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  • Records Information Manager IV

    Contact Government Services, LLC

    Remote records and information manager job

    Records Information Manager IVEmployment Type: Full-Time, ExperiencedDepartment: Office Support CGS is seeking an experienced Records Information Manager to provide technical, management, and documentation support for a large Federal agency initiative. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Supervising other staff members in support of the Records Information Manager V- Provides technical support for records management programs, dockets, records center, or other information service under the supervision of a Records Information Manager V. - May assist in planning and program development, analysis of records or docket management problems, and design of strategies to meet ongoing records or docket management problems, and design of strategies to meet ongoing records or docket management needs. - Specific technical duties may vary according to the needs of the work site and include, but are not limited to, response to inquiries; collection maintenance and retrieval tasks; metadata review and input; equipment maintenance; and use of automated information systems, such as the Federal Docket Management System (FDMS). - This position supports RIM Education and/or Experience Qualifications:- At Level IV, the personnel must have at least seven (7) years of records management experience. - Experience with at least one automated information system is required. - A college degree is preferred but not required. Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. - Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:******************* com/join-our-team/For more information about CGS please visit: ************ cgsfederal. com or contact:Email: info@cgsfederal. com #CJ
    $58k-94k yearly est. Auto-Apply 60d+ ago
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  • Director, EMR Interoperability Product Manager

    McKesson 4.6company rating

    Remote records and information manager job

    McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Ontada is a leader in oncology real-world data and evidence, clinical education, and provider technology. As part of McKesson Corporation, we are committed to transforming cancer care by advancing science through data, technology, and specialized channels. Our mission is to accelerate innovation for life sciences, support community oncology providers, and improve patient outcomes. Together with our partners, we strive to make a meaningful difference in the lives of cancer patients. Position Summary The Lead Interoperability Technical Product Manager serves as Ontada's strategic thought leader for healthcare data interoperability. This role focuses on standards such as FHIR APIs, clinical data exchange networks, and emerging interoperability architectures. As a senior individual contributor with significant external influence, you will: Drive adoption of modern interoperability frameworks. Lead regulatory compliance initiatives (USCDI, TEFCA, CMS-aligned networks). Establish strategic partnerships with interoperability networks and vendors. Architect solutions that enable seamless data exchange across diverse healthcare systems. Product Vision & Strategy Define and execute the long-term vision, strategy, and roadmap for interoperability products aligned with business objectives. Product Development & Execution Manage the full product lifecycle-from ideation and requirements gathering to development and launch. Collaborate with product leaders to integrate interoperability into broader product strategies. Stakeholder & Cross-Functional Leadership Partner with internal teams and external stakeholders to ensure successful delivery and adoption. Interoperability Architecture & Standards Shape Ontada's technical interoperability strategy, emphasizing FHIR API adoption and HL7 compliance. Serve as a subject matter expert internally and represent Ontada externally at industry forums. Evaluate emerging standards (e.g., SMART on FHIR, bulk exports, real-time subscriptions) and recommend integration strategies. Lead technical specification design for interoperability initiatives. Regulatory Compliance & Network Strategy Translate regulatory requirements (USCDI, TEFCA, CMS 21st Century Cures Act) into actionable product roadmaps. Assess interoperability networks (e.g., Carequality, QHIN) for strategic alignment. Strategic Partnerships & Vendor Management Negotiate agreements (MSAs, BAAs) with vendors and partners. Optimize vendor relationships, ensuring service continuity, API performance, and technology alignment. Minimum Requirements Bachelor's degree in Computer Science, Engineering, or related field (or equivalent experience). 10+ years in healthcare technology and product management, including 5+ years focused on interoperability. Deep expertise in FHIR, HL7, healthcare data standards, and modern interoperability architectures. Proven success leading complex technical initiatives and regulatory compliance efforts. Experience with EMR systems and provider-facing technologies. Strong communication, stakeholder management, and influencing skills. Ability to work independently and manage priorities effectively. Preferred Qualifications Advanced degree (Master's or Doctorate) in a relevant field. Expert knowledge of CMS interoperability requirements and information blocking rules. Participation in standards organizations (HL7, ONC) or interoperability networks. Published thought leadership or speaking experience on interoperability topics. Working Conditions Remote work environment. Occasional travel (up to 20%). We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $144,000 - $240,000 McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!
    $144k-240k yearly Auto-Apply 14d ago
  • HIM Inpatient Coding Spclst

    Children's Hospitals and Clinics of Minnesota 4.6company rating

    Remote records and information manager job

    About Children's Minnesota Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrens MN.org. Children's Minnesota is proud to be recognized by Modern Healthcare as one of 2023's Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy, care delivery, and promoting diversity, equity and inclusion in their organizations and the industry. Department Overview Health Information Management is responsible for the: * Oversight of the quality, timeliness, and accuracy of the medical record and patient indexes for patient care, legal, revenue, research, and regulatory needs; * Classification of diagnosis and procedures according to approved classification and nomenclatures such as ICD-9, CPT, Snomed, etc. * Maintaining the security and integrity of health information; * Providing documentation tools/services such as dictation, transcription, electronic templates, scribes, and paper forms; * Collection, quality control, and dissemination of data for comparative data bases and statistical reports including specific disease and procedure registries; * Providing access to medical record information through release of information processes. Position Summary Responsible for the accurate assignment of DRG, diagnosis and procedure codes using International Classification of Disease (ICD10 CM/PCS), coding to the highest degree of severity and specificity, including the assignment of present on admission. Uses provider clarification query forms as needed. Collects additional clinical data elements and inputs into hospital database. The HIM Inpatient Coding Specialist assess record completion; assign deficiencies as needed and follow-up on incomplete records to ensure timely billing. Location (e.g. remote or on-site): Remote DHS Background Study Required? No License/Certification/Registration required? Yes * Certifications must be through American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Credentials that meet requirement: Certified Coding Specialist (CCS), Certified Coding Specialist Physician Based (CCS-P), Registered Health Information Administrator (RHIA), Registered health Information Technician (RHIT), Certified Professional Coder (CPC). Education: * As outlined in the above credentials' requirements. Experience: * 4+ years' experience as a coding specialist for inpatient or outpatient services. * Pediatric experience preferred. * Demonstrated experience working with medical providers and allied health professionals preferred. * Must demonstrate knowledge and proficiency in ICD-10-CM/PCS. * Must achieve passing score on Children's Core Coding Competency Assessment. Knowledge/Skills/Abilities: * Requires advanced knowledge of medical terminology, anatomy, physiology and disease processes, and pharmacology. * Requires knowledge of DRG and APC prospective payment systems and reimbursement regulations in an acute care environment. * Ability to work independently and productively with minimal supervision. * Demonstrated excellent verbal and written communication skills. * Demonstrated ability to work well under pressure and maintain attention to detail in order to meet customer expectations. * Demonstrated strong desire to learn. Physical Demands Please click here to view the Physical Demands The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. When determining individual pay rates, we carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, internal equity and organizational needs. In addition to your salary, this position may be eligible for medical, dental, vision, retirement, and other fringe benefits. Positions that require night, weekend or on-call work may be eligible for shift differentials or premium pay. All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification. Children's Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race, color, creed, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
    $135k-194k yearly est. 15d ago
  • Healthcare Revenue Cycle / HIM Manager

    Oracle 4.6company rating

    Remote records and information manager job

    As a Healthcare Revenue Cycle / HIM Manager, your responsibilities will include: 1. Supporting a remote team for daily operations of the healthcare revenue cycle / healthcare coding department. 2. Identifying and implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability. 3. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness. 4. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills. 5. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process. 6. Training and mentoring staff on revenue cycle processes and best practices. 7. Staying abreast with the latest trends and regulations in the healthcare industry to ensure compliance and operational efficiency. 8. Developing and implementing policies and procedures to enhance operational efficiency and improve revenue cycle performance. 9. Providing regular reports and updates to senior management about the status and performance of the revenue cycle. 10. This individual will manage routine client meetings to obtain updates on initiatives and address any issues. Qualifications: The ideal candidate for the Healthcare Revenue Cycle / HIM Manager will have the following qualifications: 1. A minimum of 7 years of experience in healthcare revenue cycle management, including account reconciliation, pre-collection, and post-collection. 3. Strong knowledge of healthcare financial management and medical billing processes. 4. Exceptional analytical and problem-solving skills with a strong attention to detail. 5. Proficient in using healthcare billing software and revenue cycle management tools, with a strong background in Oracle Health (Cerner) software. 6. Strong leadership skills with the ability to manage and motivate a team. 7. Excellent communication and interpersonal skills with the ability to interact effectively with all levels of the organization. 8. Strong knowledge of federal, state, and payer-specific regulations and policies. 9. Ability to work in a fast-paced environment and manage multiple priorities. Disclaimer: Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates. Range and benefit information provided in this posting are specific to the stated locations only US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
    $87k-178.1k yearly Auto-Apply 60d+ ago
  • MANAGER OF RECORDS & REPORTS

