Coder - Inpatient
Medical coder job in Cheyenne, WY
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD 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 codes for diagnoses and procedures. (65%)
+ 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School / GED
+ 1 year in Hospital coding
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC)
+ Familiarity with medical terminology
+ Strong data entry skills
+ An understanding of computer applications
+ Ability to work with members of the health care team
Preferred
+ Associate's degree in Health Information Management or Related Field
**_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 *****************************
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Req ID: J272373
Senior Medical Coder
Medical coder job in Cheyenne, WY
The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards.
**Medical Coding**
+ Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries.
+ Review and validate coding performed by other coders to ensure consistency and accuracy.
+ Identify ambiguous or unclear terms and query clinical sites or data management for clarification.
+ Maintain coding conventions and ensure alignment with study-specific and sponsor requirements.
**Data Quality & Review**
+ Conduct ongoing coding checks during data cleaning cycles and prior to database lock.
+ Lead the resolution of coding discrepancies, queries, and coding-related data issues.
+ Review safety data for coding accuracy in collaboration with medical monitors and pharmacovigilance teams.
+ Assist in the preparation of coding-related metrics, reports, and quality documentation.
**Process Leadership & Subject Matter Expertise**
+ Serve as the primary point of contact for coding questions across studies or therapeutic areas.
+ Provide guidance and training to junior medical coders, data management staff, and clinical teams.
+ Develop and maintain standard operating procedures (SOPs), work instructions, and coding guidelines.
+ Participate in vendor oversight activities when coding tasks are outsourced.
+ Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams.
**Cross-Functional Collaboration**
+ Work closely with clinical data management to ensure proper term collection and standardization.
+ Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions.
+ Support biostatistics and medical writing with queries related to coded terms for analyses and study reports.
**Education & Experience**
+ Bachelor's degree in life sciences, nursing, pharmacy, public health, or equivalent healthcare background; advanced degree preferred.
+ **5-8+ years of medical coding experience in clinical research** , ideally within CRO, pharmaceutical, or biotech environments.
+ Strong working knowledge of **MedDRA and WHODrug** dictionaries, including version control and update management.
+ Experience supporting multiple therapeutic areas; oncology, rare disease, or immunology experience preferred but not required.
**Technical & Professional Skills**
+ Proficient in clinical data management systems (e.g., Medidata Rave, Oracle Inform, Veeva, or similar).
+ Excellent understanding of ICH-GCP, FDA, EMA, and other global regulatory guidelines.
+ Strong attention to detail, analytical problem-solving, and ability to manage multiple projects simultaneously.
+ Effective communication skills and experience collaborating in matrixed research environments.
Cytel Inc. is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
Inpatient Coder II
Medical coder job in Centennial, CO
**Job Summary and Responsibilities** You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval,
analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a
designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and
productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all
facilities.
Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:
- Alabama- Arizona- Arkansas- Colorado
- Florida- Georgia- Idaho- Indiana
- Iowa- Kansas - Kentucky- Louisiana
- Missouri- Mississippi- Nebraska- New Mexico
- North Carolina- Ohio- Oklahoma- South Carolina
- South Dakota- Tennessee- Texas- Utah
- Virginia- West Virginia- Wyoming
**Job Requirements**
In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:
+ High School Diploma/ GED Required
+ Associate Degree Preferred
+ A minimum of 4 years coding experience preferably in an inpatient acute care setting or a minimum of 2 years' experience and successful completion of the organizations internal coding program.
+ Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC), required or must be certified within One Year of hire.
+ Must demonstrate competency of inpatient coding guidelines and DRG assignment.
+ Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems.
+ Experience successfully working in a remote environment, preferred
+ Demonstrate intermediate to advanced technical coding competency in ICD-10 CM, CPT-4, HCPCS and Coding Modifiers
+ Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e.3M)
**Where You'll Work**
We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.
**Pay Range**
$27.86 - $42.43 /hour
We are an equal opportunity employer.
Risk Adjustment Coder
Medical coder job in Denver, CO
Full-time Description
*Hybrid Role, must be located in State of Colorado*
Join Carina Health Network and help us make Colorado communities healthier!
Are you passionate about population health and interested in improving patient experience and outcomes? If so, we support several community health organizations (CHO), and this company is for you!
At Carina Health Network, we are transforming community health by delivering proactive, data-informed, and whole-person care that drives measurable impact. Our work helps people stay healthier longer, by supporting community health organizations who have patients with chronic conditions like diabetes and high blood pressure, ensuring regular check-ups for older adults, and identifying mental health needs early. We help community health organizations prevent costly ER visits by connecting people with the right care at the right time. Through our value-based care programs, we empower frontline care teams to improve outcomes while earning fair, sustainable reimbursement. By saving money and reinvesting in community services, we strengthen the systems that care for the most vulnerable, making a real difference in the lives of patients and providers alike. Join us in reimagining the future of health care, where your work truly matters.
What You'll Do
The Value Based Coding Advisor will interact with operational and clinical leadership to assist in the identification of Risk Adjustment/HCC coding opportunities, and will provide targeted education to CHC providers, billers, coders, and support staff to support value-based contract initiatives.
Risk Adjustment/HCC Coding Support and Education
Educates providers and staff on coding regulations and changes as they pertain to risk adjustment and quality reporting to ensure compliance with federal and state regulations.
Assist the department, direct supervisor and Carina in the development of education tools related to risk adjustment/HCC coding and gap closure.
Supports the creation of education that will train CHC providers, billers, coders, and support staff, as well as Carina staff, for risk adjustment/HCC coding opportunities.
Maintains a database with the results of all medical chart reviews performed, with ability to report on progress and statistics on coding initiatives.
Pre-Visit Planning (PVP)
Performs weekly Pre-Visit Planning reviews for assigned CHC's and will query providers or other identified team member to further
Value-based contract initiatives including coding recommendations based on internal and external medical records, review of payer portals and suspected conditions, and review of care gap and clinical documentation.
CHC Support
Holds monthly meetings with identified coding champions, provide education and training to CHC providers, billers, coders, and support staff in proper coding guidelines; and documentation education based on PVP observations and monthly topics.
Provides monthly chart reviews of randomly selected patients and providers participating in Pre-Visit Planning (PVP) program to give feedback on missed opportunities and errors.
Gap Closure Success
Reviews patient charts to identify areas for quality gap closures and provide compliant documentation to appropriate payers resulting in gap closures for assigned CHC's.
Ensures that providers understand CPT II coding for the purposes of quality gap closure and reporting.
What We're Looking For
High School diploma or equivalent.
Minimum 2 years coding experience
The American Academy of Professional Coders (AAPC) Certified Risk Adjustment Coder (CRC) or AHIMA certification is required; Certified Professional Coder (CPC) Certification will be considered with Risk Adjustment/HCC Coding experience and willingness to obtain CRC within 1 year of employment
Risk Adjustment experience required.
FQHC billing experience is highly preferred
Experience with clinic billing and coding required
Knowledge of several EHR systems preferred (ECW, Athena, Greenway Intergy, Epic).
Clinical background preferred
Strong knowledge of CMS coding and quality guidelines.
Strong knowledge of PowerPoint, excel and Microsoft word with the ability to manipulate basic information and data required for preparing reports and delivering training.
