Certified Medical Coder
Remote medical record librarian job
Title: Certified Medical Coder
Shift: 8:00 AM - 4:00 PM
Work Arrangement: Onsite Training (1-2 weeks) → Remote
Pay: $35/hr to $37/hr
Contract: 3-month assignment with possible extension
Start Date: 12/01/2025 - 03/07/2026
Position Summary:
We are seeking an experienced and detail-oriented Certified Medical Coder to join our team. This role begins onsite for initial training before transitioning to remote work. The ideal candidate will have strong inpatient coding experience in an acute care setting and be proficient with ICD-10, CPT coding, EPIC, and 3M Encoder tools.
Key Responsibilities:
Perform accurate and compliant inpatient coding using ICD-10, ICD-9-CM, CPT-4, and Encoder systems
Review medical records and ensure proper documentation supports code selection
Research and resolve coding-related questions and discrepancies
Maintain coding accuracy and productivity standards
Apply current coding guidelines, payer requirements, and regulatory rules
Collaborate with clinical staff as needed to clarify documentation
Support outpatient and ED coding tasks as needed (preferred, not required)
Requirements:
CCS Certification (required)
EPIC and 3M Encoder experience (required)
Minimum 3-4+ years of inpatient coding experience, preferably in an acute care setting
Strong knowledge of ICD-10, ICD-9-CM, CPT-4, and Encoder systems
Experience with outpatient and ED coding (preferred)
Proficient computer skills, including MS Word, Excel, and coding applications
Skills & Role Expectations:
Strong understanding of coding guidelines, payer rules, and federal billing regulations
Solid knowledge of anatomy, physiology, and disease processes
Ability to work independently and efficiently after training
Ability to research issues and resolve coding questions
Experience mentoring or training coders is a plus
Seeking candidates with strong inpatient coding backgrounds
If Interested, you can reach me on my number ************** or email me at *******************************
Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Medical Coding Auditor
Remote medical record librarian job
Salary: $85,000+ depending on experience
Skills: Auditing, Inpatient Coding, DRG Validation, Quality Review
About the Company / Opportunity:
Are you passionate about upholding quality standards in health information management and coding practices? Our client, an industry leader in the hospitals and health care sector, provides nationwide revenue cycle services to a vast network of hospitals and physician practices. This remote opportunity allows you to leverage your expertise in coding quality review, ensuring compliance with national guidelines and maintaining data integrity. Join a mission-driven organization focused on supporting patient outcomes and enhancing health care delivery through excellence in coding quality.
Responsibilities:
Lead, coordinate, and perform all functions of quality review for inpatient and outpatient coding across multiple facilities.
Conduct routine, pre-bill, policy-driven, and incentive plan-driven coding quality audits to ensure compliance with established guidelines and policies.
Support coding staff adherence to national coding guidelines and company policies through audits and targeted feedback.
Apply expert-level knowledge of medical coding practices to identify areas for improvement and provide education to coding staff.
Participate in special projects or reviews as needed to support continuous quality improvement.
Maintain or exceed productivity and accuracy standards (95%+).
Stay current on official data quality standards, coding guidelines, and ongoing educational requirements.
Must-Have Skills:
CCS, RHIA, and/or RHIT (mandatory).
At least 10 years of hospital medical coding experience, with a minimum of 3 years auditing MS-DRG Inpatient medical records.
Demonstrated expertise as an IP Coding Auditor with advanced MS-DRG auditing experience.
Proven experience coding across all body systems (not limited to specialty areas).
Strong understanding of official coding guidelines, data quality standards, and hospital coding compliance.
Nice-to-Have Skills:
Undergraduate degree in Health Information Management (HIM) or Health Information Technology (HIT) (Associate's or Bachelor's preferred).
Experience participating in special quality review projects or process improvement initiatives.
Background supporting multi-site health systems or large-scale coding review teams.
Familiarity with remote work tools and distributed team collaboration.
Ongoing commitment to professional development and continuous education in medical coding.
Certified Medical Coders
Remote medical record librarian job
Job Title : Certified Medical Coders - Inpatient
Duration : 3 Months Contract (with possible extension)
Education : High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.
Shift Details : 8:00 AM-04:00 PM
General Description:
·Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application.
·Seeking certified coders with a strong inpatient coding background.
·Candidate should be able to work with minimal training.
Inpatient and ED experience.
Starts onsite for training, then transitions to remote work once duties are mastered.
Education:
High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.
Field Operations Data Analyst, Shockwave Medical
Remote medical record librarian job
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at *******************
Job Function:
Sales Enablement
Job Sub Function:
Customer Success Management
Job Category:
Professional
All Job Posting Locations:
Santa Clara, California, United States of America
Job Description:
Johnson & Johnson is hiring for a Field Operations Data Analyst - Shockwave Medical to join our team. The position is FULLY REMOTE and can sit anywhere in the US.
