Medical Coder Jobs At Garnet Health

SPECIALTY CODER - REMOTE JOB IN TYLER *CHRISTUS Health System offers the Specialty Coder position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.* Responsible for maintaining current and high-quality ICD-10-CM and CPT coding of all professional services, including inpatient and outpatient Evaluation & Management (E/M), and operative/surgical procedures for multi-specialties. Via assigned work queues, verifies all charges and code assignments are correct. Accurately assigns appropriate modifiers to CPT codes. Communicates regularly with providers regarding coding concerns, missing/incomplete documentation, and coding policy updates. Responsible for assigned coding denial work queues. Requirements: · Minimum requirements: Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED · Minimum 2 years of multi-specialty physician operative and procedural services coding in an acute care hospital and/or outpatient clinic setting. *Specific experience in Cardiology, CV Surgery, Neurosurgery, or Urology is a plus. · Minimum 1 year of professional billing, claim denials, appeals, and/or revenue cycle work · Expert knowledge of CPT, ICD-10, HCPCS, and medical terminology · Strong knowledge of Medicare, Medicaid, and Commercial payers coding/billing guidelines and compliance regulations, including medical policy restrictions (LCDs and NCDs) · Exceptional written and verbal communication skills · Strong analytical and research skills, with extreme attention to detail · Proficient using multiple software applications, including: Excel, Word, and PowerPoint · Ability to prioritize assignments to meet deadlines · Ability to meet set productivity and quality standards · Able to work independently in a remote setting, as well as part of a team · EPIC and Meditech experience preferred · One of the following certifications is required: Certified Professional Coder (CPC) - AAPC Certified Coding Specialist (CCS) - AHIMA Certified Coding Associate (CCA) - AHIMA EEO is the law - click below for more information: ******************************************************************************************** We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at **************.

*CHRISTUS Health System offers the Specialty Coder Sr position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.* Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines. Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assign codes for diagnoses, treatments, and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG. Abstracts required information from source documentation, to be entered into the appropriate CHRISTUS Health electronic medical record system. Validates admit orders and discharge dispositions. Works from assigned coding queue, completing and re-assigning accounts correctly. Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner. Meets or exceeds an accuracy rate of 95%. Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Assists in implementing solutions to reduce backend errors. Identifies and appropriately reports all hospital-acquired conditions (HAC). Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists. Has strong written and verbal communication skills. Able to work independently in a remote setting, with little supervision. Participates in both internal and external audit discussions. All other work duties as assigned by the Manager. Requirements: High school Diploma or equivalent years of experience required. Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred. 1 - 3 years of experience preferred. Work Schedule: TBD Work Type: Full Time EEO is the law - click below for more information: ******************************************************************************************** We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at **************.

