Department of Medicine Coder (Coding Specialist ll)
Medical coder job at Oregon Health & Science University
This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's fees and/or facility fees. This position requires experience in coding and requires certification with AAPC or AHIMA.
For Professional Services coding positions: This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to evaluation and management services and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines.
For Facility Services coding positions: This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, pathology, and other ancillary facility services at OHSU. This position provides support to the Enterprise Coding Department for abstracting of records, coding, and charge router submission of Facility services rendered at OHSU.
Responsible for meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services rendered at OHSU.
Working in collaboration with Enterprise Coding Leadership and billing departments, provide technical expertise regarding a broad range of third-party payer and reimbursement issues.
Orient peer coders or new hires to specified coding assignments.
Requires maintaining an hourly productivity standard and quality standards as set by Enterprise Coding and based on Industry Standards.
Will require attendance of Enterprise Coding and Clinical Department meetings via conference call and Webex.
Coding Work Queue assignments will vary based on business needs or management assignment
Function/Duties of Position
Coding:
Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS).
Assign correct CPT, ICD-10-CM, and HCPCS codes for facility and/or professional charges, which could include E&M services; diagnostic services; procedural services; facility services; and/or Charge Routers and Charge entry.
Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU.
Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
Coordinate all billing information and ensure that all information is complete and accurate.
Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned.
Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary.
Department support:
Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
Attends coding meetings and seminars and shares knowledge with other coders. Participates in EC Huddles.
In collaboration with Enterprise Coding Leadership, develop and disseminate written procedures to facilitate and improve billing and documentation processes.
In collaboration with Leadership, make recommendations and implement remedial actions for problems
Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM,and HCPCS
Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of current trends in coding.
Perform other duties as assigned.
Required Qualifications
High School diploma or GED.
Minimum two years of hospital or professional services (dependent on position) experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding;
Coding certification from AAPC or AHIMA:
Registered Health Information Administrator (RHIA),
Registered Health Information Technician (RHIT),
Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
Active AHIMA membership may be required for some positions.
Certified Professional Coder (CPC) through the American Academy of Professional Coders; OR equivalent certification.
Preferred Qualifications
Accredited Coding Program required: AAPC Boot Camp, AHIMA Coding Boot Camp
Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements.
Experience using an EMR.
Some college course work or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
Experience using EPIC, 3M encoder
Knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates.
Proficiency with word processing and Excel spreadsheets.
Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
Ability to work as a team player.
Member of the American Academy of Professional Coders and Certified Professional Coder or AHIMA certification required upon hire.
Must be able to pass internal coding test.
Additional Details
Days of work are variable, could include rotating weekend days.
This position is a telecommuting position.
Department Core hours are Monday - Friday, 5am-10pm (with some flexibility available).
Regularly scheduled work hours are required and are allowed within the Core Hours
All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
Auto-ApplyOUTPATIENT SURGERY CODER
Columbus, OH jobs
**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for an **OUTPATIENT SURGERY CODER.** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote HIGHLIGHTS** This Outpatient Surgery Coding Specialist 3 position provides support to the Enterprise Records and Health Information department for coding highly specialized services. Outpatient Surgery coder should have experience for complex surgical procedures which include but not limited to General Surgery, Integumentary/Plastic, Orthopedics/Podiatry, Respiratory, Cardiovascular, Hemic and Lymphatic, Digestive, Urinary, Reproductive/Genital , Endocrine, Nervous, Ophthalmology, Auditory, and others
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction
ERHI provides advice and resources related to the lifecycle management of all UW Medicine records
ERHI is an integral part of the Enterprise Revenue Cycle and has a unique role in the organization that supports both clinical and operational activities.
**PRIMARY JOB RESPONSIBILITIES**
+ Reviews available electronic and other appropriate documentation within Epic and/or Cerner to identify all billable ambulatory surgery procedures and services requiring facility fee coding be captured through Epic Hospital Billing (HB) and 3M computer assisted coding (CAC)
+ Reviews and resolves coding edits related to procedures and services charged during the ambulatory surgery visit in the operating room at the time of completing coding
+ Consults with physicians and/or clinical department representatives, as appropriate, to verify services were rendered, documented and meets the requirements for coding as an outpatient/ambulatory patient type
+ Maintains three day coding turnaround times for ambulatory surgery accounts based on date of service
+ Identifies and escalates to Coding Leadership impacts to timely coding and charge capture, and avoidable delays for billing and reimbursement
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years of coding experience or equivalent education/experience.
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
+ Equivalent experience/education may be considered
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$68,244.00 annual
**Pay Range Maximum:**
$97,740.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Certified Coder Appeals, Remote
Remote
Remote, KY 40601
Shift: First Shift (United States of America) Summary: : The job summary for this position is not currently on file electronically. Please see your supervisorr or Human Resources Representative for a hard copy before you complete your acknowledgment.Additional Job Description:
Auto-ApplyCoder I, Hospitalist, Remote
Remote
Primary Location: Work From Home - KY - ULP - AMGAddress: Home Office Remote, KY 40601 Shift: First Shift (United States of America) Summary: TBD:
WE ARE HIRING!
