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  • Medical Coder Quality Specialist

    Endeavor Health 3.9company rating

    Medical coder job in Warrenville, IL

    Hourly Pay Range: $30.46 - $45.69 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Medical Coder Quality Specialist Full Time Hours: Monday-Friday, [hours and flexible work schedules] Position Summary: Under general supervision, this position is responsible for conducting audits of coding records, educating the inpatient and outpatient coding staff on current trends and developments in the field of coding. Developing and implementing ongoing training for all of the coding staff. Maintaining regular contact with a variety of Hospital personnel in order to facilitate exchange of patient-related information. What you will do: Performs ongoing internal audits of the quality and quantity of the inpatient and outpatient coding reimbursement staff in a consistent, confidential and professional manner. Communicates results to individual staff and Supervisor, Coding. Monitors coding on a regular basis to ensure quality and to determine additional training needs of staff. Cross trains coding reimbursement staff in inpatient and outpatient coding. Trains new hires and existing staff as required. Plans educational activities of staff to ensure continuous operation and quality of coding and abstracting in order to accurately bill third party payers. Communicates regularly with staff to ensure staff is kept current concerning Corporate Compliance and federally mandated coding guidelines. Participates in the Revenue Integrity Committee by attending the weekly meetings and performing ongoing chart audits on ancillary departments. Updates coding reimbursement staff with changes to local and national coding regulations Maintains knowledge of current trends and developments in the field by continuous monitoring of coding related websites, reading appropriate journals, coordinating ongoing educational seminars and performing in services to coders and other interested parties. What you will need: Required Education: Associate's Degree in Health Information, or a related degree Required Experience: Minimum three years of previous coding experience Required License and/or Certification: Registered Health Information Technician (RHIT) certification or Certified Coding Specialist (CCS) or Registered Health Information Administrator (RHIA) Benefits: Career Pathways to Promote Professional Growth and Development Various Medical, Dental, and Vision options Tuition Reimbursement Free Parking at designated locations Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit ********************** . When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( ********************** ) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
    $30.5-45.7 hourly 8d ago
  • Medical Coder

    AFC Urgent Care 4.2company rating

    Medical coder job in Hinsdale, IL

    Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement. Description: The Medical Coder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Medical Coder performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on Evaluation and Management services. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The Medical Coder also demonstrates understanding and knowledge to resolve Optum coding edits. Responsibilities: Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes. Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers. Provides documentation feedback to physicians. Maintains coding reference information. Trains physicians and other staff regarding documentation, billing and coding for their specialty. Reviews and communicates new or revised coding guidelines and information with providers and their assigned specialty. Attends meetings and educational roundtables, communicates pertinent information to physicians and staff. Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues. Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers. Adds MBO tracking codes as needed. May collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals. May work with Billing staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded. Qualifications Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) is preferred Experience in Pain Specialty is Preferred 1 year experience in a relevant role High School Diploma or Equivalent
    $40k-54k yearly est. 29d ago
  • Coder

    Rush University Medical Center

    Medical coder job in Chicago, IL

    Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (***************************************************** Pay Range: $27.47 - $43.27 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: This position is responsible for overseeing the billing, coding guidelines and entire charge capture process for physicians including research charges for Rush University. This includes reconciliation of all charge tickets, assigning ICD-9, and ICD-10, and CPT codes, correct use of modifier linkage, and ensuring correct coding and billing government guidelines are followed. In addition, this individual will play a pivotal contact role with other Rush Departments and physicians to ensure compliance with Rush billing protocols. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures, including complying with all Rush University Medical Group Customer Service Standards. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures. Other information: Required Job Qualifications: * Three years' experience in medical billing setting with active, practical experience with ICD-9, ICD-10 and CPT coding. * Experience with the Center for Medicare and Medicaid regulations and 3rd party reimbursement. * Coding Certification thru AAPC or AHIMA. * RHIA/RHIT pending eligible. * Ability to act independently, as necessary in coding, analyzing, reconciling, and updating billing activity. * Strong communication, organization, critical thinking and problem solving skills. * Ability to multi-task. * Conscientious work habits, initiative, and dependability. Preferred Job Qualifications: * Associate or Bachelor's Degree. Responsibilities: 1. Coordinate outpatient and inpatient physician and/or facility charge capture. 2. Responsible for abstracting and interpreting medical record data to assign appropriate CPT,ICD-9 and ICD-10 codes per CMS guidelines and regulations pertaining to coding and billing. 3. Review physician documentation of evaluation and management coding within a patient's medical record for accuracy and compliance in billing codes. 4. Collect and report missing, incorrect or incomplete charge slips to supervisor and practice administrator and maintain follow-up binder system to facilitate complete charge capture. 5. Correct any claim errors relating to coding on charges entered into the work queues. 6. Responsible for working and resolving coding denials. 7. Provide education to providers and staff regarding proper workflows and correct coding and documentation practices per state and federal regulations. 8. Attend appropriate training sessions and continuing education on current coding practices to stay up to date on physician billing practices. 9. Must maintain necessary CME required by AAPC or AHIMA Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
    $27.5-43.3 hourly 23d ago
  • Coder

    Quality Talent Group

    Medical coder job in Waukegan, IL

    Job DescriptionAI Coder Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5-10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++. Ability to explain complex programming concepts fluently in Spanish and English. Strong Spanish and English grammar, punctuation, and technical writing skills. Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer. What You'll Do Teach AI to interpret and solve complex programming problems. Create and answer computer-science questions to train AI models. Review, analyze, and rank AI-generated code for accuracy and efficiency. Provide clear and constructive feedback to improve AI responses. Apply now to help train the next generation of programming-capable AI models!
    $32 hourly 8d ago
  • Surgical Coder