*CHRISTUS Health System offers the HIM Coder Sr position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.* Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding is applicable towards all regional Inpatient encounters. Coder will work collaboratively with various CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG. Extracts and abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system. Validates admit orders and discharge dispositions. Works from assigned coding queue, completing and re-assigning accounts correctly. Manages accounts on ABS Hold or through Epic WQs using account activities, finalizing accounts when corrections have been made, in a timely manner. Meets or exceeds an accuracy rate of 95%. Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Assists in implementing solutions to reduce backend-errors. Identifies and appropriately reports all hospital-acquired conditions (HAC). Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists. Participates in both internal and external audit discussions. Strong written and verbal communication skills. Demonstrated proficiency in use of multiple technologies and comfort level with virtual applications and electronic medical record applications such as Epic, Meditech, 3M/360, OneContent, Microsoft Office, Teams, Outlook, OneNote, etc. Able to work independently in a remote setting, with little supervision. All other work duties as assigned by Manager. Job Requirements: Education/Skills High school Diploma or equivalent years of experience required. Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred. Experience 3-5 years of Inpatient coding experience in an acute care setting preferred. Licenses, Registrations, or Certifications At least one of the following certifications are required: Registered Health Information Administrator (RHIA) (AHIMA) Registered Health Information Technician (RHIT) (AHIMA) Certified Coding Specialist (CCS) (AHIMA) Certified Coding Associate (CCA) (AHIMA) Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Monday - Friday Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $25.23 Mid $31.54 Position Summary Under the direction of the LHRPG Coding Manager, the Risk Adjustment Coder is responsible for encursing proper risk adjustment coding by performing coding audits of physicians and Advanced Practice Providers. Ensures accurate representation of the care provided and ensures accuracy in the HCC codes reported. This role assists in improvement in the overall completeness and accuracy of quality data and outcomes through extensive interaction with physicians, nursing and administrative staff. Ensures the appropriate clinical diagnosis and procedure codes are assigned in accordance with the appropriate level of service provided with nationally recognized coding guidelines. The coder provides coding expertise as well as administrative oversight to ensure successful integration of initiatives. Performs chart documentation audits, educates providers and staff on current coding practices and assures that all compliance standards are met. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. People At The Heart Of All We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work: LRHPG Risk Adjustment Coding Specialist Serves as subject matter expert for ambulatory professional coding; proactively identifying issues or trends and reporting to the LRHPG Coding Manager, as appropriate. Reviews and analyzes medical information from medical records against health assessment documents to ensure accurate coding of diagnostic and procedural information in accordance with national coding guidelines. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Maintains current knowledge of all HEDIS, HCC and related coding measures using all available and relevant government and insurance resources. Evaluate the quality and consistency of medical record review and write a well-reasoned finding's rational for each provider letter, with a professional writing manner. Prepare reports of findings and share with Managers and assist the Managers in providing feedback and remediation to reviewers. Conducts ongoing chart audits and prepares reports with action plans needed to address compliance issues associated with reimbursement policies and procedures. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Identifies and summarizes findings for internal and external parties to help providers improve their documentation and coding. Educates, trains, and provides assistance in a variety of ways to help providers and clinic staff close gaps in diagnoses and treatment opportunities. Assists healthcare providers and clinics in identifying and resolving issues related to incomplete or missing chart documentation, ambiguous or nonspecific documentation or codes that do not conform to regulatory guidelines. Competencies & Skills Essential: Computer experience, especially in spreadsheet analysis and word processing (e.e.g Microsoft Word and Excel). Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities. Ability to learn new computer applications quickly and independently and become a skilled user of the organization's technology. Demonstrated familiarity with a variety of practice management software including EHR(s). Excellent knowledge of anatomy and physiology, pathophysiology, disease processes, pharmacology, and medical terminology. Excellent knowledge in ICD-10-CM, CPT, HCPCS, modifier assignment, OCE and CCI edits and medical necessity. Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision. Demonstrates adaptability and self-motivation by staying abreast of CMS rules and regulations and incorporating those changes into daily practice. Qualifications & Experience Essential: High School or Equivalent Other information: Experience Essential: 10+years of coding experience in professional/ambulatory coding setting or acute care hospital outpatient coding experience, 3 years' experience with medical office health care reimbursement and compliance. Knowledge of ICD-10, CPT and of HCC (Hierarchical Condition Categories). Experience Preferred: Management/supervisory/coordinator experience in healthcare related field preferred. Certification Essential: CPC, CCS-P, or CCS with two or more additional AAPC Specialty Medical Coding Certifications. Must have CRC (Certified Risk Adjustment Coder)

SUMMARY OF DUTIES AND RESPONSIBILITIES: Under the direction of the Director and Deputy Director of Medical Records, the Medical Record Coordinating Manager is responsible for tasks and responsibilities detailed below. In addition, this position will support the Deputy Director of Medical Records on projects and duties, as assigned, with administrative work of varying degrees of difficulty and with varying degrees of latitude for independent initiative. General tasks and responsibilities will include: Coordinate requests for medical records, including court subpoenas and requests from Federal, State and local regulatory and legal entities. Follow up on all requests and ensure timely response on all requests for medical records. Process requests for patient records received from clinical service teams, submit to external healthcare facilities, and follow up with external facilities. Maintain and ensure the medical records database is updated and accurate. Assist with the implementation of quality assurance processes to ensure the accuracy and integrity of the data. Run daily reports for various processes in multiple systems and software, and use and search various systems used by CHS and NYC Department of Correction. Perform redactions of medical records. Carry out clerical duties, as assigned, including but not limited to: Compile, assemble, and file all documents making up the patient's medical record in the approved format. Answer the telephone, and assist and respond appropriately to the caller. Respond to emails appropriately and timely. Assist in coordinating the administrative and office operations, including maintaining supplies. Participate on project team meetings to achieve team goals. Support the medical records team and performs other duties as assigned. Preferred Qualifications: Baccalaureate degree from an accredited college or university. Strong knowledge of Excel and Word. Good knowledge of medical terminology. Strong interpersonal and communication skills. Ability to work on multiple projects concurrently Qualification Requirements: A four-year high school diploma or its educational equivalent and four (4) years of satisfactory full-time experience providing direct counseling, guidance, crisis-intervention or information and referral services for inmates of a correctional facility, substance abusers or a similar client population; or Education and experience equivalent to "1" above. Thirty (30) semester credits from an accredited college will be considered equivalent to one (1) year of the required experience. However, all candidates must have a four-year high school diploma or its educational equivalent and at least one (1) year of experience as described in "1" above.

