Professional Medical Coder II
Medical coder job in Oregon
CCG Talent Management is not only a business solutions company but a company that believes success starts with the individual. CCG Business Solutions has been consulting and providing talent placement services since 2007. Our team understands the principles of connecting purpose to business. We are currently recruiting for a Professional Medical Coder II
Job Description
Remote Role - Must be located in the Portland, OR Metro Area.
The Professional Medical Coder II will focus on review of documentation and coding. The Professional Medical Coder II will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations.
Responsibilities:
Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding.
Maintain current knowledge to ensure that coding and documentation meets regulatory guidelines and audit standards. Escalate trends and identified issues through appropriate department channels. Continued development of coding knowledge and regulatory guidelines with maintenance of certification.
Performs other duties as requested to include complex coding issues and project work as assigned
Qualifications
Experience:
Minimum Two (2) years work experience in a healthcare setting.
Minimum One (1) year of professional coding experience.
License, Certification, Registration:
Certified Professional Coder OR Registered Health Information Technician OR Certified Coding Associate OR Certified Professional Medical Auditor OR Certified Coding Specialist OR Certified Coding Specialist - Physician Based OR Registered Health Information Administrator
Additional Requirements:
Working knowledge of Microsoft Word, Excel and Medical Terminology.
Strong interpersonal and communication skills.
Strong time management skills and ability to meet deadlines.
Preferred Qualifications:
Prefer two (2) year work experience
Prefer one (1) year of professional coding and/or auditing experience in one or more of the following areas: evaluation and management (E&M), procedural/surgical, emergency department or anesthesia.
Working knowledge of the EpicCare system.
Additional Information
Salary: $62,160 - $76,000
Remote working after on-site training (2-4 weeks). Must be located in the Portland, OR Metro Area. Flexible hours -- any 8 hours between 6:00 AM and 6:00 PM.
Department of Medicine Coder (Coding Specialist ll)
Medical coder job in Portland, OR
This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's fees and/or facility fees. This position requires experience in coding and requires certification with AAPC or AHIMA.
For Professional Services coding positions: This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to evaluation and management services and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines.
For Facility Services coding positions: This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, pathology, and other ancillary facility services at OHSU. This position provides support to the Enterprise Coding Department for abstracting of records, coding, and charge router submission of Facility services rendered at OHSU.
Responsible for meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services rendered at OHSU.
Working in collaboration with Enterprise Coding Leadership and billing departments, provide technical expertise regarding a broad range of third-party payer and reimbursement issues.
Orient peer coders or new hires to specified coding assignments.
Requires maintaining an hourly productivity standard and quality standards as set by Enterprise Coding and based on Industry Standards.
Will require attendance of Enterprise Coding and Clinical Department meetings via conference call and Webex.
Coding Work Queue assignments will vary based on business needs or management assignment
Function/Duties of Position
Coding:
Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS).
Assign correct CPT, ICD-10-CM, and HCPCS codes for facility and/or professional charges, which could include E&M services; diagnostic services; procedural services; facility services; and/or Charge Routers and Charge entry.
Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU.
Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
Coordinate all billing information and ensure that all information is complete and accurate.
Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned.
Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary.
Department support:
Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
Attends coding meetings and seminars and shares knowledge with other coders. Participates in EC Huddles.
In collaboration with Enterprise Coding Leadership, develop and disseminate written procedures to facilitate and improve billing and documentation processes.
In collaboration with Leadership, make recommendations and implement remedial actions for problems
Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM,and HCPCS
Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of current trends in coding.
Perform other duties as assigned.
Required Qualifications
High School diploma or GED.
Minimum two years of hospital or professional services (dependent on position) experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding;
Coding certification from AAPC or AHIMA:
Registered Health Information Administrator (RHIA),
Registered Health Information Technician (RHIT),
Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
Active AHIMA membership may be required for some positions.
Certified Professional Coder (CPC) through the American Academy of Professional Coders; OR equivalent certification.
Preferred Qualifications
Accredited Coding Program required: AAPC Boot Camp, AHIMA Coding Boot Camp
Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements.
Experience using an EMR.
Some college course work or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
Experience using EPIC, 3M encoder
Knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates.
Proficiency with word processing and Excel spreadsheets.
Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
Ability to work as a team player.
Member of the American Academy of Professional Coders and Certified Professional Coder or AHIMA certification required upon hire.
Must be able to pass internal coding test.
Additional Details
Days of work are variable, could include rotating weekend days.
This position is a telecommuting position.
Department Core hours are Monday - Friday, 5am-10pm (with some flexibility available).
Regularly scheduled work hours are required and are allowed within the Core Hours
All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
Auto-ApplyCode Specialist
Medical coder job in Hillsboro, OR
A multi-disciplinary design firm is seeking a Sr. Architect to help them drive innovation in the design of semiconductor and advanced industrial facilities. Based remotely with occasional job site visits to Hillsboro, OR,
Your Day Includes
• Leading architectural design for semiconductor fabs, cleanrooms, and labs
• Performing detailed code analysis and ensuring compliance across all phases
• Coordinating closely with structural, MEP, and process design teams
• Mentoring junior staff in technical detailing and code application
• Contributing to integrated project delivery in a fast-paced environment
Must Haves
• Bachelor's or Master's in Architecture; Registered Architect (RA) license
• 10+ years of experience in industrial or high-tech facility design
• Deep knowledge of IBC, IFC, IMC, IPC, NEC, and hazardous materials codes
• Proficiency in Revit/BIM; familiarity with AutoCAD and Navisworks preferred
P.S.
In addition to offering a comprehensive health, dental, and vision package, we also provide PTO and paid holidays.
If you have the necessary qualifications and are excited about this opportunity, we encourage you to apply. We look forward to hearing from you.
*Eligible for Blueprint Helpers referral program (find out more: blueprinthires.com/bphelpers)
Medical Coder II Outpatient (OR/WA residency required)
Medical coder job in Portland, OR
In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records.
Essential Responsibilities:
+ Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
+ Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.
+ Assists with documentation and coding compliance by: following compliance standards with applicable federal, state, and local laws and regulations, The Principles of Responsibility, the Code of Conduct for Kaiser Permanente, internal policies and procedures, professional standards, and accreditation standards.
+ Supports efforts to update coding processes and meet regulatory goals by: assisting in performing analysis/review to assure the accuracy of current procedures and diagnosis codes upon request from various sources; using internal resources (e.g., webinars, enterprise education team) to learn up-to-date knowledge of standards and regulatory requirements related to coding, documentation, and management compliance (federal, state, internal), and researching guidance for individual coding situations as necessary, with some guidance; and meeting and maintaining department standards for productivity and quality.
