Medical Coder II, Hospital-Based Coding
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.Qualifications 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
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)
Senior Medical Coder
Medical coder job in Salem, OR
The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards.
**Medical Coding**
+ Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries.
+ Review and validate coding performed by other coders to ensure consistency and accuracy.
+ Identify ambiguous or unclear terms and query clinical sites or data management for clarification.
+ Maintain coding conventions and ensure alignment with study-specific and sponsor requirements.
**Data Quality & Review**
+ Conduct ongoing coding checks during data cleaning cycles and prior to database lock.
+ Lead the resolution of coding discrepancies, queries, and coding-related data issues.
+ Review safety data for coding accuracy in collaboration with medical monitors and pharmacovigilance teams.
+ Assist in the preparation of coding-related metrics, reports, and quality documentation.
**Process Leadership & Subject Matter Expertise**
+ Serve as the primary point of contact for coding questions across studies or therapeutic areas.
+ Provide guidance and training to junior medical coders, data management staff, and clinical teams.
+ Develop and maintain standard operating procedures (SOPs), work instructions, and coding guidelines.
+ Participate in vendor oversight activities when coding tasks are outsourced.
+ Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams.
**Cross-Functional Collaboration**
+ Work closely with clinical data management to ensure proper term collection and standardization.
+ Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions.
+ Support biostatistics and medical writing with queries related to coded terms for analyses and study reports.
**Education & Experience**
+ Bachelor's degree in life sciences, nursing, pharmacy, public health, or equivalent healthcare background; advanced degree preferred.
+ **5-8+ years of medical coding experience in clinical research** , ideally within CRO, pharmaceutical, or biotech environments.
+ Strong working knowledge of **MedDRA and WHODrug** dictionaries, including version control and update management.
+ Experience supporting multiple therapeutic areas; oncology, rare disease, or immunology experience preferred but not required.
**Technical & Professional Skills**
+ Proficient in clinical data management systems (e.g., Medidata Rave, Oracle Inform, Veeva, or similar).
+ Excellent understanding of ICH-GCP, FDA, EMA, and other global regulatory guidelines.
+ Strong attention to detail, analytical problem-solving, and ability to manage multiple projects simultaneously.
+ Effective communication skills and experience collaborating in matrixed research environments.
Cytel Inc. is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
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-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-ApplyMedical 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
Preferred Qualifications:
+ N/A
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.
Coder II (Clinic & E/M Coding)
Medical coder job in Salem, OR
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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-ApplyMedical Records Manager
Medical coder job in Beaverton, OR
Job DescriptionDescription:
Responsible for establishing and maintaining resident medical records in accordance with Cascadia policies and state and federal regulations.
Note: All employees of Cascadia Healthcare are required to submit and be cleared to work in the facility per each
state's specific background check requirements prior to contact with patients/residents.
Essential Functions
Provides training, direction and guidance for the medical records staff.
Ensures medical records are complete, with coordination of electronic function & scanning of hard copy records.
Audit medical records as directed.
Data entry into the electronic medical record as directed.
Compiles statistical data such as admission, discharges & deaths.
Coordinates to ensure timely MD visit, documentation & signing of orders.
Closes medical records as directed.
Restricts access to resident medical records to those staff members with a valid requirement.
Files documents in accordance with established procedures.
Services as HIPAA resource for facility and maintains HIPAA disclosure log for the facility.
Participates in Medicare/Managed Care triple check for accuracy in billing.
Maintains, retains and archives files in accordance with Cascadia policy and State and Federal regulations.
Participates in the hiring, disciplining and evaluation of medical records employees.
Prepares work schedules and maintains adequate staffing.
Ensures punctuality and regular attendance for assigned shifts.
Other Functions
Performs other tasks as assigned.
Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, applicable federal and state laws, and applicable professional standards.
Knowledge/Skills/Abilities
Knowledge of medical terminology.
Ability to be accurate, concise and detail-oriented.
Ability to communicate effectively with residents and their family members, and at all levels of the organization.
Strong knowledge of HIPAA and privacy regulations.
Skilled in directing and motivating the workforce.
Computer proficiency required.
Proficiency with PCC preferred.
Requirements:
Education
High school diploma or equivalent required.
Associate or Bachelor's degree in Health Information Management, or similar degree, preferred.
Licenses/Certification
None.
Experience
Six months experience in a long term care environment preferred.
