Medical coder jobs in Wyoming

Job Details Administration Office - Sheridan, WY Full-time High School Up to 25% DayDescription Records Coordinator Classification: Exempt Reports to: Director of Legal and Records Management Each day at Volunteers of America, we strive to exemplify our foundational pillar of Servant Leadership and Cultural Values of Communication, Compassion, Integrity, Respect, and Excellence. At VOA we are committed to providing opportunities that help staff grow and enhance their skill sets. As part of this commitment, we invest in on-the-job training to prepare employees for their new positions and offer professional development opportunities, coaching, and career pathways to promote our culture of helping staff advance their careers throughout the organization. JOB DESCRIPTION _____________________________________________________________________________ Summary/Objective The Records Coordinator provides administrative and operational support for the organization's records management function. This position is responsible for processing requests, maintaining organized filing systems, and ensuring accurate documentation according to established policies. Essential Functions Maintain and oversee electronic and physical filing systems. Ensure records are organized and retained in compliance with policies and legal requirements. Act as a liaison with staff across departments to ensure proper records creation, handling, and retrieval. Track retention schedules and coordinate archiving or secure disposal of records. Assist in audits or reviews by preparing and retrieving required documentation. Develop reports and maintain logs to monitor record activity. Provide training or guidance to staff on records procedures when needed. Maintain and update physical and electronic records according to established filing systems. Responsible for the retrieval of records in response to internal and external requests, audits, or compliance reviews, ensuring compliance with HIPAA and PHI. Follow retention schedules to archive or securely dispose of records as required. Support the implementation of records management policies and procedures. Coordinate with staff across departments to ensure records are properly created, maintained, and accessible. Provide support to the Director of Legal and Compliance on maintaining the organization's contract management system. Competencies Excellent verbal and written communication skills Excellent organizational skills and keen attention to detail Thorough understanding of information policies and procedures Ability to follow procedures, maintain confidentiality and compliance Proficient with Microsoft Office Suite and basic database/data entry skills Ability to quickly master technology used in the organization Ability to work independently as well as part of a team. Extensive knowledge of compliance standards and protocols Continuous demonstration of behaviors aligned with a posture of servant leadership and VOA's cultural values Supervisory Responsibility This position has no direct supervisory responsibilities but may serve as a coach and mentor for other positions in the organization. Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as laptops, photocopiers, and smartphones. Physical Demands The physical demands described here represent those that an employee must meet to perform this job's essential functions successfully. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision and the ability to adjust focus. In addition, this position would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary and perform work at a computer for extended periods. Position Type/Expected Hours of Work This is a full-time position at the Administration Building in Sheridan, WY. Days and work hours are Monday through Friday, 8:00 am to 5:00 pm. Occasional evening and weekend work may be required as job duties demand. Travel Minimal travel is expected for this position. Required Education, Experience, or Eligibility Qualifications Associate's degree or relevant coursework in business administration, information management or a related field or 2+ years of administrative, records management, or compliance experience. Preferred Education, Experience, or Eligibility Qualifications Bachelor's degree in business administration, information management or a related field or 3+ years of administrative, records management, or compliance experience. EEO Statement Volunteers of America Northern Rockies is committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or any other protected characteristics. Volunteers of America Northern Rockies will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at ************.

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: Mon-Fri 8:00am -4:30pm CST + Phone support + Ability working in a high-volume environment. + Processing medical record requests such as: Insurance requests, DDS Requests, Workers Comp Request, Subpoenas + 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 (**************************************** .