+ Completes medical coding by: translating clinical information into coded data to enter appropriate codes for diagnoses, procedures, and other services rendered, following coding guidelines for the most current version of the International Classification of Diseases Clinical Modification (ICD-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II for patient encounters with guidance; identifying and assigning appropriate codes for diagnoses, procedures, and other services rendered with day-to-day supervision; identifying and assisting with resolving coding issues through partnership with clinicians, department administration, and other coding staff based on review, coding guidelines, and queries or issues with practitioner-submitted medical codes to reduce denials and improve time to submission; and supporting team members who provide consultation to staff and care providers on all coding and documentation questions.
Minimum Qualifications:
+ Minimum two (2) years of experience with Hospital Ambulatory Surgery, Home Health/Hospice (if applicable), Observation, and Hospital complex Outpatient Visit including capture of codes for outpatient services that require monitored anesthesia and conscious sedation.
+ High School Diploma or GED or equivalent AND minimum two (2) years of coding experience. OR Minimum two (2) years of coding experience and one (1) year of experience in a corporate or business office environment.
+ Registered Health Information Technician required at hire OR Registered Health Information Administrator required at hire OR Certified Coding Specialist required at hire
Additional Requirements:
+ Knowledge, Skills, and Abilities (KSAs): Quality Assurance and Effectiveness; Health Care Coding; Data Quality; Time Management; Medical Terminology; Medical Coding; Compliance Management; Health Records; Health Information Systems; Data Entry; Maintain Files and Records
COMPANY: KAISER
TITLE: Medical Coder II Outpatient (OR/WA residency required)
LOCATION: Portland, Oregon
REQNUMBER: 1374109
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
Sr. Certified Coder
Medical coder job in Portland, OR
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including inpatient encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.
Job Requirements:
Education and Work Experience:
High School Education/GED or equivalent: Required
Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
Working knowledge of hospital Cerner EMR (electronic medical record): Required
Three years' inpatient coding experience: Preferred
Experience in a health care setting: Required
Licenses/Certifications:
AHIMA Certified Coding Specialist (CCS): Required
Essential Functions:
Abstracts and assigns ICD-10-CM diagnosis codes and PCS codes from the inpatient patient record to ensure accurate MS-DRG and APR-DRG assignment and to provide information required for reimbursement and statistical data submissions. Uses understanding of MS-DRG and APR-DRG methodologies. Generates compliant physician queries. Collaborates with clinical documentation integrity and quality departments to identify HAC/PSI and communicate issues affecting inpatient records. Validates appropriate dates of service against documentation in the EMR for inpatient encounters. Completes required abstract fields in registration conversation on inpatient encounters for OSHPD and other data submissions.
Communicates with appropriate departments related to charge corrections/modifications. Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Reviews, understands and applies quarterly coding clinics, coding guidelines and coding conventions of ICD-10-CM references. Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accurateness of documentation and physician coding practices. Analyzes content of reports and software edits to facilitate revisions with appropriate departments - NCCI edits.
Follows up coding holds, revenue cycle department holds including related and all other email communication.
Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accuracy of documentation and physician coding practices. Maintains required online Healthstream education courses.
Attends meetings and training pertaining to coder education, audit reviews, staff meetings, and inpatient coder roundtable meetings.
Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Auto-ApplySr. Certified Coder
Medical coder job in Portland, OR
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including inpatient encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.
Job Requirements:
Education and Work Experience:
* High School Education/GED or equivalent: Required
* Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
* Working knowledge of hospital Cerner EMR (electronic medical record): Required
* Three years' inpatient coding experience: Preferred
* Experience in a health care setting: Required
Licenses/Certifications:
* AHIMA Certified Coding Specialist (CCS): Required
Essential Functions:
* Abstracts and assigns ICD-10-CM diagnosis codes and PCS codes from the inpatient patient record to ensure accurate MS-DRG and APR-DRG assignment and to provide information required for reimbursement and statistical data submissions. Uses understanding of MS-DRG and APR-DRG methodologies. Generates compliant physician queries. Collaborates with clinical documentation integrity and quality departments to identify HAC/PSI and communicate issues affecting inpatient records. Validates appropriate dates of service against documentation in the EMR for inpatient encounters. Completes required abstract fields in registration conversation on inpatient encounters for OSHPD and other data submissions.
* Communicates with appropriate departments related to charge corrections/modifications. Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Reviews, understands and applies quarterly coding clinics, coding guidelines and coding conventions of ICD-10-CM references. Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accurateness of documentation and physician coding practices. Analyzes content of reports and software edits to facilitate revisions with appropriate departments - NCCI edits.
* Follows up coding holds, revenue cycle department holds including related and all other email communication.
* Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accuracy of documentation and physician coding practices. Maintains required online Healthstream education courses.
* Attends meetings and training pertaining to coder education, audit reviews, staff meetings, and inpatient coder roundtable meetings.
* Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Auto-ApplyDepartment of Medicine Coder (Coding Specialist ll)
Medical coder job in Portland, OR
This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's fees and/or facility fees. This position requires experience in coding and requires certification with AAPC or AHIMA.
For Professional Services coding positions: This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to evaluation and management services and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines.
For Facility Services coding positions: This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, pathology, and other ancillary facility services at OHSU. This position provides support to the Enterprise Coding Department for abstracting of records, coding, and charge router submission of Facility services rendered at OHSU.
Responsible for meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services rendered at OHSU.
Working in collaboration with Enterprise Coding Leadership and billing departments, provide technical expertise regarding a broad range of third-party payer and reimbursement issues.
Orient peer coders or new hires to specified coding assignments.
Requires maintaining an hourly productivity standard and quality standards as set by Enterprise Coding and based on Industry Standards.
Will require attendance of Enterprise Coding and Clinical Department meetings via conference call and Webex.
Coding Work Queue assignments will vary based on business needs or management assignment
Function/Duties of Position
Coding:
Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS).
Assign correct CPT, ICD-10-CM, and HCPCS codes for facility and/or professional charges, which could include E&M services; diagnostic services; procedural services; facility services; and/or Charge Routers and Charge entry.
Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU.
Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
Coordinate all billing information and ensure that all information is complete and accurate.
Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned.
Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary.
Department support:
Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
Attends coding meetings and seminars and shares knowledge with other coders. Participates in EC Huddles.
In collaboration with Enterprise Coding Leadership, develop and disseminate written procedures to facilitate and improve billing and documentation processes.
In collaboration with Leadership, make recommendations and implement remedial actions for problems
Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM,and HCPCS
Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of current trends in coding.
Perform other duties as assigned.
