Inpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on
Chicago, IL jobs
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Job Description
The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Inpatient Coder II is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. This person possesses a strong foundation in coding conventions, instructions,
Official Guidelines for Coding and Reporting
and
Coding Clinics.
The Inpatient Coder II has a deep understanding of disease process, anatomy/physiology, pharmacology and medical terminology.
Responsibilities:
Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity.
Utilizes expertise in clinical disease process and documentation, to assign Present on Admission (POA) values to all secondary diagnoses for quality metrics and reporting.
Thoroughly reviews the provider notes within the health record and the Findings from the Clinical Documentation Nurse in the Clinical Documentation Improvement (CDI) Department who concurrently reviewed the record and provide their clinical insight on the diagnoses.
Utilizes resources within CAC (Computerized Assisted Coding) software to efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features.
Reviews Discharge Planning and nursing documentation to validate and correct when necessary, the Discharge Disposition which impacts reimbursement under Medicare's Post-Acute Transfer Policy.
Utilizes knowledge of MS-DRG's, APR-DRG's, AHRQ Elixhauser risk adjustment to sequence the appropriate ICD-10-CM codes within the top 24 fields to ensure correct reimbursement and NM's ranking in US News and World Report.
Collaborate with CDI on approximately 45% of discharges regarding the final MS or APR DRG and comorbidity diagnoses.
Educates CDI on regulatory guidelines, Coding Clinics and conventions to report appropriate ICD-10-CM diagnoses.
Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, medical terminology to determine the Principal Diagnosis, secondary diagnoses and procedures.
Follows the ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS
Official Guidelines for Coding and Reporting
,
Coding Clinic
for ICD-10-CM and ICD-10-PCS, coding conventions and instructional notes to assign the appropriate diagnoses and procedures.
Utilizes coding expertise and knowledge to write appeal letters in response to payor DRG downgrade notices.
Resolves Nosology Messages/Alerts and Coding Validation Warning/Errors.
Meets established coding productivity and quality standards.
Qualifications
Required:
3 years of inpatient coding experience in an acute healthcare setting
RHIA, RHIT or CCS credential
AHIMA membership
Preferred:
Associate's degree in related field
RHIA, RHIT with CCS or CDIP/CCDS credential
4 years of inpatient coding experience in a teaching hospital
Additional Information
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Dosimetrist, Remote
Columbus, GA jobs
Responsibilities:
Dosimetrist, FT, Piedmont Columbus John B. Amos Cancer Center, "Hybrid "
RESPONSIBLE FOR: Measuring and generating radiation dose distributions and calculations under the direction of the Radiation Physicist and Radiation Oncologist.
Qualifications - External
Qualifications:
MINIMUM EDUCATION REQUIRED:
Bachelor's Degree in any discipline.
If hired prior to January 2025, will only require certification by the Medical Dosimetry Certification Board
(MDCB).
MINIMUM EXPERIENCE REQUIRED:
Three years of clinical experience in a radiation therapy department as a radiation therapist or medical
dosimetrist
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
Board Eligible by the MDCB (Medical Dosimetrist Certification Board)
Obtains Dosimetrist certification within 13 months of hire date.
Participation in the learning plan activities as required by MDCB (Medical Dosimetrist Certification Board).
Business Unit : Company Name: Piedmont Columbus Midtown
Open Rank Professor - Center for Remote Health Monitoring
Wake Forest, NC jobs
Department:
85082 Wake Forest University Health Sciences - Academic Biomedical Engineering
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Varies
Pay Range
$0.00 - $0.00
What You'll Do:
The Center for Remote Health Monitoring and the WFUSM provide a unique opportunity for conducting research at scale through our evolving integrated healthcare system, which is currently caring for more than seven million patients in Illinois, Georgia, Alabama, Wisconsin, and the Carolinas. The WFUSM has a long established and ongoing tradition of excellence in basic and clinical research involving remote patient and participant monitoring, including more than $20 million in annual extramural research support, with recent success in securing over $30 million in additional COVID-related funding. Remote monitoring activities range from home serology testing during the COVID pandemic, to the use of devices to monitor physical movement and activity, arrhythmia, glucose, mental health, and sleep, among others. Augmenting these activities is the strong affiliation with the Center for Healthcare Innovation, Center for Artificial Intelligence Research, and Department of Biomedical Engineering, all centrally located on the medical school campus. Moreover, the recent combination of Wake Forest Baptist Health and Atrium Health has ushered in a phase of unprecedented growth and evolution that will involve the recruitment of over 40 new research-intensive faculty, which includes a strong commitment to growth in the emerging field of remote patient and participant monitoring and will further bolster our commitment to the Academic Learning Health System. This recruitment activity, coupled with an evolving integrated healthcare system, will support a broad program of clinical, translational and population research and is an ideal footprint for accelerating research growth and innovation. The use of digital technology to improve health inequities will be considered an important area of focus and a determinant in the consideration of candidates.
What You'll Need:
Investigators, holding a PhD and/or MD, with a current rank of Assistant, Associate, or Full Professor, who have national/international academic stature, a strong track record of extramural funding, and a research portfolio that includes digital and mobile health applications will be considered. The successful candidate will have opportunities for primary and secondary academic appointments in a diverse set of highly successful clinical, basic science, and population health departments, depending on their background and expertise. Please include as attachments to your application a statement describing your research program, CV (including funding history), cover letter, and contact information for at least 3 professional references. Applications will be reviewed on a rolling basis until the positions are filled.
For pre-submission inquiries, please contact Thavone Khounthikoumane at tkhounth@wakehealth.edu.
Where You'll Live:
The WFUSM is located in beautiful Winston-Salem, North Carolina, which features a moderate climate with all four seasons and housing costs more than 32% below the national average. Residents enjoy a vibrant restaurant scene, a wide variety of indoor and outdoor recreational opportunities, strong public/private schools, enthusiastic support for the arts, and close proximity to the Appalachian Mountains and Atlantic Coast beaches.