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow and profoundly impact health for humanity. Learn more at *******************/.
Fueled by innovation at the intersection of biology and technology, we're developing the next generation of smarter, less invasive, more personalized treatments. Ready to join a team that's pioneering the development and commercialization of Intravascular Lithotripsy (IVL) to treat complex calcified cardiovascular disease. Our Shockwave Medical portfolio aims to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease through its differentiated and proprietary local delivery of sonic pressure waves for the treatment of calcified plaque.
The Field Operations Data Analyst works with the worldwide sales organization to bring process improvement and efficiency to inventory practices. Through strong communication, robust problem solving, a natural curiosity to ask ‘why', and recommending solutions. He/she will contribute to the growth and evolution of data-informed decisions and action related to field operations.
Analysis & Reporting
Identify and recommend areas of opportunity within field sales and communicate with key decision leaders within the company.
Effectively communicate complex information to field sales force and commercial operations individuals.
Create, monitor, and improve reports in PowerBI using metrics generated in Salesforce, Oracle, and other systems.
Find the best / most simple solution while providing maximum benefit to our supported units.
Work with large data sets, glean intelligence from data, draw conclusions, and enabling recommendations to key stakeholder groups.
Field Inventory Team
Manage inventory allocation and disposition of sales personnel trunk stock and/or customer consignment within the United States and Internationally.
Incorporate automation and reporting to daily field inventory practices.
Communicate with field sales personnel in a constructive manner to find solutions to individualized problem sets.
Communicate with cross functional teams to ensure timely completion of tasks ensuring field sales personnel have necessary equipment to provide ideal care to patient population.
Requirements
Bachelor's Degree in business/technical field
At least 1-3 years of directly related work experience.
Ability to problem solve and recognize potential issues before they impact the business.
Ability to work in ambiguity.
Ability to effectively collaborate across various stakeholders and teams.
Strong communication skills with personnel that do not have an analytical background.
Ability to design solutions to complex problems.
Courage to challenge existing ways of thinking.
Adaptable with capacity to learn new systems on the fly and continue to evolve as the business incorporates new tools.
Able to make decisions that positively impact the business.
Understanding of building reporting/visualization tools such as PowerBI or Tableau
Understanding of automation processes. Thirst for self-improvement and personal growth.
Fluent in English.
Nice to Have but Not Required Experience
Ability to efficiently read in data, analyze, and present data using Python, R, or SQL
Experience in a related field (life sciences, pharmaceutical, medical device, biotech)
Unique background that brings different perspective to a team.
Fluent in Japanese, Chinese, German, Spanish, Portuguese, French, or Italian.
Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, please contact us via
*******************/contact-us/careers
or contact AskGS to be directed to your accommodation resource.
Required Skills:
Data Governance, Data Quality, Fact-Based Decision Making, Organizing, Problem Solving
Preferred Skills:
Analytical Reasoning, Business Behavior, Cross-Functional Collaboration, Customer Acquisition Strategy, Customer Centricity, Customer Effort Score, Customer Engagement, Customer Intelligence, Customer Journey Analysis, Customer Journey Mapping, Customer Retentions, Customer Success Management (CSM), Execution Focus, Industry Analysis, Sales Enablement, Sales Support, Service Excellence
The anticipated base pay range for this position is :
US : $65,000 - $104,650 / Bay Area: $75,000 - $120,750
Additional Description for Pay Transparency:
Subject to the terms of their respective plans, employees and/or eligible dependents are eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company's long-term incentive program. Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits: Vacation -120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Washington -56 hours per calendar year Holiday pay, including Floating Holidays -13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child Condolence Leave - 30 days for an immediate family member: 5 days for an extended family member Caregiver Leave - 10 days Volunteer Leave - 4 days Military Spouse Time-Off - 80 hours Additional information can be found through the link below. *********************************************
Auto-ApplyMedical Records Coder
Remote medical record librarian job
Job DescriptionDescription:
About the Company
NextStep Technology Inc. is seeking a Medical Records Analyst. The medical records analyst is primarily responsible for review of health information. The MRA reviews the medical records for specific criteria and validation of specific code year sets submitted from selected organizations to government and commercial client. The position requires review of protected health information and must maintain strict confidentiality when addressing or referring to such records. The incumbent must have the ability to use a variety of office equipment, computer software, the ability to use sound and professional judgement, and to work independently. The candidate(s) will be hired as an employee up to 40 hours per week (flexible scheduling). This is a remote position
About the Role
The medical records analyst is primarily responsible for review of health information.
Responsibilities
Analyze protected health information according to project specific rules.
Participates in the Intake Process of records.
Assigns ICD-9/10-CM codes according to the guidelines as defined by the AMA.
Discusses project related discrepancies with Team Lead(s).
