LYFE- Certified Peer Specialist
Medical coder job in Milwaukee, WI
Job Responsibilities:
Provides peer support to youth and young adults who are being served by the LYFE program and experiencing suicidality and/or self-harming needs and/or high acuity mental health needs, resulting in potential placement disruptions, hospitalizations, and/or frequent ER visits. The Peer Specialist is a crucial position on the LYFE team and is responsible for providing support, education and mentoring to youth/young adults enrolled in the program, reinforcing the Dialectical Behavioral Therapy (DBT) model to support participants in utilizing skills learned. The role of the Certified Peer Specialist is that of a coach or mentor who through his or her lived recovery experience, can provide guidance and role modeling to promote wellness, purpose in life, develop relationships, and the insight necessary to move forward in life and recovery.
Essential Functions:
Provide one to one peer support to youth and young adult in the community experiencing acute mental health needs.
Role model recovery in all interactions and utilize lived experience to engage youth/young adults in LYFE.
Use lived experience of recovery to support and engage youth and young adults in care and services.
From a recovery perspective provide a strength-based review of the youth/young adult's abilities and strengths.
Collaborate closely with LYFE team to ensure the needs of the youth/young adults being served are met.
Support youth/young adult engage in mental health services by accompanying at appointments and community activities.
Listen to youth/young adults and role model positive communication skills.
Advocate for the youth/young adult to ensure life needs are being met.
Actively participate in the development and implementation of the Plan of Care and Crisis Plan.
Connect youth/young adults to resources in the community based on interests to meet identified needs.
Complete all necessary paperwork in a strength-based manner per Wraparound Milwaukee/Agency requirements.
Attend and actively participate in LYFE staffing and clinical consultation with agency Mental Health Professional/Clinician and Wraparound Milwaukee staff.
Other Duties and Responsibilities:
Attend in-services and participate in staffing, weekly and monthly meetings and consultations.
Assist with coverage for co-workers as needed.
Other job-related duties as may be necessary to carry out the responsibilities of the position.
Job Qualifications:
Knowledge, Skills and Abilities:
Working knowledge of positive youth/young adult development; patience and understanding of challenging life needs; knowledge related to mental health and co-occurring needs, the ability to interact with youth, young adults, and caregivers in a calm and professional manner; ability to follow oral and written instructions and cues; ability to remain calm and respond appropriately in crisis situations; computer skills; accurate documentation; ability to meet deadlines; sensitivity towards cultural, ethic and life needs.
Minimal Qualifications and Salary Schedule:
High school or GED/HSED required; graduate of state Certified Peer Specialist training; possess current Certified Peer Specialist certification; no convictions that would fail a caregiver background check; good written and verbal communication skills. Complete 20-40 hours of CCS (DHS 36) training and mandatory training in Wraparound philosophy and policies. Ability to display cultural competence by responding respectfully and effectively to people of all cultures, languages, classes, races, ethnic backgrounds, religions and other diversity factors in a manner that recognizes, affirms and values the worth of each individual. Knowledge and skills to work with children, young adults and families. Personal experience with mental health, substance use and co-occurring needs and knowledge of recovery principles. Valid driver's license, automobile, and sufficient insurance to meet agency requirements is preferred.
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Other Job Information (if applicable):
Work Relationship and Scope:
Reports directly to LYFE Clinician/Supervisor. Has contact with a wide variety of individuals including youth/young adults and family members, other program staff, including consulting Psychologist/Psychiatrist, and other collateral contacts, neighbors, funders, Milwaukee County Department of Health and Human Services, Children, Youth, and Family Services(CYFS), Children's Court officials, Division of Milwaukee Child Protective Services(DMCPS), MPS staff and administrators, staff of youth serving agencies and the general public.
Personal Attributes:
Follow agency Code of Conduct; adhere to established policies and procedures of the agency and of all funding sources; conduct self in an ethical manner; maintain professional and respectful relationships with program staff, other WCS staff, people being served by WCS, and all external persons and agencies involved with service provision; sensitivity toward cultural, ethnic and disability needs; demonstrate commitment to agency values and mission. Demonstrates a strength based, person centered, trauma informed, and culturally intelligent approach to serving people with mental health and co-occurring needs. Focused on embracing recovery in all interactions and utilize lived experience to engage youth/young adults.
Working Conditions:
Work is performed in a busy office environment and in the community serving children, young adults and families. Some of the work is done sitting at desk using a computer; requires significant outreach in the community and families' homes; much of the outreach is done in urban neighborhoods and several hours per day may be spent driving; hours average 40 per week; flexible work schedule include some hours outside the normal work schedule on evenings and weekends.
Physical Demands:
Position is mobile with time spent in the community, including home visits and time spent in the office; driving throughout Milwaukee County; must be able to go up and down stairs. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Wisconsin Community Services is an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other characteristic protected by federal, state or local law.
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Medical Coder
Medical coder job in Hinsdale, IL
Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement.
Description:
The Medical Coder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Medical Coder performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on Evaluation and Management services. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The Medical Coder also demonstrates understanding and knowledge to resolve Optum coding edits.
Responsibilities:
Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes.
Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers.
Provides documentation feedback to physicians.
Maintains coding reference information.
Trains physicians and other staff regarding documentation, billing and coding for their specialty.
Reviews and communicates new or revised coding guidelines and information with providers and their assigned specialty.
Attends meetings and educational roundtables, communicates pertinent information to physicians and staff.
Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues.
Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers. Adds MBO tracking codes as needed.
May collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals.
May work with Billing staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information
Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.
Qualifications
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) is preferred
Experience in Pain Specialty is Preferred
1 year experience in a relevant role
High School Diploma or Equivalent
Coder lll -Inpatient Coder
Medical coder job in Chicago, IL
WE ARE INSIGHT: At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!
These duties are to be performed in a highly confidential manner, following the mission, values, and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians,
volunteers, and guests.
POSITION PURPOSE: Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records.
Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI & ROM assignments and assignment of APC's and all required modifiers.
Assigns appropriate code(s) by utilizing coding guidelines established by:
* The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting
* American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification
* American Medical Association (AMA) CPT Assistant for CPT codes
* American Health Information Management Association (AHIMA) Standards of Ethical Coding
* Revenue Excellence/RHM Organization coding policies
ESSENTIAL FUNCTIONS:
* Knows, understands, incorporates, and demonstrates the Insight Hospital Mission, Vision, and Values in behaviors, practices, and decisions.