    Illinois Bone and Joint Institute 3.9company rating

    Medical coder job in Park Ridge, IL

    Full-time Description This position is primarily responsible for overseeing that all procedures are coded correctly and documented in the surgeon's notes according to AMA, ICD-10, and NCCI coding guidelines while maximizing payment. The Coder is responsible for gathering, verifying and entering into our PM system (EPIC) all scheduled surgical procedures and all outside encounters performed at associated facilities. Responsibilities also include correcting billing information according to insurance guidelines, including all insurance, Medicare, Workers Comp, MVA and Third party carriers. The Coder will communicate with provider coding discrepancies and provide accurate answers and documentation to the physicians when responding or addressing their coding questions or issues. Responsibilities Reviews all procedure and diagnosis codes submitted by provider for accuracy and maximum reimbursement against the documentation and according to AMA, ICD-10, NCCI and AAOS coding guidelines. Should a provider not submit the suggested CPT and/or ICD-10 codes, the Coder is responsible for determining code selection according to AMA, ICD-10, NCCI and AAOS coding guidelines. Coder needs to utilize the AAPC Codify tool to determine bundling guidelines and assistant payable status in addition to NCCI edit tools as established in EPIC/current PM system. Researches and communicates code changes to physicians via send back in basket message in EPIC/current PM system. Provides physicians with specific examples and appropriate references to support recommended coding changes. Verifies all codes against coding edits in EPIC/current PM system including NCCI bundling edits, payor specific requirement edits, modifier usage edits and any edit that is showing as needing review via an Error or Warning in the charge review data. Ensures all charges are posted and linked to the correct insurance set in EPIC/current PM system. Completes surgical and outside encounters that are ready to code or noted to have the appropriate operative report available with the established TAT of three business days. Runs the scheduled surgery report in the PM system daily to capture and review all scheduled surgical cases for assigned providers. Coder is responsible for updating reports when applicable. Coder is responsible for awareness of the volume of claims to ensure reports continue to show appropriate encounters. Coder is responsible for escalating any reporting issue to their management team. Runs the outside encounter report in the PM system daily to capture and review all unscheduled visits to include hospital consultations, subsequent hospital visits, and unscheduled surgical cases for assigned providers. Coder is responsible for awareness of the volume of claims to ensure reports continue to show appropriate encounters. Coder is responsible for escalating any reporting issue to their management team. Maintains current workflow and investigates problem accounts. Informs management when information is consistently missing or otherwise unavailable. Reviews documentation including proper provider signatures, proper locations, proper date of service, proper provider and/or assistants and bills accordingly. Coder reviews procedure authorization for accuracy. If a CPT code that is billable but not found on authorization, a send back to site is required for them to obtain a retro authorization. Claim is still to be released and not wait for retro to be obtained, however. Coder is responsible for reaching out to provider and/or provider site contact to communicate any missing documentation that is not compliant. Claim is not to be billed until documentation is found to be corrected by provider and/or site and found to be compliant. Prepares and submits additional documentation for billing of unlisted codes including verifying comparable code and placing appropriate detail in Box 19 of HCFA for reference of payor. Assists coding department, RCM and/or IBJI site staff with any coding questions. Monitors end user productivity report in PM system to ensure productivity is reflected accurately on a daily basis. Any work and/or time spent outside of the EPIC/current PM system is to be reported on the coder's time management spreadsheet to ensure time punched in according to TimePro is accurate. Coder is responsible for working surgical/outside encounter denials as assigned on the weekly denial schedule. Coder is responsible for attending scheduled meetings via Google meet or in person when required. This may require the camera to be on at times. Coder is responsible for responding to emails and Google chats within a timely manner. Coder is responsible for any other duties assigned by management. Other Responsibilities Adheres to and supports the objectives, policies and procedures of Illinois Bone and Joint Institute. Supports the development and implementation of improvement initiatives as it relates to the department goals. Maintains confidentiality and patient information according to HIPPA guidelines. Adheres to policy and procedures according to the Illinois Bone and Joint Employee Handbook. Maintains issued equipment and supplies. Reports any issues to appropriate management and/or IT team to resolve any issues immediately. Maintains their coding certification and submits to management proof when certification renews or changes. Requirements Education/Training Requirements High school diploma or GED. Must have Physician Coding Credentials from AAPC or AHIMA. Three years minimum experience in coding for orthopedic surgery subspecialties preferred. Knowledge of coding guidelines following AMA, ICD-10, NCCI and AAOS. Must be able to exercise independent judgment and react appropriately in stressful situations. Skill in defining problems, collecting data and interpreting medical billing information. Skill in computer applications, email, zoom meetings, etc Excellent communication skills and analytical skills Physical Requirements Requires sitting for a long period of time at your established workstation. Some bending and stretching is required. Working under stress and using the telephone is required. Manual dexterity required for use of computer keyboard and calculator. Base salary offers for this position may vary based on factors such as location, skills and relevant experience. We offer the following benefits to those who are benefit eligible (30+ hours a week): medical, dental, vision, life and AD&D insurance, long and short term disability, 401k program with company match and profit sharing, wellness program, health savings accounts, flexible savings accounts, ID protection plan and accident, critical illness and hospital benefits. In addition, we offer paid holidays and paid time off. Salary Description $29.00-$35.00/hour based on experience level
    $29-35 hourly 60d+ ago
  • Revenue Cycle Coder

