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
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Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
Medical coder job in Bismarck, ND
**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
Healthcare Revenue Cycle / HIM Manager
Oracle 4.6
Medical coder job in Bismarck, ND
As a Healthcare Revenue Cycle / HIM Manager, your responsibilities will include: 1. Supporting a remote team for daily operations of the healthcare revenue cycle / healthcare coding department. 2. Identifying and implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability.
3. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness.
4. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills.
5. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process.
6. Training and mentoring staff on revenue cycle processes and best practices.
7. Staying abreast with the latest trends and regulations in the healthcare industry to ensure compliance and operational efficiency.
8. Developing and implementing policies and procedures to enhance operational efficiency and improve revenue cycle performance.
9. Providing regular reports and updates to senior management about the status and performance of the revenue cycle.
10. This individual will manage routine client meetings to obtain updates on initiatives and address any issues.
Qualifications:
The ideal candidate for the Healthcare Revenue Cycle / HIM Manager will have the following qualifications:
1. A minimum of 7 years of experience in healthcare revenue cycle management, including account reconciliation, pre-collection, and post-collection.
3. Strong knowledge of healthcare financial management and medical billing processes.
4. Exceptional analytical and problem-solving skills with a strong attention to detail.
5. Proficient in using healthcare billing software and revenue cycle management tools, with a strong background in Oracle Health (Cerner) software.
6. Strong leadership skills with the ability to manage and motivate a team.
7. Excellent communication and interpersonal skills with the ability to interact effectively with all levels of the organization.
8. Strong knowledge of federal, state, and payer-specific regulations and policies.
9. Ability to work in a fast-paced environment and manage multiple priorities.
**Responsibilities**
Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
$87k-178.1k yearly 60d+ ago
EMR Process Improvement Coordinator
Catholic Health Initiatives 3.2
Medical coder job in Bismarck, ND
**Job Summary and Responsibilities** CHI St. Alexius is looking for a Full Time EMR Process Improvement Coordinator to join the team! This position is responsible for supporting and overseeing the functions of the Clinic HIM department. Is responsible for process improvement, management of staff, is the department's electronic systems coordinator on numerous e-systems and is responsible for ensuring the integrity of the Clinc HIM department.
**What You'll Do:**
Maintain HIM staff job results by coaching, counseling, disciplining, planning, and appraising job results.
Prep documents, scan, index, and verify documents in the electronic medical record (EMR).
Understand and follow Release of Information policy and procedures.
Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team problem-solving methods.
Manage workqueues, failed faxes, and chart corrections.
Work with the OnBase Admin IT team for scanning.
Assist with training new employees.
**Job Requirements**
**Required Education:** **High School Diploma or GED**
**Preferred Education:** **Associate's Degree in HIM or a related business degree.**
**Experience:** **Minimum of three years' experience, with at least two years in the medical field.**
**Where You'll Work**
Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.
CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.
CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
**Pay Range**
$15.51 - $20.74/hour
We are an equal opportunity/affirmative action employer.
$15.5-20.7 hourly 32d ago
Medical Coder Outpatient
McLaren Health Care 4.7
Medical coder job in Michigan City, ND
Responsible for reviewing outpatient medical records for proper coding assignment. Essential Functions and Responsibilities as Assigned: * Accurately assigns codes (CPT-4 and HCPCS) to outpatient medical records based on documentation in the medical record.
* Accurately verifies, modifies, and abstracts patient data to meet the requirements of data integrity and organization specific protocols and requirements.
* Understands the coding and classification system(s) revision cycle (ICD-10-CM and MSDRG annually) and takes the initiative to understand coding and classification system changes that impact coding, compliance, and reimbursement requirements.
* Utilizes the multiple electronic and hard copy resources available to assist in understanding and accurately assigning coding and classification codes.
* Works closely with the providers to identify the appropriate ICD-10, CPT and HCPCS codes in selecting the patients' care plans, associated orders for treatment and any co-morbid conditions. Provides education on the appropriate documentation to support all codes captured by the providers in the electronic health record.
* Other related duties as assigned.
