Medical Coder
Medical coder job in Hickory, NC
Job Details Hickory Office - HICKORY, NC Full Time DayDescription
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: The Medical Coder is responsible for accurately assigning CPT, ICD-10, and HCPCS codes to patient encounters to ensure proper billing and compliance with regulatory requirements. This role supports revenue cycle efficiency by ensuring claims are coded correctly, reducing denials, and assisting providers with documentation improvement.
Other duties may be assigned.
FINANCIAL OPERATIONS & REPORTING
Review medical documentation for accuracy and completeness.
Assign appropriate CPT, ICD-10, and HCPCS codes according to established guidelines.
Ensure coding compliance with federal, state, and payer-specific requirements.
Collaborate with physicians and clinical staff to clarify diagnoses and procedures when necessary.
Work with billing team to resolve coding-related claim rejections or denials.
Maintain up-to-date knowledge of coding regulations, payer requirements, and ophthalmology-specific coding changes.
Assist with audits and provide feedback to improve documentation and compliance.
Support process improvements to strengthen revenue cycle performance.
Outpatient Medical Coder
Medical coder job in Cherryville, NC
Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.
Duties & Responsibilities:
* Responsible for the assignment of accurate E&M, ICD, CPT, and HCPCS codes and modifiers from medical record documentation.
* Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external.
* Interacts with MTF staff to ensure documentation is clear and supports coding assignments.
* Educates MTF staff through individual or group in-services and training sessions.
* Maintains a delinquency report of missing records in order to facilitate the completion of work within the required thresholds.
* Position requires excellent computer/communication skills for provider and staff interactions.
* Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.
* Candidate must have the ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.
Requirements:
* Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) CCS-P (Certified Coder Specialist - Physician (CCS-P) with the appropriate level of experience.
* An accrediting institution recognized by the American Health Information Management Association (AHIMA) and/or the American Academy of Professional Coders (AAPC) must accredit education.
* CONTINUED EDUCATION REQUIREMENTS: Contract medical coders will obtain the required continued education hours at no expense to the government in order to maintain the current and proper national certification(s) required for the position.
* Experience. A minimum of three years of experience in the outpatient setting (physician's office or ambulatory surgery centers) within the last five years, including assignment of E&M, CPT, and HCPCS codes.
Coding Specialist I
Medical coder job in Gastonia, NC
Job Summary:##To perform diversified coding of clinic encounters to accurately reflect the services provided in the clinic setting, using#ICD-10-CM and CPT coding conventions including application of Evaluation # Management guidelines, and appropriate modifier usage.
Performs abstract coding functions for each encounter coded by reviewing to validate the documentation supports the codes submitted on claims.
Maintain##a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education to effectively apply ICD-10-CM/CPT coding guidelines to professional fee billed encounters.
# Qualifications:##Education and formal training:# High school graduate/diploma required.
# Training in ICD-10 and CPT coding conventions.
# Applicants must be eligible for a qualifying certification but has not taken an exam, or has taken and passed an exam but has less than 2 years of experience.
# Qualifying certifications for this position include those offered by AAPC or AHIMA including CPC, RHIA, RHIT, CCS, CCS-P or CPC-A.
# Individuals hired in this position will be moved to a Coding Specialist II position after obtaining 2 years# experience.
##Excellent verbal and written communication skills.
# Must be able to maintain the highest level of confidentiality of sensitive information.
Must have knowledge of Medicare, Medicaid and other payer requirements related to coding and billing claims for services rendered.
# Excellent verbal and written communication skills.
.
# Must be able to maintain the highest level of confidentiality of sensitive information.
Familiar with coding software preferred.
#EOE A M/F/VET/DSABILITY #
Clinical Coder III-Acute Care
Medical coder job in Charlotte, NC
00127709
Employment Type: Full Time
Shift: Day
Shift Details: 1st shift M-F
Standard Hours: 40.00
Department Name: Medical Records
Location Details: Charlotte, with telecommunitng available after onboarding
Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth
Job Summary
Reviews clinical documentation and diagnostic results as appropriate to abstract data and apply appropriate ICD-9-CM/ICD-10-CM/PCS1 and CPT 4 codes for reimbursement, external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and other regulatory edits. Code and abstract medical records of moderate to high complexity within the Atrium Health Primary Enterprise acute care facilities.
Essential Functions
Reviews moderate to high complexity medical records to identify the appropriate principal diagnosis and procedure codes and all other appropriate secondary diagnoses and procedure codes and assign Present on Admission indicators, Hospital Acquired Conditions and Core Measures for all diagnosis codes.
Facilitates appropriate MSDRG for inpatient medical records and UHDDS and other facility guidelines.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input.
Meets established quality and productivity standards.
Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding.
Physical Requirements
Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment.
Education, Experience and Certifications.
High School Diploma or GED required; Bachelors Degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 2 years coding experience in acute care setting required. Current RHIT, RHIA, CPC-H, CIC or CCS required plus a passing score on the Atrium Health Coding test.
At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.
As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.
