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Medical Coder jobs at NHC - 766 jobs

  • Coder

    NHC Homecare 4.1company rating

    Medical coder job at NHC

    Definition: Remote Clinical Coder and Quality Review for the Home Care division. Line of Authority: Director of Coding Education and Compliance, Home Care; Director of Home Care Services Qualifications: One to Two years of experience in Home care required Certification and formal training and education in ICD-10-CM diagnosis coding required as well as OASIS Certification Licensed Clinician-RN, LPN, PT, PTA, OT, COTA, or ST. Performance Requirements: Microsoft Excel experience Typing and data entry proficiency Web-based application experience OASIS review and instruction ICD-10-CM introduction and education preferred Lifting and transferring of tools of the trade and travel supplies as needed Able to carry out fine motor skills with manual dexterity Able to sit for extended periods of time Able to see and hear adequately in order to respond to auditory and visual requests Able to speak in clear, concise voice in order to communicate adequately Able to read, write, and follow written orders Must have reliable personal transportation and the ability to travel as needed Specific Responsibilities: Responsible for participating in the pre-lock abstraction of relevant medical information for the assignment and sequencing of diagnosis codes by remote review of home health agency records and provided other clinical historical records. Responsible to assure alerts and omissions of the OASIS are identified and corrected according to policy/procedure. Accurately interprets and applies Home Care policy and procedure, as well as regulatory rules and guidelines pertaining to diagnosis coding and sequencing. Accurately assigns, sequences, data enters, diagnoses codes with a minimum of 95% accuracy within the required completion time frame. Is required to maintain an average daily quota as assigned. Guides Home Care staff in following Home Care policy and procedure, Official Coding Guidelines and related M items. Reports any discovered medical diagnoses coding errors or noncompliance with stated policy, rules, guidelines and other NHC coding processes to Director of Coding Education and Compliance or other appropriate Regional or Corporate clinical support staff. Accurately maintains electronic files and logs of all completed Diagnoses and Coding Forms, as well as accurately maintains original records of all received supporting documentation for the indicated time frame. Effectively communicates all requests for additional or clarification of information to the appropriate agency. Seeks opportunities to increase knowledge base and broaden expertise and keeps professional credentials current. Supports and assists other Home Care Administrative or Regional personnel as needed. Performs other duties as assigned by Director of Coding Education and Compliance and/or Director of Home Care Services/ Vice President of Home Care.
    $56k-66k yearly est. 60d+ ago
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  • Remote Senior Inpatient Coding Specialist

    Adventhealth 4.7company rating

    Orlando, FL jobs

    Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 601 E ROLLINS ST City: ORLANDO State: Florida Postal Code: 32803 Job Description: Schedule: Full Time Reviews, analyzes, and interprets clinical documentation applying applicable codes in accordance with prescribed rules, coding policy, payer specifications, and official guidelines. Evaluates and optimizes various diagnostic options in accordance with standard rules, official coding guidelines, regulatory agencies, and approved policies. Verifies assigned codes and ensures diagnostic and procedure codes are supported by the physician's clinical documentation. Communicates effectively with physicians and allied health personnel to ensure comprehensive, accurate, and timely clinical documentation. Discusses optimization and documentation issues with physicians and clinical personnel, querying for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: Bachelor's, High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Radiologic Technologist (R.T.-CERT) - EV Accredited Issuing Body, Infection Control Certification (CIC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body Pay Range: $23.91 - $44.46 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $23.9-44.5 hourly 3d ago
  • Remote Inpatient Coding Specialist

    Adventhealth 4.7company rating

    Orlando, FL jobs

    **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 601 E ROLLINS ST **City:** ORLANDO **State:** Florida **Postal Code:** 32803 **Job Description:** **Schedule:** Full Time **Shift** : Days Queries physicians for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions as needed. Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, understanding their impact on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations. Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance. Reviews encounters for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body **Pay Range:** $21.73 - $40.42 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Health Information Management **Organization:** AdventHealth Orlando Support **Schedule:** Full time **Shift:** Day **Req ID:** 150658928
    $21.7-40.4 hourly 3d ago
  • Mid Level Inpatient Coding Specialist

    Adventhealth 4.7company rating

    Orlando, FL jobs

    Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 601 E ROLLINS ST City: ORLANDO State: Florida Postal Code: 32803 Job Description: Schedule: Full Time Shift: Days Queries physicians for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions as needed. Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, understanding their impact on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations. Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance. Reviews encounters for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen. Works with other Coding team members to keep coding within two days of discharge and hospital coding days within three days. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body Pay Range: $21.73 - $40.42 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $21.7-40.4 hourly 3d ago
  • Hospital Inpatient Coder III

    Baptist Health Care 4.2company rating

    Pensacola, FL jobs

    Location Requirement: Candidates must reside in one of the following states- Florida, Alabama, or Georgia. If offered the position, will be required to come onsite in Pensacola, FL for orientation The Coder III reviews inpatient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines with a 97% accuracy rate, while maintaining coding standards for productivity. This position must preserve confidentiality of health information. This position must be able to use tact and diplomacy when communicating with employees, physicians, administration, and public, under complex or emotional situations. RESPONSIBILITIES Reviews patient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines. Meets Productivity Standard for Inpatient Coding: 17 charts/day. Understands appropriate assignment of MS-DRG, POA, and discharge disposition. Assists with all levels of coding including inpatient, outpatient, and psych. Works as a team member to achieve goals for the department. Assists with data integrity audits, and corrects errors as needed (invalid codes, discharge codes, etc.). Monitors backlog of un-coded records on a daily basis, reports to Manager, and adjusts work schedule accordingly. Assists in identification of potential identity errors. Ensures Coding Clinics are reviewed and applied appropriately. Maintains current knowledge/certification QUALIFICATIONS Minimum Work Experience 2 years Coding experience in a hospital setting with inpatient/MS-DRG coding Required 2 years Experience in regulatory issues related to Medicare and other third party payers as is relates to hospital coding and billing Required Licenses and Certifications Graduation from an accredited coding program Upon Hire Required Registered Health Information Administrator (RHIA_AHIMA) Upon Hire Required or Registered Health Information Technician (RHIT_AHIMA) Upon Hire Required or Certified Coding Specialist (CCS_AHIMA) Upon Hire Required or Certified Coding Associate (CCA_AHIMA) Upon Hire Required or ABOUT US Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law.
    $55k-72k yearly est. 3d ago
  • HOSPITAL INPATIENT CODER SR

    Moffitt Cancer Center 4.9company rating

    Tampa, FL jobs

    The Hospital Inpatient Coder Senior will be expected to apply extensive knowledge in assigning ICD-10- CM diagnosis and ICD-10-PCS procedure codes and Medicare Severity-Diagnosis Related Groupers (MS-DRG) for complex hospital inpatient services. Applies clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation included in an inpatient record. Abstracts data in compliance with national and regional policies. Clarifies physician documentation by utilizing a facility-established query process. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM/ICD-10-PCS Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable. The Hospital Inpatient Coder Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership. Responsibilities: Coding Encounter Key Performance Indicator Requirements Constraints of systems Query Knowledge Team Support Special Projects Perform other duties as assigned Credentials and Experience: High School Diploma/GED Five (5) years in hospital inpatient coding experience with ICD-10 diagnosis, procedure codes and MSDRG. Any (one) of the following certifications is required: CCS) Certified Coding Specialist (CPC) Certified Professional Coder (COC) Certified Outpatient Coding (CCS-P) Certified Coding Specialist - Physician (RHIT) Registered Health Information Technician (RHIA) Registered Health Information Administrator (CIC) Certified Inpatient Coder *Any certification not listed above, but issued from a Governing Body listed below, will be considered by the business AHIMA ************* or AAPC ************ Minimum Skills/Specialized Training Required Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties. Experience in coding hospital inpatient electronic medical records. Excellent communication and interpersonal skills. Experience with automated patient care and coding systems. Competence with MS Office software Extensive knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and ICD-10-PCS coding guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS"). Preferred Experience Preferred qualifications include: • Experience with coding oncology-related services.
    $56k-69k yearly est. 2d ago
  • Medical Coding Auditor

    St. Luke's Hospital 4.6company rating

    Chesterfield, MO jobs

    Job Posting We are dedicated to providing exceptional care to every patient, every time. Sign On Bonus Available * St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 40hrs/week and 100% remote. Education, Experience, & Licensing Requirements: Education: Associate degree in Health Services Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience. Licensure: RHIA, RHIT, or CCS certification Benefits for a Better You: Day one benefits package Pension Plan & 401K Competitive compensation FSA & HSA options PTO programs available Education Assistance Why You Belong Here: You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.
    $44k-65k yearly est. 4d ago
  • Surgical Recovery Coordinator - Knoxville

    DCI Donor Services 3.6company rating

    Knoxville, TN jobs

    DCI Donor Services Tennessee Donor Services (TDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on our team that will embrace this important work!! Tennessee Donor Services is seeking a Preservation Coordinator in Knoxville to save and enhance lives through the surgical removal, preservation, packaging, and distribution of organs. COMPANY OVERVIEW AND MISSION For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobili We are committed to diversity, equity, and inclusion. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. Key responsibilities this position will perform include: Assumes primary responsibility for the renal preservation process including pumping and pump transport, in accordance with policies and standards. Performs extensive on-call responsibilities to assist with the activities related to the donor recovery. Coordinates and assists in the surgical recovery, preservation, and packaging of organs and specimens in conjunction with transplant surgeons and/or organ recovery coordinators in accordance with policies and standards. Coordinates and assists with fly outs and fly backs. Coordinates and assists with organ allocation, including kidney and liver placement, distribution, and transportation of organs for transplantation and/or research in accordance with policies and standards. The ideal candidate will have: High school diploma or equivalent. Bachelor's degree in a related field preferred. One to two years OPO or health care experience required, operating room experience preferred. Health-related certification and ISOP Level 1 by completion of the first year. Working knowledge of computers and Microsoft Office applications and basic data entry skills required. We offer a competitive compensation package including: Up to 184 hours of PTO your first year Up to 72 hours of Sick Time your first year Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage 403(b) plan with matching contribution Company provided term life, AD&D, and long-term disability insurance Wellness Program Supplemental insurance benefits such as accident coverage and short-term disability Discounts on home/auto/renter/pet insurance Cell phone discounts through Verizon Meal Per Diems when actively on cases **New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.** You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position. DCIDS is an EOE/AA employer - M/F/Vet/Disability. PI83c87b74fe38-37***********5
    $24k-30k yearly est. 3d ago
  • Surgical Recovery Coordinator - Nashville

    DCI Donor Services 3.6company rating

    Nashville, TN jobs

    DCI Donor Services Tennessee Donor Services (TDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on our team that will embrace this important work!! Tennessee Donor Services is seeking a Preservation Coordinator in Nashville to save and enhance lives through the surgical removal, preservation, packaging, and distribution of organs. COMPANY OVERVIEW AND MISSION For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobili We are committed to diversity, equity, and inclusion. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. Key responsibilities this position will perform include: Assumes primary responsibility for the renal preservation process including pumping and pump transport, in accordance with policies and standards. Performs extensive on-call responsibilities to assist with the activities related to the donor recovery. Coordinates and assists in the surgical recovery, preservation, and packaging of organs and specimens in conjunction with transplant surgeons and/or organ recovery coordinators in accordance with policies and standards. Coordinates and assists with fly outs and fly backs. Coordinates and assists with organ allocation, including kidney and liver placement, distribution, and transportation of organs for transplantation and/or research in accordance with policies and standards. The ideal candidate will have: High school diploma or equivalent. Bachelor's degree in a related field preferred. One to two years OPO or health care experience required, operating room experience preferred. Health-related certification and ISOP Level 1 by completion of the first year. Working knowledge of computers and Microsoft Office applications and basic data entry skills required. We offer a competitive compensation package including: Up to 184 hours of PTO your first year Up to 72 hours of Sick Time your first year Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage 403(b) plan with matching contribution Company provided term life, AD&D, and long-term disability insurance Wellness Program Supplemental insurance benefits such as accident coverage and short-term disability Discounts on home/auto/renter/pet insurance Cell phone discounts through Verizon Meal Per Diems when actively on cases **New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.** You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position. DCIDS is an EOE/AA employer - M/F/Vet/Disability. PIa422b53918a1-37***********3
    $24k-30k yearly est. 3d ago
  • Health Information Manager/HIPAA Officer FT Day shift

    Birmingham Green 4.0company rating

    Manassas, VA jobs

    * BIRMINGHAM GREEN Nursing Home and Assisted Living Facilities Health Information Manager/HIPPA Privacy-Security Officer Full-time Day shift Birmingham Green is a person-centered care-focused community located in Manassas, Virginia. We have been providing high-quality and affordable care for over 90 years. For a view into our world, Please visit our website at *********************** Responsibilities/Accountabilities We have an amazing opportunity for a Health Information Manager/HIPPA Privacy Security Officer: Health Information Manager: Must keep current on all guidelines and regulations related to the medical records function for both the Nursing Home and Assisted Living facilities. Analyzes requests for medical information, evaluates the legality of releases, extracts pertinent portions of medical records, copies, mails, and/or releases in accordance with departmental policies to safeguard patient confidentiality. Must maintain a log of all inquiries of released information. Assists in the development, documentation, and enforcement of policies and procedures in the handling of medical records. Creates patient folders and charts for new residents using unique identification numbers according to established protocols. Creates and distributes admissions packets to Unit Secretaries and ensures adequate supply. Retrieves patient charts and re-files charts in proper sequence; completes out-guides for pulled charts. Locates records that have been checked out or are missing, in accordance with departmental policies for safeguarding patient records. Recommends and implements changes in processes or practices within the medical records as deemed appropriate or necessary while maintaining compliance with nursing home and assisted living guidelines and regulations. Responsible for packing, labeling, and storing nursing documentation from Nursing Administration. Sorts and files loose paperwork in patient charts; maintains medical records in proper order. Thin charts as necessary, according to department policies. Files COC letters in residents' folders located in the Health Information Department. Ensures compliance with campus-wide practices. Picks up, processes, and delivers reports, x-rays, or slides; obtains approval signatures from medical service providers. (Doctor's signature on phone orders and P.O.S.) Follows departmental procedures for archiving and storing inactive records utilizing outside storage. Responsible for all storage protocols, including but not limited to boxing, labeling, calling for pick-up, maintaining appropriate logs, destruction, or retrieval of all records. Responsible for ensuring proper storage of records for the entire campus. Responsible for sending out Inventory letters listing the personal property of discharged or expired residents. Responsible for filing Medicare D in the neighborhoods and changing folders if the resident is transferred to another neighborhoods. Responsible for obtaining information on resident cards in the Health Information office. The file box must be kept up to date. Responsible for updating the Discharge Log. Responsible for chart audits for Quality Assurance review. (Nursing, case management, DNR, podiatrist, ophthalmologist, dental). Responsible for ensuring quality assurance audits for the entire campus. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Participates in state surveys as needed to provide required medical records information and documentation for nursing home and assisted living facilities, and directs other medical records staff as needed. Privacy Officer: Assists in the identification, implementation, and maintenance of the organization's information privacy policies and procedures in coordination with his/her immediate supervisor. Serves in a leadership role for the Privacy Oversight. Performs ongoing compliance monitoring activities. Has and maintains appropriate privacy and confidentiality consent & authorization forms, information notices, and materials reflecting current organization and legal practices and requirements. Oversees, directs, delivers, or ensures delivery of privacy training and orientation to all employees, volunteers, medical and professional staff, and applicable business associates. Participates in the development, implementation, and ongoing compliance monitoring of all business associate agreements to ensure that all privacy concerns, requirements, and responsibilities are addressed. Establishes and maintains a mechanism to track access to protected health information, within the purview of the organization and as required by law, to allow qualified individuals to review or receive a report on such activity. Oversees and ensures the right of the organization's patients to inspect, amend, and restrict access to protected health information, when appropriate. Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the practice/organization's privacy policies and procedures in coordination and collaboration with other similar functions and, when necessary, legal counsel. Ensures compliance with privacy practices and consistent application of sanctions for failure to comply with privacy policies for all individuals in the organization's workforce, extended workforce, and for all business associates, in cooperation with his/her immediate supervisor, Human Resources, the information security officer and legal counsel, as applicable. Initiates, facilitates, and promotes activities to foster information privacy awareness within the organization and related entities. Serves as the information privacy liaison for users of clinical and administrative systems. Reviews all system-related information security plans throughout the organization's network to ensure alignment between security and privacy practices, and acts as a liaison to the information systems department, if applicable. Works with all organization personnel involved with any aspect of release of protected health information, to ensure full coordination and cooperation under the practice/organization's policies and procedures and legal requirements Maintains current knowledge of applicable federal and state privacy laws and accreditation standards, and monitors advancements in information privacy technologies to ensure organizational adaptation and compliance. Cooperates with the U.S. Department of Health and Human Services' Office of Civil Rights, other legal entities, and organizations of officers in any compliance reviews or investigations. Security Officer: Maintains current and appropriate body of knowledge necessary to perform the information security management function. Effectively applies information security management knowledge to enhance the security of the open network and associated systems and services. Maintains working knowledge of legislative and regulatory initiatives. Interprets and translates requirements for implementation. Develops appropriate information security policies, standards, guidelines, and procedures. Works effectively with the Information Privacy Officer, other information security personnel, and the committee process. Provides meaningful input, prepares effective presentations, and communicates information security objectives. Participates in short- and long-term planning. Monitors Information Security Program compliance and effectiveness in coordination with the entity's other compliance and operational assessment functions. Oversees, directs, delivers, or ensures delivery of initial security training and orientation to all employees, volunteers, medical and professional staff, contractors, alliances, business associates, and other appropriate third parties. Establishes with management and operations a mechanism to track access to protected health information, within the purview of the organization, and as required by law, and to allow qualified individuals to review or receive a report on such activity. Ensures compliance with security practices and consistent application of sanctions for failure to comply with security policies for all individuals in the organization's workforce, extended workforce, and for all business associates, in cooperation with Human Resources, the information privacy officer, administration, and legal counsel as applicable. Initiates, facilitates, and promotes activities to foster information security awareness within the organization and related entities. Serves as the information security liaison for users of clinical and administrative systems. Reviews all system-related information security plans throughout the organization's network to ensure alignment between security and privacy practices and acts as a liaison to the information systems department. Conducts investigations of information security violations and computer crime. Works effectively with management and external law enforcement to resolve these instances. Reviews instances of noncompliance and works effectively and tactfully to correct deficiencies. Maintains current knowledge of applicable federal and state privacy laws and accreditation standards, and monitors advancements in information security technologies to ensure organizational adaptation and compliance. Serves as an information security consultant to the organization for all departments and appropriate entities. Cooperates with the Office of Civil Rights, other legal entities, and organization officers in any compliance reviews or investigations. Works with organization administration, legal counsel, and other related parties to represent the organization's information security interests with external parties (state or local government bodies) who undertake to adopt or amend privacy legislation, regulation, or standard. Verifies that IT systems meet predetermined security requirements. Experience/Skills/Education Required: Bachelor's degree in health information management or a related healthcare field. Knowledge and experience in state and federal information privacy laws, including but not limited to HIPAA. Demonstrated organization, facilitation, written and oral communication, and presentation skills. Recommended privacy certification such as Certified in Healthcare Privacy and Security (CHPS) and/or other healthcare industry-related credential, e.g., RHIA, RHIT. Three years of experience that is directly related to the duties and responsibilities. Benefits We offer a competitive package of benefits and perks, which includes: * Medical, dental, vision, long-term disability, life insurance, legal guard plan, and pet insurance * 23 days paid time off (employees can accrue up to 240 hours of paid time off) * 10 Paid Holidays * Retirement plans through the Virginia Retirement System (VRS) - **************** * Tuition Reimbursement * Employee Assistance Program (EAP) * Employee Discounts - LifeMart * Employee Discounts - Cafeteria How to Apply If you have been thinking about making a change and you want to make the right change in 2025, then this opportunity is for you. Join an extraordinary community and an exceptional team. Birmingham Green 8605 Centreville Rd. Manassas, VA 20110 Attn: Alice Decker, HR Director ************ ************ - Fax We sincerely thank all applicants for their interest in Birmingham Green.
    $70k-90k yearly est. 3d ago
  • Medical Coder

    Caldwell County Hospital 3.8company rating

    Princeton, KY jobs

    DEPARTMENT: HIM REPORTS TO: Medical Records Supervisor Is accountable for the delivery of consistently high quality effective and efficient entry of information into the computer system. Functions under the supervision of Health Information Manager. Ensures appropriate organizational practices are in use. Promotes good public relations through contacts with patients, practitioners, visitors, employees, peers and the public at large. Maintains confidentiality of patient information. POSITION RESPONSIBILITIES ESSENTIAL FUNCTIONS: Analyzes medical record documentation to determine the appropriate coding and sequencing of principal diagnosis, complications, co-morbidities and operative procedures. Responsible for all coding and abstracting of observation, inpatient and swing bed accounts. General knowledge of outpatient, emergency department records and reference labs, using the 3-M encoder and assigns the appropriate ICD-10 CM, ICD-10 PCS and CPT coding system for diagnostic and procedure codes. Follows Medicare guidelines for coding and billing. Abstracts designated statistical data and enters the information into the medical record abstracting computer system. Checks outpatient records, emergency room department records and reference lab records for correct charges and makes sure any inaccuracies in charging are corrected before the bill is released. Checks observation, inpatient and swing bed records for correct charges and makes sure any inaccuracies in charging are corrected before the bill is released. Contacts physicians and ancillary departments for clarification of diagnoses, procedures, sequencing and/or documentation when needed. Utilizes the EMR software program to locate patient information and assign proper ICD-10 CM and ICD-10 PCS codes. Uses all available references to assure correct assignment of codes. Codes consistent with all national recognized standards. Uses Coding Clinic for rules on ICD-10. Uses other standards as designated in department specific coding compliance manual. Possess an understanding of the prohibition against unethical and illegal practice of maximizing payment by means that is contradictory to regulatory guidelines. Monitors and reworks denials as needed. Stays current with ICD-10 and CPT through coding clinics and seminars, as well as changes in the Medicare/Insurance industry. Participates in quality improvement activities of Health Information Services and the hospital wide quality improvement program. Ability to read and comprehend a large variety of memos, insurance requests, business letters, physician orders, nursing notations, diagnostic department reports and other information contained in patient's records. Answers phone and performs necessary tasks. Handles requests for information following required guidelines. Abides by changes within the department. Assists in implementing department specific goals and objectives in keeping with organizational goals and objectives. Assists in maintaining adequate and effective communication between the Medical Record Department and ancillary departments for problem solving. Interacts with others (on the phone or in person) in a positive, professional and appropriate manner. Works cooperatively with others. Has respect for and an understanding of the contributions of all team members. Attends required meetings. Protects patient confidentiality by promoting appropriate staff communication practices. Performs other related duties as assigned or requested. Daily tracking of own medical necessities and denials. POSITION QUALIFICATIONS MINIMUM EDUCATION High School Graduate or GED. Education in anatomy, physiology and medical terminology helpful. PREFERRED EDUCATION Associate Degree, AAPC/AHIMA coding certification required. Education in anatomy, physiology and medical terminology preferred. MINIMUM EXPERIENCE 0 - 2 years ICD-10 and CPT coding experience. PREFERRED EXPERIENCE 2-4 years ICD-10 and CPT coding. Experience with injection/infusion coding preferred
    $32k-40k yearly est. 12d ago
  • Physician Coder II Behavioral Health

    Advocate Health and Hospitals Corporation 4.6company rating

    Virginia jobs

    Department: 13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical and Complex Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Remote Position. This position will perform coding for NC/GA Division. Pay Range $26.55 - $39.85 Major Responsibilities: Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software. Adheres to the organization and departmental guidelines, policies and protocols. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes. Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer. Meets then exceeds departmental quality and productivity standards. Recommend modifications to current policies and procedures as needed to coincide with government regulations. Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable Licensure, Registration, and/or Certification Required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA) Education Required: Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge) Experience Required: Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows. Knowledge, Skills & Abilities Required: Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. Intermediate computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications. Advanced communication (oral and written) and interpersonal skills. Advanced organization, prioritization, and reading comprehension skills. Advanced analytical skills, with a high attention to detail. Ability to work independently and exercise independent judgment and decision making. Ability to meet deadlines while working in a fast-paced environment. Ability to take initiative and work collaboratively with others. Physical Requirements and Working Conditions: Exposed to a normal office environment. Must be able to sit for extended periods of time. Must be able to continuously concentrate. Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #Remote #Li-Remote Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $26.6-39.9 hourly Auto-Apply 33d ago
  • HIM Coder

    Troy Regional Medical Center 3.6company rating

    Troy, AL jobs

    Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology. Experience with APC Claims, knowledge of HIPAA regulations, and release of information required. Must be proficient in Excel and other documents.
    $53k-66k yearly est. Auto-Apply 60d+ ago
  • Revenue Cycle Medical Coder - Central Ave (5478)

    Terros, Inc. 3.7company rating

    Phoenix, AZ jobs

    Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person's health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes. HOPE ~ HEALTH ~ HEALING Terros Health made the list!! "Most Admired Companies of 2020, 2022 & 2023" as awarded by AZ Big Media. The Revenue Cycle Medical Coder position is responsible for supporting the Revenue Cycle Management (RCM) Department with claims coding and billing review, best practices, coding recommendations and policy setting, and staff training and education. This position reports to the Director, Revenue Cycle. * Ensuring that procedural and diagnosis codes are assigned correctly and sequenced appropriately per government and insurance regulations * Reviewing claims and configuration to ensure compliance with coding guidelines and best practices * Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of billable services * Training and support to claims team members and practitioners related to appropriate billing procedures and coding requirements * Recommending and implementing strategic protocols for coding review and code modifications * Completing overarching coding practice evaluations * Collaborating with cross functional teams such as Compliance and Contracting * Stay up to date on coding requirements and best practices, including attending external trainings and meetings to proactively develop and implement forward thinking best practices Apply with your resume at ******************** Benefits & Wellness * Multiple medical plans - including a no premium plan for employees and their families * Multiple dental plans - including orthodontia * Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support * 4 Weeks of paid time off in the first year * Wellness program * Pet Insurance * Group life and disability insurance * Employee Assistance Program for the Whole Family * Personal and family mental and physical health access * Professional growth & development - including scholarships, clinical supervision, and CEUs * Tuition discounts with GCU and The University of Phoenix * Working Advantage - Employee perks and discounts * Gym memberships * Car rentals * Flights, hotels, movies and more * Bilingual pay differential
    $58k-80k yearly est. 39d ago
  • Coder-Health Information-8125

    Kingman Healthcare 4.3company rating

    Kingman, AZ jobs

    Description Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department: Health Information Management Safety Sensitive: YES Reports to: HIM Director/Manager Exempt Status: NO Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Ensures data quality in compliance with State, Federal and regulatory requirements. Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. Codes all professional charges to ensure accurate and timely billing Perform coding reviews and/or surgical coding for practices and providers. Evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors. Provides technical guidance, training, and on-going coding education when instructed, to physicians and their office staff and other ancillary departments on both general and specific coding issues to include documentation and guidance in quality coding for proper collection of health data. Evaluate insurance requests and claim denials to assist the Business Office with the revenue cycle. Manage work activities, work assignments and schedules to ensure accurate and timely submission of information. Provides reports as requested on data collected, abstracted and coded. Review bulletins, newsletters and periodicals and attends workshops to stay abreast of current issues, trends and changes in the laws and regulations governing medical record coding and documentation. Demonstrates dependability, teamwork, and maintains patient confidentiality. Develops and maintains excellent relationships with providers, provider's staff, operational directors, and business office staff. Works well with individual practices, the Business Office, and Operation Directors. Strives to be a productive member of this institution, attends departmental meetings as required, maintains certification, and obtains continued education units (CEU). Completes all other duties, projects, and assignments as directed/requested. Qualifications Advanced knowledge of ICD-10-CM, CPT, HCPCS, Medical Terminology and medically approved abbreviations required. Thorough understanding of CMS coding and billing guidelines required. Excellent written and verbal communication skills and critical thinking skills. Ability to work independently and make independent decisions based on specialized knowledge. Computer literacy and familiarity with the operation of basic office equipment, required. Education: High school diploma or equivalent Certification/Licensure: Maintains current Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC), or currently enrolled in AHIMA or AAPC and actively working towards obtaining Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC). Certification required within 12 months of hire or placement in this position. Preferences Experience: Experience in a medical billing/coding office. Special Position Requirements [Optional section: any travel, security, risk, hazard or related special conditions which apply to the position] · Travel to off-site locations as required. Exposure Categories: Category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues Work Requirements [Optional section: work requirements for physical or other important issues which relate to the job] · Ability to stand and walk in the performance of job responsibilities. · Ability to work at a computer for extended periods. · Some bending and lifting may be required. Date Staff Position Description Created / Revised: 03/21/2019
    $48k-64k yearly est. Auto-Apply 60d+ ago
  • Coding Specialist

    Hopehealth Inc. 3.9company rating

    Florence, SC jobs

    Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: • High School Diploma or GED required. Associate degree preferred. • Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services. • Knowledge of insurance industry and medical terminology/anatomy required. Required Skills / Abilities: • Good oral and written skills. • Detailed oriented with strong organizational skills. • Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. • Demonstrates the ability to work in a high pressure environment • Strong active listening skills, attention to detail, and decision-making skills are required • Pleasant, friendly attitude with the ability to adapt to change is essential • Superior problem- solving abilities is required • Ability to collaborate with all departments • Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. • Possess excellent customer service skills and be well organized. • Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently • Must be comfortable taking direction from Leadership Supervisory Responsibilities: • None Essential Job Functions: These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers. • Review assigned charts for correct ICD10 and CPT coding. • Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. • Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. • Must maintain coding credentials thru AAPC. • Ability to research coding questions in order to remain compliant with third party and regulatory guidelines. • Perform other assigned duties. Position Category: Certified Coding Specialist I • Candidate has no previous medical billing or insurance industry experience • Candidate has no previous coding experience Certified Coding Specialist II • Candidate has less than 5 years of medical billing or insurance industry experience and/or • Candidate has less than 5 years of medical coding experience Certified Coding Specialist III • Candidate has more than 5 years of medical billing or insurance industry experience and/or • Candidate has more than 5 years of medical coding experience Physical Requirements: Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
    $36k-44k yearly est. Auto-Apply 39d ago
  • Medical Coder

    Four Winds Health 4.0company rating

    Newnan, GA jobs

    Job Description A Medical Coder for WellStreet Urgent Care is responsible for supporting all aspects of the Revenue Cycle for our Urgent Care Centers. Responsibilities • Coding for our Urgent Care Centers using our internal software • Knowledge of ICD-10 Coding and compliance • Experience using an encoder • Setting up insurance plans within our software • Working with the Revenue Cycle Management to identify & resolve issues related to coding and the process flow • Interfacing with clinic staff on billing & coding issues. • Comply with all legal requirements regarding coding procedures and practices • Conduct audits and coding reviews to ensure all documentation is accurate and precise • Assign and sequence all codes for services rendered • Collaborate with billing department to ensure all bills are satisfied in a timely manner • Communicate with insurance companies about coding errors and disputes • Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures • Adhere to productivity standards Minimum Qualifications • 3+ years of experience in medical billing • Epic experience required • Urgent Care and Occupational Health Billing experience is a plus • High School diploma or equivalent Required Skills • Active CPC, RHIT, CCS or COC Certification • Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims • Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment • Ability to work within a team environment and maintain a positive attitude • Excellent documentation, verbal and written communication skills • Extremely organized with a strong attention to detail • Motivated, dependable and flexible with the ability to handle periods of stress and pressure • All other duties as assigned. WellStreet Urgent Care is committed to providing the highest quality patient and customer care. In addition to the above requirements, WellStreet is looking for team members with the following qualities: • A positive attitude toward patients, families, and coworkers. • Willingness always to go the extra mile to create an outstanding experience for customers and to train and lead the center team to do the same. • A desire to work in concert with others in an upbeat and supportive atmosphere while reinforcing the WellStreet mission to provide uncompromising service. • A compelling desire to serve others, improve your community's health, and have fun every day. INDmisc
    $37k-44k yearly est. 30d ago
  • Medical Coding and Billing Specialist

    Right at Home 3.8company rating

    Birmingham, AL jobs

    Right at Home is a Home Health company that provides Nursing and Therapy services in the homes of patients throughout Alabama. Right at Home is a Preferred Provider of BlueCross BlueShield of Alabama. Billing Specialist duties and responsibilities Billing Specialists perform many accounting, customer service and organizational tasks to promote the financial health of their organization. These duties and responsibilities often include: Maintaining the billing and medical coding for BlueCross BlueShield of Alabama Collaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and errors Creating invoices and billing materials to be sent directly to a customer or patient Inputting payment history, upcoming payment information or other financial data into an individual account Finding financial solutions for patients or customers who may need payment assistance Informing patients or customers of any missed or upcoming payment deadlines Calculating and tracking various company financial statements Translating medical code if working in a medical setting A Billing Specialist uses soft skills, technical abilities and industry-specific knowledge to manage their organization's accounts, including: Strong communication, including writing, speaking and active listening Great customer service skills, including interpersonal conversation, patience and empathy Good problem-solving and critical thinking skills In-depth knowledge of industry best practices Basic math, bookkeeping and accounting skills Organization, time management and prioritization abilities Ability to be discreet and maintain the security of patient or customer information Effective computer skills to input to use bookkeeping and account management software in a timely and efficient manner Understanding of industry-specific policies, such as HIPAA regulations for health care Compensation: $18.00 per hour Right at Home's mission is simple...to improve the quality of life for those we serve. We accomplish this by providing the Right Care, and we deliver this brand promise each and every day around the world. However, we couldn't do it without having the Right People. Our care teams are passionate about serving our clients and are committed to providing the personal care and attention of a friend, whenever and wherever it is needed. That's where you come in. At Right at Home, we help ordinary people who have a passion to serve others become extraordinary care team members. We seek to find people who are compassionate, empathetic, reliable, determined and are focused on improving the quality of life for others. To our care team members, we commit to deliver the following experiences when you partner with Right at Home: We promise to help you become the best you can be. We will equip you as a professional by providing best in class training and investing in your professional development. We promise to coach you to success. We're always available to support you and offer you tips to be the best at delivering care to clients. We promise to keep the lines of communication open. We will listen to your ideas and suggestions as you are critical to our success in providing the best possible care to clients. We will provide you timely information and feedback about the care you provide to clients. We promise to celebrate your success. We will appreciate the work you do, recognize above and beyond efforts, and reward you with competitive pay. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Right at Home Franchising Corporate.
    $18 hourly Auto-Apply 60d+ ago
  • 340b Auditor Analyst - Marshall Medical Centers South - full time

    HH Health System 4.4company rating

    Boaz, AL jobs

    The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position. Job Summary: The Pharmacy 340b Analyst/Auditor will be responsible for analysis, investigations and special projects associated with 340b drug program. This person will assist with development of monitoring protocols and ensuring effective internal controls for the program. Reports To: Director of Pharmacy Supervises: None Some of the many skills performed Developing a thorough understanding of the split-billing/third party administrator systems and the functions to be preferred. Conducting weekly and monthly 340B audits of contract pharmacies and in-house pharmacies to verify adherence to the 340B program guidelines and policies, and providing results to the System Director of Pharmacy Services. Development and updating 340B program reports detailing volume, financial value, and other metrics as needed to accurately depict findings from audits to be shared with the pharmacy leadership team. Managing multiple audits accurately and consistently tracking and reporting outcomes for compliance and audit purposes. Developing and/or maintaining reports that can be used to educate staff and assist management in tracking overall 340B program compliance and financial impact to the organization. Reviewing outpatient retail pharmacy claims for 340B appropriate accumulations. Helping oversee inventory management of 340B purchased items in physical inventories, virtual inventories, automated-dispensing cabinets, and contract pharmacies. Verifying compliance with various rebate model systems Identifying and implementing cost saving opportunities by working closely with pharmacy leadership team. Cross training with other systems hospitals 340B platforms and EHRs Attending educational trainings including conferences, webinars, roundtables as necessary. Performs other duties as assigned by supervisor. Additional Skills/Abilities Must have computer skills and dexterity required for data entry and retrieval of information. Excellent analytical and organizational skills and strong orientation to attention-to-detail. Effective verbal and written communication skills and the ability to present information clearly and professionally. Strong interpersonal skills Knowledge of pharmacy processes and medications utilized in hospitals, GPOs, Retail Pharmacies and Wholesalers (preferred) Ability to travel throughout and between facilities. Knowledge of pharmacy software to support 340B Pharmacy Program (preferred) A capable candidate would be able to work independently with little supervision and still produce quality, accurate work. Adaptability and willingness to learn and teach others are essential traits for this role. Qualifications EDUCATION: High School Graduate or Equivalent required Bachelor's Degree in Healthcare Administration, Business Management or a similar field of study preferred. LICENSURE/CERTIFICATION: Registration with the Alabama Board of Pharmacy as a Pharmacy Technician. PTCB and/or ICPT certified preferred. 340b University Certification or ability to complete within 90 days
    $45k-70k yearly est. Auto-Apply 40d ago
  • Health Information Spec II

    Sarasota Memorial Health Care System 4.5company rating

    Sarasota, FL jobs

    Department Health Information Management Responsible for the day to day tasks related to the processing of health information to include but not limited to the following: chart pick-up, general HIM reception and transcription, release of information, indexing and quality assurance of medical records, analysis, amendments, audits, and birth certificate processing, emergency assistance program processing, and chart completion. Required Qualifications * Require a minimum of two (2) years of previous experience in Health Information Management. Preferred Qualifications * Prefer the ability to work independently, shift priorities, and demonstrate decision making ability. * Prefer the ability to cross train on all processes involved in scanning paper records and training staff on these processes. * Prefer advanced knowledge of word processing and spreadsheet applications. * Prefer knowledge of Joint Commission and CMS Conditions of Participation. * Prefer demonstrated strong interpersonal, communication and organization skills. * Prefer the ability to perform clerical duties, repetitive and detailed tasks. * Prefer the ability to interact with ancillary departments. Mandatory Education HS EQ: High School Diploma, GED or Certificate Preferred Education Required License and Certs Preferred License and Certs Tuesday through Saturday 10:00AM-6:30PM Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. *********************************
    $51k-63k yearly est. 45d ago

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