* Adheres to Insight Health confidentiality requirements as they relate to the release of any individual or aggregate patient information.
* Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs.
* Codes Complex Outpatient or Inpatient utilizing encoder software and online tools and references, in the assignment of ICD, CPT, HCPCS codes, MS-DRG, POA, SOI & ROM assignments, APC assignment and all required modifiers.
* Consults reference materials to facilitate code assignment.
* Understands appropriate link of diagnosis to procedure.
* Appends modifier(s) to procedure code or service when applicable.
* Collaborates with HIM and Patient Financial Services in resolving billing and utilization issues affecting reimbursement.
* Interprets bundling and unbundling guidelines (NCCI).
* Interprets LCDs/NCDs and payer policies.
* Tracks issues (i.e., missing documentation, charges or Inpatient queries that require follow-up to facilitate coding in a timely fashion).
* Investigates claims denials and/or appeals as directed.
* Consistently meets or exceeds coding quality and productivity standards.
* Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
* Identifies concerns and responsible for providing resolution of moderate to complex problems. Notifies appropriate leadership for resolution when appropriate.
* Performs other duties as assigned by Leadership.
* Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior
MINIMUM QUALIFICATIONS:
* Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate's degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor's degree in Health Information Management (HIM) or related healthcare field is preferred.
*
* Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA).
* Two (2) years of current Complex Outpatient or Inpatient coding experience is required. Three (3) to five (5) years of current Complex Outpatient or Inpatient coding experienced preferred. Current experience doing remote coding is a plus.
* Extensive comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG or APC grouping. Current experience doing remote coding is a plus.
* Current experience utilizing encoding/grouping software or CAC is preferred. Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred.
* Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools desirable.
* Strong written and oral communication skills, that may be used either on-site or in virtual working environments. Ability to communicate effectively with individuals and groups representing diverse perspectives.
* Ability to work with minimal supervision and exercise independent judgment.
* Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge. Must exhibit critical thinking skills and possess the ability to prioritize workload.
* Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills.
* Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions.
* Ability to change and be flexible with work priorities. Strong problem solving- abilities.
* Must be comfortable functioning in a virtual, collaborative, shared leadership environment.
* Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Insight Hospital, Chicago.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITION:
* Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles.
* Must possess the ability to comply with Insight Hospital policies and procedures.
* Must be able to spend majority of work time utilizing a computer, monitor, and keyboard.
* Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable.
* Must be able to work with interruptions and perform detailed tasks.
* If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading. Must be able to sit for long periods of time.
* Must be able to travel to Insight Hospital (10%) as applicable.
* If applicable, telecommuting (working remotely), must be able to comply with Insight Hospital Working Remote Policy.
Benefits:
* Paid Sick Time - effective 90 days after employment
* Paid Vacation Time - effective 90 days after employment
* Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month
* Short and long-term disability and basic life insurance - after 30 days of employment
Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs.
Insight is an equal opportunity employer and values workplace diversity!
Medical Coding Specialist II
Medical coder job in Janesville, WI
* Medical Coding Specialist, Janesville, Days, 80 hrs / wks * Hybrid, Remote, and flexible work schedule opportunities available. Mercyhealth does not currently support remote workers with residency in the following states: CA, OH, OR, PA, NJ, NY.
Reviews assigned providers' procedure and diagnosis codes, and makes coding changes as necessary. Provides timely feedback to providers regarding documentation guidelines, coding, and audits. Performs other duties as assigned. May be asked to work weekends and reasonable amounts of overtime when necessary.
Responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES
* Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection.
* Performs audits of provider coding and documentation to make recommendations for improvements and enhancements.
* Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise.
* Researches any coding inquiries the provider or medical staff may have, and presents findings to them.
* Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system. Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider.
* Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers.
* Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient), and demonstrates a high skill level in the practical application of that knowledge.
* Works with billing partners in developing efficient coding processes and researching denials.
* Responds to customer concerns through coding reviews requested by other departments.
* Conducts provider coding orientation and education sessions and documents all information presented.
* Maintains an in-depth knowledge of Epic ambulatory and hospital modules.
* Works as a team to achieve productivity goals.
EDUCATION AND EXPERIENCE
High School graduate or equivalent
Two years of experience coding professional services in multiple specialties
CERTIFICATION AND LICENSURE
Certified Professional Coder (CPC) or other equivalent coding certification required
Benefits
Mercyhealth offers a generous total rewards package to eligible employees including, but not limited to:
* Comprehensive Benefits Package: Mercyhealth offers a retirement plan with competitive matching contribution, comprehensive medical, dental, and vision insurance options, life and disability coverage, access to flexible spending plans, and a variety of other discounted voluntary benefit options.
* Competitive Compensation: Mercyhealth offers market competitive rates of pay and participates in various shift differential and special pay incentive programs.
* Paid Time Off: Mercyhealth offers a generous paid time off plan, which increases with milestone anniversaries, to allow employees the opportunity for a great work-life balance.
* Career Advancement: Mercyhealth offers a number of educational assistance programs and career ladders to support employees in their educational journey and advancement within Mercyhealth.
* Employee Wellbeing: Mercyhealth has a focus on wellbeing for employees across the organization and offers a number of tools and resources, such as an employer-sponsored health risk assessment and a Wellbeing mobile application, to assist employees on their wellbeing journey.
* Additional Benefits: Mercyhealth employees have access to our internal and external employee assistance programs, employee-only discount packages, paid parental and caregiver leaves, on-demand pay, special payment programs for patient services, and financial education to help with retirement planning.
Auto-ApplyMedical Records Clerk (71683)
Medical coder job in Pinckneyville, IL
Hourly salary of $22/hour Centurion is proud to be the provider of comprehensive services to the Illinois Department of Corrections. We are currently seeking a Medical Records Clerk to join our team at Pinckneyville Correctional Center located in Pinckneyville, Illinois.
The Medical Records Clerk maintains offender health records, retrieves health records for scheduled appointments, files offender health data, initiates records for new or transferred intakes. They review health records for completeness, files records as required, prepares reports as needed and more.
Qualifications
* High School Diploma or Bachelor's Degree
* Certification by the American Health Information Management Association as a Registered Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred but not required
* Prior experience with medical records and services
* Completion of a medical terminology course preferred
* Must be appropriately and actively certified in Cardio-Pulmonary Resuscitation (CPR)/ BLS
* Ability to obtain a security clearance, to include drug screen and criminal background check
Available Shift: FT Day Shift, 8 a.m. - 4 p.m.