Posting Notes: Not Applicable
Atrium Health is an EOE/AA Employer
Certified Peer Specialist
Medical coder job in Charlotte, NC
Job DescriptionCertified Peer Specialist
Job Details
Job Type
Full-time
Charlotte, NCDescription
Certified Peer Specialist (CPS) services consist of peer support services; advocacy for Persons in Recovery (PIRs); sharing of coping skills and providing recovery information for PIRs. The CPS performs a wide range of tasks to assist PIRs in regaining control over their own recovery process. This includes but is not limited to the development of natural supports, development of social interactions in the community and management of symptoms that challenge wellness in an individual. A commitment to the RHD values should be demonstrated as job duties are performed.
Reports to: Program Director/Site Supervisor
Essential Duties and Functions
Direct Care
Delivers peer support services such as education, advocacy, and to foster engagement in treatment process
Provide recovery support education for persons enrolled, staff, and family members. This may include but is not limited to:
Wellness Recovery Action Plans (WRAP) for enrollees,
Self-help/mutual peer support groups,
training and orientation of new enrollees,
training and orientation for staff and Team members.
Supporting person centered interventions as identified in service plans for everyone served
As appropriate, may facilitate group therapy sessions such as:
WRAP
Recovery Support Groups
Community Meetings
Symptom and Coping Skills
Assist individuals with independent living preparation.
Administrative
Complete required documentation of services in a timely manner according to agency policy.
Other
Maintain one's own physical, mental, and emotional well-being so that the CPS can function appropriately in the job and can model healthy functioning to those we serve.
Performs other tasks as assigned by leadership team, to support individuals' recovery.
Requirements
Certified Peer Specialist Certification
HS Diploma/GED
At least 2 years working with others in Mental Health Recovery
Maintain 18 credit hours of additional training each year.
Physical requirements
Lifting Requirements
Medium: exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds constantly to move objects.
Physical requirements
Stand or Sit (stationary position)
Walk
Use hands or fingers to handle or feel (operate, activate, prepare, inspect, position)
Climb (stairs/ladders)
Talk/Hear (communicate, converse, convey, express/exchange information)
See (detect, identify, recognize, inspect, assess)
Pushing or Pulling
Repetitive Motion
Reaching (high or low)
Kneel, Stoop, Crouch or Crawl (position self, move)
About Company:Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment. Apis Services, Inc. and affiliate's provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.
PGA Certified STUDIO Performance Specialist
Medical coder job in Charlotte, NC
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
Auto-ApplyHealth Information Management Clerk
Medical coder job in Gastonia, NC
We are looking for a Health Information Management Clerk to join our family. Under the direct supervision of the Health Information Management Manager, this position is responsible for timely and accurate administrative support functions including medical records management, scanning, PHI request, and messaging to both clinical and non-clinical staff.
Benefits:
• Health Insurance
• Dental Benefits
• 403B Retirement Plan
• 403B Retirement Matching
• Paid Time Off
• Holiday Pay
• Long Term Disability
• Life Insurance
• Optional Benefits
• Employee Assistance Program
• Flexible Spending Accounts
Health Information Management Clerk Qualifications
Minimum: The following minimum qualifications are the minimum and necessary to perform this job adequately. However, any equivalent combination of experience, education, and training that provides the necessary knowledge, skills, and abilities would be acceptable, subject to any legal and/or regulatory requirements:
Must be able to sit, stand and walk for long periods
Ability to read and understand the English language
Ability to effectively maintain confidentiality of records and communicate with all levels of personnel
Experience: One year of clerical experience in a medical office setting required. Previous experience working in Medical Records with basic to advanced working knowledge of Privacy laws, HIPAA laws, and Release of Information laws.
Education: High School Diploma or GED certificate required
Certification(s): None
Language: Bilingual is preferred
Additional required skills: Knowledge of medical office operations. Requires excellent verbal communication skills. Must be able to work with changing priorities. Requires excellent organizational, problem solving and critical thinking skills. Must be able to interact with individuals of all cultures and levels of authority. Requires the ability to maintain confidentiality. Must be able to function as part of a team. Must possess initiative. Basic medical terminology required, knowledge can be obtained through formal classes or work experience. Proficient in use of all computer software utilized in practice, coding experience a plus.
Health Information Management Clerk Key Responsibilities
1. Must be able to interact with individuals of all cultures and levels of authority through telephonic and in-person encounters.
2. Must be able to explain policy and procedures to external organizations, patients, and staff
3. Must be able to understand and maintain patient confidentiality
4. Perform a variety of complex and routine administrative duties, which include, but not limited to, data entry, accounting for medical information disclosures, filing, copying and distributing information.
5. In-Depth knowledge of the laws and regulations related to the authorization and disclosure of health information and ability to apply said laws and regulations related to the disclosure of health information such as Privacy Act, Freedom of Information Act (FOIA), Health Insurance Portability and Accountability Act (HIPAA)
6. Ability to manage priorities and coordinate work in order to complete duties in an accurate and timely fashion
7. Ability to follow-up on pending issues in order to meet required response times
8. Ability to research and solve difficult questions related to release of health information in an accurate and timely manner
8. Utilize EMR System:
9. Update patient records
10. Scan documents into patient charts in a timely manner
11. Query patient information
12. Extract Medical records for PHI request
13. Patient Message provider/staff
14. Perform other duties as assigned
Kintegra Health Core Requirements
1. Patient First - An approach to care that holds primary, the well-being and desires of the patient
2. Build not Blame - Focusing first on finding fault with the process rather than the person
3. Integrity and Honesty - Fostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customers
4. Cooperation and Flexibility - Related to an internal believe that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job description
5. Culturally Sensitive - Always working toward increasing one's ability to understand, communicate with, effectively interact and care for people across cultures, while having an acute awareness of one's own culture.
We are an equal opportunity employer and value diversity.
Medical Records Technician (Spartanburg County, SC)
Medical coder job in Spartanburg, SC
Advantmed is hiring enthusiastic Medical Records Technicians! This is a great "foot-in-the-door" position for those looking to be involved in the emerging Healthcare & Technology industry.
At Advantmed, our mission is to improve the healthcare system by ensuring appropriate, quality care, and eliminating unnecessary costs. Advantmed is a privately held company founded in 2005 and composed of over 1,800 seasoned professionals aligned by one common goal: to meet our clients' evolving needs with accuracy, efficiency, and transparency.
We would love to have you join our team of dedicated professionals! We encourage you to visit the details of the role by watching the video available at the following link: Medical Records Technician
Our Medical Records Technicians receive company-provided laptops and portable scanners to travel to various medical facilities and hospitals for scanning patient medical records.
Duties and Responsibilities:
Maintain a record system for patient information and gathering documents.
Use electronic systems to properly collect, organize, and manage data.
Ensure medical records are organized, accurate, and complete.
Create digital copies of paperwork and store records electronically.
File paperwork/reports quickly and accurately.
Ensure HIPAA standards are met.
Follow all confidentiality guidelines, rules, and procedures.
Interact with medical staff, healthcare providers, and other medical personnel.
Ability to lift and carry up to 25 pounds.
Additional Good-to-Have Qualifications:
Previous work experience in a healthcare setting, such as a hospital, clinic, or medical office dealing with medical charts.
Proficiency in Electronic Health Records (EHR) / EMR systems such as Epic, Cerner, Meditech, etc.
Intermediate knowledge of medical chart structure, content, and medical terminologies.
Familiarity with Word, Excel, and Outlook for documentation and communication.
Ability to operate and troubleshoot common issues with printers and scanners.
Strong verbal and written communication skills for interacting with healthcare professionals.
Requirements
Must-Have Qualifications:
Valid driver's license and clean motor vehicle record.
Have a car and active insurance in their name (Candidates must provide registration documentation).
Willing to drive up to 60-80 miles or more (round-trip).
Internet access at home.
Basic PC and office equipment skills.
Applicants must be available from 08:00 am to 05:00 pm respective time zone to visit required facilities.
Pay Rate:
$18-$21 per hour or $3 per record, whichever is higher
Paid semi-monthly based on total hours worked or total records retrieved during the work period (whichever is higher).
Paid mileage, reimbursement for some travel expenses, paid $50 (daily) Food Allowance, when traveling out of state & paid Flight + Hotel + Rental (if required).
This is a part-time, seasonal position, with the potential for extension based on project requirements and needs
Auto-ApplyMedical Records Coordinator-Huntersville Oaks
Medical coder job in Huntersville, NC
Department:
10010 Huntersville Oaks - Administration
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Monday through Friday occasional evenings, 8-4:30pm, 8:30-5pm
Pay Range
$20.40 - $30.60
Located in Huntersville, NC, Atrium Health Huntersville Oaks is an award-winning nursing and rehabilitation facility with 168 beds. We provide short term rehab, long term care, palliative care, and hospice care and are committed to enhancing the quality of life and well-being of all our residents. Huntersville Oaks was recognized by the Centers for Medicare and Medicaid Services for providing 4 star care and was named one of Newsweek's Best Nursing Homes in 2023.
Interested in learning more about the benefits of joining our facilities? Check out this video: Why You Should Join our Skilled Nursing Team
Essential Functions
Manages and coordinates the implementation and maintenance of the Medical Records Review process, including uploading and scanning all records.
Respond to requests for medical records, maintaining appropriate documentation of all requests and records released.
Facilitates and serves as a resource to each facilities' Medical Record Review Committee.
Ensures timely processing of medical record review data including data entry as well as data analysis and distribution of reports.
Prepares reports for administrative use.
Maintains up-to-date knowledge of facility and regulatory medical record review requirements.
Reviews and corrects ICD-10 coding to ensure all codes are compliant with regulatory requirements.
Participates in committee meetings as requested and maintains meeting minutes and documentation as needed.
Performs audits of medical records such as 24-hour admissions, triple check, and other audits required by leadership.
Physical Requirements
Works in an office environment. Requires long periods of sitting. Strong communication skills required, both oral and written
Education, Experience and Certifications
High School Diploma or GED required; bachelor's degree preferred. Knowledge of medical terminology required. ICD Certification and Skilled Nursing Facility experience preferred. Basic knowledge of computer applications. Strong customer service orientation.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Auto-ApplyElectronic Medical Records Specialist Lead
Medical coder job in Charlotte, NC
What We Offer Why This Role Matters As an EMR Specialist Lead, you will be part of a team of HIM professionals dedicated to ensuring the integrity, accessibility, and compliance of patient health records. You will play a critical role in supporting patient care by driving accuracy, efficiency, and adherence to regulations across the HIM function.
What You'll Do Location: ONSITE at Presbyterian Medical Center and other facilities within the Charlotte region Schedule - Monday - Friday, 8:30am - 5:00pm, rotating weekends as needed.
Develop, implement, maintain and monitor information management standards and systems to support the patient record.
Assist with scheduling and staffing, lead and facilitate weekly team huddles, monitor and audit work flows, provide ongoing team member education and train new employees.
Provide team coverage as needed performing EMR Specialist duties including: discharge unit rounding, quality compliance reviews, prepping, scanning, and indexing of medical documents into the electronic medical record (EMR) systems, including HIMSS7 unit scanning, department phone coverage, order medical records from off-site vendors and support accurate and secure patient records by monitoring and maintaining information management standards and systems, on-site release of information (ROI) tasks for walk-in requests, continuity of care, and incoming mail.
Deliver professional customer service to callers and visitors of the Health Information Management department, addressing inquiries and resolving issues promptly.
Support all on-site Health Information Management (HIM) workflows within acute care settings, ensuring seamless departmental operations.
Collaborate with cross-functional teams to resolve workflow-related issues and maintain efficient departmental operations.
Adapt to additional HIM responsibilities as needed to support dynamic healthcare environments.
What You'll Need Required: High School Diploma or GED.
3+ years of equivalent work experience with similar work assignments roles and responsibilities.
Zero years of experience with RHIT or RHIA licensure.
Able to drive/travel to multiple locations/facilities as needed.
Excellent analytical and customer service skills.
Able to successfully complete generic and department-specific skills validation, competency testing and standardized productivity metrics/goals.
Able to multitask and work independently with limited supervision.
Strong working knowledge of HIPAA requirements.
Comfortable in a computer-based workflow, with working knowledge and/or familiarity with acute care medical records and hospital regulatory environment.
Preferred: RHIT licensure.
Associate Degree.
Experience with the EPIC EHR and/or Hyland On Base scanning application.
What's In It for You Growth and development opportunities within the Health Information Management department.
Comprehensive benefits include health, dental, vision, and life insurance.
Retirement fund with matching contributions.
Future Forward Program offering upfront tuition assistance for qualifying team members.
Employee assistance programs and discounts.
Job Opening ID 129832
Auto-ApplyIDD Qualified Professional ICF
Medical coder job in Maiden, NC
We are hiring for:
IDD Qualified Professional ICF
Type:
Regular
If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!
The Qualified Professional (QP) serves as a key member of the interdisciplinary team (IDT) within the Intermediate Care Facility (ICF), responsible for coordinating, monitoring, and supporting the delivery of person-centered services to individuals with intellectual and developmental disabilities (IDD). This role ensures the development and implementation of individualized Person-Centered Plans (PCPs), supports successful transitions and admissions into the facility, and plays a lead role in maintaining full bed occupancy by actively managing the referral and intake process.
As the primary coordinator of care, the QP ensures that services align with each individual's goals, preferences, and support needs-emphasizing independence, well-being, and inclusion. The QP fosters collaboration among team members, including nursing, direct support staff, clinical specialists, administrators, and guardians to drive positive outcomes and regulatory compliance.
DUTIES AND RESPONSIBILITIES:
Admissions & Census Management:
Lead the intake and admission process, including pre-admission screenings, conducting meet-and-greet visits with prospective individuals and their support teams, and determining program compatibility.
Coordinate all aspects of the admission process, ensuring timely collection of required documentation and smooth transitions into the facility.
Develop and implement the initial Person-Centered Plan (PCP) upon admission, in collaboration with the IDT.
Maintain awareness of vacant beds and actively support referral development and follow-up efforts to ensure timely occupancy.
Service Coordination & Planning:
Serve as the primary coordinator of the IDT, ensuring that interdisciplinary team meetings are scheduled, facilitated, and documented according to regulatory and organizational timelines.
Interview individuals served to understand their needs, goals, and preferences; translate this information into actionable, person-centered goals.
Supervise the development and implementation of PCPs that are based on comprehensive assessments, observations, and input from individuals and their support networks.
Monitor and review the delivery of services to ensure fidelity to the PCP and assess progress toward identified outcomes (personal, clinical, and functional).
Monitoring & Oversight:
Conduct regular site visits to homes, day programs, and other service locations to evaluate the quality and consistency of PCP implementation.
Monitor home environments for cleanliness, appearance, safety, engagement opportunities, and community integration.
Ensure continuous quality improvement by reviewing internal audits, state surveys, and quality assurance data; participate in the development of corrective action plans as needed.
Advocacy & Communication:
Maintain strong communication with families, legal guardians, and external stakeholders to keep them informed and engaged in service planning and delivery.
Act as an advocate for the individuals served, ensuring their rights are upheld and their voices are central to all decisions affecting their care.
Other Duties:
Ensure timely and accurate documentation in accordance with Medicaid, ICF, and company requirements.
Participate in ongoing training, compliance reviews, and team meetings.
Perform other duties as assigned to support the health, safety, and well-being of the individuals served.
SUPERVISORY RESPONSIBILITIES:
This position may have supervisory responsibilities, which may vary based on the size and scope of the program.
MINIMUM QUALIFICATIONS:
Bachelor's degree in Social Work, Human Services, Psychology, Special Education, or a related field (Master's degree preferred).
At least 2 years of experience (in North Carolina), 1 year of experience (in Tennessee) working with individuals with intellectual and developmental disabilities; 1 year required if Master's degree is held.
Demonstrated experience in developing, writing, and implementing Person-Centered Plans.
Working knowledge of ICF regulations, person-centered planning principles, and applicable Medicaid/HCBS rules.
Excellent communication, organizational, and documentation skills.
Valid driver's license, auto insurance, and reliable transportation.
Must be at least 18 years of age.
PHYSICAL DEMANDS AND WORK ENVIRONMENT:
Must be able to regularly lift and carry up to 20 lbs. and occasionally pull at least 40 lbs.
Must be able to squat, kneel, crawl, crouch, climb, and stoop as part of regular job duties.
Must be able to use hands and fingers to handle or operate objects, tools, or controls.
Required to stand and walk for extended periods.
Must be able to demonstrate proficiency in CPR from floor level, which requires working on hands and knees, bending, standing, and lifting.
Vision requirements include close, distance, and peripheral vision.
Must be able to talk and hear.
Exception - Deaf and Hard of Hearing Programs: For these programs only, employees must be fluent in American Sign Language (ASL). The requirement to talk and hear does not apply.
RHA is an Equal Employment Opportunity Employer, prohibits discrimination based on the following protected categories: race, creed, color, national origin, nationality, ancestry, age, sex/gender, marital status, civil status, domestic partnership status, familial status, religion, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States, or disability.
Pre-employment screening:
Complete criminal background
Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)
Drug testing
Education verification and other credentialing based on position requirements.
Proof of employment history or references (if required)
Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.
We offer the following benefits to employees:
Payactiv: early access to the money you've earned from hours you've already worked, before payday!
Employee perks and discount program: to help you save money!
Paid Time Off (full-time employees only)
Health/Insurance (full-time employees only)
401(k) retirement savings program
Wellbeing Programs: Physical, Emotional and Financial
Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
Training: Free CPR, first aid, and job-specific training opportunities
*contract/contingent workers and interns do not qualify for any of the above benefits
EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.
About RHA:
At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.
For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.
If you are ready to make a difference in the lives of people we serve and support apply to join the team today.
Auto-ApplyOnsite Release of Information Specialist - Rutherfordton, NC
Medical coder job in Rutherfordton, NC
The Release of Information Specialist (ROIS) initiates the medical record release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based out of a Verisma client site, in Rutherfordton, NC.
The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medical records, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
2+ years of medical record experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented
Training & Records Coordinator, Nuclear
Medical coder job in Charlotte, NC
Come Build Your Career at Aecon! As a North American leader in infrastructure development, Aecon is safely and sustainably building what matters for future generations to thrive! We lead some of the most impactful infrastructure projects of our generation, at the forefront of transformational change in transportation and energy, and partnering every day to build, connect, power, and strengthen our communities.
At Aecon, you can count on:
* Safety Always. Our number one core value. If we can't do it safely, we don't do it at all.
* Integrity. We lead by example, with humility and courage.
* Accountability. We're passionate about delivering on our commitments.
* Inclusion. We provide equitable opportunities for everyone.
We lead the infrastructure industry with purpose, and our people are at the heart of everything we do. So, we invest in our people, just like they invest in us!
At Aecon we:
* Ensure you and your family receive the services needed to support your mental, emotional, and physical well-being.
* Believe in helping you build your career through our Aecon University and Leadership Programs.
* Are committed to supporting and investing in inclusive work environments, through initiatives like Diversity, Equity, Inclusion, & Accessibility training, our Aecon Women in Trades and Aecon Diversity in Trades programs, and our Employee Resource Groups (ERGs) to ensure we are building inclusion into every aspect of our culture at Aecon.
* Are a leader in sustainable construction. With a strong commitment to operating responsibly by minimizing our impact on the environment and surrounding communities.
Our business success relies on strong execution and continuous improvement - driven by the diversity, expertise and teamwork of our people. We're always searching the globe for innovative, collaborative minds to join our best-in-class Aecon community!