#LI-KH1
Qualifications:
Required:
* High school diploma
* One year outpatient coding experience
* Current AHiMA registration or certification
Preferred:
* Certified Professional Coder (CPC)
#LI-MNM
*
Additional Information
* Schedule: Full-time
* Requisition ID: 25005660
* Daily Work Times: 8am - 4:30pm
* Hours Per Pay Period: 80
* On Call: No
* Weekends: No
$44k-52k yearly est. 60d+ ago
EMR Process Improvement Coordinator
Commonspirit Health
Medical coder job in Bismarck, ND
Where You'll Work
Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.
CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.
CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
Job Summary and Responsibilities
CHI St. Alexius is looking for a Full Time EMR Process Improvement Coordinator to join the team!
This position is responsible for supporting and overseeing the functions of the Clinic HIM department. Is responsible for process improvement, management of staff, is the department's electronic systems coordinator on numerous e-systems and is responsible for ensuring the integrity of the Clinc HIM department.
What You'll Do:
Maintain HIM staff job results by coaching, counseling, disciplining, planning, and appraising job results.
Prep documents, scan, index, and verify documents in the electronic medical record (EMR).
Understand and follow Release of Information policy and procedures.
Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team problem-solving methods.
Manage workqueues, failed faxes, and chart corrections.
Work with the OnBase Admin IT team for scanning.
Assist with training new employees.
Job Requirements
Required Education: High School Diploma or GED
Preferred Education: Associate's Degree in HIM or a related business degree.
Experience: Minimum of three years' experience, with at least two years in the medical field.
$29k-37k yearly est. Auto-Apply 60d+ ago
EMR Process Improvement Coordinator
Common Spirit
Medical coder job in Bismarck, ND
Job Summary and Responsibilities CHI St. Alexius is looking for a Full Time EMR Process Improvement Coordinator to join the team! This position is responsible for supporting and overseeing the functions of the Clinic HIM department. Is responsible for process improvement, management of staff, is the department's electronic systems coordinator on numerous e-systems and is responsible for ensuring the integrity of the Clinc HIM department.
What You'll Do:
Maintain HIM staff job results by coaching, counseling, disciplining, planning, and appraising job results.
Prep documents, scan, index, and verify documents in the electronic medical record (EMR).
Understand and follow Release of Information policy and procedures.
Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team problem-solving methods.
Manage workqueues, failed faxes, and chart corrections.
Work with the OnBase Admin IT team for scanning.
Assist with training new employees.
Job Requirements
Required Education: High School Diploma or GED
Preferred Education: Associate's Degree in HIM or a related business degree.
Experience: Minimum of three years' experience, with at least two years in the medical field.
Where You'll Work
Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.
CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.
CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
$29k-37k yearly est. 60d+ ago
Medical Bill Auditor
State of North Dakota 4.2
Medical coder job in Bismarck, ND
WSI believes that every worker deserves a safe work environment and every employer deserves to have their workers safe on the job, without the risk of a workplace injury. WSI is dedicated to creating a safe, secure, and healthy North Dakota workforce.
WSI received the Bismarck-Mandan Young Professionals Network Top 10 Workplace awards in 2017 and 2023. Our team members share our core values of being loyal, caring, and forthright. These values and the servant leadership philosophy guide our organization and help us stay true to our purpose to care for injured workers.
Hiring Salary: $4,438 per month plus the state benefits package, including a paid family health insurance plan and 10 paid holidays.
This is a Monday-Friday, daytime position based in the Bismarck office, with eligibility for a hybrid schedule (minimum one day per week in-office) after successful completion of the probationary period.
If an external candidate (not currently employed with the State of ND) is selected for this position, they may be eligible for a hiring bonus of up to one month's salary.
Summary of Work
Workforce Safety & Insurance is seeking a Medical Bill Auditor to review, process, and audit medical billings to ensure accurate and appropriate reimbursement. This role reviews medical documentation for coding accuracy and policy compliance, confirms authorization requirements, applies fee schedules or contracted rates, and processes adjustments and reconsiderations. The Medical Bill Auditor also supports fraud and abuse reporting, maintains billing policies and manuals, evaluates new procedures and codes for coverage and reimbursement, and responds to provider inquiries to resolve reimbursement issues.