Exceptional interpersonal, public speaking, and presentation skills to deliver training and education is preferred.
Ability to facilitate group discussions that challenge participants and promote discussion of new approaches and solutions based on data and value-based care initiatives.
Ability to travel to and within the state of Colorado- 25% travel within the state of Colorado with an unrestricted driver's license and an insured vehicle.
Working Environment
Work from home with 25% travel responsibilities within the state of Colorado
Prolonged periods of sitting at a desk and working on a computer
Why You'll Love Working Here
Insured group health, dental, & vison plans (Employer covers 100% cost for dental and vision)
Medical and dependent care flexible spending account options
*$900 Employer Contributions towards your choice of a Health Reimbursement Employer (HRA) or Health Savings Account (HSA)
401k retirement plan with up to a 4% employer contribution match
100% Employer-Paid Life, AD&D, Short-Term and Long-term disability plans paid for employees
Free 24/7 access to confidential resources through an Employee Assistance Program (EAP)
Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, and hospital indemnity coverage
17 days of paid vacation within 1 year of service
12 paid sick days accrued by 1 year of service
14 paid holidays (which includes 2 floating holidays)
1 Paid Volunteer Day
Employer-paid programs/courses for staff's growth and development
Cell phone and internet reimbursement
Competitive salary and full benefits
Annual, all expenses paid Staff Retreat
Flexible work (remote or hybrid)
Supportive, mission-driven team
Opportunities to learn and grow
Carina Health Network is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Salary Description $53,000 - $70,000/year
Inpatient Coder II
Medical coder job in Centennial, CO
Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval,
analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a
designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and
productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all
facilities.
Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:
* Alabama- Arizona- Arkansas- Colorado
* Florida- Georgia- Idaho- Indiana
* Iowa- Kansas - Kentucky- Louisiana
* Missouri- Mississippi- Nebraska- New Mexico
* North Carolina- Ohio- Oklahoma- South Carolina
* South Dakota- Tennessee- Texas- Utah
* Virginia- West Virginia- Wyoming
Job Requirements
In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:
* High School Diploma/ GED Required
* Associate Degree Preferred
* A minimum of 4 years coding experience preferably in an inpatient acute care setting or a minimum of 2
years' experience and successful completion of the organizations internal coding program.
* Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC), required or must be certified within One Year of hire.
* Must demonstrate competency of inpatient coding guidelines and DRG assignment.
* Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems.
* Experience successfully working in a remote environment, preferred
* Demonstrate intermediate to advanced technical coding competency in ICD-10 CM, CPT-4, HCPCS and
Coding Modifiers
* Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and
coding systems (i.e.3M)
Where You'll Work
We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.
Coder II (Clinic & E/M Coding)
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. 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.
Medical Coder
Medical coder job in Colorado Springs, CO
Join Our Team as a Medical Coder at Colorado Physician Partners!
Are you detail-oriented and passionate about ensuring accurate medical documentation and billing? Colorado Physician Partners is seeking a dedicated Medical Coder to play a key role in our healthcare team. In this position, you'll collaborate closely with our clinical and administrative staff to ensure precise coding of medical procedures and diagnoses, supporting optimal patient care and efficient revenue cycle management. Your expertise will help maintain compliance with industry standards and contribute to a professional, trustworthy environment for both patients and providers.
General summary of duties: Responsible for understanding clinical documentation and how it relates to medical coding, coding guidelines and payer rules. Responsible for transcribes a patient's medical history into a database using standardized codes. This includes diagnosis and treatment and is typically later used for insurance and medical billing purposes.
Essential Responsibilities and Examples of Duties: (This list may not include all of the duties assigned.)
Understands various payer types and how coding is impacted.
Utilize and navigate the EHR and Practice Management software appropriately to review documentation and process charges efficiently and accurately.
Analyzes provider documentation to ensure the appropriate CPT, HCPCS, ICD-10-CM codes and modifiers are fully supported and accurately reported.
Provides expertise to Billing Staff in addressing appeals for denials due to potential coding errors.
Reviews charge line codes for accuracy to support the charge posting process.
Execute daily workload within full compliance of state and federal coding regulations.
Meets or exceeds any set coding goals.
Review, analyze, code and process charges.
Review of ICD-10-CM, CPT and HCPCS coding of provider documentation.
Summarizes and reports the trends of provider documentation to appropriate leadership.
Maintains required continuing education and certifications that are essential to the position.
Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding accuracy.
Collaborates with Coding team, Coding Leadership and Provider Staff on coding training, reviews, and shares knowledge as it is gained.
Utilizes appropriate resources to accurately abstract data and code provider and nurse visits.
Stay abreast of code changes and documentation requirements as they occur.
Communicates with providers and support staff as needed to resolve any coding issues.
Performs other related duties as required and assigned.
Assist with other duties within the revenue cycle.
Peer review.
Attend weekly huddles.
Attend mandatory trainings and in person meetings.
Typical physical demands:
Work may require sitting for long periods of time, stooping, bending, and stretching for files and supplies, and occasionally lifting files or paper weighing up to 30 pounds.
Ability to sufficiently operate a keyboard, calculator, telephone, copier, and such other office equipment as necessary.
Must be able to record, prepare, and communicate appropriate reports in a verbal and written format.
It is necessary to view and type on computer screens for long periods and to work in an environment which can be very stressful.
Typical working conditions:
Work is done in a typical physician business office department or at home if on hybrid schedule.
Interaction with others can be constant and activities can be frequently interrupted.
It is necessary to view and type on computer screens for frequent periods and to work in an environment which can be a very collaborative practice.
Other Related Job Requirements:
3+ years coding primary care experience.
HCC Certification preferred
Extensive knowledge of medical terminology, anatomy, and physiology
Personable and professional demeanor.
Maintain neat and clean appearance.
Maintain sense of responsibility
Ability to read, write and speak English clearly and concisely.
Ability to read, understand, and follows complex oral and written instructions.
Ability to maintain quality control standards.
Ability to react calmly and effectively in emergency situations.
Ability to interpret, adapt, and apply guidelines and procedures.
Prioritizes work and completes in a timely manner to satisfy deadlines.
Communicates questions or concerns for prompt resolution. Participates in problem-solving discussions.
Actively seeks to acquire and maintain skills and continuing education appropriate to this position.
Initiates and attends meetings as needed if applicable.
Performs related work as required.
Job Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Knowledge, skills, and abilities:
High school diploma or equivalent education required.
CPC (AAPC) or CCS (AHIMA) certification required.
3+ years coding primary care experience.
Salary Range:
$17.45 - $23.27
Auto-ApplyMedical Imaging Analyst
Medical coder job in Denver, CO
Our imaging services are growing rapidly, and we are currently seeking a full-time, office-based Medical Imaging Analyst to join our team. If you want an exciting career where you use your previous expertise and can develop and grow your career even further, then this is the opportunity for you.