Required Qualifications
High School diploma or GED.
Minimum two years of hospital or professional services (dependent on position) experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding;
Coding certification from AAPC or AHIMA:
Registered Health Information Administrator (RHIA),
Registered Health Information Technician (RHIT),
Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
Active AHIMA membership may be required for some positions.
Certified Professional Coder (CPC) through the American Academy of Professional Coders; OR equivalent certification.
Preferred Qualifications
Accredited Coding Program required: AAPC Boot Camp, AHIMA Coding Boot Camp
Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements.
Experience using an EMR.
Some college course work or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
Experience using EPIC, 3M encoder
Knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates.
Proficiency with word processing and Excel spreadsheets.
Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
Ability to work as a team player.
Member of the American Academy of Professional Coders and Certified Professional Coder or AHIMA certification required upon hire.
Must be able to pass internal coding test.
Additional Details
Days of work are variable, could include rotating weekend days.
This position is a telecommuting position.
Department Core hours are Monday - Friday, 5am-10pm (with some flexibility available).
Regularly scheduled work hours are required and are allowed within the Core Hours
All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
Auto-ApplyDepartment of Medicine Coder (Coding Specialist ll)
Medical coder job in Portland, OR
This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's fees and/or facility fees. This position requires experience in coding and requires certification with AAPC or AHIMA. * For Professional Services coding positions: This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to evaluation and management services and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines.
* For Facility Services coding positions: This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, pathology, and other ancillary facility services at OHSU. This position provides support to the Enterprise Coding Department for abstracting of records, coding, and charge router submission of Facility services rendered at OHSU.
* Responsible for meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services rendered at OHSU.
* Working in collaboration with Enterprise Coding Leadership and billing departments, provide technical expertise regarding a broad range of third-party payer and reimbursement issues.
* Orient peer coders or new hires to specified coding assignments.
* Requires maintaining an hourly productivity standard and quality standards as set by Enterprise Coding and based on Industry Standards.
* Will require attendance of Enterprise Coding and Clinical Department meetings via conference call and Webex.
* Coding Work Queue assignments will vary based on business needs or management assignment
Function/Duties of Position
Coding:
* Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS).
* Assign correct CPT, ICD-10-CM, and HCPCS codes for facility and/or professional charges, which could include E&M services; diagnostic services; procedural services; facility services; and/or Charge Routers and Charge entry.
* Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU.
* Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
* Coordinate all billing information and ensure that all information is complete and accurate.
* Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned.
* Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary.
Department support:
* Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
* Attends coding meetings and seminars and shares knowledge with other coders. Participates in EC Huddles.
* In collaboration with Enterprise Coding Leadership, develop and disseminate written procedures to facilitate and improve billing and documentation processes.
* In collaboration with Leadership, make recommendations and implement remedial actions for problems
* Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM,and HCPCS
* Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of current trends in coding.
Perform other duties as assigned.
Required Qualifications
* High School diploma or GED.
* Minimum two years of hospital or professional services (dependent on position) experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding;
* Coding certification from AAPC or AHIMA:
* Registered Health Information Administrator (RHIA),
* Registered Health Information Technician (RHIT),
* Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
* Active AHIMA membership may be required for some positions.
* Certified Professional Coder (CPC) through the American Academy of Professional Coders; OR equivalent certification.
Preferred Qualifications
* Accredited Coding Program required: AAPC Boot Camp, AHIMA Coding Boot Camp
* Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements.
* Experience using an EMR.
* Some college course work or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
* Experience using EPIC, 3M encoder
* Knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates.
* Proficiency with word processing and Excel spreadsheets.
* Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
* Ability to work as a team player.
* Member of the American Academy of Professional Coders and Certified Professional Coder or AHIMA certification required upon hire.
* Must be able to pass internal coding test.
Additional Details
* Days of work are variable, could include rotating weekend days.
* This position is a telecommuting position.
* Department Core hours are Monday - Friday, 5am-10pm (with some flexibility available).
* Regularly scheduled work hours are required and are allowed within the Core Hours
All are welcome
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
Auto-ApplySenior Certified Professional Coder, Special Investigations Unit (Aetna SIU)
Medical coder job in Oregon
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers.
The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records.
The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.
Activities include:Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation.
Handles complex coding reviews and will resolve complex issues with sensitivity.
Including but not limited to claim reviews for legal, compliance or rework projects.
Provide detailed written summary of medical record review findings.
Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
Review and discuss cases with Medical Directors to validate decisions.
Independently research and accurately apply state or CMS guidelines related to the audit.
Assist with investigative research related to coding questions, state and federal policies.
Identify potential billing errors, abuse, and fraud.
Identify opportunities for savings related to potential cases which may warrant a prepayment review.
Maintain appropriate records, files, documentation, etc.
Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics.
Mentor New Coders, providing training, coding, and record review guidance.
Collaboration with investigators, data analytics and plan leadership on SIU schemes.
Act as management back-up and supports the team when the manager is out of the office.
Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement.
Required QualificationsAAPC Coding certification - Certified Professional Coder (CPC)3+ years of experience in medical coding or documentation auditing.
Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10.
CMS 1500 and UB04 data elements Experience with researching coding and policies.
Experience with Microsoft products; including Excel and WordPrior experience auditing others' work and providing feedback.
Experience mentoring others.
Must be able to travel to provide testimony if needed.
Preferred Qualifications3+ years or more previous experience with Behavioral Health coding/auditing of records Licensed Clinical Social Worker (LCSW) Licensed Independent Social Worker (LISW) Licensed Master Social Worker (LMSW) Licensed Professional Counselor (LPC) Excellent communication skills Excellent analytical skills Strong attention to detail and ability to review and interpret data.
EducationAAPC Certified Professional Coder Certification (CPC) GED or High School diploma Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988.
00 - $112,200.
00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 12/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Medical Biller & Coder - Podiatry
Medical coder job in Oregon
**Note: Please only apply to the specific job posting for which you have experience in the specialty. Duplicate applications will not be considered.
We are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Podiatry Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensure accuracy in medical coding, and facilitating timely payments from insurance companies and patients. A strong understanding of podiatry-specific medical terminology, coding systems, and collections is essential for success in this role.
Responsibilities
Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS specific to podiatric procedures.
Review patient records to ensure all necessary information is included for billing purposes.
Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement.
Follow up on unpaid claims and conduct medical collections as necessary.
Maintain accurate records of all billing transactions and communications with insurance companies and patients.
Collaborate with healthcare providers to resolve any discrepancies in billing or coding.
Stay updated on changes in medical billing regulations, coding practices, and insurance policies.
