Post job

Medical coder jobs in Nebraska - 37 jobs

  • 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 40d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Hierarchical Condition Category (HCC) Coding Specialist

    Highmark Health 4.5company rating

    Medical coder job in Lincoln, NE

    This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273522
    $26.5-41 hourly 30d ago
  • 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
  • Coding Specialist

    Douglas County, Ne 4.2company rating

    Medical coder job in Bee, NE

    TYPING TEST REQUIRED: Your application will NOT be considered unless you take the typing test - CLICK HERE to take the typing test now. (NOTE): The first and last name you enter on the typing test and this application must be exactly the same. DO NOT PLACE A SPACE AFTER THE LAST LETTER IN YOUR FIRST OR LAST NAME. If the names are NOT an exact match (including upper and lowercase letters), your typing test score will not be uploaded into your application accurately, as it is completed through an automated process. TYPING TESTS ARE VALID FOR SIX MONTHS. Incumbent works under the direction of the Health Information Management Supervisor or designee, performing medical coding of service lines for Douglas County Health Center (DCHC) and Community Mental Health Center (CMHC), ensuring compliance with third-party payers relating to coding, Physician Certifications, Advanced Beneficiary Notices and Detailed Explanation of Non-Coverage, and preparing various statistical reports. * Compile statistical information necessary for the completion of required reports. * Prepare and maintain various reports and statistical computations within department policies and procedures. * Establish and maintain effective work relationships with clients, supervisors, County employees, elected officials, attorneys, law enforcement, judges, other agencies, and the public. * Comply with Civil Service Rules, collective bargaining agreements, County policies, department policies and laws to create a cooperative, safe, respectful and quality work environment. * Maintain current resident/patient diagnosis listing utilizing current coding standards. * Comply with Health Insurance Portability and Accountability Act (HIPAA) and other privacy laws/regulations protecting resident/patient information. * Assist in recording and verifying appropriate diagnostic codes for insurance reimbursements and insurance or private billing. * Assist with coding diagnosis in preparation for permanent filing. * Produce Physician Certifications, Advanced Beneficiary Notices and Detailed Explanations of Non-Coverage. * Follow-up on resident/patient status if transferred to a hospital. * Complete State or Federal Census Reporting. * Promote a positive image, answering questions, assisting and providing referral to appropriate staff. * Participate in Quality Assurance Performance Improvement (QAPI) activities. * Assist in assembly and auditing of resident/patient charts. * Report to work with regular, consistent attendance. * Perform other duties as assigned and directed. * High school diploma or equivalent required.* * Four (4) years of clerical experience required.* * Certified coder through AHIMA or AAPC required. * Medical records experience preferred. * Type/keyboard 40 net words per minute. * Completion of a pre-employment criminal record check and conditional offer drug screen required. * *Equivalent combination of education and work experience may be substituted for requirements on a year-for-year basis. * The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Work is generally performed in an office setting. Noise level is usually moderate. Work hours are typically standard day-shift hours; however, schedule may vary (e.g. overtime/extra hours, evenings, weekends, holidays). Work may be stressful when dealing with time constraints, multiple/changing priorities, limited resources, and uncooperative/irate individuals. * Work requires some physical activity, including extended periods of sitting, frequent reaching, and occasional standing, walking, bending, balancing, grasping, pulling, pushing, stooping, squatting and kneeling. Work also requires the ability to frequently lift/carry objects weighing up to 10 pounds and occasionally up to 25 pounds. * Required sensory abilities include vision, hearing, and touch. Visual abilities, correctable to normal ranges, include close, distance and color vision, and depth perception, as well as the ability to adjust focus. Communication abilities include the ability to talk and hear within normal ranges. Incumbent must possess the hand-eye coordination and manual dexterity necessary to operate computers and other equipment.
    $48k-61k yearly est. 15d ago
  • Medical Coder