CODER CERTIFIED
Medical coder job in Paris, IL
Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you-our family, friends, and neighbors.
Position Summary:
Codes and/or bills the patient's medical record using pertinent information according to departmental and HMFP policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries.
Essential Functions (Responsibilities/Accountabilities):
Data entry for the facility software using the electronic health record and any scanned or written reports. Uses system for each patient appropriately.
Assign accurate Evaluation and Management codes per the CPT guidelines for AMA.
Utilize query worksheet or appropriate alternative as a communication tool with physicians to obtain an appropriate diagnosis to promote coding accuracy.
Regularly reviews coding changes and regulatory agency requirements; maintain current information concerning Medicare, Medicaid and private insurance regulations specific to coding and billing. Assign accurate and complete codes based upon physician documentation.
Maintain consistent turnaround time to meet established coding targets.
Maintain strict observation of rules pertaining to confidentiality and HIPAA.
Review regularly the “uncoded” patient encounter listing and obtain the required information to facilitate release of the final bill from the Business Office to the payor.
The responsibilities listed above are not all-inclusive; other activities may be required in support of the hospital's goals and objectives. Responsibilities include cross-training for coverage of positions and other functions in the Clinic.
Position Requirements:
Registered Health Information Technician/RHIT, Registered Health Information Administrator/RHIA, Certified Coding Specialist/CCS, or Certified Coding Specialist-physician base/CCS- required for this wage grade. Uncertified Coder is in a different category. Maintains continuing education and provides documentation of certification for inclusion with annual evaluation.
Previous coding experience is required.
Previous knowledge of CMS coding preferred.
Advanced knowledge of medical terminology is required with a working knowledge of disease processes, anatomy, physiology and pharmacology required
Position Information:
Location: 908 N Main Street Paris, IL 61944
Hours: Monday- Friday 40hrs per week
Pay Range:
Pay ranges from $21.351/hour to $34.161/hour (rate of pay is based on applicable years of experience)
Horizon Health is committed to caring not only for our patients, but for our staff as well. We offer you an extensive total compensation and benefits package. As an employee of Horizon Health, your benefits include a competitive salary, medical, dental and vision insurance, Employee 403(b), health savings account with Company match, as well as Vacation, Sick and Paid Holidays.
Access to our benefits summary can be found at the link below!
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Intrigued? Don't wait, apply today. We are actively reviewing applicants for the Certified Coder. Be part of an organization that is dedicated to the growth and development of its colleagues. Here at Horizon Health, our employees speak for themselves. Join our family & begin an incredible career!
Auto-ApplyMedical Record Review Specialist - Tissue Donation- Full-Time
Medical coder job in Milwaukee, WI
Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute, we enable life saving gifts from our donors, and provide the science behind the medicine through our diagnostic laboratories. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. At Versiti, we are passionate about improving the lives of patients and helping our healthcare partners thrive.
Position Summary
Under the supervision of department leadership, performs a second level review of records and data to ensure all processes are performed in accordance with standard operating procedures and all regulatory and accrediting standards. Assists in developing and maintaining documentation required for compliance, operations, training, quality, process improvement and/or environmental health and safety program. Partners with departmental management in collecting and analyzing data to support continuous improvement resulting in value-added customer/donor service and increased product yields and financial results while maintaining compliance and quality.
Total Rewards Package
Benefits
Versiti provides a comprehensive benefits package based on your job classification. Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO) and Holidays, Short- and Long-term disability, life insurance, 7% match dollar for dollar 401(k), voluntary programs, discount programs, others.
Responsibilities
Uses data and information collected through medical record review to assess organ donor potential, to identify missed opportunities for donation, and to evaluate the effectiveness of referral processes, thereby supporting continuous improvement efforts and organizational growth.
Maintains confidentiality while reviewing OPO/TB records to ensure compliance with organizational procedures and regulatory and accrediting standards.
Interprets and prepares performance and compliance reports for donor hospitals, medical examiners, and tissue processors.
Identifies and develops relationships with hospital partners' key health information management staff
Ensures accurate and timely data collection, data entry, and data analysis related to medical record review, donor potential, and regulatory reporting requirements
Prepares metric reports according to organizational standards for structure, style, format, order, clarity, etc., while using professional judgement within set parameters with regards to overall design and data presentation.
Submits required regulatory reports to appropriate agency by required timeframe.
Performs audits of operational functions.
Practices a high degree of autonomy in a self-directed manner, demonstrating continuous improvement, innovation, and creativity in problem solving, sound critical analysis and judgment
Generates the appropriate deviation reporting forms and communicates with departmental management.
Supports external inspections and facilitate timely audit responses.
Organizes and correlates in an established manner all paperwork associated in the review process for record retention purposes.
Assists in the implementation of federal requirements, Versiti directives, and standard operating procedures.
Works collaboratively with customers as needed to ensure timely submission of required donor information.
Performs other duties as assigned
Complies with all policies and standards
Qualifications
Education
Bachelor's Degree required
Degree in a Biological Science preferred
Equivalent combination of education and related experience (3-5 years) may be substituted for the degree with HR approval required
Experience
1-3 years experience in a regulated environment where change management and continual process improvement were required and successfully implemented required
Experience in data analysis, record review, or quality control preferred
Knowledge, Skills and Abilities
Excellent written and verbal communication skills.
Knowledge of medical terminology.
Demonstrated knowledge of current Good Manufacturing Processes.
Strong analytical skills and attention to detail.
Knowledge of and ability to apply quality management/process improvement tools including LEAN, root cause analysis, and use of statistics.
Ability to analyze information and make recommendations for improvements and corrective actions.
Ability to exercise initiative and independent judgement in addressing procedural, technical, and equipment problems.
Tools and Technology
Personal Computer (desk top, lap top, tablet). required
Multiple computer systems required
General office equipment (computer, printer, fax, copy machine). required
Microsoft Suite (Word, Excel, PowerPoint, Outlook). required
Not ready to apply? Connect with us for general consideration.
Auto-ApplyCertified Coding Specialist
Medical coder job in Hillsboro, IL
Full-time Description
The Health Information Management Certified Coding Specialist performs coding and abstracting for inpatient and outpatient medical records accurately and timely to optimize reimbursement for all payer classes. Responsible for scanning medical records and filling in for the HIM Technician during their absence. Normally scheduled Monday through Friday.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Supports and promotes an environment conducive with the Mission, Vision, and Values of the hospital.