Minimum Qualifications
* To prosper in this position, an associate degree or current CPC Certification (Certified Professional Coder) with a minimum of two years of work experience processing, auditing, or coding medical claims is required.
* Relevant work experience in processing, auditing, or coding medical claims may substitute for the education requirement on a year-for-year basis.
Preferred Qualifications
* Current or past WSI Team Member.
* Knowledge of the insurance industry, therapy coding, billing, or documentation.
* Confident, articulate, and professional verbal and written communication skills.
* Detail-oriented, problem-solving, and decision-making abilities.
* Dependable, organized, self-motivated, resourceful, and flexible.
* WSI holds our agency culture in high regard. The desired applicant must be engaging, professional, confident, forward-thinking, and supportive.
About Team ND
"Far and away the best prize life offers is the chance to work hard at work worth doing." - Theodore Roosevelt
More than 7,500 talented, hard-working people across sixty-three agencies have come together as Team North Dakota. At Team ND, we are driven to succeed through gratitude, humility, curiosity and courage. Our purpose is to empower people, improve lives, and inspire success. Join us in being legendary.
Total Rewards: The State of North Dakota is committed to providing team members with a strong and competitive rewards package that support you, your health and your family.
Considering a new position on Team ND? How does your current position stack up? Use our Total Rewards Calculator to estimate.
Application Procedures
Apply online and upload the following information: cover letter (addressed to Human Resources), resume, references, and copy of college transcripts (if applicable). All application materials must be received by the closing date to be considered for the open position. Background checks will be conducted.
WSI staff will score all applications based on a 100-point scoring and rating system. Applications should include information that directly addresses how the applicant meets the minimum qualifications and a summary of work. It is very important to be thorough and detailed in the application materials. Incomplete sections in the application will not be given credit.
Applicants with disabilities should contact Denise Osmond at ************ in advance of applying to discuss any special provisions needed for applying or interviewing.
If you are experiencing technical difficulties with the Application Process or uploading attachments, please contact **************** or ************.
ND Relay Number **************.
Equal Employment Opportunity
The State of North Dakota and this hiring agency do not discriminate on the basis of race, color, national origin, sex (including sexual orientation and gender identity), genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act.
As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.D.C.C. § 23-12-10.
$4.4k monthly 6d ago
EMR Process Improvement Coordinator
Dignity Health 4.6
Medical coder job in Bismarck, ND
Where You'll Work
Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.
CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.
CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
Job Summary and Responsibilities
CHI St. Alexius is looking for a Full Time EMR Process Improvement Coordinator to join the team!
This position is responsible for supporting and overseeing the functions of the Clinic HIM department. Is responsible for process improvement, management of staff, is the department's electronic systems coordinator on numerous e-systems and is responsible for ensuring the integrity of the Clinc HIM department.
What You'll Do:
Maintain HIM staff job results by coaching, counseling, disciplining, planning, and appraising job results.
Prep documents, scan, index, and verify documents in the electronic medical record (EMR).
Understand and follow Release of Information policy and procedures.
Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team problem-solving methods.
Manage workqueues, failed faxes, and chart corrections.
Work with the OnBase Admin IT team for scanning.
Assist with training new employees.
Job Requirements
Required Education: High School Diploma or GED
Preferred Education: Associate's Degree in HIM or a related business degree.
Experience: Minimum of three years' experience, with at least two years in the medical field.
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.
$33k-39k yearly est. Auto-Apply 60d+ ago
HIM Manager
West River Health Services
Medical coder job in Hettinger, ND
This individual is responsible for directing health information management functions and activities of the organization, including medical record oversight, coding, transcription, release of information, and privacy of patient information. In addition, this individual serves as the HIPAA Privacy Officer. The director of medical records is appointed by the governing body (or responsible individual).
Excellence in Practice:
Organizes plans, directs and supervises department functions and activities to comply with established policies and procedures.
Participates in the design, implementation and maintenance of the hospital electronic health record.
Recruits and oversees staff within the department; develops job descriptions for departmental employees and works effectively with staff in the conduct of department operations.
Establishes health information management policies and procedures on release of information, confidentiality, information security, patient privacy of information, information storage and retrieval, and record retention.