    Signature Performance 4.2company rating

    Medical coder job in Omaha, NE

    About You You are a person who has ER and/or Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. * Tell us about your experience with ER and/or Outpatient Coding. * Are you a team player and a self-motivator? * What is your experience with conducting business in a way that is credit to a company? * We are counting on you to manage multiple projects using your problem-solving skills. * We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position * Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology, and pathology. * Review the discharge summary, history and physical, physician progress notes, consultation reports, radiology, laboratory, pathology, operative records, emergency room record to accurately assign diagnosis and / or procedure. Determine diagnoses that were treated, monitored, and evaluated and procedures done during the episode of care and assign appropriate codes. * Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations. * Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG, APC or payment tier under the Prospective Payment system to guarantee accurate reimbursement. * Review coding for accuracy and completeness prior to submission to billing. * Abstract required medical and demographic information from the medical record and enter the data into the system to ensure accuracy of the database. Responsible for correcting any data found to be in error after reviewing the medical record and comparing with system entries. * Ensures all required component parts of the medical record that pertain to coding are present, accurate and comply with CMS, JCAHO, and client requirements. Identify incomplete or conflicting documentation in the medical record and formulate a physician query to obtain missing documentation and/ or clarification to accurately complete the coding process. Utilize computer applications and resources essential to completing the coding process efficiently. * Meets coding quality and quantity expectations. Minimum Requirements: * Minimum 2 years of Medical Coding experience required * Experience with Professional Fee Coding * Experience with EHR systems * Education, Experience & Certification Requirements vary based on coding assigned. Accepted certifications from American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) include: * Registered Health Information Management Technician (RHIT) * Registered Health Information Administrator (RHIA) * Certified Coding Associate (CCA) · Certified Coding Specialist (CCS) * Certified Coding Specialist- Physician-Based (CCS-P) * Certified Professional Coder (CPC) About Us You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission. About the Benefits When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. Our performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives. * Health Insurance * Fully Paid Life Insurance * Fully Paid Short- & Long-Term Disability * Paid Vacation * Paid Sick Leave * Paid Holidays * Professional Development and Tuition Assistance Program * 401(k) Program with Employer Match * U.S. Citizenship, naturalized citizenship, or Permanent status is required for this position. * All work on all position at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.
    $44k-62k yearly est. 11d ago
  • Denials Coder

    Commonspirit Health

    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
    $36k-50k yearly est. Auto-Apply 60d+ 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. 2d ago
  • Sr Risk Adjustment Coder