Analyses patients' records for principle and secondary diagnosis, procedures and assigns the appropriate codes per established guidelines.
Abstract any data required for the patients' record.
Ensures timely data entry of codes.
Facilitates flow of medical record data to assure accurate and prompt reimbursement, data collection and clinical data analysis.
Confers with physicians regarding diagnoses and procedures to ensure accuracy.
Follow up with the provider on any documentation that is insufficient or unclear.
Ensures that documentation is appropriate to meet medical necessity guidelines.
Ensures productivity and quality of coding the records.
Uses reference materials (coding books and 3M encoder) appropriately and efficiently.
Recognizes, interprets, and evaluates inconsistencies and discrepancies in medical record documentation and reports them appropriately.
Organizes and prioritizes assigned work and schedules time to accommodate work demands and turn-around time requirements.
Maintain orderly condition of assigned work area.
Maintain confidentiality of all patients, hospital, and physical related information
Communicate with other clinical team members regarding documentation.
Is knowledgeable of general hospital and department specific policies and procedures including release of information, amendment of medical records and other legal requirements.
Other duties may be assigned and are subject to change with or without prior notice.
OTHER RESPONSIBILITIES
Answer the telephone and perform routine clerical tasks.
Completes assigned daily duties.
Follows expected work practices.
Displays thoroughness and accuracy of work.
Works in a safe manner, including reporting unsafe equipment or environment.
Well organized, accepts assignments willingly and accomplishes them quickly.
Anticipates problems and suggests solutions.
Helps with not specifically assigned duties.
Works steadily and always keeps busy.
Maintain knowledge and skills necessary to communicate and interact with patients, visitors, and staff in the following age groups: Infant, Pediatric/adolescent, Adult, and Geriatric.
Ability to work well with a diverse work team.
Ability to work under pressure with time constraints.
Ability to concentrate.
Ability to work independently with minimal supervision.
Ability to work well with numbers.
Maintain appearance appropriate for job duties.
(The above statements describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned, as required, by Hillsboro Health.)
SUPERVISORY RESPONSIBILITIES
None
Requirements
EDUCATION AND/OR EXPERIENCE
High school diploma or equivalency with college courses in medical terminology, anatomy, and coding
Minimum 1 year experience in Medical Coding field, knowledge of reimbursement systems and Medicare regulations
Excellent customer services skills
Degree in medical coding with a RHIA, RHIT, CCS or CPC
Must maintain an average accuracy of 97% or above.
CERTIFICATES, LICENSES, REGISTRATIONS
Coding Certification, CCS or CPC, RHIT or RHIA
PHYSICAL DEMANDS
Prolonged and extensive sitting
Constantly required to use arms, hands, and fingers for repetitive movement - typing, and occasional grasping, pulling, and pushing
Occasionally lift and/or move up to 25 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision and the ability to adjust focus.
WORK ENVIRONMENT
Work is sedentary.
Duties are performed within comfortable climate-controlled surroundings.
Frequently interacts with Medical Staff and Nursing Personnel
CORPORATE COMPLIANCE
Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health's Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows how to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.
BENEFITS
Please use the link below to visit our website for a list of benefits offered.
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Salary Description $22.45 - $33.68 per hour
Medical Device QMS Auditor
Medical coder job in Chicago, IL
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
* Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
* Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
* Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
* Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
* Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
* Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
* Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
* Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
* Associate's degree or higher in Engineering, Science or related degree required
* Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
* The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
* Knowledge of business processes and application of quality management standards.
* Good verbal and written communication skills and an eye for detail.
* Be self-motivated, flexible, and have excellent time management/planning skills.
* Can work under pressure.
* Willing to travel on business intensively.
* An enthusiastic and committed team player.
* Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyMedical Device QMS Auditor
Medical coder job in Chicago, IL
We exist to create positive change for people and the planet. Join us and make a difference too!
Job Title: QMS Auditor
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyHealth Information Coder (ICD-10CM)
Medical coder job in Fitchburg, WI
Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines.
This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin.
Responsibilities
* Maintains and actively promotes effective communication with all individuals.
* Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values.
* Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement.
* Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes.
* Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate.
* Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines.
* Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies.
* Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
* Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary.
* Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency.
* Maintains confidentiality, privacy and security in all matters pertaining to this position.
* Performs other duties, as assigned.
Requirements
* High School education or equivalent.
* Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date.
* One (1) year of coding experience preferred.
* Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology.
* Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA).
* Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred.
* Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications.
* Strong organizational, analytical, and problem-solving skills, and attention to detail.
* Strong Keyboarding and filing abilities.
* Ability to exhibit professionalism, flexibility, dependability, and a desire to learn.
* Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms.
* Commitment to quality outcomes and services for all individuals.
* Ability to relate well to all individuals.
* Ability to maintain and protect the confidentiality of information.
* Ability to exercise independent judgment and make sound decisions.
* Ability to adapt to change.
Benefits
* Employee Referral Bonus Program.
* Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution)
* Paid Time Off and Holidays acquired from day one of hire.
* Health (low to no cost), Dental, & Vision Insurance
* Flexible Spending Account (Medical and Dependent Care)
* 401(k) with Company Match
* Financial and Retirement Planning at No Charge
* Basic Life Insurance & AD&D - Company Paid
* Short Term Disability - Company Paid
* Voluntary Ancillary Coverage
* Employee Assistance Program
* Benefits vary by full-time, part-time, and PRN status.
If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you!
Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting.
The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all.
#IlluminusHQ
Salary Description
$22 - $25 per hour depending on experience
Health Information Coder (ICD-10CM)
Medical coder job in Madison, WI
Job DescriptionDescription:
Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines.
This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin.
Responsibilities
Maintains and actively promotes effective communication with all individuals.
Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values.
Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement.
Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes.
Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate.
Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines.
Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies.
Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary.
Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency.
Maintains confidentiality, privacy and security in all matters pertaining to this position.
Performs other duties, as assigned.
Requirements:
High School education or equivalent.
Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date.
One (1) year of coding experience preferred.
Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology.
Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA).
Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred.
Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications.
Strong organizational, analytical, and problem-solving skills, and attention to detail.
Strong Keyboarding and filing abilities.
Ability to exhibit professionalism, flexibility, dependability, and a desire to learn.
Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms.
Commitment to quality outcomes and services for all individuals.
Ability to relate well to all individuals.
