This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
**ESSENTIAL RESPONSIBILITIES**
+ Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements.
+ Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding.
+ Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies.
+ Engages in RPM Coding educational meetings and annual coding Summit.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ None
**Substitutions**
+ None
**Preferred**
+ Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
**EXPERIENCE**
**Required**
+ 3 years HCC coding and/or coding and billing
**Preferred**
+ 5 years HCC coding and/or coding and billing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Certified Professional Coder (CPC)
+ Certified Risk Coder (CRC)
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Attention to Detail
+ Written and Oral Presentation Skills
+ Written Communications
+ Communication Skills
+ HCC Coding
+ MS Word, Excel, Outlook, PowerPoint
+ Microsoft Office Suite Proficient/ - MS365 & Teams
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Remote Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$26.49
**Pay Range Maximum:**
$41.03
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273522
$26.5-41 hourly 31d ago
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Senior Inpatient HIM Coder
Oracle 4.6
Medical coder job in Springfield, IL
**About the Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts.
**Requirements and Qualifications:**
+ A minimum of 3 years of hands-on experience as an acute HIM inpatient medicalcoder in a hospital environment.
+ Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records.
+ In-depth understanding of supporting evidence requirements for accurate coding.
+ Practical experience using grouper software for MS-DRG and APR-DRG assignment.
+ Strong communication skills to interact effectively with the billing department regarding coding-related issues.
+ Stay abreast of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates.
+ Familiarity with 3M 360 or Optum HIM encoder software is preferred.
+ AHIMA Certified RHIA or RHIT certification is mandatory.
+ Associate's or Bachelor's degree in Health Information Management (HIM) is required.
**Responsibilities**
**Job Responsibilities:**
+ Collaborate closely with product management and engineering teams to contribute to the creation and improvement of AI models for medical coding.
+ Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in extracting ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes, along with relevant modifiers from diverse clinical documentation.
+ Assist in the development of AI algorithms to generate precise MS-DRGs for accurate reimbursement.
+ Perform data collection, entry, verification, and analysis tasks to monitor and evaluate the performance of AI models against defined business goals.
+ Serve as a subject matter expert, ensuring the quality and integrity of medical coding data used in product development.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $75,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
$75k-178.1k yearly 41d ago
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
Medical coder job in Springfield, IL
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
+ The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties.
+ The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references.
+ These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.).
+ The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$26.7 hourly 44d ago
Medical Records Clerk - FT DAY (72335)
Centurion 4.7
Medical coder job in Lincoln, IL
Centurion is proud to be the provider of comprehensive services to the Illinois Department of Corrections. We are currently seeking a full-time Medical Records Clerk to join our team at Lincoln Correctional Center located in Lincoln, 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.
Shift: FT DAY (Monday-Friday 8am-4pm)
Pay rate: $22/hr
$22 hourly 32d ago
Certified Coding Specialist
Hillsboro Area Hospital 4.1
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.
***************************************
Salary Description $22.45 - $33.68 per hour
$22.5-33.7 hourly 60d+ ago
Medical Records Specialist Home Health - Full-time
Enhabit Home Health & Hospice
Medical coder job in Springfield, IL
Compensation Range: $16.00 - $18.00/hr.
Office Address: 2970 Baker Street, Springfield, Illinois 62703
Schedule: 8am-5pm Monday-Friday
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice.
As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:
30 days PDO - Up to 6 weeks (PDO includes company observed holidays)
Continuing education opportunities
Scholarship program for employees
Matching 401(k) plan for all employees
Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
Flexible spending account plans for full-time employees
Minimum essential coverage health insurance plan for all employees
Electronic medical records and mobile devices for all clinicians
Incentivized bonus plan
Responsibilities
Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned
orders, 485's, and other key documents. Ensure documents are saved to the patient medical record.
Qualifications
Education and experience, essential
Must possess a high school diploma or equivalent.
Must have demonstrated experience in the use of a computer, including typing and clerical skills.
Must have basic demonstrated technology skills, including operation of a mobile device.
Education and experience, preferred
Six months experience in medical records in a health care office is highly preferred.
Requirements*
Must possess a valid state driver license
Must maintain automobile liability insurance as required by law
Must maintain dependable transportation in good working condition
Must be able to safely drive an automobile in all types of weather conditions
* For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license.