What is the Opportunity?
At Aecon Engineering Services Inc. (United), we are a team of engineers, builders, planners, and thinkers that design and build today's infrastructure, for tomorrow. We come to work every day committed to drive growth and delivering projects that matter for our clients, ourselves, and our communities. Through our work in the nuclear, conventional generation, renewable and power delivery markets, we create resilient infrastructure to last generations.
In December 2024, United Engineers and Constructors was acquired by Aecon Group Inc. Aecon and United have a proven working relationship and the United team continues to operate in the market as an engineering, procurement and construction (EPC) company.
We are seeking an enthusiastic Nuclear Training and Records Coordinator to support our Power Generation Group in our Charlotte, NC office. Responsibilities include training and records management support to our engineering and design teams working on power generation projects including nuclear plant modifications to new build nuclear and conventional generation.
What You'll Do Here:
PRIMARY RESPONSIBILITIES:
* Nuclear Training Coordinator - Work with Operations on training needs and ensure that staff is trained accordingly.
* Works closely with Operations to identify training needs
* Assigns training and ensures staff is trained accordingly
* Monitors training revisions and works with Operations to determine additional training needs
* Maintains tracking tool
* Identify staff with missing or delinquent training
* Archives training records
SECONDARY RESPONSIBILITIES
* Nuclear Records Coordination
* Works closely with Operations to identify record retention needs
* Hosts routine meetings with Operations to maintain pulse on archiving needs
* Maintains tracking tool/list for each project of records and when they were archived
* Assists with all auditable project documents, training records, CAP Records, etc. as needed
* Performs advanced clerical and administrative support duties for Executive-level management.
* Assignments generally involve work of a confidential nature and require knowledge of the practices and procedures of the function, company products, policies, and programs.
* Assembles and analyzes information, prepares reports, manuals, agendas, correspondence and memoranda.
* Answers mail and inquiries on own initiative, follows up with other departments to ensure that requests are carried out.
* Coordinates activities across departments.
* Arranges and makes notifications of appointments and travel reservations/arrangements.
* Checks and processes expense reports.
* May take dictation and transcribe notes for letters, memos, or reports.
* Prepares materials in final form from very rough and involved drafts which may utilize frequent use of technical terminology and which combine materials from several sources.
* Plans layout of complex reports and statistical tables.
* Interfaces with other Administrative Assistants to share or coordinate workload.
OTHER/SPECIFIC RESPONSIBILITIES:
* Schedule meetings, create/maintain various reports, create/compile presentation material, follow-up, and send memorandums as needed
* Work with the Project(s) and Finance to open project charge codes
* Work with HR and IT and assist with employee onboarding and offboarding activities for the office.
* Work closely with QA management in preparation of nuclear audits and support as needed
* Arrange luncheons and events
* Greet visitors and assist them in the office
* Support projects as needed
* Support Project Directors with Contract Initiations
* Support Project Directors with employee outings
What You Bring To The Team:
* Education: High school diploma or equivalent and advanced secretarial training.
* Experience: 4 years of prior related experience preferred. Requires working knowledge of commonly used PC applications such as word processing, spreadsheets, and databases.
* Proficiency with Microsoft Office - Word, PowerPoint, Outlook, and Excel required
* Level Specific Responsibilities: Under general supervision and acting on own initiative, performs advanced secretarial, clerical, and administrative duties for Executive-level management. Possesses extensive knowledge of office practices and procedures. Possesses and displays the ability to apply techniques, procedures and criteria in carrying out a wide variety of related clerical and administrative tasks for executive management.
Aecon fosters diversity, inclusion and belonging within and across our organization. We consider all applicants for positions without regard to race, color, religion, sex, national origin, age, mental or physical disabilities, veteran status, and all other characteristics protected by law.
We are committed to adhering to the objectives and requirements outlined in the Equal Employment Opportunity Commission (EEOC), and to meeting the accessibility needs of persons with disabilities in a timely manner, through the implementation of the requirements of the EEOC and its applicable regulations. Appropriate accommodation under the EEOC will be provided upon request throughout the interview and hiring process.
Records Management Specialist III
Medical coder job in Charlotte, NC
Records Management Specialist IIIEmployment Type: Full-Time, Mid-LevelDepartment: Office Support CGS is seeking an experienced Records Management Specialist to provide technical, management, and documentation support for a large Federal agency initiative. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Provides technical support for records management programs, dockets, records center, or other information services under the supervision of a Records Information Manager. - May assist in planning and program development, analysis of records or docket management problems, and design of strategies to meet ongoing records or docket management needs. - Specific technical duties may vary according to the needs of the work site and include, but are not limited to, response to inquiries; collection maintenance and retrieval tasks; metadata review and input; equipment maintenance; and use of automated information systems, such as the Federal Docket Management System (FDMS).