Ability to maintain and protect the confidentiality of information.
Ability to exercise independent judgment and make sound decisions.
Ability to adapt to change.
Benefits
Employee Referral Bonus Program.
Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution)
Paid Time Off and Holidays acquired from day one of hire.
Health (low to no cost), Dental, & Vision Insurance
Flexible Spending Account (Medical and Dependent Care)
401(k) with Company Match
Financial and Retirement Planning at No Charge
Basic Life Insurance & AD&D - Company Paid
Short Term Disability - Company Paid
Voluntary Ancillary Coverage
Employee Assistance Program
Benefits vary by full-time, part-time, and PRN status.
If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you!
Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting.
The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all.
#IlluminusHQ
HOME HEALTH CODER/OASIS (PT DAYS)
Medical coder job in Peotone, IL
The Home Health Coder/OASIS is responsible for ensuring accurate and timely coding of home health services, including OASIS (Outcome and Assessment Information Set) data, in compliance with regulatory requirements and Riverside Healthcares standards. This role plays a critical part in the home health billing and reimbursement process, directly contributing to optimal patient care and financial outcomes. The ideal candidate will have a strong background in home health coding, be detail-oriented, and possess a deep understanding of OASIS documentation submission.
Essential Duties
Review, analyze, and code home health care documentation according to current coding guidelines and regulations.
Ensure accurate and timely submission of OASIS assessments, collaborating with clinical staff to ensure completeness and accuracy.
Monitor and audit coding practices to maintain compliance with Medicare, Medicaid, and other third-party payer requirements.
Educate and provide feedback to clinical staff on coding documentation requirements to ensure accurate coding and billing.
Participate in quality improvement initiatives to optimize coding accuracy and efficiency.
Communicate with the billing department to resolve coding-related issues and ensure the correct reimbursement of home health services.
Maintain up-to-date knowledge of coding regulations, OASIS submission guidelines, and home health industry standards.
Assist in preparing for audits by providing necessary documentation and coding reports.
Patient Feedback Outreach: Conduct follow-up calls to patients to gather feedback on their recent experience with our services, ensuring we consistently meet and exceed patient expectations. Document and relay feedback to appropriate team members to support continuous improvement and employee performance evaluations.
Demonstrates flexibility with assignments within professional scope/duties/licensure.
Non-essential Duties
Assist with other administrative tasks as needed, including data entry and clerical support for the home health department.
Participate in staff meetings and ongoing education to stay current with industry practices.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so your journey at and away from work is remarkable. Our Total Rewards package includes:
Compensation
Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift differential, on-call
Opportunity for annual increases based on performance
Benefits - .5 to 1.0 FTE
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Benefits - .001 to .49 FTE:
Paid Leave Hours accrued as you work
Responsibilities
Preferred Experience
OASIS Certification (COS-C or HCS-O) is preferred.
Minimum of 2 years of experience in home health coding, is preferred.
Strong understanding of Medicare, Medicaid, and third-party payer regulations.
Proficient in the use of electronic health record (EHR) systems and coding software.
Excellent attention to detail, organizational skills, and the ability to work independently.
Strong communication skills to effectively collaborate with clinical staff and other departments.
Required Licensure/Education
High school diploma or equivalent required
Certification in Home Health Coding (HCS-D) or equivalent is required.
Preferred Education
Associates or Bachelors degree in Health Information Management, Nursing, or a related field preferred.
Employee Health Requirements
Exposure/Sensory Requirements:
Exposure to:
Chemicals: None
Video Display Terminals: Average
Blood and Body Fluids: None
TB or Airborne Pathogens: None
Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Command of English language, good speaking skills for verbal communication with public and employees.
Vision: Required to see computer screens, papers, fax printer, written materials.
Smell:
Hearing: Must be able to hear for verbal and telephone communication.
Touch: Computer, telephone, handwriting Activity/Lifting Requirements
Percentage of time during the normal workday the employee is required to:
Sit: 75%
Twist: 0%
Stand: 10%
Crawl: 0%
Walk: 5%
Kneel: 2%
Lift: 1%
Drive: 0%
Squat: 2%
Climb: 0%
Bend: 3%
Reach above shoulders: 2%
The weight required to be lifted each normal workday according to the continuum described below:
Up to 10 lbs: Continuously
Up to 20 lbs: Occasionally
Up to 35 lbs: Occasionally
Up to 50 lbs: Not Required
Up to 75 lbs: Not Required
Up to 100 lbs: Not Required
Over 100 lbs: Not Required
Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 360
Twist: 0
Stand: 30
Crawl: 5
Walk: 10
Kneel: 2
Lift: 5
Drive: 0
Squat: 5
Climb: 0
Bend: 5
Reach above shoulders: 5
Repetitive use of hands (Frequency indicated):
Simple grasp up to 10 lbs. Normal weight: 5# continuously
Pushing & pulling Normal weight: continuously
Fine Manipulation: Telephone, sorting papers, computer entry, writing, using fax, printers, typing.
Repetitive use of foot or feet in operating machine control:
Environmental Factors & Special Hazards
Environmental Factors (Time Spent):
Inside hours: 8
Outside hours : 0
Temperature: Normal Range
Lighting: Average
Noise levels: Average
Humidity: Normal Range
Atmosphere:
Special Hazards:
Protective Clothing Required:
Pay Range USD $24.12 - USD $29.50 //Hr
Auto-ApplyCertified Peer Specialist - TCM
Medical coder job in Milwaukee, WI
La Causa Social Services is dedicated to supporting individuals with complex mental health, developmental, and behavioral needs, and is seeking an empathetic, collaborative, and recovery-focused Certified Peer Specialist - TCM to join our Social Services team.
Why Join La Causa, Inc.?
Meaningful work supporting individuals and families on their recovery journey.
Collaboration with a dedicated network of mental health and community professionals.
Professional development and training opportunities.
Potential for career advancement within the organization.
Competitive benefits and paid leave including a day off for your birthday!
Your Role:
As a Certified Peer Specialist - TCM, you will use your personal lived experience with recovery to provide peer support and advocacy to individuals navigating mental health challenges. You will collaborate with consumers and care teams to empower personal growth, encourage engagement, and support long-term stability in the community.
What You'll Do:
Provide Supportive Services - Deliver person-centered, trauma-informed support through advocacy, transportation as needed, one-on-one meetings, and collaboration with care teams to help consumers work toward or maintain recovery.