Utilize medical office systems effectively to manage billing processes and maintain patient confidentiality.
Prepare for and respond to payer or government audits related to podiatry services.
Track and analyze key performance indicators (KPIs) such as denial rates and days in accounts receivable.
Support contract negotiations as necessary and manage appeals and denials specific to podiatry coverage.
Requirements
Proven experience in medical billing, coding, or a related field, preferably in podiatry or a surgical specialty.
Strong knowledge of podiatry-related medical terminology, DRG (Diagnosis Related Group), and various coding systems (ICD-10, ICD-9, CPT, HCPCS).
Familiarity with medical records management and the healthcare reimbursement process.
Excellent attention to detail with strong organizational skills.
Ability to communicate effectively with healthcare professionals, insurance representatives, and patients.
Proficient in using medical office software, EHRs, and billing systems.
Certification in medical billing or coding is a plus but not required; advanced certifications or specialty credentials in podiatry coding are highly desirable.
Knowledge of HIPAA compliance, fraud prevention, and audit readiness.
Join our dedicated team where your expertise will contribute to the efficient operation of our healthcare services while ensuring patients receive the care they deserve through accurate billing practices.
Job Types: Full-time, Contract
Pay: $25.00 - $50.00 per hour
Please Note: This position may require a two-week trial period at our standard trial rate.
Requirements
Experience:
ICD-10: 1 year (Required)
Benefits
Dental insurance
Health insurance
Paid time off
Vision insurance
Auto-ApplyBehavioral Health Coder
Medical coder job in Redmond, OR
Full-time Description
JOB SUMMARY: The Behavioral Health Coder serves as an important member of the Billing Team. Primarily responsible for the coding and abstracting of client services. Standardized coding and classification systems, minimum data sets, data definitions and terminology will be utilized to ensure data is uniformly defined, collected, and verified. Ensure all coding and billing guidelines are adhered to for compliance with BestCare policies and practices, and ICD-10-CM and Medicare guidelines.
ESSENTIAL FUNCTIONS:
Serves as a coding subject-matter expert for the Billing staff to identify and help resolve issues to support quick and accurate billing,
Is available as a resource for all BestCare sites on coding requirements and best practices;
Maintains coding credentials as required by credentialing agency;
Takes initiative to establish priorities, coordinates work activities and performs multiple and complex tasks while working independently and with minimal supervision in a remote setting;
Completes special projects as assigned;
Other related duties as assigned.
ORGANIZATIONAL RESPONSIBILITIES:
Performs work in alignment with BestCare's mission, vision, values;
Supports the organization's commitment to fostering a culture of inclusivity, open-mindedness, equity, cultural awareness, compassion, and respect for all individuals;
Strives to meet annual Program/Department goals and supports the organization's strategic goals;
Adheres to the organization's Code of Conduct, Business Ethics, Employee Handbook, and all other policies, procedures, and relevant compliance standards;
Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes;
Attends and participates in required program/staff meetings (remotely with some in-person), and completes assigned training timely and satisfactorily;
Ensures that any required certifications and/or licenses are kept current and renewed timely;
Works independently as well as participates as a positive, collaborative team member;
Performs other organizational duties as needed.
REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period:
Proficient in ICD-10 CM codes on patient medical records for medical coding purposes;
Proficient with CMS billing rules and associated coding and billing requirements;
Understanding of and proficiency in using Epic Software Systems;
High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software;
Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.),
Strong interpersonal and customer service skills;
Strong communication skills (oral and written);
Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through;
Excellent time management skills with a proven ability to meet deadlines;
Critical thinking skills
Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes;
Ability to build and maintain positive relationships;
Ability to function well and use good judgment in a high-paced and at times stressful environment;
Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively;
Ability to work effectively and respectfully in a diverse, multi-cultural environment;
Ability to work independently as well as participate as a positive, collaborative team member.
Requirements
QUALIFICATIONS:
EDUCATION AND/OR EXPERIENCE:
Associate's degree in related field
or
combined equivalent in related education and experience
Minimum 6 years of experience with Epic software systems
Minimum 6 years of experience with revenue cycle billing
Minimum 8 years of coding experience preferably Behavioral Health
LICENSES AND CERTIFICATIONS:
CPC, CRC, CCS Coding certification through AHIMA or AAPC required, or a more advanced certification (RHIT: Registered Health Information Technician, RHIA: Registered Health Information Associate) is required upon start
Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization's auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations)
Must be currently certified through AAPC or AHIMA
PREFERRED:
Bilingual in English/Spanish a plus
COC Coding certification
Salary Description $32.50-$42.64
Certified Senior Coder
Medical coder job in Corvallis, OR
The Certified Senior Coder reviews provider service records to ensure accurate coding for all services to maximize reimbursement and meet coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues.
Principal Responsibilities:
1. Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within.
2. Codes services correctly; understands and appropriately uses all CPT, ICD-10 and modifiers. Understands and follows all bundling edits.
3. Ensures that documentation supports charges billed, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10.
4. Process and input billings accurately in the practice management system; CPT codes, modifiers, units, fees, ICD-10 codes, using tools available to confirm codes, units and fees will be correctly billed, e.g., checking batch with the charge report. Works claim holds in an accurate and timely supporting our business office policies.
5. Provides feedback, research and answers coding questions from providers, insurance specialists, patient account representatives and denial tasks concerning reason for denial, patient issues and maximum reimbursement.
6. Quickly locates Medicare billing rules and policies, fully comprehends how these relate, apply and follows coding when billing Medicare patients. Coding and billing per insurance listed, bills per standard processes, utilizes identified insurance guidelines and billing accordingly. Updating new guidelines as identified and adding to the H drive.
7. Improve the quality of care through continuing education and self-evaluation of the effectiveness of care. This includes attendance/participation in most in-services/department meetings and remaining current on department policies and procedures.
8. Participate in orientation and training of new employees.
Education/Licensure/Experience:
1. High school diploma or equivalent required.
2. Certification of advanced coding course or demonstrated equal coding experience, required.
3. Two (2) or more years of experience working with medical billing and medical terminology, required.
Knowledge and Skills:
Extensive knowledge of insurance line is required
Intermediate to advanced computer skills including; MS Word and Excel
Ability to communicate and work well with providers and other staff
Ability to work on multiple tasks simultaneously in a busy, fast-paced environment while maintaining quality of work
Perks and Benefits:
Work-life balance is a top priority at The Corvallis Clinic
7 holidays + 2 floating holidays = 9 Paid Holidays! Early release on Christmas Eve and New Year's Eve
Generous Personal Leave Accrual
Benefits: Medical w/ HSA or HRA, Dental, Flexible Spending Acct (FSA)
Employer contribution to HSA and HRA (when enrolled in Medical Plan)
Employer paid Long Term Disability (LTD), Basic Life/AD&D, Employee Assistance Program (EAP)
Voluntary Benefits (Vision, Life Insurance and AD&D, Pet Insurance, Aflac, Legal Shield)
Retirement - 401k eligible and auto enrolled after 90 days, 100% vested from day 1, with discretionary clinic match after 1 year (w/hours requirement) and discretionary Profit Share after 2 years (w/hours requirement).