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. **Activities include:** + Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation. + Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. + Provide detailed written summary of medical record review findings. + Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. + Review and discuss cases with Medical Directors to validate decisions. + Independently research and accurately apply state or CMS guidelines related to the audit. + Assist with investigative research related to coding questions, state and federal policies. + Identify potential billing errors, abuse, and fraud. + Identify opportunities for savings related to potential cases which may warrant a prepayment review. + Maintain appropriate records, files, documentation, etc. + Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics. + Mentor New Coders, providing training, coding, and record review guidance. + Collaboration with investigators, data analytics and plan leadership on SIU schemes. + Act as management back-up and supports the team when the manager is out of the office. + Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement. **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10. + CMS 1500 and UB04 data elements + Experience with researching coding and policies. + Experience with Microsoft products; including Excel and Word + Prior experience auditing others' work and providing feedback. + Experience mentoring others. + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 3+ years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Licensed Professional Counselor (LPC) + Excellent communication skills + Excellent analytical skills + Strong attention to detail and ability to review and interpret data. **Education** + AAPC Certified Professional Coder Certification (CPC) + GED or High School diploma **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

The Medical Biller/Coder is responsible for translating healthcare services rendered into standardized codes for insurance billing, ensuring accurate reimbursement. This role ensures the efficient processing of patient data, medical records, and insurance claims in compliance with healthcare regulations. Key Responsibilities: Accurately assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures based on medical documentation. Review patient records for completeness, accuracy, and compliance with regulations. Prepare and submit clean claims to insurance companies electronically or via paper submission. Follow up on unpaid claims within standard billing cycle timeframe. Resolve billing issues with insurance companies, patients, and healthcare providers. Correct rejected or denied claims and resubmit for payment. Post payments and adjustments to patient accounts. Generate patient statements and respond to billing inquiries. Maintain strict confidentiality of patient health information (HIPAA compliance). Stay updated on coding guidelines and insurance regulations, including Medicare and Medicaid rules. Assist with audits, reporting, and other administrative tasks as needed. Required Skills and Qualifications: High school diploma or equivalent required; Associate's degree in Health Information Management or related field preferred. Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB), or similar credentials preferred. 1-3 years of medical billing and coding experience in a healthcare setting. Extensive Medicare and Medicaid Billing experience. Knowledge of medical terminology, anatomy, and insurance billing procedures. Proficient with billing software, electronic health records (EHRs), and Microsoft Office Suite. Excellent organizational, communication, and problem-solving skills. Ability to work independently and meet deadlines. APPLICATION REQUIREMENTS: Submit a completed application with supporting documents to the Warm Valley Health Care, Human Resource Department, P.O. Box 128, Ft. Washakie, WY 82514. Applications are available at Warm Valley Health Care or for more information contact Stacie Fagerstone, Executive HR Director via email at stacie.fagerstone@warmvalley.health. Preference will be given to a qualified Eastern Shoshone tribal member, then other qualified federally recognized Indian tribal members and then other qualified candidates. Applicants must submit a copy of Tribal Enrollment card or CIB for Indian Preference. Veterans who meet the minimum qualifications and provide documentation of an honorable discharge (DD214) from any branch of military service are entitled to receive preference points during the interview process. Any offer of employment is contingent dependent on negative drug test results, reference checks and background check. Refusal to undergo required testing or testing positive will render the applicant ineligible for employment. Must pass pre-employment drug screening. Successfully pass the employment background check.