Two years' experience as a Medical Records Clerk or with record keeping responsibility in a health care setting.
PCC experience preferred.
Code Technician II - IV
Medical coder job in Kelso, WA
This position ensures and enforces compliance with county ordinances and building codes. This position investigates building sites/projects prior to and after the issuance of required permits as required by county codes and ordinances. Position is open until filled! First review of applicants will be Monday, December 15th. Code Tech II: *
Visually inspects new construction and alteration projects for compliance to adopted construction codes, approved plans and specifications, and requirements relating to soil conditions, property line setbacks, foundations, structure assembly, plumbing and mechanical systems, and fire/life safety. * Perform all routine field inspections and perform or assist review of simple residential and non-complex structure plans to ensure code compliance. Promptly records all inspections, corrections notices and other documentation. * Secures evidence in cases of violation and recommends possible remedial procedures to gain code and ordinance compliance. * Respond to complaints from the public under the direction of the Building Official. Perform a diversity of clerical and administrative duties to maintain and perform the permit process and maintain its efficiency and timeliness. Prepare reports of inspections and investigations, including entering all inspections and other documentation in the field, as practical. * Attend and participates in staff meetings. Provide input and recommendations to improve own work processes and the general operation, performance and services provided by the department. * Attend to training and maintain up to date in ordinance, codes, and legal changes pertaining to the trade and related subjects. * Assist other division personnel on assigned duties, as directed. Code Tech III - addition to the duties above: *
Assume the lead in more complicated field inspections, and examine and reviews plans for more complex, large, commercial and industrial sites/projects to ensure compliance with county codes and ordinances. * Compute beams, analyze strength of materials, and evaluate truss design to ensure the structural integrity of structures in accordance with recognized engineering assumptions. * Code Tech IV - addition to the duties above: * Assume the lead in more complicated field inspections, and examine and reviews plans for more complex, large, commercial and industrial sites/projects to ensure compliance with county codes and ordinances. * Compute beams, analyze strength of materials, and evaluate truss design to ensure the structural integrity of structures in accordance with recognized engineering assumptions. * Examine and review plans and specifications, especially on the more complex commercial and industrial structures to assure compliance with county codes and ordinances. * Perform field inspections of commercial, industrial and large scale or complicated projects by visually inspecting new construction and alteration projects for compliance to building codes, approved plans and specifications, requirements relating to soil conditions, property line setbacks, foundations, structure assembly, and fire/life safety requirements. * Secures evidence in cases of violation and recommends possible remedial procedures to gain code and ordinance compliance. Assist and advice builders, contractors, engineers, architects and/or owners on methods and ways to achieve compliance. * Respond to complaints from the public under the direction of the Senior Building Inspector and/or the Building Official. * Prepare reports of inspections and investigations, and maintain records of such. Perform a diversity of clerical and administrative duties to maintain and perform the permit process and maintain its efficiency and timeliness. * Attend and participates in staff meetings. Provide input and recommendations to improve own work processes and the general operation, performance and services provided by the department. * Attend to training and maintain up to date in ordinance, codes, and legal changes pertaining to the trade and related subjects. * Provide back-up support for public counter duties. Non-Essential Duties: * Perform other duties and projects as assigned by supervisors. Code Tech II: * Possess and maintain certification issued by the International Code Council for Building Inspector B1, B2, or B5. * Two (2) years of experience as a Permit Specialist or as a Building Inspector; two (2) years of college education with emphasis on building codes or related field; or four (4) years experience in a construction or building design field/trade. * Possess and maintain a valid driver's license and maintain a good driving record. Code Tech III In addition to the above qualifications: * Possess and maintain certifications issued by the International Code Council for Building Inspector B1 and B2, or B5; and Plumbing Inspector P1 and P2, or P5; or Mechanical Inspector M1 and M2, or M5. It is desirable that the third certification (plumbing or mechanical) be acquired within two years. Code Tech IV In addition to the above qualifications: * Possess and maintain certifications issued by the International Code Council for Building Inspector B1 and B2, or B5, and Building Plans Examiner B3.Must possess and maintain certifications issued by the International Code Council for either Plumbing Inspector P1 and P2, or P5, or the Mechanical Inspector M1 and M2, or M5.The fourth certification must be acquired within two years of employment. * Four (4) years of experience in all types of construction inspection and code enforcement (except electrical).Two (2) years of experience may be substituted for two (2) years of technical, trade or college education or schooling in construction, structure design, building codes or related field. * Possess and maintain a valid driver's license and maintain a good driving record. * Excellent interpersonal and customer service skills to courteously deal with the public and others requiring services. * Work in a cooperative and teamwork environment, as well as able to perform work in a multi-task work environment. * Work under deadline requirements, and handle public pressure or disgruntled public. * Skills to effectively and clearly communicate and explain processes and legal aspects to the public, and those served by the department.Excellent communication skills, both orally and in writing and in a professional business-like manner. * Possess a good general understanding of the codes and ordinances that related to the functions of the department and codes division, and able to interpret and apply them.Read, understand and interpret plans, drawings and specifications. * Ability to handle job stress and interact effectively with others in the workplace.