Maintain coding credentials and continuing education or Possess and maintains a current and comprehensive understanding of coding rules, changes, and guidelines as defined by the AMA.
Other duties as assigned
Requirements:
Must possess a minimum of one (3-6) years of experience in abstracting and ICD-9/ICD-10 coding of general acute hospital (inpatient and outpatient) and physician medical records by applying ICD-9/ICD-10 Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics.
ICD9 proficiency required.
Knowledge in anatomy and physiology, pathology of disease and medical terminology required.
Ability to write appropriate correspondence and effectively communicate with other members of NS personnel, clients, and customers as necessary.
Must be able to work independently with little or no supervision and use professional judgment as detailed in the AHIMA Code of Ethics.
Passing score on a administered coder assessment must be achieved before further consideration.
Required
Skills Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or CCS (Certified Coding Specialist).
Remote Medical Records Technician - Release of Information (ROI)
Remote medical record librarian job
Job Summary Remote Medical Records Technician - Release of Information (ROI)
Client: CTVHCS - Temple, TX
Compensation: $22.47/hr plus $5.09 for Health and Wellness
Processes and releases protected health information (PHI) in compliance with HIPAA, Privacy Act, FOIA, and VA/VHA directives. Validates authorization, safeguards sensitive records, documents disclosures, and meets strict timeliness standards.
Primary Responsibilities Key Responsibilities
Review/validate ROI requests for completeness, authorization validity, and compliance.
Process disclosures using VistA/CPRS, eROI+, VistA Imaging Capture, and related VA tools.
Use SSA ERE portal as required; request archived records via VA Records systems when needed.
Produce and send correspondence (e.g., cover letters/status updates) to requestors.
Scan and upload date-stamped requests/documentation into CPRS/VistA Imaging in a timely manner.
Maintain accurate logs and audit trails in eROI+.
Coordinate with Privacy Office, HIM, providers, billing, legal, and VBA as needed.
Escalate ambiguous/questionable requests to appropriate VA stakeholders.
Performance Standards (high level)
Routine requests released within 20 business days (>95% compliance); must not exceed 40 business days.
≥95% accuracy in disclosures and categorization; 100% compliance with privacy/security requirements.
Maintain required VA trainings (Privacy/HIPAA/Security/Rules of Behavior) annually.
Minimum Qualifications Required Qualifications
1+ year full-time ROI experience in a medical setting (or equivalent HIM ROI functions).
Demonstrated knowledge of HIPAA, Privacy Act, 38 U.S.C. §7332, and VHA ROI policies.
Experience with VA systems strongly preferred (VistA/CPRS/eROI+) or ability to learn quickly.
Ability to handle sensitive records and apply “minimum necessary” disclosure rules.
Must complete VA-required background/security processes (PIV/NAC steps) prior to access.
About Aptive
Arrow ARC supports Veterans Health Administration facilities and offices across the U.S. with health care staffing and program support via the 10-year Integrated Critical Staffing Program (ICSP). We provide staffing solutions to address critical shortages in VHA medical facilities caused by turnover, recruitment issues, seasonal needs, surges or emergencies.
Arrow is a certified Service-Disabled, Veteran-Owned Small Business joint venture between Artemis ARC and Aptive Resources, two award-winning companies that share an agile, mission-focused, results driven approach in the federal sector. Arrow provides management consulting services and specializes in working with federal government agencies like the Department of Veterans Affairs and Office of Personnel Management.
EEO Statement
Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class.
Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.
Auto-ApplyMedical Records Coordinator
Remote medical record librarian job
The Medical Record Coordinator is responsible for performing quality checks on automated reports, received scans, and guaranteeing electronic filing for assigned products and the corresponding members. The Medical Record Coordinator collaborates with multiple departments to obtain and confirm necessary documents are in place and properly set-up in the Electronic Medical System (EMS) database.
Performs quality checks to maintain the integrity of events and criteria for reporting purposes.
Processes members' electronic documents, proof of data for inaccuracies, and any other missing information.
Resolves discrepancies identified using standard procedures and/or returning incomplete documents to their respective departments for correction and resolution.
Responds and coordinates field assignments for Interpreters by checking availability and assigning staff as appropriate taking location into consideration.
Facilitates manual mailings for other departments.
Move existing members, auto-enrollees and dis-enrollments to and from the appropriate line of business lists in the centralized NY State Uniform Assessment System (UAS) for Integrated Products.
Additional duties as assigned.
Minimum Qualifications:
HS diploma/GED
Preferred Qualifications:
Ability to prioritize and follow through on assigned tasks.
Proficiency in navigating the Internet.
Ability to work with multiple electronic documentation systems simultaneously.
Ability to troubleshoot or explain basic hardware and software errors and work with a Technician remotely to perform step-by-step repairs.
Work experience with an electronic patient health information (PHI) database (medical records database).
Microsoft Excel skills including edit, search, sort/filter, format using already created pivot tables to locate information.
