Medical coder jobs in Lexington, KY - 253 jobs

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

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

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 30 💙 Why You'll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We're guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you - personally and professionally. Enjoy: - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Job Summary: Processes medical records by coding, abstracting data and producing information for third party billing and to provide a complete statistical data base. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Reviews inpatient or observation, same day surgery, and interventional procedure records, identifies and codes principal and secondary diagnoses and principal and secondary procedures in appropriate sequence so that the accurate DRG/APC will be assigned according to Official Coding Guidelines to provide information for billing purposes. Meets department coding standards for quality and productivity of 96%. New staff are expected to meet these standards upon completion of the training period. Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards. Abstracts demographic and medical information into abstracting software following departmental guidelines to provide for accurate database for statistical reference. Completes various reports such as productivity reports, statistical reports and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits updates accordingly. Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, physician queries, rebills, etc. Attends educational programs and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e. Coding Clinic and CPT Assistant). Performs other duties as assigned. Education, Credentials, Licenses: Associate or Bachelor's degree (or equivalent hospital based coding experience. CCS, CIC or COC credentials Physician coding credentials CCS-P and CPC are not preferred but recognized for coding other than inpatient. An apprentice credential is not sufficient. Specialized Knowledge: Medical Terminology, Anatomy and Physiology, ICD/CPT experience, Prospective Payment Systems, Outpatient Medical Necessity, use of personal computer. Kind and Length of Experience: Five years hospital coding experience. Proven verbal and written communication skills FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

Client Profile\- An Indiana based Independent Physician\-Owned radiology practices founded in 1967. Job Summary\- The Radiology Coder is responsible for coding and charge submission activities, including abstracting CPT Professional Fee Coding and inpatient\/outpatient coding and billing. This involves reviewing medical records and assigning appropriate ICD, CPT, and HCPCS codes. Job Duties Review and analyze medical records ensuring the correct assignment of ICD\-10, CPT and HCPCS codes. Accurately code diagnostics imaging, interventional radiology procedures and other radiological services Ensure that documentation supports the assigned codes and matches physician orders and radiology reports Abstract relevant data such as procedural dates, providers, and patient demographics for billing and reporting. Collaborate with radiologists and other medical professionals to clarify diagnoses and procedures when documentation is insufficient or ambiguous. Provide feedback to healthcare providers on coding issues and documentation improvement. Adhere to coding guidelines, healthcare regulations and policies. Stay updated with the latest coding changes, insurance requirements and compliance issues related to radiology. Ensure accurate and timely submission of medical claims for radiology services to insurance companies and government programs Follow up on denials, rejections and discrepancies to resolve billing issues. Audit coding accuracy periodically and participate in quality improvement programs. Manage EMR and other health information systems to store and retrieve coded information efficiently. Offer up help and training if needed, to fellow employees Must be a team player and adjust positively to new ides and procedures when implemented Other duties are requested or assigned. May perform payment responsibilities. Requirements Qualifications High School Diploma, 3+years of medical coding experience. Excellent customer service skills, strong attention to details, multi\-task as needed. Must be familiar with an EMR; Microsoft Office 365 Must be able to take responsibility and work under pressure. Work efficiently in a busy medical office. Previous medical office experience is a must. Must be a positive team player. Strong knowledge of ICD\-10, CPT, and HCPCS codes specific to radiology is a plus. Proficient in medical terminology, especially radiological terms and procedures. Days\/Hours: M\/F 8a to 5pm (Availability to start as early as 7a and work as last as 6:00pm is a plus) Starting pay $22.00 to $25.00 hourly (Based on experience) "}}],"is Mobile":false,"iframe":"true","job Type":"Full time","apply Name":"Apply Now","zsoid":"637562732","FontFamily":"PuviRegular","job OtherDetails":[{"field Label":"Industry","uitype":2,"value":"Health Care"},{"field Label":"Work Experience","uitype":2,"value":"4\-5 years"},{"field Label":"Salary","uitype":1,"value":"$22.00 to $25.00"},{"field Label":"City","uitype":1,"value":"Indianapolis"},{"field Label":"State\/Province","uitype":1,"value":"Indiana"},{"field Label":"Zip\/Postal Code","uitype":1,"value":"46278\-6013"}],"header Name":"Medical Coder","widget Id":"378023000000072311","is JobBoard":"false","user Id":"378023000000129003","attach Arr":[],"custom Template":"3","is CandidateLoginEnabled":true,"job Id":"378023000019415025","FontSize":"14","google IndexUrl":"https:\/\/damarstaff.zohorecruit.com\/recruit\/ViewJob.na?digest=krrjnw0McruKEcBpdCN2b5z8N3NfMq91Bczd39zPAu0\-&embedsource=Google","location":"Indianapolis","embedsource":"CareerSite","indeed CallBackUrl":"https:\/\/recruit.zoho.com\/recruit\/JBApplyAuth.do","logo Id":"bwqpaaffe7322cffe4bffa5b588f3b3db2601"}