Qualifications:- At Level III, the personnel must have at least three (3) years of records management experience. - Experience with at least one automated information system is required. - A college degree is preferred but not required. Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:**************************************** more information about CGS please visit: ************************** or contact:Email: *******************
#CJ
Auto-ApplySpecialist in Poison Information, North Carolina Poison Control, Atrium Health FT Airport Center
Medical coder job in Charlotte, NC
Department:
85215 Greater Charlotte Research and Other Sponsored Programs - Academic Poison Center
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
3P - 11P, every other weekend.
Pay Range
$37.50 - $56.25
Essential Functions
Utilizes clinical and communication skills to obtain a history of the exposure, including all aspects of patient condition, agent(s) involved, circumstances, etc., in a timely manner consistent with the severity of the exposure.
Provides poison information on patients of all ages, including infants, children, adolescents, adults and the elderly.
Utilizes information resources appropriately to accurately assess each exposure case. This includes use of computerized data bases, textbooks, primary medical literature, consultants, and previous knowledge and experience.
Formulates an appropriate plan of care (patient disposition) by interpreting and integrating available information.
Implements the plan of care based on established guidelines, case specifics, patient care priorities, health care facility resources, and professional judgment in a timely manner.
Communicates patient information and treatment recommendations as necessary to appropriate health care facilities/providers.
Evaluates the appropriateness of assessment & recommendations documented on the case record by adhering to established follow-up procedures.
Provides non-toxicological drug and medical information to callers within the scope of education and experience as time permits.
Provides initial crisis intervention to callers with other medical or drag problems, or suicidal intentions, with referral to appropriate community agencies.
Refers non-medical callers to appropriate agencies in a professional and friendly manner.
Physical Requirements
Works primarily in the Poison Center. Majority of time is sitting, with frequent telephone use and exposure to computer monitor. May assist in patient evaluation and treatment in the Emergency Department as requested. Must be able to operate telephone, computer and recording device equipment. Each teammate has the responsibility to work in a safe environment.
Education, Experience and Certifications
Graduate from an accredited school of nursing, ACPE accredited pharmacy school, or medical school required. Registered nurse, registered pharmacist, physician's assistant or physician (MD or DO) required. Two years clinical experience preferred; applicable state license to practice required. BLS required per policy guidelines. Obtain certification as a Certified Specialist in Poison Information administered by the American Association of Poison Control Centers (AAPCC) within three examination periods and recertify as required by the AAPCC and applicable state Poison Control required. Proficiency in Microsoft Office and keyboard skills preferred. Prefer 2 or more years of FT emergency or critical care experience, familiarity with medical record systems and moderate to rapid typing skills
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Auto-ApplyOutpatient Medical Coder
Medical coder job in Cherryville, NC
Job Description
Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.
Duties & Responsibilities:
Responsible for the assignment of accurate E&M, ICD, CPT, and HCPCS codes and modifiers from medical record documentation.
Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external.
Interacts with MTF staff to ensure documentation is clear and supports coding assignments.
Educates MTF staff through individual or group in-services and training sessions.
Maintains a delinquency report of missing records in order to facilitate the completion of work within the required thresholds.
Position requires excellent computer/communication skills for provider and staff interactions.
Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.
Candidate must have the ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.
Requirements:
Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) CCS-P (Certified Coder Specialist - Physician (CCS-P) with the appropriate level of experience.
An accrediting institution recognized by the American Health Information Management Association (AHIMA) and/or the American Academy of Professional Coders (AAPC) must accredit education.
CONTINUED EDUCATION REQUIREMENTS: Contract medical coders will obtain the required continued education hours at no expense to the government in order to maintain the current and proper national certification(s) required for the position.
Experience. A minimum of three years of experience in the outpatient setting (physician's office or ambulatory surgery centers) within the last five years, including assignment of E&M, CPT, and HCPCS codes.
Clinical Coder IV - Acute Care
Medical coder job in Charlotte, NC
00097817
Employment Type: Full Time
Salary Range: 24.72 - 37.08
Shift: Day
Shift Details: Monday-Friday days
Standard Hours: 40.00
Department Name: Medical Records
Location: Remote, US
Location Details: 9401 ArrowPoint Blvd
Job Summary
Remote role. To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership.
Essential Functions
Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes.
Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
Reviews charges and Evaluation and Management levels.
Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance.
Abstracts coded data and other pertinent fields in the hospital electronic health record.
Ensures the accuracy of data input.
Meets established quality and productivity standards.
Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management.
Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding.
Physical Requirements
Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment.
Education, Experience and Certifications.
High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the Atrium Health Coding test.
At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.
As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.
Posting Notes: Not Applicable
Atrium Health is an EOE/AA Employer
Electronic Medical Records Specialist
Medical coder job in Charlotte, NC
What We Offer Why This Role Matters As an Electronic Medical Records Specialist, you'll be part of a team of HIM professionals dedicated to ensuring the integrity, accessibility, and compliance of patient health records. You'll play a critical role in supporting patient care by driving accuracy, efficiency, and adherence to regulations across the HIM function.