Data entry/database management experience with Microsoft Excel and other systems/ applications.
Attention to detail performing quality checks and proofreading.
Work experience in a healthcare environment.
Knowledge of Medicare, Medicaid, or managed care and medical terminology.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
EEO Law Poster and Supplement
All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is ********************, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $39,208 - $52,000
All Other Locations (within approved locations): $34,091 - $49,920
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
Auto-ApplyElectronic Medical Records Clerk - Remote
Remote medical record librarian job
Job Description
Summary: Anova Care, a provider of home care and home health services, is looking for a compassionate and reliable care provider to assist with care in the area of Elizabeth, CO. Our medical facility is currently searching for an experienced and friendly medical records clerk to join our administrative team. You will be responsible for a variety of tasks including collecting patient information, issuing medical files, filing medical records, and processing patient admissions and discharge papers.
The successful candidate will have in-depth knowledge of medical terminology, processes, and administrative duties. To excel in this position, you should also demonstrate excellent communication and organizational skills.
Medical Records Clerk Responsibilities:
Gathering patient demographic and personal information.
Issuing medical files to persons and agencies according to laws and regulations.
Helping with departmental audits and investigations.
Distributing medical charts to the appropriate departments of the hospital.
Maintaining quality and accurate records by following hospital procedures.
Ensuring patient charts, paperwork, and reports are completed in an accurate and timely manner.
Ensuring that all medical records are protected and kept confidential.
Filing all patients' medical records and information.
Supplying the nursing department with the appropriate documents and forms.
Completing clerical duties, including answering phones, responding to emails, and processing patient admission and discharge records.
Medical Records Clerk Requirements:
A minimum of 2 years experience in a similar role.
Advanced understanding of medical terminology and administration processes.
Proficient in information management programs and MS Office.
Outstanding communication and interpersonal abilities.
Strong attention to detail with excellent organizational skills.
Hours: Monday - Friday, weekends as needed.
Work Type: Remote
Hours: Full-time and part-time.
Job Types: Full-time, Part-time
Pay: $27.00 - $33.00 per hour
Benefits:
Dental insurance
Flexible schedule
Health insurance
Paid time off
Vision insurance
Schedule:
4 hour shift
8 hour shift
Day shift
Monday to Friday
Weekends as needed
Remote Medical Coding Auditor
Remote medical record librarian job
Part-time Description
Required: 3-5 years of experience in acute care facility (hospital) medical coding auditing or compliance
The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. Occasional travel may be required for audits or meetings.
Key Responsibilities:
· Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance.
· Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines.
· Identify and address coding discrepancies and recommend corrective actions.
· Prepare detailed audit reports with findings and provide feedback on documentation and coding practices.
· Collaborate with relevant departments to resolve audit findings and ensure ongoing compliance with policies and regulations.
· Stay current with changes in coding guidelines, healthcare regulations, and payer policies.
· Assist in developing and refining audit tools, policies, and procedures to support continuous improvement.
· Monitor and track corrective actions post-audit and ensure follow-up to resolve identified issues.
· Ensure abstracted data impacting reimbursement is accurate: discharge disposition, admission source, POA (present on admission) indicators, procedure dates of service, etc.
· Adhere to facility's coding guidelines and coding policy and procedures, as needed.
Requirements
Education:
· Associate's Degree in Health Information Management or related field.
· Bachelor's Degree in Health Information Management, Nursing, or a related field is a plus.
· Or equivalent combination of education and relevant experience.
Certification:
· Registered Health Information Administrator (RHIA)
· Registered Health Information Technician (RHIT)
· Certified Coding Specialist (CCS)
· Certified Coding Associate (CCA)
· Certified Outpatient Coder (COC)
· Certified Inpatient Coder (CIC)
· Certified Professional Coder (CPC)
· Registered Health Information Administrator (RHIA)
Experience:
· 3-5 years of relevant experience in acute care facility (hospital) medical coding, auditing, or compliance roles.
Skills:
· Expertise in medical coding systems (ICD-10-CM, CPT, HCPCS), healthcare billing, and medical terminology.
· Familiarity with CMS regulations, payer requirements, and healthcare compliance laws.
· Excellent analytical skills with a strong attention to detail.
· Effective communication skills for education and collaboration.
· Proficiency in using healthcare software and EHR systems (e.g., Epic, Cerner).
Working Conditions:
· Remote work with flexibility to manage tasks independently.
· Occasional travel may be required for training sessions or audits.
Medical Auditor (Billing & Coding)
Remote medical record librarian job
Responsible for conducting coding and documentation audits for assigned providers and consulting and educating providers on documentation requirements and other compliance issues related to billing.