Responsibilities
* Perform quality assurance checks on medical imaging data collected during medical and device clinical trials to ensure protocol specific requirements are met;
* Perform established image processing techniques (converting imaging formats, contouring, performing preliminary measurements of lesions and volumes) across multiple modalities (including but not limited to MRI, CT, US, ECHO, DXA, etc.) using proprietary software as well as other third party software;
* Assist in developing imaging protocols to obtain required study metrics based on clinical trial protocols;
* Write (in English) technical documents related to the study required imaging procedure
* Compile and maintain project-specific status reports and project timelines associated with imaging studies; and
* Perform project specific tasks in compliance with Good Clinical Practices (GCP), regulatory requirements (21CFR Part 11), applicable departmental and companywide SOPs, and project specific protocols
Qualifications
* Bachelor's Degree in biomedical engineering, biomedical sciences (or similar field), with knowledge of medical imaging from experience performing, reviewing, and/or analyzing medical images in either a research or clinical setting.
* 1-3 years of experience in clinical research or imaging related field, with at least 2 years of experience in an imaging center
* Experience working with clinical trials or within the pharmaceutical environment is preferred
TRAVEL: Minimal
Compensation
A target salary range of $60,000 - $120,000. Your compensation will be based on your skills and experience. Medpace offers the following benefits for eligible positions: medical, dental, vision, 401(k), vacation policy, sick days, paid holidays, work from home flexibility, short-term disability, long-term disability, health savings and flexible savings accounts, life and AD&D insurance, and pet insurance. For more details, please discuss with your recruiter.
Medpace Overview
Medpace is a full-service clinical contract research organization (CRO). We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries. Our mission is to accelerate the global development of safe and effective medical therapeutics through its scientific and disciplined approach. We leverage local regulatory and therapeutic expertise across all major areas including oncology, cardiology, metabolic disease, endocrinology, central nervous system, anti-viral and anti-infective. Headquartered in Cincinnati, Ohio, employing more than 5,000 people across 40+ countries.
Why Medpace?
People. Purpose. Passion. Make a Difference Tomorrow. Join Us Today.
The work we've done over the past 30+ years has positively impacted the lives of countless patients and families who face hundreds of diseases across all key therapeutic areas. The work we do today will improve the lives of people living with illness and disease in the future.
Denver Perks
* Denver Office Overview
* Flexible work environment
* Competitive PTO packages, starting at 20+ days
* Competitive compensation and benefits package
* Company-sponsored employee appreciation events
* Employee health and wellness initiatives
* Community involvement with local nonprofit organizations
* Structured career paths with opportunities for professional growth
* Discounts on local sports games, fitness gyms and attractions
* Modern, ecofriendly campus with an on-site fitness center
* RTD Eco Pass
* Secure bike storage room
Awards
* Named a Top Workplace in 2024 by The Cincinnati Enquirer
* Recognized by Forbes as one of America's Most Successful Midsize Companies in 2021, 2022, 2023 and 2024
* Continually recognized with CRO Leadership Awards from Life Science Leader magazine based on expertise, quality, capabilities, reliability, and compatibility
What to Expect Next
A Medpace team member will review your qualifications and, if interested, you will be contacted with details for next steps.
Auto-ApplyHealthcare Revenue Cycle / HIM Manager
Medical coder job in Cheyenne, WY
As a Healthcare Revenue Cycle / HIM Manager, your responsibilities will include: 1. Supporting a remote team for daily operations of the healthcare revenue cycle / healthcare coding department. 2. Identifying and implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability.
3. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness.
4. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills.
5. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process.
6. Training and mentoring staff on revenue cycle processes and best practices.
7. Staying abreast with the latest trends and regulations in the healthcare industry to ensure compliance and operational efficiency.
8. Developing and implementing policies and procedures to enhance operational efficiency and improve revenue cycle performance.
9. Providing regular reports and updates to senior management about the status and performance of the revenue cycle.
10. This individual will manage routine client meetings to obtain updates on initiatives and address any issues.
Qualifications:
The ideal candidate for the Healthcare Revenue Cycle / HIM Manager will have the following qualifications:
1. A minimum of 7 years of experience in healthcare revenue cycle management, including account reconciliation, pre-collection, and post-collection.
3. Strong knowledge of healthcare financial management and medical billing processes.
4. Exceptional analytical and problem-solving skills with a strong attention to detail.
5. Proficient in using healthcare billing software and revenue cycle management tools, with a strong background in Oracle Health (Cerner) software.
6. Strong leadership skills with the ability to manage and motivate a team.
7. Excellent communication and interpersonal skills with the ability to interact effectively with all levels of the organization.
8. Strong knowledge of federal, state, and payer-specific regulations and policies.
9. Ability to work in a fast-paced environment and manage multiple priorities.
**Responsibilities**
Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
Health Clerk
Medical coder job in Rifle, CO
At Wamsley Elementary, "We Encourage Success" - in our students, in our teachers, in our staff, and in our families. Our school is focused on creating the best culture and climate for our staff, our students and our families. We emphasize inclusion because if our students feel loved, if our teachers feel supported, and our families feel welcomed, students feel free to learn and explore, teachers are creative and families support the development of their child.
Wamsley Elementary and staff set high expectations focused on perseverance, growth mindset, positive energy and a sense of urgency.
Learn more about Wamsley Elementary
Position Summary:
The job of Health Clerk was established for the purpose/s of providing support to the school site operations with specific responsibilities for administering basic first aid and dispensing prescribed medications under the direction of a registered nurse; coordinating with other personnel in supporting students with special needs and assisting them with medical procedures; documenting activities in accordance with established guidelines and/or regulatory requirements; and conducting prescribed health screenings and services. Duties may vary according to job assignment.
Please click HERE to see the full job description.
Status: (Full Time or Part Time and Hours Worked)
Title:
Location: Wamsley Elementary School, Rifle CO
Salary Range:
* Classified no in district experience salary range: $17.41-$18.84
* Classified in district experience salary range: $17.41-$38.44
Salary Schedules
Benefits: Garfield Re-2 School District offers benefits including medical, dental, and vision coverage, prescription drug coverage, medical and dependent care flexible spending accounts, aflac products, employee assistance programs, surgery plus opportunities, paid time off, sick leave, vacation leave, holiday pay, PERA retirement plan with 21.4% contribution, identity theft protection, local discounts, Verizon Wireless discount, and more.
Benefit Guide
Visit Rifle- ***********************
Medical Records Clerk
Medical coder job in Edwards, CO
Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.
About the opportunity: The Health Information Management (HIM) Technician ensures a quality patient and provider experience by accurately processing Shaw Cancer Center patient medical records as needed for patient care, such as requesting medical records from other healthcare providers, collecting medical records, scanning patient records, coordinating release of information documentation, and identifies documentation deficiencies for physicians and providers all in accordance with Federal, State, Hospital, and Accrediting Body requirements. Routinely interacts with the public and physicians and providers. What you will do:
Works with providers and clinical staff to obtain complete medical records, primarily for established patients, using the medical records work list / work queue in the EHR. Thoroughly documents progress within the EHR of all tasks, including retrieval of pertinent patient materials. On a daily basis, reviews and rectifies those HIM work assignment queues, uses standard processes and protocols to monitor and follow up with patients, hospitals, medical practices, and other parties on patient records statuses.
Facilitates the use of the EHR by capturing paper documentation, properly preparing the paper for scanning, scanning, and indexing documents within 1 hour of receipt. Is able to distinguish document types, operate the scanning unit effectively, and scan all documents to the appropriate patient records and to the appropriate documentation type location with 100% accuracy. Performs QA on scanning done by others, identifies errors by clinical staff, and addresses errors with the clinical staff. Trains staff on proper scanning and indexing of documents.