    Huron Consulting Group 4.6company rating

    Medical coder job in Chicago, IL

    Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. The Coder-Inpatient provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Organizational business needs may require this coder to also code other outpatient health records. KEY RESPONSIBILITES: Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. * Assigns appropriate code(s) by utilizing coding guidelines established by: o The Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting o American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification o American Health Information Management Association (AHIMA) Standards of Ethical o Coding o Revenue Excellence/HM coding procedures and guidelines * Knows, understands, incorporates, and demonstrates Huron's Vision, and Values in behaviors, practices, and decisions. * Navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APR DRGs, and identify HACs and PSIs or other indicators that could impact quality data and hospital reimbursement. * Codes Inpatient health records utilizing encoder software and consistently uses online tools to support the coding process and references to assign ICD codes, MS-DRG, APR DRGs, POA, SOI & ROM indicators. * Reviews Inpatient health record documentation, as part of the coding process, to assess the presence of clinical evidence/indicators to support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials. * Works Inpatient claim edits and may code consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios. * Adheres to the Inpatient coding quality and productivity standards established by the organization. * Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation. * Utilizes EMR communication tools to track missing documentation or Inpatient queries that require follow-up to facilitate coding in a timely fashion. * Works with HIM and Patient Financial Services (PFS) teams, when needed, to help resolve billing, claims, denial and appeals issues affecting reimbursement. * Maintains CEUs as appropriate for coding credentials as required by credentialing associations. * Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for Inpatient coding e.g., Hospital at Home. * Identifies, and attempts to problem solve, coding and/or EMR workflow issues that can impact coding. * Exhibits awareness of health record documentation or other coding ethics concerns. Notifies appropriate leadership for assistance, resolution when appropriate. * Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. * Performs abstracting of additional data elements. * Performs other duties as assigned by Leadership. CORE QUALIFICATIONS: * Current permanent U.S. Work Authorization required. * Three (3) years of current acute care or Inpatient coding experience is required. * Extensive, comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG, APR DRG assignment. * Must be proficient in identifying POA, SOI and ROM indicators for Inpatient records as well as HACs and PSIs to ensure accurate hospital reimbursement. * Current experience utilizing encoding/grouping software and Computer Assisted Coding (CAC) is preferred. * Ability to use a standard desktop/laptop, email and other Windows applications, if needed, Internet and web-based training tools preferred. * Strong oral and written communication skills. Ability to communicate effectively with individuals and groups representing diverse perspectives. * Ability to research, analyze and assimilate information from various sources based on technical and experience-based knowledge. * Must exhibit critical thinking skills, strong problem- solving skills and the ability to prioritize workload. * Excellent organizational and customer service skills. Ability to perform frequent detailed tasks and provide productivity standard driven results. * Ability to adapt to change and be flexible with work priorities and interruptions. * Must be comfortable functioning in a virtual, collaborative, shared leadership environment with minimal supervision and able to exercise independent judgement. * Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Huron. PHYSICAL DEMANDS: * This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. TECHNICAL QUALIFICATIONS: * Required Certifications: * Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Documentation Improvement Practitioner (CDIP) * Registered Health Information Administrator (RHIA) preferred * Encoder experience (3M/Solventum, Encoder Pro, Codify) preferred * Epic experience preferred * Cerner experience preferred * Meditech experience preferred Position Level Analyst Country United States of America
    $63k-80k yearly est. Auto-Apply 10d ago
  • Coding Specialist II

    Insight 4.4company rating

    Medical coder job in Chicago, IL

    WE ARE INSIGHT: At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now! GENERAL SUMMARY: Analyzes physician/provider documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Mercy Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers and guests. Duties and Responsibilities: Assigns appropriate code(s) by utilizing coding guidelines established by: The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification American Medical Association (AMA) CPT Assistant for CPT codes American Health Information Management Association (AHIMA) Standards of Ethical Coding Insight Hospital coding policies Knows, understands, incorporates, and demonstrates the Insight Hospital in behaviors, practices, and decisions. Adheres to Insight Hospital confidentiality requirements as they relate to the release of any individual or aggregate patient information. Proficiently navigates the patient health record and other computer systems/sources in determination of diagnoses procedures and modifiers to be coded and/or for APC assignment. Codes Emergency Department and Outpatient Observation utilizing encoder software and online tools and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers. Consults reference materials to facilitate code assignment. Understands appropriate link of diagnosis to procedure. Appends modifier(s) to procedure code or service when applicable. Collaborates with HIM and Patient Financial Services) in resolving billing and utilization issues affecting reimbursement. Interprets bundling and unbundling guidelines (NCCI). Interprets LCDs/NCDs and payer policies. Tracks issues (i.e., missing documentation or charges) that require follow-up to facilitate coding in a timely fashion. Investigates claims denials and/or appeals as directed. Consistently meets or exceeds coding quality and productivity standards. Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. Identifies concerns and is responsible for providing resolution of moderate to complex problems. Notifies appropriate leadership for resolution when appropriate. Performs other duties as assigned by Leadership. Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor's degree in Health Information Management (HIM) or related healthcare field is preferred. Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) is required. Two years of current acute care coding emergency department and observation or physician coding experience is required. Current experience utilizing encoding/grouping software or CAC is preferred. Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred. Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools is desirable. Well-developed written and oral communication skills that may be used either on-site or in virtual working environments. Ability to communicate effectively with individuals and groups representing diverse perspectives. Ability to work with minimal supervision and exercise independent judgment. Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge. Must exhibit critical thinking skills and possess the ability to prioritize workload. Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills. Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions. Ability to change and be flexible with work priorities. Strong problem-solving skills. Must be comfortable functioning in a virtual, collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Insight-Chicago. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS: Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Insight Hospital policies and procedures. Must be able to spend the majority of work time utilizing a computer, monitor, and keyboard. Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable. Must be able to work with interruptions and perform detailed tasks. If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading. Must be able to sit for long periods of time. Must be able to travel to Insight Hospital (10%) as applicable. If applicable, telecommuting (working remotely), must be able to comply with Insight Hospital Working Remote Policy. BENEFITS: Paid Sick Time - effective 90 days after employment Paid Vacation Time - effective 90 days after employment Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month Short and long-term disability and basic life insurance - after 30 days of employment Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs. Insight is an equal opportunity employer and values workplace diversity!
    $54k-74k yearly est. 60d+ ago
  • Coder ED and Ambulatory