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.
Auto-ApplyInstrument Processing Technician, SPD, Full Time, Second Shift
Remote
Department: Sterile Processing Hours: Full-Time, 40 Hours/Week Shift: Second, 3p-1130p
Instrument Processing Technician, Full Time, Second Shift
UC Health is hiring an Instrument Processing Technician to join our Sterile Processing Department on second shift.
The Instrument Processing Technician provides cleaning, decontamination, assembly processing and sterilization of instruments, trays and endoscopes. Also assembles case carts with needed surgical supplies.
Minimum Required: High School diploma or GED required; Associate's degree preferred.
Upon 1 year of hire, obtain certification: CRST. Maintain a current registration as a CRST.
1 year minimum SPD experience; prefer 3 years SPD experience.
Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today!
About UC Health
UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is an EEO employer.
Performs decontamination functions:
Disassembles, cleans and disinfects instruments and equipment used for patient care utilizing correct manual and mechanical processes. Operates equipment used in decontamination process, i.e. sonic washer, cart washers, washer sterilizers, and decontaminators. Unloads case carts containing soiled instruments and places in designated area. Performs cleaning tasks in work area as assigned. Used universal precautions when working in decontamination area, i.e. gloves, face shield, protective gown Utilizes computer system to track instruments and case cart.
Assembles instrument trays and packs:
Unloads instruments from washer sterilizers and distributes to appropriate workstations. Assembles instrument trays and packs utilizing written instructions and proper protocol. Applies sterilization wrappers properly to maintain integrity of the contents. Utilizes heat sealer on packs as needed. Each item is identified correctly on the outside packaging of each item. Transports trays to sterilization area. Consistent use of the barcode technology to track productivity. Use of computerized instrument tracking system to validate tray production against online list/error proofing systems to ensure accuracy of assembly.
Operates sterilizers, documents loads, and returns stock to appropriate area:
Loads trays, packs, and basins onto sterilizer loading rack, utilizing correct procedures. Able to operate each type of sterilizer (e.g. Steam, Plasma, Steris) per manufacture's instructions and departmental guidelines and polices. Accurately documents all sterilization information. Biological monitoring is completed per departmental policy. Sterile supplies are handled properly and restocked in sterile storage area. Rotates sterile supplies and inventories for expiration dates as required. Maintain assigned work area and equipment in a clean and organized condition to maintain required safety standards for handling sterilized and clean materials and to maintain a safe work environment.
Assembles case carts per departmental procedures:
Produce pick sheets from computer. Able to pull instruments and sterile supplies per pick sheet accurately and completely.
Other duties as assigned:
Active participant in QA activities. Assists with training of other associates. Attends departmental in-services and mandatory meetings. Acts as a liaison between Sterile Processing and all customers and communicates in a courteous manner. Makes effective use of time and is able to distinguish between low and high priority activities. Delivers equipment and supplies to various departments as needed. Able to fulfill on-call requirements.
Auto-ApplyCoder I, Revenue Cycle Admin, Full Time, 1st Shift
Remote
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
Using established policies and procedures; the Non-certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Non-certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set.
Responsibilities
Coding quality:
Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG's.
• Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation.
• Maintains an acceptable coding accuracy rating on records assigned.
• Queries physicians when necessary to ensure documentation supports the codes assigned.
Coding productivity:
• Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals.
• Completes productivity data correctly and timely.
Billing edits, coding corrections, DRG changes:
• Reviews, researches, and resolves claim edits for billing purposes.
• Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated.
Accountability:
• Reviews educational materials thoroughly and takes responsibility for applying this information when coding.
• Seeks to clarify information and educational material when necessary.
• Listens actively.
• Maintains information and resources in an organized manner so that information can be referenced easily.
• Reviews emails timely and thoroughly and responds when indicated.
• Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.
Qualifications
Minimum Required: High School Diploma or GED. Formal education in basic ICD-9CM/CPT coding, Medical Terminology, Anatomy/, pathophysiology and disease processes. Preferred: Associate's OR Bachelor's Degree in healthcare related field. | Preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). | Minimum Required: 1 year of Acute Care Coding.
Auto-ApplyClinical Research Coverage Analyst
Denver, CO jobs
Clinical Trials Research Coverage Analyst Department: UCHlth Research Admin FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $31.61 - $47.41 / hour. Pay is dependent on applicant's relevant experience
Summary:
Facilitates review and approval of requested clinical research services and ensures billing compliance. This is a 100% remote position; qualified/eligible out-of-state candidates may be considered.
Responsibilities:
Creates billing plan, including Medicare Coverage Analysis documentation, in alignment with the Clinical Trial Agreement, budget, and informed consent pursuant to regulations for coverage determinations. Coordinates revision of approval documents per the clarifications from study team.
Conducts review of research studies to determine if they are qualified clinical trials pursuant to appropriate regulations.
Reviews first patient enrollment in clinical trials to ensure quality and accuracy of Medicare Coverage Analysis documentation.
Conducts facility review of submitted studies and evaluates protocols for required clinical services.
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
Requirements:
* Associate's degree in a health or science related field.
* 2 years of relevant experience.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
UCHealth invests in its Workforce.
UCHealth offers a Three Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of three years' employment.
UCHealth offers their employees a competitive and comprehensive total rewards package (benefit eligibility is based off of FTE status):
* Medical, dental and vision coverage including coverage for eligible dependents
* 403(b) with employer matching contributions
* Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UCHealth with PTO in your bank
* Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options
* Employer paid short term disability and long-term disability with buy-up coverage options
* Wellness benefits
* Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs
* Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year
Loan Repayment:
* UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.
Who We Are (uchealth.org)
Infrastructure Analyst Associate
Remote
Department:
12232 Advocate Aurora Health Corporate - Data Centers and Disaster Recovery
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Hours: 8:00-4:30pm (Start and stop time flexible)
Work From Home
On Call Duties
Pay Range
$28.05 - $42.10Major Responsibilities:
Plans, schedules, coordinates and executes system and server software installations and upgrades for systems implemented across the organization. Adheres to all change management processes and makes suggestions on change management process improvements.