Interacts with providers, clinical staff, and the public (patients, insurers, attorneys, State and Federal agencies, etc.) to accommodate requests for copies of patient information. Understands the release of information policies and associated Federal, State, and Hospital policies. Assists with release of information periodically or when on weekend rotation. Obtains appropriate release request document and verifies patient identity prior to release. Accurately logs releases in hospital logging system. Efficiently prepares copies of requested in paper, CD, PDF, Fax and other approved electronic formats. Accommodates patient and physician requests within same day. Ensures only the minimum necessary is disclosed in accordance with HIPAA requirements.
Assists in processing paperwork and completing administrative tasks associated with clinical care including managing records requests, orders, scanning, and uploading records.
Resolves problems independently, ensures continuous communication with clinical and non-clinical team members, and appropriately escalates issues to leadership.
Recognizes emergencies and appropriately responds using standard operating procedures and critical thinking skills.
As an integral member of the business office team and to encourage growth of team members' skills and knowledge, the HIM Tech I is cross-trained and can cover the roles, as needed, of Patient Access Representative I.
Responsible for coordinating with other business office team members when out of the office to ensure HIM activity continues seamlessly.
Role models the principles of Just Culture and Organizational Values
Performs other duties as assigned. Must be HIPAA compliant.
This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. What you will need: Experience:
One year of medical office or clinical experience required.
Working knowledge of medical terminology preferred.
Prior experience with medical records; collecting, scanning, and requesting preferred.
License(s):
N/A
Certification(s):
N/A
Computer / Typing:
Use of a computer, keyboard, and mouse, and experience with basic Microsoft Office applications required.
Typing skills of no less than 20 WPM required.
Ability to search resources and/or Internet to locate physician and healthcare facility information to make appropriate decisions.
Must possess the computer skills necessary to complete work assignments, online learning requirements for job specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Must have working knowledge of the English language, including reading, writing, and speaking English. Education:
Bachelor's degree in related field preferred
PRN (POOL) benefits include: Wellbeing reimbursement funds and 403(b) contribution eligibility.
Pay is based upon relevant education and experience per hour.
Hourly Pay:$21.32-$25.40 USD
Auto-ApplyCAC - Certified Ambulance Coder
Medical coder job in Broomfield, CO
Acute Care Technology
At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.
The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally. Products include AEDs, trauma kits, ventilators, temperature management solutions, and more. Our dedicated employees take pride in their commitment to improving patient outcomes while delivering world-class customer service.
Job Summary:
This position is geared toward verification of transport and patient data as well as compliant coding and billing with appropriate payer claims specifications and accompanying documentation. This position performs demographic and medical coverage verification, identifies transport call, response and mission type disparities and reviews for appropriate vehicle type, pickup, drop off locations, mileage, and transport dates, and assigns the appropriate Level of Service and Diagnosis Codes to all ambulance claims. The position is responsible for document retrieval and professional communication with Customers, Call Centers and facility Patient Financial Services Staff. Applicant must have 2-5 years of experience with medical billing and claim submission. This position requires a candidate that is highly detail oriented, able work in a fast-paced environment with high volume, accurate data entry.
Essential Functions:
1) Verify accurate data completion by Communication/Dispatch Specialists and Medical Clinicians, in accordance with established processes. Details to include patient locations, loaded mileage and patient demographics.
2) Thoroughly and appropriately document all activities in patient account notes in accordance with established processes.
3) Retrieve, retain and interpret Federal and Industry Standard Signature Documents, ensuring uniformed and compliant billing practices and clean claim submission.
4) Perform data entry of patient demographic information and charges, within billing software, as appropriate for claims submission and financial reporting.
5) Perform in-depth sponsor review investigations to identify, collect, and confirm third party liability and coordination of benefits insurance coverage.
6) Interact on an as needed basis, with leadership, customers, crew members, law enforcement agencies, insurance companies, patients and hospital patient information systems to collect additional patient and payer demographic information.
7) Performs ‘Medicare as a Secondary Payor (MSP)' review, coordination of benefits and generate invoices to patients as needed.
8) Apply the appropriate level of service for the transport provided using the Customer Scope of Practice.
9) Assign the most accurate diagnosis codes from the crew documentation ensuring highest level of specificity and considering payor guidelines or local coverage determination requirements.
10) Assign modifiers appropriate to the locations for the transport as well as any payor required modifiers.
11) Initiate insurance billing transactions; transmit electronically and/or prepare claims packets for payers in accordance with payer specific claim requirements.
12) Screens for clean claims submission pursuant to payer specific guidelines, and billing form requirements.
13) May assist with billing/collection tasks as assigned.
14) Required to act as back-up support in the performance of client financial liaison duties
15) Other responsibilities as assigned.
DIMENSIONS:
1. Ability to work independently and demonstrate consistent customer focus
2. Ability to analyze and make good billing/collections decisions keeping in mind the goals and objectives of the department
3. Recognize the entire scope of an issue and participate objectively towards resolution with other team members.
4. Maintains professional personal appearance.
5. Ability to verbally communicate details and understand parameters of job responsibilities to perform in a Hospital Systems setting.
6. Initiative required learning company organization and procedures.
7. Is a team player and interfaces well with employees.
8. Display competency, business professionalism, patient advocacy in all communications both (verbal and written) and interpersonal relations.
9. Ability to provide written communication using best business practices when composing letters, memorandums, and e-mails regardless if the communication is inside the Company or with customers, clients, or providers.
10. Must maintain the highest professional and ethical standards in conducting day-to-day business. Adheres to all Company HIPAA compliance regulations, business and professional ethics, and confidentiality and privacy regulations as outlined in the Corporate Code of Conduct, the Employee Handbook, and the PFS Department policies and procedures.
11. Requires an in depth understand of compliance, regulatory oversight bodies and payer requirements.
12. Represents the company in a positive, customer friendly attitude to other employees, clients, agencies, entities and patients.
13. No supervisory or budget responsibilities.
14. Focus on continuous improvement, learning, accountability, and teamwork
ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.
The hourly rate for this position can range from $18 to $22. The actual compensation may vary outside of this range depending on geographic location, work experience, education, and skill level. Details on ZOLL's comprehensive benefits plans can be found at *********************
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Auto-ApplyInpatient Coder IV
Medical coder job in Broomfield, CO
The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices.
**Essential Functions**
+ Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health.
+ Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or payer specific requirements, charts with extended stay length, multiple surgeries, and numerous consultations
+ Following regulatory guidelines, assigns appropriate diagnosis and procedure codes using ICD-10-CM/PCS, CPT and other coding systems
+ Ensures that coded data accurately reflects the severity of illness, risk of mortality, and quality of care
+ Queries physicians and other clinical staff for clarification or documentation when needed
+ Validates DRG and APR-DRG and ambulatory assignments and reimbursement calculations
+ Abides by the AHIMA Code of Ethics and Standards of Ethical Coding
+ Follows coding policies and procedures and reports any issues or discrepancies
+ Performs coding audits and provides feedback and education to coders and clinical staff
+ Participates in coding quality improvement initiatives and projects
**Skills**
+ ICD-10-CM & PCS
+ Electronic Health Record
+ Anatomy, physiology & pathophysiology
+ Accuracy
+ Detail oriented
+ Coding software
+ Interpersonal skills
+ Computer literacy
+ Coding regulations
+ Analytical Skills
**Required Qualifications**
+ High School Diploma or GED required.