    University Healthcare Alliance 4.8company rating

    Medical coder job in Nebraska

    If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care - University Healthcare Alliance job. A Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. Locations Stanford Health Care - University Healthcare Alliance What you will do Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address coding updates and support risk adjustment programs. Compliance Reporting Tracking and reporting review results that will be used to develop education and training materials on risk adjustment coding and/or documentation best practices. Assist with the implementation of emerging coding and compliance laws and regulations and assist with implementing privacy policies. Maintain current knowledge of risk adjustment coding guidelines by conducting research, reading professional publications, and maintaining professional networks. Attending coding seminar, webinars and medical organization meetings. All other duties as assigned including department-specific functions and responsibilities: Performs other duties as assigned and participates in organization projects as assigned. Adheres to safety, P4P's (if applicable), HIPAA and compliance policies. Education Qualifications High school diploma or GED equivalent. Bachelor's Degree preferred. Experience Qualifications 5+ years of work experience in a risk adjustment program supporting and communicating with clinicians with prospective and/or concurrent role within a healthcare setting with demonstrated knowledge and of regulatory billing and coding guidelines. Understanding of the professional revenue cycle preferred. Required Knowledge, Skills and Abilities Knowledge of CPT, HCPCS and ICD-10 codes and rules. Ability to analyze and develop solutions to complex problems. Ability to perform research regarding complex coding and regulatory guidelines. Ability to work effectively both as a team player and leader. Ability to apply judgment and make informed decisions. Ability to foster effective working relationships and build consensus. Ability to make effective oral presentations and prepare concise written reports to a variety of audiences. Ability to plan, organize, prioritize, work independently and meet deadlines. Knowledge of computer systems and software used in functional area. Knowledge of local, state and federal regulatory requirements related to areas of functional responsibility. Demonstrated knowledge of CPT, HCPCS and ICD-10 codes and rules. Ability to establish and maintain collaborative effective working relationships. Ability to bring together multi-disciplinary teams to seek consensus and value problem. Licenses and Certifications CPC - Certified Professional Coder and CRC - Certified Risk Adjustment Coder CCDS - Cert Clinical Document Spec preferred Physical Demands and Work Conditions Physical Demands Constant Sitting. Frequent Walking. Occasional Standing. Occasional Bending. Occasional Squatting. Occasional Climbing. Occasional Kneeling. Seldom Crawling. Constant Hand Use. Constant Repetitive Motion Hand Use. Frequent Grasping. Occasional Fine Manipulation. Frequent Pushing and Pulling. Occasional Reaching (above shoulder level). Frequent Twisting and Turning (Neck and Waist). Constant Vision (Color, Peripheral, Distance, Focus). Lifting Frequent lifting of 0 - 10 lbs. Occasional lifting of 11 - 20 lbs. Seldom lifting of 21 - 30 lbs. Seldom lifting of 31 - 40 lbs. Seldom lifting of 40+ lbs. Carrying Frequent lifting of 0 - 10 lbs. Occasional lifting of 11 - 20 lbs. Seldom lifting of 21 - 30 lbs. Seldom lifting of 31 - 40 lbs. Seldom lifting of 40+ lbs. Working Environment Occasional Driving cars, trucks, forklifts and other equipment. May be required to drive personal vehicle to sites. Constant Working around equipment and machinery. Office equipment (computers, phones, fax, copy machines, printers, 10-key, etc.). Seldom Walking on uneven ground. Seldom Exposure to excessive noise. Seldom Exposure to extremes in temperature, humidity or wetness. Seldom Exposure to dust, gas, fumes or chemicals. Seldom Working at heights. Seldom Operation of foot controls or repetitive foot movement. Seldom Use of special visual or auditory protective equipment. Seldom Use of respirator. Seldom Working with biohazards such as blood borne pathogens, hospital waste, etc.. Seldom Other (please list each item under Comments):. Blood Borne Pathogens Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment Travel Requirements 10% travel: These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $44.13 - $57.36 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
    $35k-43k yearly est. Auto-Apply 60d+ 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. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 43d ago
  • Coding Specialist III

    Bryanlgh Medical Center

    Medical coder job in Kearney, NE

    Possesses the knowledge and skills to thoroughly review the clinical content of all levels of complexity of Inpatient medical records and assign appropriate ICD-10-Codes to diagnoses procedures for optimal reimbursement, as well as the knowledge to ensure the coding accurately reflects 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 KRMC mission, vision, values and goals 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. EDUCATION AND EXPERIENCE: High school diploma or equivalency required. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Professional (CPC) or Certified Coding Specialist (CCS) required. Minimum of two (2) years of inpatient coding experience in a medical environment required.
    $36k-50k yearly est. 60d+ ago
  • Certified Surgical Coder

    Nebraska Methodist Hospital 4.1company 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.
    $54k-63k yearly est. Auto-Apply 60d+ ago
  • Certified Medical Coder

    Family Medical Center of Hastings 3.4company rating

    Medical coder job in Hastings, NE

    Part-time Description ESSENTIAL DUTIES AND RESPONSIBILITIES Review and analyze clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes. Ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies. Collaborate with providers, nurses, and clinical staff to clarify documentation when needed. Abstract relevant information from patient records to support accurate coding and billing. Enter and verify codes in the electronic health record (EHR) or billing software system. Identify and resolve coding errors, rejections, and denials in partnership with the billing team. Maintain current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA). Participate in regular audits and quality assurance activities to ensure documentation supports billed services. Assist with staff education and training related to coding and documentation best practices. Protect patient confidentiality and maintain the security of all health information. Requirements SKILLS & ABILITIES Excellent verbal and written communication skills with patients and staff. Strong attention to detail and ability to maintain accurate records. Knowledge of medical terminology, anatomy, and physiology. Proficiency with computers and electronic health records. Ability to work independently and as part of a team. QUALIFICATIONS Education: High school diploma required; Associate degree or diploma in Medical Coding preferred. Certification: Certified Professional Coder (CPC) or equivalent required within 1 year of hire . Experience: Minimum of 2 years of current medical coding experience preferred. Other: Familiarity with ICD-10, CPT, and HCPCS coding systems and payer guideline
    $43k-50k yearly est. 60d+ ago
  • Transportation/Medical records

    Heritage of Emerson

    Medical coder job in Wayne, NE

    $16.00-$20.00 depending on experience would be for Transportation and Medical records approximately 20-30 hours a week. If you've got a passion for excellence and a desire to make a difference in the lives of people, this might be the job for you! The Transportation Assistant has the opportunity to positively affect the lives of people on a daily basis. Transportation Assistants are passionate about providing the highest quality services possible and exceeding the expectations of those they serve and work with. Qualified candidates will have a valid drivers' license and have a current CPR Certification. They will possess high personal integrity, a caring attitude and portray a positive image. Join a team of highly committed professionals who have the opportunity to do what they do best every day in an exceptional environment where learning and growth is encouraged and supported. Tapcheck available
    $31k-39k yearly est. 60d+ ago
  • 3M Certified Specialist

    GT Sales and Manufacturing 3.2company rating

    Medical coder job in Omaha, NE

    GT Midwest is seeking an outgoing personality to represent our 3M line of products in, and around, the Omaha market. GT Midwest is a distributor of a wide range of industrial products including: hydraulic hose, abrasives, adhesives, fasteners, cutting tools, and many other product categories. This role will work independently, and in conjunction with our Sales Representatives, to promote the 3M line of industrial products. The Certified Specialist will support GT Midwest customers and sales staff as well as 3M representatives. This position will be dedicated exclusively to the growth of 3M business at GT Midwest. As such, the 3M Certified Specialist has three essential job duties: maintain existing business, penetrate existing accounts, and develop new accounts. These duties encompass a wide array of day-to-day activities. These activities are conducted alone, in conjunction with other GT personnel, and in conjunction with customer and 3M personnel. In some instances, the 3M Certified Specialist operates independently, in other instances, the 3M Certified Specialist will have to complete specific projects and tasks as assigned by management. The 3M Certified Specialist does not have account responsibility, but will aid our sales force with 3M related sales calls when appropriate. Candidates should be strong relationship builders, self-starters, and excited to work for a stable 75 year old company. GT offers a competitive salary and full benefits. If you are tired of working for people who make decisions that you don't understand, treat you like a number, and are not loyal to you, we may be a good fit for you. Requirements SPECIFIC DUTIES AND RESPONSIBILITIES include, but are not limited to, the following: • Develop new customers and develop effective relationships with customers and suppliers • Understand customer business priorities and processes • Demonstrate products and train customers on product applications, often with the assistance of suppliers • Participate in 3M training in St Paul, Minnesota • Identify and document opportunities for additional sales and then pursue those opportunities to a conclusion • Resolve quality issues, application issues, and customer complaints • Negotiate profitable pricing and other commercial issues and renegotiate same as circumstances change • Understand distributor business strategy • Utilize solutions-based selling skills to sell value instead of price • Document all activities in GT's CRM system • Work as a team with fellow GT employees • Comply with all the requirements contained in the Employee Handbook, Policy and Procedure Database, Quality Manual, and Quality Policies • Train GT Midwest sales staff on current products & facilitate expansion into new products • Improve product knowledge and sales skills by participating in online training • Takes personal responsibility for improving distributor relationship with 3M • Utilizes 3M resources to address the needs of GT Midwest and its customers • Identifies solutions that have long term benefits for end users, GT Midwest and 3M • Provide regular communication and insight into 3M business opportunities • Maintain professional, positive, results driven attitude that reflects a commitment to GT Midwest and 3M LANGUAGE SKILLS A 3M Certified Specialist must be able to communicate effectively both orally and in writing. He/she communicates with fellow GT employees, supplier personnel, and customer personnel ranging from operators on the line to senior management. He/she also develops and makes presentations to audiences of varying size. Presentations and quotes must be accurate. COMPUTER SKILLS The 3M Certified Specialist regularly uses Microsoft Office products, GT's ERP system, and GT's CRM system. MATHEMATICAL SKILLS The 3M Certified Specialist must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Large-scale opportunities often involve long lists of items. OTHER SKILLS Because the 3M Certified Specialist frequently works alone and at their own direction, he/she must have excellent discipline, organizational skills, time management skills, and a sense of urgency. The nature of a 3M Certified Specialist's job also requires a reliable, presentable vehicle and a clean driving record. PHYSICAL DEMANDS While performing the duties of this job, the 3M Certified Specialist is regularly required to use hands and feet. The 3M Certified Specialist also must be able to lift 60 pounds. The 3M Certified Specialist is frequently required to stand, walk, and sit, all for extended periods of time. WORK ENVIRONMENT Very high energy, sometimes stressful or demanding deadlines and deliverables. Travel via ground and air as required in the sales territory and occasionally nationwide. Salary Description 60,000-75,000
    $39k-54k yearly est. 60d+ ago
  • Medical Records Specialist

