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Medical coder jobs in Lincoln, NE

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  • HealthMarket Clerk

    Hy-Vee 4.4company rating

    Medical coder job in Lincoln, NE

    Additional Considerations (if any): Must be 18+ - At Hy-Vee our people are our strength. We promise “a helpful smile in every aisle” and those smiles can only come from a workforce that is fully engaged and committed to supporting our customers and each other. Job Description: Job Title: HealthMarket Clerk Department: HealthMarket FLSA: Non-Exempt General Function: As a HealthMarket Clerk, this position will be responsible for safely handling food and ensuring the work area is always clean and neat. You will review the status and appearance of the merchandise for freshness. Additionally, you will ensure a positive company image by providing courteous, friendly, and efficient customer service to customers and team members. Core Competencies Partnerships Growth mindset Results oriented Customer focused Professionalism Reporting Relations: Accountable and Reports to District Store Director; Store Manager; Assistant Manager of Health Wellness Home, Store Operations, and Perishables; HealthMarket Department Manager Positions that Report to you: None Primary Duties and Responsibilities: Provides prompt, efficient, and friendly customer service by exhibiting caring, concern, and patience in all customer interactions and treating customers as the most important people in the store. Smiles and greets customers in a friendly manner, whether the encounter takes place in the employee's designated department or elsewhere in the store. Makes an effort to learn customers' names and to address them by name whenever possible. Assists customers by escorting them to the products they're looking for, securing products that are out of reach, loading or unloading heavy items, making notes of and passing along customer suggestions or requests, performing other tasks in every way possible to enhance the shopping experience Answers the telephone promptly when called upon, and provides friendly, helpful service to customers who call. Works with co-workers as a team to ensure customer satisfaction and a pleasant work environment. Understands and practices proper sanitation procedures and ensures the work area is always clean and neat. Reviews the status and appearance of the merchandise for freshness. Ensures an adequate product supply is ready and on hand and develops or follows a production list. For homeopathic and natural wellness products, employees will assist customers by accessing/obtaining information and pointing to the product, however will not provide instruction on the product or its use. Anticipates product needs for the department daily. Checks in product put product away and may review invoices. Reviews the status and appearance of the food for freshness and replenishes and rotates product. Removes trash promptly. Replenishes product as necessary. Assists in educating customers by offering suggestions and answering questions, etc. Maintains strict adherence to department and company guidelines related to personal hygiene and dress. Adheres to company policies and individual store guidelines. Reports to work when scheduled and on time. Secondary Duties and Responsibilities: Orders products and supplies as necessary. Prices products for customers as necessary. Delivers orders as needed. Assists in other areas of the store as needed. Performs other job-related duties and special projects as required. Knowledge, Skills, Abilities, and Worker Characteristics: Must have the ability to carry out detailed but uninvolved written or verbal instructions; deal with a few concrete variables. Ability to do simple addition and subtraction; copying figures, counting, and recording Possess the ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies orally or in writing. Education and Experience: Less than high school or equivalent experience and six months or less of similar or related work experience. Supervisory Responsibilities: None. Physical Requirements: Must be able to physically perform medium work: exerting up to 50 pounds of force occasionally, 20 pounds of force frequently, and 10 pounds of force constantly to move objects. Visual requirements include clarity of vision at a distance of more than 20 inches and less than 20 feet with our without correction, color vision, depth perception, and field of vision. Must be able to perform the following physical activities: Climbing, balancing, stooping, kneeling, reaching, standing, walking, pushing, pulling, lifting, grasping, feeling, talking, hearing, and repetitive motions. Working Conditions: This position is frequently exposed to temperature extremes and dampness. There are possible equipment movement hazards, electrical shock, and exposure to cleaning chemicals and solvents. This is a fast-paced work environment. Equipment Used to Perform Job: Knives, wrapping machine, cash register, pallet jack, garbage disposal, trash compactor, cardboard compactor, and calculator. Financial Responsibilities: None. Contacts: Has daily contact with store personnel, customers, and the general public. Confidentiality: None. Are you ready to smile, apply today. Employment is contingent upon the successful completion of a pre employment drug screen.
    $34k-39k yearly est. Auto-Apply 58d ago
  • Coder - Inpatient