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
$16-18 hourly Auto-Apply 5d ago
Medical Records Specialist Home Health - Full-time
Encompass Health 4.1
Medical coder job in Springfield, IL
Compensation Range: $16.00 - $18.00/hr.
Office Address: 2970 Baker Street, Springfield, Illinois 62703
Schedule: 8am-5pm Monday-Friday
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice.
As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:
30 days PDO - Up to 6 weeks (PDO includes company observed holidays)
Continuing education opportunities
Scholarship program for employees
Matching 401(k) plan for all employees
Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
Flexible spending account plans for full-time employees
Minimum essential coverage health insurance plan for all employees
Electronic medical records and mobile devices for all clinicians
Incentivized bonus plan
Responsibilities
Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned
orders, 485's, and other key documents. Ensure documents are saved to the patient medical record.
Qualifications
Education and experience, essential
Must possess a high school diploma or equivalent.
Must have demonstrated experience in the use of a computer, including typing and clerical skills.
Must have basic demonstrated technology skills, including operation of a mobile device.
Education and experience, preferred
Six months experience in medical records in a health care office is highly preferred.
Requirements*
Must possess a valid state driver license
Must maintain automobile liability insurance as required by law
Must maintain dependable transportation in good working condition
Must be able to safely drive an automobile in all types of weather conditions
* For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license.
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
$16-18 hourly Auto-Apply 7d ago
Cancer Registrar II
Sutter Health 4.8
Medical coder job in Springfield, IL
We are so glad you are interested in joining Sutter Health! Sutter Health, Northern California's largest health network with 29 acute care hospitals, more than 5,000 primary care physicians and specialists, home health, occupational health, psychiatric care and more provides comprehensive medical services in more than 100 Northern California communities. Our mission, vision and values lay the foundation for our day-to-day work in doctors' offices, home health and hospice programs, hospitals, laboratories, research facilities, administrative offices and medical education services. As a unified health care network, we partner to spread innovation, improve access to health care services and put our patients' needs first-all to achieve the highest levels of quality, access and affordability.
Assures complete and accurate data are collected and maintained for all reportable malignancies, including reportable benign tumors. Review any applicable data from the patient's medical record, including imaging, pathology, treatment summaries, physician's office notes, in- and out-patient visits. Stay abreast of industry changes by regulatory organizations, learn from constructive feedback, work independently, and make decisions with limited information. Uses knowledge of cancer disease processes, tumor nomenclature, medical terminology, medical procedures, anatomy, and physiology.
Additional Requirements:
EDUCATION:
* Associate's: Associate of Arts degree in a health-related field.
* Completion of accredited Cancer Registrar training program.
CERTIFICATION & LICENSURE:
* ODS-Oncology Data Specialist.
TYPICAL EXPERIENCE:
* 1-year recent relevant experience.
SKILLS AND KNOWLEDGE:
* Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
* Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline.
* General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), CNExT cancer data collection, electronic health records (EHR), and EPIC.
* Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
* Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
* Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
* Ensure the privacy of each patient's protected health information (PHI).
* Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives.
Pay range (CA, NJ, WA): $35.28-$44.09 / hr.
Pay range (CO, FL, GA, IL, MI, NV, NC, OH, OR, PA, TX, VA): $32.08-$40.09 / hr.
Pay range (AZ, AR, ID, LA, MO, MT, SC, TN, UT): $29.40-$36.75 / hr.
Job Shift:
Varied
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $35.28 to $44.09 / hour. CA, NJ, WA Pay Range is $35.28 to $44.09 / hour. CO, FL, GA, IL, MI, NV, NC, OH, OR, PA, TX, VA Pay Range is $32.08 to $40.09 / hour. AZ, AR, ID, LA, MO, MT, SC, TN, UT Pay Range is $29.40 to $36.75 / hour.