Develops short- and long-range goals and objectives within the department in conjunction with the annual budget and monitors progress for the continued improvement of hospital services and operations.
Serves as privacy officer for the organization; oversees patient rights to inspect, amend, restrict access to, and receive an accounting of disclosures of his/her patient health information; tracks access to protected health information.
Communicates with and maintains effective working relationships with physicians.
Maintains accurate and pertinent data and statistical information that satisfies the requirements of Medicare/Medicaid, auditors, Department of Health, etc.
Provides education and training to employees and medical staff in areas relevant to health information management policies and procedures.
Essential Job Requirements:
Education: Registered Health Information Technician (RHIT) credential is required.
Experience: A minimum of 3 years experience in health information management is required, supervisory experience is preferred. Also required is experience in working with computers and health information software and electronic medical records.
License Requirements: RHIT credential
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$42k-67k yearly est. 22d ago
Health Information Specialist II
Datavant
Medical coder job in Bismarck, ND
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**Position Highlights** :
+ Full-time Monday - Friday 8 AM - 4:30 PM
+ **MUST** have ROI exp. **MUST** have exp. **processing LEGAL and SUBPOENA requests**
+ Full time benefits including medical, dental, vision, 401K, tuition reimbursement - Paid time off (including major holidays)
+ Virtual- Opportunity for growth within the company
**You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with patient walk-ins.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ May schedules pick-ups.
+ Assist with training associates in the HIS I position.
+ Generates reports for manager or facility as directed.
+ Must exceed level 1 productivity expectations as outlined at specific site.
+ Participates in project teams and committees to advance operational strategies and initiatives as needed.
+ Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Must be 18 years of age or older.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ 1-year Health Information related experience.
+ Meets and/or exceeds Company's Productivity Standards
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**Bonus points if:**
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$16-$20.50 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$16-20.5 hourly 2d ago
MEDICAL RECORDS CLERK
Universal Health Services 4.4
Medical coder job in Fargo, ND
Responsibilities Medical Records Clerk Join the expanding team in our new state of the art 132 bed behavioral health facility! Prairie St. John's has been providing services for children, adolescents, and adults to address behavioral health and substance use challenges since 1997. Prairie offers inpatient hospitalization, day treatment, and intensive outpatient services. Accredited by The Joint Commission, we are the largest, freestanding behavioral health facility in the region. More than 4,000 patients receive care from our compassionate health care team each year at Prairie St. John's.
This is not just a job. The Medical Records Clerk is a valuable member of our team and Prairie family. We work together to save lives, change lives, and offer hope for the future. This position is 40 hours per week, 8 am to 4:30 pm Monday through Friday.
Qualifications
Job Requirements:
* Previous medical records experience.
* Attention to detail - this position analyzes patient charts, reviews requests for documents and ensures the appropriate documentation is sent to referral sources and providers accurately and timely.
* Positive attitude, flexibility, and ability to work with people is essential.
* Ability to manage multiple projects, receive direction from several different people, problem solve and prioritize workload independently
Be part of something bigger
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: ************************* or **************.
$32k-37k yearly est. 3d ago
Lead Health Information Management Technician
Devils Lake
Medical coder job in Grand Forks, ND
Everything we do is underscored by a why - and that why is one another.
The HIM Lead position is responsible for helping in the Release of Information, HIM Technician duties and Data Integrity areas as needed. This position will be accountable for productivity reports and supporting the HIM manager with review of policies/procedures for the HIM department.
Essential Job Functions:
Ensures that PHI and business information are available only to authorized clinicians and used for authorized purposes.
Monitors the Pneumatic Tube System and all incoming inpatient and/or outpatient documentation to the HIM department to be processed, prepped, sorted, indexed, and scanned.
Ensures complete and accurate health records by working closely within all operational areas of HIM using knowledge of all HIM workstations, all relevant hospital systems, and interfaces and workflows to analyze, correct, and make suggestions for enhancement and improvement processes within the department and Epic.
Reviews requests for Protected Health Information (PHI) to ensure the request is HIPAA compliant. Retrieves requested PHI and processes requests according to established policies and procedures.
