We aim for your financial success; thus, we offer a Purchasing Discounts and Savings Plan through the Corporate Perks Benefit Program. This program provides special discounts to eligible employees on everyday purchases of products and services. Security Clearance: Due to the nature of our consulting engagements, a security clearance is necessary for engagement teams managing sensitive work in the Federal Marketplace. Security clearance is a valuable asset in your professional portfolio, enhancing your credentials. ProSidian Employee & Contractor Referral Bonus Program: ProSidian can offer up to $5,000 for referrals who stay employed for 90 days, based on candidates submitted through our Referral Program. Performance Incentives: Due to the nature of our consulting work, performance incentives are tied to each new client that employees assist in pursuing and supporting.. Flexible Spending Account: FSAs help you cover eligible out-of-pocket healthcare and dependent daycare expenses on a pre-tax basis. You estimate your expected costs for the planned year and choose to set aside a portion of each paycheck into your FSA. Supplemental Life/Accidental Death and Dismemberment Insurance: If you want extra protection for yourself and your eligible dependents, you can choose supplemental life insurance. D&D covers death or dismemberment resulting solely from an accident.. Short- and Long-Term Disability Insurance: Disability insurance plans are designed to offer income protection during your recovery from a disability. ----------- ------------ ------------ ADDITIONAL INFORMATION - See Below Instructions On The Best Way To Apply ProSidian is an equal opportunity employer, considering qualified applicants regardless of race, color, creed, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or other protected characteristics. All information is kept confidential in accordance with EEO guidelines. The company supports the Hiring Our Heroes Program and the "I Hire Military" Initiative. We encourage all applicants, regardless of veteran status, to apply. Our core value is "HONOR ABOVE ALL," emphasizing success through integrity, pride in overcoming challenges, and the pursuit of excellence. For a simple application process, visit our career site at ****************************** or send your resume, salary expectations, and ProSidian job title/code to [email protected]. Only candidates who meet the criteria will be considered. For clarity and tracking, please structure your subject line to include the Job Title, Job Reference Code, and your Full Name, as follows: Application - [Job Title] - [Job Ref Code] - [Your Full Name]. Risk Management | Compliance | Business Processes | IT Effectiveness | Engineering | Environmental | Sustainability | Human Capital
    $34k-46k yearly est. 3d ago
  • Health Information Specialist I - Kalamazoo, MI

    Datavant

    Medical coder job in Boise, ID

    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 7:30AM-4:00 PM EST + Location: This role will be performed at one location in Kalamazoo, MI + 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, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $30k-40k yearly est. 5d ago
  • Coding Tech | Inpatient

