Coder - Inpatient
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 *****************************
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Req ID: J272373
Health Market Clerk
Medical coder job in Grand Island, 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.
Auto-ApplySenior Medical Coder
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.
Clinic Medical Coding Specialist - Part Time
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
Denials Coder
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.
Denials Coder
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.
Auto-ApplyDenials Coder
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.
Certified Medical Coder - Hospital
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.
Sr Risk Adjustment Coder
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.
Auto-ApplyCoder II (Clinic & E/M Coding)
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.
Coding Specialist III
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.
Certified Surgical Coder
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.
Auto-ApplyCertified Coder
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
Clinical Coder (Onsite)
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.
WIC Health & Nutrition Certified Professional Authority
Medical coder job in Lexington, NE
Job Description
NOW HIRING: WIC Health & Nutrition Certified Professional Authority (RD, RN, LPN, Nutritionist, bachelor's degree with at least 15 hours in Human Nutrition)
Looking for meaningful work with excellent hours and full benefits? Join us and help families thrive - without giving up your work-life balance!
Position Summary: We're hiring a WIC Health & Nutrition Certified Professional Authority - officially known as a WIC Certified Professional Authority (CPA) - to provide compassionate, community-based care to women, infants, and children. This unique role is open to professionals with a variety of credentials including RDs, Nutritionists, LPNs, RNs and Registered Dietetic Technicians.
Why You'll Love This Role:
Monday- Thursday, occasional Fridays
Daytime hours only (typically 8 a.m. - 6 p.m.)
No weekends, no holidays
Increased entry wages!
Excellent benefits (PTO, insurance, retirement, and more)
Supportive, mission-driven team
Extra pay for bilingual skills and breastfeeding credentials!
What You'll Do in This Role:
This client-centered position provides direct support to families through:
Conducting health and nutrition assessments
Determining nutritional risk and program eligibility
Counseling clients on nutrition, breastfeeding, and healthy behaviors
Prescribing WIC food packages
Offering education, referral, and care coordination to high-risk and underserved populations
Who Can Apply:
We welcome applicants with any of the following credentials:
Nutrition-Focused Professionals:
Bachelor's degree with at least 15 credit hours in human nutrition
Registered Dietetic Technician (DTR)
Bachelor's or Master's degree in:
Nutritional Sciences
Dietetics
Public Health Nutrition
Community or Clinical Nutrition
Home Economics or Consumer & Family Sciences (nutrition emphasis)
Registered Dietitian (RD) preferred, but not required
Nursing Professionals:
Licensed Practical Nurse (LPN) - current Nebraska license required
Registered Nurse (RN) - current Nebraska license preferred
Pay Rates:
Nutritionist (Bachelor's): $26.00/hour
Nutritionist (Master's): $28.00/hour
Registered Dietitian (RD): $30.00/hour
LPN: $22.00/hour
RN: $27.00/hour
Plus, extra compensation for:
Fluent Bilingual skills
Current Breastfeeding Credentials (CLC, IBCLC)
Relevant experience
Full Benefits Package Includes:
Paid holidays & generous PTO
Short-term disability
Employee Assistance Program (EAP)
Optional coverage: health, dental, vision, accident, cancer/critical illness, life
Retirement plan and Flex Spending Account (FSA)
Want to learn more about the WIC Certified Professional Authority Role?
Call ************ and ask for Judy, or email *****************.
Make a difference in your community. Love your hours. Grow your career. Join the WIC team in Lexington!
#hc205924
Easy ApplyCertified Medical Coder
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
Transportation/Medical records
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.
Certified Medical Coder - Hospital
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.
Coding Specialist III
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.
WIC Health & Nutrition Certified Professional Authority
Medical coder job in Kearney, NE
NOW HIRING: WIC Health & Nutrition Certified Professional Authority (RD, RN, LPN, Nutritionist, bachelor's degree with at least 15 hours in Human Nutrition)
Looking for meaningful work with excellent hours and full benefits? Join us and help families thrive - without giving up your work-life balance!
Position Summary: We're hiring a WIC Health & Nutrition Certified Professional Authority - officially known as a WIC Certified Professional Authority (CPA) - to provide compassionate, community-based care to women, infants, and children. This unique role is open to professionals with a variety of credentials including RDs, Nutritionists, LPNs, RNs and Registered Dietetic Technicians.
Why You'll Love This Role:
Monday- Thursday, occasional Fridays
Daytime hours only (typically 8 a.m. - 6 p.m.)
No weekends, no holidays
Increased entry wages!
Excellent benefits (PTO, insurance, retirement, and more)
Supportive, mission-driven team
Extra pay for bilingual skills and breastfeeding credentials!
What You'll Do in This Role:
This client-centered position provides direct support to families through:
Conducting health and nutrition assessments
Determining nutritional risk and program eligibility
Counseling clients on nutrition, breastfeeding, and healthy behaviors
Prescribing WIC food packages
Offering education, referral, and care coordination to high-risk and underserved populations
Who Can Apply:
We welcome applicants with any of the following credentials:
Nutrition-Focused Professionals:
Bachelor's degree with at least 15 credit hours in human nutrition
Registered Dietetic Technician (DTR)
Bachelor's or Master's degree in:
Nutritional Sciences
Dietetics
Public Health Nutrition
Community or Clinical Nutrition
Home Economics or Consumer & Family Sciences (nutrition emphasis)
Registered Dietitian (RD) preferred, but not required
Nursing Professionals:
Licensed Practical Nurse (LPN) - current Nebraska license required
Registered Nurse (RN) - current Nebraska license preferred
Pay Rates:
Nutritionist (Bachelor's): $26.00/hour
Nutritionist (Master's): $28.00/hour
Registered Dietitian (RD): $30.00/hour
LPN: $22.00/hour
RN: $27.00/hour
Plus, extra compensation for:
Fluent Bilingual skills
Current Breastfeeding Credentials (CLC, IBCLC)
Relevant experience
Full Benefits Package Includes:
Paid holidays & generous PTO
Short-term disability
Employee Assistance Program (EAP)
Optional coverage: health, dental, vision, accident, cancer/critical illness, life
Retirement plan and Flex Spending Account (FSA)
Want to learn more about the WIC Certified Professional Authority Role?
Call ************ and ask for Judy, or email *****************.
Make a difference in your community. Love your hours. Grow your career. Join the WIC team in Kearney!
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