    Alivation Health, LLC 3.8company rating

    Medical coder job in Lincoln, NE

    ALIVATION HEALTH, LLC Integrated Health Center | Next Level You Lincoln, NE 68526 A leader in integrated Mental Healthcare for over 20 years with Pharmacy, Primary Care, Aesthetics and Research divisions all in one location, where ideas and opinions are valued and expected, seeks a versatile and compassionate candidate to join our vibrant medical team in an innovative culture putting the patient's health and well-being first. CORE VALUES: Drive | Passion | Humility | Openness | Discipline JOB TITLE: Medical Records Specialist (Certified Medical Assistant Preferred) STATUS: Regular Full-Time If you have a passion for the highest standard of patient care, enjoy a fast-paced full cycle workflow, and an innate learning desire that resonates our core values, we would like to meet you. Ultimately, you will play an important role on our team as a trusted resource for patient healthcare solutions, clinical support, and technical assistance to our providers. TALENT: Eager, determined to achieve success, and committed to making a difference every day. Compassionate and care deeply about our patients and their experience. Love what you do and where you work. Not afraid to ask questions and grow as a professional. Comfortable sharing your opinion (even if it is unpopular). Ability to have open, honest conversations with patients and team members. Self-motivated. Integrity belief in everything you do. KEY RESPONSIBILITIES: (Job Description Available Upon Demand) Supports and implements the practice mission and strategic vision within their respective departments. Handles confidential information requiring professional discretion and compliance with protected health information, data integrity and security policies. Reviews forms requesting information for compliance purposes; copy/send records if appropriate. Completes template report forms. Edits selected forms. Scans and faxes finished documents if appropriate. Maintains a log of documents in progress and follows up with providers as necessary. Maintains knowledge of Medicaid prepaid health contract and other applicable contractual requirements for all lines of business. Communicates interdepartmentally to facilitate workflow, collaborate with peers, and supports a team environment. Coordinates dissemination of information concerning providers from all departments. Bridges the gap between various providers, services, point of care encountered by the patient and family. Serves as back up to Patient Experience Team when needed. Other clinical or administrative duties as assigned to meet practice needs. QUALIFICATIONS: High School Diploma | Certified Medical Assistant Preferred | Proficient Medical Terminology | Familiar with EMR Systems EXPERIENCE: In a high-volume clinic setting preferred COMPENSATION: $18 - $19 Per Hour COMPREHENSIVE BENEFITS PACKAGE: Clinic-Owned, Innovative Aesthetic Environment Free Primary Care Office Visits for Employees Amazing Team Culture Company Sponsored Events No On-Call Shifts No Nights or Weekends Corporate Employee Discounts Free Parking 91 Hours PTO Seven Paid Holidays Health Insurance (Employee Premium Allotment) Dental Insurance Vision Insurance Short-Term & Long-Term Disability Insurance Paid Life Insurance Policy Employee Assistance Program (EAP) Health Savings Account 401(k) Matching Retirement Plan First of Month Following 30 Days Employment - No Vesting Timeframe Required EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER: The Practice provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
    $18-19 hourly 60d+ ago
  • Certified Surgical Coder I