    Gritman Medical Center 3.5company rating

    Medical coder job in Moscow, ID

    Job Duties and Responsibilities • Codes patient data utilizing EPIC systems to ensure optimal reimbursement to the hospital. • Meets productivity standards • Abstracts data from the patients' medical record using the 3M computerized abstracting system to compile accurate and timely statistical data. • Verifies accuracy of information by identifying such things as patient's name, DOB, hospital billing account number, medical record number and location in hospital to ensure proper chart is processed. • Reviews medical charts for deficiencies and completes appropriate forms as directed by Coding Manager and/or Department Manager. • Performs other related duties as needed to support the achievement of department goals and objectives. • Reads the coding updates as received on a monthly basis. • Stays apprised of changes in the CPT/HCPCS, modifiers, NCCI edits, and ICD-10-CM coding nomenclatures. • Complies with the Coding guidelines and Billing Compliance standards of GMC. • Follow five fundamentals of patient communication: Acknowledge, Introduce, Duration, Explanation, Thank You (AIDET) • Practices and promotes the culture of safety. • Supports, promotes, and adheres to the Standards of Behavior. • Adheres to the National Patient Safety Goals. Required Licenses and/or Certifications One of the following coding credentials, recognized by American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC): • Certified Professional Coder (CPC) • Certified Outpatient Coder (COC) • Certified Coder Specialist - Physician (CSS-P) with appropriate level of experience. Required Work experience A minimum of two (2) years' experience in the outpatient setting (Physician's office or ambulatory surgery centers) within the last five years, including assignment of E & M, CPT, and HCPCS codes. Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E & M codes do not count as qualifying experience. Additionally, coding auditing and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, account receivable) is not a qualifying factor. Required knowledge, skills, and abilities Working knowledge of coding/abstraction, medical terminology, ICD-10-CM, CPT, APCs and DRGs Knowledge of human anatomy, physiology is required Strong computer skills (Microsoft Office products) Effective interpersonal communication skills to acquire needed information and maintain cooperative work relationships with physicians Excellent communication skills Exceptional organizational/Time management skills, verbal and written communication skills required Ability to organize work priorities and meet specific objectives under time constraints Ability to manage multiple tasks simultaneously Good problem-solving skills and attention to detail Ability to be a team player in a team-oriented environment Proficient at 10 key Ability to use fax, photocopier, PC, microfiche reader/printer, scanner Preferred qualifications Prefer experience in a hospital and clinic setting Functional Demands Population(s) served Neonatal, pediatric, adolescent, adult, and geriatric. Physical demands Lifting: Occasional: maximum of 30 lbs. from floor to chest height, 1 x year. Frequent: none Items lifted- box of records. Transfers: None Push/Pull: Minimal force required to pushcart of records, 1 x day for 300 yards. Carry: Maximum of 3 lbs. for 100 yards. Medical records and papers. Computer: 95% of day, 20% mouse, 80% data entry. Fine Motor: High degree for data entry, manipulations papers, clips, etc. Standing: Up to 1 hour at one time and 1 hour in one day. Sitting: Up to 3 hours at one time and 7.5 hours in one day. Kneeling: Up to 1 minute at one time and 20 minutes in one day. Stooping: Up to 1 minute at one time and 20 minutes in one day. Driving: None. Climbing: Up to 1 minute at one time and 2 minutes per day. Other: Constant talking, hearing, and seeing to interact with staff, physicians, patients, and vendors. Environmental conditions Locations: Inside. Subject to many interruptions. Occasional pressure due to multiple calls and inquiries. Occasional pressure to meet deadlines. Requires judgment and action. May be exposed to unpleasant customers. Minimal exposure to biohazardous materials. Some exposure to cleaning chemicals and dust. Organizational Expectations • Provides a positive and professional representation of the organization. • Promotes a culture of safety for patients and employees through proper identification, reporting, documentation, and prevention. • Maintains hospital standards for a clean and quiet environment. • Maintains competency and knowledge of current standards of practice, trends, and developments in related scope-of-practice or job role. • Participates in ongoing quality improvement activities. • Maintains compliance with organization's policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards. • Complies with organizational and regulatory policies for handling confidential information. • Demonstrates excellent customer service through their attitude and actions, consistent with the standards contained in The Gritman Way.
    $31k-38k yearly est. 60d+ ago
  • Senior Inpatient HIM Coder

    Oracle 4.6company rating

    Medical coder job in Cheyenne, WY

    **About the Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. **Requirements and Qualifications:** + A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. + Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. + In-depth understanding of supporting evidence requirements for accurate coding. + Practical experience using grouper software for MS-DRG and APR-DRG assignment. + Strong communication skills to interact effectively with the billing department regarding coding-related issues. + Stay abreast of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates. + Familiarity with 3M 360 or Optum HIM encoder software is preferred. + AHIMA Certified RHIA or RHIT certification is mandatory. + Associate's or Bachelor's degree in Health Information Management (HIM) is required. **Responsibilities** **Job Responsibilities:** + Collaborate closely with product management and engineering teams to contribute to the creation and improvement of AI models for medical coding. + Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in extracting ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes, along with relevant modifiers from diverse clinical documentation. + Assist in the development of AI algorithms to generate precise MS-DRGs for accurate reimbursement. + Perform data collection, entry, verification, and analysis tasks to monitor and evaluate the performance of AI models against defined business goals. + Serve as a subject matter expert, ensuring the quality and integrity of medical coding data used in product development. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $75,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
    $75k-178.1k yearly 42d ago
  • Medical Coder

    Functional Medicine of Idaho

    Medical coder job in Meridian, ID

    Full-time Description Review medical records and provider documentation for completeness and accuracy. Assign accurate ICD-10, CPT and other applicable codes based on documentation and coding guidelines. Ensure coding compliance with federal regulations, payer policies, and industry standards. Query providers for clarification when documentation is insufficient or ambiguous. Collaborate with billing and clinical teams to resolve coding issues and reduce denials. Maintain up-to-date knowledge of coding changes, industry updates, and payer requirements. Support audits by preparing coding reports and participating in chart reviews when necessary. Protect patient confidentiality and ensure HIPAA compliance at all times. Requirements High school diploma or equivalent required; associate's or bachelor's degree preferred. Minimum of 1 year minimum of coding experience in a clinical, hospital, or specialty practice setting. Proficiency in medical terminology, anatomy, and physiology. Strong knowledge of ICD-10 & CPT coding systems. Experience with EHR systems and medical billing software Excellent attention to detail and analytical skills. Strong written and verbal communication abilities. Ability to work independently and manage multiple priorities. Salary Description $22.00
    $44k-63k yearly est. 60d+ ago
  • Coding Specialist

