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  • Medical Expert with EMR System Expertise

    Mercor

    Remote medical records supervisor job

    Mercor is collaborating with a research-focused AI organization seeking medical experts with extensive experience using electronic medical record (EMR) systems. This opportunity involves applying your domain knowledge to support the development of AI tools that better understand clinical workflows and healthcare documentation. It's a chance to leverage your practical expertise in EMR usage to shape cutting-edge technology with real-world healthcare applications. * * * **Key Responsibilities** - Review and validate AI-generated content related to EMR workflows and medical documentation - Provide feedback on clinical accuracy and usability within EMR contexts - Develop and refine case-based scenarios that simulate real-world EMR usage - Collaborate on evaluating system outputs for clinical consistency and alignment with medical standards * * * **Ideal Qualifications** - Hands-on experience with major EMR or clinical systems (e.g., Epic, Cerner, Allscripts, Meditech). - Medical education background with an understanding of medical workflows. - Strong understanding of medical documentation standards and patient record workflows. - Detail-oriented with the ability to identify inaccuracies in complex medical content. - Are currently based in the **U.S., Canada, New Zealand, UK, or Australia.** * * * **Role Highlights** Flexible workload: 10-20 hours per week, with potential to increase to 40 hours. - Fully remote and asynchronous-work on your own schedule. * * * **Role Start Date** - This role will begin in September with applications reviewed on a rolling basis. * * * **Interview Process** - You will take a technical interview where we assess your implementation experience, approach to integrations, and documentation skills. - As part of the interview you will **share your screen** and complete a practical task (≈25 minutes) such as: map a FHIR resource to EHR data fields, write an interface mapping snippet, create a high-level go-live checklist, or diagnose a sample interface error from logs. - You may be asked to evaluate an AI-generated implementation proposal (for example, a suggested mapping or configuration) and provide corrections or improvements-this helps us understand your real-world judgement on accuracy and safety. - Applicants will be selected based on their hands-on performance, clarity of technical reasoning, and ability to produce operational documentation. * * * **Compensation and Legal Details** - $60-100/hour depending on expertise and geography - You will be legally classified as an hourly contractor for Mercor - We will pay you out at the end of each week via Stripe Connect * * * **About Mercor** Mercor connects elite creative and technical talent with leading AI research labs, headquartered in San Francisco, CA. Our distinguished investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Apply today and redefine digital creativity alongside groundbreaking AI technologies!
    $32k-41k yearly est. 60d+ ago
  • Medical Coding Auditor

    Talently

    Remote medical records supervisor 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.
    $85k yearly 3d ago
  • Certified Medical Coders

    Prokatchers LLC

    Remote medical records supervisor 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.
    $42k-67k yearly est. 2d ago
  • Inpatient Coding Denials Specialist

    HHS, LLC 4.2company rating

    Remote medical records supervisor job

    We are seeking an experienced Inpatient Coding Denials Specialist to review and resolve inpatient coding-related denials and prevent lost reimbursement. The ideal candidate has strong inpatient coding expertise, DRG assignment experience, and the ability to write effective clinical/coding appeals. In this role, you will review medical documentation, ensure coding accuracy, validate DRG assignments, develop appeal letters, and collaborate with leadership to address denial trends and prevention strategies. Schedule: Monday-Friday, Days (Core hours 8:00 AM-4:00 PM EST; flexible after training; no weekends) Work Environment: Remote, office-based Key Responsibilities Review inpatient medical records and assign accurate diagnoses, procedures, DRGs, and discharge dispositions Analyze denials, validate DRGs, and develop clear and effective appeal letters Research payer policies and regulatory resources, including CMS and NCD/LCD guidelines Identify trends and recommend denial prevention strategies Maintain productivity, accuracy, credentialing, and compliance standards Stay current with coding guidelines and participate in ongoing education Required Qualifications CCS, RHIT, or RHIA credential required 3+ years acute care inpatient coding experience (5+ preferred) Experience with DRG assignment (denial/appeals experience preferred) Strong knowledge of ICD-10-CM, ICD-10-PCS, MS-DRGs, and inpatient coding guidelines High level of accuracy, analytical ability, and communication skills Skilled in Microsoft Office and able to work independently and meet deadlines Education High school diploma/GED required HIM/HIT degree preferred Additional Experience Prior coding audit/denials experience a plus Physical/Work Requirements Remote work; requires sustained computer use and sitting Ability to lift up to 25 lbs occasionally
    $30k-39k yearly est. 3d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    Remote medical records supervisor job

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 1d ago
  • V108- Medical Records Virtual Manager

    Flywheel Software 4.3company rating

    Remote medical records supervisor job

    For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive. As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022! : Join Job Duck as a Medical Records Case Manager and become an integral part of a dynamic legal team dedicated to excellence in personal injury law. In this role, you will manage critical case documentation, ensuring accuracy and timeliness while supporting attorneys in delivering exceptional client service. You'll thrive if you are detail-oriented, organized, and proactive, with a strong sense of accountability and ownership. This position offers the opportunity to make a meaningful impact every day by streamlining processes and maintaining high standards in a collaborative environment. • Salary Range: from $1,220 to $1,320 USD Responsibilities include, but are not limited to: Communicate effectively with attorneys and team members to support case progress Conduct follow-ups with providers and clients to ensure timely updates Perform data entry for case-related documentation Ensure compliance with firm standards and confidentiality requirements Accurately fill and maintain medical records in the system Maintain organized case files and documentation in FileVine Request and obtain medical records, bills, and liens from providers Requirements: Required Skills: •Minimum of 1 year of experience as a legal assistant or case manager, or in a legal support role and/or related Bachelor's degree in legal studies •Advanced/native-level English skills (both written and spoken) • Customer Service • Team Player • Ownership • Attention to Detail • Organizational Skills • Timeliness Additional Job Description: • Location: Remote support for a Florida-based law firm • Time Zone: Eastern Standard Time (EST) • Working Hours: 9:00 AM - 5:00 PM EST • Language Requirement: Spanish (mandatory) and English. • Software/Tools: • FileVine (CRM) • VOIP system (as provided by the firm) Work Shift: Languages: English, Spanish Ready to dive in? Apply now and make sure to follow all the instructions! Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process. Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.
    $49k-79k yearly est. Auto-Apply 11d ago
  • EMR Integrations Manager

    Billiontoone 4.1company rating

    Remote medical records supervisor job

    Ready to redefine what's possible in molecular diagnostics? Join a team of brilliant, passionate innovators who wake up every day determined to transform healthcare. At BillionToOne, we've built something extraordinary-a culture where transparency fuels trust, collaboration drives breakthroughs, and every voice matters in our mission to make life-changing diagnostics accessible to all. We don't just aim for incremental improvements; we strive to build products that are 10x better than anything that exists today. Our people are our greatest asset: talented scientists, engineers, sales professionals, and visionaries united by an unwavering commitment to changing the standard of care in prenatal and cancer diagnostics. This is where cutting-edge science meets human compassion-every innovation you contribute helps remove fear of unknown from some of life's most critical medical moments. If you're driven by purpose, energized by innovation, and ready to help build the future of precision medicine, this is where you belong. BillionToOne is seeking a EMR Integrations Manager to lead the operational delivery and continuous improvement of our EMR connectivity across both business units. This role ensures reliable, compliant, and high-performing EMR integrations that enhance provider workflows and patient access to care. This hands-on position requires an understanding of HL7 integrations, interoperability, and vendor connectivity, combined with excellent project management and stakeholder coordination and communication skills. The ideal candidate enjoys balancing technical problem-solving with process improvement and cross-functional leadership. Responsibilities: Integration Operations Manage day-to-day EMR integration operations, ensuring accurate and timely order and result transmissions across partner systems. Oversee HL7 integrations, including setup, validation, testing, and ongoing monitoring of connections through Redox and other vendors. Lead manual EMR order associations and triage-investigating and resolving missing or misrouted orders and results. Improve and maintain automation processes (bots) for EMR order matching and reduce manual touchpoints. Coordinate manual testing workloads for EMR integrations, ensuring end-to-end data validation and compliance. Work with Software engineering to ensure the scalability of our EMR integrations. Project & Stakeholder Management Serve as the project manager for EMR integrations across all business units, coordinating between Sales, Engineering, Product, and external partners. Manage the intake and approval process for new EMR integration requests, ensuring alignment with business priorities and feasibility. Represent EMR Operations on hospital and clinic integration calls, providing technical and workflow expertise. Collaborate with Engineering and Product teams to resolve issues, drive continuous improvement, and manage release readiness. Troubleshooting & Triage Lead triage of EMR order management issues, including missing results, order mismatches, or compendium misconfigurations. Coordinate with Engineering, Account Executives, and vendors (e.g., Redox, LK) to investigate and implement corrective actions. Manage the EMR Slack triage channel, responding to internal team questions, order transmission failures, and troubleshooting requests. Cross-Functional Collaboration Partner with Sales to manage client onboarding workflows, including IT questionnaires, legal contract coordination, and BAA execution. Act as the central point of communication between IT, Engineering, Sales, Legal, and Clinical Operations for all EMR-related processes. Maintain and improve internal documentation and playbooks for EMR operations and troubleshooting. Qualifications: Bachelor's degree in Health Informatics, Information Systems, or related field preferred. 5+ years of experience in lab systems, EMR integration, interoperability, or healthcare IT operations. 5+ years of experience with clinical systems, LIMS, and Salesforce. Hands-on experience with HL7, FHIR, and integration platforms (Redox, Mirth, or similar). Proven ability to manage integration projects end-to-end, including planning, testing, and production support. Excellent problem-solving, organizational, and communication skills. Benefits And Perks: Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients Open, transparent culture that includes weekly Town Hall meetings The ability to indirectly or directly change the lives of hundreds of thousands patients Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80% Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%) Supplemental fertility benefits coverage Retirement savings program including a 4% Company match Increase paid time off with increased tenure Latest and greatest hardware (laptop, lab equipment, facilities) At BillionToOne, we are proud to offer a combination of a (1) base pay range (actual amount offered is based on experience and salary/equity options split that the candidate chooses), (2) generous equity options offering, (3) corporate bonus program, on top of (4) industry leading company benefits (free healthcare options, 401k match, very generous fully paid parental leave, etc.). For this position, we offer a total compensation package of up to $255,857 per year, including a base pay range of $147,841 - $168,961 per year. BillionToOne is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. For more information about how we protect your information, we encourage you to review our Privacy Policy. About BillionToOne BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Our revolutionary QCT molecular counting technology enhances disease detection resolution by over a thousandfold using cell-free DNA-a breakthrough that's already transformed the lives of over half a million patients worldwide. Our Impact: We've pioneered game-changing diagnostic solutions that are redefining industry standards. Unity Complete™ stands as the only non-invasive prenatal screen capable of assessing fetal risk for both common recessive conditions and aneuploidies from a single maternal blood sample. In oncology, our Northstar liquid biopsy test uniquely combines treatment selection with real-time monitoring, giving oncologists unprecedented precision in cancer care. Our Growth: From $0 to $125 million in Annual Recurring Revenue in just four years. We've raised close to $400 million in funding, including a $130 million Series D round in June 2024, achieving a valuation of over $1 billion. This backing comes from world-class investors including Hummingbird, Adams Street Partners, Neuberger Berman, Baillie Gifford, and Premji Invest. Our Recognition: Forbes recently named us one of America's Best Startup Employers for 2025, and we were awarded Great Place to Work certification in 2024-with an incredible 100% of our people reporting they are willing to give extra to get the job done. These honors recognize not just our innovation but the exceptional culture we've cultivated-one that remains authentically collaborative and transparent even as we've scaled. Our Future: Headquartered in Menlo Park with facilities in Union City, California, we're continuing to push the boundaries of what's possible in molecular diagnostics. Recent clinical outcomes data for Unity Fetal Risk Screen and new advances in cancer diagnostics prove we're just getting started. At BillionToOne, you'll join a diverse team of passionate innovators who believe that the best science happens when brilliant minds collaborate openly, think boldly, and never lose sight of the patients whose lives depend on our work. Ready to help us change the world, one diagnosis at a time? Learn more at ********************
    $47k-77k yearly est. Auto-Apply 1d ago
  • #91325: EMR Integration Project Manager - Remote (Must be a NYS Resident)

    Med Scribe, Inc.

    Remote medical records supervisor job

    Med-Scribe, Inc. is a staffing firm dedicated to recruiting promising candidates to the perfect healthcare opportunities since 1987! Let us assist you! Join a leading health insurance organization in a 6-12 month project-based role focused on advancing healthcare quality through value-based payment initiatives. In this position, you'll play a critical role in enabling seamless data exchange between providers and an advanced analytics platform, supporting quality measures that improve patient outcomes. These are REMOTE opportunities for candidates within Buffalo, Rochester, Syracuse, and Utica areas! Job Responsibilities: Oversee the integration of claims data from a major insurance provider into an external analytics platform, supporting quality and value-based care initiatives. Track project milestones, manage deliverables, and ensure clear communication across internal teams and external provider practices. Collaborate with provider offices and technical teams to establish EMR connectivity, troubleshoot issues, and maintain smooth data exchange. Test and validate claims and EMR data, conducting reasonability checks to align with HEDIS and other quality measures. Partner with cross-functional teams to analyze performance data and generate insights that support improved care delivery. Schedule: Full-time; Monday through Friday, 40 hours/week Pay Rate: $39.50/hr with a full benefits package (medical, dental, vision, and PTO).
    $39.5 hourly 18d ago
  • Medical Records Specialist I

    Equip Health

    Remote medical records supervisor job

    About Equip Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes and treatment approach at ***************** Founded in 2019, Equip has been a fully virtual company since its inception and is proud of the highly-engaged, passionate, and diverse Equisters that have created Equip's culture. Recognized by Time as one of the most influential companies of 2023, along with awards from Linkedin and Lattice, we are grateful to Equipsters for building a sustainable treatment program that has served thousands of patients and families. About the Role: The Medical Records Specialist I (MRS I) is responsible for maintaining, organizing, and managing patient health information in compliance with regulatory requirements and organizational policies. This role ensures the accuracy, confidentiality, and security of medical records while supporting care teams and external facilities with timely access to information. The MRS I is detail-oriented, efficient, and knowledgeable about health information management systems and regulations such as HIPAA. Responsibilities Collect, organize, maintain, and update patient medical records and information within the EMR system. Ensure the accuracy and completeness of medical records by reviewing documents for errors or omissions. Upload and retrieve records in accordance with established policies and procedures. Safeguard patient information by following HIPAA and organizational confidentiality protocols. Regularly audit records to ensure compliance with legal and regulatory standards. Respond to requests for medical records from healthcare providers, insurance companies, and legal entities. Assist patients with accessing their medical records while adhering to privacy guidelines. Verify the legibility and completeness of medical records. Coordinate with healthcare providers to address discrepancies or missing information. Perform other duties as assigned. Qualifications LCSW (Licensed Clinical Social Worker), CCMA (Certified Clinical Medical Assistant) or equivalent certification. 1+ years of professional experience in medical records management or a related healthcare setting. Strong knowledge of medical terminology, health information systems, and HIPAA regulations. Detail-oriented with excellent organizational and problem-solving skills. Effective communication skills for interacting with patients, staff, and external entities. Ability to prioritize and handle multiple tasks in a fast-paced environment. Compensation $48k - $60K • Offers Bonus Benefits Package Time Off: Flex PTO policy (3-5 wks/year recommended) + 11 paid company holidays. Medical Benefits: Competitive Medical, Dental, Vision, Life, and AD&D insurance. Equip pays for a significant percentage of benefits premiums for individuals and families. Employee Assistance Program (EAP), a company-paid resource for mental health, legal services, financial support, and more! Other Benefits Work From Home Additional Perks: $50/month stipend added directly to an employee's paycheck to cover home internet expenses. One-time work from home stipend of up to $500. Physical Demands Work is performed 100% from home with no requirement to travel. This is a stationary position that requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone. Sit or stand as needed. #LI-Remote At Equip, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of Equip's mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have an Equip DEIB council, Equip For All; also referred to as EFA. EFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, weight, and/or any other legally protected classification protected by federal, state, or local law. Our dedication to equitable access, which is core to our mission, extends to how we build our "village." In line with our commitment to Diversity, Equity, Inclusion, and Belonging (DEIB), we are dedicated to an accessible hiring process where all candidates feel a true sense of belonging. If you require a reasonable accommodation to complete your application, interview, or perform the essential functions of a role, we invite you to reach out to our People team at accommodations@equip.health. #LI-Remote
    $48k-60k yearly Auto-Apply 2d ago
  • Remote Medical Coding Auditor

    Patient Financial Concepts

    Remote medical records supervisor 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.
    $48k-82k yearly est. 60d+ ago
  • Medical Auditor (Billing & Coding)

    Orthovirginia

    Remote medical records supervisor 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
    $43k-66k yearly est. 17h ago
  • Behavioral Health Medical Records Specialist

    Assembly Health

    Remote medical records supervisor job

    Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. What you'll do Medical Records Preparation: Collect, organize, and prepare medical records and related documentation required for insurance claim review. Ensure that all records are complete, accurate, and compliant with insurance requirements. Claims Submission Support: Work closely with billing specialists and AR specialists to submit medical records and documentation as part of the insurance claims process. Documentation Review: Verify the accuracy and completeness of all documentation before submission to third-party payers, identifying and addressing any missing information or discrepancies. Coordination with Providers: Liaise with healthcare providers and internal departments to obtain additional information or clarification on medical records as needed for medical record submissions. Compliance: Ensure that all medical records and documentation submitted to third-party payers comply with HIPAA, payer-specific guidelines, and other regulatory requirements. Follow-Up: Track the follow up on the status of submitted claims provided by AR specialists, ensuring that any requests for additional documentation from insurance companies are addressed promptly. Verify and properly document confirmation of receipt of submitted medical records facilitating the next phase of follow up. Communication: Maintain clear and effective communication with Leadership, billing and collections staff, insurance companies, and healthcare providers regarding the status of claims issues related to documentation. Record Management: Maintain organized and secure records of all documentation submitted to insurance companies, ensuring that these records are accessible for audits or reviews. Reporting: Generate reports on the status of medical records submissions, including any delays, denials, or issues related to medical records, and provide these reports to the Payer relations manager and the Director of Revenue Cycle Management. Training and Support: Assist and provide guidance and training to billing staff on the proper documentation and submission procedures required for successful claims processing involving medical records submissions as needed. Assist and provide guidance and training to AR specialists on the proper follow up procedures required for successful processing of claims involved in the medical record process Process Improvement: Identify areas for improvement in the medical records submission process and work with the Leadership team to implement best practices and enhance efficiency. Execute additional duties as assigned, demonstrating diligence and meticulous attention to detail. What we're looking for Associate's degree in health information management, Medical Billing, or a related field is preferred. Minimum of two to four of experience in medical records management, billing, or a related role, with a focus on third-party billing and insurance claims submission. Strong understanding of medical records documentation, insurance billing processes, and regulatory compliance, including HIPAA. Excellent organizational, communication, and problem-solving skills, with attention to detail and the ability to manage multiple tasks simultaneously. Proficiency in electronic health records (EHR) systems and billing software. Ability to function well in a fast-paced and at times stressful environment. Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times. Why join the team? Be part of something special! We are growing both organically and through acquisitions. Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way! Ongoing training and development programs. An environment that values transparency. This is a full-time, non-exempt position reporting to the Payer Relations Manager. The compensation range for this position is $20 - $26 per hour. Salary Range$20-$26 USD Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.
    $20-26 hourly Auto-Apply 9d ago
  • EMR Specialist

    Stars Behavioral Health Group

    Remote medical records supervisor 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.
    $31k-39k yearly est. Auto-Apply 35d ago
  • Medical Records Clerk

    Evolution Sports Group

    Remote medical records supervisor job

    Medical Records Clerk Evolution Sports Group is a leading sports management company that represents professional athletes in various sports. We are committed to providing our clients with top-notch services and support to help them achieve their goals on and off the field. Job Summary: We are seeking a highly organized and detail-oriented individual to join our team as a Medical Records Clerk. The primary responsibility of this role is to oversee the maintenance and organization of all medical records for our clients. The ideal candidate will have a strong understanding of medical terminology and be able to work efficiently in a fast-paced environment. Key Responsibilities: - Collect, organize, and maintain all medical records for our clients - Ensure that all records are accurate, complete, and up-to-date - Communicate with medical professionals to obtain necessary records and information - Create and maintain electronic and physical filing systems - Assist in the preparation of medical reports and documentation for legal purposes - Coordinate with insurance companies to obtain necessary authorizations and approvals - Follow all HIPAA regulations and maintain confidentiality of medical records - Collaborate with other team members to ensure timely and accurate record keeping - Assist with administrative tasks as needed Qualifications: - High school diploma or equivalent required - Previous experience in a medical records or administrative role preferred - Strong knowledge of medical terminology and procedures - Excellent organizational and time management skills - Proficient in Microsoft Office and electronic medical record systems - Ability to work independently and as part of a team - Strong attention to detail and accuracy - Excellent communication and interpersonal skills - Ability to maintain confidentiality and adhere to HIPAA regulations Benefits: - Competitive salary - Comprehensive health benefits package - 401(k) retirement plan - Paid time off and holidays - Professional development opportunities If you are a highly organized and detail-oriented individual with a passion for the sports industry, we would love to hear from you. Apply now to join our dynamic team at Evolution Sports Group as a Medical Records Clerk. Package Details Pay Rate: $35-50 per hour, depending on experience Training Pay: $30 per hour (1-week paid training) Training Bonus: $700 incentive upon completion Work Schedule: Flexible - Full-time (30-40 hrs/week) or Part-time (20 hrs/week) Work Type: 100% Remote (U.S.-based only) Benefits: Paid Time Off, Health, Dental & Vision Coverage Home Office Setup: Company-provided workstation and equipment Growth Opportunities: Internal promotion and career development support
    $31k-39k yearly est. 16d ago
  • Medical Coding Auditor

    St. Luke's Hospital 4.6company rating

    Remote medical records supervisor 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.
    $44k-65k yearly est. Auto-Apply 60d+ ago
  • Medical Records Specialist

    Curana Health

    Remote medical records supervisor job

    At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we've grown quickly-now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place-and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary The Medical Records Specialist plays an important role in helping our clinical and billing teams deliver great care. This position focuses on gathering, organizing, and managing medical records from both internal systems and outside partners. If you enjoy detail-oriented work, staying organized, and supporting a mission-driven healthcare team, this could be a great fit. You'll help ensure providers, coders, and billers have the information they need while protecting patient privacy and keeping the department running smoothly. Essential Duties & Responsibilities Supports Curana Health's mission, values, and commitment to excellent service. Protects patient information by following all Corporate Compliance and HIPAA guidelines. Handles incoming and outgoing medical records requests from: Insurance carriers, law offices, home health agencies, and DME providers Providers requesting records from labs, hospitals, imaging centers, and other outside organizations Retrieves records from external EMRs to support coding, billing, and clinical workflows. Ensures all work follows department policies, procedures, and quality standards. Meets established performance goals and maintains timely follow-through on tasks. Organizes and maintains accurate files, logs, and reports for the medical records department. Qualifications High school diploma or equivalent At least two years of healthcare experience, including basic medical terminology We're thrilled to announce that Curana Health has been named the 147 th fastest growing, privately owned company in the nation on Inc. magazine's prestigious Inc. 5000 list. Curana also ranked 16 th in the “Healthcare & Medical” industry category and 21 st in Texas. This recognition underscores Curana Health's impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.
    $28k-36k yearly est. Auto-Apply 1d ago
  • Medical Record Specialist

    Claggett and Sykes Law Firm

    Remote medical records supervisor 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.
    $26k-33k yearly est. 21d ago
  • Medical Records Clerk

    Ohio Gastroenterology Group Inc. 4.0company rating

    Medical records supervisor job in Columbus, OH

    Ohio Gastroenterology Group is the leading provider of general advanced GI procedures with several state-of-the-art facilities throughout Central Ohio. We employ a talented team of specialists who perform more GI procedures each year than any other practice in our area. We currently have a full-time opening for a Medical Records Clerk. Job Description JOB TITLE: MEDICAL RECORDS CLERK Job Objective: Maintain the flow of charts, faxes, record requests and reports in medical records department Office Location: Americana Parkway DOT Code: 43-4071.00 FLSA Classification: Non-Exempt Reports to: Referrals, Recalls, and Medical Records Supervisor. Daily assignments and direction may, however, be provided by Human Resources Manager, Director of Operations, Patient Access Manager, Team Lead, or the physicians. Interfaces with: Patients, Physicians, co-workers at all OGGI locations, Hospital personnel, and outside vendors/clients. Duties and Responsibilities Primary Job Functions1: · Retrieve and file patient documentation from multiple streams, including hardcopies and electronic files. · Process electronic faxes and filing in a timely manner, uploading patient documents to chart. · Send out faxes as requested by office staff or physicians. · Take incoming requests for copies of medical records, billing associated fees, following disclosure policy for releasing medical records. · Process hospital documentation post visit, including pathology, consults, and procedure reports. · Answer medical records phone calls and resolve caller's inquires. · Process medical records requests by patients or other physicians according to policy and HIPAA guidelines. Secondary Job Functions: · Merge duplicate patient accounts. · Maintain pharmacy and provider contact information database. · Maintain confidentiality of personal and financial information by utilizing HIPAA's guidelines and regulations. · Attend all office meetings or in-services as required. · Any other tasks as requested by the physician, practice manager, human resource manager and/or the office supervisor2 · Assist other departments with scanning Knowledge, Skills, and Abilities · Ability to communicate with diversified levels of patients, staff members, external providers and/or agencies · Fluent in English · Knowledge of modern office procedures and methods including telephone communications, office systems, and record keeping · Knowledge of modern business communication, including style and format of letters, memoranda, minutes, and reports · Skill to use a personal computer and various software packages, including internet. · Ability to establish priorities, work independently, and proceed with objectives with little supervision · Ability to handle and resolve problems · Ability to organize work material to ensure accuracy of patient records. · Neat appearance and a professional demeanor. Credentials and Experience · Must have high school diploma or equivalent · Experience working in a medical records department preferred, preferably in a medical office setting. Special Requirements · Willingness to learn new tasks, be cross trained within the office, and be flexible with workload to help office flow, including assisting co-workers. · Willingness to work occasional overtime. Physical Demands · Applies the principles of body mechanics in lifting or moving boxes or equipment (occasional). · Must be able to sit (frequent), stand (frequent), walk (frequent), stoop (frequent), bend over (frequent), and type on keyboard (frequent). · Ability to communicate in person and by phone (frequent) Work Environment · Medical office requiring occasional contact with adult patients Ohio Gastroenterology Group offers a nice life/work balance and a great benefits package that includes: Medical, dental and vision coverage- benefits are effective the first of the month following 30 days of employment Company paid life insurance and short term disability Generous paid time off plans (vacation, sick and personal) 7 paid holidays Two retirements plans: 401(k) plan that offers a 3% safe harbor contribution with immediate vesting as well as annual profit sharing contributions. Cash balance pension plan - company contributes 2.5% and offers full vesting after 3 years of employment. Tuition reimbursement programs Employee appreciation programs Uniform reimbursement programs Growth opportunities Learning and development training Apply now to join a great company!
    $26k-33k yearly est. 1d ago
  • Medical Record Retrieval Specialist (Nashville)

    Bluecross Blueshield of Tennessee 4.7company rating

    Remote medical records supervisor job

    The Risk Adjustment Medical Record Retrieval team at BCBST is seeing a Medical Record Retrieval Specialist to join our team. In this role, you will be traveling to local provider offices in the Nashville TN area to acquire medical records. Preferred candidates will have experience with medical records and Electronic Medical Record system(s). You will be a great match for this role if you have: Familiarity with Electronic Medical Record (EMR) systems and medical record acquisition processes. At least one year of administrative experience in a clinical setting. Strong interpersonal skills to build and maintain relationships with healthcare providers and colleagues. Adaptable and willing to travel locally on a regular basis to provider offices, with overnight stays on occasion. While this is a fully remote position, you will be required to travel to provider's offices in the Nashville area on a regular basis. Job Responsibilities Load medical records into BCBST coding system and link records to appropriate chart IDs. Download medical records from Electronic Medical Record (EMR) systems remotely and in person. Schedule appointments and assist with the medical record quality assurance process as necessary. Perform or participate in special projects as directed by management Travel to provider offices and assist in the acquisition of medical records. Willing to travel locally on a regular basis with occasional overnight stays. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Education High School Diploma or equivalent Experience 1 year - Administrative experience working in a clinical related setting (physician practice, hospital, insurance company, etc.) is required. Skills\Certifications Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint) 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 Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 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.
    $33k-39k yearly est. Auto-Apply 4d ago
  • Health Information Management (HIM) Manager

    Clearskyhealth

    Medical records supervisor job in Lancaster, OH

    Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The HIM Manager is responsible for maintaining the security, confidentiality, completeness, and accuracy of medical records in accordance with policies and procedures and within the guidelines of regulatory agencies. The HIM Manager may also act as Privacy Officer for the Hospital. Oversees compliance efforts related to the Centers for Medicare & Medicaid Services (CMS) Review Choice Demonstration (RCD) and the Final Rule Audit (FRA). Serves as the primary onsite contact for all RCD/FRA compliance initiatives. This position must integrate company values into daily practice. Essential Functions: Directs, plans, schedules, and participates in day-to-day activities within HIM department, including , indexing, transcription, quantitative analysis, chart completion, the release of medical record information and abstracting of medical information. Oversee daily concurrent medical record completion, collaborating across all disciplines to ensure 100% accuracy and adherence to the Final Rule. Acts as Cerner superuser and source expert in auditing Final Rule elements. Supports providers using Cerner. Directs record assembly and reviews medical records for data elements required for chart completion. Monitors and evaluate physicians and hospital staff to ensure compliance with record keeping requirements. Oversees all ongoing activities related to the development, implementation, maintenance of, and adherence to the organization's policies and procedures covering the privacy of, and access to, patient health information in compliance with federal and state laws and the healthcare organization's information privacy practices. Monitors and evaluates physicians and hospital staff to ensure compliance with record keeping requirements. Collaborates with RCD Leadership and hospital staff on process improvement and education regarding documentation and timeliness. Provides development guidance and assists in the identification, implementation, and maintenance of organization information privacy policies and procedures in coordination with Hospital administration, Corporate Compliance Officer, and legal counsel. May perform initial and ongoing credentialing for Hospital medical staff. Safeguards the confidentiality of all medical records by ensuring the Release of Information policy is followed in accordance with HIPAA and other requirements; securing legal/risk management records; responding timely to subpoenas and/or court orders; and representing the hospital in court hearings and/or depositions as required. Provides an environment conducive to safety for patients, visitors, and staff. Assesses the risks for safety and implements appropriate precautions. Complies with appropriate and approved safety and Infection Prevention standards. Performs other duties as assigned to support overall effectiveness of the organization. Once the HIM's hospital is formally under Review Choice Demonstration, the following will be incorporated into day-to-day duties: Follow established protocols to facilitate Medicare affirmations and respond timely to non-affirmations under the Review Choice Demonstration process. Stay informed about changes in RCD/FRA processes, including regional Medicare Administrative Contractor (MAC) approaches and review outcomes. Communicate reasons for admission non-affirmations/denials with hospital leadership and RCD leadership and assist in providing necessary justifications. Assists as directed with denials through the appeal process. Includes synthesizing clinical documentation for each patient's stay into justification for services for all payors. Manage tracking systems to ensure deadlines are met and real-time data on new admissions is available for timely submissions. Minimum Job Requirements Minimum Education & Experience: Two years medical records experience required Two years of medical coding experience preferred. Degree in Health Information Management or related subject required. Prefer program accredited by CAHIIM (Commission on Accreditation for Health Informatics and Information Management). Experience in a management role preferred. Required Licenses, Certifications, and/or Documentation: RHIA or RHIT certification preferred. CCS preferred as additional credential. Must maintain acceptable driving record, current driver's license, and insurability. Required Knowledge, Skills, and Abilities: Demonstrates knowledge in information privacy laws including 45 CFR, Health Insurance Portability and Accountability Act (HIPAA), and state medical records law. Demonstrates a clear working knowledge of general hospital operations. Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS. Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency. Working knowledge of medical terminology, abbreviation, and spelling. Ability to maintain exceptional levels of confidentiality. Demonstrates proficiency with general computer skills including data entry, word processing, email, and records management. Demonstrates critical thinking skills. Ability to prioritize, meet deadlines, and complete complex tasks. Ability to maintain quality and safety standards. Ability to work closely and professionally with others at all levels of the organization. Effective organizational and time management skills. Physical Requirements Over the Course of a Shift: A significant amount of sitting, walking, bending, reaching, lifting, and carrying, often for prolonged periods of time. Lifting/exerting of up to 10 lbs. Sufficient manual dexterity to operate equipment and computer keyboard. Close vision and the ability to adjust focus. Ability to hear overhead pages.
    $44k-77k yearly est. Auto-Apply 59d ago

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