    Highmark Health 4.5company rating

    Medical coder job in Lincoln, NE

    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 ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272373
    $23-35.7 hourly 2d ago
  • Senior Inpatient HIM Coder

    Oracle 4.6company rating

    Medical coder job in Lincoln, NE

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

    Cytel 4.5company rating

    Medical coder job in Lincoln, NE

    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.
    $59k-70k yearly est. 9d ago
  • Clinic Medical Coding Specialist - Part Time

    Memorial Health Care Systems 4.0company rating

    Medical coder job in Seward, NE

    Job Description Join Our Award-Winning Team at Memorial Health Care Systems! Clinic Medical Coding Specialist Schedule: Part Time | Monday - Friday Memorial Health Care Systems (MHCS), a nationally recognized Critical Access Hospital, is seeking a detail-oriented and customer-focused Clinic Medical Coding Specialist to join our dedicated team at the Seward Family Medical Center. **This is not a remote position.** Key Responsibilities: Perform accurate data entry and daily auditing of medical charges Assist with patient scheduling, insurance inquiries, and billing questions as needed Ensure compliance with coding standards and contribute to efficient clinic operations What We're Looking For: Exceptional customer service, phone, and communication skills Strong attention to detail and the ability to meet deadlines High school diploma or GED required; additional training or experience in medical coding preferred Familiarity with CPT, ICD-10, and RH Billing is required Preferred Qualifications: 1-3 months of related experience or equivalent education/training Knowledge of medical terminology and healthcare billing practices Why Join MHCS? Be part of a compassionate, high-performing healthcare team Enjoy a competitive wage and comprehensive benefits package Thrive in a supportive, community-focused work environment Apply today and bring your skills to a place where they truly make a difference! Benefits: • Competitive wages • High-Deductible Health Plan with Health Savings Account • Employer provided HSA contribution • Paid Time Off • Retirement plan with immediate employer match • Dental & Vision • Onsite Child Care • Employer provided Short- and Long-Term Disability • Employer provided Life Insurance • Voluntary life, accident and critical illness insurance **This is not a remote position.** #hc188042
    $53k-65k yearly est. 19d ago
  • Denials Coder

    Catholic Health Initiatives 3.2company rating

    Medical coder job in Omaha, NE

    **Job Summary and Responsibilities** Under direct supervision, this position is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements. The incumbent conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies to bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution. **Essential Function** + Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. + Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. + Review patient medical record to compare documentation and coding; change coding based on documentation to include diagnosis codes, modifiers, place of service, etc. Communicate with provider to resolve claims that require a written appeal or second level appeal. + Resubmits claims with necessary information when requested through paper or electronic methods. + Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. + Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. + Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. + Assists with unusual, complex or escalated issues as necessary. + Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. + Accurately documents patient accounts of all actions taken in billing system. **Job Requirements** Education / Accreditation / Licensure (required & preferred): + High School / GED: Required + Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology + Completion of ICD-10 or CPT coding Course Experience (required and preferred): + 1+ years coding experience + Insurance follow up experience **Where You'll Work** From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. **Pay Range** $19.87 - $28.06 /hour We are an equal opportunity/affirmative action employer.
    $19.9-28.1 hourly 39d ago
  • Denials Coder

    Common Spirit

    Medical coder job in Omaha, NE

    Job Summary and Responsibilities Under direct supervision, this position is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements. The incumbent conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies to bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution. Essential Function * Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. * Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. * Review patient medical record to compare documentation and coding; change coding based on documentation to include diagnosis codes, modifiers, place of service, etc. Communicate with provider to resolve claims that require a written appeal or second level appeal. * Resubmits claims with necessary information when requested through paper or electronic methods. * Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. * Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. * Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. * Assists with unusual, complex or escalated issues as necessary. * Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. * Accurately documents patient accounts of all actions taken in billing system. Job Requirements Education / Accreditation / Licensure (required & preferred): * High School / GED: Required * Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology * Completion of ICD-10 or CPT coding Course Experience (required and preferred): * 1+ years coding experience * Insurance follow up experience Where You'll Work From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.
    $36k-50k yearly est. 17d ago
  • Certified Medical Coder - Hospital