    Terry Reilly Health Services 3.7company rating

    Medical coder job in Nampa, ID

    Job Description At Terry Reilly we believe we are successful when we have a healthy, thriving community. This is accomplished as a result of our mission-driven and talented team. We provide integrated care throughout the Treasure Valley with our medical, dental and behavioral health services - allowing our employees the unique ability to experience several disciplines of health care. It is important to us that our staff is given a healthy work-life balance, so we support and value your time in and out of the office. We also provide our employees with excellent benefits including options for low-cost healthcare. GENERAL RESPONSIBILITIES Has overall responsibility at all sites within Terry Reilly to support, train and audit clinician staff on the proper use and research techniques for CPT and ICD-10 coding consistent with the AAPC and CMS coding guidelines. MINIMUM QUALIFICATIONS 2 years CPT and ICD coding experience. Certified Professional Coder (CPC-A) credential or equivalent education. Recognized professional certification (IE CPC, CCA, etc.) Strong medical billing background including diagnosis codes and disease states. Strong understanding of clinical workflows Extensive knowledge of medical billing terminology and billing requirements, chart note interpretation. Ability to work with minimal supervision. Auditing of chart notes and maintain courteous and professional communication with providers. Strong verbal communication skills. Competence with spreadsheet (Excel) and word processing (Word) programs
    $40k-48k yearly est. 10d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Boise, ID

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 45d ago
  • Medical Coder II (On-Site) - Coding

    Surgery Partners Careers 4.6company rating

    Medical coder job in Post Falls, ID

    Northwest Specialty Hospital is seeking a detail-oriented Medical Coder II to join our Coding Team! We need someone with a professional demeanor, can work well under stress/stress situations, will provide great customer service, and can multitask! In this role you will be responsible for reviewing and analyzing medical records, assigning appropriate codes to diagnoses, procedures, and services, and ensuring accurate and timely submission of claims to insurance companies and government agencies to ensure compliance and proper reimbursement. This position will work closely with healthcare providers and billing staff to ensure compliance with coding guidelines and regulations. This position will play a crucial role in maintaining the financial health of healthcare organizations while ensuring the integrity of patient data. The Medical Coder II will need to project a professional demeanor and appearance while maintaining the confidentiality of medical information, physicians, coworkers, and Northwest Specialty Hospital as appropriate. Other duties as assigned. Qualifications and Preferred Experience: Demonstrates eligibility for employment in the United States. High school diploma. Strong knowledge of medical terminology, anatomy, physiology, and disease processes. Familiarity with ICD-10-CM and CPT coding systems. Strong attention to detail and analytical skills. Proficiency in computer applications, including coding software and Microsoft Office. Excellent communication and interpersonal skills. Ability to work independently and as part of a team. Willingness to adhere to coding guidelines and regulations through Continuing Education courses. Existing and active certification from AAPC or AHIMA. Four years of coding experience in a healthcare setting, with a focus on inpatient, outpatient, or specialty coding required. About Northwest Specialty Hospital: Northwest Specialty Hospital is widely known for being a center of excellence and is proudly owned and operated by local physicians. The physicians have invested personally, professionally and financially in the care of the patients and the staff. They have dedicated their lives to creating a hospital that allows them to practice on their own terms and do what's best for patients. Northwest Specialty Hospital includes 12 operating rooms and 28 inpatient beds, along with a variety of clinics and services throughout Kootenai County, that span across multiple specialties. Northwest Specialty Hospital has earned numerous awards for patient care, surgical skill, medical care, and employee satisfaction. Northwest Specialty Hospital has been recognized as one of the Best Places to Work in the Inland Northwest for seven years!! Companies throughout Washington and Idaho were selected based on employee feedback about benefits, work environment, job satisfaction, and other factors. We continue to receive this distinguished honor based on our great company culture, patient focused approach, and robust benefits package! Some of our amazing perks and benefits offered to employees are: Company-sponsored events such as sporting events, BBQs and holiday parties Comprehensive health care coverage with option of plans that have 100% employer-paid premiums for Medical, Dental, & Vision Insurance Tuition reimbursement Growth opportunities, ongoing education, training, leadership courses A generous 401K retirement plan A variety of discounts throughout the hospital and community are available to employees Wellness benefits offered to staff such as: weight loss challenge, access to a dietitian, and discount gym memberships Culture that promotes and supports work/life balance **Northwest Specialty Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.**
    $54k-74k yearly est. 28d ago

Learn more about medical coder jobs

How much does a medical coder earn in Idaho Falls, ID?

The average medical coder in Idaho Falls, ID earns between $37,000 and $68,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Idaho Falls, ID

$50,000
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