Job Description The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting. The Coder is also responsible to assist the Revenue Cycle team. Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided. Job Requirements Minimum Education Requirement Training/certification from an accredited coding/billing program. Must be certified upon hire, or successfully complete certification exam within 3 months of hire. Minimum Experience Requirement Three years' experience in medical office billing preferred. Working knowledge of computers, billing and basic office software, especially Excel. Ability to communicate with all levels of staff. Analytical ability to detect trends in reimbursement/collections and to recommend or take corrective action. Prior experience using encoder software. Demands are typical of a position in a medical billing office, with extensive periods of sitting at a desk working on a computer. External applicants, as well as position incumbents who become disabled, must be able to perform the essential functions, either unaided or with the assistance of a reasonable accommodation, to be determined on a case-by-case basis. Required Skills Because medical billing duties are so varied, a flexible skill set is needed to perform them well. The following skills and personality traits are necessary to succeed in the field of medical billing/collections. Ability to multi-task Ability to understand insurance denials and payer remittances Ability to understand different insurance policies/coverages Ability to employ people skills to handle different personalities and situations Essential Functions Coder responsibilities below are subject to change as the job demands change: Using encoder software to compliantly apply appropriate CPT/HCPC and ICD codes to claims. Use claims submission software to review and resolve any rejected/denied or otherwise unpaid claims. Promptly reports any trends or issues impacting timely coding and billing of claims to management team. Collaborates with team, including providers, practice managers and revenue cycle to resolve. Act as a consultant for billing/coding questions from BMS practice staff. Maintain coding credential and staying up to date on changing guidelines by obtaining an appropriate number of CEUs Researching unpaid claims. Submitting appeals as necessary. Researching and resolving credit balances. Employee Statement of Understanding I understand that this document is intended to describe the general nature and level of work being performed. The statements in this document are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. Monday thru Friday 8am to 430pm Full Time FTE 40 hour per week

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

We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.

We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.

Baptist Health is looking for a Coder Outpatient Surgery to join their team! This is a remote position that requires residency in KY or IN Function in a fully accountable role with respect to ensuring the overall quality of outpatient surgery and observation coding with continuous quality improvement when indicated. The coder ensures that accurate and complete coding is performed so it can be used for measuring and reporting physician and hospital outcomes. The coder maintains an extensive up to date knowledge of clinical coding and has an extensive knowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHA Official Coding Guidelines as they pertain to diagnosis and procedural coding. Essential Duties: Ensures that accurate and complete coding is performed on outpatient surgery and observation encounters to be used for all reporting agencies and for measuring and reporting of physician and hospital outcomes. Utilizes and is proficient with ICD 10-CM and CPT coding. Maintains knowledge of up-to-date coding guidelines as well as knowledge of changes as they relate to AHA Coding Clinic and CPT Assistant. Maintains knowledge to anatomy and physiology, medical terminology, and medical procedures. Maintain extensive, up-to-date knowledge of Local and National Coverage Determinations and other CMS transmittals as related to outpatient surgery and observation coding. Maintains proficiency with the electronic health record, coding software and all other coding and documentation systems required to accurately code and abstract a claim while producing a clean claim. Reviews the medical record at the time of coding to evaluate whether existing documentation supports diagnosis and procedure code assignment or whether additional clarification is needed through defined and compliant process for provider queries. Performs coding and abstracts all required data fields according to the standardized policies and procedures determined by management team. Ensures all ADT information is accurate on all outpatient encounters. Maintains quality and quantity standard of work performed as set by system management team. Reviews all coding edits and track errors as requested for contract coders Qualifications: High School/GED with 2 years job related experience RHIT, RHIA, CCS, CPC, or COC required Work Experience Relevant Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.

Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system. Assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. MISSION, VALUES and SERVICE GOALS * MISSION: We deliver outstanding care, inspire health, and connect with heart. * VALUES: Trust. Respect. Integrity. Compassion. * SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and abstracting by: * Checking the diagnosis and procedure to ensure accurate coding and sequencing as specified by established coding principles and guidelines, following AHA, AHIMA, and CMS coding guidelines for outpatient and inpatient records. * Obtaining accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, laboratory, radiology, operative and pathology reports. * Coding all procedures on inpatient records (all payors) and outpatient surgical records according to ICD-9-CM Codes, CPT-4 or Physician E&M (Evaluation & Management) Level Code (as applicable). * Referring questionable diagnoses and sequencing issues to the physician for clarification. * Communicating with the Patient Accounts staff and coordinating with department Manager any questionable abstract or coding problems. * Assigning ICD-9-CM Codes and completing a coding summary. * Reviewing and evaluating error messages and all incompatible DRGs to the manager or coordinator for a second level review. * Completing medical records for abstracting. Resolving any medical necessity related issues. Completes medical record data entry duties by: * Abstracting diagnosis and procedure codes into the Hospital computer system according to specified guidelines. * Designating APC assignment on outpatient medical records. * Assigning accurately, when applicable, a DRG or APC to Medicare, Medicaid and other required payor's records with the assistance of various computerized grouper software. * Abstracting professional E&M codes, professional procedure codes, and technical component procedures into the Hospital computer system charging module according to specified guidelines. * Accurate and timely entry of charges on ED and OBS charts according to guidelines if applicable. Ensures accurate and up-to-date coding by: * Quarterly internal and external auditing. * Reviewing Coding Clinic and attending coding workshops to enhance coding skills. * Billing software edits. * For the coding of diagnostic reports, a productivity standard of 250 reports is to be met and medical necessity holds resolved (based upon an 8 hour work day). * For the coding of inpatient, ambulatory surgery/observations and emergency records, one of the following productivity standards must be met (all include data entry and are based upon an 8 hr work day): * Inpatient Records: Coder I (15-19) * Ambulatory Surgery/Observation Records: Coder I (28-43) * Emergency Records Facility Records: Coder I (50-69) * Emergency Records Professional Records: Coder I (60-79) Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by: * Completing other job-related duties and projects as assigned. ORGANIZATIONAL RESPONSIBILITIES Associate complies with the following organizational requirements: * Attends and participates in department meetings and is accountable for all information shared. * Completes mandatory education, annual competencies and department specific education within established timeframes. * Completes annual employee health requirements within established timeframes. * Maintains license/certification, registration in good standing throughout fiscal year. * Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department. * Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. * Adheres to regulatory agency requirements, survey process and compliance. * Complies with established organization and department policies. * Available to work overtime in addition to working additional or other shifts and schedules when required. Commitment to Beacon's six-point Operating System, referred to as The Beacon Way: * Leverage innovation everywhere. * Cultivate human talent. * Embrace performance improvement. * Build greatness through accountability. * Use information to improve and advance. * Communicate clearly and continuously. Education and Experience * The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of coursework in medical terminology, anatomy, physiology and comprehensive knowledge of ICD-9-CM and CPT-4 coding principles. Attainment of certification as either RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist-Physician), CPC (Certified Professional Coder), or CPC-H (Certified Professional Coder-Hospital) or CCA (Certified Coding Associate credentialing and maintenance of the certification is required. One year of coding experience is preferred. * Non-Credentialed: CCCA (Certified Coding Associate) credentialing is required within two years of the start date and applicable for the position. Maintenance of the certification is required. Quality and productivity standards are the same as Level I. Knowledge & Skills * Requires knowledge of medical terminology, anatomy and physiology necessary to code patient medical records utilizing established but specialized technical coding processes. * Requires knowledge of the fundamentals of DRG assignment and optimization. * Requires knowledge of state and federal regulatory guidelines for reimbursement in the prospective payment system in order to interface with physicians. * Requires the analytical skills to compile and process patient information abstracted from patient records. * Requires familiarity with computer data entry. * Requires accurate typing skills of at least 40 w.p.m. * An accuracy rate of 92% for inpatient and outpatient records is required for the Level I and II position. An accuracy rate of 95% for inpatient and outpatient records is required for the Coding Specialist position. * Demonstrates the interpersonal and communication skills (both verbal and written) necessary to interact with staff, physicians, and others. Working Conditions * Works in an office environment. * May experience some mental/visual fatigue from careful and constant review of records, code books, and continued use of computer equipment. Physical Demands * Requires the physical ability, motor coordination and stamina to perform the essential functions of the position.