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
$35.3-44.1 hourly 28d ago
Clerk III - Health Information
Prairie Mountain Health
Medical coder job in Virden, IL
QUALIFICATIONS * Grade 12 education (MB Standards) or equivalent * Completion of a recognized Medical Terminology course or program * Recent experience in a patient reception/care area, specifically in registration of patients within an ADT system * Demonstrated knowledge of electronic health records (EHR) applications applicable to a hospital setting including ADT, clinical information systems, and electronic document management specific to scanning, retrieval, and indexing of health information
* Proficiency with Microsoft programs (Outlook, Word, Excel, Access and PowerPoint), as well as Internet applications and other Information Technology
* Above average understanding of privacy legislation including the Personal Health Information Act and the Mental Health Act, and regional policy and procedures related to confidentiality, use, and disclosure of personal health information
* Accurate keyboarding skills, with minimum 50 wpm
* Demonstrated knowledge and experience with health records management principles and processes
* Province of Manitoba Class 5 Drivers License, and access to a personal vehicle to provide service within Prairie Mountain Health
* Demonstrated organizational skills, and the ability to work independently
* Demonstrated problem solving and decision making skills
* Demonstrated flexibility to facilitate changes in techniques and procedures in a changing environment
* Demonstrated knowledge and competence of skills and concepts related to the position
* Demonstrated communication skills
* Ability to respect and promote confidentiality
* Ability to perform the duties of the position on a regular basis
* Ability to respect and promote a culturally diverse population
* Ability to work effectively and maintain positive working relationships with co-workers, clients and within interdisciplinary team
POSITION SUMMARY:
Reporting to the Manager, Health Information Services, the Clerk III Health Information is responsible for the accurate and timely registration and associated processing on the admission/ discharge/ transfer (ADT) system while adhering to provincial and regional Registration Guidelines and practices, supports communication within and outside of the facility and performs record processing and management functions, including secure storage.
RESPONSIBILITIES:
Overview:
* Registration and associated processing on the admission/ discharge/ transfer (ADT) system, including registrations, admissions, transfers, and discharges, adhering to provincial and regional registration guidelines and practices.
* Collect complete and accurate demographic and financial data including provincial health coverage and/or related 3rd party insurance.
* Complete all necessary registration forms, as required (e.g. patient labels/identification bands, financial forms, consent forms, provincial forms, releases, etc.)
* Retrieve clinical health information, as required (e.g. Allergy & Alert record).
* Release information in accordance with the Personal Health Information Act and the Mental Health Act and regional policy.
* Accurately complete and process Birth Registrations in accordance with the Vital Statistics Act.
* Follow downtime procedures for registration of patients / maintenance of ADT Downtime system.
* Reconciliation of ADT reports (e.g. midnight census) for admissions/discharges/transfers as well as copying and distribution following outlined procedures.
* Coordinate completion and processing of Death Registrations in accordance with the Vital Statistics Act.
* Maintenance of Morgue documentation, as required.
* Inform funeral homes of release and completion of certificate of death, as required.
* Coordinate funeral home and transport agency access to Morgue, as required.
* Retrieve, document & lock up patient valuables, as required.
* Coordinate and process appropriate bed placement within ADT with facility bed management personnel (i.e. Utilization Coordinators, Care Team Managers/Supervisors or facility designates), as required.
* Direct clients to appropriate clinical or treatment areas.
* Locate and retrieve records required for provision of care.
* Retrieve and return records as required.
* Review health records for accuracy and completion, in a timely manner, in accordance with minimum documentation requirements.
* Confirm and ensure regional chart sequence.
* Adhere to regional record processing practices to prepare and scan patient/clinical reports.
* Adhere to regional record management practices and policy for record security, storage and control and for retention and destruction of personal health information.
* Investigate and reconcile double health record numbers and overlays.
* Reconcile system information and prepare reports on a monthly basis or as required (e.g. month-end financial reports, third party billing reports, Area or Provincial Standards reports, etc).
* Operate switchboard to relay incoming calls.
* Page physicians and staff using paging equipment as well as overhead paging.
* Assist staff and the general public in a kind and helpful manner.
* Attend to various alarms at the Switchboard and notify the responsible department, (e.g. Blood Bank, Pharmacy, all CODES).
* Quick, appropriate and immediate response to the "Emergency" phone, if applicable, following established protocols.
* Respond to the buzzers for the various doors throughout the facility, if applicable.
* Maintain control of the keys for the facility, as required.
* Respond to patient inquiries via telephone.
* Comply with Provincial Productivity Standards re: job performance.
* Other duties as assigned.
$27k-35k yearly est. 60d+ ago
Health Information Specialist II
Datavant
Medical coder job in Springfield, IL
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**Position Highlights** :
+ Full-time Monday - Friday 8 AM - 4:30 PM
+ **MUST** have ROI exp. **MUST** have exp. **processing LEGAL and SUBPOENA requests**
+ Full time benefits including medical, dental, vision, 401K, tuition reimbursement - Paid time off (including major holidays)
+ Virtual- Opportunity for growth within the company
**You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with patient walk-ins.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ May schedules pick-ups.