Advocate for Consumers - Represent and support consumers in meetings, appointments, and within community systems to ensure their voices are heard and respected.
Empower Recovery - Use your lived experience to help individuals identify strengths, set goals, and connect with appropriate community resources and recovery supports.
Ensure Compliance - Follow all legal, organizational, and contractual policies, including documentation, audits, and program requirements.
Document and Report - Prepare, complete, and submit accurate and timely notes and required paperwork according to program timelines.
Promote Communication and Collaboration - Build and maintain strong relationships with consumers, team members, and external partners.
Fulfill Mandated Reporting Duties - Comply with all mandated reporting responsibilities related to child safety and welfare.
Engage in Professional Development - Attend meetings, training sessions, and professional development opportunities as directed.
Support the Team - Perform additional duties as assigned to contribute to the success of the program.
What We're Looking For:
Bachelor's degree from an accredited school in Social Work or related field (Required).
Master's degree from an accredited school in Social Work or related field (Highly preferred).
Certified as a State of Wisconsin Peer Specialist (Required).
OR successful completion of Certified Peer Specialist Training and must be certified within 12 months of hire.
Minimum of one (1) year of experience working in the community.
Bilingual (Spanish and English): Highly preferred.
Skills & Competencies:
Strong cultural competency and interpersonal relationship skills.
Excellent written and verbal communication abilities across diverse audiences.
Critical thinking and problem-solving skills with sound judgment.
Highly organized with the ability to manage multiple priorities.
Proficient in Microsoft Office Suite.
Reliable transportation, valid Wisconsin driver's license, state minimum auto insurance, and ability to meet La Causa, Inc. driving standards.
Must successfully complete and pass all required background checks, including an annual influenza vaccination.
Flexible schedule availability, including evenings and weekends as needed.
Work Environment:
Work performed in both office and field settings (travel required).
Local travel required; occasional state-wide travel as needed.
Flexible work hours including evenings or weekends based on program needs.
Regularly required to drive, stand, sit, reach, stoop, bend, and walk.
Frequent talking, seeing, and hearing; finger dexterity required.
Infrequent lifting, including files and materials.
Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.
About La Causa, Inc.:
La Causa, Inc., founded in 1972, is one of Wisconsin's largest bilingual, multicultural agencies. Our mission is to provide children, youth and families with quality, comprehensive services to nurture healthy family life and enhance community stability. We have several divisions that provide vital services to the community including Crisis Nursery & Respite Center, Early Education & Care Center, La Causa Charter School, Social Services: Adult Services and Youth Services, and Administration. At the heart of our mission is the dedicated staff that welcomes all into Familia La Causa and serves the children and families of Milwaukee.
You can learn more about La Causa at
*****************************
Join Our Team-Apply Today!
Be part of something bigger. Join Familia La Causa and help us empower youth and families as a Certified Peer Specialist-TCM
Apply now and take the next step in your career!
EMS Biller and Coder
Medical coder job in Elmhurst, IL
EMS Biller and Coder
We are currently looking for an EMS Biller and Coder to join our Billing Department team! Below lists the duties, responsibilities and the qualifications needed for this position. We will train the right individual!
The EMS Biller and Coder are responsible for scrubbing sites for active health Insurance while complying with insurance, local, state, and federal billing. The EMS Biller and Coder are liable for adding appropriate key identifiers from the Patient Care Reports with coordinating ICD codes.
All representatives will conduct insurance verification as needed and are required to complete prebilling training to qualify for the role.
Responsibilities
Responsibilities of the EMS Biller and Coder
Reviews Patient Care Report thoroughly, utilizing all available documentation to establish medical necessity, selection of levels of service, origin/destination modifiers and the patient's condition at time of transport.
Keeps an open line of communication with internal and external departments in a professional, tactful manner to obtain missing documentation or to clarify existing documentation.
Assigns condition codes for the reason(s) of the transport with a minimum of 95% accuracy.
Meets established minimum coding productivity standards especially during training.
Reviews reports thoroughly to bill appropriately while following policies and procedures.
Utilizes software applications to complete pending assignments paying attention to urgent requests.
Attends department meetings and education sessions to further knowledge of billing and coding guidelines.
Places phone calls to insurance payers to obtain patient policy numbers when not available on insurance sites or other available documentation.
Ensure accuracy in data entry and consistent attention to detail while advancing with short keys for speed.
Demonstrates knowledge and compliance of insurance, local, state, and federal billing.
Ability to complete tasks efficiently both individually and in a group environment.
Handle assigned correspondence fulfilling any other duties as assigned by managerial staff.
Key Skills of the EMS Billing Coordinator
Well-versed with medical billing practices that include an understanding of insurance billing codes, regulations, and procedures.
Ability to investigate and resolve billing errors and disputes.
Effective communication skills with clients, insurance companies, patients, staff members and management.
Ability to manage multiple tasks and meet deadlines.
Must have great attention to detail with high accuracy.
Qualifications
Qualifications of the EMS Biller and Coder
College preferred but not ; Medical Billing or Coding Certified preferred but not .
Minimum two years' experience in customer care, account management or similar role.
Healthcare and Auto knowledge is preferred.
Must be a quick learner and motivated individual with excellent verbal communications skills.
Fluency in second language is a plus, Spanish preferred.
Ability to “multi-task” and manage spurs of high call volume / stress.
Positive, can-do attitude and with good judgement demonstrating ability to escalate account when needed.
Ability to receive and implement feedback.
Computer and Office Qualifications of the EMS Biller and Coder
Computer literacy is a must; Typing skillset of at least 45 WPM is highly desired
Experience working in an active office environment.
Must be able to work with 2 monitors and split screens to operate multiple sites simultaneously.
Must be able to sit / stand for 8 hours minimum in an office environment
Must be able to use Word, Excel Spreadsheet, Email, Chat Applications, and other software applications.
Must be able to read, comprehend, and apply job-related rules, policies, and procedures.
Salary or Wage Range USD $19.00 - USD $23.00 /Hr. rates offered based on years of experience
Auto-ApplyCertified Bilingual Specialist LBS2 (Chicago, IL - Midway)
Medical coder job in Chicago, IL
Chicago, IL - Midway Classroom Instruction - Bilingual Education LBS2Full-Time / On-site Apply for this job As a LBS2/Bilingual Specialist you will advance student achievement among English language learners. Collaborate with the organizational curriculum team to develop a vertically aligned, research-based, and effective curriculum. Provide modeling, coaching, and staff development for administrators, teachers, paraprofessionals, and related service staff. Responsibilities
Instruct ELL students with disabilities in academic subjects.