About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians' academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow's physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient. With more than 13,000 team members - physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. Our Mission As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.
JOB SUMMARY
The team member performs highly technical and specialized functions for the Central Business Office. The team member reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-9-CM (soon to be ICD-10), CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
JOB RESPONSIBILITIES
Essential Functions:
Coding (60% Weight)
Obtain copies of chart notes, reports, electronic medical records, and any other necessary records for purpose of review
Comply and communicate deficiencies that impact the billing process.
Review documentation needed to clarify or complete the information required for compliant coding and billing of services performed.
Abstract patient evaluation and management services, including consultations, and bedside procedures for the purpose of selection of the appropriate HCPCS code(s), ICD-9 code(s), and modifier(s)
Follow production and quality standards for coders as established.
Compliance (20% Weight)
Ensure that documentation meets the Teaching Physician Rules as mandated by CMS and ULP policies prior to release of a code for billing
Ensure that documentation for Advanced Practice Providers meets the payer specific rules prior to release of a code for billing
Communication/Education (10% Weight)
Develop daily/weekly communication with providers.
Provide comments/suggestions relative to weak areas identified in the coding reviews.
Provide trending deficiencies to CBO Manager and Compliance Educator as appropriate.
Responds in a timely manner to questions from providers, department representatives.
Maintain compliance with rules and regulations regarding coding.
Constant reviews of incoming Fee Tickets to ensure compliance standards are met.
Ability to work within a team environment and meet monthly goals.
Other duties as assigned.
Coders will be audited on a quarterly basis by ULP Compliance/Audit Services Department with including discussion and feedback.
Trial Period (internal applicants only):
It is understood that current Employees must complete a trial period of 10 business days during which the established productivity level must be maintained in order to continue participation in this program. Failure to maintain the established productivity requirements may require Employee to return to the Heyburn campus as Employee's primary work site.
Additional Job Description:
MINIMUM EDUCATION & EXPERIENCE
High School education or GED required.
Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
Three years direct coding experience and in depth Coding and HIPAA regulations for physician offices, preferred.
SELECTION/ELIGIBILITY
Application
Current CBO employees must apply to internal remote position in order to be considered
Positions will be selected based in order of the following criteria:
Metrics
Attendance
Disciplinary action
Current employees must meet the following criteria in order to be considered for remote positions within the CBO:
90 days of consistent achievement of/or exceeding metric standards
No attendance or disciplinary actions within previous 6 months
Able to work independently and manage time
KNOWLEDGE, SKILLS, & ABILITIES
Ongoing coding guideline knowledge is required
Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures
Advance knowledge of medical codes involving selections of most accurate and description code using the ICD-9-CM, ICD-10-CM, CPT, HCPCS, and IHS coding conventions.
Advance knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third party resources
Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct ICD-9-CM, ICD-10-CM code
Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
Requires the knowledge of the business use of computer hardware and software to ensure the effectiveness and quality of the processing and presentation of data
Strict compliance with all coding guidelines at all times.
Working in a highly accurate and yet efficient manner.
Strict attention to detail in both coding and EMR entries.
WORKING CONDITIONS
Sedentary Work: Lifting 10lbs. maximum and occasionally lifting and/or carrying items as needed.
Frequent Talking (Expressing or exchanging ideas by means of the spoken word.)
Frequent Hearing (Perceiving the nature of the sounds by the ear.)
Frequent Seeing (Visual acuity, depth perception, field of vision, color vision).
Consistent use of hand movement for keyboarding purposes.
Concentration varies depending on the tasks at hand. High levels of mental concentration are required. Must handle multiple tasks simultaneously and is subject to interruptions. Physical effort requires sitting and reaching with hands and arms. Manual dexterity, visual acuity, and the ability to speak and hear are required
JOB REQUIREMENTS
Candidates upon hire will complete an electronic I-9 verification.
Only those candidates whose experience best meets our requirements will be contacted.
University of Louisville Physicians is an Equal Opportunity Employer.
Current UofL Physicians employees must follow the UofL Physicians Internal Transfer Policy.
Auto-ApplyCoder I, Radiology, Remote
Remote
Primary Location: Work From Home - KY - ULP - AMGAddress: Home Office Remote, KY 40601 Shift: First Shift (United States of America) Summary: TBD: The Coder I is responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers to ensure appropriate reimbursement in accordance with federal state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for less complex coding with oversight.Additional Job Description:
Position Summary and Purpose
The Coder I is responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers to ensure appropriate reimbursement in accordance with federal state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for less complex coding with oversight. Procedures with 0-10 global days, labs, x-rays, injections, administration, and vaccines.
Essential Functions:
Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-10, and HCPCs codes into the appropriate billing systems, ensuring compliance with established guidelines
Reviews and resolves coding denials
Completes charges sessions in the assigned work queues in a timely manner
Completes documentation meeting the current EM Guidelines for providers
Ensures documentation meets the Teaching Physician Rules as mandated by CMS and ULH Policies prior to release of a code for billing
Ensures documentation for Advanced Practice Providers meets the payer-specific rules prior to release of a code for billing
Assist Supervisor in training
Provides comments/suggestion relative to weak areas identified in the coding reviews
Provides trending deficiencies to Senior Manager and Compliance Educator, as appropriate
Other Functions:
Meets or exceeds organizational coding production and quality standards
Participates in special projects and completes other duties as assigned
Maintains daily/weekly communication with office managers, department, and providers.
Ability to work within a team environment and meet monthly goals
Maintain compliance with rules and regulations regarding coding
Responds in a timely manner to questions from manager, providers, department, and representatives
Maintains compliance with all company policies, procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned
Job Requirements
(Education, Experience, Licensure and Certification)
Education:
High school diploma or GED/equivalent (required)
Experience:
One to four (1-4) years physician coding experience (preferred)
Certification:
Certified Professional Coder (CPC) accredited by the American Academy of Professional Coders (AAPC) (required)
Certified Coding Specialist (CCS), Certified Coding Specialist Physician Based (CCS-P) or Certified Coding Assistant (CCA) accredited by the American Health Information Management Association (AHIMA) (required)
Job Competency:
Knowledge, Skills, and Abilities critical to this role:
Understands and applies regulatory changes and stays current with coding updates, including NCCI and MUE edits
Working knowledge of concepts, practices, policies, procedures, standards, systems, and tools applicable to medical records coding, including documentation requirements and medical terminology
Displays a strong work ethic with demonstrated ability to work, both independently and collaboratively as part of a team, with multiple providers and deadline constraints
Language Ability:
Must be able to communicate effectively, demonstration a high level of professionalism in all communications
Proper grammar, spelling, punctuation, and composition expected in correspondence and report preparation
Reasoning Ability:
Ability to solve practical problems and deal with a variety of concrete variable in situations where only limited standardization exists
Ability to interpret a variety of instructions furnished in written, oral, diagram, or scheduled form
Computer Skills:
Must be proficient with Microsoft Office, Google Chrome, Internet Navigation, and database management
Additional Responsibilities:
Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
Maintains confidentiality and protects sensitive data at all times
Adheres to organizational and department specific safety standards and guidelines
Works collaboratively and supports efforts of team members
Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community
UofL Health Core Expectation:
At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by:
Honoring and caring for the dignity of all persons in mind, body, and spirit
Ensuring the highest quality of care for those we serve
Working together as a team to achieve our goals
Improving continuously by listening, and asking for and responding to feedback
Seeking new and better ways to meet the needs of those we serve
Using our resources wisely
Understanding how each of our roles contributes to the success of UofL Health
Auto-ApplyCoding Specialist 4
Seattle, WA jobs
UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a **RADIOLOGY CODER** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote HIGHTLIGHTS** Responsible for performing daily activities related to coding and charge submission of abstract Current Procedural Terminology (CPT) professional fee and facility Radiology coding and billing.
Analyzes the medical record to assign International Classification of Diseases (ICD), CPT and/or Healthcare Common Procedure Coding System (HCPCS) codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.
ERHI provides advice and resources related to the lifecycle management of all UW Medicine records
**PRIMARY JOB RESPONSIBILITIES**
+ Reviews available electronic and other appropriate documentation within Radiology Information System (RIS) and PACS to identify all billable Radiology procedures and services requiring facility and professional fee coding, ensuring all necessary codes use the appropriate ICD, CPT and/or HCPCS code(s) and quantities
+ Queries physicians and/or consults with clinical department representatives, as appropriate, to verify services were rendered and documented timely.
+ Provides feedback to the School of Medicine (SOM) Department of Radiology to assist in the understanding of coding and documentation issues and revenue opportunities.
+ Maintains three day turnaround times for Radiology Coding based on the date of service; and understands charge lag impact for facility and professional fee services.
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years' coding experience or equivalent education/experience
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC)
**UW Medicine - Where your Impact Goes Further**
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.
All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$71,052.00 annual
**Pay Range Maximum:**
$101,700.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Emergency Department Coder
Chicago, IL jobs
Be a part of a world-class academic health-care system at UChicago Medicine as an Emergency Department Coder in the Medical Records department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area.
In this role, the Emergency Department Coder, under general direction, is responsible for coding and abstracting of diagnoses and charging for procedures from emergency department medical records for optimal and timely reimbursement and quality reporting.