Under the direct supervision of the Billing & Coding Compliance Manager, this full-time position will work with physicians and other clinicians to ensure they comply with documentation and coding standards, regulations and requirements. This includes conducting billing and coding audits, identifying and resolving issues, and educating clinicians and staff on requirements for documenting, coding and billing medical services.
Job Responsibilities and Accountabilities:
Assists with monitoring of OrthoVirginia's Compliance Program as related to billing, coding, and documentation, including the OIG Compliance Program guidance for physician practices and third-party billing companies
Performs audits of coding and billing data for accuracy and compliance with federal regulations
Conducts physician, APP and scribe coding and documentation education classes as needed/requested
Educate clinicians, as assigned, in documentation and coding to ensure documentation meets appropriate coding levels
Prepares requested reports by collecting, analyzing, and summarizing relevant information obtained through education, and other educational activities.
Meets with assigned providers on a regular basis to educate and review results of audits
Responsible for keeping up to date with all E/M Documentation Guidelines
Monitors all compliance issues identified during routine audits and recommends areas that indicate a focused audit may be necessary
Assists with projects as directed
Qualified Candidates must meet all of the following criteria:
Exemplifies OrthoVirginia's values - excellence, compassion and unity
Bachelor's Degree or equivalent with 5 to 7 years' experience working as a credentialed coder, preferably in a medical practice
Licensing, certification/degree as one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist - Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Evaluation and Management Coder (CEMC) required
Thorough knowledge of CPT and ICD coding principles and guidelines
Knowledge of Medicare and Medicaid rules for documentation of billed services
Strong analytical and problem-solving skills required including experience auditing
Ability to exercise initiative, problem-solving and decision-making to effectively plan, prioritize, and complete projects/tasks with little supervision in a fast paced, changing environment
Specific, thorough understanding of regulatory requirements relating to documentation, claims processing, reimbursement, and coding
Skilled in establishing and maintaining effective professional working relationships with physicians, advanced practice providers, administration and team members
Advanced working experience in Microsoft Office including Excel (formulas, pivot tables, dashboards, etc)
Exceptional written and strong verbal communication skills: face to face, email, written correspondence, telephone
Other:
Has access to and knowledge of extremely sensitive, private and confidential materials-ability to maintain the highest standard of confidentiality is required with zero tolerance
Participates in professional developments efforts to ensure currency in health care policies and trends
Maintains detailed knowledge of practice management and other computer software as it relates to job functions
Some travel to regional offices will be required
Typical Physical Demands:
Position requires full range of body motion including handling and lifting, manual and finger dexterity and eye-hand coordination. Involves standing and walking. Employee will occasionally be asked to lift and carry items weighing up to 30 pounds. Normal visual acuity and hearing are required. Employee will work under stressful conditions, and work irregular hours. Employee may have frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations and other conditions common to a clinic environment
#STATEOV
Information & Referral Clerk I - Comm. Center
Remote medical record librarian job
Definition: Under the direction of the Communications Center Manager, the Information and Referral Clerk answers incoming calls to the communication center for either appointments (schedules/reschedules/cancels/transfers) or health center messages (documents/routes/ transfers/provides information) from patients/clients/caregivers to assure accurate and timely communications in a culturally sensitive and highly professional manner.
Reports To: Directly to a Communications Center Manager and indirectly to the Associate Administrator for the Communications Center
Qualifications:
1. High school diploma or General Education Development (GED) certificate.
2. Computer skills in Microsoft Office programs (Word, Excel, etc.), electronic health record systems, and database systems.
3. Must be able to manage a high volume of calls of at least 90 or more calls per day with a high level of proficiency.
4. Fluency in English (Speak, read and write).
5. Fluency in Spanish (speak, translate, read and write) required.
6. Sensitivity to the different cultures represented among patients, callers and staff.
7. Demonstrated ability to listen and communicate with others in a professional and caring manner including sensitivity with individuals from diverse cultures and lifestyles.
8. Displays qualities of dependability and reliability, be willing to accept a variety of tasks and be able to comprehend quickly and follow directions accurately.
9. Current California driver's license, appropriate insurance coverage and a driving record acceptable to the NEVHC's insurance carrier (if required to drive on the job).
10. Must be willing and able to work a varied and flexible schedule to accommodate the needs of NEVHC and its patients.
11. Typing speed of 40 wpm.
12. This job can be performed remotely with a Telecommute Agreement between supervisor and employee as long as employee meets all other job requirements and has a satisfactory evaluation on file.
Northeast Valley Health Corporation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Northeast Valley Health Corporation complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities.
Monday through Wednesday 8:30 AM to 5:00 PM, Thursday OFF, Friday 8:30 AM to 5:00 PM
Medical Coding Auditor
Remote medical record librarian job
Job Posting
We are dedicated to providing exceptional care to every patient, every time.
St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades.
Position Summary:
Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 100% remote.
Education, Experience, & Licensing Requirements:
Education: Associate degree in Health Services
Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience.