HIM-OUTPATIENT CODER Baltimore, MD SINAI CORPORATE HLTH INFORMATION MNG PRN - As Needed - 8:00am-4:30pm Professional 87195 $21.06-$39.12 Experience based Posted: January 17, 2025 Apply Now // Setting the Saved Jobs link function setsavedjobs(externalidlist) { if(typeof externalidlist !== 'undefined') { var saved_jobs_query = '/jobs/search?'+externalidlist.replace(/\-\-/g,'&external_id[]=')+'&saved_jobs=1'; var saved_jobs_query_sub = saved_jobs_query.replace('/jobs/search?','').replace('&saved_jobs=1',''); if (saved_jobs_query_sub != '') { $('.saved_jobs_link').attr('href',saved_jobs_query); } else { $('.saved_jobs_link').attr('href','/pages/saved-jobs'); } } } var is_job_saved = 'false'; var job_saved_message; function savejob(jobid) { var job_item; if (is_job_saved == 'true') { is_job_saved = 'false'; job_item = ''; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been removed.'); } else { is_job_saved = 'true'; job_item = ''+'--'+jobid; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been saved!'); } document.cookie = "c_jobs="+job_item+';expires=;path=/'; $('.button-saved, .button-save').toggle Class('d-none'); $('.button-saved').append(' '); $('.saved-jobs-alert-wrapper').fade In(); set Timeout(function() { $('.button-saved').html('Saved'); $('.saved-jobs-alert-wrapper').fade Out(); }, 2000); // Setting the Saved Jobs link - function call setsavedjobs(job_item); } Save Job Saved Summary HIM OUTPATIENT CODER FULL-TIME REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 tion: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of facility outpatient records. Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as needed. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnoses/procedures for outpatient records (ER, Infusion, other outpatient) and assigns ICD-10CM/PCS codes or CPT codes to those diagnoses/procedures. Abstracts predetermined information from ER and outpatient records and enters that information on to the medical record abstract. REQUIREMENTS: Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field. 1-3 years of experience. CCS, CPC-H, CO, RHIT or RHIA required. Additional Information As one of the largest health care providers in Maryland, with 13,000 team members, We strive to CARE BRAVELY for over 1 million patients annually. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland. Share: talemetry.share(); Apply Now var jobsmap = null; var jobsmap_id = "gmapeokpy"; var cslocations = $cs.parse JSON('[{\"id\":\"1959659\",\"title\":\"HIM-OUTPATIENT CODER\",\"permalink\":\"him-outpatient-coder\",\"geography\":{\"lat\":\"39.3527548\",\"lng\":\"-76.6619418\"},\"location_string\":\"2401 W. Belvedere Avenue, Baltimore, MD\"}]'); function tm_map_script_loaded(){ jobsmap = new csns.maps.jobs_map().draw_map(jobsmap_id, cslocations); } function tm_load_map_script(){ csns.maps.script.load( function(){ tm_map_script_loaded(); }); } $(document).ready(function(){ tm_load_map_script(); });

Remote - Clinic/Outpatient Coder III Outpatient Coding Full Time Status Variable Shift Pay: $23.56 - $35.34 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Expected to be proficient in assigning ICD-10-CM and/or CPT codes for following types of services: Outpatient: Complex Surgeries, Observations (non-obstetric), Interventional radiology, radiation oncology and/or non-complex inpatient coding encounters. Clinic coder: Either proficient in coding for all non-surgery specialty areas, primary care, or complex surgeries. This position works under the guidance and supervision of the HIM Outpatient APC and Clinic Coding Manager and is employed by Mosaic Health System. Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Communicates with providers, querying providers to ensure the highest level of specificity is provided in documentation. May assist in training of newly hired coders. Caregiver may work in conjunction with Patient Financial Services to verify and modify charges and coding to ensure accuracy of supporting documentation, payer rules and correct coding. Working reports for clean-up, auditing services, edits, and denials. Ensures data accuracy of State HIDI data by responding to edits received. Performs other duties as assigned. Must have coding education, HS Diploma and Medical Terminology and Anatomy and Physiology Required to obtain CCS - Certified Coding Specialist or RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician or CPC and/or CCSP - Certified Professional Coder within 180 days of employment. Must also obtain COC - Certified Outpatient Coding within 180 days of employment. Five years experience in a Health Information Services department performing a job that requires detail, and familiarity with patient medical record preferred.