+ Coding Certification from AHIMA or AAPC.
+ Demonstrates expert level ability to understand and compliantly apply complex coding and billing requirements.
+ Demonstrates strong knowledge and understanding of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG, and APR-DRG classification systems.
+ Ability to complete and pass internal coding exam.
+ Demonstrated proficiency in using coding software, electronic health records, and other health information systems.
+ Demonstrated excellent communication, interpersonal, and analytical skills
+ Ability to work independently and collaboratively in a fast-paced environment
**Preferred Qualifications**
+ Associate degree or higher in health information management, health informatics, or related field. Degree must be obtained through an accredited institution. Education is verified.
+ Demonstrated acute care facility coding experience which includes both ICD-10-CM & PCS coding with multidisciplinary service lines.
+ Experience with EPIC EHR and 3M 360 CAC (Computer Assisted Coding), using 3M automation tools.
**Physical Requirements**
+ Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
+ May have the same physical requirements as those of clinical or patient care jobs when the leader takes clinical shifts.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing, and reading signs, traffic signals, and other vehicles.
**Physical Requirements:**
**Location:**
Peaks Regional Office
**Work City:**
Broomfield
**Work State:**
Colorado
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$30.55 - $48.12
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Certified Addiction Specialist JBBS
Medical coder job in Brighton, CO
JBBS Certified Addiction SpecialistLocation: BrightonSchedule: Full-time / M-F, 8a-4p As part of a multi-disciplinary team, the Certified Addiction Specialist will provide direct support to individuals experiencing mental health, substance abuse challenges, and withdrawal management needs.
Essential Duties
✓ Provides substance use disorder treatment services to inmates under the supervision of licensed addiction professionals and in compliance with guidelines
✓ Interviews clients to obtain health history and/or complete intake evaluation, which may include necessary paperwork
✓ Refers to licensed clinicians for follow up as needed; under general supervision, performs counseling, care plan development, case management
✓ Provides services to individuals requiring assistance in dealing with substance abuse problems, including alcohol and/or drug abuse
✓ Acts as patient advocate; listens to inmate concerns and provides counseling and direction
✓ Facilitates individual counselor and group treatment sessions, guiding group behavior
✓ Utilizes a variety of crisis intervention techniques to respond to aggressive behavior
✓ Maintains appropriate clinical documentation, both handwritten and electronically, in an accurate and timely manner to maintain inmate mental health records
Minimum Education/Experience Requirements
✓ Bachelor's degree or higher in Substance Use Disorders/Addiction and/or related counseling subjects (social work, mental health counseling, marriage & family, psychology) from a regionally
accredited institution of higher learning
✓ Active Certified Addiction Specialist (CAS) credential required
✓ One (1) plus years of work experience in a similar position and/or healthcare environment
Additional Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Competencies
✓ Clear and effective verbal and written communication with all coworkers, supervisors, jail administration, and patients
✓ Excellent verbal and written comprehension
✓ Excellent deductive reasoning and problem-solving abilities
✓ Excellent organizational skills; independent worker and self-starter
✓ Ability to use a computer and use/learn a variety of software, including site-specific computer programs
✓ Must demonstrate ability to appropriately and safely use standard medical equipment
✓ Ability to respect the dignity and confidentiality of inmates
✓ Demonstrated proficiency in excellent customer service
Employment Requirements
✓ Must maintain all certifications, educational requirements, licensing, etc. for this position
✓ Must have current CPR/BLS certification
✓ Must have current TB test (taken within one year)
✓ Must adhere to all facility policies and procedures as well as the policies and procedures listed in the Employee Handbook
✓ Willing to assist coworkers in the job duties and work overtime if required; may act as a resource to other coworkers
✓ Maintains confidentiality, dignity, and security of health records and protected health information in compliance with HIPAA requirements
Security Requirements
✓ Must undergo security training and orientation on facility safety policies and procedures
Physical/Mental Requirements
This position routinely requires (but is not limited to) the following:
✓ Ability to both remain stationary and move/traverse throughout the facility, including up and down flights of stairs
✓ Ability to position oneself in different spaces
✓ Ability to convey and discern information in a conversation, frequently communicate with patients; must be able to exchange accurate information.
✓ Ability to identify and detect objects and assess situations from a variety of distances
✓ Ability to stay calm in stressful and demanding situations
✓ Frequently transports objects up to 50 pounds
Work Environment
Work is performed inside a correctional facility. Employees are exposed to some level of risk and/or harm by inmates including exposure to blood borne pathogens. Employee is expected to work in accordance with all security rules and regulations to minimize the risk of danger and/or harm to themselves or other employees.Correctional Nurse / Correctional Healthcare / Correctional Nursing / Corrections / County Corrections / Corrections Nurse / Corrections Healthcare / Correctional Medicine / Forensic Nursing / Jail Nursing
Other
Employee must comply with all current and future State, Federal, and Local laws and regulations, court orders, Administrative Directives and standards and policies and procedures of the site where assigned, including those of professional organizations such as ACA, NCCHC, etc. Employee must treat every other member of the CorrHealth team, all correctional personnel, all inmates and third parties in the facility with the proper dignity and respect. Actions or communications that are inappropriate or degrading will not be tolerated.
Must be able to pass a background check and pre-employment drug test (as applicable).
*Peer Specialist- COPA/ CPFS CERTIFIED
Medical coder job in Colorado Springs, CO
Job Details Southpointe 665 HR/Mktg - Colorado Springs, CO Full Time $18.00 - $18.00 Hourly AnyDescription
As a vital member of the inter-disciplinary team, the Peer Specialist uses his or her lived experiences of recovery, plus skills learned in formal training, to deliver services in behavioral health settings to promote whole person health, mind-body recovery and resiliency. Assists with outreach and peer-based services through the promotion of hope, responsibility, empowerment, and self-sufficiency. Engages clients into services and/or programs aligned with their own recovery path. Fosters the development of connections between individuals and the treatment team. Provides support to individuals experiencing their first episode of psychosis and/or experiencing substance use disorders within their personally defined recovery. Teaches and/or demonstrates healthy relationship concepts, effective communication and other various skills.
Essential Functions:
Serves as a peer mentor/role model by using his or her lived experience of recovery, plus skills learned in formal training, to deliver services in behavioral health settings to promote whole person health, mind-body recovery and resiliency. Shows compassion, dignity and respect; possesses active and reflective listening skills; has a clear sense of boundaries; and is far enough in the recovery process that they can manage job difficulties without compromising their own personal wellness and recovery.
Assists with outreach and peer-based services through the promotion of hope, responsibility, empowerment, and self-sufficiency.
Engages clients into services and/or programs aligned with their recovery by fostering connections between the client and their treatment team.
Educates clients in the learning of new skills in order to increase independence and integrate into the community.
Maintains current knowledge and information on community resources. Assists in the completion of consumer forms within the scope of position in addition to assisting with training, supporting, and guiding clients into volunteer opportunities.
Preserves community relationships that will have a positive impact on services offered to individuals with mental health and substance use issues.