Installs, builds, configures and supports physical and virtual server implementations. Maintains understanding of technology stack components from desktop to wide area network, to troubleshoot integration conflicts and isolate issues for resolution. Analyzes business requirements and creates technical recommendations. Evaluates new and existing software products. Provides installation, maintenance, testing, documentation and training for the operating systems and hardware.
Assists with the creation, training and implementation of server administration procedures. Executes capacity monitoring processes to optimize system resources. Monitors and tunes systems to achieve optimum performance levels. Assists in capacity monitoring and planning process design and review. Recommends improvements to current technical architecture.
Assists with creation of and implements backup and recovery procedures to ensure data/media recoverability. Participates as needed in disaster recovery and business continuance configurations and procedures.
Responsible for the scheduling of batch processing in multiple environments and platforms. Maintain the scheduling environments to ensure proper job execution, handle new requests and troubleshoot problems.
Follows quality assurance processes to ensure proper system operation, optimum performance, and absence of defects.
Monitors systems, tasks and resources and initiates corrective actions. Communicates with staff and clients in order to keep them informed about activity status and potential problem areas.
Prioritizes problems and issues as needed. Works collaboratively with vendors at technical level to resolve problems and manage escalation.
Performs root-cause analysis and solves server software and hardware problems. Tracks and trends problems and makes recommendations towards resolution. Collaborates with technical staff for problem resolution of more complex software and hardware problems.
Licensure, Registration, and/or Certification Required:
None Required.
Education Required:
Bachelor's Degree (or equivalent knowledge) in Computer Science or related field.
Experience Required:
Typically requires 3 years of experience in or exposure to Windows and/or Linux server administration, virtualization technologies, enterprise backup products, networking technologies and system monitoring software.
Knowledge, Skills & Abilities Required:
Mid-level technical and analytical expertise and product knowledge within the areas of server administration, virtualization technologies, backup systems, storage systems, network management systems, performance monitoring tools, directory services as well as other core enterprise systems that team staff manages for HIT as well as internal and/or external entities.
Knowledge of server hardware, firmware, OS (Windows and Linux) and software.
Knowledge of Active Directory and Group Policy administration for servers.
Knowledge of network administration tools such as DNS and DHCP.
Knowledge of workload automation software and tools to build and validate job flows, calendar requirements, and scheduling criteria.
Demonstrated facilitation skills and ability to explain technical subjects to nontechnical clients.
Demonstrated ability to translate user requirements into system specifications.
Strong organizational and analytical skills. Ability to gather, organize and present data in spreadsheets or graphically within presentations.
Strong problem and issue resolution skills.
Strong written and oral communication skills.
Ability to handle multiple tasks, set appropriate priorities and accomplish assignments in a thorough and timely manner.
Physical Requirements and Working Conditions:
Work environment may contain dust, dirt and noise.
Potential for exposure to mechanical and electrical hazards, and to patient care areas; therefore, must wear protective clothing as necessary.
Exposed to a normal office environment most of the time.
Position will require off-hours support and on-call rotation.
Position requires travel. May be exposed to road and weather hazards.
Operates all equipment necessary to perform the duties of 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.
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.
Auto-ApplyClinic Registration Specialist (Financial Advocate-Outpatient Therapy)
Des Moines, IA jobs
* Area of Interest: Patient Services * FTE/Hours per pay period: 1.0 * Department: Therapy Services O/P ILH- Luth * Shift: M-F 8-4:30 * Job ID: 174837 As the initial contact to the department/clinic, uses personal skills to quickly build a positive relationship with persons served. Demonstrates ability to effectively manage details by accurately completing registration, verifying payor coverage, processing orders/referrals, point of service collections, maintaining medical records and completing billing procedures. Creates a welcoming environment for persons served. Effectively manages positive relationships with referral sources and other members of the team. Acts as a resource to the interdisciplinary team, applying skills of the profession to improve outcomes of persons served.
Why UnityPoint Health?
At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.
Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few:
* Expect paid time off, parental leave, 401K matching and an employee recognition program.
* Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
* Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.
With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.
And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.
Find a fulfilling career and make a difference with UnityPoint Health.
Responsibilities
Care Delivery:
Communicates with referral sources and various service sites to coordinate care and provide a smooth transition for persons served.
Creates and maintains an organized work environment. Records, files, and maintains current information pertinent to the operation of the department and maintains medical record of persons served.
Verifies benefits and coverage as assigned. Communicates coverage information with persons served.
Maintains medical record and provides required documentation to payor to assure payment.
Accurately completes billing procedures using appropriate IT systems and software. Exhibits an understanding of third-party payor processes.
Uses resources to improve productivity or delegate appropriately. Specifically, works with other clerical staff and volunteers to enhance services, use time wisely and improve teamwork.
Uses payroll technology to complete processes in an accurate and timely manner as assigned. Assists with cleaning/inventorying equipment and ordering supplies.
Reports any questions or concerns regarding compliance immediately to the attention of department or organization/hospital administrative staff.
Effectively manages supplies through setting and maintaining par levels. Evaluates and adjusts par levels to decrease over stock. Orders additional patient care supplies as patient needs require.
Manages resources to maintain efficient and effective operations.
Demonstrates initiative to improve quality and maximize patient experience.
Professionalism and Personal Development:
Demonstrates professionalism and personal growth in daily actions.
Promotes professional rehabilitation objectives among interdisciplinary team members.
Consistently utilizes a holistic approach (considering physical, psych/social, spiritual, educational, safety, and related criteria, appropriate to the age of the patients served in the assigned service
area).
Participates in process improvement for enhancement of care delivery and clinical excellence.
Fosters professional relationships that offer opportunities for enhanced patient access and care delivery.