    Orthonebraska 4.4company rating

    Medical coder job in Omaha, NE

    OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: The Hospital Medical Coder, meticulously analyses patient chart documentation and translates the extracted information into standardized medical codes for the facility component. This role needs to be detailed oriented and knowledgeable of coding guidelines. Position details Status Full-Time Shift Days FTE / Hours 1.0 / 40 Schedule Mon - Fri: 8:00am - 5:00pm Position Requirements Education: High School Diploma or GED required. Licensure: N/A Certification: Current/active Coding certification through AHIMA or AAPC required. Experience: 2+ years' experience actively coding preferred. Experience in an Orthopedic environment preferred. Required Knowledge/Skills/Abilities Proficiency in facility, ICD 10 PCS and Surgery required. Knowledge in working with Cerner is preferred. Effective verbal and written communication skills for interacting with healthcare professionals and team members. Efficiently manage workload to meet coding deadlines and organizational productivity standards. Maintain strict confidentiality of patient information in compliance with legal and ethical standards. Essential Job Functions Analyze medical record documentation and accurately code and sequence diagnoses and procedures. Communicate with physicians when additional documentation is required in order to accurately assign diagnosis or procedure codes. e.g. insufficient, and/or conflicting documentation. Input codes and required medical record data items. Collaborate with peers and supervisors to develop and implement policies and action plans for improving coding and documentation compliance. Maintain high level of customer service with all internal and external contacts. Participates in routine coder staff meetings to share information, discuss coding practices, guidelines and policies. Complete coding and health information management compliance audits and other projects as assigned by the Coding and Compliance Coordinator/Health Information Manager Customer service and public relations. Is expected to comply with safety policies and procedures, regulatory requirements such as OSHA and JCAHO and to participate in corporate-wide and department safety activities Employee is responsible for all other duties as assigned for which competency has been demonstrated Physical requirements: This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. ______ Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.
    $36k-47k yearly est. 24d ago
  • Denials Coder

    Dignity Health 4.6company rating

    Medical coder job in Omaha, NE

    Where You'll Work From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. Job Summary and Responsibilities Under direct supervision, this position is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements. The incumbent conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies to bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution. Essential Function Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Review patient medical record to compare documentation and coding; change coding based on documentation to include diagnosis codes, modifiers, place of service, etc. Communicate with provider to resolve claims that require a written appeal or second level appeal. Resubmits claims with necessary information when requested through paper or electronic methods. Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Accurately documents patient accounts of all actions taken in billing system. Job Requirements Education / Accreditation / Licensure (required & preferred): High School / GED: Required Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology Completion of ICD-10 or CPT coding Course Experience (required and preferred): 1+ years coding experience Insurance follow up experience Not ready to apply, or can't find a relevant opportunity? Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.
    $57k-68k yearly est. Auto-Apply 40d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Lincoln, NE