Appropriately applies key concepts and philosophies of Diversus when working with clients in a strengths-based, solution focused approach.
Alerts team of potential crisis interventions as needed.
The environment at Diversus is fluid. Roles and responsibilities may be altered to accommodate changing business conditions and objectives. Employees may be asked to perform duties that are outside of the specific work that is listed. This position may require you to work standard hours, as well as flexible hours before and after standard hours, and overtime in excess of 40 hours in a work week.
Qualifications
Knowledge/Skills/Abilities:
High school diploma or equivalent
Self-identified consumer in recovery from mental illness and/or substance use,
OR a parent of a child with similar mental illness and/or substance use disorder,
OR an adult with an on-going and/or personal experience with a family member with a similar mental illness and/or substance use disorder.
Successful completion of NAMI/COPA/CPFS Peer Provider training program.
Mental Health First Aid Training (completed within 60 days of hire)
Excellent customer service skills.
Proficient computer skills, to include Microsoft Suite, with the ability to type 25+ w.p.m. for the input and output of client information, using electronic medical records.
Strong written and oral communication skills with the capability to accurately and professionally implement and document services rendered.
Ability to develop professional working relationships with partner agencies.
Demonstrated ability to maintain personal wellness and recovery tool.
Shares our commitment to these values and priorities:
Passion Innovation Excellence
Humility FUN Corporate Citizenship
Transparency Integration Value in Diversity
Diversus Health does not discriminate against applicants or employees on the basis of age 40 and over, color, disability, gender identity, genetic information, military or veteran status, national origin, race, religion, sex, sexual orientation or any other applicable status protected by state or local law.
Health Information Operations Manager
Medical coder job in Cheyenne, WY
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.
The Health Information Operations Manager focuses on both front-line People management and leading as account manager at designated sites. The Health Information Operations Manager is responsible for client/customer service and serves as a knowledge expert for the HIS staff. This role may also assist leadership with planning, developing and implementing departmental or regional projects. The Health Information Operations Manager provides support to the VPO. The Health Information Manager will also assist in the new hire process, meeting with clients, and developing staff at multiple sites.
**You will:**
+ Primary Account Manager to Customer
+ Mentor hourly staff and supervisor team for further professional development
+ Responsible for P&L management ($2M+)
+ Oversee the safeguarding of patient records and ensuring compliance with HIPAA standards
+ Own the management of patient health records
+ Participates in project teams and committees to advance operational Strategies and initiatives
+ Lead continuous improvement efforts to better business results
**What you will bring to the table:**
+ Experience in a healthcare environment
+ Passion to identify process improvements and provide solutions
+ Demonstrated ability in leading employees and processes successfully (20+)
+ Coordinates with site management on complex issues
+ Knowledge, experience and/or training in accurate data entry, office equipment and procedures
+ Open to travel up to 50% of the time to multiple sites based on the needs of the region
**Bonus points if:**
+ 2 + years in HIM related experience
+ Provider Care Solution experience
+ ROI exposure
+ RHIT or RHIA Credentials
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.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.
The estimated total cash compensation range for this role is:
$72,000-$78,000 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 (**************************************** .
Medical Records Specialist
Medical coder job in Avon, CO
Join The Steadman Clinic Team and embark on a rewarding career where you'll play a crucial role in delivering exceptional patient experiences for professional athletes and community members alike.
At our Traer Creek Plaza Medical Office in Avon, you'll play an essential role directly supporting patient experiences. As part of The Steadman Clinic Team, you'll be immersed in a culture of excellence that values efficiency, attention to detail, and exceptional communication. You'll also be surrounded by the stunning mountain communities that are home to our clinics, allowing you to enjoy a unique lifestyle that balances professional growth with outdoor adventure and the rewarding experience of making a positive difference in people's lives. If you thrive in a fast-paced, collaborative environment, apply today to become a vital part of our dynamic team at our Traer Creek Medical Office.
POSITION DETAILS
Job Title: Medical Record Specialist (3rd Party Requests)
Status: This is a full-time, year-round, benefits eligible position.
Classification: Non-Exempt - Hourly
Schedule: M-F
Location: This is an in-office position, primarily based at our Avon location.
Pay Range: The entry pay rate for this position is $22.00-$24.00 DOE.
POSITION OVERVIEW
The Medical Record Specialist plays a vital role providing general clerical support to promote efficient and accurate processing of patient records within the Medical Records department. This position involves retrieving, filing, and delivering medical records in a timely manner, while adhering to State, CMS, HIPAA, and HHS regulations. The Medical Record Specialist is also responsible for maintaining confidentiality, providing excellent customer service, and ensuring the accuracy and integrity of medical documentation.
CORE RESPONSIBILITIES
Demonstrate in-depth knowledge of HIPAA, HHS ordinances, and other relevant regulations to ensure compliance in all aspects of medical record management.
Respond promptly and professionally to inquiries from medical staff, department personnel, and billing departments regarding medical records. Retrieve and provide medical records from various platforms and providers as necessary.
Address issues related to missing medical reports or records. Coordinate with clinic staff to resolve discrepancies, and request records from off-site storage when required.
Organize, scan, and maintain medical records and reports, ensuring completeness and accuracy.
Verify the correct entry of data into the electronic medical record (EMR) system on a daily basis.
Conduct routine qualitative analysis of medical records, ensuring all documentation is accurate and complete. Review incoming records for compliance with required documentation standards.
Perform regular maintenance and archiving of physical and electronic medical records as required.
Assist with the maintenance and care of departmental facilities, equipment, and supplies. Report inventory needs and equipment malfunctions to supervisors.
Ensure patient records and sensitive information are maintained confidentially and securely in compliance with HIPAA and other relevant policies. Access and use patient information only as necessary for job duties.
Foster strong working relationships within the department and across other departments. Work collaboratively to ensure the smooth operation of the medical record process and support optimal patient care.
Perform other related duties as assigned
Please note, the responsibilities and scope outlined in this document are not exhaustive and may evolve based on the business's needs. This job description serves as a general overview of key duties and responsibilities but is not intended to be a comprehensive list of all tasks required for the position. Duties may change at any time, with or without notice, and at the sole discretion of The Steadman Clinic.
Requirements
MINIMUM QUALIFICATIONS
High School Diploma or equivalent work experience required.
At least one year of clerical experience in a medical or healthcare setting is preferred.
Proficiency in operating computers and performing data entry required.
Familiarity with medical record management systems and electronic health records (EHR) systems is preferred.
Completion of courses in medical terminology, HIPAA compliance, or privacy training is preferred.
Excellent customer service and communication skills (both written and verbal).
Strong organizational skills with the ability to prioritize and manage multiple tasks.
Proven ability to work independently and handle complex tasks in a fast-paced environment.
Ability to problem-solve and manage workflows effectively.
Strong attention to detail and commitment to maintaining the accuracy and confidentiality of medical records.
Must maintain a professional attitude and demeanor while interacting with patients, staff, and external stakeholders. Ability to contribute to a cohesive, high-functioning team dedicated to providing exceptional patient care.
EMPLOYEE BENEFITS:
We support our employees and their families with a robust, comprehensive benefits package to ensure life in the mountains doesn't come with compromise. Come work with us to enhance your career and thrive in our mountain communities. Benefits eligible employees receive the following:
Health, Dental and Vision Insurance with generous premium subsidies for you and your family.