Essential Job Functions
Assigns ICD-10-CM codes, and CPT/HCPCS codes for emergency department medical record accounts, including but not limited to diagnoses, facility level evaluation & management (E/M) charges, infusion/injection charges, and additional bedside procedure charges
Abstracts key data elements required for billing, regulatory agencies, and other databases
Reviews records for clinical pertinence and documentation to support accurate facility-based charges for services performed during the encounter
Communicates with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility evaluation/management (E/M) levels
Reviews and resolves claim edits related to emergency department encounters to ensure compliant billing, including but not limited to medical necessity and NCCI/CCI edits
Assists with resolution of simple visit coding errors related to other outpatient visits as needed
Performs qualitative analysis of records in accordance with regulatory standards and coding requirements using CPT/HCPCS and ICD-10-CM guidelines
Meets the minimum acceptable standards for productivity and quality
Maintains Continuing Education credits in accordance with the American Health Information Management Association's and/or American Academy of Professional Coder's requirements based upon certification(s)
Demonstrates courtesy and professionalism through interaction, appearance, attitude, and written and oral communications with visitors, co-workers, physicians, and other hospital personnel as to represent the Medical Records Services as a high-quality service area of the Hospitals
Maintains patient confidentiality as required by Hospitals/departmental policy and industry/legal standards
Acknowledges and supports Hospitals defined goals and approach to patient care; attends regular training sessions to improve patient and customer communications
Keeps work area neat and clean; properly cares for equipment
Performs other related tasks as may be deemed necessary for the effective and efficient function of the Medical Records areas
Performs other duties assigned
Required Qualifications
Certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Emergency Department Coder (CEDC), Certified Outpatient Coding (COC), Certified Professional Coder (CPC), Certified Coding Specialist Physician Based (CCS-P) or Certified Coding Specialist (CCS)
If incumbent is eligible for certification, it must be achieved within a year of hire date
Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities, and deadlines
Good verbal and written communication skills
Ability to impart knowledge of procedures and techniques
Thorough working knowledge of ICD-10-CM and CPT coding systems, and federal/state regulations regarding reimbursement
Thorough working knowledge of the hospital information system, electronic medical record systems, and encoder
Working knowledge of standards for chart completion
Working knowledge of medical-legal rules and regulations that govern the confidentiality and release of medical information with the ability to interpret and implement the standards
Must maintain total confidentiality of all patient records
PC experience
Position Details
Job Type/FTE: Full-Time
Shift: Days
Work Location: Remote
Unit/Department: Health Information Management
CBA Code: 743 Clerical
Why Join Us
We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at:
UChicago Medicine Career Opportunities
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at
Benefits - UChicago Medicine
.
Auto-ApplyClaims Coding Specialist, Full Time - Days
Chicago, IL jobs
Join a world-class academic healthcare system, UChicago Medicine, as a Claims Coding Specialist (Medical Coder) in our Revenue Cycle - Revenue Integrity department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed to our Hyde Park location. You may be based outside of the greater Chicagoland area. This position will support new clinic services with revenue cycle-related functions including training, education, charge capture, and correct coding edits.
The Claims Coding Specialist (Medical Coder) works under the supervision of the Revenue Integrity. The CCS team works collaboratively with physicians, assigned to his/her team/group in order to provide an optimal revenue cycle environment that is efficient, effective, comprehensive and compliant. The CCS team also works collaboratively with the ambulatory practice managers, billing staff and (at times) insurance payers to support a highly efficient, effective, and compliant revenue cycle program. The typical work includes the resolution to coding edits for all payers, revenue reconciliation, identify and/or organize appropriate education for physicians, and effective communication. The Claims Coding Specialist will also be responsible for the completion of all work assignments in a proficient and accurate manner; meeting productivity and quality standards set by the Revenue Integrity Director. The Claims Coding Specialist reports directly to the Revenue Integrity Manager.
Essential Job Functions
Works directly with the hospital departments and ambulatory clinics to resolve coding and charging issues for all payers (NCCI, OCE, MUE, LCD, payer custom edits), including but not limited to denials and disputes
Review medical documentation for assigning billing modifiers to insurance claims where appropriate and applicable
Works assigned work ques daily with the goal to complete all assigned tasks
Serves as a primary resource supporting in-clinic physicians/providers. As such, organizes appropriate education for physicians and communicates regularly with physicians/providers to improve the overall claims, revenue cycle, and business functions of the practice. utinely communicates with medical staff, practice administrators, billing staff and payers as needed to discuss clinical questions with respect to coding assignment or resolution in a courteous and professional manner
Meets regularly with the practice manager and medical director to review in-clinic revenue cycle performance and to identify appropriate solutions for advancing an efficient, effective, and compliant revenue cycle program
Perform charge reconciliation and work with the physicians/providers and/or practice managers in instances of missing revenue
Assist with identifying trends and opportunities to address root causes, updates systems and/or provider feedback/education/training
Maintains current knowledge of all billing and compliance policies, procedures and regulations and attends appropriate training sessions as required
Assist with orientation of newly hired Claims Coding Specialists
Attends and participates in team meetings to discuss coding/charging issues and serves on task forces as needed
Meets all productivity and quality expectations and participates in all scheduled audits
Performs other duties as requested by management
Required Qualifications
Health Information Management or Coding certification required within three months of hire:
RHIA (Registered Health Information Administrator)
RHIT (Registered Health Information Technician)
CPC (Certified Professional Coder)
COC (Certified Outpatient Coder)
CCS (Certified Coding Specialist)
CCS-P (Certified Coding Specialist Physician)
CCA (Certified Coding Associate)
High school diploma
Ability to identify trends and recommend solutions to billing and revenue cycle processes and problems
Proven working knowledge of CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) coding systems
Knowledge of Federal billing regulations governing Medicare and Medicaid programs, and working knowledge of other managed care and indemnity (third party) payor requirements
Must possess a working knowledge of Local and National Coverage Determination policies (LCD's and NCD's), Ambulatory Payment Classification (APC) related edits such as the National Correct Coding Initiative (NCCI) and Outpatient Code Editor (OCE)
Must be proficient in Microsoft Excel and Word
Must be highly analytical, and have excellent written and verbal communication skills
Must possess excellent organizational, time management and multi-tasking skills, along with demonstration of excellent interpersonal skills
Preferred Qualifications
Two (2) or more years' experience coding
Epic, IDX and Centricity experience
Associate or Bachelor's degree in a health-care information or health care finance related field
Position Details:
Job Type/FTE: Full Time (1.0 FTE)
Shift: Days
Work Location: Flexible Remote - occasional travel to the Hyde Park campus
Unit/Department: Revenue Cycle - Revenue Integrity
CBA Code: Non-Union
Why Join Us
We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at:
UChicago Medicine Career Opportunities
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at
Benefits - UChicago Medicine
.
Auto-ApplyOutpatient Medical Coder 3
Remote
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact ********************************. If you have questions while submitting an application, please review these frequently asked questions.
Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.
Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:
Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.
Job Title:Outpatient Medical Coder 3Department:Health System Shared Services | Revenue Management
Scope of Position
Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System.
ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process.
Position Summary
The position is responsible for coding medical records and other documents at the conclusion of the patient's visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians.
Codes are selected in the Computer Assisted Coding/Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement.
This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.
Minimum Qualifications
Associate's Degree in Health Information Management. Credentialed as a Registered Health Information Technician, Registered Health Information Administrator, Certified Coding Specialist by the American Health Information Management Association, or Certified Outpatient Coder by AAPC if managing hospital coding; ROCC if only coding Radiation Oncology; RHIA, CCS, COC or CPC by AAPC if managing professional coding. 2 years of relevant experience required. 4-6 years of relevant experience preferred.
Minimum completion of a CAHIIM approved coding certificate program or HIMT program or equivalent education & experience.
Demonstrated coding proficiency through the completion of OSUWMC's coding test.
Familiarity or experience with computer assisted coding and/or automated encoder.
Additional Information:Location:Remote LocationPosition Type:RegularScheduled Hours:40Shift:First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.
As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
Auto-ApplyOutpatient Medical Coder 3
Remote
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact ********************************. If you have questions while submitting an application, please review these frequently asked questions.
Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.
Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:
Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.
Job Title:Outpatient Medical Coder 3Department:Health System Shared Services | MIM CDI and Coding
Scope of Position
Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System.
ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process.
Position Summary
The position is responsible for coding medical records and other documents at the conclusion of the patient's visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians.
Codes are selected in the Computer Assisted Coding/Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement.
This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.
Minimum Qualifications for hire or promotion
Minimum completion of a CAHIIM approved coding certificate program or HIMT program or equivalent education & experience.
Demonstrated coding proficiency through the completion of OSUWMC's coding test.
Familiarity or experience with computer assisted coding and/or automated encoder.
Required: Associate's Degree in Health Information Management, and a minimum of 1 year outpatient coding experience (ICD10CM and CPT) for service types such as emergency, outpatient, ambulatory surgery, observation and series/clinics.
For promotion: ability to code at least four outpatient service types (ASU, observation, emergency, outpatient and series/clinics).
OR
Required: 3 years' acute care academic medical center outpatient coding experience within an academic Health Information Management department for service types such as emergency, observation, outpatient, ASU and series/clinics.
For promotion: ability to code at least four outpatient service types (ASU, observation, emergency, outpatient and series/clinics).
AND
Required: Credentialed as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist by the American Health Information Management Association, or Certified Outpatient Coder (COC) by AAPC
Certification
RHIA, RHIT, CCS, or COC (outpatient credential only)
On Going:
Maintain continuing education requirements as determined by the American Health Information Management Association or AAPC. Review Coding Clinics, CPT assistant as frequently as needed for education purposes, and to ensure the official coding guidelines are followed.
The senior medical records coder attends monthly coding meetings and coding education sessions for updates on coding guidelines and related issues while maintaining a minimum score of 90% on coding assessments.
Additional Information:Location:Remote LocationPosition Type:RegularScheduled Hours:40Shift:First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.
As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
Auto-ApplyINPATIENT CODER
Olympia, WA jobs
**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for an **INPATIENT CODER** . Experience in a Level 1 Trauma center or teaching facility is preferred. **WORK SCHEDULE** + 100% FTE, Days + Mondays - Fridays + 100% Remote
**POSITION HIGHLIGHTS**
+ Implements the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture.
+ Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing
+ Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.
**PRIMARY JOB RESPONSIBILITIES**
+ Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement
+ Reviews patient records upon admission and at discharge to the inpatient Rehabilitation Unit; assigns codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients
+ Abstracts and/or reviews necessary patient data within 3M CAC and Cerner to ensure data integrity, accurate reimbursement, proper case mix and hospital decision support.
+ Identifies the need for documentation clarity and works with the Clinical Documentation Improvement (CDI) department to review clinical documentation and/or request provider documentation clarification
+ Maintains four day turnaround times for inpatient coding based on the discharge date and understand charge lag impacts, especially for high dollar accounts and long length of stays (LOS).
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years of coding experience or equivalent education/experience.
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
**_UW Medicine - Where your Impact Goes Further_**
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.
All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$71,052.00 annual
**Pay Range Maximum:**
$101,700.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Inpatient Coding Review Specialist (H)
Medley, FL jobs
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The University of Miami/UHealth -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely.
The Inpatient Coding Review Specialist (H) under the general direction of the Inpatient Coding Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality Management Analysts to ensure accurate and compliant coding on all Mortality cases prior to billing. The Inpatient Coding Review Specialist also performs quality reviews that specifically focus on the identification and validation of Hospital Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Present on Admission status, complications, and comorbidities that impact USNWR rankings and Vizient quality measures.
CORE JOB FUNCTIONS
* Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify missed coding opportunities supported by documentation, enhancing severity of illness and risk of mortality indicators through the provider query process.
* Validates the assigned principal diagnosis, significant secondary ICD-10-CM diagnosis codes, Present On Admission (POA) indicators, and ICD-10-PCS procedure codes to ensure compliance with ICD-10-CM/PCS Official Coding Guidelines, UHDDS, and regulatory requirements for accurate MS-DRG assignment.
* Ensures accurate capture of Severity of Illness (SOI) and Risk of Mortality (ROM) indicators.
* Applies knowledge of the Elixhauser Comorbidity Index and Vizient quality measure logic, focusing on specialty-specific conditions that impact MCC/CC capture and quality data reporting.
* Collaborates with CDI, quality teams, and physicians to clarify ambiguous or incomplete documentation through the provider query process, initiates queries when necessary.
* Participates in meetings with CDI, providers, and colleagues to discuss coding findings, share expertise, and defend coding decisions using documentation and official guidelines.
* Conducts POA reviews for cases marked "No" and provides feedback to leadership for coder education and improvement.
* Reviews denial cases and provides detailed feedback to the Revenue Cycle Director and Audit Specialists.
* Assists in resolving claim edits across all accounts, regardless of the initial coder assignment.
* Performs initial inpatient coding when primary responsibilities are complete or additional hours are approved.
* Meets or exceeds established quality and productivity benchmarks set by leadership.
* Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
* High School diploma or equivalent
* Refer to department description for applicable certification requirements
* Minimum 5 years of relevant experience
* Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
* Teamwork: Ability to work collaboratively with others and contribute to a team environment.
* Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
* Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.
Any relevant education, certifications and/or work experience may be considered.
#LI-NN1
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full time
Employee Type:
Staff
Pay Grade:
H11
Inpatient Coding Review Specialist (H)
Medley, FL jobs
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The University of Miami/UHealth -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely.
The Inpatient Coding Review Specialist (H) under the general direction of the Inpatient Coding Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality Management Analysts to ensure accurate and compliant coding on all Mortality cases prior to billing. The Inpatient Coding Review Specialist also performs quality reviews that specifically focus on the identification and validation of Hospital Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Present on Admission status, complications, and comorbidities that impact USNWR rankings and Vizient quality measures.
CORE JOB FUNCTIONS
* Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify missed coding opportunities supported by documentation, enhancing severity of illness and risk of mortality indicators through the provider query process.
* Validates the assigned principal diagnosis, significant secondary ICD-10-CM diagnosis codes, Present On Admission (POA) indicators, and ICD-10-PCS procedure codes to ensure compliance with ICD-10-CM/PCS Official Coding Guidelines, UHDDS, and regulatory requirements for accurate MS-DRG assignment.
* Ensures accurate capture of Severity of Illness (SOI) and Risk of Mortality (ROM) indicators.
* Applies knowledge of the Elixhauser Comorbidity Index and Vizient quality measure logic, focusing on specialty-specific conditions that impact MCC/CC capture and quality data reporting.
* Collaborates with CDI, quality teams, and physicians to clarify ambiguous or incomplete documentation through the provider query process, initiates queries when necessary.
* Participates in meetings with CDI, providers, and colleagues to discuss coding findings, share expertise, and defend coding decisions using documentation and official guidelines.
* Conducts POA reviews for cases marked "No" and provides feedback to leadership for coder education and improvement.
* Reviews denial cases and provides detailed feedback to the Revenue Cycle Director and Audit Specialists.
* Assists in resolving claim edits across all accounts, regardless of the initial coder assignment.
* Performs initial inpatient coding when primary responsibilities are complete or additional hours are approved.
* Meets or exceeds established quality and productivity benchmarks set by leadership.
* Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
* High School diploma or equivalent
* Refer to department description for applicable certification requirements
* Minimum 5 years of relevant experience
* Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
* Teamwork: Ability to work collaboratively with others and contribute to a team environment.
* Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
* Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.
Any relevant education, certifications and/or work experience may be considered.
#LI-NN1
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full time
Employee Type:
Staff
Pay Grade:
H11
Auto-ApplyCoding Specialist
Minneapolis, MN jobs
Why M Physicians? The Coding Specialist is responsible for the accurate and timely coding of complex services. This role is responsible for ensuring accurate diagnoses, procedure codes and other specified data to ensure appropriate/efficient reimbursement for facility charges applying information from medical records and following established methods and procedures!
What you will do as a Coding Specialist:
Codes intermediate to complex diagnostic, evaluation and management, surgical and procedural coding services (may include inpatient coding)
Performs coding quality reviews on a monthly basis; shares findings with staff
Ensures that all charges are brought together by applying reports or processes daily and following up accordingly
Communicates with Providers, Billing Operation Managers and clinic staff regarding documentation, coding issues or to provide ongoing education
Assists in research and resolves issues in a timely manner and provide feedback to management and/or providers
Partners with patient/care-giver/management in care/decision making
What you will need:
HS grad or equivalent coupled with CCS, CCS-P, CPC, CPC-A, CCA, RHIT, and/or RHIA certification
Minimum 2 years experience coding; proficient in basic coding and successfully able to handle more sophisticated coding assignments
Proficient in CPT and ICD-10-CM coding or professional and medical facility coding
Ability to use medical billing systems
Good analytical skills; ability to identify problems or issues and provide positive solutions or outcomes
Good attention to detail and highly organized
Location: At this time, the position will be working remote.
Hours: 1.0 FTE (Monday-Friday)
Benefits: This is a fully benefit eligible position: Competitive wages, Healthcare (including vision & dental), 401K, parking & tuition assistance and more!
Compensation:
22.47 - 32.58 USD Hourly
At M Physicians we believe in pay transparency and equity. The compensation for each position is based on experience, skills, qualifications, and other role-specific considerations. Our total compensation is designed to support your well-being, career growth, and work-life balance.
University of Minnesota Physicians (M Physicians), a non-profit organization headquartered in Minneapolis, seeks motivated individuals for both clinical and non-clinical roles to drive innovation in health and medicine. Our inclusive culture offers competitive salaries, excellent benefits, and the opportunity for career development in the exciting field of health care to over 1,200 physicians, 300 advanced practice providers, and 2,200 health professionals and staff across Minnesota and beyond.
Join us on a mission to advance medicine.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Auto-ApplyMedical Coding Specialist II - Inpatient
Rockford, IL jobs
Work Schedule:
100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote.
At UW Health in northern Illinois, you will have:
• Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance
• Annual wellness reimbursement
• Opportunity for on-site day care through UW Health Kids
• Tuition reimbursement for career advancement--ask about our fully funded programs!
• Abundant career growth opportunities to nurture professional development
• Strong shared governance structure
• Commitment to employee voice
Qualifications
High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required
Graduate of a Health Information Technology program. Preferred
Work Experience
2 years Two years of progressive inpatient facility coding experience. Required
2 years Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center. Preferred
Licensure and Certifications
Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC). Required
Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) AND Registered Health Information Technician (RH
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Health in northern Illinois benefits
Auto-ApplyCoder III | Health Information Management | Full-time | Days (REMOTE)
Saint Augustine, FL jobs
Coder III FTE: Full-time Shift Hours: Monday - Friday, 8:00 AM - 4:30 PM The Coder III is responsible for assigning diagnoses and procedure codes to inpatient medical records. The role ensures accurate coding to support proper billing, reimbursement, and compliance with regulatory requirements.
Responsibilities
* Key Responsibilities:
* Assign correct ICD-10-CM codes to all diagnoses and ICD-10-PCS codes to all procedures documented in the medical record
* Thoroughly review the medical record to retrieve proper documentation, including discharge summaries, progress notes, operative reports, pathology reports, anesthesia reports, etc., to ensure coding specificity
* Assess documentation to ensure it is adequate and appropriate to support diagnoses and procedures
* Select the principal diagnosis and procedure according to Uniform Health Data Discharge Set definitions and coding rules published in Coding Clinic
* Sequence codes within regulatory guidelines for correct DRG assignment
* Accurately abstract attending and operating physicians in the Sunrise Record Manager abstracting system
* Verify and correct discharge dispositions as appropriate
* Maintain thorough knowledge of the encoder system to assist in code assignment
* Query physicians as necessary to resolve documentation discrepancies and maintain positive working relationships to improve clinical competency
* Stay current on the prospective payment system, new codes, and annual DRG changes
* Adhere to all official coding guidelines (AHA, AHIMA, CMS, NCHS), Coding Clinic, and other resources to ensure accurate code assignment
* Incorporate Medicare medical review policy updates into the coding process
Qualifications
Education / Training:
* High School Diploma or equivalent (required)
* Preferred: Graduate of a Health Information Management program
Experience Requirements:
* 5 to 7 years of hospital medical record coding experience
Certificates / Licenses / Registration:
* Any AAPC or AHIMA Medical Coding Certification
Coder II | HIM |Remote | FL, GA, MO, PA, SC, TN & TX
Jacksonville, FL jobs
Full Time - Remote Position GA, FL, NC, NH Residents ONLY Monday - Friday Under minimal technical or managerial supervision, codes outpatient records using ICD-10-CM and CPT-4 classification systems. Assures proper coding and charge entry for all coded records. Inputs coding and patient information in the
appropriate computer system(s) for billing and abstracting purposes and identifies and corrects information discrepancies.
Qualifications
Required Education: High School Diploma or GED
Preferred Education: N/A
Required Licensure/Certifications:
Effective September 22, 2025 one of the certifications below is required at hire/transfer:
1. RHIA/RHIT
2. CCS
3. CCA
4. CPC-H
5. CPC
Effective September 22, 2025 current incumbents are required to have one of the following
certifications below by December 1, 2025:
1. RHIA/RHIT
2. CCS
3. CCA
4. CPC-H
5. CPC
Preferred Licensure/Certifications: N/A
Required Experience: Six (6) months of acute care hospital outpatient coding experience.
Preferred Experience: At least one (1) year of experience coding emergency room and outpatient clinical records in a
large acute care teaching facility
Necessary Skills:
1. PC knowledge
2. Good written and oral communication and customer service skills
3. Must be detail oriented, organized and flexible
4. Able to demonstrate initiative and perform minimum productivity levels.
5. Must have thorough knowledge of medical terminology, anatomy, and physiology and able to accept direction with changing priorities.
Coder Certified (Remote) - Surgery
Remote
Scheduled Hours40Position reviews medical record documentation to determine appropriate billing codes and necessary documentation.Job Description
Primary Duties & Responsibilities:
Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.
Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code.
Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.
Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.
Assists with efforts to increase physician awareness of documentation requirements.
Prepares case reports and initiates follow-up for billing process.
Working Conditions:
Job Location/Working Conditions:
Normal office environment.
Physical Effort:
Typically sitting at desk or table.
Equipment:
Office equipment.
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.Required Qualifications
Education:
A diploma, certification or degree is not required.
Certifications/Professional Licenses:
The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
Work Experience:
No specific work experience is required for this position.
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.More About This JobRequired Qualifications:
Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee's department).
Preferred Qualifications:
Previous coding experience or experience equivalent to an associate's degree in a related field.
Knowledge of ICD-10 and CPT coding.
Preferred Qualifications
Education:
Associate degree - Medical Coding & Billing
Certifications/Professional Licenses:
No additional certification/professional licenses unless stated elsewhere in the job posting.
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical TerminologyGradeC10-HSalary Range$25.30 - $37.94 / HourlyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.Pre-Employment ScreeningAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement
Personal
Up to 22 days of vacation, 10 recognized holidays, and sick time.
Competitive health insurance packages with priority appointments and lower copays/coinsurance.
Take advantage of our free Metro transit U-Pass for eligible employees.
WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.
WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: ******************************
EEO StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
Auto-ApplyIn Patient Coder (Remote) | Health Information & Record Management | Full Time
Leesburg, FL jobs
FTE: 1.0 Remote - FL, GA, MO, PA, SC, TN and TX This position is designated as "remote". However, the new hire will need to come for onboarding and hospital orientation in person. Responsibilities The Coder III is responsible for evaluating and assigning the appropriate ICD-9, ICD-10, CPT-4, and HCPCS codes, and abstracting pertinent clinical information for bill preparation for the following patient types: Inpatient, Rehabilitation, and select Coder II functions as outlined in the Coding Policy and Procedure Manual.
This position is also accountable for researching and resolving coding and billing issues, as well as analyzing medical records for completeness, consistency, and compliance with all applicable regulatory requirements.
Qualifications
Education:
* Post High School Special Training
Licensure/Certification/Registration:
* AAPC or AHIMA Medical Coding Certification
Experience:
* Minimum of 6 months Inpatient Coding experience (requirement consistent across all facilities)
* Minimum of 1 year experience in acute care coding, including Medicare, MS-DRGs, and APR-DRGs
Special Skills/Qualifications/Additional Training:
* Knowledge of basic and advanced ICD-9-CM and CPT-4 coding instructions
* Strong understanding of medical terminology, anatomy, and physiology
* Verifiable training in coding systems, advanced medical and anatomical terminology, clinical theory, and reimbursement principles (through college courses, hospital in-service, and/or approved seminars)
* Must be able to read, write, speak, and understand English
In Patient Coder (Remote) | Health Information & Record Management | Full Time
Leesburg, FL jobs
FTE: 1.0 Work Schedule: Monday - Friday, 8:00 AM to 5:00 PM Additional Details: * The new hire will be required to attend in-person onboarding and hospital orientation.
Responsibilities
Summary:
The Coder III is responsible for evaluating and assigning the appropriate ICD-9, ICD-10, CPT-4, and HCPCS codes, as well as abstracting pertinent clinical information for bill preparation for the following patient types: Inpatient, Rehabilitation, and performing select Coder II functions as outlined in the coding policy and procedure manual.
This role is also responsible for:
* Researching and resolving coding/billing issues.
* Analyzing medical records for completeness, consistency, and compliance with all regulatory requirements.
Qualifications
Education:
* Post-High School Special Training
Licensure/Certification/Registration:
* AAPC or AHIMA Medical Coding Certification
Experience Requirements:
* Minimum of 6 months inpatient coding experience (requirement consistent across all facilities)
* Minimum of 1 year experience in acute care coding, including Medicare, MS-DRGs, and APR-DRGs
Special Skills/Qualifications/Additional Training:
* Knowledge of basic and advanced ICD-9-CM and CPT-4 coding instructions
* Understanding of medical terminology, anatomy, and physiology
* Verifiable training in coding systems, advanced medical and anatomical terminology, clinical theory, and reimbursement principles through college courses, hospital in-service, and/or approved seminars
* Must be able to read, write, speak, and understand English