Exhibits flexibility with assignments including hours of operation to meet business and customer needs.
Exhibits willingness to accept and learn new skills.
May have flexibility to occasionally work remotely outside of their designated UPH location.
Qualifications
Education: High School Diploma Required or GED.
Experience: Two years billing, financial counselor, EMR or health care related experience preferred. Must be flexible to learn additional IT applications as assigned. Must have working knowledge of Microsoft Office products and Outlook.
Knowledge/Skills/Abilities: Must be able to communicate effectively with people of diverse professional educational and lifestyle backgrounds. Knowledge of basic computer skills.
Other: Use of usual and customary equipment used to perform essential functions of the position.
Auto-ApplySupvr Coding, Observation, Day Surgery and CVIR Coding
Denver, CO jobs
Supervisor, Observation, Day Surgery and CVIR Coding Department: UCHlth Outpatient Coding 2 FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $29.54 - $44.31 / hour. Pay is dependent on applicant's relevant experience
Summary:
Supervises daily staff activities for facility Observation, Day Surgery and CVIR Coding. This is a 100% remote position. Eligible out-of-state candidates may be considered.
Responsibilities:
Determines, coordinates and supervises daily staffing assignments. Provides direction, orientation, training, coaching, and mentoring to staff. Performs or assists with performance evaluations and disciplinary actions.
Supports management initiatives. Assesses quality of services delivered and facilitates staff development programs. Ensures staff compliance with departmental and organizational policies, procedures, and protocols.
Performs staff responsibilities as needed to fulfill required service levels. Leads the handling and resolution of complex issues and complaints.
Serves as an internal liaison with other departments that have coding concerns/questions.
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
Requirements:
* High School diploma or GED.
* Coding-related certification from AHIMA or AAPC.
* 2 years of relevant experience. Preferred: 2 years of supervisory experience.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
UCHealth invests in its Workforce.
UCHealth offers a Three Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of three years' employment.
UCHealth offers their employees a competitive and comprehensive total rewards package (benefit eligibility is based off of FTE status):
* Medical, dental and vision coverage including coverage for eligible dependents
* 403(b) with employer matching contributions
* Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UCHealth with PTO in your bank
* Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options
* Employer paid short term disability and long-term disability with buy-up coverage options
* Wellness benefits
* Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs
* Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year
Loan Repayment:
* UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.
AF 123
Who We Are (uchealth.org)
Ancillary Coder Hospital
Atlanta, GA jobs
MINIMUM EDUCATION REQUIRED: High school diploma or equivalent required.
MINIMUM EXPERIENCE REQUIRED: None.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: None.
ADDITIONAL QUALIFICATIONS: One or more certifications required - RHIA, RHIT, CCS, CCA, CCS-P, CPC, CPC-A, CPC-H.
Coding experience preferred.
Coding Certificate program (AHIMA accredited) preferred.
Experience in coding at a multi-facility organization and remote coding experience is a plus.
RESPONSIBLE FOR\:
Reviews, analyzes, and assigns codes based on appropriate coding guidelines and criteria for outpatient
medical record documentation to include, but not limited to\: medical, diagnostic and procedural
information for the correct ICD-10-CM and /or CPT-4 HCPCS codes.
Primary coding responsibility is Diagnostic/Clinical, Emergency Room, Recurring and Specimen patient
types.
**REMOTE/WORK FROM HOME**
Auto-ApplyClinician Coding Liaison - Medical Specialties (SE)
Milwaukee, WI jobs
Department:
10395 Enterprise Revenue Cycle - Individualized Clinician Support Surg Hosp Based and Complex Specialties
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Hours between 6:00am-6:00pm CST
REMOTE position
Pay Range
$34.90 - $52.35
Major Responsibilities:
Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and Population Health-to enhance documentation practices and system optimization.
Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.
Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.
Licensure, Registration, and/or Certification Required:
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additional credential preferred.
Education Required:
Completion of advanced training in revenue cycle management through a recognized or accredited program, equivalent in scope and rigor to post-secondary education. High school diploma or GED required.
Experience Required:
Typically requires 4 years of experience in expert-level professional coding.
Knowledge, Skills & Abilities Required:
Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.
Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.
Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.
Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail.
Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams.
Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication.
Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment.
Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance.
Collaboration & Initiative: Strong ability to take initiative, contribute to process improvements, and work collaboratively within a team environment.
Physical Requirements and Working Conditions:
Follow organizational and divisional remote work policy and guidelines.
Operates all equipment necessary to perform the job.
Handles a fast paced and creative work environment moving independently from one task to another.
Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis.
This position may require travel, therefore, will be exposed to weather and road conditions.
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.
Auto-ApplyBehavioral Health Therapist - Remote Option, IL Only
Remote
Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub.
Shift: Day
Time Type: Full Time
Facility/Clinic Name: Harrisburg Medical Center Clinic Eldorado
Position Summary
• Responsible for the overall operation of case management and social services activities within the department.
Education
• Master's Degree in Social Work or Counseling
Licenses and Certification
• LCSW or LCPC in Illinois
Experience and Skills
• Technical Experience: 2 years of experience in providing individual, family and/or group therapy required. Experience in addiction disorders/cross addictions; excellent knowledge of the concepts of stigma, addiction, recovery, and relapse helpful
• Excellent interpersonal skills
• Excellent knowledge of available community resources
Role Specific Responsibilities
• Performs concurrent patient assessment related to appropriateness of the level of care, diagnosis, procedures performed, and intervenes to expedite the patient's plan of care.
• Provides consultations to medical staff and other members of the multi- disciplinary team regarding the impact of socio-emotional factors on the patient's illness and intervenes to expedite the plan of care.
• Provides and documents discharge planning services in a professional, collaborative and timely manner to optimize meeting patients' post- hospital discharge care needs.
• Collaborates with the interdisciplinary team to assess, monitor, implement and evaluate patient care needs during the hospital stay in order to smoothly transition the patient to the next level of care.