Medical Records Technician (Coder Outpatient)
Medical coder job in Portland, OR
This is the journey level for this assignment. Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD-10-CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures.
Basic Functions:
Assigns codes to documented patient care encounters (inpatient facility and/or professional services) for the specialty and subspecialty health care services provided by the VAMC. Has advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatments, diagnostic tests, medications, procedures and accepted health care services to ensure proper code selection.
Selects and assigns codes from the current versions of the International Classification of Diseases (ICD) Clinical Modification (CM) and Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Also adheres to the coding guidelines specific to the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs
Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. Timely compliance with coding changes is crucial to the accuracy of the facility database as well as all cost recovery programs.
Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture. Patient health records may be paper or electronic. The abstracted data has many purposes, for example, to profile the facility services and patient population, to determine budgetary requirements, to report to accrediting and peer review organizations, to bill insurance companies and other agencies, and to support research programs.
Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. Ensures provider documentation is complete and supports the diagnoses and procedures coded. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data. Reports incorrect documentation or codes in the electronic patient record.
Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record.
Work Schedule: Monday-Friday: 7:00am - 3:30pm
Recruitment Incentive (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized
Pay: Competitive salary and regular salary increases.
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Permanent Change of Station (PCS): Not Authorized
Cancer Registrar II
Medical coder job in Salem, OR
We are so glad you are interested in joining Sutter Health! Sutter Health, Northern California's largest health network with 29 acute care hospitals, more than 5,000 primary care physicians and specialists, home health, occupational health, psychiatric care and more provides comprehensive medical services in more than 100 Northern California communities. Our mission, vision and values lay the foundation for our day-to-day work in doctors' offices, home health and hospice programs, hospitals, laboratories, research facilities, administrative offices and medical education services. As a unified health care network, we partner to spread innovation, improve access to health care services and put our patients' needs first-all to achieve the highest levels of quality, access and affordability.
Assures complete and accurate data are collected and maintained for all reportable malignancies, including reportable benign tumors. Review any applicable data from the patient's medical record, including imaging, pathology, treatment summaries, physician's office notes, in- and out-patient visits. Stay abreast of industry changes by regulatory organizations, learn from constructive feedback, work independently, and make decisions with limited information. Uses knowledge of cancer disease processes, tumor nomenclature, medical terminology, medical procedures, anatomy, and physiology.
Additional Requirements:
EDUCATION:
* Associate's: Associate of Arts degree in a health-related field.
* Completion of accredited Cancer Registrar training program.
CERTIFICATION & LICENSURE:
* ODS-Oncology Data Specialist.
TYPICAL EXPERIENCE:
* 1-year recent relevant experience.
SKILLS AND KNOWLEDGE:
* Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
* Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline.
* General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), CNExT cancer data collection, electronic health records (EHR), and EPIC.
* Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
* Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
* Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
* Ensure the privacy of each patient's protected health information (PHI).
* Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives.
Pay range (CA, NJ, WA): $35.28-$44.09 / hr.
Pay range (CO, FL, GA, IL, MI, NV, NC, OH, OR, PA, TX, VA): $32.08-$40.09 / hr.
Pay range (AZ, AR, ID, LA, MO, MT, SC, TN, UT): $29.40-$36.75 / hr.
Job Shift:
Varied
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $35.28 to $44.09 / hour. CA, NJ, WA Pay Range is $35.28 to $44.09 / hour. CO, FL, GA, IL, MI, NV, NC, OH, OR, PA, TX, VA Pay Range is $32.08 to $40.09 / hour. AZ, AR, ID, LA, MO, MT, SC, TN, UT Pay Range is $29.40 to $36.75 / hour.