401(k) Retirement with a Safe Harbor contribution amount equal to 4% of eligible compensation and discretionary profit-sharing contribution.
Time Off Benefits: Staff receive 7 paid holidays annually. Employees can also earn up to 155 hours of PTO within their first year. In addition, employees accrue sick time of 1 hour per 30 hours worked, up to 48 hours / year.
$1000 Wellness Bonus to encourage adopting and maintaining wellness and an active lifestyle.
Tuition & Education Reimbursement to support continuing education and career advancement.
Employee Assistance Program with confidential support from licensed professionals.
Leave Benefits: The Steadman Clinic covers the cost of paid family medical leave in Colorado, basic life and AD&D, short- and long-term disability.
HOW TO APPLY: Applications will be accepted and reviewed on a rolling basis for 30 days from the date of posting. If the position remains vacant after this period, applications will continue to be accepted until the role is filled. Once the position is filled, the job posting will be removed. To apply, please submit your online application through the “Apply” link on this page. Applicants should include a resume and a brief cover letter.
We are an Equal Opportunity Employer. We are committed to equal treatment of all employees without regard to race, national origin, religion, gender, age, sexual orientation, veteran status, physical or mental disability or other basis protected by law.
Salary Description Starts at $22/hour
CJIS Records Analyst Division of Criminal Investigation 2025-02694
Medical coder job in Cheyenne, WY
Description and Functions Open Until Filled Join our team at the Wyoming Attorney General's Office, Division of Criminal Investigation (DCI)! We are seeking a qualified and motivated individual to serve as aCJIS Records Analyst. This position is a crucial link to the Criminal Justice Information Services Section (CJIS) support within the Division. The CJIS section comprises the state criminal history record repository, control terminal, automated fingerprint identification system, uniform crime reporting, concealed firearm permits, applicant tracking unit, reception desk, and the sex offender registry.
The State of Wyoming's total compensation package is excellent and includes:
* Paid annual and sick leave
* Paid holidays
* Retirement with employer contributions
* Deferred Compensation Plan with employer contributions
* Health insurance with an employer contribution toward premiums
* Insurance options for health, dental, life, vision, ambulance, and short and long-term disability
* Longevity pay
Human Resource Contact: Stacy Berres / ************** /********************
ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function that may be performed at the job level.
* Create, verify, and maintain applicable data for the Criminal Justice Information Services section, which includes but is not limited to records pertaining to the state criminal history record repository, control terminal, automated fingerprint identification system, uniform crime reporting, concealed firearm permits, applicant tracking unit, reception desk, and the sex offender registry.
* Make independent decisions and conclusions on behalf of the State; resolve problems accurately.
* Responsible for the accuracy and dissemination of the criminal justice record information as required by the FBI.
* Process records, according to statutes, promulgated rules, policies, and procedures.
* Identify, update, and correct discrepancies in Criminal Justice Information.
* Services section data as appropriate.
* Retrieve and disseminate Criminal Justice Information Services section data and records to law enforcement and non-law enforcement and criminal justice, and non-criminal justice personnel as authorized.
* Utilizes a complete understanding, interpretation, and comprehension of Wyoming State Statutes to analyze, interpret, and evaluate criminal justice legal information and/or utilize state resources appropriately.
* Utilize expert knowledge to resolve issues and create a more productive work environment.
* Act as a liaison between the state criminal justice community and the general public.
* Compiles, records, collates, and reports statistics.
* Provide all administrative functions of the front reception area for the agency.
* Responsible for the administrative management of day-to-day operations, programs, projects, essential assets, human resource-related data, and all other duties as assigned.
* Provide communication on all projects or program areas to ensure the smooth operation of day-to-day business.
* Schedules and maintains appointments for background check applicants needing fingerprinting services.
* Completes tasks associated with criminal justice and noncriminal justice requests from criminal history record information because of fingerprint submission, which includes the receipt of fingerprint cards and fees, data input, auditing, tracking, processing, and mailing responses to requesting entities.
* Screen incoming calls for the director and deputy directors, take messages, use email for communication and scheduling, and other resources.
* Provide answers or information to the public with proper coordination with the Director and Deputy Directors.
* Performs receptionist duties, provides informational services and referrals, records maintenance, and oral and written communication.
* Tracks and manages the agency's telecommunications and vehicle fleet/mileage reporting.
* Attend meetings and prepare records.
* Uphold and promote the agency's mission.
Qualifications
PREFERENCES/AGENCY REQUIREMENTS:
Preference will be given to candidates with a bachelor's degree in criminal justice, law enforcement, public policy or public administration, management, paralegal, statistics, or computer science, PLUS two years of progressive work experience in statistics, computer science, records management, database management, and candidates with strong computer and data entry skills.
Certified and maintained certification for Law Enforcement Telecommunications Systems Operator as required by Federal Bureau of Investigation (FBI) systems access memoranda of understanding.
Must pass and maintain certification on an annual basis, Security Information Systems Access test, and be certified by the FBI's State Information Security Officer.
KNOWLEDGE: The omission of specific statements does not preclude management from assigning other knowledge.
* Knowledge of principles, practices, and methods of records management, computer systems, operations, and a variety of data reporting systems.
* Knowledge of practices and methods of records management and the ability to adapt to changing technology.
* Knowledge in work organization: must be able to multitask efficiently, accurately, and independently.
* Knowledge of principles, concepts, and practices of the judicial system, the criminal justice system, and the law enforcement community.
* Knowledge of state and local law enforcement policies and procedures.
* Knowledge of data entry and collection, and data input procedures.
* Knowledge of office work procedures, standards, and practices.
* Skill in professional oral and written communication, including giving presentations and providing training to personnel with varying skill levels in both formal and informal settings.
* Skills in oral and written communication and interpersonal relations.
* Skill in maintaining collaborative relationships with other agency employees in order to accomplish complete and accurate records and to provide customer service.
* Ability to function with a high degree of independence and to exercise independent judgment.
* Ability to identify possible problem areas in the organizational structure of a records system and provide solutions.
* Ability to interpret and clearly communicate policies and procedures and statutory mandates to various criminal justice agencies.
* Ability to identify, analyze, and compare data in a variety of record systems.
* Ability to maintain confidentiality in all aspects of work.
MINIMUM QUALIFICATIONS:
Education:
Bachelor's Degree
Experience:
0-1 year of progressive work experience in (Criminal Justice Information Systems)
Certificates, Licenses, Registrations:
Valid Driver's License
OR
Education & ExperienceSubstitution:
3-4 years of progressive work experience in (Criminal Justice Information Systems)
Certificates, Licenses, Registrations:
Valid Driver's License
Necessary Special Requirements
NECESSARY SPECIAL REQUIREMENTS:
* Ability to travel statewide and out of state
* Ability to work overtime as required
NOTES:
* FLSA: Non-exempt
* Successful applicants are required to have a valid driver's license
* Successful applicants are required to pass an extensive background investigation.
Supplemental Information
Clickhere to view the State of Wyoming Classification and Pay Structure.
URL: ****************************************************
The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.
Class Specifications are subject to change; please refer to the A & I HRD Website to ensure that you have the most recent version.