Remote - Inpatient Coder II Inpatient Coding Full Time Status Day Shift Pay: $23.56 - $35.54 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position I is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology. This position completes analysis and follow-up record reviews and is cross-trained to code at least one type of outpatient facility service. This position works under the supervision of the Manager and is employed by Mosaic Health System. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials. Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record. Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding. Ensures data accuracy by responding to coding edits received. Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral. Mentors and assists with training coders. Completes analysis by utilizing reports, record reviews, etc. Other duties as assigned. Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required. CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required. Three years experience in coding in an acute care setting required.

Job Details LHSD - SAN DIEGO, CA Fully RemoteDescription Who We Are: Lorian Health is a home health and hospice agency seeking energetic candidates to join our team of skilled professionals. Come join a home health agency that is thoughtful, generous, and family-oriented, placing focus on taking the best care of our patients and our employees! Lorian Health sets the highest quality standards for home health services in existence today. Foremost of these, is our belief in equanimity in regard to the treatment of all our patients. Lorian Health is committed to fostering a socially responsible environment within our organization and community and is determined to provide the highest caliber of health care for our patients and their families What We Offer: We offer a comprehensive employee benefits package that includes, but is not limited to: Health, Dental, Vision, 401K with company match Competitive pay Paid vacation, holidays, and sick leave Full time includes company paid health insurance, dental insurance, vision insurance, paid life insurance, supplemental insurance and 401(k) plan with 4% match, as well as annual accrual of 10 vacation days,10 sick days, 9 holidays. Join our innovative team to help patients empower themselves to improve self-care. Qualifications Requirements: MUST live in the next locations with Pacific Standard Time (PTS): California, Washington, Oregon, Nevada, Idaho. Completion of coding specific coursework Current ICD-10 Coding Certification (HCS-D, BCHH-C, or HCS-H) Minimum of 1 year previous experience with Home Health ICD-10 coding with verified employment/experience are required. Minimum of 1 year previous experience with Hospice ICD-10 coding with verified employment/experience are required. Knowledge of and ability to follow appropriate skilled documentation under Medicare guidelines and conditions of participation. Knowledge of Patient Driven Grouping Models (PDGM) Knowledge of insurance reimbursement procedure. Ability to maintain confidentiality of records and information. Ability to be flexible, follow verbal and written instruction while working in a team oriented environment. Detail oriented with critical thinking and strong clinical judgement and analytical skills. Ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule. Excellent interpersonal relation skills including active listening, conflict resolution, and team building. Communicates effectively with the clinical and office staff involved in any given case in a constructive, goal directed, and professional manner Excellent computer skills to include Microsoft applications (i.e. Word/Excel) and ability to type at least 40 wpm Must be available to work 9am to 6pm Pacific Time Zone. Preferred: OASIS certification (COS-C, HCS-O) Background on OASIS E Graduate of Bachelor is Science in health field Experience with HCHB software