Processes subpoenas/dispositions/court orders and potential HIPAA breaches collaboratively with the HIM Manager, HIPAA Privacy Officer, and Risk management in complying with patient rights to inspect, amend, correct, restrict, and release PHI.
Validates, verifies, and monitors all information contained in the database and in reports against information in the system to ensure the integrity of the data.
Maintains accuracy of Altru Health System's Master patient index by following up on medical records numbers and/or account numbers by validation of patient, eliminating duplication, and maintaining accuracy.
Generates reports requested from ancillary departments, providers, and administration as well as distribution of Productivity Reports within the teams.
Assists in the development, testing, analysis implementations, and maintenance of HIM Systems.
Performs other duties as assigned or needed to meet the needs of the department/organization.
Certification
Registered Health Information Technician (RHIT) | American Health Information Management Association (AHIMA) | Preferred | HR Primary Sources
Work Experience:
• Required: A minimum of 3 years Related Experience
Language Requirements:
This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands :
• Sit: Frequently (34-66%)• Stand: Occasionally (5-33%)• Walk: Occasionally (5-33%)• Stoop/Bend: Occasionally (5-33%)• Reach: Frequently (34-66%)• Crawl: Not Applicable• Squat/Crouch/Kneel: Occasionally (5-33%)• Twist: Occasionally (5-33%)• Handle/Finger/Feel: Continuously (67-100%)• See: Continuously (67-100%)• Hear: Continuously (67-100%)
Weight Demands:
• Lift -Floor to Waist Level: Sedentary (
Working Conditions:
• Indoor: Continuously (67-100%)• Outdoor: Not Applicable• Extreme Temperature: Not Applicable
Driving Requirement Definitions:
Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position:
Infrequent DriverReference ID: R6752
Making a real difference. For one another.
To take the best care of our patients and community - including friends, family, and neighbors - we need people who are committed to growth, excellence, and one another.
At Altru, you'll find a culture where support and teamwork are at the heart of what we do. You'll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)
$30k-37k yearly est. Auto-Apply 60d+ ago
Senior Coder - Outpatient
Highmark Health 4.5
Medical coder job in Bismarck, ND
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT 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-10 CM/CPT codes for diagnoses and procedures. (60%)
+ 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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)
+ Acts as a mentor and subject matter expert to others. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School/GED
+ 5 years of Hospital and/or Physician Coding
+ 1 year of Coding - all specialties and service lines
+ Extensive knowledge in Trauma/Teaching/Observation guidelines
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Any of the following:
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
+ Registered Health Information Associate (RHIA)
+ Certified Coding Specialist Physician (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
Preferred
+ Associate's Degree
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J270102
$23-35.7 hourly 33d ago
Healthcare Revenue Cycle / HIM Manager
Oracle 4.6
Medical coder job in Bismarck, ND
As a recognized authority and leading contributor, this project management professional, provides consistent innovative and high quality solution leadership. Responsible for guiding the successful implementation of non-routine and complex business solutions ensuring high quality and timely delivery within budget to the customer's satisfaction.
**Responsibilities**
Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
$87k-178.1k yearly 60d+ ago
Health Information Specialist II - LRH
Datavant
Medical coder job in Bismarck, ND
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
+ **Position Highlights** :
+ Full-Time: Monday-Friday 8:00AM-4:30 PM EST
+ Location: This role will be performed at one location (Remote)
+ Comfortable working in a high-volume production environment.
+ Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status.
+ Documenting information in multiple platforms using two computer monitors.
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with patient walk-ins.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ May schedules pick-ups.
+ Assist with training associates in the HIS I position.
+ Generates reports for manager or facility as directed.
+ Must exceed level 1 productivity expectations as outlined at specific site.
+ Participates in project teams and committees to advance operational strategies and initiatives as needed.
+ Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training.
+ Other duties as assigned. **What you will bring to the table:**
+ High School Diploma or GED.
+ Must be 18 years of age or older.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ 1-year Health Information related experience.
+ Meets and/or exceeds Company's Productivity Standards
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment. **Bonus points if:**
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$16-$20.50 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$16-20.5 hourly 32d ago
Health Information Management Technician Senior
McLaren Health Care 4.7
Medical coder job in Michigan City, ND
Responsible for collecting, tracking and reconciling patient medical record information obtained from departments or nursing units once patient is discharged. Serves as an information resource by responding to requests for general and medical record information received via phone, e-mail, fax, or in person. Retrieves records per request for patient care, studies, committees, and other requests and works with other departments as needed.