    West Suburban Medical Center 4.3company rating

    Medical coder job in Oak Park, IL

    For over 100 years, West Suburban Medical Center has supported generations of families in the Oak Park and surrounding areas. Our kind, caring hospital staff have a passion to heal and make a difference in our community. We understand that our employees are the heart of our facility. If you are looking for a family atmosphere, a company committed to professional growth and a culture that embraces our five core values of Quality. Innovation. Service. Integrity. Transparency. JOB SUMMARY Under the general supervision, but according to established procedures, codes and abstracts patients records in order to meet billing and data collection needs of the hospital. Works closely with hospital staff with regards to coding and assignment of a DRG/APC. JOB QUALIFICATIONS High School Diploma required. Graduate of an approved Health Information Technology/Management program, Coding Certificate Program, or AHIMA Independent Study. Credentials of RHIA, RHIA eligible, RHIT, RHIT eligible, CCS, CSS-P, CPC, or CPC-H. Must be able to demonstrate proficient coding inpatient/outpatient ability. Analytical ability necessary to interpret data contained in records and to assign appropriate codes. Good knowledge of medical terminology, anatomy, and the organization of medical records. The visual acuity necessary to read and decipher handwriting. Good communication skills. 3 or more years inpatient, outpatient, or physician coding experience. Extensive knowledge of ICD-9-CM, CPT-4 coding systems, DRG/APC assignment, LMRP application required JOB DUTIES Demonstrates the WMH Customer Service VALUES, which are key in providing quality service to patients and customers. * Monitors workflow through the areas of coding and abstracting. Assures records are coded and abstracted in a timely manner and the proper DRG/APC has been assigned.* Monitors and ensures quality of work through the coding area. Assures that information submitted for billing is accurate.* Assigns ICD-9-CM code numbers to each diagnosis and procedure documented in the patient's inpatient/outpatient medical record. For those cases where the diagnosis is obscure, determines the most appropriate diagnosis after a thorough review of the medical record and/or calls the physician.* Accurately abstracts information from the medical records into the computerized abstract according to established guidelines.* Codes inpatient and/or outpatient medical records using ICD-9-CM and CPT-4 coding rules and guidelines.* Enters and validates charges for outpatient departments utilizing charge capture tools and validates diagnoses with the medical documentation provided.* Compares charges on accounts with the procedures coded and identifies any discrepancies. If any are noted contacts department manager to validate change and coordinates with Charge Master Coordinator to rectify the account.* Reviews and identifies ay Local Medical Review Policy (LMRP) issues with outpatient accounts and rectifies these issues. Reports outstanding issues and potential solutions to these coding challenges to the Coding Manager.* Acts as an educational resources for other coders, various hospital personnel and the medical staff by answering questions pertaining to coding and DRG/APC assignment.* Identifies records that are problem diagnoses and forwards to the Department Manager.* Works closely with Case Coordinators in the assignment of an appropriate DRG for inpatient accounts.* Review DRG data information from Case Coordinators in MIDAS and identifies working DRG with additional needed elements to be acquired from attending/consulting physicians for inpatient accounts* Completes timely and accurate daily productivity logs and submits them to the Manager. Monitors medical appropriateness of care provided to patients and reports disputable findings to the Utilization Review Department for inpatient/same day surgery/observation accounts.* Collects requested data for the Department of Quality Improvement and reports findings.* Provides codes to Admitting, Patient Accounting, Outpatient Clinics and various hospital departments upon request.* Provides inpatient/outpatient coding training to staff and medial record students.* Performs related duties, such as answering the telephone, aiding physicians in the completion of their records, and so forth.* Display courteous and professional manner through interactions, appearance, attitude and written and oral communication with physician, coworkers, supervisor and the public.* Maintains at least ten continuing education hours annually.* West Suburban Medical Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
    $50k-62k yearly est. 31d ago
  • Medical Coder - 3041267

    Solve It Strategies

    Medical coder job in Chicago, IL

    . Principal Duties and Responsibilities: • Review clinical documentation in order to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system • Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines • Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed • May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc. • Provides coding feedback to providers, clinical department leadership, and revenue cycle team • Assist coding educators with education regarding documentation improvement • Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans • Assists with design and implementation of workflow updates and coding tools • Support denial team on coding related denials • Special projects as assigned Knowledge, Skills and Abilities: 1. Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required; Certified Interventional Radiology Cardiovascular Coder (CIRCC) a Plus. 2. In lieu of CPC or CCS-P certification we will consider, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) certification in conjunction with applicable physician coding experience, including evaluation & management (E/M) and surgical coding experience. 3. A minimum of two (3) years of coding experience in Radiology Coding/ Prior experience in an academic institution preferred 4. Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines. 5. Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD10-CM and HCPCS code assignment by passing a department administered coding proficiency test. 6. Demonstrates commitment to continuous learning and performs as a role model to other coding staff. 7. Experience working in a Teaching Hospital setting preferred. 8. Strong communication and organizational skills. 9. Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge, experience in Epic Ambulatory a plus Per the HM: "We are transitioning from Solventom to bring the coding for radiology and intervention radiology in-house. This will be a big undertaking as these services have been coded by a vendor for many years. We are looking for a seasoned coder that has in-depth knowledge regarding all kinds of radiology services and IR coding if possible. Radiology experience is a must and certification is a plus."
    $40k-56k yearly est. 60d+ ago
  • Coding Specialist II