Pay on Demand (up to 2x per month)
Casual Fridays (with clinic approved attire)
Year-round employee engagement events and festivities
Team centered culture, delivering exceptional medical care with compassion and a commitment to service.
Medical Records Technician - Health Information Management
Medical coder job in North Bend, OR
The Medical Records Technician is responsible for processing requests for medical records in compliance with federal and state laws, including HIPAA, organizational policies, and legal guidelines. The ROI Technician ensures the accurate, timely, and secure release of patient health information to authorized requestors such as patients, providers, attorneys, insurance companies, and government agencies. The Medical Records Technician is responsible for managing the release of patient health information in accordance with HIPAA, state and federal laws, and organizational policies. This role ensures that all requests for medical records are processed accurately, timely, and with the highest level of confidentiality and professionalism.
Key HIM Tech Responsibilities:
* Oversee daily operations of the Health Information Management (HIM) Department across Primary Care, Dental, and Behavioral Health services
* Review, validate, and process all incoming requests for medical records from patients, healthcare providers, attorneys, insurance companies, and government agencies
* Ensure all authorizations are complete, valid, and meet legal and compliance standards
* Retrieve, prepare, and securely release health records using electronic health record (EHR) systems (e.g., Epic, Cerner) and ROI tracking tools
* Maintain strict compliance with HIPAA and all applicable federal and state regulations
* Safeguard protected health information (PHI) and ensure confidentiality at all times
* Respond professionally and promptly to inquiries from patients, third-party requestors, and internal stakeholders regarding the status of requests
* Review and respond to subpoenas, court orders, and legal requests under the direction of the HIM Manager
* Calculate and collect applicable fees for record requests in accordance with organizational guidelines
* Accurately document all requests and disclosures in the ROI tracking system
* Scan, index, and file documentation accurately within the health record system
* Conduct quality control checks to ensure accuracy, completeness, and proper documentation of released information
* Collaborate with clinical, legal, and administrative teams to resolve issues related to the release of information
* Maintain detailed logs and generate required reports related to record disclosures
* Stay current with industry regulations, best practices, and participate in audits, quality assurance reviews, and ongoing training
Skills / Competencies:
* Deep understanding of HIPAA regulations and Health Information Management (HIM) best practices
* Proficient in using the Epic Electronic Health Record (EHR) system
* Strong leadership, organizational, and communication abilities
* Highly detail-oriented with excellent analytical and problem-solving skills
* Proven ability to manage multiple tasks and prioritize effectively in fast-paced environments
* Skilled in investigation and documentation, ensuring accuracy and compliance
* Excellent interpersonal skills with the ability to train and educate staff across departments
* Committed to maintaining confidentiality and handling sensitive information with discretion and integrity
Requirements
Qualifications:
* High school diploma or equivalent required
* Associate degree in Health Information Management or a related field, experience in lieu of education may be considered
* 1-3+ years of experience in health IT, medical records, or healthcare technology environments
* Proficient in electronic health record (EHR) systems, particularly Epic
* Strong understanding of HIPAA, release of information (ROI) regulations, and healthcare terminology
* Familiarity with data privacy and security standards in healthcare settings
* Strong analytical, troubleshooting, and problem-solving skills
* Excellent verbal and written communication skills
* Exceptional attention to detail and organizational abilities
* Demonstrated ability to handle confidential information with professionalism and discretion
* Certifications such as RHIT, RHIA, CPHIMS, or Epic certification preferred
Experience:
* At least 1-2 years of HIM experience preferred.
* Experience with Epic EHR required.
Salary Description
$19 - $25/hourly, DOQ
Medical Records
Medical coder job in Roseburg, OR
Evergreen Family Medicine is committed to providing excellent care for your family with clinics in Roseburg and Myrtle Creek Oregon. Evergreen Family Medicine serves outpatient needs, including Urgent Care, Family Practice, Women's Health, Occupational Health, and school-based telehealth.
Evergreen Family Medicine is a Drug Free Workplace. All candidates that are offered employment will be required to pass a pre-employment drug screen and background check.
Responsibilities and Duties:
Maintains confidentiality according to HIPPA regulations and EFM policies.
Adheres strictly to EFM departmental standards and policies, including state and federal regulations.
Communicates effectively and professionally with co-workers, managers and patients via phone, email or in person.
Couriers any paper information within the office to each pod or department including sending information to outside offices.
Works all tasks in ‘buckets' assigned to medical records in an accurate and timely manner.
Advocates for patients by creating appropriate patient cases, requests, and communications in Athena, on paper and in person.
Accurately labels all correspondence and documents within the EMR.
Faxes, mails, or sends by courier all appropriate documentation and forms accurately and timely
Keeps an active working knowledge of Athena, engages in continuing education and trainings as offered by manager or company.
Follows up on any document requests from staff or providers by calling outside providers or facilities.
Self Manages to stay on task, maximizes efficiencies and does not distract others as well as encourages others to do the same.
Maintains a positive attitude, does not take work issues personally and does not allow personal issues to affect the work day.
Ensures on a daily basis to promote an environment filled with teamwork, a positive outlook and constant professionalism.
Qualifications and Skills:
One year of work experience in a medical setting.
High School Diploma or equivalent.
Knowledge of medical terminology and healthcare regulations.
Experience with electronic health record (EHR) systems preferred.
Communication, interpersonal, clerical, and organizational skills necessary to complete job duties.
Ability to handle the confidential aspects of the work.
Ability to type at least 40 wpm and operate computers and office equipment.
Physical requirements:
Prolonged periods sitting at a desk and working on a computer.
The employee is frequently required to walk; use hands and fingers, handle, or feel; and reach forward with hands and arms.
The employee is occasionally required to sit and stoop, kneel, or crouch.
Must be able to lift up to 15 - 25 pounds at times.
Our culture and values are every employee's responsibility: The needs of our patient come first S.P.I.R.I.T
Stewardship
Patient & Population Focused Health Care
Integrity
Respect
Innovation
Teamwork
Medical Records
Medical coder job in Portland, OR
CC1 Full Time If you are a medical records professional with skilled nursing experience, we'd love to consider you for our team!