+ Assist with training associates in the HIS I position.
+ Generates reports for manager or facility as directed.
+ Must exceed level 1 productivity expectations as outlined at specific site.
+ Participates in project teams and committees to advance operational strategies and initiatives as needed.
+ Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Must be 18 years of age or older.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ 1-year Health Information related experience.
+ Meets and/or exceeds Company's Productivity Standards
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**Bonus points if:**
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$16-$20.50 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$16-20.5 hourly 3d ago
Medical Records Specialist
Heritage Behavioral Health Center 4.0
Medical coder job in Decatur, IL
Job Description Medical Records Specialist - Decatur, Illinois
Salary: $18 - $23/hour (range is based on education and experience in this role)
Schedule: Full-Time | Every other Friday off (paid wellness day)
Looking for a career where your work truly matters? Heritage Behavioral Health Center is hiring passionate professionals!
About Heritage Behavioral Health Center
We are a mission-driven Certified Community Behavioral Health Clinic located in Decatur, Illinois, dedicated to improving mental health and substance use care for individuals across a multi-county area. At Heritage, we recognize that every role impacts client care-no matter the position.
Why You'll Love Working Here:
Collaborative, mission-driven work environment
Every other Friday off - paid wellness days
Competitive salaries aligned with state and national benchmarks
At Heritage, we believe in taking care of our staff so they can focus on caring for the individuals we serve. Our team members are our greatest asset-and we treat them as such!
Your Role: Medical Records Specialist
As a Medical Records Specialist, you will play a vital role in maintaining accurate and confidential client records to support quality care.
Core Responsibilities:
Digitize all patients' existing paper records and information
Distribute and relocate medical charts within the agency
Maintain accurate records by following agency procedures
Ensure patient charts, paperwork, and reports are completed accurately and on time
Keep all medical records confidential and protected
Complete clerical duties including answering phones, responding to emails, and processing patient admission and discharge records
Knowledge, Skills, and Abilities:
Proven work experience as a Medical Records Clerk or similar role
Proficient in information management programs and MS Office
Strong attention to detail with excellent organizational skills
Relevant training and/or certifications as a Medical Records Clerk
Good written and verbal communication skills
Qualifications:
High school diploma or equivalent (minimum requirement)
Computer proficiency in Microsoft Office (Word, Excel, Outlook)
Data entry experience
Proven excellence in customer service
Ability to manage multiple tasks simultaneously
Experience working with a wide variety of customers including individuals with mental illness or substance use disorders
Reliable transportastion
What We Offer:
Generous Time Off: Vacation, sick, personal, and holiday leave
Wellness Benefits: Paid wellness day every other Friday, Employee Assistance Program (EAP), and fitness reimbursement
Insurance: Health, dental, vision, flexible spending accounts, and additional life insurance. Health insurance includes substantial agency contributions toward the cost.
Retirement: 401(k) and Roth options
Professional Growth: Tuition assistance and continuing education opportunities
Loan Forgiveness: Eligible through the National Health Service Corps
Ready to make a difference? Apply today and join a team that cares about your well-being as much as the individuals we serve!
$18-23 hourly 19d ago
Health Clerk
Hospital Sisters Health System 4.8
Medical coder job in Springfield, IL
Pay Range:
$17.00 - $23.80
A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education.
Facilitates patient and clerical activities, including order entry, documentation, communication of information necessary for patient care, system management, chart assembly and analysis, customer service/public relations activities related to patient care and unit operations. Ensures accurate data collection and data entry to facilitate customer satisfaction and timely and accurate reimbursement for services.
Department: IMCU
Core Function: Nursing Support
Schedule: Part Time, Days (7am-7pm)
Facility: St. John's Hospital
Clinic Location: Springfield, IL
Compensation that aligns with your experience
Education Qualifications
High School Diploma or GED is preferred.
Experience Qualifications
Working knowledge of medical terminology and/or previous course in medical terminology is desirable.
Certifications, Licenses and Registrations
Basic Life Support (BLS) is preferred.
Job Description
Scheduled Weekly Hours:
24
Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day.
Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments.
Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.