    Insight Hospital & Medical Center

    Medical coder job in Chicago, IL

    WE ARE INSIGHT: At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now! GENERAL SUMMARY: Analyzes physician/provider documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Mercy Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers and guests. Duties and Responsibilities: * Assigns appropriate code(s) by utilizing coding guidelines established by: * The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting * American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification * American Medical Association (AMA) CPT Assistant for CPT codes * American Health Information Management Association (AHIMA) Standards of Ethical Coding * Insight Hospital coding policies * Knows, understands, incorporates, and demonstrates the Insight Hospital in behaviors, practices, and decisions. * Adheres to Insight Hospital confidentiality requirements as they relate to the release of any individual or aggregate patient information. * Proficiently navigates the patient health record and other computer systems/sources in determination of diagnoses procedures and modifiers to be coded and/or for APC assignment. * Codes Emergency Department and Outpatient Observation utilizing encoder software and online tools and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers. * Consults reference materials to facilitate code assignment. * Understands appropriate link of diagnosis to procedure. * Appends modifier(s) to procedure code or service when applicable. * Collaborates with HIM and Patient Financial Services) in resolving billing and utilization issues affecting reimbursement. * Interprets bundling and unbundling guidelines (NCCI). * Interprets LCDs/NCDs and payer policies. * Tracks issues (i.e., missing documentation or charges) that require follow-up to facilitate coding in a timely fashion. * Investigates claims denials and/or appeals as directed. * Consistently meets or exceeds coding quality and productivity standards. * Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. * Identifies concerns and is responsible for providing resolution of moderate to complex problems. Notifies appropriate leadership for resolution when appropriate. * Performs other duties as assigned by Leadership. * Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: * Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor's degree in Health Information Management (HIM) or related healthcare field is preferred. * Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) is required. * Two years of current acute care coding emergency department and observation or physician coding experience is required. * Current experience utilizing encoding/grouping software or CAC is preferred. Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred. * Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools is desirable. * Well-developed written and oral communication skills that may be used either on-site or in virtual working environments. Ability to communicate effectively with individuals and groups representing diverse perspectives. * Ability to work with minimal supervision and exercise independent judgment. * Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge. Must exhibit critical thinking skills and possess the ability to prioritize workload. * Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills. Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions. Ability to change and be flexible with work priorities. Strong problem-solving skills. * Must be comfortable functioning in a virtual, collaborative, shared leadership environment. * Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Insight-Chicago. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS: * Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles. * Must possess the ability to comply with Insight Hospital policies and procedures. * Must be able to spend the majority of work time utilizing a computer, monitor, and keyboard. * Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable. * Must be able to work with interruptions and perform detailed tasks. * If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading. Must be able to sit for long periods of time. * Must be able to travel to Insight Hospital (10%) as applicable. * If applicable, telecommuting (working remotely), must be able to comply with Insight Hospital Working Remote Policy. BENEFITS: * Paid Sick Time - effective 90 days after employment * Paid Vacation Time - effective 90 days after employment * Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month * Short and long-term disability and basic life insurance - after 30 days of employment Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs. Insight is an equal opportunity employer and values workplace diversity!
    $40k-56k yearly est. 23d ago
  • CASC Coder

    Northwestern Memorial Healthcare 4.3company rating

    Medical coder job in Chicago, IL

    At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description Utilizes technical coding expertise to assign appropriate ICD-10-CM codes to outpatient visit types. Primary focus of this Coder level will be on physician order documentation for focused outpatient visit types. Reviews all available documentation to report appropriate diagnoses. Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy. Meets established minimum coding productivity and quality standards for each outpatient encounter type. AA/EOE. #NMHC1 Qualifications Required CCA, CPC, CSS or COC or RHIA/RHIT eligible. Basic understanding of coding guidelines and principles as it relates to reporting diagnosis codes for outpatient. The quality management plan currently is a combination of current and retrospective review of charts by a designated clinical coder. Specialty in outpatient facility coding, including hospital outpatient departments and ambulatory surgical centers a plus. Preferred RHIA/RHIT Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
    $44k-57k yearly est. 55d ago
  • CODING Apprenticeship

    I.C.Stars 3.6company rating

    Medical coder job in Chicago, IL

    Thank you for your interest in i.c.stars! YOUR FUTURE IN TECH, STARTS TODAY! We are now accepting applications for the upcoming cycle. APPLY TODAY! Who are we?: i.c.stars |* is an immersive, technology-based leadership training program for promising young adults. The basics: Participants in the program start as *Interns. As an i.c.stars |* Intern, you participate in a 16-week paid training program, which includes: project-based learning to build leadership skills and emotional intelligence core technical skills training in coding: JavaScript, HTML, CSS, C#, and SQL Networking opportunities with Executives and Professionals in the IT field Career preparation and placement assistance Upon completing the 16-weeks, *Interns graduate to become *Residents. Residency includes: 20 months of professional and social service support Access to laptops and software Business and Leadership Development events College Enrollment Assistance Our minimum requirements: Minimum age 18 or older Demonstrate financial need GED recipient or High School graduate (Bachelor degree candidates are not eligible, some college accepted) Have never attended a coding bootcamp in the past Available to attend training from 8AM-8PM, Monday-Friday for 16 weeks 6 months previous full-time work experience preferred Agree to a strict 'On Time, No Absence' policy
    $35k-45k yearly est. 60d+ ago
  • Medical Coder (In-Person)