Job Category: Revenue Cycle Work Shift/Schedule: Varies Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. This is an Advanced Level III position in which the employee has demonstrated an advanced knowledge of ICD-10 CM-PCS and CPT coding guidelines and is fully competent to independently code the most complex inpatient and or outpatient service types and resolve any associated edits. Responsible for responding to coding related questions from other departments and for assisting in reviewing and responding to denials. May be called upon to represent coding in meetings. Minimum Job Qualifications Licensure or other certifications: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Educational Requirements: High School Diploma or GED. Must pass an advanced coder competency exam with a minimum score of 95% demonstrating proficiency in inpatient and/or outpatient coding of all service types or pass and earn the CCS certification while in the Coder HIM II job title. Minimum Experience: Five (5) years of hospital based coding experience to include complex CPT surgical coding and advanced ICD-10-CM-PCS coding. Other: Preferred Job Qualifications Preferred Licensure or other certifications: Certified Coding Specialist (CCS) Preferred Educational Requirements: Preferred Experience: Seven (7) years or more years of hospital-based coding experience to include complex CPT surgical coding and advanced ICD-10-CM-PCS coding. Experience in Teaching and/or Trauma 1 Facilities. Other: Job Specific and Unique Knowledge, Skills and Abilities Proficiency of 95% or greater on coding audit reviews, must be maintained for two consecutive quarters for inpatient and/or outpatient coding of all service types Advanced knowledge of anatomy & physiology, disease processes, medical terminology, pharmacology, and surgical procedures/techniques Ability to multitask, prioritize, and manage time efficiently Must possess a high level of accuracy and attention to detail Proficient use of electronic health records (Epic) and encoder systems (3M) Proficient in the use of Microsoft Word and Excel. Knowledge of Microsoft PowerPoint. Ability to work independently as a remote employee while remaining actively engaged and supportive of the coding team as a whole Effective written and verbal communication skills Advanced knowledge of Coding resources and demonstrated proficiency in using the appropriate resources Advanced knowledge of billing requirements and the ability to resolve the most complex edits Essential Tasks and Responsibilities Reviews work queue assignments and prioritizes work by date, charges and payors to meet revenue cycle goals. Assigns and sequences diagnosis and procedure codes using appropriate classification systems and official coding guidelines to insure that DRG (Diagnosis-related group) or APC (Ambulatory Payment Classification) assignment is correct. Codes inpatient (IP), same day surgery (SDC), observation (OBS), emergency department (ED), recurring (RCR), and clinical (CLI) records, including the assignment of ICD-10-CM, Procedure Categories, modifiers (when applicable) and HCPCS/CPT codes across multiple facilities and possible E/M levels. Reviews documentation and possibly charges to correctly assign outpatient procedure codes (ED Only). Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current. Initiates physician query in compliance with Company policy when appropriate. Reassign accounts with missing or incomplete documentation/charges to appropriate work queues. Correctly abstracts discharge disposition, performing physician, and procedure dates. Corrects discharge disposition based on payer requirements. In- depth knowledge of coding and charging requirements necessary to resolve billing edits at time of coding. Works with revenue cycle to resolve issues related to billing. Ability to audit coding quality and provide feedback on an as needed basis. As a remote employee must be able to organize work to ensure goals are met. Identifies and escalates any obstacles to fulfilling job responsibilities. Must maintain coding certification, continue to work towards knowledge base growth by cross-training to learn other patient types and attend in-service training as required. Attends and actively participates in huddles/meetings/committees as required and appropriate. Physical Demands Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time Weight Carried: Up to 20 lbs, Occasionally 0-30% of time Vision: Moderate, Frequently 31-65% of time Kneeling/Stooping/Bending: Occasionally 0-30% Standing/Walking: Occasionally 0-30% Pushing/Pulling: Occasionally 0-30% Intensity of Work: Frequently 31-65% Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

Department: Health Information Management Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do. Summary HIM Outpatient Coder 2 is responsible for coding and abstracting outpatient medical records, including outpatient Surgeries, GI Procedures and Cardiac Catheterizations. The Coder 2 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM/PCS. Responsibilities * Codes outpatient surgeries, including GI Procedures and Cardiac Catheterization procedures using ICD-9 or CPT codes as appropriate. * Maintains a yearly average accuracy rate of 94% during internal and/or external Coding audits. * Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted information is applied to the appropriate patient's encounter. * While reviewing the record for coding purposes, serves as a quality reviewer and identifies any documents not belonging to the patient, or the correct patient's encounter. * Ensures the accuracy when using the appropriate modifiers while coding outpatient's encounters. * Assesses documentation and if necessary queries the physician for additional information when indicated to clarify a diagnosis, symptom or any reason for services provided. * Makes sure all codes are utilized to reflect the care rendered to the patient which in return will ensure patient safety, accuracy of data retrieval and provides the organization with accurate reimbursement for the care provided to the patient. * Evaluates to determine that data documented substantiates the diagnosis and treatment and is internally consistent as required by accreditation standards. * Recognizes and reports unusual circumstances and/or information with possible risk factors to the Coding Associate Administrator or the Coding Director. * Meets continuing education requirements established by American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) to maintain appropriate certification and competency in job skills and knowledge. * Meets productivity standards according to AHIMA Guidelines depending on outpatient record type. Is actively involved in all ICD-10-CM/PCS education sessions provided by Jackson Health Systems. * Shows competency according to education received. Experience * Generally requires 3 to 5 years of related experience. * At least three years of prior outpatient coding in an inpatient hospital is highly preferred Education * High School diploma is required. Credentials * Employee hired AFTER June, 2015 must be credentialed with an HIM/Coding Credential and/or Certification by AHIMA or AAPC. AHIMA ICD10-CM-PCS Trainer preferred. Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.

Department: Health Information Management Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote- open to applicants who reside in the state of Florida] Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do. HIM Inpatient Coder 1 is responsible for reviewing the clinical documentation contained in the in-patient health records to accurately assign and sequence ICD-9 diagnostic and ICD-9 procedure codes to inpatient records for use in reimbursement and data collection. Responsibilities * Has the knowledge and experience to code In-patient medical records using ICD-9 and/or ICD-10 code set. * Ensures all accounts are coded correctly, which will provide an accurate MS-DRG or APR-DRG for appropriate reimbursement. * Ensures all accounts are coded within 4 days of the patient's discharge date, meeting productivity standards according to AHIMA Guidelines depending on record type. * Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted information is applied to the appropriate patient's encounter. * While reviewing the record for coding purposes, serves as a quality reviewer, and identifies any documents not belonging to the patient, or the correct patient's encounter. * Ensures the accuracy when using the appropriate modifiers while coding out patient's encounters. * Assesses documentation and if necessary queries the physician for additional information when indicated to clarify a diagnosis, symptom or any reason for services provided, according to Coding Guidelines and Coding Clinics. * Makes sure all codes are utilized to reflect the care rendered to the patient which in return will ensure patient safety, accuracy of data retrieval and provides the organization with accurate reimbursement for the care provided to the patient. * Recognizes and reports unusual circumstances and/or information with possible risk factors to the Coding Associate Administrator or the Coding Director. * Meets continuing education requirements established by American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) to maintain appropriate certification and competency in job skills and knowledge. * Is actively involved in all ICD-10-CM-PCS education sessions provided by JHS, and any other outside entity approved by JHS. * Shows competency according to education received. * Adheres to the Standards of Excellence at all times, and respects the rights, privacy and property of others at all times including the confidentiality of information, according to Administrative Policies HIPAA Guidelines and all applicable laws and regulations. Experience * Generally requires 0 to 3 years of related experience. * At least one year of prior acute care coding experience is highly preferred Education * High School diploma is required. Credentials * Must be credentialed with an HIM/Coding Credentials and/or Certification by AHIMA or AAPC. Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.

Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)

JOB TITLE: HIM Medical Coder - Certified Reviews medical records, codes patients, charges, updates late charges and processes in a timely manner, and assists various facility staff and physicians. EDUCATION/EXPERIENCE: * Certification can include one or all of the following: CPC, CCS, RHIA, RHIT * Prefer 2-5 years medical coding experience * Prior experience coding with ICD-10-CM and CPT. QUALIFICATIONS: * Must have functional knowledge of medical terminology, anatomy and physiology

Medical Coding & Billing Specialist - Remote As the leader in end-of-life care, Unity is committed to attracting and retaining a diversified workforce consisting of motivated, engaged, and mission-driven staff members. We are dedicated to a culture reflective of our core values of Excellence, Collaboration, Integrity, Compassion, and Accountability. Working for Unity is a calling, and the people who answer are filled. Minimum Qualifications & Certification/Licensure: High School Diploma or GED required. Associate degree preferred. Certified Professional Coder (CPC). Certified Coding Associate (CCA) or higher certification for AHIMA Minimum of 3 years of experience of coding with CPC. Experienced in rules and regulations of CMS for both professional and facility settings. Knowledgeable in ICD-10 coding Essential Job Duties and Responsibilities: The Medical Coding and Billing Specialist is responsible for reviewing medical documentation and ensuring that the correct diagnostic and procedural codes are assigned and sequenced properly to optimize reimbursement. The Medical Coding and Billing Specialist will calculate and collect payments for medical procedures and services. The Medical Coding and Billing Specialist performs complex clerical and accounting functions including updating patient data, verifying and processing invoice information, maintaining third-party billing records, billing patients when appropriate, developing payment plans, and resolving variances as needed. Follows up on submitted claims and patient billing; resubmits claims or corrects inaccuracies. May handle cash items and accounts receivable posting. They are a part of the Support Staff Team and help to support all aspects of the department. This is a remote working role. Determine patients' benefits coverage and submit prior authorizations as needed. Document and notify clinical staff of any payer specific guidelines prior to patients being scheduled for services. Prepare and submit patient billing to include charges for hospice/supportive care management, clinician visits including physicians and APN's, and skilled nursing home room and board. Maintain patient records and billing and adjusting, if needed, in accordance with Unity's standards and Policies and Procedures. Complete entire billing process to include work ques. Resubmit claims to insurance companies, as necessary Perform research and analyze to facilitate resolution of provider/patient issues. Ensure timely handling of disputes, reversals, and appeals. Provide telephone support to facilities, insurance companies or patients for issues related to claims status, claims adjudication questions, and any basic questions regarding coverage status. Maintain an accurate aging report. Investigates unpaid balances in a timely manner. Follows up with the secondary/tertiary payers to obtain data crucial to claim payment and resubmissions and process adjustments. Research and resolve accounts as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement. Handle all correspondence related to an insurance or patient account, contacting insurance carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability. Performs complex clerical and accounting functions including billing patients, contacting patients regarding self-pay balances and collection of patient balances. Posts all incoming payments and adjustments in the Accounts Receivable ledger. Enter all Notice of Elections and Terminations/Revocations for Medicare and Medicaid. Examine and post Explanation of Benefits for accuracy. Follow up on missed payments and resolve financial discrepancies. Advise the Reimbursement Billing Supervisor of contractual allowance issues (allowable rate differences) or charge rate discrepancies specific to the payer group. Advise the Reimbursement Billing Supervisor of problem accounts that cannot be successfully resolved. Obtains, reads and reviews bulletins, newsletters and other periodicals to stay current on trends and changes in laws and regulations governing medical record coding and documentation. Provide guidance to providers and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation and/or codes that do not conform to coding principles/guidelines. Back up of ICD-10 diagnosis coding for Health Claims and Coding Specialist Back up of ICD-10 diagnosis coding for Health Claims and Coding Specialist Participate in development of organization procedures and update of forms and manuals. Provide data and support to management as needed Other duties as assigned. Knowledge, Skills, and Abilities: Highly motivated and organized with a strong attention to detail and analytical skills to help solve problems. Ability to communicate effectively, both verbally and in writing. Ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment. Ability to prioritize and handle multiple tasks and capable of dealing with deadline pressures. Comply with all applicable local, state, and federal laws and regulations as well as policies and procedures of Unity. Perform other job-related duties as assigned. Knowledge of Medicare, Medicaid and Commercial insurance billing requirements. Knowledge of Electronic Medical Record (EMR) Epic. Knowledge of Microsoft Office: Excel & Word. Professional work ethic to include initiative and self-motivation. Ability to work independently and within a team environment. Outstanding problem-solving and organizational skills. Must have excellent phone, communication, and customer service skills. Must work well with constant interruptions, be able to multi-task and work well under pressure. Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals. Why Unity? Unity is dedicated to supporting your well-being, growth, and success with a range of valuable benefits! Health: We provide comprehensive health benefits, including medical, dental, and vision insurance, Health Savings Accounts, and flexible spending options for medical and dependent care. On-site health risk assessments and flu shots are also available to keep you and your family well. Life: Unity values work-life balance, offering paid time off, extended illness and injury bank, bereavement leave, an Employee Assistance Program, and fitness membership reimbursement to support your personal needs and interests outside of work. Security: For your financial peace of mind, Unity offers a 403(b) retirement savings plan, group life insurance, voluntary life insurance, as well as accident, critical illness, and disability insurance options. Compensation: We reward your skills and commitment with competitive pay, overtime opportunities for hourly roles, and mileage reimbursement. Career: Grow with Unity through internal and external learning opportunities, education assistance, and leadership development programs designed to support your professional journey. All new employees are eligible for benefits on the first of the month following their date of hire. For a full list of benefits: ******************************** Choose Unity as the place to grow your career, make a meaningful impact, and be valued every step of the way. Apply today to join a team that invests in you, both personally and professionally. Requirements High School Diploma or GED required. Associate degree preferred. Certified Professional Coder (CPC). Certified Coding Associate (CCA) or higher certification for AHIMA Minimum of 3 years of experience of coding with CPC. Experienced in rules and regulations of CMS for both professional and facility settings. Knowledgeable in ICD-10 coding

Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 20 Requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary. Minimum expected accuracy rate for all coding assignments is 95%. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy. Maintains current knowledge of coding and documentation changes, rules and guidelines. Education: RHIA, RHIT or CCS with one (1) year minimum current and continuous full-time ICD-10-CM& CPT-4 ambulatory surgery, observation and/or inpatient coding and abstracting experience required. Pediatric coding experience highly desired. Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required. Experience using Microsoft Office Excel and Word highly desired. Ability to work well independently and productively with minimal guidance and without direct supervision. Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills. Ability to maintain confidentiality. Goal oriented, flexible and energetic. Demonstrates coding skills, and critical thinking skills. Ability to solve problems appropriately using job knowledge and current policies and procedures. Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% prior to hire. Certification/Licensure: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. Required to provide current American Health Information Management Association (AHIMA) continuing education certification records. About Us: Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

This HIM Inpatient Clinical Coder II will be responsible to: * Abstract, sequence and assign diagnosis and procedure codes for inpatients according to the department's policies/guidelines, CMS Coding guidelines, CMS Correct Coding initiatives, ICD-10-CM coding conventions and Uniform Hospital Discharge Data Set (UHDDS) definitions * Code cases such as trauma, post-procedure complications, more complex fractures and long-term monitoring and length of stay up to twenty days such as spinal fusions and V-P shunts; day surgery and observation outpatients, as required for reimbursement and maintenance of patient database * Assign CPT-4 procedure codes, adds modifiers as needed, analyze and assign grouper utilizing specialized computer software * Follow-up on outstanding uncoded and incomplete charts in accordance with department protocols and standards * Respond to outpatient clinics' requests for ICD-10-CM diagnosis codes via email hotline * Assist in training new personnel in coding procedures To qualify, you must have: * High School degree and coding certification program or an Associate's Degree in Health Information Management and a min of 1 year of progressively complex day surgery and observation coding. * The ability to code cases such as ablations, valve repairs and malignancies is expected within six months of starting work in the job. * A strong working knowledge of coding using ICD-10 and CPT-4 coding conventions. * Prior computer experience; knowledge of 3M Coding System and/or Computer Assisted Coding (CAC) system preferred. * The ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations. * Current AHIMA or AAPC Coding Certification (s): CCS, CCS-P, or CPC is preferred. * Fully Remote Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork. #LI-Remote

Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.

The Health Information Management (HIM) Coder is responsible for coding discharged patient encounters which may include inpatient, observation, skilled nursing, behavioral health, emergency room, surgical, ancillary, or clinics. Duties may include abstracting and charge verification. Duties will also include: •Performs coding and abstracting of records as assigned (inpatient or outpatient) •May assist providers with documentation/coding questions •May work in collaboration with Clinical Documentation Improvement nurses (inpatient) •May assist Business Office with coding denials, corrections of various types •Utilizes computer software systems/encoder for DRG/APC assignment and attestation •Completes CCTs as necessary for appropriate provider clarification (inpatient and outpatient) •Shifts job assignment as requested based on daily metrics (inpatient to outpatient or vice versa) •Maintains coding knowledge and certifications •Maintains working knowledge of Medicare rules and regs (LMRPs, NDCs, and CCI edits) •Performs peer reviews as requested •Monitors encounters for completeness, correct patient, missing charges, disposition, etc. •Understands importance coding plays in the revenue cycle process •Meets or exceeds coding productivity and quality standards •Cross trains for other encounter types as requested for needs of organization •Assists with training new hires as necessary •Assists with DRG appeals as necessary •Monitors coding lists for incomplete/aging/ problem encounters and assists with resolution •Assists Coding Manager with identifying problems or trends that need immediate attention •Reports technology challenges to Help Desk or Coding Manager immediately •Covers duties of others while they are off work •Adheres to all department and hospital policies and procedures •Performs other duties or special projects as assigned EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION, AND LICENSURE: High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC) required. KNOWLEDGE AND SKILLS REQUIRED: Must possess critical thinking and analytical skills. Knowledgeable in medical terminology, anatomy and physiology, ICD-10 and PCS coding guidelines, CPT, HCPCS, and basic coding principles according to whether assigned to inpatient or outpatient duties. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.