Licensure: RHIA, RHIT, or CCS certification
Benefits for a Better You:
Day one benefits package
Pension Plan & 401K
Competitive compensation
FSA & HSA options
PTO programs available
Education Assistance
Why You Belong Here:
You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.
Auto-ApplyEMR Specialist
Remote medical record librarian job
Partner with us in making a positive change! Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in our mission to improve mental healthcare.
Job Title:
EMR / EHR Help Desk Technician & Trainer l
Division/Program:
Corporate
Starting Compensation:
27.00 - 30.00 USD Per Hour
Working Location:
Long Beach, CA
Working Hours/Shift:
Monday - Friday (8:00 am - 5:30 pm)
Why Join Our Team?
* Competitive Compensation: Offering a salary that matches your skills and experience.
* Generous Time Off: Enjoy ample vacation and holiday pay.
* Comprehensive Benefits Package:
* Employer-paid medical, dental, and vision coverage.
* Additional voluntary benefits to support your lifestyle.
* Professional Growth Opportunities:
* On-the-job training with access to paid CEU opportunities.
* Career development programs designed to help you grow.
* Supervision for BBS hours for AMFT, ACSW, and APCC professionals (where applicable).
Employee Recognition & Rewards: A culture that celebrates and rewards your hard work and dedication
What you bring to SBHG:
Education
* High School Diploma required.
* Bachelor's Degree preferred.
Experience
* Experience using electronic medical records systems or comparable required.
* Two (2) years' experience in quality assurance or two (2) years of direct treatment services delivery in mental health is preferred.
* Previous helpdesk end-user support experience preferred.
License or Certification
* A valid California Driver's License is required.
How you will make a difference:
The Electronic Medical Records (EMR) Specialist is central to managing SBHG's EMR system, expertly handling all help desk tickets by independently identifying, researching, and resolving complex workflow and technical issues. This role requires meticulous adherence to procedures for support tickets, managing all user accounts, and acting as the key liaison between the software vendor and the IT Department for timely issue resolution. Beyond support, the Specialist drives system enhancements by leading user training and operations meetings, developing comprehensive EMR materials, and actively participating in system testing and various projects. This position provides flexibility to work remotely based on company needs but requires flexibility to work outside regular business hours, including evenings, weekends, and some holidays, as needed.
Division/Program Overview:
The EMR Specialist is responsible for developing, organizing, and editing health record documentation and clinical records, ensuring data integrity and secure protection across the system.
Learn more about SBHG at: ***********************************
For Additional Information:
********************
In accordance with California law, the grade for this position is 27.07 - 43.31. Placement within the grade is determined based on experience, internal equity, and other factors permitted by law.
Auto-ApplyMedical Records Management
Remote medical record librarian job
Why Choose EXL Health?
At EXL Health, we are more than just a company, we're a team committed to innovation and excellence in healthcare. From your first day, you will collaborate with talented professionals, sharpen your skills, and contribute to solutions that shape the future of healthcare.
Here is what makes this role and our culture exciting:
Dynamic and supportive environment: Work in a fast-paced, high-energy setting where your contributions matter.
Endless learning opportunities: Gain firsthand experience in medical records management, workflow optimization, and team collaboration.
Growth potential: EXL Health values your development with mentoring programs and pathways for advancement.
Purpose-driven work: Join a mission that helps improve healthcare processes while safeguarding patient confidentiality.
What We're Looking For:
Experience and Education: High school diploma (or equivalent) required. Previous experience in a mailroom, mail handling or printshop is a plus.
Skills: Strong organizational abilities, attention to detail, and problem-solving mindset. Proficiency in Microsoft Excel and Outlook is essential.
Work Ethic: Comfortable managing multiple tasks in a high-volume environment, working independently or as part of a team.
Physical Requirements: Ability to stand for extended periods and lift up to 50 lbs.
What You'll Gain:
At EXL Health, we invest in our people with benefits and opportunities that make a difference:
Professional Growth: Learn from industry leaders and grow your expertise in healthcare operations.
Collaboration: Be part of a close-knit, supportive team that values your contributions.
Work-Life Balance: Enjoy a consistent weekday schedule, leaving your evenings and weekends open.
Recognition: Your efforts will not go unnoticed, we celebrate achievements and foster a culture of appreciation.
EXL Health offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.
From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants.
You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time-management skills - key aspects for personal and professional growth.
We provide guidance/ coaching to every employee through our mentoring program where in every junior level employee is assigned a senior level professional as advisors.
Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.