    Metro Infectious Disease Consultants

    Medical coder job in Burr Ridge, IL

    Job Description Innovative Ventures (affiliated with Metro Infectious Disease Consultants) is seeking a Full-Time Medical Coder who would be responsible for abstracting clinical information from a variety of medical documents and assigning appropriate ICD 10 C and/or CPT codes for the purpose of billing, using the International Classification of Disease and the Current Procedural Terminology. This role would be located in-person (M-F) at the corporate location in Burr Ridge, IL. Specific Duties (examples): Review paper and electronic documents to abstract diagnosis and identify specific coding. Detects billing compliance issues and addresses appropriately. Clarify information or diagnosis by communicating with health care providers. Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing for needed documentation for accurate coding. Code physician office, hospital inpatient and outpatient visits for Infectious Disease and Rheumatology. Assist billing department with billing, entering charges, entering demographics and processing monthly refunds. Other duties as defined. Requirements High School Diploma or Equivalent Required Current certification as a coding specialist preferred Knowledge of medical terminology; ICD10, CPT-4, and HCPCS preferred Benefits Health Insurance Dental Insurance Vision Insurance Life Insurance 401(k) Profit Sharing Paid time off Holiday Pay $70,000-$75,000 ($22/hour + monthly bonus)
    $22 hourly 15d ago
  • Inpatient Coder

    Trinity Health 4.3company rating

    Medical coder job in Maywood, IL

    Full time Inpatient Coder position responsible for coding inpatient discharges, review medical record documentation to abstract data and assign accurate ICD-10 diagnosis(es) and procedure codes (PCS). Works closely with the CDI Team for clinical documentation to support code assignment. **Inpatient Coder - Certified** Loyola Medicine, part of Trinity Health, is a nationally ranked academic health system located in Chicago's western suburbs. We're seeking a **Certified Inpatient Coder** to join our Revenue Excellence team and help support accurate, ethical coding and reimbursement. **What you'll do:** + Review inpatient medical records to assign accurate diagnoses and procedure codes. + Apply MS-DRG, APR-DRG, POA, SOI, ROM, HAC, and PSI indicators. + Use encoder software and stay compliant with guidelines from CDC, CMS, AHA, and AHIMA. + Ensure coding accuracy and documentation integrity to support optimal hospital reimbursement. + Collaborate with the Clinical Documentation Integrity (CDI) team. **What you'll need:** + 1-2 years inpatient coding experience (extraction) (3-5 years preferred) + One of the following AHIMA credentials: CCA, CCS, CCS-P, RHIA, or RHIT + High School Diploma or equivalent (Associate's degree preferred) **What we offer:** + **Remote work** from anywhere within approved regions + Day-one benefits: medical, dental, vision, life, PTO, and more + Tuition reimbursement + DailyPay - work today, get paid today + Employee referral incentive program + 7 paid holidays + generous PTO + Retirement plan with employer match + On-site fitness centers and well-being resources **Apply now and build your career with Loyola - from anywhere. Become Loyola Strong.** **Compensation:** Pay Range: $24.33 - $37.73 per hour _Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles._ Trinity Health Benefits Summary (*********************************************************************************************************************************************************************************************** **Our Commitment** Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran
    $24.3-37.7 hourly 60d+ ago
  • Orthopedic Medical Coder

    Midwest Orthopaedics at Rush 3.9company rating

    Medical coder job in Westchester, IL

    It's the people that make the difference. Are you ready to make your impact? Midwest Orthopaedics at Rush is nationally recognized as a leader in comprehensive orthopedic services. The Orthopedic Program at Rush University Medical Center is ranked top 10 in Orthopedics by U.S. News and World Report. Founded in 2003, MOR is comprised of internationally-renowned Orthopedic and Spine surgeons who pioneer the latest advances in technology and surgical techniques to improve the lives and activity levels of patients around the world. MOR doctors are the official team physicians for the Chicago White Sox, Chicago Bulls, Chicago Fire Soccer Club and DePaul University Athletics. Ready to join in? We are looking for a full-time, Medical Coder, with experience in orthopedic surgical coding, to be based at our corporate office in Westchester, IL. This position will be Monday thru Friday, no weekends or holidays. Responsibilities Performs audits of charges submitted, corrects errors, and develops procedures to eliminate future errors from occurring. Ensures all encounters are properly entered with billing submitted, by making necessary corrections in the physician practice management system and billing submission systems. Generates reports to review overall coding for accuracy and completeness, and to develop enhancements to the coding process. Maintains a working knowledge of coding rules and regulations and the associated resources available, as well as familiarity with appropriate modifier usage. Researches all information needed to correct and complete the billing process, including obtaining charge information from physicians, nursing staff, and/or technicians. Responsible for working and managing the surgical appeals regarding Coding claim denials. Ability to appropriately correspond with physicians and others in a professional manner regarding Coding scenarios and issues. Other duties as assigned. Education and/or Experience High school diploma or general education degree (GED) At least 3 years' experience as a Certified Medical Coder. Orthopedic surgical coding experience required. Knowledge of CPT and ICD-9/ICD-10 codes. Knowledge of utilizing the books for these codes, CodeX, EncoderPro, and Coding Companion for Orthopaedics Surgeons. Knowledge of medical terminology and office procedures. EMR; Athena experience is a plus. Certificates, Licenses, Registrations Certified Medical Coder What's in it for you? MOR offers their employees a comprehensive compensation and benefits package. Pay Range: $25.00 - $30.00 per hour. Compensation at MOR is determined by many factors, which may include but are not limited to, job-related skills and level of experience, education, certifications, geographic location, market data and internal equity. Base pay is only a portion of the total rewards package. Medical, Dental and Vision Insurance. Paid Time Off and Paid Holidays. Company-paid life and long-term disability insurance. Voluntary life, AD&D, and short-term disability insurance. Critical Illness and Accident Insurance. 401(k) Savings Plan. 401(k) Employer Contribution. Pet Insurance. Commuter Benefits. Employee Assistance Program (EAP). Tax-Advantaged Accounts (FSA, HSA, Dependent Care FSA). HSA Employer Contribution (when enrolled in a HDHP). Tuition Reimbursement. Excellent working relationship with prestigious group of physicians in Orthopedics in the US and #1 in Illinois and Indiana. Our employees make the difference in our patients' lives, and we value their contributions. Midwest Orthopaedics at Rush offers a comprehensive compensation and benefits package and an opportunity to grow and develop your career with an industry leader. Come see what we're all about.
    $25-30 hourly 60d+ ago
  • Coder - Clinic

