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 30d ago
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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 3.7
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. 8d ago
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
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 43d ago
Medical Coder II (On-Site) - Coding
Surgery Partners Careers 4.6
Medical coder job in Post Falls, ID
Northwest Specialty Hospital is seeking a detail-oriented MedicalCoder 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 MedicalCoder 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. 27d ago
Outpatient Coder
St. Luke's Health System 4.7
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 20d ago
Coder
Heritage Health 3.9
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. 2d ago
Medical Coder
Grand Peaks 4.1
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 47d ago
Recording Specialist
Kootenai County, Id 4.8
Medical coder job in Coeur dAlene, ID
Are you ready to make a difference? We're looking for a Recording Specialist to join our team! In this pivotal role, you'll manage administrative tasks that directly support our department's functions, including recording, data entry, research, license issuance, and passport acceptance. You'll play a key role in ensuring the accuracy of important documents and transactions while providing exceptional customer service.
You'll be part of a fast-paced, supportive environment, where your attention to detail and problem-solving skills will make a real impact. In addition, you'll work with a great team dedicated to helping the community while ensuring compliance with state and federal regulations.
Why You'll Love This Opportunity:
* Competitive Pay: $20.60 per hour
* Amazing Benefits: Enjoy an exceptional benefits package including health care for eligible employees and their dependents at our free medical clinic offering primary care, select medications, select lab services, and more.
* Generous Paid Time Off: Full-time employees earn up to 8 hours of vacation each month, with increases based on years of service-because we believe in giving you the time to recharge!
* Secure Your Future: Enjoy peace of mind with a robust retirement plan through the Public Employees Retirement System of Idaho (PERSI), helping you plan for a comfortable future.
* Career Growth: Opportunities for career advancement and public student loan forgiveness eligibility.
Do You Qualify?
We're looking for candidates who meet the following requirements:
* High School Diploma or Equivalent and 2 years of experience.
* Valid Driver's License and the ability to be insurable.
* Willingness to Obtain a Passport Acceptance Agent Certification and become a notary.
What does it take to be a Passport Acceptance Agent?
In accordance with Federal Regulations, the role of Passport Acceptance Agent requires the following qualifications:
* You must be a U.S. citizen or a U.S. non-citizen national.
* You must be at least 18 years old.
* You must be a permanent employee
* You cannot have a criminal history that includes:
* A Federal or State felony conviction, OR
* A misdemeanor conviction related to crimes involving moral turpitude or breach of trust, such as embezzlement, identity theft, misappropriation, document fraud, drug offenses, or dishonesty in carrying out duties that involve public trust.
These requirements ensure that Passport Acceptance Agents uphold the integrity and security of the passport application process.
Skills We Value:
* Customer Service Excellence: Can you provide a positive and professional experience for our customers?
* Detail-Oriented: Accuracy is key, especially when handling sensitive information.
* Multi-Tasking: Manage multiple responsibilities efficiently while staying focused.
* Clear Communication: Strong oral and written skills are essential to interact with the public and team members
* You are encouraged to check out the job description for more information about this role.
Why You'll Love Working Here:
You'll be working in Kootenai County, one of the most picturesque places in northern Idaho! Nestled among scenic mountains and over 20 pristine lakes, our county is an outdoor enthusiast's dream. Located in Coeur d'Alene, you'll enjoy a low crime rate, access to stunning natural beauty, and a peaceful, friendly community-making it the ideal place to work and live.
Ready to Apply?
Submit your resume and cover letter through our employment opportunities page for consideration.
We look forward to hearing from you!
Questions? Reach out to our Human Resources team at ************** or email ******************.
NOTE: Must successfully pass pre-employment and drug testing.
Equal Opportunity Employer / Vets Preference / Drug-Free Workplace
$20.6 hourly Easy Apply 41d ago
Health Information Specialist II - LRH
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.