• Utilizes evidence-based practice standards to guide the evaluation of care, length of stay, medical necessity of services, and appropriate use of organizational and patient centered resources. Medically complex setting determinations may require consultation with the R.N. Case Manager.
• Intervenes on behalf of patients with specific needs not limited to abuse, neglect, mental health issues, end of life issues, ethical concerns, legal matters, financial concerns, and challenges in family dynamics.
• Facilitates and acts as a resource to other members of the healthcare team for functions to include but not limited to guardianship proceedings, adoption, advance directive planning, and emergency detentions.
• Develops and maintains collaborative relationships with organizations in the community that facilitate provision of appropriate care during the hospital stay and facilitate efficient and effective planning for continued care for the patient:
• Collaborates with necessary staff and post-discharge care providers to assure a safe and effective discharge plan; Facilitates care conferences with patient and/or family support structure to foster decision making that promotes patient advocacy.
• Supports Service Excellence initiatives contributing to the organization becoming a top performer in quality care, patient safety and patient satisfaction strategies: Understands and applies techniques to support the provision of population based appropriate care utilizing Joint Commission standards, CMS Core Measure requirements, and other best practices
• Acts as an expert resource to the interdisciplinary healthcare team, physicians and other leaders:
•Participates in interdisciplinary team meetings in a collaborative manner resulting in achievement of best patient outcomes; Participates actively in departmental and hospital wide teams, committees, or other improvement initiatives.
Compensation (Commensurate with experience):
$56,472.00 - $87,526.40
To access our Benefits Guide/Plan Information, please click the link below:
***********************************
Auto-ApplyThird Party A/R Representative
Atlanta, GA jobs
RESPONSIBLE FOR\: Completing collection and A/R Follow-up activities for third party payors and maintaining quality and productivity requirements as outlined in the position performance expectations. This representative reports to the Manager of A/R Follow-up.
REMOTE/WORK FROM HOME
SCHEDULE\: MONDAY-FRIDAY, 8\:00AM-5\:00PM
MINIMUM EDUCATION REQUIRED:
High School graduate or GED.
MINIMUM EXPERIENCE REQUIRED:
At least one year related healthcare revenue cycle experience, preferably within AR follow-up; or a minimum of Associate's degree or related technical diploma.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None
ADDITIONAL QUALIFICATIONS:
At least two (2) years of previous related healthcare Revenue Cycle experience, preferably with a focus in A/R Follow-up. Certified Patient Account Representative (CPAR) certification preferred.
Auto-ApplyHB Coding Integrity Specialist - Inpatient Denials
Remote
Department:
10352 Enterprise Revenue Cycle - Admin: Coding & HIM Support
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
First Shift
Hospital Based Inpatient Coding Experience Required.
Denials related experience preferred
May work remote for this opportunity out of the following states: AL, AK, AR, AZ, DE, FL, GA, IA, IL, ID, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.
Pay Range
$28.05 - $42.10
Major Responsibilities:
Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic and national and local coverage decisions.
Works collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes.
Works collaboratively with coding leadership to identify focused prospective records that need to be reviewed.
Identifies coder education opportunities, team trends, and consideration of topics to mandate for second level account review, before the account is final coded.
Reviews encounters flagged for second level review, including but not limited to; hospital acquired conditions (HACs), complications and other identified records such as core measures or trends as identified by coding leadership. Perform review of coded encounter for appropriate risk-adjustment, including accurate severity and risk of mortality assignment.
Responsible for coding participation in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG assignment following notification from the Inpatient coder. Determine the appropriate DRG based on coding guidelines. Provide follow up to the clinical documentation nurse with rationale on final outcome. Recommends educational topics for coders and clinical documentation nurses based on their observations from reviewing mismatches.
Participate in hospital coding denial and appeal processes as directed. Ensure timely review and response to any third-party payer notification of claims where codes are denied. Determine if an appeal will be written based on application of coding guidelines and provider documentation.
Following review of overpayment or underpayment denials, provide appropriate follow-up to coding team member as appropriate, rebilling accounts to ensure appropriate reimbursement. All trends identified should be presented to coding leadership in a timely manner and logged for historical tracking purposes.
Investigates and resolves all edits or inquiries from the billing office or patient accounts, to prevent any delay in claim submission due to open questions related to coding. Identifies any coding issues as they relate to coding practices. Clarifies changes in coding guidance or coding educational materials.
Maintains continuing education credits and credentials by keeping abreast of current knowledge trends, legislative issues and/or technology in Health Information Management through internal and external seminars. Identify opportunities for continuing education for hospital coding team.
Licensure, Registration, and/or Certification Required:
Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
Education Required:
Associate's Degree in Health Information Management or related field.
Experience Required:
Typically requires 5 years of experience in hospital coding for a large complex health care system, which includes hospital coding, denial review and/or coding quality review functions.
Knowledge, Skills & Abilities Required:
Demonstrated leadership skills and abilities.
Demonstrates knowledge of National Council on
Compensation Insurance, Inc. (NCCI) edits, and local and national coverage decisions.
Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups)
Advanced knowledge in Microsoft Applications, including but not limited to; Excel, Word, PowerPoint, Teams.
Advanced knowledge and understanding of anatomy and physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology.)
Advanced knowledge of pharmacology indications for drug usage and related adverse reactions.
Expert knowledge of coding work flow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems.
Excellent communication and reading comprehension skills.
Demonstrated analytical aptitude, with a high attention to detail and accuracy.
Ability to take initiative and work collaboratively with others.
Experience with remote work force operations required.
Strong sense of ethics.
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.
Auto-Apply
Department:
11903 AMC Burlington - Food and Nutrition
Status:
Part time
Benefits Eligible:
Yes
Hours Per Week:
20
Schedule Details/Additional Information:
Position typically works day shift averaging 20 hours per week. Position rotates weekends and holidays.