    219 Health Network

    Medical coder job in Saint John, IN

    Position: Coder # Clinic Location: St. John Outpatient Center, St. John, IN 46373; Remote availability Job Summary: Under general supervision and according to industry standards, identifies and assigns diagnostic and procedure codes for distinct patient encounters from source documentation using current ICD and CPT recommendations.# Performs charge entry, review, reconciliation, and error correction tasks to ensure full and accurate charge capture.# Performs regular manual and electronic charge and coding audits.# Possesses a thorough knowledge of the coding process, coding resource material, coding rules and guidelines and applicable classification systems. # Education/ Experience Requirements: # ##High School graduate (or GED equivalent) required.# ##Completion of college course work in health information degree or certificate program preferred. ##1-2 years professional billing/coding experience.# Physician practice setting preferred. ######Previous use of EPIC preferred. # Evaluation and Management experience in a physician practice setting preferred. ##Maintain active CPC, CCS, or RHIT certification through AHIMA or AAPC.# Physician based preferred. # Required to demonstrate billing/coding competency via standard department testing. # Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system. # Needs to be familiar with operating general office equipment, including but not limited to: scanner, fax machine, photocopy machine, printer and adding machine. # Must demonstrate effective communication # problem solving skills. # # # # Position: Coder - Clinic Location: St. John Outpatient Center, St. John, IN 46373; Remote availability Job Summary: Under general supervision and according to industry standards, identifies and assigns diagnostic and procedure codes for distinct patient encounters from source documentation using current ICD and CPT recommendations. Performs charge entry, review, reconciliation, and error correction tasks to ensure full and accurate charge capture. Performs regular manual and electronic charge and coding audits. Possesses a thorough knowledge of the coding process, coding resource material, coding rules and guidelines and applicable classification systems. Education/ Experience Requirements: * High School graduate (or GED equivalent) required. * Completion of college course work in health information degree or certificate program preferred. * 1-2 years professional billing/coding experience. Physician practice setting preferred. * Previous use of EPIC preferred. * Evaluation and Management experience in a physician practice setting preferred. * Maintain active CPC, CCS, or RHIT certification through AHIMA or AAPC. Physician based preferred. * Required to demonstrate billing/coding competency via standard department testing. * Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system. * Needs to be familiar with operating general office equipment, including but not limited to: scanner, fax machine, photocopy machine, printer and adding machine. * Must demonstrate effective communication & problem solving skills.
    $35k-49k yearly est. 60d+ ago
  • Onsite Medical Records Supervisor - Evergreen Park, IL - Occasional Travel Required

    Verisma Systems Inc. 3.9company rating

    Medical coder job in Evergreen Park, IL

    Onsite Client Operations Supervisor - Evergreen Park, IL * Must be able to travel occasionally between 2-3 locations up to 3 hours apart* Summary of Position: Under the direction of the Director of Client Operations and the general instruction of the Facility Contact at various facilities, the Client Operations Supervisor is responsible for the efficient operation of assigned accounts. In addition, the Client Operations Supervisor will also assist in training, staffing, and providing coverage at various sites.Duties & Responsibilities: Answers day-to-day questions posed by clients and Release of Information Specialists (ROIS). Responsible for meeting facility revenue goals on a consistent basis. Identifies and recommends opportunities to increase productivity. Complies with all release of information related functions, as stipulated by service agreement. Prepares weekly dashboard and month-end Operational performance reports Monitors productivity and quality to ensure high customer service satisfaction. Assists the Director of Client Operations in the training and evaluation of ROIS staff, both onsite and remote. Assists in selecting, interviewing, hiring and terminating of employees. Participates in counseling sessions of site personnel and makes disciplinary or termination recommendations, when necessary. Manages scheduling of onsite staff to include time off requests and payroll approval Assists remote supervisors with the coordination of work. Distributes workflow to site personnel. Maintains confidentiality by keeping all information seen and heard in the facility secure. Provides input into the review and revision of site procedure. Performs quality reviews and site evaluations as required by clients. Reviews release of information requests for validity according to applicable state or federal statutes; returns inappropriate authorizations and requests to the requester. Looks up medical record numbers, fills out guides and pulls medical records, when appropriate. Reviews the requests to determine which encounters are being requested. Scans and/or captures electronically, the medical record and chooses the appropriate information to be duplicated. Captures the appropriate pages for the requested records, when appropriate. Re-assembles the charts (if paper) for re-filing. Logs information that is being sent to the requester either manually or using company software in accordance with the facility procedure. Documents the release of information in the patient medical record or other means determined by the facility. Calculates billing and prepares invoices, as needed. Certifies medical records copies, when appropriate. Attends all mandatory meetings and/or training sessions. Ensures supplies are available at designated facility. Submits company-related travel expense reports and original receipts to manager in a timely fashion. Complies with and provides guidance on Company Policies, as identified in the Company Handbook. Performs other appropriate duties, as assigned, to meet the needs of the department and the company. Minimum Qualifications: A High School Diploma or GED is required, some college preferred. RHIT Certification, preferred. A valid driver's license and a history of safe driving. Ability to communicate effectively with clients, staff members and management. Experience with medical records or healthcare, beneficial. Knowledge of HIPAA privacy information standards, required. Medical terminology coursework, preferred RHIT certification or the ability to take and pass an ROI Certification course with a score of 85% or higher, within 90 days is required. Ability to travel. .
    $45k-69k yearly est. 1d ago
  • Medical Coder