Responsibilities Medical Records Certified Coder Opportunity: Full Time, Dayshift Monday-Friday, Inperson $2,500 Sign On Bonus As the only free-standing psychiatric hospital in the Central Kentucky area, we are here to help. Please join our team as we expand our services to meet the needs of our community. The Ridge Behavioral Health System is a 110-bed hospital located in the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use disorder treatment for children, adolescents, and adults. The Ridge offers Partial Hospitalization, Intensive Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 39 years. Job Duties include: * Meets coding quality score of 95% accuracy in assignment of diagnoses and procedure codes as measured by the quarterly coding audit performed by Corporate. * Coordinate treatment through treatment planning, the treatment team process, and utilization and review. * Meets productivity standard of 11 charts coded per day (based on average of the year) * Processes discharged charts within 72 hours of discharge. What We Offer You: * Competitive Compensation & Generous Paid Time Off * Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and discounted stock plan * Sign On Bonus Program, Tuition Reimbursement Program, Retention Bonus Program, and Referral Bonus Program * Challenging and rewarding work environment with the opportunity to make a difference in the lives of others. * Career development opportunities within UHS and its 300+ Subsidiaries * Close to Hamburg & I-75 * Free parking on premises * Free meal with each shift About Universal Health Services: One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network, and various related services located all over the USA, Puerto Rico, and the United Kingdom. ************ Qualifications Job Qualifications: Education * High school Diploma or G.E.D. required. Certifications/Licensure * CCA or CCS or RHIT Experience * Preferred previous experience working as a coder in a medical record department. * Preferred 1-2 years of experience coding psychiatric codes Other Skills * Able to follow clear instructions. * Excellent phone and communication skills. * Good organizational skills. We encourage you to apply to become a part of our team as we set out to be the provider of choice for psychiatric care! EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.

JOB TITLE: Medical Record Specialist DEPARTMENT: HIM REPORTS TO: Medical Records Supervisor Is accountable for the delivery of consistently high quality effective and efficient entry of information into the computer system. Functions under the supervision of Medical Records Supervisor. Ensures appropriate organizational practices are in use. Promotes good public relations through contacts with patients, practitioners, visitors, employees, peers and the public at large. Maintains confidentiality of patient information. POSITION ACCOUNTABILITIES ESSENTIAL FUNCTIONS: Collects emergency room, inpatient, outpatient, and swing bed records from their respective departments on a daily basis. Assembles outpatient, emergency room, inpatient & swing bed records according to specific guidelines making sure appropriate test results are incorporated into the medical file. Scans all outpatient, emergency room, inpatient and swing bed once sorted and assembled. Ability to read and comprehend a large variety of memos, insurance requests, business letters, physician orders, nursing notations, diagnostic department reports and other information contained in patient's records. Answers the telephone and performs necessary tasks. Routes & retrieves records needing signatures to clinic areas, the ER, and surgical departments. Maintains a log of medical records requests to ensure timely completion, and ensures that all requests are processed within 30 days of receipt. Utilizes the EMR Software program to locate patient information on the financial and the clinical side. Handles requests for information following required guidelines. Abides by changes within the department. Obtains required signatures on forms according to established procedures and ensures information recorded is complete and accurate for processing of charges and billing. Processes incoming and outgoing telephone calls efficiently, politely and quickly as possible while responding to inquires according to established policies for release of information. Promotes a positive hospital image to patients and physicians by possessing a professional appearance and attitude. Assists in maintaining established departmental policies and procedures, objectives, quality improvement program, safety and environmental standards. Assists in maintaining departmental reports and records as directed. Assists in implementing department specific goals and objective in keeping with overall organizational goals and objectives. Assists in maintaining adequate and effective communication between Medical Records/Business Office and ancillary departments for problem solving. Interacts with others (on the phone or in person) in a positive, professional and appropriate manner. Works cooperatively with others. Has respect for and an understanding of the contributions of all team members. Attends required meetings and participates in educational programs and in-service meetings. Protects patient confidentiality by promoting appropriate staff communication practices. Works shifts as required. Performs other related duties as assigned or requested. Understands HIPPA and the guidelines that must be followed in order to effectively protect the patients privacy. Qualifications POSITION QUALIFICATIONS MINIMUM EDUCATION High School Graduate or GED PREFERRED EDUCATION High School Graduate or GED MINIMUM EXPERIENCE 1 - 2 years with basic understanding of medical terminology PREFERRED EXPERIENCE 3- 5 years with basic understanding of medical terminology

$15-$17 per hour, depending on experience 20 hours per week Centurion is proud to be the provider of comprehensive healthcare services to the Indiana Department of Correction. We are currently seeking a part-time Medical Records Clerk to join our team at Wabash Valley Correctional Facility located in Carlisle, Indiana. The Medical Records Clerk is responsible for initiating and maintaining offender health records, responding to requests for health records, and performing clerical duties. Works closely with healthcare staff to ensure maintenance and accountability for offender health records to support continuity of care. * Working with patient consults * Auditing consults and grievance logs/roll-up reports * Working extensively with Microsoft Office applications, including Word, Excel, and Access

Full-time Description What We're Looking For Are you a proactive problem-solver who takes pride in delivering meaningful work that makes a lasting impact? We're looking for a driven and detail-oriented professional to join our team as a Billing Coder - FQHC / PPS Specialist. In this role, you'll play a vital part in ensuring financial stability, compliance, and continued mission impact, helping us move forward with purpose and precision. The ideal candidate values continuous learning, leads with a welcoming spirit, takes ownership of their work, and is passionate about supporting people and building stronger communities. We are seeking a highly experienced Billing Coder with deep FQHC expertise for our billing team-particularly in Prospective Payment System (PPS) and Medicare FQHC billing. Essential Job Duties: Serve as a subject-matter expert for PPS and FQHC billing workflows Ensure accurate, compliant coding and claim submission Support denial resolution, rebilling, and staff education Act as a technical resource to the Billing Manager and billing team Accurately bill FQHC encounters under the Prospective Payment System (PPS) Apply correct Medicare FQHC G-codes (G0466-G0470) and Revenue Code 0521 Maintain compliance with HRSA FQHC certification standards, including sliding fee scale and encounter documentation requirements Serve as a go-to resource for complex billing questions What We Offer Attending to your needs today: Your ideas, input, and contributions are valued and recognized. Excellent clinical, administrative, and management support. Forward-thinking, collaborative, transparent, and inclusive company culture. Employee Assistance Program. Competitive Medical, Dental, and Vision plans. Competitive Market Value Compensation. Generous Paid Time Off. Tuition assistance. Protecting your future: Medical, dental and vision insurance 403(b) retirement plan with match Employer-paid life insurance Employer-paid long-term disability Third Street is an equal opportunity employer. Our goal is to be a diverse workforce that is representative, at all job levels, of the communities and patients we serve. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. If you require reasonable accommodation in completing this application, please direct your inquiries to ************************ or call ************ ext. 2201 Requirements Qualifications: High school diploma or GED required Demonstrated experience billing for an FQHC (required) Strong working knowledge of: Prospective Payment System (PPS) Medicare FQHC G-codes (G0466-G0470) Revenue Code 0521 HRSA compliance requirements for FQHC billing Experience with claim research, appeals, and payer follow-up Proficiency with EHR and billing systems, preferably Epic. About Us: Third Street is a patient-centered medical home driving change in the community. We adapt to the needs of those we serve while building services to fill gaps in care to invest in a healthier future for all. At Third Street, we provide high-quality care through the continual learning of our employees and by building a diverse team. We value our employees, communicate our expectations, and train our team on best practices. Organizational Information: Established in 1994, Third Street Family Health Services is a regional not-for-profit community health center providing medical, dental, OB/GYN, pediatric, community outreach, and behavioral health services across eleven locations in Richland, Marion, Ashland, and Crawford counties. Our mission is to deliver comprehensive health and wellness care, accessible to all in the communities we serve. We believe that the health status of our community can be improved by providing accessible and affordable health care, advocacy, and community health initiatives. We provide patient-centered care and provide our services with respect, integrity, and accountability top of mind. For more information, visit tsfhs.org or find them on Facebook or Twitter. Mission: To deliver comprehensive health and wellness care, accessible to all in the communities we serve.

At White House Clinics, we do health care differently. Our multi-disciplinary care teams incorporate the expertise of medical, dental, behavioral health, pharmacy, and care navigation professionals to provide patients with comprehensive care designed to help them achieve their health goals. While our work is fast-paced, our teams enjoy being able to work collaboratively to support patients. White House Clinics employees enjoy a competitive wage and robust benefit package including: Employer Paid Health, Life & Disability Insurance 4 Weeks of PTO Retirement Plan with up to 4% employer match 8 Paid Holidays Many employees work alternative work schedules which allow them a day off during the week. At White House Clinics, we believe in providing our employees with opportunity for both personal and professional growth in a challenging and rewarding work environment. We recognize the contributions that each person makes to the team and value each person's input as we work to deliver outstanding patient care. Health Information Associate The HIM department is looking to hire an energetic and flexible staff member to join the hardworking team players already in the HIM department. The Health Information Associate works to provide medical information to the health care team, vital to providing quality patient care. This employee will assist with Care Coordinator duties (reporting and organizing patient data to highlight care gaps), Health Information SAssociate duties (the retrieval, distribution, scanning and posting of medical records and reports), and Referral Coordinator duties (scheduling all outside specialty and diagnostic appointments ordered by medical providers). Health Information Associate Primary Duties Distribute the daily records and reports to the appropriate providers within the clinic. Scan all health care records and reports from outside facilities. Post scanned documents into the appropriate categories within the correct patient's electronic health record. Abstract and enter data into the electronic health records. Obtain immunization records, hospital records, and records as requested. Complete all Release of Information requests for outside entities: Requests for electronic records will be completed within 3 business days and paper record requests will be completed within 10 business days. · Assists with other duties or in other departments as instructed by supervisor. Referral Coordinator Primary Duties Receive and accept tasks in inbox from providers. Obtain preauthorization from insurance companies, if necessary. Schedule specialty or diagnostic referrals with outside practices or hospitals within three business days. Faxe orders and necessary medical records to the facility receiving the referral. Document required referral appointment information in the referral template in NextGen. Schedule STAT referrals within 24 hours of the time of the order. Notify patient of appointment date, time, and location. Follow up with orders that are faxed to facility to obtain an appointment date. Maintain referral and diagnostic log by contacting offices to identify patient compliance and request records from appointment be sent to our office. Ensure Diagnostic referral log is updated daily, and records are received within one week. Ensure Specialty referral log is updated weekly, and records are received within four weeks. Care Coordinator Primary Duties Responsible for the comprehensive and accurate completion of the Care Coordinator Worksheets related to the proactive office encounter model of care. Prior to a patient's medical appointment, the Care Coordinator will: Print a list of each day's appointments for all assigned providers. Add all appropriate Care Guidelines to the patient's NextGen health record. Using data mining and abstraction, accurately identify which health measures have been appropriately completed. Identify which health measures are outstanding and necessitate completion on the Care Coordinator Worksheet based on guidelines set forth organizationally. Provide the Care Coordinator Worksheet to the medical care team prior to the day's visit. Actively participate in medical care team huddles prior to the day's appointments. JOB REQUIREMENTS Minimum Education: High School Diploma or GED Minimum Work Experience: Minimum one year of experience in a health care setting preferred. Qualifications Successful applicants will be mature and well organized. Candidates should have knowledge of HIPAA regulations relating to PHI and release of PHI as well as working knowledge of computer basics including Microsoft Excel and Word programs. Candidate should possess ability to effectively communicate with a variety of colleagues. Successful applicants will have strong organization skills, attention to detail, ability to multitask, and meet deadlines. ACCOUNTABILITY Accountable to the Health Information Management Service Line Manager. From time to time, the employee may be directly accountable to the Chief Operating Officer for duties associated with special programs or assignments. TYPICAL PHYSICAL DEMANDS This position requires sitting, some bending, stooping and stretching. Eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment are also required. Position requires normal range of hearing and eyesight to record, prepare, and communicate appropriate reports. Employees will be required lift papers or boxes up to 50 pounds occasionally. TYPICAL WORKING CONDITIONS Work is performed in office environment and involves frequent contact with staff and the public. Position may involve dealing with angry or upset people. Evening and/or weekend work is required. Work may be stressful at times. TRAVEL REQUIREMENTS Regular travel is not a requirement for this position. Employees may be requested to provide coverage for another clinic on occasion. SALARY Starting at $15.04 WORK HOURS 37.5 hours (Irregular work hours, some overtime possible at times.)

Maintain all facility medical records in accordance with State and Federal regulations. Maintain the Policies and Procedures of Edgewood Estates Qualifications High School graduates with some business training preferred. Experience as Certified Medication Aide (CMA) and State Registered Nursing Assistant (SRNA) desired, but not required. Knowledge of medical records with computer background preferred, but not required. Duties and Responsibilities Order supplies every week as needed. Print charges for Business Office Manager at the beginning of each month and as needed. Check weekly, and supply forms to each nurses station as needed. Send care plan letters to families. Fill out nurse aide flow records monthly and file old ones when changed out. File all records in chart (I and O), skin sheets, signed physician orders, etc.) Pick up supplies from various stores and from pharmacy as needed. Monitor and track when physician visits and progress notes are due. Assist with monthly chart audit as directed by the Director of Nursing. Thin medical records and file records as needed. Request medical records from physicians, hospitals and other facilities as needed. Coordinate admission of residents with Social Services Director. Prepare charts for new residents and check admission information for accuracy and completeness. Insure receipt of all records for resident discharges from facility by checking the list of discharge residents. Assemble contents of the medical record into established order for permanent filing. Create forms on the computer as needed to assist with policy and procedure formation as directed by the Administrator. Code invoices. Serve as member of the Fall/Restraint Committee. Prepare and submit current restraint list and inventory of restraints/alarms to weekly meeting. Prepare and submit minutes of weekly Fall Committee meeting. Serve as member of the Safety Committee.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **Position Highlights** **This is a Remote Role** + Full Time: Monday-Friday either 7:30am-4pm (CST) or 8:00am-4:30pm (CST) Need to be sure that phones are covered from 8am-4pm (CST). + Ability working in a high-volume environment. + Assist patients and requesters with phone calls + Process mail and faxed requests + Use multiple screens, software systems + Processing medical record requests + Documenting information in multiple platforms using two computer monitors. + Proficient in Microsoft office (including Word and Excel) **Preferred Skills** + Knowledge of HIPAA and medical terminology + Familiar with different EHR and Billing Systems + Experience working with subpoenas **We offer:** + Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor + Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 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 (**************************************** .

Responsible for ensuring proper codes are used in order to maximize returns. Works under the supervision of the office manager Principal Duties & Responsibilities: * Responsible for Coordinating Laboratory and Pathology coding/billing by receiving patient treatment codes to use in reimbursement claims * Responsible for creating reimbursement claims and transfer to Medicare/third party payers * Responsible for Coordinating reimbursement activities including pending with errors and denials with insurance companies using e-Clinical Works. * Responsible for communicating with Physician and their office billing/coding issues. * Responsible for submission for paperwork to insurance when required. * Responsible for e Clinical works billing processes and workflows. * Assist patients and PARs with patient billing issues * Responsible for communicating coding/billing issues with Laboratory Management. Other Essential Duties May Include (but are not limited to): * Provides support to front desk personnel by answering phones, scheduling appointments, etc. * Other duties as assigned Knowledge, Skills & Abilities Required: Required: * Must be disciplined, organized, detail orientated and practice excellent customer service and phone skills. * Knowledge of ICD9, ICD10 and CPT codes and manuals required * Previous experience with medical claim entry/processing * Experience with medical insurance carrier requirements and processes * Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame * Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed * Demonstrates adaptability to expanded roles. * CPC or CCS-P or able to pass Toledo Clinic's comprehensive coding test Preferred: * Medical Billing & Coding/Insurance diploma and certification Education: * HS diploma or GED required.

Job Description The ideal Clinical Reimbursement Specialist Candidate is very detailed orientated, organized, self-motivated, a love for supporting and training Stakeholders. The ability to travel to assigned sites Monday - Friday is a must. Responsibilities Assist with systems development and implementation of programs that apply to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare/Medicaid guidelines for all SHC Stakeholders. Assist with design and presentation of RAI, PPS, Quality Measures, Medicare and Medicare education utilizing various types of media, technology, workshops, classes, and one on one. Conduct facility site visits to orient new MDS Coordinators as well as to evaluate and reinforce RAI/MDS/PPS processes. Qualifications Current licensure as a Registered Nurse with ability to obtain multi-state licensures. Minimum of five (5) years related experience as a licensed Registered Nurse in a long-term care setting. MDS Experience in LTC in the past two (2) years Willing to travel eighty to ninety percent (80% - 90%) travel with overnight stays.