Pay Range
$32.45 - $48.70
Major Responsibilities
Directs, plans, and manages the development and implementation of clinical nutrition and operational quality standards for both inpatient and/or outpatient nutrition services. Collaborates with hospital administration, medical staff, nursing, and other allied health care professionals at both the system and site level. Serves as the site nutrition expert on all nutrition-related matters.
Actively participates in the Advocate Health Midwest Region Clinical Nutrition Committee (CNC) to design, develop, implement, and evaluate new clinical practices and programs. Communicates and implements new clinical initiatives. Provides leadership for all aspects of clinical nutrition care and education. Effectively implements practices and initiatives to promote the established region standards of clinical excellence.
Routinely monitors clinical dietitian documentation for elements of the Global Malnutrition Composite Score (GMCS) for Medicare and Medicaid Services' (CMS) Nutrition Electronic Quality Indicators. Develops site-based nutrition Quality Assessment Performance Improvement (QAPI) efforts to ensure nutrition care is safe and effective for patients. Develops and implements action plans for any quality indicator not meeting goal.
Ensures department clinical standards comply with safety initiatives, policies, procedures, DNV regulations, and department standards and/or local health department regulations. Plans, directs and supervises the development, implementation, maintenance and evaluation of a comprehensive nutrition-focused Continuous Quality Improvement program.
Assists in hiring and onboarding a skilled clinical nutrition staff capable of providing essential nutrition care to patients, in compliance with the standards set by the department, hospital, DNV and other regulatory agencies. Annually evaluates competency of clinical dietitians per system-established competency standards. Provides training and feedback to clinical dietitians and other Food and Nutrition teammates, as applicable. Provides input on performance reviews.
Oversees and participates in ongoing Medical Nutrition Therapy (MNT) care for entire hospital inpatient census, through screening, prioritizing, assessing, and recommending interventions. Maximizes efficiencies of clinical nutrition team to balance workloads due to fluctuations in census, consults, acuity, staffing challenges.
Ensures competency of clinical nutrition team to perform Nutrition Focused Physical Examinations of high-risk patients to evaluate the loss of specific muscles and subcutaneous body fat to determine the presence of and degree of malnutrition to improve patient outcomes and to positively impact inpatient readmission rates.
Coordinates site didactic internship program with approved partners. Schedules and onboards dietetic interns. Completes evaluations and provides coaching to internship participants. Ensures internship experience provided by the site meets or exceeds clinical competencies as set forth by the Accreditation Council for Education in Nutrition and Dietetics (ACEND). Communicates regularly with didactic program coordinator to provide feedback on intern performance.
Reviews and revises clinical nutrition policies and standard works to ensure that they are consistent with current practices. Updates electronic document system to reflect all changes in a timely manner.
Licensure, Registration, and/or Certification Required
Dietitian certification issued by the Commission of Dietetic Registration (CDR)
Dietitian (RD) registration with the Academy of Nutrition and Dietetics
Licensure by the Department of Financial and Professional Regulation (IL only)
Certification by the Department of Safety and Professional Services (WI only)
Education Required
Minimum of bachelor's degree (if CDR registration eligibility is obtained prior to January 1, 2024) or Minimum of Graduate Degree (master's, practice doctorate, or doctoral) (if initial CDR registration is obtained on or after January 1, 2024)
Successful completion of Accreditation Council for Education in Nutrition and Dietetics (ACEND)-accredited supervised practice program
Experience Required:
A minimum of 5 or more years of clinical and/or leadership experience.
Knowledge, Skills & Abilities Required:
Excellent communication and interpersonal skills.
Excellent organization, decision-making, time management, and problem-solving skills
Prior experience in leadership activities or role
Advanced knowledge in clinical nutrition and Nutrition Focused Physical Exams
Physical Requirements and Working Conditions:
Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders and twist frequently during the work shift.
Will occasionally be required to lift 25 pounds.
Must have functional vision, hearing, speech, and touch.
May need to travel between work sites; therefore, may have exposure to weather-related hazards.
May need to work remotely and assist other sites as needed.
Operates all equipment necessary to perform the job.
Exposed to a normal office environment.
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. Incumbents may be required to perform other related duties.
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.
Auto-ApplyCertified Medical Assistant, University Health Services, Fulltime, First Shift
Remote
Function as an integral part of the Clinical office staff where the Medical Assistants perform administrative and clinical duties. Responsible for obtaining intake information for a specific patient population, performing tasks and treatments as delegated by licensed personnel and direct patient care as required. Responsible for scheduling test and procedures ordered by the physician and providing limited patient education and instructions associated with these tests and procedures.
About University of Cincinnati Medical Center
As part of the Clifton Campus of UC Health, Greater Cincinnati's academic health system, University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati.
UC Medical Center is also home to medical breakthroughs- our physician experts conduct basic, translational and clinical research, leading to new therapies and care protocols, and connecting patients to the latest and most advanced treatments. UC Medical Center houses Greater Cincinnati's only Level I adult trauma center, which includes the right mix of specialist and medical resources available at a moment's notice for a wide variety of the most complex medical conditions and injuries.
Education: High School Diploma, Graduate of a medical assistant program, minimum required.
License and Certification: Certified or Registered Medical Assistant from AAMA, NHA, NCCT, NAHP, ARMA, AMT.
Years of Experience: Seven - eleven months equivalent experience preferred.
Required Skills and Knowledge:
Excellent written and verbal communication skills.
Must be able to communicate clearly with patients of all education levels.
Ability to react calmly and effectively in emergency situations.
Ability to work without close supervision and to set own priorities.
Ability to manage multiple tasks and successfully meet deadlines.
Ability to utilize electronic health record software
Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today!
About UC Health
UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is an EEO employer.
Job Responsibilities
Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect.
Assist in the implementation of age-appropriate care for specific patient population including provision of direct patient care as part of the clinical team
Obtain vital signs, EKG's, laboratory specimens and other necessary information as required for proper evaluation of patient in accordance with the Medical Assistant competencies utilizing universal precautions at all times.
Assists the provider in documenting notes, orders and prescriptions by setting them up in the Electronic Medical Record. All documents, prescriptions, and orders will be pended to the provider to review, edit, and sign as appropriate.
Prepare and maintenance of the clinic area to include but not to limited to: cleaning and stocking examination rooms, daily setup and securing of computer (laptops) equipment, and maintenance of diagnostic equipment.
Return routine patient telephone calls such as prescription refills or pre-certification for medication as directed from the Electronic Medical Record with appropriate and timely documentation regarding actions taken.
Coordinate ancillary services such as diagnostic testing/imaging, hospital procedures and/or admission, additional patient visits, and acquisition of pertinent medical records.
Maintain positive, professional and cooperative demeanor throughout all interactions with patients, staff, physicians and members of management.
Maintains safe, secure, and healthy work environment by following and enforcing standards and procedures; complying with legal regulations. Maintain patient confidence and protect operations by keeping patient care information confidential. Understands and adheres to the legal responsibilities and requirements with the medical assistant role. Seeks knowledge and understanding of quality measures and patient experience.
Administrative Duties:
Using computer applications Answering telephones Greeting patients Updating and filing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital admissions and laboratory services Handling correspondence, billing, and bookkeeping
Auto-ApplyPhysician & APP Credentialing Coordinator (Remote)
Charlotte, NC jobs
Department:
09320 SE Medical Group Division Recruitment Administration - Physician Recruitment and Marketing
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Weekdays
Pay Range
$24.85 - $37.30
Job Profile Summary
Coordinates credentials verification and analysis activities to support appointment, reappointment and other credentialing activities to the practitioners of the medical staff of all Aurora Health Care hospitals, surgical clinics and health network, and external customers.
Major Responsibilities:
Evaluates requests for applications and obtains authorization as needed. Determines appropriate action to accept or deny application requests. Initiates application process.
Processes applications, reappointments and other credentialing events to the Medical Staff/Network, assessing practitioner information to determine the presence of potentially adverse information and determines further action required. Responsible for quality control on the content and completeness of finalized practitioner credentials files.
Coordinates biennial review, ensuring each practitioner seeking reappointment is evaluated according to requirements by external accreditation and regulatory standards.
Documents all work performed for credentialing events in database as part of the communication with internal customers.
Communicates the progress, completion and findings of ongoing applications to leadership, and as appropriate to other customers. Identifies evolving issues of concern and takes appropriate action.
Maintains credentialing database according to department policies and procedures and regulatory guidelines. Provides an electronic historical record of credentialing events within the organization.
Responsible for investigation and documentation of practitioner credentials, utilizing specialized knowledge to obtain verification of all aspects of a practitioner's background, training and past practice. Understands credentialing requirements of both The Joint Commission and NCQA, CMS and other governmental requirements, and performs in accordance with these standards.
Generates and maintains accurate documentation that may be reviewed and judged for acceptability by state and federal licensing agencies, external customers and may be called into a court of law to justify decision-making by Aurora entities. Manages external audits for delegated credentialing contracts, prepares and reviews files, transmits to delegate, demonstrates adherence to NCQA standards through individual credentialing records.
Evaluates privilege requests to ensure that required supporting documentation named in privilege criteria is included.
Deals with customer questions and complaints by Aurora Health Care caregivers, physicians, allied health practitioners and external agencies.
Licensure, Registration, and/or Certification Required:
None Required.
Education Required:
High School Graduate.
Experience Required:
Typically requires 3 years of experience in a related field such as physician credentialing, medical education, or medical staff office in a healthcare environment.
Knowledge, Skills & Abilities Required:
Strong customer and physician relations skills.
Excellent organizational and communication skills.
Proficient in the use of Microsoft Office (Excel, Access, PowerPoint and Word) or similar products.
Ability to work effectively with minimal supervision and manage multiple priorities.
Knowledge of basic medical terminology (department specific).
Physical Requirements and Working Conditions:
Must be able to sit, stand, walk, lift, squat, bend, twist, crawl, kneel, climb and reach above shoulders at various times in each workday. Must be able to file in a five-drawer filing cabinet.
Must be able to use hands with fine manipulation when using computer keyboard.
Must be able to occasionally lift up to 30 lbs.
Must have functional vision, speech, and hearing.
Exposed to a normal office environment.
Operates all equipment necessary to perform the job.
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.
Auto-ApplyLab Support Technician, Full Time, Third Shift, Core Lab
Remote
Lab Support Technician, First Shift, Core Lab Department
UC Health is hiring a full-time Lab Support Technician for the core lab department for third shift at West Chester Hospital.
The Lab Support Technician collects specimens, performs pre- and post-analytic processing of specimens, accessions, labels and distributes specimens, performs clerical and miscellaneous duties, and assists the technical staff.
About West Chester Hospital
West Chester Hospital provides its patients with access to the region's largest group of specialized physicians and medical providers. With a reputation for providing outstanding patient experiences and quality medical care, the hospital consistently ranks amongst the top 5% in the nation.
West Chester Hospital provides a Level III Trauma Center that delivers superior emergency and critical care, and a certified Primary Stroke Center that provides access to the subspecialty care at the UC Gardner Neuroscience Institute. West Chester Hospital has also achieved Magnet Recognition for excellence in nursing from the American Nurses Credentialing Center (ANCC), and the hospital is routinely ranked among the best places to work in Ohio and Greater Cincinnati.
Education and Experience Requirements:
High school diploma or GED.
Completion of formal phlebotomy training preferred.
Phlebotomy experience preferred.
Keyboarding skills preferred.
Ability to effectively and efficiently perform job duties in a fast-paced environment.
Join our team as a Lab Support Technician in our core lab department and work alongside the best and brightest clinical teams collaborating toward our common purpose: to advance healing and reduce suffering.
Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today!
About UC Health
UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is an EEO employer.
Job Responsibilities
Engages in population appropriate communication.
Has knowledge of growth and development milestones and tasks.
Gives clear instructions to patients/family regarding treatment.
Involves family/guardian in the assessment, initial treatment and continuing care of the patient.
Identifies any physical limitations of the patient and deploys intervention when necessary.
Recognizes and responds appropriately to patients/families with behavioral health problems.
Interprets population related data and plans care appropriately.
Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious/cultural norms.
Performs treatments, administers medication or operates equipment safely.
Recognizes and responds to signs/symptoms of abuse or neglect.
Follows proper patient identification protocols Follows established blood collection protocols
Demonstrates a high level of skill (minimal can't gets, recollects, blood culture contamination rate, etc.)
Prioritizes workload, collects samples in a timely manner, and ensures timely transit of samples to laboratory
Uses order monitor or collection log to ensure timely specimen collection
Communicates to appropriate person(s) the status of any uncompleted collection
Handles problems encountered in am appropriate manner
Cleans and stocks phlebotomy supplies at end of shift
Collection verifies and receipt verifies specimens within expected timeframe
Processes volume of specimens appropriate for the assigned work area
Processes samples in a timely manner and within expected timeframe
Distributes samples to the correct work area within established timeframe
Follows established guidelines for centrifugation of samples
Follows established guidelines for aliquoting and preparing samples, including those being sent to a reference lab (labeling, specimen type, volume, storage, and stabilization for transport)
Creates and processes transport lists according to established protocols
Performs daily, weekly, and monthly maintenance and performance checks on departmental equipment as assigned and performs other routine maintenance (housekeeping, safety, etc.) in the department
Handles large workload or unusual working conditions without assistance
Accounts for all work on logs to assure sample integrity and minimize lost samples.
Is able to troubleshoot problems identified without assistance.
Cleanse and stocks work station at the end of the shift
Serves as a resource to co-workers for problem resolution
Answers phone promptly in a courteous manner, identifying oneself to the caller.
Handles phone requests with a minimum of call transfers.
Coordinates the collection of blood draws ensuring efficient distribution of work.
Completes collection pool summary
Reviews lab requisitions for completeness of information and resolves any problems identified in the appropriate manner.
Properly processes add-on and recollect requests
Performs departmental filing and clerical needs
Follows safety policies and procedures in all phases of specimen collection, transportation and processing.
Performs special procedures to include bleeding times and blood cultures Is knowledgeable in processing unusual send-out specimen, uses provided policies/procedures/guidelines
Is knowledgeable in handling pathology specimens including frozen sections.
Assists the technical staff as assigned and within scope of training.
Duties could include loading analyzers, taking specimens off analyzers, entering organizing specimens for storage.
Department procedures and policies are reviewed in a timely manner
Mandatory continuing education modules are completed within the established time frame without individual reminders
Technical competencies are completed within the established time frame without individual reminder
Participates in continuing education opportunities such as the CAP competency assessment program.
Auto-ApplySupervisor Third Party A/R Follow Up
Atlanta, GA jobs
Responsibilities
RESPONSIBLE FOR: Providing leadership and oversight for Third Party A/R Follow-up function within Patient Financial Services. Functions under the responsibility of A/R Follow-up include contacting third party payors to collect on unpaid claims in a timely and accurate manner, and others as assigned. The Third Party A/R Follow-up Supervisor reports to the Third Party A/R Manager.
**REMOTE/WORK FROM HOME**
Qualifications
MINIMUM EDUCATION REQUIRED:
High School diploma or GED equivalent.
MINIMUM EXPERIENCE REQUIRED:
Three (3) years of revenue cycle experience required.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
N/A
ADDITIONAL QUALIFICATIONS:
Bachelor's (or Associate's) preferred. Five (5) years of related Revenue Cycle experience, preferably within Third Party A/R Follow-up. Three (3) years of supervisory experience preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative. Previous Epic experience.
LI-POST
#GD
Business Unit : Company Name Piedmont Healthcare
Auto-ApplyAnesthesia Coding Specialist II, PB Coding, Full-time, Days, (Remote - Must reside in IL, IN, IA, or WI)
Chicago, IL jobs
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Job Description
The Coding Specialist II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
CANDIDATE MUST HAVE ANESTHESIA CODING EXPERIENCE.
The PB Coding Specialist II performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on more complex encounters and/or has expertise with HCPCs procedural codes. This position has deep understanding of disease process, A&P and pharmacology and acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patient's service. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The Coding Specialist II also demonstrates expertise to resolve Optum coding edits.
Responsibilities:
Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and Management services, bedside procedures and diagnostic tests as needed.
Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers with a minimum of 95% accuracy.
Ensures charges are captured by performing various reconciliations (procedure schedules, OR logs and clinical system reports)
Provides documentation feedback to physicians
Maintains coding reference information
Trains physicians and other staff regarding documentation, billing and coding.
Reviews and communicates new or revised billing and coding guidelines and information
Attends meetings and educational roundtables, communicates pertinent information to physicians and staff.
Resolves pre-accounts receivable edits. Identifies repetitive documentation problems as well as system issues.
Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers. Adds MBO tracking codes as needed.
Collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement expertise; helps identify and resolve incorrect claim issues and is responsible for drafting letters in order to coordinate appeals
Acts as key point person for Revenue Cycle staff and Account Inquiry Unit staff in obtaining documentation (notes, operative reports, drug treatment plans, etc.). Provides additional code and modifier information to assist with appealing denials. May contact providers for peer-to-peer reviews.
Meets established minimum coding productivity and quality standards for each encounter type
May perform other duties as assigned.
Qualifications
Required:
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS).
Zero (0) to two (2) years of experience in a relevant role.
94% accuracy on organizations coding test.
Preferred:
Bachelor's or Associate's degree in a Health Information Management program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM).
Previous experience with physician coding.
Additional Information
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.