Benefits: HSHS provides a benefits package designed to support the overall well-being of our colleagues including their physical, emotional, financial, spiritual, and work health. Colleagues budgeted to work at least 32 hours per pay period are eligible for HSHS benefits.
Comprehensive and affordable health coverage includes medical, prescription, dental and vision coverage for full-time and part-time colleagues.
Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need.
Retirement benefits including HSHS
contributions.
Education Assistance benefits include up to $4,000 of educational assistance each calendar year and tuition discounts to select colleges with no waiting period.
Adoption Assistance provides financial support up to $7,500 for colleagues growing their families through adoption to reimburse application and legal fees, transportation, and more!
Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!
Benefits
HSHS and affiliates is an Equal Opportunity Employer (EOE).
HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.
$17-23.8 hourly Auto-Apply 6d ago
Specialist, Events Management
Illinois Association of School Boards 3.8
Medical coder job in Springfield, IL
Specialist, Events Management Department (Exhibit Trade Show) - Lombard or Springfield
The Illinois Association of School Boards (IASB) is seeking applicants for a full-time Events Management Specialist. This position reports to the Director of Events Management and will be headquartered in IASBs Lombard or Springfield office.
Position Summary: The Events Management Specialist primary duties include processing exhibition contracts for the Joint Annual Conference as well as for other Association meetings and events which require the services of the Events Management Department. The position will assist in providing support with the logistical aspects of the Joint Annual Conference, and other duties as assigned
Education and/or Experience Requirements: The Events Management Specialist position requires a minimum of a high school diploma, with event management and marketing education/experience preferred. Candidates should possess exceptional organizational, meeting planning and communication skills, strong attention to detail and accuracy, and the ability to work independently and take initiative to start and finish projects. Additional requirements include proficiency in Microsoft Office Suite, primarily Excel, Word, and PowerPoint.
The employee must have a valid Illinois drivers license and a vehicle; mileage and reasonable travel reimbursement will be provided.
This position requires the employee to be able to be able to lift, move, and safely handle boxes and materials up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions of the position.
The position offers an annual salary of $35,000 $43,000, with a generous benefits package that includes holidays, vacation and sick time, medical, dental, vision, and life insurance, and retirement benefits.
$35k-43k yearly 13d ago
Senior Coder - Outpatient
Highmark Health 4.5
Medical coder job in Springfield, IL
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.
**ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)
+ Acts as a mentor and subject matter expert to others. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School/GED
+ 5 years of Hospital and/or Physician Coding
+ 1 year of Coding - all specialties and service lines
+ Extensive knowledge in Trauma/Teaching/Observation guidelines
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Any of the following:
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
+ Registered Health Information Associate (RHIA)
+ Certified Coding Specialist Physician (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
Preferred
+ Associate's Degree
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J270102
$23-35.7 hourly 34d ago
Certified Coding Specialist
Hillsboro Area Hospital Inc. 4.1
Medical coder job in Hillsboro, IL
Job DescriptionDescription:
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.
***************************************
$35k-42k yearly est. 20d ago
Health Information Specialist II - LRH
Datavant
Medical coder job in Springfield, IL
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**Position Highlights** :
+ Full-Time: Monday-Friday 8:00AM-4:30 PM EST
+ Location: This role will be performed at one location (Remote)
+ Comfortable working in a high-volume production environment.
+ Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status.
+ Documenting information in multiple platforms using two computer monitors.
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
**You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with patient walk-ins.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ May schedules pick-ups.
+ Assist with training associates in the HIS I position.
+ Generates reports for manager or facility as directed.
+ Must exceed level 1 productivity expectations as outlined at specific site.
+ Participates in project teams and committees to advance operational strategies and initiatives as needed.
+ Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Must be 18 years of age or older.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ 1-year Health Information related experience.
+ Meets and/or exceeds Company's Productivity Standards
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**Bonus points if:**
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$16-$20.50 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$16-20.5 hourly 33d ago
Medical Records Specialist
Heritage Behavioral Health Center 4.0
Medical coder job in Decatur, IL
Medical Records Specialist - Decatur, Illinois
Salary: $18 - $23/hour (range is based on education and experience in this role)
Schedule: Full-Time | Every other Friday off (paid wellness day)
Looking for a career where your work truly matters? Heritage Behavioral Health Center is hiring passionate professionals!