Description and Functions Open Until Filled Join our team at the Wyoming Attorney General's Office, Division of Criminal Investigation (DCI)! We are seeking a qualified and motivated individual to serve as aCJIS Records Analyst. This position is a crucial link to the Criminal Justice Information Services Section (CJIS) support within the Division. The CJIS section comprises the state criminal history record repository, control terminal, automated fingerprint identification system, uniform crime reporting, concealed firearm permits, applicant tracking unit, reception desk, and the sex offender registry. The State of Wyoming's total compensation package is excellent and includes: * Paid annual and sick leave * Paid holidays * Retirement with employer contributions * Deferred Compensation Plan with employer contributions * Health insurance with an employer contribution toward premiums * Insurance options for health, dental, life, vision, ambulance, and short and long-term disability * Longevity pay Human Resource Contact: Stacy Berres / ************** /******************** ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function that may be performed at the job level. * Create, verify, and maintain applicable data for the Criminal Justice Information Services section, which includes but is not limited to records pertaining to the state criminal history record repository, control terminal, automated fingerprint identification system, uniform crime reporting, concealed firearm permits, applicant tracking unit, reception desk, and the sex offender registry. * Make independent decisions and conclusions on behalf of the State; resolve problems accurately. * Responsible for the accuracy and dissemination of the criminal justice record information as required by the FBI. * Process records, according to statutes, promulgated rules, policies, and procedures. * Identify, update, and correct discrepancies in Criminal Justice Information. * Services section data as appropriate. * Retrieve and disseminate Criminal Justice Information Services section data and records to law enforcement and non-law enforcement and criminal justice, and non-criminal justice personnel as authorized. * Utilizes a complete understanding, interpretation, and comprehension of Wyoming State Statutes to analyze, interpret, and evaluate criminal justice legal information and/or utilize state resources appropriately. * Utilize expert knowledge to resolve issues and create a more productive work environment. * Act as a liaison between the state criminal justice community and the general public. * Compiles, records, collates, and reports statistics. * Provide all administrative functions of the front reception area for the agency. * Responsible for the administrative management of day-to-day operations, programs, projects, essential assets, human resource-related data, and all other duties as assigned. * Provide communication on all projects or program areas to ensure the smooth operation of day-to-day business. * Schedules and maintains appointments for background check applicants needing fingerprinting services. * Completes tasks associated with criminal justice and noncriminal justice requests from criminal history record information because of fingerprint submission, which includes the receipt of fingerprint cards and fees, data input, auditing, tracking, processing, and mailing responses to requesting entities. * Screen incoming calls for the director and deputy directors, take messages, use email for communication and scheduling, and other resources. * Provide answers or information to the public with proper coordination with the Director and Deputy Directors. * Performs receptionist duties, provides informational services and referrals, records maintenance, and oral and written communication. * Tracks and manages the agency's telecommunications and vehicle fleet/mileage reporting. * Attend meetings and prepare records. * Uphold and promote the agency's mission. Qualifications PREFERENCES/AGENCY REQUIREMENTS: Preference will be given to candidates with a bachelor's degree in criminal justice, law enforcement, public policy or public administration, management, paralegal, statistics, or computer science, PLUS two years of progressive work experience in statistics, computer science, records management, database management, and candidates with strong computer and data entry skills. Certified and maintained certification for Law Enforcement Telecommunications Systems Operator as required by Federal Bureau of Investigation (FBI) systems access memoranda of understanding. Must pass and maintain certification on an annual basis, Security Information Systems Access test, and be certified by the FBI's State Information Security Officer. KNOWLEDGE: The omission of specific statements does not preclude management from assigning other knowledge. * Knowledge of principles, practices, and methods of records management, computer systems, operations, and a variety of data reporting systems. * Knowledge of practices and methods of records management and the ability to adapt to changing technology. * Knowledge in work organization: must be able to multitask efficiently, accurately, and independently. * Knowledge of principles, concepts, and practices of the judicial system, the criminal justice system, and the law enforcement community. * Knowledge of state and local law enforcement policies and procedures. * Knowledge of data entry and collection, and data input procedures. * Knowledge of office work procedures, standards, and practices. * Skill in professional oral and written communication, including giving presentations and providing training to personnel with varying skill levels in both formal and informal settings. * Skills in oral and written communication and interpersonal relations. * Skill in maintaining collaborative relationships with other agency employees in order to accomplish complete and accurate records and to provide customer service. * Ability to function with a high degree of independence and to exercise independent judgment. * Ability to identify possible problem areas in the organizational structure of a records system and provide solutions. * Ability to interpret and clearly communicate policies and procedures and statutory mandates to various criminal justice agencies. * Ability to identify, analyze, and compare data in a variety of record systems. * Ability to maintain confidentiality in all aspects of work. MINIMUM QUALIFICATIONS: Education: Bachelor's Degree Experience: 0-1 year of progressive work experience in (Criminal Justice Information Systems) Certificates, Licenses, Registrations: Valid Driver's License OR Education & ExperienceSubstitution: 3-4 years of progressive work experience in (Criminal Justice Information Systems) Certificates, Licenses, Registrations: Valid Driver's License Necessary Special Requirements NECESSARY SPECIAL REQUIREMENTS: * Ability to travel statewide and out of state * Ability to work overtime as required NOTES: * FLSA: Non-exempt * Successful applicants are required to have a valid driver's license * Successful applicants are required to pass an extensive background investigation. Supplemental Information Clickhere to view the State of Wyoming Classification and Pay Structure. URL: **************************************************** The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities. Class Specifications are subject to change; please refer to the A & I HRD Website to ensure that you have the most recent version.

ONSITE: Sheridan, Wyoming # ABOUT SHERIDAN MEMORIAL HOSPITAL # At Sheridan Memorial Hospital, we proudly rank in the top 13. 6% of U. S. hospitals, recognized by the Centers for Medicare and Medicaid Services. With over 850 dedicated employees and 100+ expert providers across 25 specialties, we are committed to exceptional, patient-centered care. Set in northern Wyoming#s stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure and community charm. Our hospital combines cutting-edge technology with a collaborative, innovative culture. Join a team that values your skills, fosters growth, and empowers you to impact lives meaningfully. Apply today and be part of Sheridan Memorial Hospital#s mission of excellence! # JOB SUMMARY # Employee is responsible for the conversion of diagnosis and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses/procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner. Works closely with the physician clinics, providers and manager. # ESSENTIAL DUTIES/RESPONSIBILITIES # Ensures documentation meets standards and policies. Ensures that encounters are coded and or charges entered in a timely manner with office visits coded next day. Review documentation thoroughly to ascertain all diagnoses and procedures are billed out. Identifies and contacts appropriate physician in a professional, tactful manner, if changes in CPT or diagnosis codes need to be made. Coder#s diagnoses and procedures need to support or reflect documentation within the chart 100% of the time. Refers documentation to the Manager, if there is a question regarding the diagnoses or CPT codes. Utilizes all resources including books and/or computerized coding software. Codes all diagnoses/procedures in accordance to current coding rules and the Coding Manual. Reviews coding alerts and other periodicals within 7 days of receipt to ensure continuing education. Updates the Coding Manual on an ongoing basis. Provides, as needed, cost estimates for services. Assists the Manager with state requirements and reports. Acts as a resource person to BHHN staff for coding and may provide education regarding coding changes or issues and coding requirements. Performs performance improvement functions through data collection and documentation review. Demonstrates an ability to stay current on all work queues assigned in Revenue Cycle. Maintains a good working relationship within the department and with other departments. Demonstrates the ability to be flexible, organized and function under stressful situations. # # # MINIMUM REQUIREMENTS Education / Experience / License and Certifications # High school diploma or equivalent, required. Some college preferred. Minimum two years of medical office experience preferred. Once certified must maintain membership in AAPC with yearly CEUs completed as required. Knowledge of ICD-9, ICD-10, CPT and HCPCS in accordance with current coding principles. # # # Additional Skills # Ability to effectively communicate in English, both reading and writing. Multi-line telephone knowledge. Computer knowledge. Ability to operate designated equipment as specified including computer keyboarding. Basic clerical training, including basic filing procedures (both numerically and alphabetically). Ability to work under pressure with time constraints. Knowledge of medical record content and sequence. Ability to function independently with minimal direction. # # # # Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products. # Pre-employment drug and alcohol screening is required. # # Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to age, race, color, religion, sex, national origin, disability or protected veteran status. If you#d like more information about your EEO rights as an applicant under the law, please click here.