Base Pay Range - $35,000 - $40,000 annually
For more information on benefits and what we offer please visit us at **************************************************
What You'll Do:
Prepare files of outgoing Audit letters daily
Maintain tracking of all outgoing letters
Operate postage meter, inserter, scanner, printers
Troubleshooting machine jams, performing quality checks
Responsible for monitoring supply levels and communicating when they need to be reordered
Responsible for communication and reporting of any equipment, system or workflow issues to the appropriate Leadership or Team Members
Meet quality and productivity standards as indicated by service level
Comply with HIPAA, and postal regulations
Review and process return mail
Other duties as assigned to support the audit process and/or company-wide programs
Auto-ApplyMedical Device QMS Auditor
Medical record librarian job in Columbus, OH
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
* Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
* Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
* Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
* Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
* Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
* Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
* Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
* Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
* Associate's degree or higher in Engineering, Science or related degree required
* Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
* The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
* Knowledge of business processes and application of quality management standards.
* Good verbal and written communication skills and an eye for detail.
* Be self-motivated, flexible, and have excellent time management/planning skills.
* Can work under pressure.
* Willing to travel on business intensively.
* An enthusiastic and committed team player.
* Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyMedical Device QMS Auditor
Medical record librarian job in Columbus, OH
We exist to create positive change for people and the planet. Join us and make a difference too!
Job Title: QMS Auditor
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyMedical Record Specialist
Remote medical record librarian job
Law Firm Medical Records Specialist
One of the fastest-growing and most well-known personal injury and medical malpractice law firms in the country, named to the Inc. 5000 List two years in a row, is hiring a Medical Records Specialist. Do you want to make a real impact on people's lives and help them through a difficult time? Do you live in the details and love researching for information? If so, this is the job for you.
We represent ordinary and extraordinary people, who have been injured or killed or whose loved ones have been injured or killed by the wrongdoing of others. We handle large-loss, high-stakes cases, and the Medical Records Specialist plays a vital role in our success by making sure our cases are fully up-to-date with the medical evidence we need to take cases to trial. If you like playing detective by tracking down records and searching for information in documents, and want to be part of a winning team, this is the job for you.
Our clients come from all walks of life, and so do we. We hire great people from a wide variety of backgrounds, not just because it's the right thing to do, but because it makes our law firm stronger. Excellence is expected and required.
Benefits
Generous year-end bonuses
15 days PTO, 12 paid holidays, and paid bereavement leave
6 Weeks paid parental leave
50% of health insurance premiums paid by firm
401k plan with free 4% match
401k Profit sharing
Cash balance plan (Pension plan) - in addition to the 401k, 401k match, and 401k profit sharing
Diverse and inclusive work atmosphere
Work from home once a week (if you want)
Volunteer opportunities in the community
Wellness and personal and professional development opportunities
Preferred Traits and Skills
We're looking for excellence and will train. Prior experience in requesting, reviewing, or managing medical records is a plus, but not required.
Passionate about helping people, and particularly our clients
Positive attitude
Resilient
Growth mindset - willing to learn
Strong work ethic
Honest
Team Player
Communicator
Resourceful
Attention to detail
A Day In the Life
Upon getting to the office, the medical records specialist will usually begin their day by checking in with their team and reviewing any new items in the firm's case management system. The medical records specialist can expect to be busy reviewing medical records, tracking all medical providers clients have treated with, requesting updated and final sets of medical records, and obtaining balances from medical providers during the course of treatment to accurately update the files. Throughout the day, the medical records specialist may be asked to work on urgent requests for medical records while also staying updated on deadlines with the paralegal. During all of this, the medical records specialist is expected to update the firm's case management system and the firm's document storage system to ensure we have accurate information and all files are properly saved.
Job Duties Include:
Working in a fast-paced and collaborative environment
Sending medical record requests to healthcare providers
Following up on record requests
Saving medical records to client files and updating case management system
Reviewing medical records
Ensuring medical records are given to paralegals to be disclosed in cases
Equal Opportunity StatementforEmployment: Claggett & Sykes Law Firm provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. Claggett & Sykes Law Firm expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.
Medical Records Processing Specialist Onsite
Remote medical record librarian job
COMPANY:
HealthMark Group is a leading provider of health IT solutions for healthcare providers across the country. By leveraging technology to reimagine the business of healthcare, HealthMark transforms administrative processes into seamless digital solutions. From HealthMark s proprietary MedRelease platform for Release of Information, the company is pioneering an efficient, compliant, and patient-centric approach to support the entire spectrum of the patient information journey. HealthMark Group was founded in 2006 with corporate headquarters in Dallas, TX, and has been named to both the Dallas 100 and the Inc. 5000 for multiple years in a row as one of the fastest-growing companies in the region and in the country.
:
HealthMark Group is growing and looking for bright, energetic, and motivated candidates to join our team. This is an entry-level position and an exciting opportunity for someone looking to start their career with a fast-growing company. We are expanding rapidly and have created unique roles that need qualified candidates.
Medical Records Processing Specialist Onsite- can work Remotely and cover onsite as needed
LOCATION: Round Rock Texas
JOB ROLE AND RESPONSIBILITIES:
Complete all incoming ROI requests in a timely and efficient manner.