About Heritage Behavioral Health Center
We are a mission-driven Certified Community Behavioral Health Clinic located in Decatur, Illinois, dedicated to improving mental health and substance use care for individuals across a multi-county area. At Heritage, we recognize that every role impacts client care-no matter the position.
Why You'll Love Working Here:
Collaborative, mission-driven work environment
Every other Friday off - paid wellness days
Competitive salaries aligned with state and national benchmarks
At Heritage, we believe in taking care of our staff so they can focus on caring for the individuals we serve. Our team members are our greatest asset-and we treat them as such!
Your Role: Medical Records Specialist
As a Medical Records Specialist, you will play a vital role in maintaining accurate and confidential client records to support quality care.
Core Responsibilities:
Digitize all patients' existing paper records and information
Distribute and relocate medical charts within the agency
Maintain accurate records by following agency procedures
Ensure patient charts, paperwork, and reports are completed accurately and on time
Keep all medical records confidential and protected
Complete clerical duties including answering phones, responding to emails, and processing patient admission and discharge records
Knowledge, Skills, and Abilities:
Proven work experience as a Medical Records Clerk or similar role
Proficient in information management programs and MS Office
Strong attention to detail with excellent organizational skills
Relevant training and/or certifications as a Medical Records Clerk
Good written and verbal communication skills
Qualifications:
High school diploma or equivalent (minimum requirement)
Computer proficiency in Microsoft Office (Word, Excel, Outlook)
Data entry experience
Proven excellence in customer service
Ability to manage multiple tasks simultaneously
Experience working with a wide variety of customers including individuals with mental illness or substance use disorders
Reliable transportastion
What We Offer:
Generous Time Off: Vacation, sick, personal, and holiday leave
Wellness Benefits: Paid wellness day every other Friday, Employee Assistance Program (EAP), and fitness reimbursement
Insurance: Health, dental, vision, flexible spending accounts, and additional life insurance. Health insurance includes substantial agency contributions toward the cost.
Retirement: 401(k) and Roth options
Professional Growth: Tuition assistance and continuing education opportunities
Loan Forgiveness: Eligible through the National Health Service Corps
Ready to make a difference? Apply today and join a team that cares about your well-being as much as the individuals we serve!
$18-23 hourly Auto-Apply 17d ago
Coder - Inpatient
Highmark Health 4.5
Medical coder job in Springfield, IL
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School / GED
+ 1 year in Hospital coding
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC)
+ Familiarity with medical terminology
+ Strong data entry skills
+ An understanding of computer applications
+ Ability to work with members of the health care team
Preferred
+ Associate's degree in Health Information Management or Related Field
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
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Req ID: J272373
$23-35.7 hourly 38d ago
Health Information Specialist 1
Datavant
Medical coder job in Springfield, IL
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**Position Highlights** :
+ Part Time Monday - Friday 8 AM - 4:30 PM
+ Virtual- Opportunity for growth within the company
**You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ Must meet productivity expectations as outlined at specific site.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**Bonus points if:**
+ Experience in a healthcare environment.
+ Previous production/metric-based work experience.
+ customer service experience.
+ Ability to build relationships with clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15-$18.32 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$15-18.3 hourly 3d ago
Health Information Specialist I
Datavant
Medical coder job in Springfield, IL
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
**Position Highlights**
**This is a Remote Role**
+ Full Time: 8:00am-4:30pm CST
+ Ability working in a high-volume environment.
+ Release of Information processing
+ Managing incoming faxes
+ Occasional call support
+ Documenting information in multiple platforms using two computer monitors.
+ Proficient in Microsoft office (including Word and Excel)
**Preferred Skills**
+ Knowledge of HIPAA and medical terminology
+ Familiar with different EHR and Billing Systems
+ Experience working with subpoenas
**We offer:**
+ Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor
+ Company equipment will be provided to you (including computer, monitor, virtual phone, etc.)
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
**You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with patient walk-ins.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ Must meet productivity expectations as outlined at specific site.
+ May schedules pick-ups.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**Bonus points if:**
+ Experience in a healthcare environment.
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15-$18.32 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
How much does a medical coder earn in Springfield, IL?
The average medical coder in Springfield, IL earns between $33,000 and $62,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Springfield, IL
$46,000
What are the biggest employers of Medical Coders in Springfield, IL?
The biggest employers of Medical Coders in Springfield, IL are: