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Medical Coder jobs at Mercy Health

- 24 jobs
  • Facility Inpatient Coder (Remote)

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us, and discover why U.S. News & World Report has named us one of America's Best Hospitals! **What you will be doing in this role:** Working under the general direction of a coding supervisor, the Facility Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. Correctly identifies the principal diagnosis, comorbidities/complications, present on admission indicators, and determines sequencing of codes to calculate the most appropriate DRG representing the patient stay. Knowledge of both Medicare Severity Diagnosis Related Groups (MS-DRG) and All Patient Refined Diagnosis Related Groups (APR-DRG) is required. This position will require knowledge of appropriate capture of codes for statistical purposes such as Social Determinants of Health (SDOH), Hierarchical Conditions (HCC), and severity impacting conditions. Abstracts data elements to satisfy statistical requests by the health system, medical staff, and enters all coded/abstracted information into the assigned system. Identifies opportunities for documentation improvement and seeks clarity by the physicians. Communicates collaboratively with the Clinical Documentation Integrity (CDI) team to align both clinical and coding approaches to ensure a complete coding profile. Ability to reference anatomy, physiology, and clinical practice to support code assignment and contribute to CDI discussions. The position requires abstraction of coded data in a timely and accurate manner into the applicable system using the applications appropriate to the work assignment. This may include: EPIC (CSLink), EPIC HB, Solventum 360Encompass, Solventum Standalone Encoder, Select Coder, etc. Translates medical records/health information including diagnoses, procedures and treatment and assigns standardized codes (International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), International Classification of Diseases, Tenth Revision, and Procedure Coding System (ICD-10-PCS), for patients receiving services within the Cedars Sinai Health System and its affiliates. Primary duties include: + Reviewing medical documentation/health information within various electronic medical/health system(s) and assigning applicable codes (ICD-10-CM, ICD-10-PCS) within productivity and quality standard for area(s) of assignment/specialty (Facility). + Abstracting all required data elements for reporting and statistical capture. + Resolving complex inpatient edits/alerts with consistent accuracy using current guidelines within area(s) of assignment/specialty. **Qualifications** **Requirements:** High school diploma or GED required. A minimum of 3 years' work experience doing code assignment in a healthcare setting performing similar coding duties required. **Why work here?** Beyond outstanding employee benefits including health and dental insurance, paid vacation, and a 403(b), we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation. **Req ID** : 7948 **Working Title** : Facility Inpatient Coder (Remote) **Department** : CSRC Coding Hospital Inpt **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Financial Services **Job Specialty** : Medical Coding **Overtime Status** : NONEXEMPT **Primary Shift** : Day **Shift Duration** : 8 hour **Base Pay** : $42.02 - $65.13 Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
    $42-65.1 hourly 38d ago
  • E/M Multi-Specialty Coder - Coder II (Remote)

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. Discover why U.S. News & World Report has named us one of America's Best Hospitals! **What will you be doing in this role?** In this remote role, under the general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible Duties of this Coder II include: + Performs accurate and timely coding (CPT, ICD-9, ICD-10, HCPCS, modifiers). + Maintains familiarity with issues like HCFA coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. referral, surgeries, etc. + Understands and implements coding guidelines for multi-specialty surgical practices and/or complex surgical coding. + Attends seminars and workshops, as applicable, for updates on new coding rules and regulations. + Elevates issues, as appropriate, to the Coding Supervisor and Manager. + Meets productivity and quality standards as designated by Coding Manager + Understands coding trends to include NCD, LCD, and CMS guidelines. + Identifies trends and issues with overall division and individual physician coding practices and presents solutions. + Maintains confidentiality of patient care and business matters. + Follows policies and procedures pertinent to the coding and compliance departments. **Qualifications** **Requirements:** Certified Procedural Coder (CPC) required. Certified Evaluation and Management Coder (CEMC) a plus. High school diploma or GED required. Completion of courses in ICD-10-CM and CPT-4 coding from an accredited coding program preferred. **Experience we are Seeking:** Minimum of 3 years of coding experience within a multi-specialty medical group or multi-specialty physician practice (i.e., Cardiothoracic Surgery, Neurosurgery, General Surgery, Orthopedics, Obstetrics/Gynecology) preferred. Familiarity with ICD-10-CM, CPT-4 coding and payment methodologies. Working knowledge of all California and National reporting requirements. **Why work here?** Beyond outstanding employee benefits including health and vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation. **Req ID** : 12901 **Working Title** : E/M Multi-Specialty Coder - Coder II (Remote) **Department** : CSRC - Coding Profee **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Financial Services **Job Specialty** : Medical Coding **Overtime Status** : NONEXEMPT **Primary Shift** : Day **Shift Duration** : 8 hour **Base Pay** : $31.98 - $49.57 Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
    $32-49.6 hourly 60d+ ago
  • Coder II - Surgical (Remote)

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. **What will you be doing in this role?** Under general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible Duties of this Coder II include: + Performs accurate and timely coding (CPT, ICD-10, HCPCS, modifiers). + Maintains familiarity with issues like coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. referral, surgeries, etc. + Understands and implements coding guidelines for multi-specialty surgical practices and/or complex surgical coding. + Attends seminars and workshops, as applicable, for updates on new coding rules and regulations. + Elevates issues, as appropriate, to the Coding Supervisor and Manager. + Meets productivity and quality standards as designated by Coding Supervisor and Manager. + Understands coding trends to include NCD, LCD, and CMS guidelines. + Identifies trends and issues with overall division and individual physician coding practices and presents solutions. + Maintains confidentiality of patient care and business matters. + Follows policies and procedures pertinent to the coding and compliance departments. **Qualifications** **Requrements:** Certified Procedural Coder (CPC) required. Certified Surgical Specialty Credentials (CGSC or others) preferred. High school diploma or GED required. **Experience we are Seeking:** Minimum of 3 years of surgical coding experience within a multi-specialty medical group or multi-specialty physician practice (i.e., Orthopedics, Cardiothoracic Surgery, Neurosurgery, General Surgery, Obstetrics/Gynecology, Gastroenterology) Familiarity with ICD-10-CM, CPT-4 coding and payment methodologies. Working knowledge of all California and National reporting requirements. **Why Work Here?** Beyond outstanding employee benefits including health and vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation. **Req ID** : 8091 **Working Title** : Coder II - Surgical (Remote) **Department** : CSRC - Coding Profee **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Financial Services **Job Specialty** : Medical Coding **Overtime Status** : NONEXEMPT **Primary Shift** : Day **Shift Duration** : 8 hour **Base Pay** : $31.98 - $49.57 Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
    $32-49.6 hourly 39d ago
  • Facility Inpatient Coder (Remote)

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us, and discover why U.S. News & World Report has named us one of America's Best Hospitals! What you will be doing in this role: Working under the general direction of a coding supervisor, the Facility Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. Correctly identifies the principal diagnosis, comorbidities/complications, present on admission indicators, and determines sequencing of codes to calculate the most appropriate DRG representing the patient stay. Knowledge of both Medicare Severity Diagnosis Related Groups (MS-DRG) and All Patient Refined Diagnosis Related Groups (APR-DRG) is required. This position will require knowledge of appropriate capture of codes for statistical purposes such as Social Determinants of Health (SDOH), Hierarchical Conditions (HCC), and severity impacting conditions. Abstracts data elements to satisfy statistical requests by the health system, medical staff, and enters all coded/abstracted information into the assigned system. Identifies opportunities for documentation improvement and seeks clarity by the physicians. Communicates collaboratively with the Clinical Documentation Integrity (CDI) team to align both clinical and coding approaches to ensure a complete coding profile. Ability to reference anatomy, physiology, and clinical practice to support code assignment and contribute to CDI discussions. The position requires abstraction of coded data in a timely and accurate manner into the applicable system using the applications appropriate to the work assignment. This may include: EPIC (CSLink), EPIC HB, Solventum 360Encompass, Solventum Standalone Encoder, Select Coder, etc. Translates medical records/health information including diagnoses, procedures and treatment and assigns standardized codes (International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), International Classification of Diseases, Tenth Revision, and Procedure Coding System (ICD-10-PCS), for patients receiving services within the Cedars Sinai Health System and its affiliates. Primary duties include: Reviewing medical documentation/health information within various electronic medical/health system(s) and assigning applicable codes (ICD-10-CM, ICD-10-PCS) within productivity and quality standard for area(s) of assignment/specialty (Facility). Abstracting all required data elements for reporting and statistical capture. Resolving complex inpatient edits/alerts with consistent accuracy using current guidelines within area(s) of assignment/specialty. Requirements: High school diploma or GED required. A minimum of 3 years' work experience doing code assignment in a healthcare setting performing similar coding duties required. Why work here? Beyond outstanding employee benefits including health and dental insurance, paid vacation, and a 403(b), we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.
    $67k-83k yearly est. Auto-Apply 39d ago
  • Coder II - Surgical (Remote)

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What will you be doing in this role? Under general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible Duties of this Coder II include: Performs accurate and timely coding (CPT, ICD-10, HCPCS, modifiers). Maintains familiarity with issues like coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. referral, surgeries, etc. Understands and implements coding guidelines for multi-specialty surgical practices and/or complex surgical coding. Attends seminars and workshops, as applicable, for updates on new coding rules and regulations. Elevates issues, as appropriate, to the Coding Supervisor and Manager. Meets productivity and quality standards as designated by Coding Supervisor and Manager. Understands coding trends to include NCD, LCD, and CMS guidelines. Identifies trends and issues with overall division and individual physician coding practices and presents solutions. Maintains confidentiality of patient care and business matters. Follows policies and procedures pertinent to the coding and compliance departments. Requrements: Certified Procedural Coder (CPC) required. Certified Surgical Specialty Credentials (CGSC or others) preferred. High school diploma or GED required. Experience we are Seeking: Minimum of 3 years of surgical coding experience within a multi-specialty medical group or multi-specialty physician practice (i.e., Orthopedics, Cardiothoracic Surgery, Neurosurgery, General Surgery, Obstetrics/Gynecology, Gastroenterology) Familiarity with ICD-10-CM, CPT-4 coding and payment methodologies. Working knowledge of all California and National reporting requirements. Why Work Here? Beyond outstanding employee benefits including health and vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.
    $67k-83k yearly est. Auto-Apply 41d ago
  • E/M Multi-Specialty Coder - Coder II (Remote)

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. Discover why U.S. News & World Report has named us one of America's Best Hospitals! What will you be doing in this role? In this remote role, under the general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible Duties of this Coder II include: Performs accurate and timely coding (CPT, ICD-9, ICD-10, HCPCS, modifiers). Maintains familiarity with issues like HCFA coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. referral, surgeries, etc. Understands and implements coding guidelines for multi-specialty surgical practices and/or complex surgical coding. Attends seminars and workshops, as applicable, for updates on new coding rules and regulations. Elevates issues, as appropriate, to the Coding Supervisor and Manager. Meets productivity and quality standards as designated by Coding Manager Understands coding trends to include NCD, LCD, and CMS guidelines. Identifies trends and issues with overall division and individual physician coding practices and presents solutions. Maintains confidentiality of patient care and business matters. Follows policies and procedures pertinent to the coding and compliance departments. Requirements: Certified Procedural Coder (CPC) required. Certified Evaluation and Management Coder (CEMC) a plus. High school diploma or GED required. Completion of courses in ICD-10-CM and CPT-4 coding from an accredited coding program preferred. Experience we are Seeking: Minimum of 3 years of coding experience within a multi-specialty medical group or multi-specialty physician practice (i.e., Cardiothoracic Surgery, Neurosurgery, General Surgery, Orthopedics, Obstetrics/Gynecology) preferred. Familiarity with ICD-10-CM, CPT-4 coding and payment methodologies. Working knowledge of all California and National reporting requirements. Why work here? Beyond outstanding employee benefits including health and vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.
    $67k-83k yearly est. Auto-Apply 60d+ ago
  • Claims Edit Coder

    Cedars-Sinai 4.8company rating

    Remote

    Bring your whole self to exceptional care. Cedars-Sinai was tied for #1 in California in U.S. News & World Report's "Best Hospitals 2024-25" rankings, and it's all thanks to our team of 14,000+ remarkable employees! What you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT) procedure code for claim edit fall outs. The position entails conducting modifier review and assignment, handling complex coding edits that necessitate research and resolution, and validating key data elements like the billing physician and date of service. You are expected to abstract coded data accurately and promptly into the applicable system using relevant applications such as EPIC (CS-Link), EPIC HB and PB modules, Solventum 360Encompass, Solventum Standalone Encoder, and Select Coder. This role demands proficiency in these systems to ensure the integrity and efficiency of coding operations. Duties include: Review medical documentation and health information within various electronic medical or health systems. Assign applicable codes such as clinical modification (ICD-10-CM), current procedural terminology (CPT), evaluation and management (E&M), and healthcare common procedure coding system (HCPCS) while adhering to productivity and quality standards for the area(s) of assignment or specialty (Facility or Professional). Focus on specialties including, but not limited to: Professional Multispecialty E&M, Facility Emergency Room (non-Single Path), and Outpatient Visits (Facility or Professional). Resolve complex edits and alerts with consistent accuracy using current guidelines for the area(s) of assignment or specialty. Handle edits such as: Simple Visit, Local and National Coverage Determination, and other Related Edits. Communicates with physicians, providers, and external departments regarding documentation clarity, specificity, ensure the completeness of documentation required for code assignment within area(s) of assignment or specialty. Expanding skills in procedural coding such as CPT or PCS. Requirements: Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required upon hire. High school diploma or GED required. Minimum of 2 years of experience working doing code assignment in a healthcare setting. Ability to produce quality work product within the established standards per hour. Why work here? Beyond outstanding employee benefits including health, paid vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.
    $58k-72k yearly est. Auto-Apply 20d ago
  • Coder II (Remote)

    Cedars-Sinai Medical Center 4.8company rating

    Remote

    Bring your whole self to exceptional care. Cedars-Sinai was tied for #1 in California in U.S. News & World Report's "Best Hospitals 2024-25" rankings, and it's all thanks to our team of 14,000+ remarkable employees! What you will be doing in this role: Under general direction of the section Coding Supervisor, performs assignment of codes as applicable to specific area of assignment. This may include ICD-CM, CPT including Evaluation and Management, HCPCS, and modifiers. Coder II will maintain and apply knowledge of both internal and external regulatory entities related to coding guidelines, definition of type of visit, medical terminology, anatomy/physiology/pathology basis of disease, and understanding of documented treatment/procedures performed. Correctly assigns applicable modifiers in accordance with assigned area of responsibility. Abstracts all collected data as applicable to assignment. Maintains a solid understanding of all California and National coding and reporting requirements. Duties include: Codes all records within the established departmental quality standards. Follows internal departmental guidance related to workflow. Maintains "nonproductive time" logs and turns them as required by each section. Maintains required CEUs per policy and credentials in a timely manner. May be asked to help train new team members or serve as a buddy/mentor to teammates Meets established departmental productivity and accuracy standards Consistently and accurately abstracts additional data elements (OSHPD elements, Special studies, etc.) as required. Communicates to Coding Supervisor any concerns regarding coding, documentation, section issues and department issues. Maintains knowledge of coding updates through provided or self- learning to ensure compliance with all changes. Qualifications Requirements: Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required. High school diploma or GED required. Associate degree in Health Information Science preferred. Completion of courses in ICD-10-CM and CPT-4 coding from an accredited coding program preferred Minimum of 3 years of experience with outpatient/ambulatory care or inpatient/acute care coding required. Experience with Emergency room and surgical coding observation a plus. Experience we are Seeking: Familiarity with ICD-10-CM, CPT-4 coding and APC payment methodologies preferred. Working knowledge of all California and National reporting requirements. Why work here? Beyond outstanding employee benefits including health and vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.
    $58k-72k yearly est. Auto-Apply 60d+ ago
  • Hospital Reimbursement & Coding Specialist III, Remote

    Erlanger 4.5company rating

    Tennessee jobs

    Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, SC, TN, TX, VA, WI, WY Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators (inpatient only) on inpatient or outpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Inpatient Coding - Must code all types of adult and pediatric Inpatient cases including long length of stays, mortality, trauma, L&D, NICU, and normal newborns. Outpatient Coding - Must code all types of outpatient cases includes, ED, outpatient, OBS, Same Day Surgery. Detailed responsibilities: 1. Reviews inpatient or outpatient medical records to assign and sequence all appropriate diagnosis and procedures codes utilizing encoder software and following by proficiently translating diagnostic statements, procedure descriptions, physician orders, and other pertinent documentation. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) on inpatient cases or Ambulatory Payment Classification (APCs) on outpatient cases for appropriate code assignment. 2. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts admission type, point of origin, discharge disposition, physicians, procedure dates and on inpatient cases present on admission (POA) indicators. 3. Reviews appropriate coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials. 4. When documentation or valid order is incomplete, vague, or ambiguous, it is the responsibility of coder to work in conjunction with Leadership to utilize the appropriate physician clarification process to obtain additional information that provides a codeable diagnosis, procedure and/or physician order. 5. Outpatient coders are responsible for following charge verification processes and routing accounts based on missing, incomplete, or inaccurate charging. Other responsibilities include: - Adherence to Health Information Management (HIM) Coding policies. - Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures. OP coding validates reason for visit and IP validates admit diagnosis. - Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to continually improve coding quality and accuracy. - Responsibility for maintaining coding certification and knowledge referencing diagnosis and procedural coding classification system coding guidelines and regulatory changes. - Contacts the appropriate department or physician for assistance in obtaining physician clarification of Diagnoses and procedures. - Participates in performance improvement initiatives as assigned. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The coder must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers. 4. Accurate translation of written procedure descriptions to accurately assign ICD 10 PCS procedure codes for inpatient and CPT/HCPCs codes for outpatient accounts. 5. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges. 6. Knowledge of clinical content standards. Education: Required: - Validation of coding certification, i.e., specialty focus such as ICD-10-CM coding, ICD-10-PCS, CPT coding, and billing practices from an accredited program. Preferred: - BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program. Experience: Required: - Must demonstrate knowledge of coding to support this position. - Ability to follow standard practices in coding and reimbursement. - Demonstrate the knowledge of optimization of coding for reimbursement. - Computer literate in a windows environment, also basic word processing skills, knowledge of MS Office and a basic graphics package. - Possess excellent communication skills both written and oral. - Demonstration of sound judgment and organizational ability. - Ability and knowledge to maintain a quality and quantity standard in coding. - Must have 4 years of coding experience in an acute care hospital. Preferred\: - Level 1 Academic medical center experience Position Requirement(s)\: License/Certification/Registration Required: - RHIT, RHIA, CCS, CPC, or CPC-H Preferred: - N/A Department Position Summary: The employee must be able to demonstrate the knowledge and skills necessary to optimally code inpatient or outpatient encounters (based on team assigned). The individual must demonstrate knowledge of the various payment schemes for inpatient encounters or outpatient encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded. The associate must demonstrate the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. The associate must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to accomplish assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. The associate will perform any other tasks as assigned.
    $51k-64k yearly est. Auto-Apply 60d+ ago
  • VMG Risk Adjustment Coder - CRC within 6 months! (Remote)

    Virtua 4.5company rating

    Remote

    At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only. Remote Type: Hybrid Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: Job Information: CPC Required.CRC Required or must be obtained within 6 months of hire.HCC experience strongly preferred .Local candidates preferred due to occasional onsite requirements. Job Summary: Evaluates and analyzes medical records for proper documentation and the correct diagnosis (ICD-10-CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., hierarchical condition categories (HCCs), Chronic Illness & Disability Payment System (CDPS), and U.S. Department of Health and Human Services (HHS) risk adjustment). CRCs review provider documentation and communicates coding opportunities for HCC coding so that disease processes are coded accurately to follow risk adjustment models. Position Responsibilities: Evaluates and analyzes medical records for proper documentation. Identifies and communicates coding deficiencies to clinicians in order to improve documentation for accurate risk adjustment coding. Provides on-going training and education to the clinicians and physicians during 1:1, physician group, performance improvement and ad hoc meetings. Manages and trends data collection for HCC and other risk coding. Performs data mining from data captured through risk adjustment coding. Works with Manager and Director of VMG Quality Department to strategize and prioritize chart reviews and education. Assists with the development of action plans to improve documentation. Completes chart reviews for various Values Based Programs focusing on annual review of suspect chronic conditions; utilizes payer portals as necessary to complete annual coding reviews. Position Qualifications Required: Required Experience: Minimum of two years records coding experience or equivalent Ability to perform functions in a Microsoft Windows environment Ability to be detailed oriented and perform tasks at a high level of accuracy Ability to make sound decisions Demonstrate good communication and team work skills Previous experience with an electronic legal health record system. Understand the anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses Understands medical coding guidelines and regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models Required Education: High School Diploma or GED required Knowledge of Anatomy & Physiology/ Medical terminology required Training / Certification / Licensure: CPC required Risk Adjustment Coder Certification (CRC) required or must obtain within six months of hire. Hourly Rate: $26.22 - $40.65 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.
    $26.2-40.7 hourly Auto-Apply 60d+ ago
  • Hospital Inpatient Coder (1.0)

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544Additional Job Description The Coder VI Specialist- Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines. Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines. Notify coding leadership of trends and topics for education and feedback to physicians and departments. Identify and enter data elements for abstracting. Participate actively in performance improvement teams, projects, and committees. Serve as a Superuser and assist with system testing. Serve as a backup to coding reimbursement specialist. QUALIFICATIONS High School Diploma/GED - Required Associate's degree - Preferred 2 years Coding - Required CCS - Required RHIT or RHIA - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coder VI Specialist - Hospital Inpatient $22.70-$33.77INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $54k-66k yearly est. Auto-Apply 48d ago
  • HIM Coder - Remote (Part Time 17 hours/week) CCS Required

    Virtua 4.5company rating

    Remote

    At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only. Remote Type: 100% Remote Employment Type: Employee Employment Classification: Regular Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 17 Additional Locations: Job Information: Please note all candidates must complete onsite testing in Marlton, NJ. Summary: Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Position Responsibilities: Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA), Uniform Hospital Discharge Data Set (UHDDS) hospital specific guidelines and rules/conventions. Records coded include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Sequences principal (or first-listed) diagnosis and principal procedures according to documentation found in the medical records and UHDDS definitions. Utilizes ongoing knowledge and reference material regarding DRGs to validate DRG assignments. Accurately utilizes written federal and state regulations and written guidelines regarding definitions and prioritizing of abstract data elements to assure uniformity of database. Records abstracted include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Verifies and/or abstracts required data into computer system according to procedure. Utilizes equipment and processes appropriately, to ensure efficient coding and abstracting; utilizes the established downtime procedures as needed. Participates in maintaining DNB and accounts receivable goal. Maintains department level competencies. Participates in performance improvement activities. Position Qualifications Required / Experience Required: Minimum of two years inpatient records coding experience Ability to perform functions in a Microsoft Windows environment Ability to be detailed oriented and perform tasks at a high level of accuracy Ability to make sound decisions Demonstrate good communication and teamwork skills Previous experience with an electronic legal health record system Required Education: High School Diploma or GED required Knowledge of Anatomy & Physiology/ Medical terminology required Coding education Training/Certifications/Licensure: AHIMA Certification: Certified Coding Specialist (CCS) required for all employees hired after 10/1/2025. Non-CCS-Certified Hourly Rate: $26.22 - $40.65 Hourly Rate: $27.80 - $43.12 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.
    $27.8-43.1 hourly Auto-Apply 51d ago
  • Senior EMR Analyst - Epic Cheers CRM

    Cincinnati Childrens Hospital 4.5company rating

    Remote

    At Cincinnati Children's, we are committed to delivering exceptional, patient-centered experiences that extend far beyond the clinical visit. The Senior EMR Analyst - Epic Cheers plays a critical role in advancing this mission by supporting and enhancing our enterprise CRM capabilities. In this role, you will design, build, and optimize the Epic Cheers platform to strengthen how we communicate, engage, and partner with patients and families throughout their care journey. As a senior member of the EMR team, you'll collaborate closely with Patient Access, Marketing & Communications, Digital Experience, and clinical operational leaders to build automated, data-driven outreach and engagement workflows that help improve appointment adherence, streamline communication, and elevate the overall patient experience. Your technical expertise in Epic, combined with your understanding of CRM strategies and patient engagement needs, will directly influence how Cincinnati Children's builds long-term relationships with the families we serve. This role is ideal for an analyst who thrives at the intersection of technology, communication, and patient experience, bringing both strong configuration skills and the ability to partner with cross-functional stakeholders to translate goals into scalable, sustainable system solutions. Through your work with Epic Cheers, you will help Cincinnati Children's continue to advance its mission of improving child health through innovation, connection, and excellence in care. JOB RESPONSIBILITIES Build/Configuration/Release Mgmt Analyze, design, implement, and maintain complex systems that greatly improves clinical care and patient management. Support system testing. Document testing outcomes. Drives process improvement efforts. Demonstrates advanced problem solving and technical solution skills. Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions. Contributes to strategic planning efforts. Leads strategy and innovation in applicable clinical systems training and build environments to ensure currency and usability. Independently develop and mentor others on education technology content for applicable use. Drive the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need. Leadership and Mentoring Take ownership of tasks with sense of urgency and drive them to completion. Independent in work effort, escalating when appropriate. Coordinate necessary resources and communicate impacts to the user community. Collaborate with other team members to resolve issues and foster success with the customer base. Serves as a mentor when working through details of a problem to reach a positive solution. Set strategy and vision to support a user base through clinical system training and the creation and curation of expert education and training materials. Strategize with end users to ensure that clinical system applications and accompanying training programs and materials remain current and support patient care delivery processes. Network with internal and external experts to identify best practices for clinical system use and training. Promote use of industry best practice tools for efficiency and innovative education and learning. Professional Growth & Development Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections. Conduct and participate in instructional sessions. Use knowledge to improve skills. Develop and maintain positive relationships, both internal and external to CCHMC. Motivate people and encourage teamwork. Work well with others and fosters a positive team environment. Use knowledge to drive innovation. Prepare oral and written presentations. Project Management Lead the design, development, and implementation of new and enhanced EMR requests. Develop and manage project plans and other project- related documentation for complex projects. Manages multiple moderate to complex projects independently. Determine the scope of complex projects. Coordinate the appropriate resources needed. Independently prioritize assigned tasks and projects. Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues. Independently works with cross functional teams to ensure proper integration. Consult with and support the end user community to develop and validate requirements for system solutions. Work with 3rd-party developers to review potential software development solutions for integrated build issues. Manage Customer Relationships Develop collaborative professional relationships with customer group and key stakeholders. Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support. Plan, execute, and support a user base through clinical system training and the creation and curation of expert education and training materials. Adhere to and promote continual adoption of change management policies and procedures. Strong sense of personal accountability. Model outstanding customer service behavior, including timely and effective follow-up with customers. Always maintain CCHMC's service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES). JOB QUALIFICATIONS Bachelor's degree in a related field OR equivalent combination of education and experience 5+ years of work experience in a related job discipline PREFERRED QUALIFICATIONS Existing or current Epic certifications strongly preferred, especially in: Cadence Ambulatory MyChart ADT (nice to have but not required) Hands-on experience working within at least one of the Epic modules listed above. Ability to obtain the Epic Cheers certification within 3 months of hire (required). Demonstrated experience supporting EMR workflows, clinical operations, or patient access processes in an Epic environment. Proven ability to partner with clinicians, and Epic operational teams, with IT to translate workflows needs and deliver effective Epic solutions. Familiarity with healthcare data standards, patient scheduling/registration concepts, and frontline end-user support. Primary Location Remote Schedule Full time Shift Day (United States of America) Department IS Digital Health Employee Status Regular FTE 1 Weekly Hours 40 *Expected Starting Pay Range *Annualized pay may vary based on FTE status $91,520.00 - $116,688.00 Market Leading Benefits Including*: Medical coverage starting day one of employment. View employee benefits here. Competitive retirement plans Tuition reimbursement for continuing education Expansive employee discount programs through our many community partners Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group Physical and mental health wellness programs Relocation assistance available for qualified positions * Benefits may vary based on FTE Status and Position Type About Us At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's. Cincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025) One of the nation's America's Most Innovative Companies as noted by Fortune Consistently certified as great place to work A Leading Disability Employer as noted by the National Organization on Disability Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us. Comprehensive job description provided upon request. Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
    $91.5k-116.7k yearly Auto-Apply 27d ago
  • EMR Analyst II - Epic Beaker

    Cincinnati Childrens Hospital 4.5company rating

    Remote

    Join a team transforming the future of diagnostics at one of the nation's top pediatric medical centers. As an Analyst, you'll play a pivotal role in optimizing laboratory workflows, enhancing data integrity, and ensuring clinicians have the tools they need to deliver world-class patient care. If you thrive in complex problem-solving, love partnering with clinical and technical teams, and want your work to directly improve the lives of children and families, this is the opportunity to make a measurable impact. JOB RESPONSIBILITIES Build/Configuration/Release Mgmt Analyze, design, implement, and maintain moderately complex systems that greatly improves clinical care and patient management. Support system testing. Document testing outcomes. Work to develop technical solutions. Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions. Where applicable, collaborate on the scheduling of the applicable clinical systems training and build environments to ensure currency and usability to support end user training. Independently develops educational technology content for applicable use. Recommends opportunities for and participates in process improvement to advance education and learning processes, content tracking, content review and revision. Drives the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need. Leadership Take ownership of tasks with sense of urgency and drive them to completion. Take initiative and know what needs to be done. Communicate to supervisor regarding overall issues, roadblocks. Identify the appropriate resources needed to complete small/medium projects. Support the communication on project-related issues and developments. Work with cross functional teams. Attend and participate in design and leadership team meetings for the various clinical applications deployed throughout the hospital. Consult with end users to ensure that clinical system applications and accompanying training programs and materials support global and unique patient care delivery processes. Network with internal and external experts to identify best practices for clinical system use and training. Promote use of industry best practice tools for efficiency and inno Professional Growth & Development Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections. Conduct and participate in instructional sessions. Use knowledge to improve skills. Develop and maintain positive relationships, both internal and external to CCHMC. Motivate people and encourage teamwork. Work well with others and fosters a positive team environment. Prepare oral and written presentations. Project Management Support/and or lead the design, development, and implementation of new and enhanced application requests. Support and/or lead project plans and other project-related documentation for moderately complex projects. Determine the scope of moderately complex projects. Coordinate the appropriate resources needed. Prioritize, organize, and complete assigned tasks and associated documentation upon directives from supervisor or customers. Seek the appropriate resources needed for activities. Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues. Effectively works with cross functional teams to ensure proper integration. Consult with and support the end user community to develop and validate requirements for system solutions. Customer Support Develop collaborative professional relationships with customer group and key stakeholders. Demonstrates advanced troubleshooting skills. Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support. Independently critically thinks to work through details of a problem to reach a positive solution. Plan and execute the support for a user base through clinical system training and the creation and curation of advanced education and training materials. Adhere to and promote continual adoption of change management policies and procedures. Interact with all levels of staff throughout the Medical Center in a collaborative manner. Strong sense of personal accountability. Model outstanding customer service behavior, including timely and effective follow-up with customers. Always maintain CCHMC s service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES). JOB QUALIFICATIONS Bachelor's Degree or equivalent combination of education and experience 2+ years of work experience in a related job discipline PREFERRED QUALIFICATIONS Experience working in an Anatomic Pathology laboratory (histology, cytology, or surgical pathology). Strong understanding of AP workflows, specimen handling, and reporting requirements. Prior Epic Beaker AP build or support experience preferred. Excellent problem-solving and communication skills. Primary Location Remote Schedule Full time Shift Day (United States of America) Department IS Lab Informatics System Employee Status Regular FTE 1 Weekly Hours 40 *Expected Starting Pay Range *Annualized pay may vary based on FTE status $81,723.20 - $104,208.00 Market Leading Benefits Including*: Medical coverage starting day one of employment. View employee benefits here. Competitive retirement plans Tuition reimbursement for continuing education Expansive employee discount programs through our many community partners Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group Physical and mental health wellness programs Relocation assistance available for qualified positions * Benefits may vary based on FTE Status and Position Type About Us At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's. Cincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025) One of the nation's America's Most Innovative Companies as noted by Fortune Consistently certified as great place to work A Leading Disability Employer as noted by the National Organization on Disability Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us. Comprehensive job description provided upon request. Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
    $81.7k-104.2k yearly Auto-Apply 7d ago
  • Coding Specialist - Hospice of Cincinnati - Optional

    Trihealth, Inc. 4.6company rating

    Blue Ash, OH jobs

    Understands and applies the basic fundamentals and conventional guidelines for ICD-CM coding. Due to the significant impact of regulation on hospice coding and the financial impact of filing the Hospice Notice of Election (NOE) timely; it is imperative that the Hospice Coding Specialist, in collaboration with the Documentation Specialists and Support Nurse; reviews, interprets, and analyzes clinical documentation precisely and efficiently in order to assign accurate and complete ICD-CM codes. Job Overview: Understands and applies the basic fundamentals and conventional guidelines for ICD-CM coding. Due to the significant impact of regulation on hospice coding and the financial impact of filing the Hospice Notice of Election (NOE) timely; it is imperative that the Hospice Coding Specialist, in collaboration with the Documentation Specialists and Support Nurse; reviews, interprets, and analyzes clinical documentation precisely and efficiently in order to assign accurate and complete ICD-CM codes. Confers with RN Case Managers, Admission Nurse, and or attending physician as needed to seek clarity of information provided in the medical record. Complies with all CMS, federal, state laws and regulations and private insurance guidelines and requirements. Demonstrates strong organizational, analytical, and critical thinking skills. Communicates effectively, as the Hospice Coding Specialist works closely with all departments within the organization such as: the Compliance Department, Referral Center, Admissions, Nursing, the Business Office and Hospice Physicians. Job Requirements: High School Diploma or GED (Required) Proficient in ICD-CM coding Medical terminology Anatomy/physiology Disease processes Pathophysiology Pharmacology and legal/ethical issues related to coding Other RHIT - Registered Health Information Technician Upon Hire Required Other CCS-Certified Coding Specialist Upon Hire Required Other CCA - Certified Coding Associate Upon Hire Required Job Responsibilities: Establishes good interpersonal relationship with all members of the hospice team. Communicates effectively. Communicates any identified problems/issues to the Department Manager in a timely manner so that appropriate corrective actions can be taken. Reviews and analyzes the clinical record, H&P, diagnostic testing reports and other available documentation paying close attention to detail in order to assign appropriate ICD-CM codes in the EMR for billing purposes. Confers with clinical nursing staff, the patient attending physician and hospice medical director to seek clarification of information in the medical record ,as applicable, in order to verify diagnosis codes. Serves as a resource for other departments within HOC on coding related issues. Answers questions promptly and offers guidance in identifying appropriate ICD codes to support hospice eligibility. Provides coding support and training to staff to ensure the accuracy and precision of the coding process. Supports coding supervisor in assisting coding staff in resolving coding issues that arise within the patient accounting departments and provides coding support and training to providers, clinical support, and administrative staff to ensure the accuracy and precision of the coding process Works collaboratively with the hospice Business Office and other staff as applicable to resolves coding issues that arise on billing claims. Informs the Compliance Manager in a timely manner when billing issues due to inaccurate coding arise. Working Conditions: Bending - Climbing - Rarely Concentrating - Consistently Continuous Learning - Consistently Hearing: Conversation - Frequently Hearing: Other Sounds - Interpersonal Communication - Consistently Kneeling - Occasionally Lifting Lifting 50+ Lbs. - Rarely Lifting Pulling - Occasionally Pushing - Occasionally Reaching - Occasionally Reading - Consistently Sitting - Frequently Standing - Frequently Stooping - Rarely Talking - Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Consistently Visual Acuity: Far - Visual Acuity: Near - Walking - Frequently TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS... * Welcome everyone by making eye contact, greeting with a smile, and saying "hello" * Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist * Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS... * Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met * Offer patients and guests priority when waiting (lines, elevators) * Work on improving quality, safety, and service Respect: ALWAYS... * Respect cultural and spiritual differences and honor individual preferences. * Respect everyone's opinion and contribution, regardless of title/role. * Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS... * Value the time of others by striving to be on time, prepared and actively participating. * Pick up trash, ensuring the physical environment is clean and safe. * Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS... * Acknowledge wins and frequently thank team members and others for contributions. * Show courtesy and compassion with customers, team members and the community
    $51k-63k yearly est. 60d+ ago
  • Coding Specialist I

    Trihealth 4.6company rating

    Norwood, OH jobs

    This position abstracts provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers. Job Requirements: High School Degree or GED CPC-A, CPC, CCS-P, CCA ICD-10-CM and CPT Coding Guidelines Medical terminology Anatomy Physiology Experience Related Fields Job Responsibilities: Assists with coding/billing questions from both internal and external customers. Which will include follow up on denials, research, review of charts for potential coding issues. Follow up with provider on any documentation that is insufficient or unclear and escalate where necessary. Communicate with other clinical staff regarding documentation trends. Maintains a close working relationship with all departments and internal customers including leadership and consolidates effotrts to ensure appropriate and standardized coding procedures are followed. Ensures understanding and compliance with coding protocols, rules and regulations from government agencies, insurance companies, and other resources. Maintains knowledge of current coding revisions and effectively communicates changes with provider. Maintains accurate and current CPT and ICD-10-CM resources within the billing and clinical systems. Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes. Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable. Ensure that all codes are current, active, and billiable according to CCI. Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes. Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable. Ensure that all codes are current, active, and billiable according to CCI. Other job-related information: Qualifications: Successful completion of a certification program from an accredited organization. Strong knowledge of anatomy, physiology, and medical terminology. Excellent typing and 10-key speed accuracy. Commitment to a high level of customer service. Superior mathmatical skills. Familarity with ICD-10 codes and procedures. Solid oral and written communication skills. Working knowledge of medical jargon and anatomy preferred. Able to work independently. Working Conditions: Climbing - Rarely Concentrating - Consistently Continuous Learning - Consistently Hearing: Conversation - Consistently Hearing: Other Sounds - Frequently Interpersonal Communication - Consistently Kneeling - Rarely Lifting Lifting 50+ Lbs - Rarely Lifting 11-50 Lbs - Rarely Pulling - Rarely Pushing - Rarely Reaching - Rarely Reading - Consistently Sitting - Consistently Standing - Frequently Stooping - Rarely Talking - Frequently Thinking/Reasoning - Consistently Use of Hands - Occasionally Color Vision - Rarely Visual Acuity: Far - Frequently Visual Acuity: Near - Frequently Walking - Occasionally TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS… • Welcome everyone by making eye contact, greeting with a smile, and saying "hello" • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist • Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS… • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met • Offer patients and guests priority when waiting (lines, elevators) • Work on improving quality, safety, and service Respect: ALWAYS… • Respect cultural and spiritual differences and honor individual preferences. • Respect everyone's opinion and contribution, regardless of title/role. • Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS… • Value the time of others by striving to be on time, prepared and actively participating. • Pick up trash, ensuring the physical environment is clean and safe. • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS… • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and compassion with customers, team members and the community
    $51k-62k yearly est. Auto-Apply 11d ago
  • Certified Coding Specialist (1.0)

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Certified Coding Specialist upholds the critical responsibilities of reviewing electronic medical record (EMR) documentation, and applying ICD and CPT codes, per official coding guidelines, with a specific focus on professional primary care and urgent care visits. The position services as a subject matter expert to providers and staff for questions and updates related to coding. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Review and audit EMR content, charts, CPT procedure codes, ICD diagnosis codes, and documentation to ensure accuracy and standard; provide corrective action if needed. Review MWV, TCM and CCM visits to ensure billing follows Medicare and coding guidelines. Verify insurance eligibility and update electronic medical record registration as appropriate. Demonstrates a thorough knowledge of coding guidelines, medical terminology, and anatomy/physiology, and payer specific coding guidelines. Communicate electronically with the provider and/or staff for documentation or clarification to support codes, and communicate concerns to the manager. QUALIFICATIONS High School Diploma/GED - Required Associate's Degree Health Information Management - Preferred 1 year of hands-on ICD-10 coding experience in a professional healthcare setting (not solely coursework or software training) - Preferred Highly detail-oriented with a commitment to accuracy - Required CPC, CCS, or CCA coding certification - Required TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Certified Coding Specialist $20.06-$26.81INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $53k-63k yearly est. Auto-Apply 16d ago
  • Hospital Coding Specialist III (Remote)

    Sanford Health 4.2company rating

    Marshfield, WI jobs

    Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Hospital Coding Specialist III (Remote) Cost Center:101651098 System Support-Facility CodingScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; day shifts (United States of America) Job Description: **May be eligible for a sign-on bonus!** JOB SUMMARY The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification of Diseases (ICD) Official Guidelines for Coding and Reporting and in the Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS-DRG (Medicare Severity-Diagnosis Related Group) or APR-DRG (All Patients Refined Diagnosis Related Groups) for complex, multi-specialty inpatient services. This individual understands and applies applicable medical terminology, anatomy and physiology, surgical technology, pharmacology and disease processes. The Hospital Coding Specialist III reviews professional and hospital inpatient medical record documentation and properly identifies and assigns: ICD CM and PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, surgical procedures and/or other procedures. MS-DRG /APR-DRG Present on admission indicators HAC (Hospital Acquired conditions) and when required, report through established procedures PSI conditions and report through established procedures Discharge Disposition code Works collaboratively with the Clinical Documentation Improvement Specialists to address documentation concerns and DRG assignments Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested JOB QUALIFICATIONS EDUCATION The individual applying must meet the minimum qualifications in all three required sections below to be considered a candidate for interview. Please consider when listing minimum qualifications. Minimum Required: AHIMA or AAPC approved Medical Coding Diploma or Health Information Management Degree or related program. Preferred/Optional: None EXPERIENCE Minimum Required: Three years of progressive inpatient coding experience in an acute care facility. Preferred/Optional: Experience with electronic health record systems. Academic or level I or II trauma experience is a plus. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position Minimum Required: Active credential of Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) through the American Health Information Management Association (AHIMA); or AAPC (American Academy of Professional Coders) at the time of hire. Preferred/Optional: If AAPC credential, preferred is CIC (Certified Inpatient Coder). **May be eligible for a sign-on bonus!** Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states: Alabama (limitations in some counties) Arizona (limitations in some counties) Arkansas Colorado (limitations in some counties) Florida Georgia Idaho Illinois (limitations in some counties) Indiana Iowa Kansas Kentucky (limitations in some counties) Louisiana Maine (limitations in some counties) Michigan Minnesota (limitations in some counties) Mississippi Missouri Montana Nebraska Nevada New Hampshire (limitations in some counties) North Carolina North Dakota Ohio Oklahoma Oregon (limitations in some counties) Pennsylvania (limitations in some counties) South Carolina South Dakota Tennessee Texas (limitations in some counties) Utah Virginia Wisconsin Wyoming Marshfield Clinic Health System will not employ individuals living in states not listed above. Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
    $33k-37k yearly est. Auto-Apply 60d+ ago
  • EMR Analyst II - Epic Inpatient

    Cincinnati Children's Hospital Medical Center 4.5company rating

    Cincinnati, OH jobs

    Join one of the top pediatric hospitals in the nation and a recognized leader and top employer for technology professionals as an Epic Analyst (Inpatient). At Cincinnati Children's, you will play a vital role in advancing our mission to improve child health and transform care delivery through technology and innovation. In this role, you will support and enhance our Epic systems that power patient care, registration, scheduling, and billing across the enterprise. This position is ideal for someone who thrives in a technical environment-focused on Epic build, configuration, and optimization-to ensure seamless system performance for clinicians and patients alike. You will collaborate with cross-functional teams to design, implement, and maintain innovative Epic solutions that strengthen workflows, improve data integrity, and elevate operational efficiency at one of the nation's best places to work in healthcare technology. As part of your continued growth, you will also gain exposure to Epic Bugsy Infection Control- a forward-thinking Epic module that plays a key role in advancing patient safety, infection prevention, and care quality across the organization. JOB RESPONSIBILITIES Build/Configuration/Release Management * Analyze, design, implement, and maintain moderately complex systems that greatly improves clinical care and patient management. * Support system testing. * Document testing outcomes. * Work to develop technical solutions. * Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions. * Where applicable, collaborate on the scheduling of the applicable clinical systems training and build environments to ensure currency and usability to support end user training. * Independently develops educational technology content for applicable use. * Recommends opportunities for and participates in process improvement to advance education and learning processes, content tracking, content review and revision. * Drives the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need. Leadership * Take ownership of tasks with sense of urgency and drive them to completion. * Take initiative and know what needs to be done. * Communicate to supervisor regarding overall issues, roadblocks. * Identify the appropriate resources needed to complete small/medium projects. * Support the communication on project-related issues and developments. * Work with cross functional teams. * Attend and participate in design and leadership team meetings for the various clinical applications deployed throughout the hospital. * Consult with end users to ensure that clinical system applications and accompanying training programs and materials support global and unique patient care delivery processes. * Network with internal and external experts to identify best practices for clinical system use and training. * Promote use of industry best practice tools for efficiency and innovative education and learning. Professional Growth & Development * Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections. * Conduct and participate in instructional sessions. * Use knowledge to improve skills. * Develop and maintain positive relationships, both internal and external to CCHMC. * Motivate people and encourage teamwork. * Work well with others and fosters a positive team environment. * Prepare oral and written presentations. Project Management * Support/and or lead the design, development, and implementation of new and enhanced application requests. * Support and/or lead project plans and other project- related documentation for moderately complex projects. * Determine the scope of moderately complex projects. * Coordinate the appropriate resources needed. * Prioritize, organize, and complete assigned tasks and associated documentation upon directives from supervisor or customers. * Seek the appropriate resources needed for activities. * Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues. * Effectively works with cross functional teams to ensure proper integration. * Consult with and support the end user community to develop and validate requirements for system solutions. Customer Support * Develop collaborative professional relationships with customer group and key stakeholders. * Demonstrates advanced troubleshooting skills. * Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support. * Independently critically thinks to work through details of a problem to reach a positive solution. * Plan and execute the support for a user base through clinical system training and the creation and curation of advanced education and training materials. * Adhere to and promote continual adoption of change management policies and procedures. * Interact with all levels of staff throughout the Medical Center in a collaborative manner. * Strong sense of personal accountability. * Model outstanding customer service behavior, including timely and effective follow-up with customers. * Always maintain CCHMC's service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES). JOB QUALIFICATIONS * Education: Bachelor's Degree or equivalent combination of education and experience. * Experience: 2+ years of work experience in a related job discipline. PREFERRED QUALIFICATIONS * Epic Certifications: EpicCare Inpatient Clinical Documentation, EpicCare Inpatient Procedure Orders or Epic Bugsy Infection Control - with Bugsy experience valued for its forward-thinking approach to infection prevention and surveillance. * Strong technical aptitude with experience in Epic build, configuration, testing, and troubleshooting. * Experience with system integrations, interface validation, and release management processes. * Ability to analyze workflows, translate business requirements into technical solutions, and collaborate with both technical and clinical partners. * Desire to expand Epic expertise through exposure to advanced modules and ongoing professional development opportunities. Primary Location Remote Schedule Full time Shift Day (United States of America) Department IS Epic Employee Status Regular FTE 1 Weekly Hours 40 * Expected Starting Pay Range * Annualized pay may vary based on FTE status $81,723.20 - $104,208.00 Market Leading Benefits Including*: * Medical coverage starting day one of employment. View employee benefits here. * Competitive retirement plans * Tuition reimbursement for continuing education * Expansive employee discount programs through our many community partners * Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions * Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group * Physical and mental health wellness programs * Relocation assistance available for qualified positions * Benefits may vary based on FTE Status and Position Type About Us At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's. Cincinnati Children's is: * Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years * Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding * Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025) * One of the nation's America's Most Innovative Companies as noted by Fortune * Consistently certified as great place to work * A Leading Disability Employer as noted by the National Organization on Disability * Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us. Comprehensive job description provided upon request. Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
    $81.7k-104.2k yearly 21d ago
  • Medical Biller II

    Trihealth, Inc. 4.6company rating

    Norwood, OH jobs

    Job Overview: The level II Medical Biller's general responsibilities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. Medical Biller II should be cross trained to work with different payers to help assist other billing staff. Reviews, investigates, and resolves credit balances. Medical Biller II will ensure the proper documentation in the facility's billing system. Responsible also for providing excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner. Job Requirements: * High School Diploma or GED or GED (Required) * 3 - 4 years' experience in related field (Required) * Billing knowledge that includes ICD-9, ICD-10, and CPT terminology * Epic and Clearing House experience * Working knowledge of insurance policies and appeals Consistently meets individual productivity incentive standards Job Responsibilities: * Knowledge: Works with little supervisory oversight and exercises appropriate judgement in identifying payer trends. Identifies and appropriately communicates process improvement with team leaders and supervisors in a timely manner. Maintains a close working relationship with all departments and consolidates efforts to ensure appropriate and standardized coding/billing procedures are followed. * Quality Review: Consistently produces quality work and actions to move a claim to proper payment or account resolution while maintaining assigned work queues. * Personal Productivity: Completes assigned workload based on key performance indicators on a daily basis to ensure standard productivity is met. * Patient Accounting Cash: Meet or exceed approved target; collect 100% of net revenue booked based on remittance. * Aging: Decrease AR greater than 90 days for Insurance accounts as set by department each year. Lower is better. Working Conditions: Climbing - Rarely Concentrating - Consistently Continuous Learning - Frequently Hearing: Conversation - Frequently Hearing: Other Sounds - Rarely Interpersonal Communication - Rarely Kneeling - Rarely Lifting Lifting 50+ Lbs. - Rarely Lifting Pulling - Rarely Pushing - Rarely Reaching - Rarely Reading - Consistently Sitting - Consistently Standing - Frequently Stooping - Rarely Talking - Frequently Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Frequently Visual Acuity: Far - Consistently Visual Acuity: Near - Consistently Walking - Frequently TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS... * Welcome everyone by making eye contact, greeting with a smile, and saying "hello" * Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist * Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS... * Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met * Offer patients and guests priority when waiting (lines, elevators) * Work on improving quality, safety, and service Respect: ALWAYS... * Respect cultural and spiritual differences and honor individual preferences. * Respect everyone's opinion and contribution, regardless of title/role. * Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS... * Value the time of others by striving to be on time, prepared and actively participating. * Pick up trash, ensuring the physical environment is clean and safe. * Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS... * Acknowledge wins and frequently thank team members and others for contributions. * Show courtesy and compassion with customers, team members and the community
    $32k-37k yearly est. 41d ago

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