Essential Functions and Responsibilities As Assigned:
1. Collects, tracks and reconciles patient medical record information obtained from departments or nursing units once patient is discharged.
2. Utilizing facility guidelines batches, preps, scans, quality checks and validates, records for document storage and/or imaging.
3. Assists with physician chart completion and suspension processes including assigning and validating chart deficiencies, communicating with Providers regarding their incomplete records and assisting with distribution of reports, letters and statistics related to delinquent medical records.
4. Escalates documentation holds to clinical and administrative personnel.
5. Tracks tasks/time spent as well as meets or exceeds quality and production targets.
6. Performs standardized chart audits following established guidelines/procedures.
7. Accesses EMR (electronic medical records) system to support record completion, coding, release of information and overall management and maintenance of the legal health record.
8. Performs EMPI tasks according to established policies, procedures, and timeframes.
9. Assists with patient portal enrollment.
10. Performs medical transcription tasks according to established policies, procedures, and timeframes.
Qualifications:
Required:
* High School diploma
* Two years HIM experience.
Preferred:
* RHIT Certified or eligible
* CRCR Certified
* Associate's degree in HIM or other related health care field.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Additional Information
* Schedule: Full-time
* Requisition ID: 25007205
* Daily Work Times: Standard Business Hours
* Hours Per Pay Period: 80
* On Call: No
* Weekends: No
$29k-33k yearly est. 33d ago
Coder - Inpatient
Highmark Health 4.5
Medical coder job in Bismarck, ND
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._
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Req ID: J272373
$23-35.7 hourly 37d ago
Health Information Specialist I
Datavant
Medical coder job in Bismarck, ND
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
**Position Highlights**
**This is a Remote Role**
+ Full Time: 8:00am-4:30pm CST
+ Ability working in a high-volume environment.
+ Release of Information processing
+ Managing incoming faxes
+ Occasional call support
+ Documenting information in multiple platforms using two computer monitors.
+ Proficient in Microsoft office (including Word and Excel)
**Preferred Skills**
+ Knowledge of HIPAA and medical terminology
+ Familiar with different EHR and Billing Systems
+ Experience working with subpoenas
**We offer:**
+ Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor
+ Company equipment will be provided to you (including computer, monitor, virtual phone, etc.)
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
**You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with patient walk-ins.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ Must meet productivity expectations as outlined at specific site.
+ May schedules pick-ups.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**Bonus points if:**
+ Experience in a healthcare environment.
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15-$18.32 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$15-18.3 hourly 13d ago
Health Information Management Technician
McLaren Health Care 4.7
Medical coder job in Michigan City, ND
Responsible for collecting, tracking and reconciling patient medical record information obtained from departments or nursing units once patient is discharged. Serves as an information resource by responding to requests for general and medical record information received via phone, e-mail, fax, or in person. Retrieves records per request for patient care, studies, committees, and other requests and works with other departments as needed.
Essential Functions and Responsibilities:
Collects, tracks and reconciles patient medical record information obtained from departments or nursing units one patient is discarged
Utilizing facility guidelines preps, assembles, scans, indexes, files records for document storage and or imaging
Analyzes patient charts for physician deficiencies according to facility guidelines/bylaws
Assists with physician chart completion and suspension processes including validating chart deficiencies, communicating with Providers regarding their incomplete records and assisting with distribution of reports, letters and statistics related to delinquent medical records.
Accesses EMR (electronic medical records) system to support record completion, coding, release of information and overall management and maintenance of the legal health record.
Performs data collection and submission of information for birth certificate filing.
Qualifications:
Required:
* High school diploma
Preferred:
* Associate degree in HIM or other health related degree
* One-year medical records or medical billing experience with EMR
* RHIT certified or eligible
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Additional Information
* Schedule: Full-time
* Requisition ID: 25007204
* Daily Work Times: Standard Business Hours
* Hours Per Pay Period: 80
* On Call: No
* Weekends: No