+ **Position Highlights** :
+ Full-Time: Monday-Friday 8:00AM-4:30 PM EST
+ Location: This role will be performed at one location (Remote)
+ Comfortable working in a high-volume production environment.
+ Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status.
+ 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.
+ May schedules pick-ups.
+ Assist with training associates in the HIS I position.
+ Generates reports for manager or facility as directed.
+ Must exceed level 1 productivity expectations as outlined at specific site.
+ Participates in project teams and committees to advance operational strategies and initiatives as needed.
+ Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training.
+ Other duties as assigned. **What you will bring to the table:**
+ High School Diploma or GED.
+ Must be 18 years of age or older.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ 1-year Health Information related experience.
+ Meets and/or exceeds Company's Productivity Standards
+ 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:**
+ 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.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$16-$20.50 USD
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 (**************************************** .
$16-20.5 hourly 32d ago
TECHNICAL RECORDS SPECIALIST (MSHS - Central Office) Caldwell
Community Counsil of Idaho
Medical coder job in Caldwell, ID
Status: Non-Exempt / Hourly Supervisor: Program Support Specialist Essential Duties and Responsibilities (This is not an exhaustive list of all duties/responsibilities. Other duties may be assigned) * Answer telephone inquiries, greet walk-in visitors, provide information, refer inquired to the proper recipient, and take and forward telephone and electronic messages
* Review and process payments from MSHS centers, forward payments to accounting
* Prepare, receive, and route incoming/outgoing correspondence, mail and letters
* Perform general office record preparation and maintenance duties including work processing, data processing and input, copying, faxing, filing and related duties
* Track outstanding invoices from MSHS centers to prompt payment
* Resolve conflict and/or discrepancies on invoices with vendors
* Process bills, payment requests, and related financial documents
* Ability to multitask, meet deadlines, and remain calm and professional under pressure
* Maintain standards of confidentiality of CC Idaho clients and records
* Perform all work duties and activities in accordance with CC Idaho policies, procedures, and safety practices
$28k-36k yearly est. 38d ago
Medical Records Assistant (Non Nurse) HIM
Life Care Center of Treasure Valley 4.6
Medical coder job in Boise, ID
The Medical Records Assistant (Non Nurse) assists with patients' clinical records, including coding, auditing, and record management in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements
High school diploma or equivalent
Prior medical records experience preferred
Specific Job Requirements
Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
Effectively communicate with physicians, nursing staff, and allied health personnel
Demonstrate efficient usage of complex computer software systems
Functional knowledge in field of practice
Make independent decisions when circumstances warrant such action
Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
Implement and interpret the programs, goals, objectives, policies, and procedures of the department
Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
Maintains professional working relationships with all associates, vendors, etc.
Maintains confidentiality of all proprietary and/or confidential information
Understand and follow company policies including harassment and compliance procedures
Displays integrity and professionalism by adhering to Life Care's
Code of Conduct
and completes mandatory
Code of Conduct
and other appropriate compliance training
Essential Functions
Accurately audit and complete ongoing reviews of all patients' clinical records to ensure documentation and performance compliance
Accurately maintain current, overflow, and discharged record filing system
Understand and apply LTC payment systems, including Medicare
Apply the use of ICD 10 CM coding
Understanding of HIPAA requirements
Exhibit excellent customer service and a positive attitude towards patients
Assist in the evacuation of patients
Demonstrate dependable, regular attendance
Concentrate and use reasoning skills and good judgment
Communicate and function productively on an interdisciplinary team
Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
Read, write, speak, and understand the English language
An Equal Opportunity Employer
$33k-40k yearly est. 5d ago
Coding Tech | Inpatient
Gritman Medical Center 3.5
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 Coder - Outpatient
Highmark Health 4.5
Medical coder job in Boise, ID
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.
**ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)
+ Acts as a mentor and subject matter expert to others. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School/GED
+ 5 years of Hospital and/or Physician Coding
+ 1 year of Coding - all specialties and service lines
+ Extensive knowledge in Trauma/Teaching/Observation guidelines
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Any of the following:
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
+ Registered Health Information Associate (RHIA)
+ Certified Coding Specialist Physician (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
Preferred
+ Associate's Degree
**_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:**
$23.03
**Pay Range Maximum:**
$35.70
_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: J270102
$23-35.7 hourly 33d 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. 4d ago
Coding Specialist
Terry Reilly Health Services 3.7
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. 9d ago
MEDICAL CODER II (ON-SITE) - CODING
Surgery Partners 4.6
Medical coder job in Post Falls, ID
Northwest Specialty Hospital is seeking a detail-oriented MedicalCoder 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 MedicalCoder 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. 27d ago
Insurance Reimbursement Specialist II
Kootenai Health 4.8
Medical coder job in Idaho
Responsible for the timely follow-up of insurance and government payer balances on hospital and professional accounts receivable (HB and PB), to ensure prompt payment, prevent payment delays and resolve claims inquiries, rejections and denials from third party payers. Performs duties to promote reduction of A/R Days, prevent bad debt, and maximize net revenue and cash flow from patient billing operations.
Responsibilities
* Analyze A/R reports to perform collection follow-up on outstanding receivables, and determine the appropriate prioritization of follow-up action required
* Work with payer websites, electronic tools, phone and other mechanisms, to ensure timely and full payment from third party payers. Reviews remittance advice for no pays or short pays to verify proper reimbursement, conduct follow-up with payers, or to make adjustments as necessary
* Identifies coding and billing errors from the EOB and works with all partner departments to correct errors and re-bill in a timely manner
* Appeals improperly adjudicated claims so they are promptly corrected and paid
* Supports Revenue Cycle by providing A/R, denials and appeals information, in required reporting formats
* Supports Customer Service, Financial Counseling, and Patient Advocacy in response to patient billing inquiries or complaints
* Provide support to registration, customer service, billing and accounts receivable collections functions, as appropriate
* Interacts with patients, clinicians, insurers, and billing management to ensure timely submission of appeals and timely collection of accounts
* Perform duties in compliance with state and federal regulatory requirements, and Kootenai Health policies and procedures governing Revenue Cycle compliant processes
* Performs other related duties as assigned
* Familiar with standard concepts, practices, and procedures within the field
* Regular and predictable attendance is an essential job function
* Competent to meet age specific needs of the unit assigned
*
Requirements and Minimum Qualifications
* High school diploma preferred. Billing Specialist Certification or Associates degree preferred
* 5 years' professional experience working in a hospital or medical office with current commercial and government payer types, and strong understanding of payment methodologies
* At least 2 years' hands-on experience processing 1500 or UB billing forms
* Demonstrated ability to navigate through commercial payer and government agency websites, to research and understand billing requirements and instruction, and regulatory guidelines
* Demonstrated ability working in hospital and professional EMR billing, and supporting eligibility systems, and ability to read and understand a patient medical record sufficient to conduct HB or PB claims-related research
* Medical terminology understanding required
* Excellent communication, organizational and analytical skills required
* Ability to work equally well in a team environment, and independently with minimum supervision
* Knowledge and demonstrated competence working with Microsoft Office software, to include Excel, Word, and e-mail programs to include reporting
*
Working Conditions
* Must be able to lift and move up to 10 lbs
* Must be able to reach arms above or below shoulder height
* Must be able to maintain a sitting position
* Typical equipment used in an office job
* Repetitive movements
* Remote eligible
*
About Kootenai Health:
Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.
As your next employer, we are excited to offer you:
* Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility. Benefits begin on the 1st of the month following 30 days of employment.
* Kootenai Health's tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it
* Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent.
* Competitive salaries with night, weekend, and PRN shift differentials
* An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching
* Employees receive discounts at The Wellness Bar, PEAK Fitness, and more
* Robust and interactive employee referral program
* And much more
*
Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you!
Apply today! Please contact the HR Front Desk at ************ or email [email protected] with any questions.
Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.
$32k-40k yearly est. 17d 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.
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