Sharecare is the leading digital health company that helps people -- no matter where they are in their health journey -- unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ****************** Job Summary: This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate 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. *This position is located on-site within a medical facility in Evanston, WY. Essential Functions: Completes release of information requests including retrieving patient's medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity. Date stamps all requests and highlights pertinent data to facilitate processing. Validates requests and authorizations for release of medical information according to established procedures. Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing. Maintain equipment in excellent operating condition (inside and out). Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems. May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client. Maintains a neat, clean, and professional personal appearance and observes the dress code established. Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area. Maintains working knowledge of the existing state laws and fee structure Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations. Maintains confidentiality, security and standards of ethics with all information. Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner. Qualifications: High School Diploma (GED) required A minimum of 2 years prior experience in a medical records department or like setting preferred Must have strong computer software experience -- general working knowledge of Microsoft Word and Excel required Excellent organizational skills a must Must be able to type 50 wpm Must be able to use fax, copier, scanning machine Must be willing to learn new equipment and processes quickly. Must be self-motivated, a team player Must have proven customer satisfaction skills Must be able to multi-task Local to Evanston, WY! Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: - Conduct a comprehensive medical record review to ensure billing is consistent with medical record. - Provide detailed written summary of medical record review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. - Review and discuss cases with Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing errors, abuse, and fraud. - Identify opportunities for savings related to potential cases which may warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements + Experience with researching coding, state regulations and policies. Working experience with Microsoft Excel + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 2 years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Prior auditing experience + Excellent analytical skills + Strong attention to detail and ability to review and interpret data + Excellent communication skills **Education** + GED or equivalent + AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include:Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation. Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. Provide detailed written summary of medical record review findings. Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. Review and discuss cases with Medical Directors to validate decisions. Independently research and accurately apply state or CMS guidelines related to the audit. Assist with investigative research related to coding questions, state and federal policies. Identify potential billing errors, abuse, and fraud. Identify opportunities for savings related to potential cases which may warrant a prepayment review. Maintain appropriate records, files, documentation, etc. Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics. Mentor New Coders, providing training, coding, and record review guidance. Collaboration with investigators, data analytics and plan leadership on SIU schemes. Act as management back-up and supports the team when the manager is out of the office. Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement. Required QualificationsAAPC Coding certification - Certified Professional Coder (CPC)3+ years of experience in medical coding or documentation auditing. Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10. CMS 1500 and UB04 data elements Experience with researching coding and policies. Experience with Microsoft products; including Excel and WordPrior experience auditing others' work and providing feedback. Experience mentoring others. Must be able to travel to provide testimony if needed. Preferred Qualifications3+ years or more previous experience with Behavioral Health coding/auditing of records Licensed Clinical Social Worker (LCSW) Licensed Independent Social Worker (LISW) Licensed Master Social Worker (LMSW) Licensed Professional Counselor (LPC) Excellent communication skills Excellent analytical skills Strong attention to detail and ability to review and interpret data. EducationAAPC Certified Professional Coder Certification (CPC) GED or High School diploma Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988. 00 - $112,200. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include:- Conduct a comprehensive medical record review to ensure billing is consistent with medical record. - Provide detailed written summary of medical record review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. - Review and discuss cases with Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing errors, abuse, and fraud. - Identify opportunities for savings related to potential cases which may warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify Required QualificationsAAPC Coding certification - Certified Professional Coder (CPC)3+ years of experience in medical coding or documentation auditing. Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements Experience with researching coding, state regulations and policies. Working experience with Microsoft ExcelMust be able to travel to provide testimony if needed. Preferred Qualifications2 years or more previous experience with Behavioral Health coding/auditing of records Licensed Clinical Social Worker (LCSW) Licensed Independent Social Worker (LISW) Licensed Master Social Worker (LMSW) Prior auditing experience Excellent analytical skills Strong attention to detail and ability to review and interpret data Excellent communication skills EducationGED or equivalent AAPC Certified Professional Coder Certification (CPC) Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$43,888. 00 - $102,081. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.