What You'll Do Location: ONSITE at Presbyterian Medical Center Schedule - Monday - Friday, 8:30am - 5:00pm, rotating weekends and rotating holidays Perform discharge unit rounding, quality compliance reviews, prepping, scanning, and indexing of medical documents into the electronic medical record (EMR) systems, including HIMSS7 unit scanning.
Provide department phone coverage, order medical records from off-site vendors and support accurate and secure patient records by monitoring and maintaining information management standards and systems.
Perform on-site release of information (ROI) tasks for walk-in requests, continuity of care, and incoming mail.
Deliver professional customer service to callers and visitors of the Health Information Management department, addressing inquiries and resolving issues promptly.
Support all on-site Health Information Management (HIM) workflows within acute care settings, ensuring seamless departmental operations.
Collaborate with cross-functional teams to resolve workflow-related issues and maintain efficient departmental operations.
Adapt to additional HIM responsibilities as needed to support dynamic healthcare environments.
What You'll Need Required: High School Diploma or GED.
3+ years of equivalent work experience with similar work assignments roles and responsibilities.
Zero years of experience with RHIT or RHIA licensure.
Able to drive/travel to multiple locations/facilities as needed.
Excellent analytical and customer service skills.
Able to successfully complete generic and department-specific skills validation, competency testing and standardized productivity metrics/goals.
Able to multitask and work independently with limited supervision.
Strong working knowledge of HIPAA requirements.
Comfortable in a computer-based workflow, with working knowledge and/or familiarity with acute care medical records and hospital regulatory environment.
Preferred: RHIT licensure.
Associate Degree.
Experience with the EPIC EHR and/or Hyland On Base scanning application.
What's In It for You Growth and development opportunities within the Health Information Management department.
Comprehensive benefits include health, dental, vision, and life insurance.
Retirement fund with matching contributions.
Tuition assistance for qualifying team members.
Employee assistance programs and discounts.
Why Choose Novant Health? At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other.
We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.
Job Opening ID 125847
Auto-ApplyCoding Tech I
Medical coder job in Gastonia, NC
Job Summary:# #To perform diversified coding of hospital encounters to accurately reflect the services provided of the primary and secondary diagnoses and procedures using ICD-10-CM/PCS and/or CPT coding conventions including applying hierarchy for hydration, infusion and injection charging, appropriate modifier usage.
Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education to effectively apply ICD-10-CM/PCS and/or CPT coding guidelines to inpatient and/or outpatient diagnosis and procedures.
# Qualifications:# ##Education and formal training: High school graduate/diploma required.
# Training in ICD-10-CM/PCS and CPT coding conventions.
# #Applicant must be eligible for a certification as a Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) but hasn#t taken exam.
In addition to training, some coding experience in acute care preferred.
Applicants who are certified as a RHIA, RHIT, or CCS but have less than 2 years experience.
Candidates will be moved to Coding Tech II level after 2 years experience.
# Excellent verbal and written communication skills.
Must be able to maintain the highest level of confidentiality of sensitive information.
Familiar with coding software preferred.
EOE#AA M/F/Vet/Disability #
Records Management Specialist II
Medical coder job in Charlotte, NC
Records Management Specialist IIEmployment Type: Full-Time, Mid-LevelDepartment: Office Support CGS is seeking an experienced Records Management Specialist to provide administrative support for a large Federal agency initiative. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology.
To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others.
Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.
Skills and attributes for success:- Customer Service Excellence: Demonstrated ability to interact professionally and effectively with a wide range of individuals, providing high-quality support, resolving issues promptly, and maintaining a positive and empathetic approach to service delivery.
- Strong Organizational and Time Management Skills: Proven ability to manage records, files, and data systematically and accurately.
Strong attention to detail and the ability to prioritize tasks effectively in a fast-paced environment.
- Adaptability with Technology: Comfortable working with electronic records systems and adapting quickly to new software or technological processes.
A proactive attitude toward learning and implementing digital tools to enhance productivity.
- Training and Development Capabilities: Experience delivering training to colleagues or clients, with the ability to develop and write clear, engaging, and comprehensive training materials or instructional content.
- Effective Communication: Excellent written and verbal communication skills, especially in documenting procedures, communicating with team members, and supporting end-users or customers.
- Team-Oriented with Independent Drive: A collaborative team player who can also work independently, take initiative, and contribute to continuous improvement efforts.
Qualifications:- Previous experience in a customer service role, with a strong focus on client satisfaction and support.
- Background in records or data management, including organizing, maintaining, and retrieving information efficiently.
- Proficiency in using current versions of Microsoft Windows and related applications (e.
g.
, Microsoft Office Suite).
- Experience with electronic recordkeeping systems or document management platforms.
- Prior experience in training roles, including designing, writing, and facilitating training modules or instructional materials.
Ideally, you will also have:- College Degree Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources.
We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs.
We are committed to solving the most challenging and dynamic problems.
For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.
Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.
We care about our employees.
Therefore, we offer a comprehensive benefits package.
- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:*******************
com/join-our-team/For more information about CGS please visit: ************
cgsfederal.
com or contact:Email: info@cgsfederal.
com #CJ
Auto-Apply