    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, flexible 8-hour shifts, full time 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, flexible 8-hour shifts, full time 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 7d ago
  • Medical Records with Coding

    Cherry County Hospital and Clinic

    Medical coder job in Valentine, NE

    Job title: Medical Records Clerk with Coding Reports to: Health Information Manager Full-Time (40hr per week) Benefit Eligible: Yes The Medical Records Clerk completes analysis and filing of all medical records and reports in a timely and accurate manner. Compiles statistical information as requested for the Cherry County Hospital and Clinic. Accurately codes all patient encounters, processing record releases in accordance with hospital, state and federal guidelines. Duties and Responsibilities Regular responsibilities include but are not limited to the following: Completes clerical duties including answering phones, responding to emails and processing patient information Compiles statistical reports and assists in maintaining logs as required by hospital policy or state and federal regulations Completes birth certificates Retrieves records for physicians and other hospital staff Ensure patient charts, paperwork and reports are accurate and completed in a timely manner Notes deficiencies to be completed by physician and other professional staff Scanning medical records and other information into the electronic records system Maintains patient and department confidentiality Maintains medical staff appointment files per hospital policy Attends workshops and hospital in-service as requested Process requests for medical records made through the organization, patients and affiliates per hospital policy Review clinical documentation and assign codes to diagnoses and procedures using International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes Communicate with healthcare providers to obtain missing information or clarify details in clinical records Assist the billing department with claim denials related to diagnosis or procedure coding Ensure all ICD Diagnosis Codes and CPT codes are assigned correctly and sequenced appropriately as per government and insurance regulations and current coding guidelines Ensures the confidentiality of patients' medical, personal, and financial records is maintained Knowledgeable of and committed to practicing Corporate Compliance policies and procedures Complies with Cherry County Hospital personnel policies Performs other duties as assigned by the supervisor Skills and Abilities Required Numerical and clerical ability to make statistical computations Keyboarding and computer skills Good communication skills Ability to exercise independent judgement A preference for adjusting and adapting to the ever-changing rules and regulations of the Hospital and Federal Government Ability to treat records without emotional involvement Ability to work closely and cooperatively with department personnel, administration, physicians, business office, nursing, x-ray, physical therapy, laboratory, respiratory therapy, quality assurance, infection control, and various other departments, and the public Must be able to keep hospital and patient information confidential Must be knowledgeable of state and federal confidentiality laws, including but not limited to HIPAA, and be familiar with and follow all policies, procedures and instructions regarding the privacy and security of protected health information applicable to the position Physical Demands and Working Conditions Requires sitting for long periods of time, standing, and bending when filing and lifting stacks of records Environment requires working in close proximity with others in a clean favorable area On-call hours required We would also like to highlight our Comprehensive Benefit Package, which includes: Health Insurance: Co-pay or HSA plan options with 100% coverage for the Employee Dental Coverage: 100% coverage for the Employee Vision Coverage: 100% coverage for the Employee $50,000 Group Life Insurance with AD&D Long-Term Disability Coverage: 100% coverage for the Employee Medical and Dependent Care Flexible Spending Accounts Health Savings Account with employer contribution Supplemental Insurances: Short-Term Disability, Supplemental Life and AD&D, Critical Illness, Hospital Indemnity, and Accident Retirement Plan: 457 plan with Pre-Tax and Roth options Direct reports This position has no direct reports. Requirements Minimum Job Requirements High School Diploma or GED Keyboarding and computer skills Completion of medical terminology course preferred or willing to complete a medical terminology course within one year of hire Prior experience with medical coding or willing to complete a medical coding course within one year of hire
    $31k-39k yearly est. 60d+ ago
  • Transportation/Medical records