The Medical Records Specialist is responsible for maintaining accurate and secure health records for residents in our Nursing Home Facility . This position plays a critical role in ensuring all documentation is current, complete, and compliant with healthcare regulations. The ideal candidate will have a strong attention to detail, excellent organizational skills, and familiarity with healthcare documentation processes.
RESPONSIBILITIES:
Copy 24 hour report to all departments
Maintain resident medical records, ensuring they are up-to-date, complete, and accessible to authorized personnel.
Run MDS due and completed reports
Organize, file, and retrieve resident health records as needed, including admission forms, treatment notes, lab results, and discharge summaries.
Accurately enter health data and updates into the Electronic Health Record (EHR) system and ensure any paper records are properly digitized.
Adhere to HIPAA and other regulatory standards, safeguarding resident privacy and ensuring records are accessed only by authorized individuals.
Regularly audit records to ensure accuracy and compliance with state and federal regulations; identify and resolve any discrepancies.
Coordinate with nursing staff, physicians, and other healthcare professionals to obtain missing information or clarify documentation.
Process and fulfill requests for medical records, ensuring proper authorization and timely response.
Stay up-to-date with regulatory changes, and assist with preparing records for surveys, inspections, or audits.
Assist other staff with understanding the medical records process and train new team members on documentation policies.
Other duties as assigned.
REQUIREMENTS:
High school diploma or equivalent required; Associate's degree in Health Information Technology or a related field preferred.
Prior experience in medical records or health information management, preferably in a skilled nursing facility or long-term care setting.
RHIT (Registered Health Information Technician) or similar certification is a plus.
Proficiency in medical terminology, strong computer skills (especially in EHR software), and a high degree of accuracy and organization.
Familiarity with HIPAA regulations and best practices for medical record-keeping in healthcare.
EMPLOYEE BENEFITS:Benefits of being a Sapphire Health Services employee include, but is not limited to:
PTO
401(K)
Medical/Health Insurance
Dental Insurance
Vision Insurance
Birthday/Holiday Pay
Wellness Fund
Uniform Fund
Longevity Bonuses
Quarterly Vacation Drawing
Tuition Reimbursement
HOW TO APPLY:At Sapphire Health Services we are dedicated to creating a supportive and enriching environment for both our residents and our team members. If you are a passionate healthcare professional looking to make a difference in the lives of residents, we encourage you to apply!
Address: 6003 SE 1136th Ave., Portland, OR 997236
WHO WE ARE: Located in Portland , OR, Sapphire at Cedar Crossings is an 89 bed Post-Acute Care Rehab and Nursing home. Sapphire provides the mentorship and training to help our employees grow and achieve their career goals. Cedar Crossings team members support on going training, tuition reimbursement, competitive wages, referral bonuses, quarterly vacation drawings, complimentary meals, free parking.
- OUR MISSION: TO PROMOTE THE HIGHEST QUALITY OF LIFE FOR OUR RESIDENTS, STAFF AND COMMUNITIES. WE STRIVE TO TREAT THEM ALL WIT THE GREATEST CONSIDERATION AND RESPECT -
Release of Information Specialist
Medical coder job in Salem, OR
About RRS Medical
RRS Medical is a fast-growing healthcare information technology company accelerating the transfer of protected health information to fulfill our mission, which is to improve patients access to their healthcare data. The company is headquartered in Media, PA with an office in Swansea, IL, and services clients nationwide.
About the Job
We are currently seeking qualified candidates for an open Release of Information Specialist position within the Health Information Management department at a client located in the Salem, OR area. The ideal candidate will be motivated, detail-oriented and a problem solver with excellent written and oral communication skills. Our company seeks those that are kind, encouraging, and gritty as to align with the core values and mission of RRS Medical.
Candidates should be willing and able to work independently. This position will work directly with Medical Personnel to ensure all medical requests are handled in a timely and compliant manner. Ensuring a pleasant patient experience while accessing medical information will be vital. Position entails the full life cycle of Medical Record Release of Information Process.
The Release of Information Specialist will be working onsite at the client five days a week. RRS Medical is now offering a $500 signing bonus for candidates payable at their 90 day anniversary.
Responsibilities
Collection of requested medical records from multiple EMR systems
Daily reporting and logging of assigned work
Assisting patients and authorized individuals with assessing Protected Health Information (PHI)
Providing customer support to clients, patients and requesters
Educating requesters on the Release of Information process
Receive and complete incoming requests for information and respond in a timely manner
Validate requests and authorizations for release of medical information
Consistently audit data entry to ensure all information is correctly entered and documented
Demonstrate helpful and effective telephone etiquette
Maintain working knowledge of the current laws
Maintain regular attendance and punctuality as scheduled
Work within scope of position and direction; willingly accepts assignments
Maintain confidentiality, information security and ethical behavior
Accept new assignments willingly to meet business needs
Skills
General Windows experience
Customer service and phone skills
Ability to communicate and work both within a team and individually
Ability to utilize Microsoft Office & E-mail
Data entry
Ability to use document scanners
Ability to use Adobe Acrobat
Qualifications
Medical Office, HIPAA or Insurance industry experience
EMR systems (EPIC, Centricity, eClinical Works, NextGen, SRS, Athena) experience. EPIC experience preferred.
One year of experience working with HIPAA, EMR, Release of Information and Medical Office Procedures
RHIA, RHIT, CCA, CCS-P, CHPS, CHTS, CHPA, CHPE, CHSE, CHPSE are preferred but not required
Education: High School or equivalent
Auto-ApplyMedical Records Clerk
Medical coder job in La Pine, OR
Job DescriptionDescription:
The Medical Records Clerk is responsible for maintaining the security, confidentiality, completeness, and accuracy of the medical records of La Pine Community Health Center in accordance with policies and procedures and within the guidelines of the organization.
Responsibilities and Essential Functions
· Follow HIPAA policies and laws
· Verify that all releases of information take place in accordance with Oregon State law governing such releases
· Purge records in accordance with policies and procedures and in accordance with acceptable retention requirements for the State of Oregon
· Process all incoming and outgoing medical release forms with thorough documentation
· Ability to prioritize workflow and process urgent items timely and accurately
· Process all Medical Records subpoenas with Chief Executive Officer and Chief Operation Officers' approval
· Function as the Custodian of Records for LCHC
· Performs chart audits to ensure compliance with insurance companies
· Processes outgoing and incoming mail
· Actively participate in the yearly review/revision of the medical records protocols as needed
· Monitors electronic faxing platform, routes, prints and indexes into charts as appropriate
· Collects and processes patient information from providers, RN's, Medical Assistants, and others
· Responsible for preparing, scanning and indexing all documents into patient charts
· Deceased patient record keeping in electronic medical records system
· Closing referrals for solicited patient results
· Perform other duties as assigned
Minimum Qualifications and Other Essential Functions
· Establish and maintain effective and harmonious working relationships with staff, patients, vendors, and the public
· Maintain excellent oral and written communication skills and an ability to practice effective professional communication
· Thrive and promote group cohesion as a team member in a rapidly changing environment
· Follow detailed and written oral instructions
· Multi-task and adjust priorities in a fast-paced environment, while maintaining focus and managing disruptions and/or unexpected needs
· Accept feedback from a variety of sources and constructively manage any conflicts
· Maintain excellent organization skills
· Execute and track detail-oriented projects and deadlines
· Demonstrate professionalism
· Demonstrate good judgement while working independently or as part of a team
· Maintain punctual attendance
· Maintain general computer and keyboarding skills
Requirements:
Minimum Qualifications and Other Essential Functions
· Establish and maintain effective and harmonious working relationships with staff, patients, vendors, and the public
· Maintain excellent oral and written communication skills and an ability to practice effective professional communication
· Thrive and promote group cohesion as a team member in a rapidly changing environment
· Follow detailed and written oral instructions
· Multi-task and adjust priorities in a fast-paced environment, while maintaining focus and managing disruptions and/or unexpected needs
· Accept feedback from a variety of sources and constructively manage any conflicts
· Maintain excellent organization skills
· Execute and track detail-oriented projects and deadlines
· Demonstrate professionalism
· Demonstrate good judgement while working independently or as part of a team
· Maintain punctual attendance
· Maintain general computer and keyboarding skills
Preferred Qualifications
· Intermediate or advanced knowledge of Microsoft Office Products: Excel, Outlook, Word, and Power Point
· Knowledge of Federally Qualified Health Centers
· Prior education or equivalent work experience in a health care setting
Physical Demands Required to Fulfill Essential Functions of this Position
Employee must be able to: sit or stand for long periods of time; focus on tasks while in an active office environment where conversation and noise is prevalent; operate a keyboard, write, speak, and hear; read small print both on paper and on a computer screen for long periods of time and, occasionally lift up to 20 pounds.
Additional Requirements
· Submit to and pass a drug test
· Successfully complete a criminal background check
· Maintain HIPAA compliance and follow confidentiality policies to protect organizational information
· Foster ethical behavior, cultural sensitivity, and an inclusive environment in accordance with our Standards of Conduct and Respectful Workplace Policies
· Work beyond normal working hours, including weekends, if applicable and when required
Working Conditions
There may be exposure to airborne and blood-borne pathogens, and hazardous materials.
Equal Employment Opportunity Statement
La Pine Community Health Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, marital status, protected veteran status, or any other characteristic protected by applicable laws. La Pine Community Health Center complies with all applicable laws governing non-discrimination in employment in every location in which the organization has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfers, leave of absence, compensation, and training.
LCHC's Mission, Vision, and Values
All LCHC employees are required to promote and foster LCHC's mission, vision, and values.
Mission: We improve lives in our community through accessible and affordable healthcare provided with kindness, integrity, and respect.
Vision: For a healthy community.
Core Values: Respect, integrity, collaboration, professionalism, accountability, and compassion.
Medical Records Clerk
Medical coder job in La Pine, OR
The Medical Records Clerk is responsible for maintaining the security, confidentiality, completeness, and accuracy of the medical records of La Pine Community Health Center in accordance with policies and procedures and within the guidelines of the organization.
Responsibilities and Essential Functions
* Follow HIPAA policies and laws
* Verify that all releases of information take place in accordance with Oregon State law governing such releases
* Purge records in accordance with policies and procedures and in accordance with acceptable retention requirements for the State of Oregon
* Process all incoming and outgoing medical release forms with thorough documentation
* Ability to prioritize workflow and process urgent items timely and accurately
* Process all Medical Records subpoenas with Chief Executive Officer and Chief Operation Officers' approval
* Function as the Custodian of Records for LCHC
* Performs chart audits to ensure compliance with insurance companies
* Processes outgoing and incoming mail
* Actively participate in the yearly review/revision of the medical records protocols as needed
* Monitors electronic faxing platform, routes, prints and indexes into charts as appropriate
* Collects and processes patient information from providers, RN's, Medical Assistants, and others
* Responsible for preparing, scanning and indexing all documents into patient charts
* Deceased patient record keeping in electronic medical records system
* Closing referrals for solicited patient results
* Perform other duties as assigned
Minimum Qualifications and Other Essential Functions
* Establish and maintain effective and harmonious working relationships with staff, patients, vendors, and the public
* Maintain excellent oral and written communication skills and an ability to practice effective professional communication
* Thrive and promote group cohesion as a team member in a rapidly changing environment
* Follow detailed and written oral instructions
* Multi-task and adjust priorities in a fast-paced environment, while maintaining focus and managing disruptions and/or unexpected needs
* Accept feedback from a variety of sources and constructively manage any conflicts
* Maintain excellent organization skills
* Execute and track detail-oriented projects and deadlines
* Demonstrate professionalism
* Demonstrate good judgement while working independently or as part of a team
* Maintain punctual attendance
* Maintain general computer and keyboarding skills
Requirements
Minimum Qualifications and Other Essential Functions
* Establish and maintain effective and harmonious working relationships with staff, patients, vendors, and the public
* Maintain excellent oral and written communication skills and an ability to practice effective professional communication
* Thrive and promote group cohesion as a team member in a rapidly changing environment
* Follow detailed and written oral instructions
* Multi-task and adjust priorities in a fast-paced environment, while maintaining focus and managing disruptions and/or unexpected needs
* Accept feedback from a variety of sources and constructively manage any conflicts
* Maintain excellent organization skills
* Execute and track detail-oriented projects and deadlines
* Demonstrate professionalism
* Demonstrate good judgement while working independently or as part of a team
* Maintain punctual attendance
* Maintain general computer and keyboarding skills
Preferred Qualifications
* Intermediate or advanced knowledge of Microsoft Office Products: Excel, Outlook, Word, and Power Point
* Knowledge of Federally Qualified Health Centers
* Prior education or equivalent work experience in a health care setting
Physical Demands Required to Fulfill Essential Functions of this Position
Employee must be able to: sit or stand for long periods of time; focus on tasks while in an active office environment where conversation and noise is prevalent; operate a keyboard, write, speak, and hear; read small print both on paper and on a computer screen for long periods of time and, occasionally lift up to 20 pounds.