Travel to sites to train teachers, staff, and administration in ELL curriculum, supports and interventions.
Attend IEP meetings in person/Virtual for ELL students.
Prepare and adapt materials for use in the classroom for ELL students; maintain classrooms and materials in good order.
Attend Curriculum Team Meetings
Supervise students, in groups or individually, monitoring behavior to ensure that it aligns with programmatic expectations.
Develop and update IEP goals and progress for EL students on assigned caseload.
Monitor credits and courses required for graduation for students on assigned caseload; prepare assignments; grade assignments; prepare reports.
Contact student's parents in case of crisis, emergency, and for general feedback
Coordinate and communicate with other staff members in order to ensure consistent application of the academic and therapeutic program.
Have awareness of all students in the program in order to ensure consistent application of the academic therapeutic program.
Maintain confidentiality of students and student records.
Attend all staff meetings and in-service training as requested.
Support and promote administrative policies and goals.
Qualifications
ISBE PEL Endorsed or Approved for LBS2/Bilingual Specialist
Must be flexible in the ability to teach multiple grade levels as student populations change
Ability to teach a classroom of students within all basic instructional areas
Ability to work with youth with emotional/behavioral/academic difficulties
Ability to be flexible, work in teams and creatively problem solve
Excellent interpersonal and communication skills, with demonstrated ability to speak and write clearly and persuasively
This is not intended to be all-inclusive and the employee shall perform other reasonably related school duties as assigned by administrators. This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.
About UsWe have evolved into a dynamic, responsive, multi-state education non-profit, operating numerous private and public/private partnership schools. The organization still firmly adheres to its policy to never give up on a child and that no student will be rejected, suspended, or expelled.Our mission is “To provide innovative solutions to critical problems in education and human services.” We bring a framework of educational practices that have been designed and are supported through evidence based practices. Our collaborative process with various school and community stakeholders has resulted in programs designed to educate, support, challenge, empower and celebrate students who present with a range of academic, social and emotional needs. At the beginning of a student's experience with us, a collaborative meeting is held that includes the student, significant people in their lives, our staff and other professionals as appropriate. During that meeting, a comprehensive assessment of the student's past, present and future desires is used to establish a student centered plan (MAP) that serves as a foundation of the student's programming. A guiding principle of us is ‘we do not give up', while also holding our students and staff to high expectations. The educational offerings at our program provides students with a quality education that is designed to nurture and enhance the skills and maturity needed to meet the challenges of being productive adults and citizens in a rapidly changing 21st century world.Students Served: PK-21
ShopRite - Health and Beauty Clerk (Greenfield) Salary Range $17 - $17.35/hr
Medical coder job in Greenfield, WI
We are living our Purpose - To Care Deeply about People, Helping them to Eat Well and Be Happy. This Purpose guides everything we do and is why we are in business. We are using our service priorities - Safety, Friendliness, Presentation, and Efficiency to help us make decisions at work every day and are critical to the success of our business goals.
Job Summary:
To deliver a great customer experience while maintaining and operating the HABA Department in an efficient manner within Company policy; to communicate with and courteously assist customers with the selection and purchase of HABA items; to follow approved procedures for receiving product, price marking and restocking to ensure quality protection, accuracy and product rotation.
Minimum Required Qualifications
The minimum required qualifications for this position include, but are not limited to, the following:
* Ability to proficiently read, write, speak, analyze, interpret, and understand the English language.
* Ability to perform basic math.
* Ability to stand/walk for the duration of a scheduled shift.
* Ability to stand, bend, twist, reach, push, pull and regularly lift 25 lbs., and occasionally lift 50 lbs.
* Ability to tolerate dust and cleaning agents during routine housekeeping duties.
* Ability to work in varying temperatures.
* Ability to interact with Customers in a friendly and helpful way.
* Ability to work cooperatively with others.
* Ability to work all assigned work schedules and comply with all time and attendance policies.
Essential Job Functions:
Performance of the essential functions of this position require the Associate to possess the minimum qualifications listed above. These functions include, but are not limited to, the following:
* Maintain a clean, neat, organized, and safe work environment.
* Clean and sanitize all work surfaces in accordance with Department Sanitation and QA standards.
* Keep floor clear of debris and spills.
* Greet all Customers and provide them with prompt and courteous service.
* Open cartons and display, store or break down items according to established procedures and policies. Keep manager or other designated Associate informed of low inventory conditions.
* Assist in ordering and maintaining inventory levels.
* Handle damaged products according to Company policy and assist in controlling the level of damaged goods.
* Assist customers in retrieving items from inaccessible areas or in obtaining products that are either located in warehouses or that they may have difficulty in handling.
* Regularly lift, pull, push and rotate merchandise that weights 25 lbs., and that occasionally weights up to 50 lbs.
* Unload trucks and transport merchandise to HABA Department that weights 25 lbs., and that occasionally weights 50 lbs.
* Stand in designated working area for duration of scheduled shift, which may exceed 8 hours per day.
* Check prices and be knowledgeable about location of items in the store.
* Promote for sale any current charitable promotions to Customers.
* Understand and adhere to Company shrink guidelines as relates to departmental operations.
* Be knowledgeable in and able to differentiate between all of the various type of merchandise.
* Sweep and mop floors, dust and face shelves and lift and carry out trash containers.
* Maintain acceptable shelf and display conditions by stocking, cleaning, straightening and rotating product.
* Follow approved procedures for receiving and storing product to ensure quality protection and product rotation.
* Perform all duties in accordance with Local, State and Federal regulations as they pertain to the HABA operation.
* Perform all duties in accordance with Company rules, policies, safety requirements, and security standards and all Local, State and Federal health and civil code regulations.
* Use a power or manual jack occasionally.
* Climb a ladder to retrieve items from overhead racks and storage areas.
* Utilize and maintain equipment as required by department; report any equipment problems immediately.
* Dress and groom according to Company policy including uniform and name badge.
* Be knowledgeable in the Company's HAZCOM program and adhere to manufacturer's label instructions for the safe and proper use of all chemical products.
* Complete all applicable department training programs.
* Perform all duties in accordance with all ShopRite Service Priorities (Safety, Friendliness, Presentation, and Efficiency).
* Maintain punctual and regular attendance.
* Work overtime as assigned.