    ENT Partners 3.3company rating

    Medical coder job in Skokie, IL

    Medical Coder - ENT Specialty Focus Employment Type: Full-time, Monday-Friday Currence Physician Solutions, a subsidiary of ENT Partners, LLC, is a trusted leader in specialty revenue cycle management for over 40 years. We partner with ENT practices nationwide to deliver industry-leading billing, coding, and collections results - empowering physicians with the financial clarity to focus on patient care. ENT Partners supports physicians in providing comprehensive ENT, Allergy, Audiology, and Sleep Medicine services while alleviating administrative burdens. Today, we support practices of all sizes - solo practitioners to large multi-site groups - across more than 25 clinics throughout the Midwest and East Coast. Role Description We are seeking a Medical Coder (ENT Specialty Focus) to join our high-performing coding team. This role is critical to ensuring the accuracy, compliance, and efficiency of our revenue cycle operations. While ENT experience is strongly preferred, we are open to coding professionals eager to specialize and grow in this unique field. The ideal candidate is detail-oriented, thrives in a collaborative environment, and brings both technical accuracy and professional curiosity to support practice growth. This is a chance to join a national platform where your work directly impacts provider success and patient access to care. Key Responsibilities Assign accurate ICD-10, CPT, and HCPCS codes for ENT, Allergy, Audiology, and Sleep Medicine services. Review provider documentation for completeness and compliance prior to coding. Partner with providers and clinical staff to clarify documentation when needed. Ensure coding practices meet CMS, payer-specific, and industry guidelines. Research and resolve coding-related denials; assist with resubmission of corrected claims. Stay current with coding updates, payer changes, and specialty-specific regulations. Navigate and utilize EMR/EHR and billing systems (ECW, Epic, AdvancedMD experience preferred). Maintain strict adherence to HIPAA and patient confidentiality. Qualifications High school diploma required, Associate's or Bachelor's in Health Information Management or related field preferred. 2+ years of medical coding experience in a healthcare or revenue cycle setting (ENT coding experience highly preferred). Proficiency in ICD-10, CPT, and HCPCS. Familiarity with ENT, Allergy, Audiology, or Sleep Medicine coding strongly preferred. Certification (CPC, CCS, or equivalent) required or actively pursuing. Strong knowledge of healthcare billing and insurance processes. Excellent accuracy, attention to detail, and analytical/problem-solving skills. Ability to work both independently and collaboratively within a team. Compensation & Benefits Pay: $23.00-$25.50 per hour, based on experience and qualifications. Benefits include: 401(k) with company match Medical, dental, vision, life, and disability insurance Paid time off and holidays Certification reimbursement & professional development assistance Employee referral program Why Join Us? Be part of a national ENT platform with a reputation for excellence. Develop specialty coding expertise in ENT, a growing and dynamic field. Enjoy a supportive, collaborative environment with strong leadership. Gain exposure to multiple practice operations and broaden your professional skill set. Join a company that values growth, compliance, and innovation in healthcare. ENT Partners is a drug-free workplace and an Equal Opportunity Employer.
    $23-25.5 hourly 60d+ ago
  • Medical Coding Analyst

    IMO 4.2company rating

    Medical coder job in Rosemont, IL

    The Medical Coding Analyst plays a critical role in applying accurate and compliant code set mappings for customers and clients using IMO Health's interface terminology. This role requires a solid foundation in terminology mapping and active participation in complex work beyond core team responsibilities. The Medical Coding Analyst is committed to continuous growth across IMO Health knowledge, technical expertise, and soft skills, and contributes meaningfully to team success through collaboration and initiative. WHAT YOU'LL DO: Assign and maintain administrative code set mappings (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) for interface terminology in accordance with production and release schedules. Maintain content in accordance with code set updates and adhere to nationally recognized authoritative coding guidelines. Collaborate with internal teams to address customer inquiries via IMO health's defined ticketing system as necessary. Stay current with evolving clinical practices, regulatory guidelines, and updates to code sets from CMS, AMA, and other regulatory organizations. Participate in editorial discussions and contribute to the development of team standards and best practices. Take initiative in identifying mapping discrepancies and proactively engage in discussions to resolve them. Contribute to team systems that support quality and data-driven decision-making. WHAT YOU'LL NEED: Experience with US-based ICD-10-CM, ICD-10-PCS, CPT4, and HCPCS code sets required. Associate or bachelor's degree in health information management systems or equivalent experience preferred. A minimum of three years' experience with medical records coding, electronic health records and medical terminology preferred. One of the following credentials required: RHIA, RHIT, CCS, or CPC. Demonstrated ability to apply conceptual and critical thinking to solve complex mapping challenges, identify root issues, and communicate solutions clearly. Effective communication skills, including the ability to present information clearly, listen actively, and collaborate constructively across teams. Technical expertise in applying and expanding knowledge of code sets (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) and emerging technologies to support quality and compliance. IMO Health is a hybrid workplace. We generally work wherever we do our best work; however, we value facetime & collaboration in the office.
    $50k-68k yearly est. Auto-Apply 55d ago
  • Medical Device QMS Auditor

    Environmental & Occupational

    Medical coder job in Chicago, IL

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $39k-60k yearly est. Auto-Apply 2d ago

Learn more about medical coder jobs

How much does a medical coder earn in Wheaton, IL?

The average medical coder in Wheaton, IL earns between $34,000 and $65,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Wheaton, IL

$47,000

What are the biggest employers of Medical Coders in Wheaton, IL?

The biggest employers of Medical Coders in Wheaton, IL are:
  1. Endeavor Health Services
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