Additional Requirements
* Submit to and pass a drug test
* Successfully complete a criminal background check
* Maintain HIPAA compliance and follow confidentiality policies to protect organizational information
* Foster ethical behavior, cultural sensitivity, and an inclusive environment in accordance with our Standards of Conduct and Respectful Workplace Policies
* Work beyond normal working hours, including weekends, if applicable and when required
Working Conditions
There may be exposure to airborne and blood-borne pathogens, and hazardous materials.
Equal Employment Opportunity Statement
La Pine Community Health Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, marital status, protected veteran status, or any other characteristic protected by applicable laws. La Pine Community Health Center complies with all applicable laws governing non-discrimination in employment in every location in which the organization has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfers, leave of absence, compensation, and training.
LCHC's Mission, Vision, and Values
All LCHC employees are required to promote and foster LCHC's mission, vision, and values.
Mission: We improve lives in our community through accessible and affordable healthcare provided with kindness, integrity, and respect.
Vision: For a healthy community.
Core Values: Respect, integrity, collaboration, professionalism, accountability, and compassion.
Salary Description
$18.00-$20.00 DOE
Surgery Coder 3 (Coding Specialist 3)
Medical coder job in Portland, OR
This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA.
Function/Duties of Position
Coding
* Coding at 95% or above accuracy for Complex Surgical coding, General Surgery, Palstics Sugery, Bariatrics Surgery, GI, Potential other Surgical areas depending on needs of dept.
* Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases.Work assigned charge sessions in assigned EPIC charge router work queues.
* Assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or Surgical coding.
* Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
* Coordinate patient encounter billing information and ensure that all information is complete and accurate before submission. Enter coding and billing information into EPIC, establish and maintain procedures and other controls necessary in carrying out all coding and billing activity.
* Resolve with billing any issues, coding denial requests, or questions as part of coding denial process. Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS).
* Coordinate all billing information and ensure that all information is complete and accurate.
* Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned.
Department Support
* Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
* Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support and mentor and orientate coding staff as necessary.
* Monitor coding and billing information from CMS guidelines, Professional licensing organizations, Internal communication memos, and transmittals from coding publishers and governmental agencies to advise facility and team of billing practice changes in CPT, ICD-10-CM, and HCPCS and ensure changes are implemented to maximize revenue and reflect medical evaluation of patient encounters.
* Make recommendations to coding leadership and implement remedial actions for problems. Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
* Attend coding meetings and seminars and share knowledge with other coders. Participates in EC Huddles.
* In collaboration with Leadership, make recommendations and implement remedial actions for problems.
* Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of current trends in coding.
* Other duties as assigned.
Required Qualifications
* High school diploma or GED.
* Minimum of 4 years professional experience reviewing, abstracting, coding in ICD 10 CM or ICD 10 PCS, or CPT.
* Certification in one of the following Coding certifications from AAPC or AHIMA:
* Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
* OR equivalent certification.
* Active AHIMA membership or Certified Professional Coder (CPC) through the American Academy of Professional Coders.
Preferred Qualifications
* Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements.
* Experience using an EMR.
* Some college course work or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
* Knowledge of CPT Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines.
* Experience using EPIC, 3M encoder.
* Advanced knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates.
* Proficiency with word processing and Excel spreadsheets.
* Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
* Must be able to pass internal coding test to qualify as a Level 3.
Additional Details
This is a remote positon.Department Core hours are Monday - Friday, 5:00am -10:00pm (with some flexibility available).
All are welcome
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
Auto-ApplyBehavioral Health Coder
Medical coder job in Redmond, OR
Job DescriptionDescription:
JOB SUMMARY: The Behavioral Health Coder serves as an important member of the Billing Team. Primarily responsible for the coding and abstracting of client services. Standardized coding and classification systems, minimum data sets, data definitions and terminology will be utilized to ensure data is uniformly defined, collected, and verified. Ensure all coding and billing guidelines are adhered to for compliance with BestCare policies and practices, and ICD-10-CM and Medicare guidelines.
ESSENTIAL FUNCTIONS:
Serves as a coding subject-matter expert for the Billing staff to identify and help resolve issues to support quick and accurate billing,
Is available as a resource for all BestCare sites on coding requirements and best practices;
Maintains coding credentials as required by credentialing agency;
Takes initiative to establish priorities, coordinates work activities and performs multiple and complex tasks while working independently and with minimal supervision in a remote setting;
Completes special projects as assigned;
Other related duties as assigned.
ORGANIZATIONAL RESPONSIBILITIES:
Performs work in alignment with BestCare's mission, vision, values;
Supports the organization's commitment to fostering a culture of inclusivity, open-mindedness, equity, cultural awareness, compassion, and respect for all individuals;
Strives to meet annual Program/Department goals and supports the organization's strategic goals;
Adheres to the organization's Code of Conduct, Business Ethics, Employee Handbook, and all other policies, procedures, and relevant compliance standards;
Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes;
Attends and participates in required program/staff meetings (remotely with some in-person), and completes assigned training timely and satisfactorily;
Ensures that any required certifications and/or licenses are kept current and renewed timely;
Works independently as well as participates as a positive, collaborative team member;
Performs other organizational duties as needed.
REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period:
Proficient in ICD-10 CM codes on patient medical records for medical coding purposes;
Proficient with CMS billing rules and associated coding and billing requirements;
Understanding of and proficiency in using Epic Software Systems;
High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software;
Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.),
Strong interpersonal and customer service skills;
Strong communication skills (oral and written);
Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through;
Excellent time management skills with a proven ability to meet deadlines;
Critical thinking skills
Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes;
Ability to build and maintain positive relationships;
Ability to function well and use good judgment in a high-paced and at times stressful environment;
Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively;
Ability to work effectively and respectfully in a diverse, multi-cultural environment;
Ability to work independently as well as participate as a positive, collaborative team member.
Requirements:
QUALIFICATIONS:
EDUCATION AND/OR EXPERIENCE:
Associate's degree in related field
or
combined equivalent in related education and experience
Minimum 6 years of experience with Epic software systems
Minimum 6 years of experience with revenue cycle billing
Minimum 8 years of coding experience preferably Behavioral Health
LICENSES AND CERTIFICATIONS:
CPC, CRC, CCS Coding certification through AHIMA or AAPC required, or a more advanced certification (RHIT: Registered Health Information Technician, RHIA: Registered Health Information Associate) is required upon start
Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization's auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations)
Must be currently certified through AAPC or AHIMA
PREFERRED:
Bilingual in English/Spanish a plus
COC Coding certification