    **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.
    $26.7 hourly 7d ago
  • Coding Specialist III

    Bryanlgh Medical Center

    Medical coder job in Lincoln, NE

    Possesses the knowledge and skills to thoroughly review the clinical content of all levels of complexity of Inpatient medical records and assigns appropriate ICD-10-Codes to diagnoses procedures for optimal reimbursement, as well as the knowledge to ensure the coding accurately reflect the severity of illness and risk of mortality for quality reporting. Has knowledge of all other types of coding, including, but not limited to, Outpatient, Outpatient Surgery, and Observation, however the focus of work is complex Inpatient coding. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Reviews hospital inpatient medical record documentation and properly identifies and assigns: ICD-10-CM and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures; MS-DRG, APR-DRG; present on admission (POA) indicators; and hospital acquired conditions. 3. Reviews discharge disposition code for accuracy. 4. *Utilizes technical coding principles and MS-DRG reimbursement expertise to assign ICD-10-CM diagnosis and procedure codes as well as abstracting the assignments according to facility guidelines. 5. *Works as a team member to meets or exceed the established quality standard of 95% accuracy while meeting or exceeding productivity standards set forth by the department leadership. 6. *Maintains a thorough and updated knowledge of Official Coding Guidelines, Medicare Administrator Contractor (MAC) directives, Coding Compliance standards and Local and National Medical Review Policies. 7. Assists in identifying solutions to reduce and resolve back-end coding edits. 8. Queries physicians appropriately as needed when the documentation is not clear and follows up on queries. 9. *Provides education to facility healthcare professionals and medical staff in the use of coding guidelines and practices, proper documentation techniques, and query monitoring to assist with documentation improvement activities. 10. Assists with coding quality review activities for accuracy and compliance. 11. *Mentors and trains new coding staff members. 12. *Works as a team member to ensure all coding is accurate and meets turnaround standards. 13. Adheres to relevant policies, procedures, regulations and expectations of Bryan Medical Center. 14. *Abides by the Code of Ethics and the Standards for Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all Official Coding Guidelines. 15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 16. Participates in meetings, committees and department projects as assigned. 17. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk "*"). REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Knowledge of anatomy, physiology, pharmaceuticals, medical terminology, disease process and ICD-10-CM and ICD-10-PCS Coding. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Ability to communicate effectively both verbally and in writing. 4. Ability to meet high standards for work accuracy and productivity. 5. Ability to mentor and train other personnel in coding practices and proper documentation techniques. 6. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 7. Ability to problem solve and engage independent critical thinking skills. 8. Ability to maintain confidentiality relevant to sensitive information. 9. Ability to prioritize work demands and work with minimal supervision. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Associate Degree or higher required. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required. Minimum of two (2) years of inpatient coding experience in a medical environment required. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) - Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.
    $36k-50k yearly est. 42d ago
  • Certified Surgical Coder

    Bestcare 4.4company rating

    Medical coder job in Omaha, NE

    Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care - a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Job Summary: Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE Work Schedule: Mon - Fri, full-time, flexible 8-hour daytime shifts Codes professional charges for surgical procedures for inpatient and outpatient services including correct CPT, ICD-10-CM, and modifiers in accordance with medical policies and guidelines. Responsibilities: Essential Functions Assigns ICD-10-CM diagnosis, Current Procedural Terminology (CPT) procedure codes, and Healthcare Common Procedure Coding System (HCPCS) device codes as necessary to outpatient records to ensure maximum reimbursement, utilizing ICD-10-CM and Current Procedural Terminology (CPT) principles of code assignment and Uniforms Hospital Discharge Data Set (UHDDS) definitions of principle and secondary diagnosis. Accuracy rate of at least 95%. Enters ICD-10-CM diagnosis code(s) and Current Procedural Terminology (CPT) procedure code(s) into the code summary to maintain disease and operation index, to allow for timely submission of claims to insurance companies by assigning correct diagnosis and procedure codes and the reason for the encounter per department procedure. Accuracy rate of at least 95%. Reviews Current Procedural Terminology (CPT) procedure codes and Healthcare Common Procedure Coding System (HCPCS) device codes in the code summary and charge viewer to ensure all accounts reflect appropriate charges for services and devices provided; by reviewing Correct Coding Initiative (CCI) edits, attaching modifiers and adding or modifying charges to the account. Reviews hospital billing charges with physicians to ensure accuracy by checking charges and services, answering questions and advising on any insurance billing updates. Reviews coding with Physician 95% of the time. Per provider request. Per departmental audit standards. Investigates claim denials from third party payers to ensure accuracy by reviewing services patient received and patient account and making any coding/charging corrections. Per department process regarding code reviews within 14 days of receipt. Per request from clinic personnel. Per request from Business Office and/or Customer Service Personnel. Ensures timely submission of claims to insurance companies by performing job functions #1 by maintaining Accounts Receivable within 3 days of discharge on all outpatient encounters. Maintains a minimum productivity standard of: Codes 7 OPS encounters per hour. Codes 5 OBS encounters per hour. Codes 12 Infusion Center encounters per hour. Codes 10 GI/Pain Management encounters per hour. Codes 30 Radiology/OP Diagnostic services encounters per hour. Codes 15 Recurring encounters per hour. Codes 30 Radiology/OP Diagnostic services encounters per hour. Codes 25 Non-patient Pathology Encounters per hour. Codes 15 Emergency Department encounters per hour. Codes 12 Professional Services encounters per hour. Utilizes and understands how to view and make appropriate changes in charge viewer to ensure maximum reimbursement. Schedule: Mon - Fri, full-time, flexible 8-hour daytime shifts Job Description: Job Requirements Education High School Diploma or General Educational Development (G.E.D) required. College level completion of courses in anatomy and physiology, biology, disease process, and medical terminology required. Associate's Degree in Health Information Management or healthcare related degree preferred. Participates in mandatory in-services and continuing education as mandated by policies and procedures, external agencies, and as directed by supervisor. Experience 3+ years previous experience coding physician services from documentation preferred, surgical and Evaluation/Management (E/M) required. License/Certifications Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Registered Health Information Tech (RHIT) or certified Coding Associate (CCA) or Certified Coding Specialist-Physician-based (CCS-P) required. Skills/Knowledge/Abilities Ability to note detail when reviewing the medical record, verifying the diagnosis and reviewing charges at the time of ICD-10-CM and Current Procedural Terminology (C PT) code assignment. Understanding of outpatient prospective payment methodology, and knowledge of the national correct coding initiatives. Skills necessary to operate a personal computer and Microsoft Office programs. Experience with personal computer and knowledge of Word, Excel, etc. Physical Requirements Weight Demands Light Work - Exerting up to 20 pounds of force. Physical Activity Not necessary for the position (0%): Climbing Crawling Kneeling Occasionally Performed (1%-33%): Balancing Carrying Crouching Distinguish colors Lifting Pulling/Pushing Standing Stooping/bending Twisting Walking Frequently Performed (34%-66%): Grasping Reaching Repetitive Motions Sitting Speaking/talking Constantly Performed (67%-100%): Fingering/Touching Hearing Keyboarding/typing Seeing/Visual Job Hazards Not Related: Chemical agents (Toxic, Corrosive, Flammable, Latex) Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF) Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment) Equipment/Machinery/Tools Explosives (pressurized gas) Electrical Shock/Static Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc) Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) Mechanical moving parts/vibrations About Methodist: Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission. Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.
    $28k-34k yearly est. Auto-Apply 21d ago
  • Certified Coder

    Syracuse Area Health 4.5company rating

    Medical coder job in Syracuse, NE

    Job Details Syracuse Area Health - Syracuse, NE Full Time DaysDescription Interprets medical records and assigns appropriate ICD and CPT codes in appropriate sequence to ensure the accuracy of billing, internal and external reporting, and regulatory compliance. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. This position is benefited, full-time, Monday-Friday, 40 hours per week. No weekends and paid Holidays! Some remote work may be available within the State of Nebraska. Qualifications High school diploma or equivalent RHIT, RHIA, CCS, CCS-P, CPC preferred Knowledgeable in medical terminology and anatomy required Knowledgeable in coding diagnosis and procedures required Must possess computer and typing skills (word processing, excel, and basic windows based computer skills) Experience with electronic health records preferred
    $35k-43k yearly est. 60d ago
  • Clinical Coder (Onsite)

    Johnson County Hospital 4.7company rating

    Medical coder job in Tecumseh, NE

    Job Title: Clinical Coder Department: Health Information Management Reports To: HIM Manager Work Schedule: Working hours are scheduled Monday-Friday. Hours may vary due to workload. Use of overtime is discouraged unless required for patient care needs. Overtime must be approved by immediate supervisor. Position Summary: Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in sequencing of diagnosis/procedures. Ensures that records are coded in an accurate and timely manner for data retrieval, analysis, and claims processing. Duties & Responsibilities: Knowledgeable of all charting and coding requirements, including Acute care, Swingbed, and outpatient services. Ensures that records are coded accurately and timely, within four (4) days of discharge, excluding weekends and holidays. Reviews medical record thoroughly to ascertain all diagnoses/procedures. Abstracts pertinent information from patient records. Assigns ICD-10-CM or HCPCS codes in accordance to the ICD-10-CM/CPT coding principles and the Coding Manual. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Contacts responsible provider in a professional, tactful manner. Coder's diagnoses and procedures on clinical summary agree with physician's preference. Logs diagnoses, procedures, and other abstracting data for registers according to State reporting guidelines. Refers to HIM Coding Lead or HIM manager if there is a question regarding the diagnoses/codes. Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Demonstrates proficiency in coding and abstracting software/encoder. Utilizes coding references available. Reviews coding periodicals within seven (7) days of receipt. Analyzes records for completeness and accuracy according to department and hospital policy and procedures for physician and nursing completion. Notifies physicians and nursing departments of delinquent or deficient medical records. Follows up on incomplete records within one week of notification. Runs deficiency analysis reports and other abstracting as requested by HIM manager. Performs final qualitative chart analysis to ensure all required documentation has been completed. Performs quantitative chart analysis to ensure accuracy of documentation pertinent to encounter, and accurate record preparation for coding. Collaborates with Admission staff, Billing staff, Coding Lead and HIM Director as necessary for patient accounts requiring attention for timely and optimal hospital payment. Performs quality improvement functions through data collection and documentation review. The HIM Coder will understand and demonstrate compliance with HIPAA regulations and will comply with all JCH policies and procedures. The HIM Coder will carry out any other responsibilities deemed necessary by the HIM Director. Qualifications & Skills: Preferred level of Education: Successful completion of coding certificate program in a program with AHIMA approval status; RHIA, RHIT, CCS, CCS-P, CCA certification status preferred. Minimum level of Education: Medical Terminology, Anatomy & Physiology Coursework. Prefer work experience as a coder or strong training background in coding and reimbursement. Technical skills and proficiency with spreadsheets, databases and EHR software, communication, customer service, time management, critical thinking and troubleshooting skills. Understanding of data gathering, structuring, categorization and manipulation. Ability to research billing and coding regulations and resources. Good business communication skills, professional telephone techniques and patient relations. Able to treat others with respect and consideration. Requires professionalism. Be an active team member and support each member and the team as a whole. Benefits We Offer: Competitive wages Comprehensive health, dental, and vision insurance Retirement savings plan Professional development opportunities Supportive and collaborative work environment Paid time off Sick pay Why Join Us? At Johnson County Hospital, we value our team and foster a supportive environment where you can thrive. Join us to make a difference in the lives of our patients and their families.
    $32k-41k yearly est. 60d+ ago
  • Health Information Operations Manager

    Datavant

    Medical coder job in Lincoln, NE

    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 (**************************************** .
    $72k-78k yearly 1d ago
  • Certified Medical Coder - Hospital

    Orthonebraska 4.4company rating

    Medical coder job in Omaha, NE

    Job Description OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: The Hospital Medical Coder, meticulously analyses patient chart documentation and translates the extracted information into standardized medical codes for the facility component. This role needs to be detailed oriented and knowledgeable of coding guidelines. Position details Status Full-Time Shift Days FTE / Hours 1.0 / 40 Schedule Mon - Fri: 8:00am - 5:00pm Position Requirements Education: High School Diploma or GED required. Licensure: N/A Certification: Current/active Coding certification through AHIMA or AAPC required. Experience: 2+ years' experience actively coding preferred. Experience in an Orthopedic environment preferred. Required Knowledge/Skills/Abilities Proficiency in facility, ICD 10 PCS and Surgery required. Knowledge in working with Cerner is preferred. Effective verbal and written communication skills for interacting with healthcare professionals and team members. Efficiently manage workload to meet coding deadlines and organizational productivity standards. Maintain strict confidentiality of patient information in compliance with legal and ethical standards. Essential Job Functions Analyze medical record documentation and accurately code and sequence diagnoses and procedures. Communicate with physicians when additional documentation is required in order to accurately assign diagnosis or procedure codes. e.g. insufficient, and/or conflicting documentation. Input codes and required medical record data items. Collaborate with peers and supervisors to develop and implement policies and action plans for improving coding and documentation compliance. Maintain high level of customer service with all internal and external contacts. Participates in routine coder staff meetings to share information, discuss coding practices, guidelines and policies. Complete coding and health information management compliance audits and other projects as assigned by the Coding and Compliance Coordinator/Health Information Manager Customer service and public relations. Is expected to comply with safety policies and procedures, regulatory requirements such as OSHA and JCAHO and to participate in corporate-wide and department safety activities Employee is responsible for all other duties as assigned for which competency has been demonstrated Physical requirements: This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. ______ Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.
    $36k-47k yearly est. 24d ago
  • Clinical Coder (Onsite)

    Johnson County Hospital 4.7company rating

    Medical coder job in Tecumseh, NE

    Job Description Job Title: Clinical Coder Department: Health Information Management Reports To: HIM Manager Work Schedule: Working hours are scheduled Monday-Friday. Hours may vary due to workload. Use of overtime is discouraged unless required for patient care needs. Overtime must be approved by immediate supervisor. Position Summary: Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in sequencing of diagnosis/procedures. Ensures that records are coded in an accurate and timely manner for data retrieval, analysis, and claims processing. Duties & Responsibilities: Knowledgeable of all charting and coding requirements, including Acute care, Swingbed, and outpatient services. Ensures that records are coded accurately and timely, within four (4) days of discharge, excluding weekends and holidays. Reviews medical record thoroughly to ascertain all diagnoses/procedures. Abstracts pertinent information from patient records. Assigns ICD-10-CM or HCPCS codes in accordance to the ICD-10-CM/CPT coding principles and the Coding Manual. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Contacts responsible provider in a professional, tactful manner. Coder's diagnoses and procedures on clinical summary agree with physician's preference. Logs diagnoses, procedures, and other abstracting data for registers according to State reporting guidelines. Refers to HIM Coding Lead or HIM manager if there is a question regarding the diagnoses/codes. Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Demonstrates proficiency in coding and abstracting software/encoder. Utilizes coding references available. Reviews coding periodicals within seven (7) days of receipt. Analyzes records for completeness and accuracy according to department and hospital policy and procedures for physician and nursing completion. Notifies physicians and nursing departments of delinquent or deficient medical records. Follows up on incomplete records within one week of notification. Runs deficiency analysis reports and other abstracting as requested by HIM manager. Performs final qualitative chart analysis to ensure all required documentation has been completed. Performs quantitative chart analysis to ensure accuracy of documentation pertinent to encounter, and accurate record preparation for coding. Collaborates with Admission staff, Billing staff, Coding Lead and HIM Director as necessary for patient accounts requiring attention for timely and optimal hospital payment. Performs quality improvement functions through data collection and documentation review. The HIM Coder will understand and demonstrate compliance with HIPAA regulations and will comply with all JCH policies and procedures. The HIM Coder will carry out any other responsibilities deemed necessary by the HIM Director. Qualifications & Skills: Preferred level of Education: Successful completion of coding certificate program in a program with AHIMA approval status; RHIA, RHIT, CCS, CCS-P, CCA certification status preferred. Minimum level of Education: Medical Terminology, Anatomy & Physiology Coursework. Prefer work experience as a coder or strong training background in coding and reimbursement. Technical skills and proficiency with spreadsheets, databases and EHR software, communication, customer service, time management, critical thinking and troubleshooting skills. Understanding of data gathering, structuring, categorization and manipulation. Ability to research billing and coding regulations and resources. Good business communication skills, professional telephone techniques and patient relations. Able to treat others with respect and consideration. Requires professionalism. Be an active team member and support each member and the team as a whole. Benefits We Offer: Competitive wages Comprehensive health, dental, and vision insurance Retirement savings plan Professional development opportunities Supportive and collaborative work environment Paid time off Sick pay Why Join Us? At Johnson County Hospital, we value our team and foster a supportive environment where you can thrive. Join us to make a difference in the lives of our patients and their families.
    $32k-41k yearly est. 16d ago
  • Health Information Specialist I

    Datavant

    Medical coder job in Lincoln, NE

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. **Position Highlights** : + Full-time Monday - Friday 8hr shifts + Full time benefits including medical, dental, vision, 401K, tuition reimbursement - Paid time off (including major holidays) + Virtual- Opportunity for growth within the company **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 administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + 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. + customer service experience. + Ability to build relationships with 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 (**************************************** .
    $15-18.3 hourly 3d ago
  • Health Information Manager

    Orthonebraska 4.4company rating

    Medical coder job in Omaha, NE

    OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: Health Information Manager is responsible for the day-to-day operations and oversight of the HIM department, including transcription and medical records functions. This position ensures accuracy, completeness, and compliance with regulatory standards related to patient health information. The HIM Manager leads a team of professionals to maintain high-quality documentation and data integrity, supporting clinical, operational, and financial excellence across the organization. Position details Status Full-Time Shift Days FTE / Hours 1.0 / 40 Schedule Mon - Fri: 8:00am - 5:00pm Position Requirements Education: Bachelor's degree in health information management or related field required. Certification: Certification of RHIA preferred. Experience: 5+ years' experience working in a health information management or related field required. 3+ years in a management capacity required. Required Knowledge/Skills/Abilities Strong time management skills and ability to manage multiple priorities. Calm, rational decision-making with the ability to communicate detailed explanations clearly and concisely. Ability to meet demands and project deadlines in a dynamic and evolving environment. Skilled in staff education and collaboration across departments. Strong conflict resolution and problem-solving abilities. Effective verbal and written communication skills. Sensitivity and professionalism in handling confidential and patient-related matters. Essential Job Functions Maintain a manual of approved medical record policies, procedures, abbreviations and forms that govern the content, documentation and formats for the medical records of the hospital's active and discharged clients; coordinate the process for the review and approval of additions/changes to the manual. Supervise and manage HIM staff, including transcriptionists and medical records personnel. Provide training, coaching, performance evaluations, and professional development opportunities. Establish and monitor department goals, metrics, and workflows to ensure productivity and quality standards are met. Collaborate with clinical and administrative leaders to support documentation improvement and data integrity. Manage transcription processes to ensure timely and accurate documentation of clinical encounters. Evaluate and recommend technologies or process improvements for transcription efficiency and cost-effectiveness. Ensure adherence to privacy and confidentiality policies related to dictation and transcription records. Ensure the complete, accurate, and timely maintenance of patient medical records in compliance with regulatory and accrediting body requirements. Oversee release of information processes in compliance with HIPAA regulations. Serve as a resource on documentation standards and policies, supporting quality patient care and accurate reporting. Stay current with federal, state, and payer regulations affecting HIM practices. Develop, implement, and enforce policies and procedures related to HIM operations. Prepare for and participate in regulatory audits and accreditation reviews (e.g., Joint Commission, CMS). Disseminate information and educate appropriate interdisciplinary teams about policies, procedures and expectations regarding medical records. Provide support for the integrity of the information in the hospital EMR including compiling reports of analyses of data entry errors for performance improvement. Create and facilitate education related to HIM updates and best practices. Serves as a resource for department managers, staff, physicians, and administration to obtain information or clarification on health information management topics. Establishes, implements, and maintains a formalized review process for HIM compliance. Conducts regular audits and coordinates ongoing monitoring of documentation adequacy. Provides all reporting for internal and external stakeholders in meaningful format. Serve as the subject matter expert on modeling and analyzing patient data. Identifies variations and/or trends in data capture and management and provides pertinent recommendations to leadership. Other duties as assigned. Physical requirements: This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.
    $46k-67k yearly est. 60d+ ago
  • Health Information Specialist I - Area Position - Omaha Market

    Datavant

    Medical coder job in Omaha, NE

    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 Hybrid Role Full Time: Mon-Fri 8 a.m. to 4:30 p.m. CST Location: Provide coverage to 5 CHI Hospitals within the Omaha, NE area and occasionally one CHI Hospital in Lincoln, Ne. Release of Information Processing logging and fulfilling all request types Assisting with patient walk-ins answering phones Ability working in a high-volume environment. Processing medical record requests such as: Insurance requests, DDS Requests, Workers Comp Request, Subpoenas 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. 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, 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 .
    $26k-34k yearly est. Auto-Apply 25d ago

Learn more about medical coder jobs

How much does a medical coder earn in Lincoln, NE?

The average medical coder in Lincoln, NE earns between $32,000 and $57,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Lincoln, NE

$42,000

What are the biggest employers of Medical Coders in Lincoln, NE?

The biggest employers of Medical Coders in Lincoln, NE are:
  1. Humana
  2. Datavant
  3. Cytel
  4. Baylor Scott & White Health
  5. Highmark
  6. Cognizant
  7. Bryanlgh Medical Center
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