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Medical Coder jobs at Oregon Health & Science University

- 36 jobs
  • Department of Medicine Coder (Coding Specialist ll)

    Oregon Health & Science University 4.3company rating

    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 *************.
    $64k-75k yearly est. Auto-Apply 60d+ ago
  • OUTPATIENT SURGERY CODER

    University of Washington 4.4company rating

    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.
    $68.2k-97.7k yearly 34d ago
  • Inpatient Coder - Per Diem

    University of California System 4.6company rating

    Los Angeles, CA jobs

    General Information Press space or enter keys to toggle section visibility Onsite or Remote Fully Remote Work Schedule Monday - Friday, 6:00 AM - 3:00 PM PST; weekend availability may be required based on operational needs Posted Date 12/11/2025 Salary Range: $59.8 - 74.35 Hourly Employment Type 6 - Staff: Per Diem Duration Indefinite Job # 27798 Primary Duties and Responsibilities Press space or enter keys to toggle section visibility Play a key role with a world-class health organization. Help ensure the operational efficiency of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health. You will be responsible for coding diagnoses and procedures for assigned cases. This will involve using your knowledge of UCLA, AHA - Coding Clinic, and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment, and procedures. You will assign ICD-10-CM/PCS and CPT/HCPCS codes for patients receiving our services while correctly assigning DRGs for all patients to assure accurate reimbursement and the highest quality data possible. You will abstract all coded data in a timely and accurate manner into the abstracting system. Salary Range: $59.80/hourly - $74.35/hourly Job Qualifications Press space or enter keys to toggle section visibility We're seeking an independent, detail-oriented, self-directed individual with: * Associate degree in health information science, Bachelor's degree in health information management, or completion of courses in ICD-10-CM/PCS and CPT-4 coding * CCS certification, required * RHIA or RHIT, highly desired * Three or more years of experience with surgical procedural and ambulatory care coding, preferred * Five or more years of experience as an Inpatient Coder, preferably at an academic medical center * Proficiency in ICD-10-CM, ICD-10-PCS, CPT-4/HCPCS and modifier usage * Knowledge of APC payment methodologies, AHA Coding Clinic, and CPT Assistant * Ability to orient and train new employees and students * Understanding of all state and national reporting requirements * Strong communication, interpersonal, and prioritizing skills * Computer proficiency with Microsoft Office and 3M 360 Encompass software UCLA Health is a world-renowned health system with four award-winning hospitals and more than 260 community clinics throughout Southern California, as well as the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
    $59.8-74.4 hourly 7d ago
  • Certified Coder Appeals, Remote

    University of Louisville Physicians 4.4company rating

    Remote

    Primary Location: Work From Home - KY - ULP - AMGAddress: Home Office Remote, KY 40601 Shift: First Shift (United States of America) Summary: : 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 This position is responsible for managing the appeal of unpaid claims in the Central Business Office. This position will also work closely with insurance carriers in resolving unpaid claims Review and appeal unpaid claims daily. Completes follow-up work on appealed claims. Works with insurance carriers on appeal issues. Provides feedback to the coding department with coding errors or updates. Reviews remit to ensure accurate payment was received. Reviews denials for accuracy. Obtains all necessary information to expedite the appeal process. Closes and prints daily batch proof. Makes charge corrections as needed in the practice management system. Attends continue education programs for coding. Other duties as assigned. 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. 3 years of prior coding experience, preferred. Prior experience working with medical insurance. KNOWLEDGE, SKILLS, & ABILITIES Knowledge of medical terminology. Strong oral and written communication skills. Basic Microsoft Office knowledge. Ability to foresee projects from start to finish. 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. HOW TO APPLY Please follow the URL link to submit your resume: 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.
    $52k-62k yearly est. Auto-Apply 10d ago
  • Coding Specialist 4

    University of Washington 4.4company rating

    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.
    $71.1k-101.7k yearly 60d+ ago
  • Edits Coder

    University of Washington 4.4company rating

    Seattle, WA jobs

    **UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for a **Coding Specialist 1 - Edits Coder** **WORK SCHEDULE** + 100% FTE + Mondays - Fridays + 100% Remote HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information Management department. Under the general supervision of the Manager of Facility Coding, and the direct supervision of the Supervisor of Outpatient Coding, the Edits Coder is responsible for implementing the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. The Edits Coder is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines. **PRIMARY JOB RESPONSIBILITIES** + Validates codes entered at the point of care and/or by other charge sources by reviewing electronic data and making corrections based on a review of all available electronic and other appropriate documentation to support all billable procedures and services. + Reviews and resolves coding accounts failed validations, revenue guard, missing modifiers, incorrect modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS procedure codes. + Investigates and researches coding issues identified by Revenue Integrity (RI) and Patient Financial Services (PFS) related to inquiries, complaints and/or denials. Makes coding corrections to resolve coding issues; supports RI by reviewing specified procedures for charge accuracy; reroutes accounts to correct coding team for coding resolution based on revenue codes. + Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for facility and professional fee services. Identifies potentially avoidable delays to timely billing and help identify systemic issues that contribute to delays in service or inefficient uses of resources to address root cause and prevent ongoing errors. + Identifies the need for documentation clarity to support the integrity of the record and for reimbursement compliance; identifies charge error trends and escalate to supervisor. + Performs special projects or other duties assigned. + May perform the work of lower level classifications of the Coding Specialist series. **REQUIRED POSITION QUALIFICATIONS** High school diploma or equivalent AND 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). AND One year coding experience or equivalent education/experience. Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration. **Compensation, Benefits and Position Details** **Pay Range Minimum:** $59,976.00 annual **Pay Range Maximum:** $85,848.00 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.
    $60k-85.8k yearly 13d ago
  • Emergency Department Coder

    University of Chicago Medicine 4.7company rating

    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 .
    $64k-82k yearly est. Auto-Apply 60d+ ago
  • Claims Coding Specialist, Full Time - Days

    University of Chicago Medicine 4.7company rating

    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 .
    $64k-82k yearly est. Auto-Apply 60d+ ago
  • Senior Coder - RCO Coding

    University of Texas Medical Branch 3.6company rating

    Galveston, TX jobs

    Senior Coder (Remote) Minimum Qualifications: A high school diploma or GED and three years of multi-specialty coding experience. The senior coder must be proficient in coding Professional services, and/or Outpatientprofessional and hospital technical services. Must also have experience with communicating, training, and educating providers in proficiency. Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a plus. Licenses, Registrations, or Certifications: CCA - Certified Coding Associate American Health Information Management (AHIMA) Or CCS - Cert-Cert Coding Specialist American Health Information Management (AHIMA) Or CCS-P - Cert-CCS-P Physician Based American Health Information Management (AHIMA) Or RHIA - Cert-Reg Health Inform. Admins American Health Information Management (AHIMA) Or RHIT - Cert-Reg Health Inform. TECH American Health Information Management (AHIMA) Or CIC - Certified Inpatient Coder American Academy of Professional Coders (AAPC) Or COC - Certified Outpatient Coder American Academy of Professional Coders (AAPC) Or CPC - Cert-Cert Professional Coder American Academy of Professional Coders (AAPC) Or CPC-A - Cert Prof Coder - Apprentice American Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) * One of the above certifications is required. Job Summary/Description: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers. Job Duties: * Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes. * Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed. * Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required. * Attends and participates in coding education sessions. * Obtains required CEU's for certification and completes any required education. * Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines. * The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations. * Work all PB/HB claim edits and reject errors daily. * Hospital DNB's will be worked as assigned per Specialty. * Work charge reconciliation to ensure all services provided are captured for coding in a timely manner. * Adheres to internal controls and reporting structure. Knowledge/Skills/Abilities: Strong written and oral communication skills Salary Range: Actual salary commensurate with experience or range if discussed and approved by hiring authority. Work Schedule: Remote position. 8am to 5pm, and as needed on occasion. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation
    $44k-54k yearly est. 15d ago
  • INPATIENT CODER

    University of Washington 4.4company rating

    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.
    $71.1k-101.7k yearly 60d+ ago
  • HIM Outpatient Coder, Remote

    University of Louisville Physicians 4.4company rating

    Remote

    Remote, KY 40601 Shift: First Shift (United States of America) Summary: : The outpatient coder is responsible for thorough review of clinical documentation and diagnostic results applicable to abstract data and appropriately assign ICD-10-CM and CPT/HCPCS codes and modifiers for billing and reimbursement, internal and external reporting, research, and regulatory compliance. This position commits to accurate medical coding for account types and/or service rendered to patients in the emergency department (ED), Same Day Surgeries (SDS), Ancillary (ANC), Oncology (ONC), Outpatient Rehab, Outpatient Psychiatric, and Interventional Radiology (IVR).Additional Job Description:
    $55k-66k yearly est. Auto-Apply 1d ago
  • Certified Specialty Coder- Three Rivers Orthopedics

    University of Pittsburgh Medical Center 4.6company rating

    Pittsburgh, PA jobs

    Three Rivers Orthopedics is seeking a Certified Specialty Coder to support 11 orthopedic surgeons specializing in areas including spine and foot/ankle at 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215. This full-time position runs Monday-Friday, 8:00 AM-4:30 PM, with the potential for work-from-home flexibility after training Responsibilities: * Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. * Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. * Perform all coding functions, based on staffing needs and/or department requirements. * Refer problem accounts to appropriate coding or management personnel for resolution. * Maintain daily productivity statistics and submits a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks. Balance daily charges to data entry, forwarding results to departmental designee. * Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed. * Assess current CPT guidelines as well as other applicable payer coding policy changes. * Lead, participate in and/or assist with departmental coding audits. * Identify incomplete documentation in the medical record and formulates a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. * Incorporate into departmental procedures and communicates changes to coders and providers. * Adhere to internal department policies and procedures to ensure efficient work processes. * Maintain required CPC or CSS-P certification and continuing education by attending seminars, reviewing updated CPT Assistant guidelines and updated coding clinics. * Adhere to department time goal for final coding entry to prevent charge lags. * If applicable, abstract required medical and demographic information from the medical record and enters the data into the appropriate information system to ensure accuracy of the database. Responsible for correcting any data to be in error after reviewing the medical record and comparing with system entries. * Progress within the training period toward meeting departmental coding accuracy standards within the first year of employment by assigning correct principal diagnosis/procedure, complications and co-morbidities, and secondary diagnoses as reviewed by the designated trainer and/or the DRG Specialist. Coder should meet appropriate coding productivity standards within the time frame established by management staff. * Advise and instruct providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification. * Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions. * Demonstrate proficiency on billing system functionality as related to claim edit/charge review queues, as well as reimbursement denials. * Complete work assignments in a timely manner and understands the workflow of the department. * Train all new Coders to observe established coding guidelines and to utilize the appropriate billing system. * Investigate and resolve reimbursement issues, including denials, in a timely manner per department standards. * Analyze and interpret patient medical records within an area of medical/clinical specialty in order to determine amount and nature of billable services. * Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems (Medipac/SMS/Meditech), encoders and electronic medical record repositories. * Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements. Qualifications: * High school diploma or GED is required. * Graduation from an approved Health Record Administration or Accredited Medical Record Technician program (RHIA/RHIT or eligible) or a certified coding program preferred. * 3 years of coding experience in the applicable medical specialty is required. * Advanced knowledge of medical coding and billing systems and regulatory requirements is required. * Ability to provide training, guidance, and operational support to lower level staff within area of specialty is required. * Experience and knowledge of accurate DRG and APC assignment is essential. * A bility to problem solve and be knowledgeable in advanced medical terminology, human anatomy/physiology, pharmacology, pathology and the principles of ICD-9-CM and CPT Classification Systems and DSM IV, if applicable. * Proficient computer skills, including working knowledge of MS Excel and MS Access, is preferred. Licensure, Certifications, and Clearances: * Certified Professional Coder (CPC) * Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $44k-54k yearly est. 9d ago
  • Inpatient Coding Review Specialist (H)

    University of Miami 4.3company rating

    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
    $48k-57k yearly est. Auto-Apply 10d ago
  • Coding Specialist

    University of Mn Physicians 4.0company rating

    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.
    $45k-55k yearly est. Auto-Apply 60d+ ago
  • Certified Coder- Practice Operations- Remote Opportunity- Certified Professional Coder certification required

    University of Maryland Faculty Physicians 4.0company rating

    Baltimore, MD jobs

    Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Insures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned. EDUCATION and/or EXPERIENCE * High school diploma or general education degree (GED) preferred * Certified Professional Coder certification required * Level and years of experience based on departmental needs * Extensive knowledge of CPT and ICD-10 coding * Knowledge of government regulations as they relate to teaching physician documentation and billing guidelines * Understanding of: the importance of compliance with all government, department, and contractual regulations regarding coding and billing; and provider requirements Total Rewards The referenced base salary range represents the low and high end of University of Maryland's Faculty Physician's Inc. salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. University of Maryland Faculty Physician's Inc. offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: *****************************************************
    $56k-73k yearly est. 3d ago
  • Medical Coding Specialist II - Inpatient

    University of Wisconsin Hospitals and Clinics Authority 3.6company rating

    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
    $53k-65k yearly est. Auto-Apply 60d+ ago
  • Medical Coding Specialist II - Inpatient

    University of Wisconsin Hospitals and Clinics Authority 3.9company rating

    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
    $37k-47k yearly est. 60d+ ago
  • Certified Coder (Remote) - Neurology

    Washington University In St. Louis 4.2company rating

    Missouri jobs

    Scheduled Hours40Reviews 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-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Assists coders and 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. Performs other duties as assigned. 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 Job Required 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.
    $25.3-37.9 hourly Auto-Apply 31d ago
  • Edits Coder

    University of Washington 4.4company rating

    Campus, IL jobs

    UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a Coding Specialist 1 - Edits Coder WORK SCHEDULE * 100% FTE * Mondays - Fridays * 100% Remote HIGHLIGHTS The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information Management department. Under the general supervision of the Manager of Facility Coding, and the direct supervision of the Supervisor of Outpatient Coding, the Edits Coder is responsible for implementing the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. The Edits Coder is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines. PRIMARY JOB RESPONSIBILITIES * Validates codes entered at the point of care and/or by other charge sources by reviewing electronic data and making corrections based on a review of all available electronic and other appropriate documentation to support all billable procedures and services. * Reviews and resolves coding accounts failed validations, revenue guard, missing modifiers, incorrect modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS procedure codes. * Investigates and researches coding issues identified by Revenue Integrity (RI) and Patient Financial Services (PFS) related to inquiries, complaints and/or denials. Makes coding corrections to resolve coding issues; supports RI by reviewing specified procedures for charge accuracy; reroutes accounts to correct coding team for coding resolution based on revenue codes. * Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for facility and professional fee services. Identifies potentially avoidable delays to timely billing and help identify systemic issues that contribute to delays in service or inefficient uses of resources to address root cause and prevent ongoing errors. * Identifies the need for documentation clarity to support the integrity of the record and for reimbursement compliance; identifies charge error trends and escalate to supervisor. * Performs special projects or other duties assigned. * May perform the work of lower level classifications of the Coding Specialist series. REQUIRED POSITION QUALIFICATIONS High school diploma or equivalent AND 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). AND One year coding experience or equivalent education/experience. Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration. Compensation, Benefits and Position Details Pay Range Minimum: $59,976.00 annual Pay Range Maximum: $85,848.00 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.
    $60k-85.8k yearly 12d ago
  • In Patient Coder (Remote) | Health Information & Record Management | Full Time

    University of Florida Health 4.5company rating

    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
    $50k-62k yearly est. 60d+ ago

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