    Richlandonline

    Remote records and information manager job

    Classification Title: Manager of Records & Reports/ Program Auditor Department: Community Planning and Development Division: Register of Deeds Pay Grade: FLSA Status: Exempt Reports to: Division Manager Supervisory Responsibility: Travel Requirements: Remote Work Eligibility: At the discretion of the Community Planning and development Director GENERAL STATEMENT OF JOB This position in the Register of Deeds (ROD) Office oversees daily operations that support the recording, indexing, preservation, and public availability of real estate records for Richland County. This role ensures compliance with South Carolina recording laws, protects property ownership rights through accurate recordation, and supervises staff delivering front-line customer service to residents, attorneys, real estate professionals, and other stakeholders. The incumbent carries out operational planning, quality control, training, and process improvement in support of the County's mission of transparency and public access to land records. SPECIFIC DUTIES AND RESPONSIBILITIES Essential Functions: Provides professional, comprehensive, courteous customer service; assists customers or obtains information for customers as requested; explains department and County policies and procedures; refers customers to other personnel or offices as appropriate. Respond to inquiries made thru phone, voicemail, fax, email and written correspondence. Assist in monitoring division operations to ensure compliance with state laws and county ordinances. Assists in development of goals and long-range plans for the Register of Deeds office. Assist Departments and Divisions in ordering record management supplies. Advise County personnel on record management policy and procedures to ensure compliance with State and County laws, policy and procedure. Assist in the administration of the County's record management program. Assist Division manager with research projects and reports. Move physical deed, mortgage, plat and index books to perform research and make copies. Asist with Freedom of Information Act requests. Assist with Ombudsman service requests. Assist with grant research and preparation. Assists in division inventory management. Assist with time keeping. Maintains and update the division's standard operating procedures. Regularly coordinates with the Assistant Directors in responding to inquiries about statistics, performance and productivity issues. Assists with maintaining equipment. Regularly verifies the proper identification for the microfilm rolls in the public area. Assist in verifying microfilmed images of pre-1998 documents for planned back-file conversion of microfilm to digital format. Serves as a liaison between the Register of Deeds and the public, and those of other divisions, departments, agencies and professionals in receiving information, identifying and resolving customer services issues. May assist in coordinating programs and community service's activities and attend community meetings. Answers the telephone; provides accurate information to callers and/or forwards calls to appropriate personnel; takes messages as needed; greets and assists office visitors. Performs other clerical work, including but not limited to correspondence, copying and filing documents, sending and receiving faxes, entering and retrieving computer data, processing daily mail and receiving/responding to email. Receives and responds to public/customer inquiries, requests for assistance. Maintains current and archived records and files in accordance with record retention policies; retrieves files and/or information from files upon request. Attends training, meetings, seminars, and/or workshops to enhance job knowledge and skills as directed. Serve as back up cashier Performs essential functions and other duties as assigned. MINIMUM EDUCATION AND TRAINING Bachelor degree in accounting or a related field. 5 years prior experience. -or- Any combination of education and experience that meets the requirements for performing the essential functions of this job. Licenses/Certifications/Other: Requires a valid state driver's license. MINIMUM QUALIFICATIONS AND STANDARDS REQUIRED Knowledge, Skills, and Abilities: Data Involvement: Requires gathering, organizing, analyzing, examining or evaluating data or information and may prescribe action based on such data or information. People Involvement: Requires receiving/ giving information, guidance or assistance to people to directly facilitate task accomplishment. Involvement with Things: Requires handling or using machines, tools or equipment requiring brief instruction or experience, such as computers for data entry, fax machines, copiers, scanners, telephones, books or similar equipment; may service office machines, including adding paper and changing toner. Reasoning Requirements: Requires performing skilled work involving set procedures and rules but with frequent problems. Requires the skill set to learn, navigate, and provide input on Register of Deeds software. Mathematical Requirements: Requires using basic algebra involving variables and formulas and/or basic geometry involving plane and solid figures, circumferences, areas and volumes, and/or computing discounts and interest rates. Requires the ability to count money, make change, and perform petty cash draw audits. Language Requirements: Requires reading technical instructions, procedures manuals, and charts to solve practical problems such as routine office equipment operating instructions; composing routine and specialized reports, forms, and business letters, with proper format; speaking compound sentences using normal grammar and word form. Mental Requirements: Requires doing clerical, manual or technical tasks requiring a wide range of procedures and requiring intensive understanding of a restricted field or complete familiarity with the functions of a unit or small division of an operating agency; requires normal attention with short periods of concentration for accurate results or occasional exposure to unusual pressure. Computer Requirements: Must be proficient in use of Microsoft Office. Judgments and Decisions: Responsible for guiding others, requiring a few decisions affecting a few co-workers; works in a stable environment with clear and uncomplicated written/oral instructions but with some variations from the routine. Physical Requirements: The work is sedentary work which requires the person in this position to occasionally exert up to 30 pounds of force to grasp, lift, carry, push, pull or otherwise move objects, including the human body. Additionally, the following physical abilities are required: Feeling: Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips. Grasping: Applying pressure to an object with the fingers and palm. Handling: Picking, holding, or otherwise working, primarily with the whole hand. Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discrimination in sound. Manual Dexterity: Picking, pinching, typing, or otherwise working, primarily with fingers rather than with the whole hand as in handling. Mental Acuity: Ability to make rational decisions through sound logic and deductive processes. Repetitive Motion: Substantial movements (motions) of the wrist, hands, and/or fingers. Speaking: Expressing or exchanging ideas by means of the spoken word including the ability to convey detailed or important spoken instructions to other workers accurately and concisely. Talking: Expressing or exchanging ideas by means of the spoken word including those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. Visual Acuity: Have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; and/or extensive reading. Including color, depth perception, and field vision. WORK ENVIRONMENT May be required to work hours other than the regular schedule including nights, weekends, and holidays. This position requires regular and reliable attendance and the employee's physical presence at the workplace. The job risks exposure to no known environmental hazards. Work is performed in a relatively safe, secure, and stable work environment. EEO AND ADA MESSAGE To perform this job successfully, an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodation may be made to enable individuals with disabilities to perform the primary job functions described herein. Since every duty associated with this position may not be described herein, employees may be required to perform duties not specifically spelled out in the , but which may be reasonably considered to be incidental in the performing of their duties just as though they were written out in this . Richland County is an Equal Opportunity Employer. ADA requires the County to provide reasonable accommodations to qualified individuals with disabilities. Prospective and current employees are invited to discuss accommodations. Richland County has the right to revise this job description at any time. This description does not represent in any way a contract of employment. _____________________________________________ ____________________________________ Employee Signature Date
    $38k-57k yearly est. Auto-Apply 11d ago
  • IT Electronic Health Records Supervisor