This position must maintain 100% ROI Accuracy.
This position must complete all STATs within an hour and maintain a 24-hour turnaround time for all other ROI requests.
This position must keep all queues current.
Validates requests and authorizes for release of PHI according to established procedures.
Performs quality checks on all work to ensure the accuracy of the release, confidentiality, and proper invoicing.
Maintains confidentiality, security, and standards of ethics with the employer and medical records information during transport, storage, and disposal.
Complete legal affidavits and questions as needed.
Regularly scan ROI request into chart.
Abides by the ROI policy specific to both HealthMark and the client.
This position must maintain a neat, clean, and professional personal appearance and observe the dress code established by the client.
This position must maintain a clean and orderly work area. Ensure that records and files are properly stored before leaving the area and ensure adequate supplies to meet needs.
Maintain and update facility guide as needed.
Provides excellent customer service by being attentive and respectful.
Follows-through as promised.
Proactive in identifying PT complaints with the ability to de-escalate as needed.
Communicate effectively with customers.
Achieve maximum customer satisfaction.
Qualities that the candidate for this position should include:
Fast learner
Dependable
Quick worker
Team player
Positive attitude
Someone who strives to do more.
Benefits:
Paid Time Off
401k Match
Health Benefits
CRAFT Culture
Paid Floating Holiday & Volunteer Day
Note: This job description is intended to provide a general overview of the position and does not encompass all job-related responsibilities and requirements. The responsibilities and qualifications may be subject to change as the needs of the organization evolve.
EMR Remote Access Specialist (In-Office)
Remote medical record librarian job
Job Title: EMR Hospital Access User Management Specialist
Reports to: Director of EMR Integration
FSLA Status : Full Time, non-exempt
Salary: $17.00 - $18.00 per hour
* Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise.
Job purpose
This position reports to the Vice President of Operations and works closely with the Clinical Technology Team, communication with upper management and specific related departments. Obtaining and tracking all internal employee access to external facility systems.
Duties and responsibilities
Communicate with staff on new credentials, changes, & access confirmation
Communicate with Legal/facility contacts on signing and execution of contracts
Communicate with management team and client facilities
Communicate with Compliance for any facility access concerns
Corporate site administrator for several client facility remove systems
Deactivate and request facility accesses
Support with Administrative responsibilities
Build and maintain JIRA & Confluence data bases (Maintain tracking for client/facility contacts for remote access)
All other duties as assigned
Qualifications
Extremely organized
Ability to prioritize
Commitment to deadlines
Analytically oriented and able to communicate findings both verbally and in writing
Ability to work autonomously with minimal supervision
Ability to multi-task
Proficient in Microsoft Office including Word, Power Point, and Excel
Excellent verbal and written communication skills
Professional and reliable
High-level of accuracy and attention to detail
Strong work ethic
Maintain high-level of confidentiality
Must type 40 WPM
Physical Requirements
Physical ability to sit, talk, hear for extended periods throughout the work day; stand, walk, push/pull, bend, stoop, kneel and reach on a regular to seldom basis. Repetitive hand motions on a frequent basis including fingering, grasping and handling. Ability to read handwritten and typed documents on paper and/or on computer screens.
The physical requirements above are representative of the physical capabilities that must be met by an employee to perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Benefits: As an eligible employee, you will receive a competitive salary and optional benefits including medical, dental and vision insurance, short and long-term disability coverage, life insurance, retirement plans, paid time off and paid holidays.
Coronis Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Auto-ApplyRisk Adjustment Medical Record Coder
Remote medical record librarian job
The Risk Adjustment & Quality Division at BCBST is seeking a skilled Risk Adjustment Medical Record Coder to support our mission of delivering accurate and compliant coding practices.
What You'll Do: In this role, you will perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with BCBST policy.
Preferred Qualifications:
CRC (Certified Risk Adjustment Coder) certification is a plus. If not currently certified, you must obtain it within one year of hire.
Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and Affordable Care Act (ACA) programs highly preferred.
What Sets You Apart:
Self-motivated and proactive, thriving in a remote work environment
A true team player, ready to engage in team chats and support colleagues
A learner, eager to grow and adapt in a constantly evolving industry
Job Responsibilities
Maintain compliance with CMS risk adjustment diagnosis coding guidelines.
Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).
Assist with the intake and quality assurance of medical records as necessary.
Perform or participate in special projects as directed by management.
ICD-10 Coding assessment is required.
Job Qualifications
Education
Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience.
Experience
1 year - Progressive medical coding and health care experience required.
Skills\Certifications
Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA).
Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.
Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
Must be a team player, be organized and have the ability to handle multiple projects.
Excellent oral and written communication skills.
Strong interpersonal and organizational skills.
Understanding of ICD-10 coding standards required.
Number of Openings Available
0
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Auto-Apply