* Work cooperatively with others.
* Must be 18 years or older to operate balers, hi-lo's, power jacks, and slicing machines.
* Perform other duties as directed.
Important Disclaimer Notice:
The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Associate may be required to perform. The employer reserves the right to revise this at any time and to require Associates to perform other tasks as circumstances or conditions of its business, competitive considerations, or the work environment change. This job description is not a guarantee of employment.
To Apply:
HIM Coder
Medical coder job in Monticello, IL
Full-time Description
Shift: Day shift
Schedule: M-F 40 hours
Job Summary: Responsible for the conversion of diagnoses and treatment procedures in accordance with the rules, regulations and coding conventions as established by the American Hospital Association (Coding Clinic), ICD-10-CM, CMS, AHIMA, and Kirby Medical Center organizational/institutional coding guidelines. Under the direction of the lead coding manager, the coder will perform all tasks and duties in accordance with established standards, policies, procedures, protocols, and guidelines using classification of diseases. Requires skill in the sequencing of diagnoses/procedures to meet medical necessity requirements. Ensures that records are coded in an accurate and timely manner. Participates in the department's performance improvement activities.
Benefits:
40 hours PTO effective date of hire
Health, Dental, Vision and Life insurance effective date of hire
Generous 401(k) match effective after 90 days
Quality/Goal incentive annually
Free Wellness Program
Requirements
Qualifications:
High School diploma or equivalent and medical coding education. In lieu of medical coding education, an active coding certification is required. Associate degree in healthcare related field preferred.
Certification as Certified Coding Specialist (CCS), or Certified Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) or Certified Professional Coder (CPC) required within one year of hire.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) preferred (will be considered in lieu of above certifications).
Required Skills:
Extremely detail-oriented with the ability to multi-task and follow through to meet established deadlines with stringent guidelines.
Ability to function under stress with many interruptions.
Highly analytical with critical thinking skills.
Must be self-motivated and strive for personal growth.
Knowledge or medical science, anatomy, and physiology required.
Ability to work flexible hours and possess the ability to accept change.
Ability to work with others collaboratively and communicate efficiently both orally and in writing.
Experience with Windows-based applications (e.g., Word, Excel, Outlook, etc.). Able to use multiple Electronic Health Records.
Since 1941, Kirby Medical Center has been the premier provider of healthcare in Piatt County and surrounding areas. We are committed and proud to provide quality and compassionate healthcare services to people in need. Our values-based culture, employee engagement, and award-winning healthcare have driven the success of our organization. Kirby Medical Center is an independent, not-for-profit hospital located on a beautiful campus in Monticello, IL with satellite clinics in Atwood, & Cerro Gordo, IL.
Kirby Medical Center offers an outstanding benefits package and state-of-the-art medical equipment. Ideal candidates enjoy a workplace where compassion, positive attitudes, respect, excellence, and stewardship are on display every day.
Salary Description $20.22-$25.28 per hour DOE
Coder I - PFS Billing Department - FT M-F
Medical coder job in Gibson City, IL
Job Details Gibson City, IL Full Time $25.00 - $32.00 HourlyDescription
The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve.
PRINCIPLE DUTIES AND RESPONSIBILITIES
1. Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes.
2. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
3. Knowledge and understanding of how to properly code using medical coding books.
4. Follow up with the provider on any documentation that is insufficient or unclear.
5. Ensure that all codes are current and active.
6. Ensures appropriate, accurate/timely follow-up is action taken on all denials and rejections received.
7. Adequately responds to coding questions and provide clarification to colleagues.
8. Develops and maintains appropriate communication with clinics.
9. Appropriately refers all non-routine issues to management for clarification.
10. Re-code and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers.
11. Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
12. Monitor CPT's and Diagnoses to assure they are coded correctly prior to billing.
13. All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
Qualifications
PHYSICAL REQUIREMENTS
1. Must be competent in the usage of PC's keyboard, calculations, copy machine, printers and other office equipment.
2. Light level of physical effort required for a variety of physical activities to include lifting standing and sitting at a workstation for up to four hours at a time.
Physical strength to perform the following lifting tasks:
• Floor to waist - 10 pounds
• Waist to shoulder - 10 pounds
• Shoulder to overhead - 10 pounds
• Carry 10 pounds for 15 feet
3. Work requires visual acuity necessary to observe and obtain information and use documentation.
4. Auditory acuity to hear others for purposed of fluent communication.
REPORTING RELATIONSHIP
Reports to the Director(s) of Patient Financial Services.
EDUCATION, KNOWLEDGE AND ABILITIES REQUIRED:
1. Work requires knowledge of CPT, ICD-10, and HCPC codes.
.
2. Must hold a current unexpired CPC or CCS certification from the AAPC, NHA, or AHIMA.
3. 2 years of previous experience with medical coding for a multi-specialty office or hospital system.
4. Knowledge of Medical Terminology.
5. Familiar with the Legal and Ethical Compliance with medical coding.
6. Previous experience in the policy and procedures of medical coding.
7. Requires analytical skills to evaluate medical charts and records.
8. Good communication skills to assist with coding questions and concerns from colleagues.
INFECTION EXPOSURE RISK LEVEL
Category 3 - No Risk - Your job does not involve exposure to blood, body fluids or tissue. You do not perform or help in emergency medical care or first aid as part of your job.
WORKING CONDITIONS
1. Works in an office where there are relatively few discomforts due to dust or dirt. There is some exposure to print noises.
2. Will work in an office with co-workers where traffic may be constant, subjecting your work to interruptions, which can produce stress and fatigue.
Cancer Registrar
Medical coder job in Rockford, IL
Work Schedule
Monday - Friday day shift with work hours between 0700 - 1800; no weekends or holidays. This is a Hybrid role based at the Carbone Cancer Center in Rockford, IL
Work Experience
Previous Cancer Registry experience in an acute care community hospital. Preferred
Licenses & Certifications
Required:
Associates degree or higher which includes successful completion of a human anatomy and physiology course and eligible to begin course work in Cancer Registry Management
Oncology Data Specialist Certification must be obtained within 3 years of hire, or at manager discretion.
Preferred:
Associates degree from an NCRA approved Cancer Registry Management program and eligible to take Oncology Data Specialist certification exam (Oncology Data Specialist certification must be obtained within 2 years of hire or at manager discretion)
Oncology Data Specialist certified, with more than 1 year of experience in a Cancer Registry
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Health in northern Illinois benefits
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