    Vetter Senior Living 3.9company rating

    Medical coder job in Emerson, NE

    would be for Transportation and Medical records approximately 20-30 hours a week. If you've got a passion for excellence and a desire to make a difference in the lives of people, this might be the job for you! The Transportation Assistant has the opportunity to positively affect the lives of people on a daily basis. Transportation Assistants are passionate about providing the highest quality services possible and exceeding the expectations of those they serve and work with. Qualified candidates will have a valid drivers' license and have a current CPR Certification. They will possess high personal integrity, a caring attitude and portray a positive image. Join a team of highly committed professionals who have the opportunity to do what they do best every day in an exceptional environment where learning and growth is encouraged and supported.
    $33k-41k yearly est. 2d ago
  • Coding Specialist I

    Bryanlgh Medical Center

    Medical coder job in Central City, NE

    Possesses the knowledge and skills to thoroughly review the clinical content of Outpatient, Emergency Department and/or Therapy/Recurring Series medical records to assign appropriate ICD-10-CM codes to diagnosis procedures and CPT and HCPCS codes to all procedures or physician services for optimal reimbursement. PRINCIPAL JOB FUNCTIONS: * Commits to the mission, vision, beliefs and consistently demonstrates our core values. * Studies and analyzes the clinical content of a medical record. * Accurately completes coding of diagnosis, assigns CPT and HCPCS codes and enters physician clinic charges within established timeframes. * Accurately completes coding of diagnosis, procedures, and assigns CPT and HCPCS codes on hospital services within established timeframes. * Enters coding information into the computer system for reimbursement use by Patient Financial Services for submitting patient's bills. * Queries physicians appropriately as needed when the documentation is not clear and follows up on queries. * Works as a team member to ensure all coding is accurate and meets turnaround standards. * Performs established and special project coding audits. * Assists medical providers and ancillary staff with coding information needed for prior authorizations and insurance billing follow-up. * Assists Meaningful Use and Quality reporting initiatives by participation in projects. * Assists with establishment and maintenance of CAMC coding guidelines.*Maintains strict confidentiality regarding patient information and office issues. * 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. * Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. * Participates in meetings, committees and department projects as assigned. * Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: High school diploma or equivalency required. Class work in ICD-10-CM, CPT Coding, and related courses from an accredited college or acceptable program required. Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) credential preferred. Prior coding experience in a medical environment preferred.
    $36k-50k yearly est. 1d ago
  • Transportation/Medical records

    Heritage of Emerson

    Medical coder job in Emerson, NE

    $16.00-$20.00 depending on experience would be for Transportation and Medical records approximately 20-30 hours a week. If you've got a passion for excellence and a desire to make a difference in the lives of people, this might be the job for you! The Transportation Assistant has the opportunity to positively affect the lives of people on a daily basis. Transportation Assistants are passionate about providing the highest quality services possible and exceeding the expectations of those they serve and work with. Qualified candidates will have a valid drivers' license and have a current CPR Certification. They will possess high personal integrity, a caring attitude and portray a positive image. Join a team of highly committed professionals who have the opportunity to do what they do best every day in an exceptional environment where learning and growth is encouraged and supported. Tapcheck available
    $31k-39k yearly est. 60d+ ago

Learn more about medical coder jobs

Do you work as a medical coder?

What are the top employers for medical coder in NE?

Top 10 Medical Coder companies in NE

  1. Datavant

  2. Highmark

  3. Memorial Healthcare System

  4. Bryanlgh Medical Center

  5. Signature Performance

  6. Douglas County

  7. Baylor Scott & White Health

  8. Beatrice Community Hospital

  9. Family Medical Center

  10. Cognizant

Job type you want
Full Time
Part Time
Internship
Temporary

Browse medical coder jobs in nebraska by city

All medical coder jobs

Jobs in Nebraska