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Panel Coordinator - Surgical Oncology
Medical coder job in Portland, OR
Each day, you know what needs to be done to help patients at LMG Clinics get the care they need. With your strong organizational and administrative skills, you coordinate the daily schedule, focusing on health maintenance as well as patients with serious or chronic health problems. Your ability to assess patient needs helps our medical staff to diagnose, coordinate treatments, provide a continuum of care and enhance patient well-being. You're a team player on whom the medical staff and clinic patients rely. In short, you represent the Legacy mission of making life better for others.
Legacy Good Samaritan Medical Center in Northwest Portland is known for its specialty programs and clinical excellence. Legacy Good Samaritan features nationally renowned doctors in cancer care, kidney transplantations, neurology, ophthalmology, weight-loss surgery, robotic surgery, rehabilitation and more, with access to emergency care if needed.
Responsibilities
Serve as an effective communication link between patient and clinic staff by gathering information from patients.
Independently and proactively identify patients in the practice by running panel reports for specific diagnosis and preventive care needs.
Communicates with patient directly to discuss preventative care needs and refers patients with medical concerns to appropriate clinical staff.
Serve as a medical home quality improvement team member; assist with improvement of workflows through PDSA Cycles and measurement of quality indicators.
Review provider schedules and patient charts to assist the care team in coordinating care for visits and identifying preventive healthcare needs.
Evaluate and analyze patient records, based on Primary Care patient standards, for patients who need: preventive services, diagnostics, and follow up.
Schedule patients for preventive care needs.
Participate in team huddles and evaluation of team data for proactive panel management.
Work with clinic team on developing standards, implementation, and maintenance of programs in chronic disease management for patients.
Additional clerical duties as assigned.
Qualifications
Education:
At least 2 years relevant experience in a healthcare setting, outpatient and care and service of patients with chronic disease preferred. High School graduate and some college preferred.
Experience:
Prior experience in a clinical setting such as MA, Unit Secretary, or clerical experience in a clinical setting
Effective communication and active listening skills
Knowledge of basic medical terminology
Clinical understanding of patient diagnosis and potential treatment orders preferred in specialty clinics
Philosophy and values consistent with a patient centered care model
Ability to work effectively in a team as well as independently and proactively
Good organizational and time management skills
Demonstrate effective interpersonal relationship and customer service skills
Demonstrated problem solving skills in a complex environment
Demonstrated proficiency working in an electronic medical record system, Microsoft Outlook, Word, and Excel
Pay Range
USD $20.83 - USD $29.79 /Hr.
Our Commitment to Health and Equal Opportunity
Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.
If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.
Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.
To learn more about our employee benefits click here: ********************************************************************
Auto-ApplyRelease 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-ApplyHealth Information Specialist I
Medical coder job in Salem, OR
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**Position Highlights** :
+ Full-time Monday - Friday 8hr shifts
+ Full time benefits including medical, dental, vision, 401K, tuition reimbursement - Paid time off (including major holidays)
+ Virtual- Opportunity for growth within the company
**You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ Must meet productivity expectations as outlined at specific site.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**Bonus points if:**
+ Experience in a healthcare environment.
+ Previous production/metric-based work experience.
+ customer service experience.
+ Ability to build relationships with clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15-$18.32 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
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-ApplySurgery 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-ApplyMedical 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.
Medical Records Technician (Coder-Inpatient)
Medical coder job in Portland, OR
MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure.
Duties include but are not limited to:
Applies knowledge of medical record content, medical terminology, anatomy & physiology, diseases processes, and official coding guidelines to assign codes to the most basic and routine outpatient and/or inpatient professional services.
Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
With instruction from a senior coder or supervisor learns to select diagnosis, operation, or procedure codes based on the accepted coding practices, guidelines, conventions, and policy.
Reviews record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data with guidance and instruction from supervisor or senior coder to develop knowledge of the organization and structure of an electronic patient record.
Coding and documentation questions from providers are referred to a senior coder or supervisor for resolution or guidance.
Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database in Austin. Identified data errors are reviewed with a senior coder or the supervisor and corrections made as directed.
Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; develops use of the health record applications (VistA and CPRS) as well as the encoder product suite.
Work Schedule: Monday-Friday, 07:30am-04:00pm
Compressed/Flexible:Not Available
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-8.