    State of Wisconsin

    Remote records and information manager job

    This position provides leadership and management of health-related applications, including the DOC's Electronic Health Records (EHR). Specifically, provide application development and support services in line with the strategic business plans for the DOC divisions. This position also assists and advises the Apps Section Chief on priorities, hardware/software requests, business opportunities and customer service issues related to the Electronic Health Records applications. As a supervisor, this position works closely with all DOC Divisions including the Bureau of Health Services within the Division of Adult Institutions, as well as members of the BTM management team, to develop and deliver consistent and quality IT products and services to our business partners. Key responsibilities include defining multi-year application development roadmaps, evaluating commercial off-the-shelf solutions, and overseeing all phases of the systems development life cycle, including upgrades and ongoing support. This position also includes the daily supervision over a team of IT professionals, including project managers, business analysts, development, and support roles. Key activities of this team include consultation, configuration, integration, enhancements, support and report creation. Salary Information The starting pay is between $114400 and $132995 per year, plus excellent benefits. Pay will be set in accordance with the Compensation Plan and Wisconsin Administrative Code in effect at the time of hire. The pay schedule/range is 70-02. A 2-year Career Executive trial period is required. In addition to meaningful and rewarding work, we offer a competitive benefits package featuring: * Substantial leave time including at least 3.5 weeks of vacation to start, 9 paid holidays, and ample accrued sick time that rolls over each year. * Insurance: Excellent and affordable health, dental, vision, and life insurance. * An exceptional pension plan including a lifetime retirement payment. * An optional tax-advantaged 457 retirement savings plan. * The Well Wisconsin Program helps participants set health and well-being goals, track progress, stay motivated, and earn incentives. * Our Employee Assistance Program offers employees and their immediate family a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being. * DOC is a qualifying employer for the Public Service Loan Forgiveness program. * Please click here for a summary of State of Wisconsin employment benefits or click here to explore employment benefits on the website. To help you understand what your benefit package would be worth, please see the Total Rewards Calculator here. Job Details Applicants must be legally entitled to work in the United States (i.e., a citizen or national of the U.S., a lawful permanent resident, an alien authorized to work in the U.S. without DOC sponsorship) at the time of application. The Department of Corrections will conduct criminal background checks on applicants prior to selection to determine whether the circumstances of any conviction may be related to the job being filled. Upon hire, all new DOC employees are subject to fingerprinting. The Department of Corrections may conduct pre-employment drug screens. Any applicant who is offered employment in a position which requires a pre-employment drug screen must pass the screen as a contingency to employment. NOTE: This position is eligible to work remotely up to 3 days per week. For this position, working outside of Wisconsin will not be allowed. You must currently live in or be willing to relocate to Wisconsin. Qualifications Minimally qualified applicants will have experience: * Performing supervisory or lead worker related activities (establishing and evaluating staff goals and objectives, executing personnel actions, mentoring, coaching and conflict resolution, etc.). * Managing IT projects (working with partners to define project scope and objectives, managing timelines, overseeing resource allocation, understanding project methodology, and developing future project roadmaps). * Managing a team of I.T. professionals that develop and support vendor applications. In addition to the above, well qualified applicants will have experience: * Managing and supporting a vendor managed Electronic Health Records (EHR) system, in a multi-site setting. * Participating and consulting in HIPAA and security compliance for health-related applications. How To Apply To apply, click on "Apply for Job" to start the application process. Follow the steps outlined in the application process and submit your application. Permanent classified employees who are eligible for consideration as a transfer or voluntary demotion must complete the application process in order to be considered. Applicants should attach a letter of qualification and resume detailing their training and experience relating to the qualifications mentioned above. It is not necessary to include references at this time. Your letter of qualification and resume will be evaluated and is considered the assessment for this position. Your letter of qualification and resume should be limited to a maximum of two pages each. Your submission will be evaluated by one or more job experts. The most eligible candidates will be invited to participate in the next step of the selection process. The Department of Corrections has created extra guidance to assist you in developing your resume and letter of qualification, if interested please click here. Questions can be directed to Phia Vang, Human Resources Specialist at ***********************. The State of Wisconsin is an Equal Opportunity and Affirmative Action employer seeking a diverse and talented workforce. We provide reasonable accommodations to applicants and employees with disabilities. The State of Wisconsin offers a special program for qualified veterans with a 30% or greater service-connected disability. If you are a qualified veteran, please visit the Veterans Employment page for application instructions to be considered for the Veterans Non-Competitive Appointment program. Deadline to Apply Online application and materials must be submitted by 11:59 pm on 1/4/26, in order to be considered. For general wisc.jobs user information and technical assistance, please see the wisc.jobs Commonly Asked Questions page. Some users report better performance when using the Chrome browser.
    $37k-54k yearly est. 10d ago
  • Clinical Applications Professional 3 - HIM - IS Systems Application - FT - Day - Remote

    University of California System 4.6company rating

    Remote records and information manager job

    Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif. , four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U. S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County. To learn more about UCI Health, visit www. ucihealth. org. Your Role on the Team Position Summary: The incumbent acts as both a functional and technical analyst in the development, upgrade, enhancement, training and support of business information systems in Epic, 3M Solarity, M-Modal, Plato, Onbase and related HIM systems. Responsible for the development and maintenance of system applications Policies and Procedure in relation to Hospital Coding modules. Facilitates discussions around billing system software changes and upgrades as needed and/or requested by all applicable users. Participates in the analysis and design of data communication links between systems. What It Takes to be Successful Required Qualifications: Must possess the skill, knowledge and abilities essential to the successful performance of assigned duties Must possess a working knowledge of HL7 and other interface/integration strategies Must have working knowledge of client/server systems, relational database structures and reporting tools Must demonstrate customer service skills appropriate to the job Must be willing to participate in 24 hour on-call rotations as a system duty officer Experience using/implementing/supporting an EMR system's legal medical record with understanding of ROI, deficiency tracking and identity mapping Excellent written and verbal communication skills in English Current certification in Epic; HIM Ability to self-initiate and effectively problem solve issues Ability to maintain a work pace appropriate to the workload Ability to establish and maintain effective working relationships across the Health System Ability to apply logical troubleshooting and analysis techniques for the purpose of problem resolution Preferred Qualifications: Knowledge of University and medical center organizations, policies, procedures and forms Experience with creating and effectively providing educational curriculum Experience of HIM coding rules and/or working within HIM Bachelors Degree in related field Total Rewards We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits. Conditions of Employment: The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment: Background Check and Live Scan Employment Misconduct* Legal Right to Work in the United States Vaccination Policies Smoking and Tobacco Policy Drug Free Environment Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements. California Child Abuse and Neglect Reporting Act E-Verify Pre-Placement Health Evaluation Details of each policy may be reviewed by visiting the following page: *********** uci. edu/new-hire/conditions-of-employment. php Closing Statement: The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci. edu or at **************, Monday - Friday from 8:30 a. m. - 5:00 p. m. Consideration for Work Authorization Sponsorship Must be able to provide proof of work authorization
    $41k-57k yearly est. 58d ago
  • HIM CDI Specialist, Ambulatory Care Building, Remote

    UofL Health 4.2company rating

    Remote records and information manager job

    Primary Location: Ambulatory Care Building - UMCAddress: 550 South Jackson St. Louisville, KY 40202 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: Job Summary This position is responsible for reviewing patient medical records to facilitate modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team to promote accurate capture of clinical severity of illness and risk of mortality (later translated into coded data) and to support the level of service rendered to relevant patient populations. CDIS exhibits expert knowledge of clinical documentation requirements, MS-DRG Assignment, case mix index (CMI) analysis, clinical disease classifications, major and non-major complications and comorbidities (MCCs or CCs), and quality-driven patient outcome indicators. Interacts as needed with internal customers to include but not limited to hospital staff, physicians, and other revenue cycle team members. Actively participates in department and hospital performance initiatives when needed to ensure ULH success. Responsibilities Completes initial medical record reviews of all inpatient patient accounts (all payers) within 24-48 hours of admission for a specified patient population to: (a) Evaluate and review inpatient medical records daily, concurrent with patient stay, to identify opportunities to clarify missing or incomplete documentation. (b) Assign the principal diagnosis, pertinent secondary diagnoses, procedures for accurate MS-DRG assignment, score risk of mortality and severity of illness and initiate a review worksheet. (c) Conduct follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary. Formulate clinically, compliant and credible physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. Proactively collaborate with physicians to discuss and clarify documentation inconsistencies to ensure accuracy of the medical record and appropriate capture of the course of treatment provided to the patient. Educate providers about identification of disease processes that reflect SOI, complexity, and acuity to facilitate accurate application of code sets. Gather and analyze information pertinent to documentation findings and outcomes, and use this information to develop action plans for process improvements. Collaborate with case managers, nursing, and other ancillary staff regarding interaction with physicians concerning documentation opportunities and to resolve physician queries prior to discharge. CDIS communicates/completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution with appropriate leadership. Remain abreast and current on training of new hires and ongoing CDIS professional staff development as well as participate in CDI-related continuing education activities to maintain certifications and licensures. Collaborate with HIM/coding professionals to review and resolve DRG mismatches for individual problematic cases and ensure accuracy of final coded data in conjunction with CDI managers, coding managers, and/or physician advisors. Identify patterns, trends, variances, and opportunities to improve documentation review processes. Aid in identification and proper classification of complication codes and present on admission (POA) determination (patient safety indicators/hospital-acquired conditions) by acting as an intermediary between coding staff and medical staff. Contribute to a positive working environment and perform other duties as assigned or directed to enhance the overall efforts of the organization. Qualifications CDIS candidate must have and maintain current licensure as a RN, RHIA, RHIT or possess an active CCS (AHIMA) or CPC-H (AAPC) coding credential. CDIS must have 3+ years of acute care experience as a RN or 3+ years inpatient coding experience as a RHIA/RHIT/CCS/CPC-H. Must have advanced clinical expertise and extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting. Certified Clinical Documentation Specialist or Clinical Documentation Improvement Professional (CCDS or CDIP) credential is required within 12 months of employment. KNOWLEDGE, SKILLS, & ABILITIES Working knowledge of medical terminology and Official Coding Guidelines. Ability to work independently, self-motivate, and adapt to the changing healthcare arena Excellent verbal and written communication skills, analytical thinking, and problem solving with strong attention to detail Proficiency in organizational skills and planning, with an ability multitask in a fast-paced environment Proficiency in computer use, including database and spreadsheet analysis, presentation programs, word processing, and Internet research Working knowledge of federal, state, and private payer regulations as well as applicable organizational policies and procedures Working knowledge of quality improvement theory and practice, core measures, safety, and other required reporting programs Ability to formulate clinically, compliant and credible physician queries
    $87k-113k yearly est. Auto-Apply 60d+ ago
  • HIM Coding Specialist

    GPH

    Remote records and information manager job

    The HIM Coding Specialist is responsible for coding accurately, diagnoses and procedures utilizing the International Classification of Diseases, Clinical Modification (ICD-9/10-CM) and/or the Current Procedural Terminology (CPT) coding systems. Assigns ICD-9/10-CM codes in the proper sequence to reach the appropriate DRG. Minimum Qualifications o Education o Completion of required course work and/or degree for accreditation or registration with the American Health Information Management Association (AHIMA). o Credentials o State Required: None o GPRMC Required/Preferred: Required are accreditation as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) with the American Health Information Management Association (AHIMA). Also, a recent Health Information Management (HIM) or Health Information Technology (HIT) graduate is preferred if accreditation is successfully completed within 6 months of employment. Membership in Clinical Coding Society (a division of AHIMA) is preferred. Physical Demands 1. Stand and/or walk frequently. 2. Sit frequently. 3. No lift and/or carry. 4. No push and/or pull. 5. Visual acuity and manual dexterity within normal limits. 6. Bend, stoop, and crouch occasionally. 7. Reach floor to overhead occasionally. 8. Computer use frequently.Essential Functions 1. Demonstrates competency in Medical Record Abstract, Medical Record Control, Medical Record Index, and DRG/Case Mix applications in Affinity system. Demonstrates competency in using 3M Encoder. Demonstrates competency using ChartMaxx imaging system. 2. Abstracts and verifies information such as service codes, time of discharge, surgical data, transferring status, observation times, and physician relationship (admitting, attending, primary care, consulting, surgeon, assistant surgeon, etc.) from the medical record. Codes on records of patients under Series Outpatient Service Codes, Parent Accounts prior to the end of the month in which the Parent Account was created, if possible. Checks for uncoded Child accounts on said records on a routine basis. 3. Demonstrates competencies established by Department Director/Coding DRG Coordinator. Demonstrates competency in ICD-9/10-CM and CPT coding by coding pursuant to coding rules of said coding systems. 4. Assigns diagnostic and operative/procedure codes for inpatient and outpatient records, utilizing ICD-9/10-CM. Assigns CPT codes and Revenue Codes on Emergency Department (EDA/EDS service codes), Same Day Services (SDS), and other patients who have undergone outpatient procedures. 5. Reviews each medical record to be coded, ensuring that there is sufficient documentation to support the ICD-9/10-CM or CPT-4 codes assigned. Checks deficiencies and inconsistencies in the medical record. Obtains, either personally or in cooperation with other HIM staff, GPRMC staff, or physicians, any missing medical necessity documentation. 6. Demonstrates ability to reorganize work in order to satisfy fluctuations in volume and staffing adjustments. Codes records as assigned and prioritized by the Coding/DRG Coordinator. 7. Reviews APC edits on outpatient accounts and add modifiers when necessary to produce clean billing claim, 8. Provides coding assistance to Home Health in the absence or direction of the Coding/DRG Coordinator. 9. Participates in audits of medical records for coding accuracy. Actively participates in education opportunities for continuing education and professional growth. 10. Performs other duties as assigned by Coding/DRG Coordinator or HIM Director.Join us. Join great. Join the dynamic team at Great Plains Health and be a part of something truly exceptional. At Great Plains Health, we embody a culture defined by authenticity, integrity, and a genuine commitment to listening to both our patients and each other. As a member of our team, you'll experience a supportive environment where collaboration is key, and every voice is valued. We work together seamlessly, leveraging our collective strengths to provide the highest quality care to our community. Passion drives us forward, propelling us to constantly strive for excellence in everything we do. If you're seeking a rewarding career in healthcare surrounded by like-minded individuals who share your dedication and enthusiasm, Great Plains Health is the place for you. Come join us and be part of a team that's making a real difference every day.
    $38k-77k yearly est. Auto-Apply 59d ago
  • Departmental Specialist 13 (Global Data Specialist) - Enterprise Information Management

    State of Michigan 4.2company rating

    Remote records and information manager job

    Are you someone who loves data, understands the value of data and enjoys visualizing data for others to gain insight? Then this position is for you! As the Michigan Department of Transportation's (MDOT) global data specialist, you will be responsible for the following when data is shared externally to MDOT: * Managing MDOT's master and reference data repository. * Serving as a key link in supporting information governance-related policies and goals as an information steward on the Information Stewards Board to: * Fulfill information governance objectives * Adhere to department data standards and policies * Ensure data integrity and good data management * Provide business analytics and business intelligence services such as research, analysis and dashboard/scorecard creation related to MDOT's master and reference data. In the MDOT Office of Enterprise Information Management (EIM), our success is powered by our devotion to innovation and providing leading-edge services and solutions. We strive to promote and encourage our employees' best qualities, which cultivates a positive and diverse team. As an office, our mission is to provide better information and IT tools to facilitate robust decision-making and operational performance. We are looking for someone who understands the importance of master and reference data, thrives in a dynamic environment, is adept at independently devising strategies to tackle challenges, develops actionable plans, and proactively executes solutions with minimal guidance. Your passion for business analytics, readiness for growth and learning, and attention to detail will directly contribute to the team's success. Begin your journey with MDOT today! The "Salary" listed above is a range that reflects the minimum rate through the maximum rate of the Departmental Specialist 13 position. For additional information, please see the links below: * Departmental Specialist 13 position description * All about MDOT Based on operational needs and within established limits, remote work and alternate work schedule requests for this position may be considered. For information on benefits, visit *************************** or ********************** The State of Michigan has been recognized as a leading U.S. employer by new graduates from 2021-2023 and a best large U.S. and state employer. Recognized on the international stage for fostering positive employee engagement, the State of Michigan is a past recipient of a North America Government Agency Employees Engagement Award. Education Possession of a bachelor's degree in any major. Experience Four years of professional experience, including two years equivalent to the experienced (P11) level or one year equivalent to the advanced (12) level. View the classification specification at: ************************************************************************************************* MDOT does not participate in E-Verify and does not sponsor visa applications. The department reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received. Your application for any position does not guarantee that you will be contacted by the Department for further consideration. Only those applicants interviewed will be notified of the results. The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process including, but not limited to, responses to application questions and responses to interview questions or exercises. If you have questions related to this posting, please contact Camryn Nauta at *******************.
    $45k-60k yearly est. 15d ago
  • PB HIM Coding Specialist 2

    St. Charles Health System 4.6company rating

    Remote records and information manager job

    Pay range: $25.18 - $37.77 per hour, based on experience. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position. Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. About St. Charles Health System: St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer: Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: PB Coding Specialist II - Advanced Coding REPORTS TO POSITION: HIM Coding Supervisor DEPARTMENT: Health Information Management DATE LAST REVIEWED: May 2024 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: The Health Information Management Departments provide many services to our multi-hospital organization including prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding. POSITION OVERVIEW: The Professional Fee Coding Specialist II at St. Charles Health System is responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD-10-CM diagnoses and CPT-4 procedures for professional fee charges by utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, CPT-4 and other appropriate coding references and tools to ensure proper code assignment and modifiers. Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate. Use available tools to check entries for accuracy. This may include data for clinical studies and quality management activities. Captures the correct modifiers appropriate for CPT code assignment. Reconciles CCI and Medical Necessity edits. Maintains productivity and quality standards. Works closely with the Patient Financial Services department on medical necessity issues, claim denials, charge master issues, and charge auditor issues. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: High School diploma or GED required. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC required. Preferred: N/A LICENSURE/CERTIFICATION/REGISTRATION: Required: Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H. This position will require the caregiver to maintain required educational credits (CE) through AHIMA or AAPC. Preferred: Risk Adjustment Coding (micro credential) or AAPCs Certified Adjustment Coder (CRC). Maintains required education credits (CE) through AHIMA and/or AAPC. EXPERIENCE: Required: Minimum of one year of hospital or professional coding experience with a Health Information Management focus. Preferred: Familiarity with 3M encoder. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Skills: Position Specific: Knowledge of ICD-10 CM Knowledge of CPT-4 code assignment. Knowledge of CCI and Medical Necessity edits Knowledge of modifiers Maintains professional knowledge by attending educational workshops, reviewing professional publications, participating in educational opportunities. Communication/Interpersonal: Demonstrates SCHS values of Accountability, Caring and Teamwork in every interaction. Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees. Strong team working and collaborative skills. Must have a positive attitude, ability to multi-task, pay close attention to details, and be able to act in a professional manner and demonstrate excellent public relations skills. Ability to work in a fast-paced work environment with frequent interruptions, maintaining the highest level of confidentiality at all times. Ability to effectively reach consensus with a diverse population with differing needs. Organizational: Ability to multi-task and work independently. Attention to detail. Excellent organizational skills, Excellent written and oral communication Excellent customer service skills, particularly in dealing with stressful personal interactions. Strong analytical, problem solving and decision-making skills. Language Skills: Read, write, speak, and understand English. Computer Skills: Intermediate ability and experience in computer applications, specifically electronic medical records system, and MS Office. Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBL's. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: Is Exempt Position? No Job Family: SPECIALIST HIM Scheduled Days of the Week: Shift Start & End Time:
    $25.2-37.8 hourly Auto-Apply 28d ago
  • Health Information Management (HIM) Manager - Hybrid

    Clearskyhealth

    Remote records and information manager job

    ClearSky Health is seeking a highly qualified Health Information Management (HIM) Manager to lead health information operations in a hybrid role. This position requires strong expertise in inpatient rehabilitation coding and a comprehensive understanding of health information management practices, compliance standards, and documentation integrity. The ideal candidate will hold an AHIMA credential-such as RHIA, RHIT, CCS, CCS-P, CDIP, CHDA, or CHPS-which is preferred but not required. In addition, CCS certification is also preferred. This role combines strategic oversight with hands-on coding responsibilities and collaboration with clinical teams to ensure accurate documentation and audit readiness. Key responsibilities include: Managing HIM operations to ensure medical record accuracy and regulatory compliance Performing or supervising inpatient rehab coding Partnering with clinical staff to support documentation improvement and audit preparation The HIM Manager is responsible for maintaining the security, confidentiality, completeness, and accuracy of medical records in accordance with policies and procedures and within the guidelines of regulatory agencies. The HIM Manager may also act as Privacy Officer for the Hospital. Oversees compliance efforts related to the Centers for Medicare & Medicaid Services (CMS) Review Choice Demonstration (RCD) and the Final Rule Audit (FRA). Serves as the primary onsite contact for all RCD/FRA compliance initiatives. This position must integrate company values into daily practice. Essential Functions: Directs, plans, schedules, and participates in day-to-day activities within HIM department, including , indexing, transcription, quantitative analysis, chart completion, the release of medical record information and abstracting of medical information. Oversee daily concurrent medical record completion, collaborating across all disciplines to ensure 100% accuracy and adherence to the Final Rule. Acts as Cerner superuser and source expert in auditing Final Rule elements. Supports providers using Cerner. Directs record assembly and reviews medical records for data elements required for chart completion. Monitors and evaluate physicians and hospital staff to ensure compliance with record keeping requirements. Oversees all ongoing activities related to the development, implementation, maintenance of, and adherence to the organization's policies and procedures covering the privacy of, and access to, patient health information in compliance with federal and state laws and the healthcare organization's information privacy practices. Monitors and evaluates physicians and hospital staff to ensure compliance with record keeping requirements. Collaborates with RCD Leadership and hospital staff on process improvement and education regarding documentation and timeliness. Provides development guidance and assists in the identification, implementation, and maintenance of organization information privacy policies and procedures in coordination with Hospital administration, Corporate Compliance Officer, and legal counsel. May perform initial and ongoing credentialing for Hospital medical staff. Safeguards the confidentiality of all medical records by ensuring the Release of Information policy is followed in accordance with HIPAA and other requirements; securing legal/risk management records; responding timely to subpoenas and/or court orders; and representing the hospital in court hearings and/or depositions as required. Provides an environment conducive to safety for patients, visitors, and staff. Assesses the risks for safety and implements appropriate precautions. Complies with appropriate and approved safety and Infection Prevention standards. Performs other duties as assigned to support overall effectiveness of the organization. Once the HIM's hospital is formally under Review Choice Demonstration, the following will be incorporated into day-to-day duties: Follow established protocols to facilitate Medicare affirmations and respond timely to non-affirmations under the Review Choice Demonstration process. Stay informed about changes in RCD/FRA processes, including regional Medicare Administrative Contractor (MAC) approaches and review outcomes. Communicate reasons for admission non-affirmations/denials with hospital leadership and RCD leadership and assist in providing necessary justifications. Assists as directed with denials through the appeal process. Includes synthesizing clinical documentation for each patient's stay into justification for services for all payors. Manage tracking systems to ensure deadlines are met and real-time data on new admissions is available for timely submissions. Minimum Job Requirements Minimum Education & Experience: Two years medical records experience required Two years of medical coding experience preferred. Degree in Health Information Management or related subject required. Prefer program accredited by CAHIIM (Commission on Accreditation for Health Informatics and Information Management). Experience in a management role preferred. Required Licenses, Certifications, and/or Documentation: RHIA or RHIT certification preferred. CCS preferred as additional credential. Required Knowledge, Skills, and Abilities: Demonstrates knowledge in information privacy laws including 45 CFR, Health Insurance Portability and Accountability Act (HIPAA), and state medical records law. Demonstrates a clear working knowledge of general hospital operations. Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS. Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency. Working knowledge of medical terminology, abbreviation, and spelling. Ability to maintain exceptional levels of confidentiality. Demonstrates proficiency with general computer skills including data entry, word processing, email, and records management. Demonstrates critical thinking skills. Ability to prioritize, meet deadlines, and complete complex tasks. Ability to maintain quality and safety standards. Ability to work closely and professionally with others at all levels of the organization. Effective organizational and time management skills. Physical Requirements Over the Course of a Shift: A significant amount of sitting, walking, bending, reaching, lifting, and carrying, often for prolonged periods of time. Lifting/exerting of up to 10 lbs. Sufficient manual dexterity to operate equipment and a computer keyboard. Close vision and the ability to adjust focus. Ability to hear overhead pages. #INDLAN
    $44k-77k yearly est. Auto-Apply 60d+ ago
  • Health Information Management Specialist (Remote)

    Access Telecare

    Remote records and information manager job

    Who we are Access TeleCare is the largest national provider of telemedicine technology and solutions to hospitals and health systems. The Access TeleCare technology platform, Telemed IQ, enables life-saving patient care through telemedicine and empowers healthcare organizations to build telemedicine programs in any clinical specialty. We provide healthcare teams with industry-leading solutions that drive improved clinical care, patient outcomes, and organizational health. We are proud to be the first provider of acute clinical telemedicine services to earn The Joint Commission's Gold Seal of Approval and has maintained that accreditation every year since inception. We love what we do and if you want to know more about our vision, mission and values go to accesstelecare.com to check us out. The Opportunity Access TeleCare is seeking a detail-oriented and experience Health Information Management Specialist to support our growing Neurology Service Line. In this role, you will be responsible for processing medical records reviews, requests, audits, and release of information (ROIs) in a timely manner while ensuring accuracy. This role will safeguard and protect patients' right to privacy, ensure that only authorized individuals have access to the patients' medical information, and all reviews and releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. What you'll work on * Receive and process requests for patient health information in accordance with state and federal guidelines * Ensure the confidentiality of sensitive patient information by limiting access to the records on an as needed basis * Work with clinical teams, facilities, and providers to ensure compliance of healthcare information management documentation * Respond to correspondence pertaining to medical records through all designated communication channels * Manage and maintain database inquiries * Acquire correct patient information from facility EMR's and other sources * Prior to releasing documents, verify patient information and date(s) of services * Analyze and interpret data to identify areas that need improvement and make necessary recommendations * Perform record audits to ensure documentation standards are met * Track patient data for quality assessments * Identify ways to improve and promote quality and monitor own work to ensure quality standards are met. * Perform other duties and responsibilities as required What you'll bring to Access TeleCare * Associate's degree in business administration or a related field preferred; bachelor's degree Preferred * Minimum of 2 years' experience in healthcare setting * Experience with HIPAA regulations * Understanding of Auditing, Billing, and Coding initiatives * Comfort navigating within major EMR systems * Previous experience developing workflows * Knowledge of medical terminology, anatomy, and physiology * Ability to maintain confidentiality and adhere to HIPAA regulations * Understanding of state and federal employment regulations * Strong communications skills (written and oral) as well as demonstrated ability to work effectively across departments * Demonstrated proficiency with Microsoft office programs, communication, and collaboration tools in various operating systems * Ability to work effectively under deadlines and self-manage multiple projects simultaneously * Strong analytical, organizational, and time management skills * Flexibility and adaptability in a fast-paced environment * High growth fast paced organization * 100% Remote based environment * Must be able to remain in a stationary position 50% of the time Company perks: * Remote Work * Health Insurance (Medical, Dental, Vision) * Health Savings Account * Flexible Spending (Medical and Dependent Care) * Employer Paid Life and AD&D (Supplemental available) * Paid Time Off, Wellness Days, and Paid Holidays About our recruitment process: We don't expect a perfect fit for every requirement we've outlined. If you can see yourself contributing to the team, we would like to speak with you. You can expect up to 3 interviews via Zoom. Access TeleCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, age, religion, color, marital status, national origin, gender, gender identity or expression, sexual orientation, disability, or veteran status.
    $30k-61k yearly est. 29d ago
  • MANAGER OF RECORDS & REPORTS

    Richland County, Sc 3.6company rating

    Remote records and information manager job

    Classification Title: Manager of Records & Reports/ Program Auditor Department: Community Planning and Development Division: Register of Deeds Pay Grade: FLSA Status: Exempt Reports to: Division Manager Supervisory Responsibility: Travel Requirements: Remote Work Eligibility: At the discretion of the Community Planning and development Director GENERAL STATEMENT OF JOB This position in the Register of Deeds (ROD) Office oversees daily operations that support the recording, indexing, preservation, and public availability of real estate records for Richland County. This role ensures compliance with South Carolina recording laws, protects property ownership rights through accurate recordation, and supervises staff delivering front-line customer service to residents, attorneys, real estate professionals, and other stakeholders. The incumbent carries out operational planning, quality control, training, and process improvement in support of the County's mission of transparency and public access to land records. SPECIFIC DUTIES AND RESPONSIBILITIES Essential Functions: * Provides professional, comprehensive, courteous customer service; assists customers or obtains information for customers as requested; explains department and County policies and procedures; refers customers to other personnel or offices as appropriate. * Respond to inquiries made thru phone, voicemail, fax, email and written correspondence. * Assist in monitoring division operations to ensure compliance with state laws and county ordinances. * Assists in development of goals and long-range plans for the Register of Deeds office. * Assist Departments and Divisions in ordering record management supplies. * Advise County personnel on record management policy and procedures to ensure compliance with State and County laws, policy and procedure. * Assist in the administration of the County's record management program. * Assist Division manager with research projects and reports. * Move physical deed, mortgage, plat and index books to perform research and make copies. * Asist with Freedom of Information Act requests. * Assist with Ombudsman service requests. * Assist with grant research and preparation. * Assists in division inventory management. * Assist with time keeping. * Maintains and update the division's standard operating procedures. * Regularly coordinates with the Assistant Directors in responding to inquiries about statistics, performance and productivity issues. * Assists with maintaining equipment. * Regularly verifies the proper identification for the microfilm rolls in the public area. * Assist in verifying microfilmed images of pre-1998 documents for planned back-file conversion of microfilm to digital format. * Serves as a liaison between the Register of Deeds and the public, and those of other divisions, departments, agencies and professionals in receiving information, identifying and resolving customer services issues. * May assist in coordinating programs and community service's activities and attend community meetings. * Answers the telephone; provides accurate information to callers and/or forwards calls to appropriate personnel; takes messages as needed; greets and assists office visitors. * Performs other clerical work, including but not limited to correspondence, copying and filing documents, sending and receiving faxes, entering and retrieving computer data, processing daily mail and receiving/responding to email. * Receives and responds to public/customer inquiries, requests for assistance. * Maintains current and archived records and files in accordance with record retention policies; retrieves files and/or information from files upon request. * Attends training, meetings, seminars, and/or workshops to enhance job knowledge and skills as directed. * Serve as back up cashier * Performs essential functions and other duties as assigned. MINIMUM EDUCATION AND TRAINING * Bachelor degree in accounting or a related field. * 5 years prior experience. * or- * Any combination of education and experience that meets the requirements for performing the essential functions of this job. Licenses/Certifications/Other: * Requires a valid state driver's license. MINIMUM QUALIFICATIONS AND STANDARDS REQUIRED Knowledge, Skills, and Abilities: * Data Involvement: Requires gathering, organizing, analyzing, examining or evaluating data or information and may prescribe action based on such data or information. * People Involvement: Requires receiving/ giving information, guidance or assistance to people to directly facilitate task accomplishment. * Involvement with Things: Requires handling or using machines, tools or equipment requiring brief instruction or experience, such as computers for data entry, fax machines, copiers, scanners, telephones, books or similar equipment; may service office machines, including adding paper and changing toner. * Reasoning Requirements: Requires performing skilled work involving set procedures and rules but with frequent problems. Requires the skill set to learn, navigate, and provide input on Register of Deeds software. * Mathematical Requirements: Requires using basic algebra involving variables and formulas and/or basic geometry involving plane and solid figures, circumferences, areas and volumes, and/or computing discounts and interest rates. Requires the ability to count money, make change, and perform petty cash draw audits. * Language Requirements: Requires reading technical instructions, procedures manuals, and charts to solve practical problems such as routine office equipment operating instructions; composing routine and specialized reports, forms, and business letters, with proper format; speaking compound sentences using normal grammar and word form. * Mental Requirements: Requires doing clerical, manual or technical tasks requiring a wide range of procedures and requiring intensive understanding of a restricted field or complete familiarity with the functions of a unit or small division of an operating agency; requires normal attention with short periods of concentration for accurate results or occasional exposure to unusual pressure. * Computer Requirements: Must be proficient in use of Microsoft Office. * Judgments and Decisions: Responsible for guiding others, requiring a few decisions affecting a few co-workers; works in a stable environment with clear and uncomplicated written/oral instructions but with some variations from the routine. Physical Requirements: * The work is sedentary work which requires the person in this position to occasionally exert up to 30 pounds of force to grasp, lift, carry, push, pull or otherwise move objects, including the human body. Additionally, the following physical abilities are required: * Feeling: Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips. * Grasping: Applying pressure to an object with the fingers and palm. * Handling: Picking, holding, or otherwise working, primarily with the whole hand. * Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discrimination in sound. * Manual Dexterity: Picking, pinching, typing, or otherwise working, primarily with fingers rather than with the whole hand as in handling. * Mental Acuity: Ability to make rational decisions through sound logic and deductive processes. * Repetitive Motion: Substantial movements (motions) of the wrist, hands, and/or fingers. * Speaking: Expressing or exchanging ideas by means of the spoken word including the ability to convey detailed or important spoken instructions to other workers accurately and concisely. * Talking: Expressing or exchanging ideas by means of the spoken word including those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. Visual Acuity: Have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; and/or extensive reading. Including color, depth perception, and field vision. WORK ENVIRONMENT May be required to work hours other than the regular schedule including nights, weekends, and holidays. This position requires regular and reliable attendance and the employee's physical presence at the workplace. The job risks exposure to no known environmental hazards. Work is performed in a relatively safe, secure, and stable work environment. EEO AND ADA MESSAGE To perform this job successfully, an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodation may be made to enable individuals with disabilities to perform the primary job functions described herein. Since every duty associated with this position may not be described herein, employees may be required to perform duties not specifically spelled out in the , but which may be reasonably considered to be incidental in the performing of their duties just as though they were written out in this . Richland County is an Equal Opportunity Employer. ADA requires the County to provide reasonable accommodations to qualified individuals with disabilities. Prospective and current employees are invited to discuss accommodations. Richland County has the right to revise this job description at any time. This description does not represent in any way a contract of employment. _____________________________________________ ____________________________________ Employee Signature Date
    $42k-53k yearly est. Auto-Apply 11d ago
  • Health Information Management Specialist

    Centerwell

    Remote records and information manager job

    Become a part of our caring community and help us put health first The Medical Records Clerk assembles and maintains patients' health information in medical records and charts. The Medical Records Clerk performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Medical Records Clerk ensures all forms are properly identified, completed, and signed. Enters all necessary information into the system. Communicates with physicians and staff to clarify diagnoses or get additional information. May also assign a code to each diagnosis and procedure. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Use your skills to make an impact Required Qualifications Less than 3 years working knowledge of computers, or a demonstrated technical aptitude Professional appearance and attitude Demonstrated organizational skills Proficiency in Microsoft Office Word and Excel This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits an ability to quickly learn new systems Excellent communication skills, both verbal and written Ability to travel locally (potentially overnight occasionally) Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Associate's or Bachelor's Degree in a related field Previous healthcare or health insurance experience Familiarity with medical terminology and/or ICD-9 codes Additional Information As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. #LI-MD1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $39,000 - $49,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $39k-49.4k yearly Auto-Apply 2d ago
  • Donor Information Associate 3

    Rti Surgical Inc. 4.5company rating

    Remote records and information manager job

    RTI Surgical is now Evergen! This rebranding reflects our strategic evolution as a leading CDMO in regenerative medicine and comes at the end of a significant year for the business, including the successful acquisitions of Cook Biotech in IN. and Collagen Solutions, MN. Our new brand identity emphasizes our unique positioning as the only CDMO offering a comprehensive portfolio of allograft and xenograft biomaterials at scale. Evergen is a global industry-leading contract development and manufacturing organization (CDMO) in regenerative medicine. As the only regenerative medicine company that offers a differentiated portfolio of allograft and xenograft biomaterials at scale, Evergen is headquartered in Alachua, FL, and has manufacturing facilities in West Lafayette, IN., Eden Prairie and Glencoe, MN., Neunkirchen, DE., Glasgow, UK., and Marton, NZ. Read more about this change and Evergen's commitment to advancing regenerative medicine here: ************************ RESPONSIBILITIES Makes recommendations with a focus on maximizing the quality and cost efficiency of services as a subject matter expert Utilizes vast medical knowledge to determine donor eligibility Works with external partners to obtain complete and accurate medical chart information Analyzes and organizes confidential medical information systems consisting of detailed paper and electronic medical records with high level of accuracy Manages donor medical records and databases for statistical reports Performs quality reviews of work within the department and assists with educating and training of other associates Completes training as coordinator, first review, second review, and one other role Ensures donor medical records are complete, accurate, and confidential Locates, prints, scans and organizes paper and electronic medical charts with high accuracy Verifies information within the medical charts and assists with archiving of records Maintains department inbox Mentors less-experienced team members Other duties as assigned REQUIREMENTS: Education Associate degree* Bachelor's degree, preferred Experience 6 or more years chart reviewing experience 5 years of industry experience, preferred *Additional experience may be substituted for educational requirements Certification CTBS, preferred Lean Six Sigma, preferred Skills High attention to detail Excellent written and verbal communication Microsoft Office Suite Digital Chart Software Confidentiality Travel N/A Safety: Physical Requirement Move or lift objects up to 25 pounds Frequent (>75%) stationary position (standing or sitting) while utilizing digital displays Frequent (>75% fine manipulation using hands and fingers (typing, opening, writing, clicking, paper sorting, etc.) Working Environment Onsite: Office environment with assigned workstation Remote positions only: Home office environment with minimum distractions More about Evergen: Evergen provides customers across a diverse set of market segments with leading-edge expertise, scale, and flexibility across end-to-end services including design, development, regulatory support, verification and validation, manufacturing, and supply chain management. Evergen is rooted in a steadfast commitment to quality, integrity, and patient safety with a focus on five key values: Accountable: We own our actions and decisions. Agile: We embrace change to stay ahead of the curve and evolve to drive innovation and growth. Growth Mindset: We embrace challenges as opportunities for continuous learning. Customer-Centric: We prioritize customers at every touch point. Inclusive: We thrive on the richness of our diversity and ensure every voice is heard, respected, and celebrated. At Evergen, we are committed to fostering an inclusive workplace where we embrace the richness of our diversity and ensure that every voice is heard, respected, and celebrated. We believe that by embracing diversity and promoting inclusivity, we not only uphold our values but also strengthen our position as the CDMO of Choice in regenerative medicine solutions. We recognize that cultivating a growth mindset is essential to our success, and we are dedicated to continuous learning and improvement in our diversity, equity, and inclusion efforts. Through accountability and action, we strive to create an environment where individuals can thrive, innovate, and contribute their unique perspectives to drive our collective success. Montagu Private Equity (“Montagu”), a leading European private equity firm, acquired RTI in 2020 and has supported the transformation of the company to its next level of potential. #LI-Remote
    $55k-95k yearly est. Auto-Apply 60d+ ago
  • HIM Clinical Documentation Specialist

    Penn Medicine 4.3company rating

    Remote records and information manager job

    Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? + Entity: Corporate + Department: Corp HIM CDI + Location: Remote: Based out of Penn Presbyterian Medical Center- 51 N 39th St + Hours: PART TIME (Anytime between 7am-7pm Monday-Friday) **Summary:** The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for improving clinical documentation in the medical record by prompting physicians and other clinicians for complete and accurate documentation. The CD Specialist will utilize presentation, general instruction, and a compliant query discussion to instruct the clinical teams in appropriate documentation as suggested by CMS coding guidelines and to ensure that the clinical chart is the true and reflective document of the patient, their related prioritized diagnostic portrait, severity of illness, and treatment related. Working under the leadership and moderate supervision of the Corporate Manager of Clinical Documentation and in close concert with both the clinical care teams and the Corporate HIM teams, the Clinical Documentation Specialist will educate and utilize compliant questions and tools toward a complete, reflective record. They will also analyze trends and offer direction to primary care staff w regard to changes in coding practices and noted trends noted in team documentation requiring clarity and/or specification to reflect truth in diagnostic reflection. **Responsibilities:** + Direct review of patient charts to audit clarity and full reflection of severity in care team documentation w consideration of CMS coding guidelines + Provide clinical care teams with ongoing education and training on current trends in documentation and coding + Provide clinical care teams with ongoing education and training on current trends in documentation and coding + Enter clinical review data and related anticipated follow-up in EPIC PENN Chart to truthfully demonstrate current state discovered via chart review, discovery of qualities needing further provider clarification, abstraction of clinical indicators, and the assignment of Initial DRG and Working DRG + Generate compliant queries and non-leading clinical conversation w regard to requesting further specification and/or diagnostic clarity and/or clinical diagnostic significance and severity + Ensure that the concurrent inpatient clinical documentation accurately reflects severity of illness and intensity of service using the above noted compliant query system + Ensure the present on admission (POA) status of clinical conditions/diagnoses are charted appropriately within defined regulatory timeframes + Assign a working MS-DRG upon initial admission review, and communicate with Physician or designee requesting appropriate documentation + Ongoing concurrent chart review, identification of complications and co-morbidities, collaboration with team regarding improving documentation + Maintain strict HIPPA compliance and confidentiality in reference to all information reviewed and/or discussed + Maintains responsibility for professional development by participating in workshops, conferences, and/or in-services and maintains appropriate records of participation + Proficient in negotiating complex systems to effect positive change + Ability to interpret, adapt, and apply guidelines and procedures + Ability to analyze complex clinical scenarios and apply critical thinking. Extensive knowledge of reimbursement systems + Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation and coding + Extensive knowledge of treatment methodology, patient care assessment, data collection techniques and coding classification systems is necessary + Serve as a resource on DRG issues **Credentials:** + RHIA or RN (Preferred) + CCDS or CDIP or RN (Preferred) Education or Equivalent Experience: + Bachelor of Arts or Science (Required) + And 3+ years healthcare experience + Master of Arts or Science (Preferred) + Clinical experience with knowledge of Medicare reimbursement system & coding structures (Preferred) We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. REQNUMBER: 292857
    $31k-37k yearly est. 44d ago
  • HIM Coding Review Specialist Inpatient - FT - REMOTE

    Capital Health 4.6company rating

    Remote records and information manager job

    Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. Pay Range: $62,108.80 - $91,765.75 Scheduled Weekly Hours: 40 Position Overview HIM Coding Rev Spec Inpatient *Remote* CANDIDATES MUST RESIDE IN THE NEW JERSEY/PENNSYLVANIA AREA SUMMARY (Basic Purpose of the Job) Provides expertise in development and maintenance of rules, policies and procedures to ensure organizational compliance with industry standard coding rules and guidelines. Interprets and applies National Uniform Billing Compliance rules, guidelines, laws and industry trends to support claims payment, provider reimbursement and system configuration to proactively address cost efficiencies and compliance requirements. Recommends clinical classification and reimbursement guidelines and standards. Reviews coding in provider contracts and participates in development of coding standards for provider contracts. Performs health data analytics related to reimbursement business and policy decisions.MINIMUM REQUIREMENTS Education: High School diploma or equivalent. Associate's degree preferred. CCS required. Experience: 5 Years of inpatient coding experience necessary Other Credentials: CCS Knowledge and Skills: Prior experience with an encoder and EMR computer systems. Possesses excellent organizational, interpersonal, verbal, and written communication skills. Knowledge of denials management preferred. Special Training: Mental, Behavioral and Emotional Abilities: Ability to effectively manage multiple projects simultaneously and ability to respond quickly in a fast paced environment. Usual Work Day:8 Hours ESSENTIAL FUNCTIONS Verifies accurate assignment of diagnoses and procedures within the medical record to comply with federal and state regulations. Acts as the primary department expert on DRGs while consistently monitoring regulatory updates and their implementation. Conducts regular audits and reviews of medical records at a senior level and assists with external and internal reviews for coding accuracy. Reviews claim denials and rejections pertaining to coding and medical necessity issues and exercises discretion and judgement when recommending corrective action plans such as educational programs to prevent similar denials and rejections from occurring in the future. Assists in implementation of policy and procedural changes within the department regarding coding and quality issues required by third party payers and according to recommendations by coding consultants and agencies. Develops and coordinates educational and training programs on coding and documentation for department staff, providers, billing staff, and ancillary departments. Provides management with various statistical reports, data, and audits information on health information management compliance issues, internal and external quality assurance results and activities, performance improvement activities and other statistical information as required or requested. Adapts to changing department demands required for higher department efficiency. Liaises with Quality and other departments for validation of HACs, PSIs, and complications, etc... to ensure accurate external reporting. Assists other departments with ICD-10-CM / ICD-10-PCS. Performs other duties as assigned. PHYSICAL DEMANDS AND WORK ENVIRONMENT Frequent physical demands include: Occasional physical demands include: Standing , Walking , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Talk or Hear Continuous physical demands include: Sitting , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 15 lbs. Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing Anticipated Occupational Exposure Risks Include the following: N/A IND123 This position is eligible for the following benefits: Medical Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA Retirement Savings and Investment Plan Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance Supplemental Group Term Life & Accidental Death & Dismemberment Insurance Disability Benefits - Long Term Disability (LTD) Disability Benefits - Short Term Disability (STD) Employee Assistance Program Commuter Transit Commuter Parking Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child Voluntary Legal Services Voluntary Accident, Critical Illness and Hospital Indemnity Insurance Voluntary Identity Theft Insurance Voluntary Pet Insurance Paid Time-Off Program The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.
    $29k-37k yearly est. Auto-Apply 54d ago
  • HIM CDI Specialist, Ambulatory Care Building, Remote

    University of Louisville Physicians 4.4company rating

    Remote records and information manager job

    Primary Location: Work from Home - KYAddress: P.O. Box 909 Louisville, KY 40201-0909 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: Job Summary This position is responsible for reviewing patient medical records to facilitate modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team to promote accurate capture of clinical severity of illness and risk of mortality (later translated into coded data) and to support the level of service rendered to relevant patient populations. CDIS exhibits expert knowledge of clinical documentation requirements, MS-DRG Assignment, case mix index (CMI) analysis, clinical disease classifications, major and non-major complications and comorbidities (MCCs or CCs), and quality-driven patient outcome indicators. Interacts as needed with internal customers to include but not limited to hospital staff, physicians, and other revenue cycle team members. Actively participates in department and hospital performance initiatives when needed to ensure ULH success. Responsibilities Completes initial medical record reviews of all inpatient patient accounts (all payers) within 24-48 hours of admission for a specified patient population to: (a) Evaluate and review inpatient medical records daily, concurrent with patient stay, to identify opportunities to clarify missing or incomplete documentation. (b) Assign the principal diagnosis, pertinent secondary diagnoses, procedures for accurate MS-DRG assignment, score risk of mortality and severity of illness and initiate a review worksheet. (c) Conduct follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary. Formulate clinically, compliant and credible physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. Proactively collaborate with physicians to discuss and clarify documentation inconsistencies to ensure accuracy of the medical record and appropriate capture of the course of treatment provided to the patient. Educate providers about identification of disease processes that reflect SOI, complexity, and acuity to facilitate accurate application of code sets. Gather and analyze information pertinent to documentation findings and outcomes, and use this information to develop action plans for process improvements. Collaborate with case managers, nursing, and other ancillary staff regarding interaction with physicians concerning documentation opportunities and to resolve physician queries prior to discharge. CDIS communicates/completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution with appropriate leadership. Remain abreast and current on training of new hires and ongoing CDIS professional staff development as well as participate in CDI-related continuing education activities to maintain certifications and licensures. Collaborate with HIM/coding professionals to review and resolve DRG mismatches for individual problematic cases and ensure accuracy of final coded data in conjunction with CDI managers, coding managers, and/or physician advisors. Identify patterns, trends, variances, and opportunities to improve documentation review processes. Aid in identification and proper classification of complication codes and present on admission (POA) determination (patient safety indicators/hospital-acquired conditions) by acting as an intermediary between coding staff and medical staff. Contribute to a positive working environment and perform other duties as assigned or directed to enhance the overall efforts of the organization. Qualifications CDIS candidate must have and maintain current licensure as a RN, RHIA, RHIT or possess an active CCS (AHIMA) or CPC-H (AAPC) coding credential. CDIS must have 3+ years of acute care experience as a RN or 3+ years inpatient coding experience as a RHIA/RHIT/CCS/CPC-H. Must have advanced clinical expertise and extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting. Certified Clinical Documentation Specialist or Clinical Documentation Improvement Professional (CCDS or CDIP) credential is required within 12 months of employment. KNOWLEDGE, SKILLS, & ABILITIES Working knowledge of medical terminology and Official Coding Guidelines. Ability to work independently, self-motivate, and adapt to the changing healthcare arena Excellent verbal and written communication skills, analytical thinking, and problem solving with strong attention to detail Proficiency in organizational skills and planning, with an ability multitask in a fast-paced environment Proficiency in computer use, including database and spreadsheet analysis, presentation programs, word processing, and Internet research Working knowledge of federal, state, and private payer regulations as well as applicable organizational policies and procedures Working knowledge of quality improvement theory and practice, core measures, safety, and other required reporting programs Ability to formulate clinically, compliant and credible physician queries
    $30k-38k yearly est. Auto-Apply 15d ago
  • Health Information Management (HIM) Coder - Outpatient - PER DIEM

    Rome Health 4.4company rating

    Remote records and information manager job

    Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
    $40k-52k yearly est. 60d+ ago

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