Medical Biller/Coder
Medical coder job in Fort Washakie, WY
The Medical Biller/Coder is responsible for translating healthcare services rendered into standardized codes for insurance billing, ensuring accurate reimbursement. This role ensures the efficient processing of patient data, medical records, and insurance claims in compliance with healthcare regulations.
Key Responsibilities:
Accurately assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures based on medical documentation.
Review patient records for completeness, accuracy, and compliance with regulations.
Prepare and submit clean claims to insurance companies electronically or via paper submission.
Follow up on unpaid claims within standard billing cycle timeframe.
Resolve billing issues with insurance companies, patients, and healthcare providers.
Correct rejected or denied claims and resubmit for payment.
Post payments and adjustments to patient accounts.
Generate patient statements and respond to billing inquiries.
Maintain strict confidentiality of patient health information (HIPAA compliance).
Stay updated on coding guidelines and insurance regulations, including Medicare and Medicaid rules.
Assist with audits, reporting, and other administrative tasks as needed.
Required Skills and Qualifications:
High school diploma or equivalent required; Associate's degree in Health Information Management or related field preferred.
Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB), or similar credentials preferred.
1-3 years of medical billing and coding experience in a healthcare setting.
Extensive Medicare and Medicaid Billing experience.
Knowledge of medical terminology, anatomy, and insurance billing procedures.
Proficient with billing software, electronic health records (EHRs), and Microsoft Office Suite.
Excellent organizational, communication, and problem-solving skills.
Ability to work independently and meet deadlines.
APPLICATION REQUIREMENTS:
Submit a completed application with supporting documents to the Warm Valley Health Care, Human Resource Department, P.O. Box 128, Ft. Washakie, WY 82514.
Applications are available at Warm Valley Health Care or for more information contact Stacie Fagerstone, Executive HR Director via email at stacie.fagerstone@warmvalley.health.
Preference will be given to a qualified Eastern Shoshone tribal member, then other qualified federally recognized Indian tribal members and then other qualified candidates.
Applicants must submit a copy of Tribal Enrollment card or CIB for Indian Preference.
Veterans who meet the minimum qualifications and provide documentation of an honorable discharge (DD214) from any branch of military service are entitled to receive preference points during the interview process.
Any offer of employment is contingent dependent on negative drug test results, reference checks and background check. Refusal to undergo required testing or testing positive will render the applicant ineligible for employment.
Must pass pre-employment drug screening.
Successfully pass the employment background check.
Risk Adjustment Coder
Medical coder job in Denver, CO
Job DescriptionDescription:
*Hybrid Role, must be located in State of Colorado*
Join Carina Health Network and help us make Colorado communities healthier!
Are you passionate about population health and interested in improving patient experience and outcomes? If so, we support several community health organizations (CHO), and this company is for you!
At Carina Health Network, we are transforming community health by delivering proactive, data-informed, and whole-person care that drives measurable impact. Our work helps people stay healthier longer, by supporting community health organizations who have patients with chronic conditions like diabetes and high blood pressure, ensuring regular check-ups for older adults, and identifying mental health needs early. We help community health organizations prevent costly ER visits by connecting people with the right care at the right time. Through our value-based care programs, we empower frontline care teams to improve outcomes while earning fair, sustainable reimbursement. By saving money and reinvesting in community services, we strengthen the systems that care for the most vulnerable, making a real difference in the lives of patients and providers alike. Join us in reimagining the future of health care, where your work truly matters.
What You'll Do
The Value Based Coding Advisor will interact with operational and clinical leadership to assist in the identification of Risk Adjustment/HCC coding opportunities, and will provide targeted education to CHC providers, billers, coders, and support staff to support value-based contract initiatives.
Risk Adjustment/HCC Coding Support and Education
Educates providers and staff on coding regulations and changes as they pertain to risk adjustment and quality reporting to ensure compliance with federal and state regulations.
Assist the department, direct supervisor and Carina in the development of education tools related to risk adjustment/HCC coding and gap closure.
Supports the creation of education that will train CHC providers, billers, coders, and support staff, as well as Carina staff, for risk adjustment/HCC coding opportunities.
Maintains a database with the results of all medical chart reviews performed, with ability to report on progress and statistics on coding initiatives.
Pre-Visit Planning (PVP)
Performs weekly Pre-Visit Planning reviews for assigned CHC's and will query providers or other identified team member to further
Value-based contract initiatives including coding recommendations based on internal and external medical records, review of payer portals and suspected conditions, and review of care gap and clinical documentation.
CHC Support
Holds monthly meetings with identified coding champions, provide education and training to CHC providers, billers, coders, and support staff in proper coding guidelines; and documentation education based on PVP observations and monthly topics.
Provides monthly chart reviews of randomly selected patients and providers participating in Pre-Visit Planning (PVP) program to give feedback on missed opportunities and errors.
Gap Closure Success
Reviews patient charts to identify areas for quality gap closures and provide compliant documentation to appropriate payers resulting in gap closures for assigned CHC's.
Ensures that providers understand CPT II coding for the purposes of quality gap closure and reporting.
What We're Looking For
High School diploma or equivalent.
Minimum 2 years coding experience
The American Academy of Professional Coders (AAPC) Certified Risk Adjustment Coder (CRC) or AHIMA certification is required; Certified Professional Coder (CPC) Certification will be considered with Risk Adjustment/HCC Coding experience and willingness to obtain CRC within 1 year of employment
Risk Adjustment experience required.
FQHC billing experience is highly preferred
Experience with clinic billing and coding required
Knowledge of several EHR systems preferred (ECW, Athena, Greenway Intergy, Epic).
Clinical background preferred
Strong knowledge of CMS coding and quality guidelines.
Strong knowledge of PowerPoint, excel and Microsoft word with the ability to manipulate basic information and data required for preparing reports and delivering training.
Exceptional interpersonal, public speaking, and presentation skills to deliver training and education is preferred.
Ability to facilitate group discussions that challenge participants and promote discussion of new approaches and solutions based on data and value-based care initiatives.
Ability to travel to and within the state of Colorado- 25% travel within the state of Colorado with an unrestricted driver's license and an insured vehicle.
Working Environment
Work from home with 25% travel responsibilities within the state of Colorado
Prolonged periods of sitting at a desk and working on a computer
Why You'll Love Working Here
Insured group health, dental, & vison plans (Employer covers 100% cost for dental and vision)
Medical and dependent care flexible spending account options
*$900 Employer Contributions towards your choice of a Health Reimbursement Employer (HRA) or Health Savings Account (HSA)
401k retirement plan with up to a 4% employer contribution match
100% Employer-Paid Life, AD&D, Short-Term and Long-term disability plans paid for employees
Free 24/7 access to confidential resources through an Employee Assistance Program (EAP)
Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, and hospital indemnity coverage
17 days of paid vacation within 1 year of service
12 paid sick days accrued by 1 year of service
14 paid holidays (which includes 2 floating holidays)
1 Paid Volunteer Day
Employer-paid programs/courses for staff's growth and development
Cell phone and internet reimbursement
Competitive salary and full benefits
Annual, all expenses paid Staff Retreat
Flexible work (remote or hybrid)
Supportive, mission-driven team
Opportunities to learn and grow
Carina Health Network is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Requirements: