Certified Professional Coder jobs at RHA Health Services

We are hiring for: IDD Qualified Professional Type: Regular If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services! A Qualified Professional Is a subject expert that serves as the primary individual contributor, coordinating and monitoring the array of services and supports needed to address each person's goals and desired outcomes as identified through the personal outcome interview, including health and well-being, psychological, and promotion of personal independence. The QP assists each person in identifying and communicating his or her requests and needs for services and supports. The QP supervises, integrates and coordinates person centered plans, and monitors progress towards personal, clinical, and functional outcomes. The QP initiates periodic reviews, investigations, modifications and adjustments by soliciting the person's feedback as the person wants and needs change. May supervise the work of others. Typically reports to the Administrator. If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual and developmental disabilities, join our team at RHA Health Services! We are seeking an organized and positive Human Services / Support Coordinator or Qualified Professional to coordinate and monitor the array of services and supports needed to address the goals and desired outcomes of the people we serve. As a Human Services / Support Coordinator or Qualified Professional with RHA, you will supervise Group Home Managers and Direct Care Associates as you spend time at our residential, vocational and day center locations to train staff on aspects of residential management and direct care. Job Responsibilities As a Human Services / Support Coordinator or Qualified Professional with RHA, you will serve as the center of the interdisciplinary service team, which consists of nurses, Direct Care Associates, the Administrator and Group Home Manager, to guide the development of person-centered plans and overall programs based on the information you gain from interviewing the people we serve. You will also complete incident reports and employee performance evaluations. Additional responsibilities of the Qualified Professional include: Assisting each person we support to identify and communicate his or her requests and needs for services and supports through direct interviews Supervising, integrating and coordinating person-centered plans and monitoring progress towards personal, clinical and functional outcomes Initiating periodic reviews, investigations, modifications, and adjustments by soliciting the feedback of the people we support as their needs and goals change Reviewing assessments completed by the people we support and other members of the interdisciplinary team to best help the people we support to meet their full potentials Supervising and writing the person-centered plan based on assessments, interviews, and observations Overseeing many aspects of residential activity, including home appearance, leisure materials, cleanliness, and community integration to ensure that the people we support are healthy and safe Visiting vocational centers, residential homes and any other area RHA provides services in to assess how person-centered plans are implemented Reporting to the Administrator and working closely with colleagues to maintain communication and provide feedback, standardize procedures, expedite person-centered plan implementation and workflow and improve employee performance Monitoring activities to ensure that quality assurance and/or state survey improvements are being made Helping to recruit, hire, train and dismiss Group Home Managers Serving as the link between the people we serve and their families and legal guardians to gain approval for services provided Job Requirements: Our ideal Qualified Professional is an excellent communicator and cooperative team player who excels at interviewing the people we serve to learn about their interests and goals, even individuals who cannot communicate verbally. You must also be detail-oriented and have excellent written communication skills to develop and disseminate person-centered plans. Additional requirements for Qualified Professional include: Bachelor's degree in Social Work, Social Services, Human Services or Special Education required; Master's degree a plus Minimum 2 years experience working with persons with intellectual and/or developmental disabilities required; 1-year experience if paired with Master's degree Working knowledge of applicable regulations that apply to our service offerings Valid driver's license, auto insurance, and reliable transportation Ability to pass a drug screen and background check Ability to lift between 20 and 50 pounds and meet the physical requirements of performing CPR Supervisory/management experience and experience writing person-centered (individualized service) plans preferred Benefits As a Human Services / Support Coordinator with RHA, you can expect a competitive market-based salary and an excellent benefits package. We are committed to maintaining a strong and dedicated workforce through innovative recruitment, comprehensive screening and competitive benefits and compensation programs. Our leadership development and training is specifically designed to develop, retain and reward qualified and professional employees. Human Services / Support Coordinator can pursue education through our tuition reimbursement program and move into quality assurance or management roles in various areas of RHA. The greatest benefit of a career at RHA is the difference you make in the lives of the people we serve. Our holistic person-centered approach and focus on quality assurance, respected throughout the Human Services industry, leads our employees to see the people we serve less as clients and more as friends. The comprehensive compensation and benefits package for full-time employees includes: Competitive compensation program including regular performance feedback and coaching Healthcare insurance: Medical, Dental, Vision, Disability, Voluntary Benefits, Employee Assistance Program, Telemed and Pharmacy Insurance, Health Advocate service which assists employees find doctors, schedule appointments, estimate costs, answer medical/prescription questions, resolve medical claims issues and basically does the leg-work for employees Offering free diabetic medication and supplies 401(k) retirement savings program with Wells Fargo Paid Time Off Company sponsored Life and AD&D Insurance Extensive Wellness Programs including company paid scholarships for healthy weight management and nicotine cessation, several wellness challenges and rewards through the year. Free Annual Health Screening and Wellness coaching event. Discounted medical premiums for nicotine free employees. Free CPR, first aid, and job-specific training opportunities Opportunity to make a difference in the lives of the people that you serve! Pre-employment screening: Complete criminal background Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities) Drug testing Education verification and other credentialing based on position requirements. Proof of employment history or references (if required) Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals. We offer the following benefits to employees: Payactiv: early access to the money you've earned from hours you've already worked, before payday! Employee perks and discount program: to help you save money! Paid Time Off (full-time employees only) Health/Insurance (full-time employees only) 401(k) retirement savings program Wellbeing Programs: Physical, Emotional and Financial Chronic Disease management programs for hypertension and diabetes (for qualifying employees) Training: Free CPR, first aid, and job-specific training opportunities *contract/contingent workers and interns do not qualify for any of the above benefits EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center. About RHA: At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes. For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey. If you are ready to make a difference in the lives of people we serve and support apply to join the team today.

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Title: Certified Medical Coder Shift: 8:00 AM - 4:00 PM Work Arrangement: Onsite Training (1-2 weeks) → Remote Pay: $35/hr to $37/hr Contract: 3-month assignment with possible extension Start Date: 12/01/2025 - 03/07/2026 Position Summary: We are seeking an experienced and detail-oriented Certified Medical Coder to join our team. This role begins onsite for initial training before transitioning to remote work. The ideal candidate will have strong inpatient coding experience in an acute care setting and be proficient with ICD-10, CPT coding, EPIC, and 3M Encoder tools. Key Responsibilities: Perform accurate and compliant inpatient coding using ICD-10, ICD-9-CM, CPT-4, and Encoder systems Review medical records and ensure proper documentation supports code selection Research and resolve coding-related questions and discrepancies Maintain coding accuracy and productivity standards Apply current coding guidelines, payer requirements, and regulatory rules Collaborate with clinical staff as needed to clarify documentation Support outpatient and ED coding tasks as needed (preferred, not required) Requirements: CCS Certification (required) EPIC and 3M Encoder experience (required) Minimum 3-4+ years of inpatient coding experience, preferably in an acute care setting Strong knowledge of ICD-10, ICD-9-CM, CPT-4, and Encoder systems Experience with outpatient and ED coding (preferred) Proficient computer skills, including MS Word, Excel, and coding applications Skills & Role Expectations: Strong understanding of coding guidelines, payer rules, and federal billing regulations Solid knowledge of anatomy, physiology, and disease processes Ability to work independently and efficiently after training Ability to research issues and resolve coding questions Experience mentoring or training coders is a plus Seeking candidates with strong inpatient coding backgrounds If Interested, you can reach me on my number ************** or email me at ******************************* Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Looking for experienced Medical Coders to ramp up and support upcoming system migration from Cerner to Epic slated to go live March 2026. Will help with day-to-day as their teams lift up and move into training, to provide some relief in those processes. Must have Epic medical coding experience and experience with system migrations. Preferred to also have medical coding experience with Cerner. Need certification in CPC, CPCA, RHIT, or CSS-P, and experience with both inpatient and outpatient environments. These coders will not need visibility into finances, nor do they have access to an encoder. Openings by specialty/clinic: - 2 Behavioral Health - 2 Hospital Med - 1 Fetal Health - 3 Primary Care Clinic - 1 Adolescent Medicine - 1 ENT - 1 Ophthalmology *all mix of inpatient and outpatient Skills Coding, medical coding, epic, epic systems, Cerner, Icd-10, cpc, CPCA, rhit, ccsp Top Skills Details Coding,medical coding,epic,epic systems Additional Skills & Qualifications Best: Highly experienced with Epic Medical Coding and system migration, and some experience with Cerner Medical Coding along with CPC, CPCA, RHIT, or CSS-P certification. Someone who lives in the central time zone and is able to assist with their system upgrade as well as the change in behavior (providers have previously not had to code). Also someone who has experience with complex surgery and high-volume coding. Vs Average: Someone without Cerner experience and minimal system migration experience. Someone without experience in complex surgery coding or low volume coding, as well as someone that is not great with behavioral changes from providers (providers have not had to code previously). Certification: at least 1 cert in CPC, CPCA, RHIT, or CCS-P Experience Level Intermediate Level Job Type & Location This is a Contract position based out of Kansas City, MO. Pay and Benefits The pay range for this position is $35.00 - $45.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 29, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Looking for experienced Medical Coders to ramp up and support upcoming system migration from Cerner to Epic slated to go live March 2026. Will help with day-to-day as their teams lift up and move into training, to provide some relief in those processes. Must have Epic medical coding experience and experience with system migrations. Preferred to also have medical coding experience with Cerner. Need certification in CPC, CPCA, RHIT, or CSS-P, and experience with both inpatient and outpatient environments. Openings by specialty/clinic: - 2 Behavioral Health - 2 Hospital Med - 1 Fetal Health - 3 Primary Care Clinic - 1 Adolescent Medicine - 1 ENT - 1 Ophthalmology *all mix of inpatient and outpatient Additional Skills & Qualifications Highly experienced with Epic Medical Coding and system migration, and some experience with Cerner Medical Coding along with CPC, CPCA, RHIT, or CSS-P certification. Someone who lives in the central time zone and is able to assist with their system upgrade as well as the change in behavior (providers have previously not had to code). Also someone who has experience with complex surgery and high-volume coding. Certification: at least 1 cert in CPC, CPCA, RHIT, or CCS-P Experience Level Intermediate Level Job Type & Location This is a Contract to Hire position based out of Kansas City, MO. Pay and Benefits The pay range for this position is $35.00 - $45.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 30, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Looking for experienced Medical Coders to ramp up and support upcoming system migration from Cerner to Epic slated to go live March 2026. Will help with day-to-day as their teams lift up and move into training, to provide some relief in those processes. Must have Epic medical coding experience and experience with system migrations. Preferred to also have medical coding experience with Cerner. Need certification in CPC, CPCA, RHIT, or CSS-P, and experience with both inpatient and outpatient environments. These coders will not need visibility into finances, nor do they have access to an encoder. Openings by specialty/clinic: - 2 Behavioral Health - 2 Hospital Med - 1 Fetal Health - 3 Primary Care Clinic - 1 Adolescent Medicine - 1 ENT - 1 Ophthalmology *all mix of inpatient and outpatient Skills Coding, medical coding, epic, epic systems, Cerner, Icd-10, cpc, CPCA, rhit, ccsp Top Skills Details Coding,medical coding,epic,epic systems Additional Skills & Qualifications Best: Highly experienced with Epic Medical Coding and system migration, and some experience with Cerner Medical Coding along with CPC, CPCA, RHIT, or CSS-P certification. Someone who lives in the central time zone and is able to assist with their system upgrade as well as the change in behavior (providers have previously not had to code). Also someone who has experience with complex surgery and high-volume coding. Vs Average: Someone without Cerner experience and minimal system migration experience. Someone without experience in complex surgery coding or low volume coding, as well as someone that is not great with behavioral changes from providers (providers have not had to code previously). Certification: at least 1 cert in CPC, CPCA, RHIT, or CCS-P Experience Level Intermediate Level Job Type & Location This is a Contract position based out of Kansas City, MO. Pay and Benefits The pay range for this position is $35.00 - $45.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 26, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Looking for experienced Medical Coders to ramp up and support upcoming system migration from Cerner to Epic. Must have Epic medical coding experience and experience with system migrations. Preferred to also have medical coding experience with Cerner. Should have experience with profee inpatient and outpatient coding. Specialties Needed : Behavioral Health Hospital Medicine Fetal Health Primary Care Clinic Adolescent Medicine ENT Ophthalmology Must have a CPC, CCS, or RHIT certification Job Type & Location This is a Contract position based out of Kansas City, MO. Pay and Benefits The pay range for this position is $35.00 - $45.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 29, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable. • Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. • Remain current on medical coding guidelines and reimbursement reporting requirements. • Check chart assignments every day and report accurately all hours worked on a weekly basis. • Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. • Comply with HIPAA laws and regulations. • Participate in testing and training as required by the Company. Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required • At least one years' experience as a medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code using an ICD-9-CM code book (without using an encoder); • Strong clinical skills related to chronic illness diagnosis, treatment and management; • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts); • Personal discipline to work remotely without direct supervision; • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5); • Computer proficiency (including MS Windows, MS Office, and the Internet); • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better; • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills; • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation. Qualifications 1 year of certified coding experience Additional Information All your information will be kept confidential according to EEO guidelines.

Job DescriptionDescription: Responsible for reviewing all post-billed denials (including coding-related denials) for coding accuracy and appealing them based on coding expertise and judgment within Hospital and/or Medical Group partner revenue operations. Serves as part of the coding denials resolution team responsible for identifying and determining root causes of denials. Responsible for using coding knowledge and standard procedures to track appeals through all levels and ensure timely filing as required by payers. Also promotes departmental awareness of coding best practices. Duties and Responsibilities Knows, understands, incorporates, and demonstrates the Healthrise Core Values. Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims. Responsible for understanding and resolving Professional Billing HCFA1500 claims or other coding-related issues, and processing charge corrections based on medical record reviews, contracts, and regulations as directed by the supervisor. Interprets data, draws conclusions, and reviews findings with all levels for further review. Takes initiative to continuously learn all aspects of the role to support progressive responsibility. Maintains a working knowledge of applicable federal, state, and local laws and regulations. Additional Duties and Responsibilities - Coding Team Lead Serves as first-line support for coders, answering questions, troubleshooting issues, and escalating complex cases to the manager. Reviews team members' work for accuracy and compliance, providing coaching and real-time feedback. Tracks productivity and quality metrics at the individual and team level and communicates performance trends to leadership. Supports onboarding and training of new coders, ensuring consistency in process knowledge and documentation. Responsible for monitoring and maintaining assigned leader workqueues. Requirements: High school diploma or Associate degree in Accounting, Business Administration, or related field, and a minimum of four years of experience in a hospital, clinic environment, health insurance company, managed care organization, or healthcare financial service setting; or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Comprehensive knowledge of professional/physician diagnostic and procedural coding, typically obtained through a coding certificate program, and at least one year of professional and hospital outpatient coding experience, or a minimum of two years of hospital inpatient coding experience including DRG assignment. Must hold one of the following credentials: RHIA, RHIT, CCS, CPC. CPMA will also be considered. Experience with NCCI edits, NCDs, LCDs, and outpatient coding guidelines for official coding and reporting. Detailed understanding of compliant healthcare billing and collections principles. Expertise in medical terminology, disease processes, patient health record content, and the medical record coding process. Comfortable operating in a collaborative, shared leadership environment. Previous experience working with Global Partner vendors preferred. Physical Demands and Work Environment Remote work environment requiring a dedicated space that ensures confidentiality and privacy. Frequent communication via Microsoft Teams, email, and phone with colleagues across locations. Manual dexterity required to operate a keyboard; hearing required for phone and Teams communication. Ability to concentrate, meet deadlines, work on multiple projects, and adapt to interruptions. Must be able to set and manage work priorities independently, adjust to changing demands, and work under potentially stressful conditions with individuals possessing diverse personalities and work styles, including Global Partner vendors.

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success. Job Description: Title: Certified Professional Coder Location: Ewing, NJ Duration: Full Time Job Summary: This position is accountable for the review, interpretation and codification of Medical Policies and Legislative Mandates utilizing CPT-4, HCPC and ICD-9/ICD-10 coding parameters. Responsibilities: • Reviews and interprets current Medical Policies for systematization. • Translates written policy interpretation into CPT, HCPC, ICD-9/ICD-10 codes for input into systems. • Translates Legislative Mandates into CPT, HCPC, ICD-9/ICD-10 codes for input into systems. • Maintains a database for all policies and mandates that is updated each time new/revised/deleted CPT/HCPC/ICD-9/ICD-10 are released. • Monitor compliance with policies and procedures relevant to clinical data reviewed. • Perform updates to the criteria file to include adds/deletes/revisions of CPT-4 and HCPC codes. Review all codes for accuracy; review database to criteria file before implementation of policy. • Handle internal and external areas requests to investigate current state and historical of changes made to a particular CPT-4/HCPC/Diagnosis code such as effective dates, messages used, parameter limitations. • Review and analyze BRD/TRD/Summary to ensure accuracy of implementation of policies. • Review of scripts concerning Edits in criteria file. Review logic concerning implementation of policies. • Assist benefit file on criteria loading to best accommodate implementation of benefits. • Ensure files (provider/criteria) are loaded correctly in order to receive proper Edits 405/406. • Perform other related tasks as assigned. Knowledge: • Requires proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding. • Requires knowledge of anatomy, physiology and medical terminology of medical procedures, abbreviations and terms. • Requires knowledge of the health care delivery system. Skills and Abilities: • Requires the ability to utilize a personal computer and applicable software ( e.g. proficiency in Word, Excel, Access). • Must have effective verbal and written communication skills and demonstrate the ability to work well within a team. • Demonstrated ability to deliver highly clinical information to technical individuals. • Must demonstrate professional and ethical business practices, adherence to company standards and a commitment to personal and professional development. • Proven ability to exercise sound judgment and strong problem solving skills. • Proven ability to ask probing questions and obtain thorough and relevant information. • Must have the ability to organize/prioritize/analyze complex tasks. • Use of CMS website for CCI rules and regulations. • Use of other approved websites for research. Qualifications Education/Experience: • Bachelor's Degree preferred. • Requires experience with McKesson ClaimsXten • Requires a clinical medical background (Clinical editing). • Requires a minimum of 3 years clinical experience. • Requires 3 - 5 years of Medical Coding experience. • Requires a minimum of 2 years' experience in Health Insurance/Claims Processing and/or Utilization Review. • Prefer knowledge/experience with computer processing systems. • Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist from the American Health Information Management (AHIMA). Additional Information Thanks, Nishit 732-429-1639

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable. • Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. • Remain current on medical coding guidelines and reimbursement reporting requirements. • Check chart assignments every day and report accurately all hours worked on a weekly basis. • Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. • Comply with HIPAA laws and regulations. • Participate in testing and training as required by the Company. Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required • At least one years' experience as a medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code using an ICD-9-CM code book (without using an encoder); • Strong clinical skills related to chronic illness diagnosis, treatment and management; • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts); • Personal discipline to work remotely without direct supervision; • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5); • Computer proficiency (including MS Windows, MS Office, and the Internet); • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better; • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills; • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation. Qualifications 1 year of certified coding experience Additional Information All your information will be kept confidential according to EEO guidelines.

A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: • 5 years of experience into Project Management • At least 2 years of experience after CPC or CCS certification • Bachelor's degree is a must Certifications · AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Job Summary: • The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding Client's risk adjustment programs. Primary responsibilities include working with the Risk Adjustment Management Business Analyst to measure commercial risk adjustment performance for the development of education materials. Ongoing responsibilities include communicating and educating Network Management Provider Educators to enable content delivery to specific providers. This role will operate within the Risk Adjustment Management function, but work closely with the Network Management team. Responsibilities: • Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insights • Works closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysis • Collaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider Educators • Collaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staff • Validates documentation against submitted claims diagnosis codes and prepares detailed reports Supports Risk Adjustment Data Validation audits • Drives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressed Provides status reports to management Certifications: • AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Knowledge: • Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model • Mastery of medical coding best practices • Project management skills • Experience displaying ability to think analytically • Strong communications and presentation skills • Computer skills: Outlook, Excel, Word & Powerpoint; SAS & Access preferred Kind Regards Sammeer Gaikwad Operations Manager Integrated Resources, Inc. IT Life Sciences Allied Healthcare CRO Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I (BOARD) # 732-549-2030 - Ext - 243 Qualifications Education Experience: • Bachelor's degree in business, healthcare administration, or other related field • Requires a minimum of three (3) years of healthcare experience, preferably with provider focus • Requires CPC or CCS certification • Requires program/project management experience Additional Information Kind Regards Sammeer Gaikwad Operations Manager Integrated Resources, Inc. IT Life Sciences Allied Healthcare CRO Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I (BOARD) # 732-549-2030 - Ext - 243

A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is Contract position with my direct client Job Description Direct Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be : Newark, NJ OR West Trenton OR Ewing OR Wall, NJ Duration: Contract to Hire Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding client's risk adjustment programs. Primary responsibilities include working with the Risk Adjustment Management Business Analyst to measure commercial risk adjustment performance for the development of education materials. Ongoing responsibilities include communicating and educating Network Management Provider Educators to enable content delivery to specific providers. This role will operate within the Risk Adjustment Management function, but work closely with the Network Management team. Responsibilities: · Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insights · Works closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysis · Collaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider Educators · Collaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staff · Validates documentation against submitted claims diagnosis codes and prepares detailed reports · Supports Risk Adjustment Data Validation audits · Drives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressed · Provides status reports to management Qualifications Certifications: · AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Knowledge: · Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model · Mastery of medical coding best practices · Project management skills · Experience displaying ability to think analytically · Strong communications and presentation skills · Computer skills: Outlook, Excel, Word & Powerpoint; Additional Information Contact me at 732 429 1953

ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit ***************** or follow the company on Twitter at ************************* for more information. Job Description ProSidian Seeks a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on athe medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military operations and the spectrum of conflict, in support of combatant commanders". The Regional Health Command's Readiness Mission includes dental care of active duty Soldiers, public health services, veterinary services, and providing management and support to wounded, ill and injured Soldiers assigned to its seven warrior transition units. The ProSidian Engagement Team Members work to provide health coding services to a branch of the United States Armed Forces' Regional Health Command- Atlantic (RHC-A) military treatment facilities and provide services to MTFs located in the National Capital Region and the following RHC-A Medical Treatment Facility (MTFs) locations: AL | PR | FL | GA | KY | DC | MD | PA | VA | NY | NC | SC. Additionally, the vendor may be required to provide coding services to other military services (i.e. U.S. Navy, U.S. Air Force). The ProSidian Contract Service Providers (CSP) will work in conjunction with other health care providers, professionals, and non-contract personnel. MD - Medical Billing & Coding Candidates shall work to support requirements as a Lead Medical Coder and Auditor and review health record documentation for assignment of proper diagnosis and procedure codes utilizing system edits, Military Health System specific, and commercial coding guidance. This position will review and accurately code/audit office and hospital procedures for reimbursement. Review coding and abstracting on all patient types assigned to include the following: inpatient, ambulatory surgery, observation, ER, clinic and diagnostics in order to assure 96% coder accuracy (or as stipulated by contract). Audit vendor and internal risk adjustments coding to ensure accuracy and identify and mitigate any risks. Receive and review patient charts and documents for accuracy Ensure that all codes are current and active Report missing or incomplete documentation Meet daily coding production Review medical records and other source documents and collect clinical data according to specifications and guidelines provided by MHS Accurately enter data into abstraction software using a personal computer, keyboard and/or mouse Update and maintain document lists Performs accurate charge entries Ensure proper coding on provider documentation Serves as resource regarding insurance resolutions and coding questions Handles co-pays, balances, and charge posting Follow all DoD and DHA directives, guidance, instructions, policies, procedures, rules, and standards relating to protection of patient information and privacy practices. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations Maintain security and confidentiality of medical records and Protected Health Information (PHI) Performs additional duties assigned by Coding Manager as needed Qualifications The Lead Medical Coder and Auditor shall have consecutive employment in a position with comparable responsibilities within the past five (5) years, Must be able to use a computer to communicate via email; and proficient in Microsoft Office Products (Word/Excel/Power point) and related tools and technology required for the position. Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The main responsibility of a medical coder is to review clinical statements and assign standard codes using CPT , ICD-10-CM, and HCPCS Level II classification systems, etc. No healthcare facility can function effectively without medical billers, making certified professionals crucial in the healthcare industry. Must Have A Minimum Of 2 Yrs Certification Of One Of The Following: a) American Health Information Management Association (AHIMA) Credentials: RHIA - Risk Health Information Administration | RHIT - Registered Health Information Technician | CCA - Certified Coding Associate | CCS- Certified Coding Specialist and/or b) American Academy of Professional Coders (AAPC): CPC - Certified Professional Coder | COC - Certified Outpatient Coder | CIC - Certified Inpatient Coder | CRC - Certified Risk Coder Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined. Keys Skillset Attributes Required To be successful are Attention to Detail | Discretion | Computer Skills | Office Skills | Organizational Skills | Writing Skills | Operations | Coding | Quality | Compliance | Analytical abilities - to understand and analyze patients' health records, Strong morals, Social skills, Tech savvy. High school degree or equivalent; Bachelor's degree in related field preferred Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA license; meet state licensure requirements Maintain coding certification and attends in-service training as required Two (2) years of medical coding experience Understanding of medical terminology, anatomy and physiology Ability to work independently or as an active member of a team Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite Accurate and precise attention to detail Knowledge of medical terminology, anatomy, physiology, and pathophysiology is preferred. Outstanding oral and written communications skills Clinical background and previous chart abstraction experience is also preferred. Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The main responsibility of a medical coder is to review clinical statements and assign standard codes using CPT , ICD-10-CM, and HCPCS Level II classification systems, etc. No healthcare facility can function effectively without medical billers, making certified professionals crucial in the healthcare industry. Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined. Keys Skillset Attributes Required To be successful are Attention to Detail | Discretion | Computer Skills | Office Skills | Organizational Skills | Writing Skills | Operations | Coding | Quality | Compliance | Analytical abilities - to understand and analyze patients' health records, Strong morals, Social skills, Tech savvy. TRAVEL: Travel as coordinated with the technical point of contact and approved in writing by the Contracting Officer in advance, is allowed, in accordance with Federal Travel Regulations. LOCATION: Work shall be conducted CONUS - Fort Stewart, GA Excellent oral and written communication skills Attention to detail Analytical and evaluation skills Proficient with Microsoft Office Products (Microsoft Word, Excel, PowerPoint, Publisher, & Adobe) U.S. Citizenship Required Additional Information As a condition of employment, all employees are required to fulfill all requirements of the roles for which they are employed; establish, manage, pursue, and fulfill annual goals and objectives with at least three (3) Goals for each of the firms Eight Prosidian Global Competencies [1 - Personal Effectiveness | 2 - Continuous Learning | 3 - Leadership | 4 - Client Service | 5 - Business Management | 6 - Business Development | 7 - Technical Expertise | 8 - Innovation & Knowledge Sharing (Thought Leadership)]; and to support all business development and other efforts on behalf of ProSidian Consulting. CORE COMPETENCIES Teamwork - ability to foster teamwork collaboratively as a participant, and effectively as a team leader Leadership - ability to guide and lead colleagues on projects and initiatives Business Acumen - understanding and insight into how organizations perform, including business processes, data, systems, and people Communication - ability to effectively communicate to stakeholders of all levels orally and in writing Motivation - persistent in pursuit of quality and optimal client and company solutions Agility - ability to quickly understand and transition between different projects, concepts, initiatives, or work streams Judgment - exercises prudence and insight in decision-making process while mindful of other stakeholders and long-term ramifications Organization - ability to manage projects and activity, and prioritize tasks ------------ ------------ ------------ OTHER REQUIREMENTS Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary. Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary. Commitment - to work with smart, interesting people with diverse backgrounds to solve the biggest challenges across private, public and social sectors Curiosity - the ideal candidate exhibits an inquisitive nature and the ability to question the status quo among a community of people they enjoy and teams that work well together Humility - exhibits grace in success and failure while doing meaningful work where skills have impact and make a difference Willingness - to constantly learn, share, and grow and to view the world as their classroom ------------ ------------ ------------ BENEFITS AND HIGHLIGHTS ProSidian Employee Benefits and Highlights: Your good health and well-being are important to ProSidian Consulting. At ProSidian, we invest in our employees to help them stay healthy and achieve work-life balance. That's why we are also pleased to offer the Employee Benefits Program, designed to promote your health and personal welfare. Our growing list of benefits currently include the following for Full Time Employees: Competitive Compensation: Pay range begins in the competitive ranges with Group Health Benefits, Pre-tax Employee Benefits, and Performance Incentives. For medical and dental benefits, the Company contributes a fixed dollar amount each month towards the plan you elect. Contributions are deducted on a Pre-tax basis. Group Medical Health Insurance Benefits: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. ||| Group Dental Health Insurance Benefits: ProSidian dental carriers - Delta, Aetna, Guardian, and MetLife. Group Vision Health Insurance Benefits: ProSidian offers high/low vision plans through 2 carriers: Aetna and VSP. 401(k) Retirement Savings Plan: 401(k) Retirement Savings Plans help you save for your retirement for eligible employees. A range of investment options are available with a personal financial planner to assist you. The Plan is a pre-tax Safe Harbor 401(k) Retirement Savings Plan with a company match. Vacation and Paid Time-Off (PTO) Benefits: Eligible employees use PTO for vacation, a doctor's appointment, or any number of events in your life. Currently these benefits include Vacation/Sick days - 2 weeks/3 days | Holidays - 10 ProSidian and Government Days are given. Pre-Tax Payment Programs: Pre-Tax Payment Programs currently exist in the form of a Premium Only Plan (POP). These Plans offer a full Flexible Spending Account (FSA) Plan and a tax benefit for eligible employees. Purchasing Discounts & Savings Plans: We want you to achieve financial success. We offer a Purchasing Discounts & Savings Plan through The Corporate Perks Benefit Program. This provides special discounts for eligible employees on products and services you buy on a daily basis. Security Clearance: Due to the nature of our consulting engagements there are Security Clearance requirements for Engagement Teams handling sensitive Engagements in the Federal Marketplace. A Security Clearance is a valued asset in your professional portfolio and adds to your credentials. ProSidian Employee & Contractor Referral Bonus Program: ProSidian Consulting will pay up to 5k for all referrals employed for 90 days for candidates submitted through our Referral Program. Performance Incentives: Due to the nature of our consulting engagements there are performance incentives associated with each new client that each employee works to pursue and support. Flexible Spending Account: FSAs help you pay for eligible out-of-pocket health care and dependent day care expenses on a pre-tax basis. You determine your projected expenses for the Plan Year and then elect to set aside a portion of each paycheck into your FSA. Supplemental Life/Accidental Death and Dismemberment Insurance: If you want extra protection for yourself and your eligible dependents, you have the option to elect supplemental life insurance. D&D covers death or dismemberment from an accident only. Short- and Long-Term Disability Insurance: Disability insurance plans are designed to provide income protection while you recover from a disability. ----------- ------------ ------------ ADDITIONAL INFORMATION - See Below Instructions On The Best Way To Apply ProSidian Consulting is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, or Vietnam era, or other eligible veteran status, or any other protected factor. All your information will be kept confidential according to EEO guidelines. ProSidian Consulting has made a pledge to the Hiring Our Heroes Program of the U.S. Chamber of Commerce Foundation and the “I Hire Military” Initiative of The North Carolina Military Business Center (NCMBC) for the State of North Carolina. All applicants are encouraged to apply regardless of Veteran Status. Furthermore, we believe in " HONOR ABOVE ALL " - be successful while doing things the right way. The pride comes out of the challenge; the reward is excellence in the work. FOR EASY APPLICATION USE OUR CAREER SITE LOCATED ON http://*****************/ OR SEND YOUR RESUME'S, BIOS, AND SALARY EXPECTATION / RATES TO ***********************. ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED . Be sure to place the job reference code in the subject line of your email. Be sure to include your name, address, telephone number, total compensation package, employment history, and educational credentials.

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable. • Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. • Remain current on medical coding guidelines and reimbursement reporting requirements. • Check chart assignments every day and report accurately all hours worked on a weekly basis. • Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. • Comply with HIPAA laws and regulations. • Participate in testing and training as required by the Company. Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required • At least one years' experience as a medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code using an ICD-9-CM code book (without using an encoder); • Strong clinical skills related to chronic illness diagnosis, treatment and management; • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts); • Personal discipline to work remotely without direct supervision; • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5); • Computer proficiency (including MS Windows, MS Office, and the Internet); • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better; • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills; • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation. Qualifications 1 year certified remote coding experience Additional Information All your information will be kept confidential according to EEO guidelines.

The Senior Certified Coding Integrity Professional is responsible for all aspects of the coding and billing of all inpatient and outpatient claims, as well as all aspects of the CCM billing. The Senior Certified Coding Integrity Professional, a key position in the Revenue Cycle, facilitates the coding as well as manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients related to coding issues. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues and will have an onsite presence at the clinical locations. Requirements ESSENTIAL JOB DUTIES and FUNCTIONS While living and demonstrating our Core Values, the Senior Certified Coding Integrity Professional will: Perform accurate and timely multi-specialty coding for daily claims submission. Prepare and submit clean claims to third-party payers working closely with clinical team members regarding claims appeal, denial, and resolution. Perform audits of the daily billing summary reviewing the quality of the clinical documentation and coded data to validate that the documentation supports services rendered while ensuring the integrity of the coding. Respond timely (either orally or written) to account inquiries from patients, third-party payers, clinical providers, and/or other staff on claims submission. Interact with physicians, learners and other patient care providers on daily basis regarding billing and documentation policies, procedures, and regulations to ensure receipt and analysis of all charges; obtains clarification of conflicting, ambiguous, or non-specific documentation; as well as develop working relationship with operational leaders. Perform and monitor all steps in the billing and coding process to ensure maximum reimbursement from patients, third-party payers as well as from special billing arrangements. Assist in provider and learner education to ensure coding quality. Must have capacity to attend meetings day/evening as needed within assigned areas. Participate in clinical huddles/didactics and other clinical meetings as requested. Assist in the implementation and maintenance of the billing and coding educational materials used in clinical provider and learner training. Assist in the implementation and maintenance of population management learner training program addressing inpatient/outpatient chart review. Serve as a resource and subject matter expert for all billing and coding matters. Understand all aspects of Federally Qualified Health Center (FQHC) coverage, coding, billing and reimbursement of patient services, as well as other third-party payers. Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing/coding. Understand the considerations of coding in Value Based payment contracts. Responsible for reviewing and implementing changes from payor bulletins. Follow coding/billing guidelines and legal requirements to ensure compliance with federal and state regulations. Serve as a coach and mentor for billing team & education team. REQUIRED QUALIFICATIONS Bachelor or Associate degree in any Healthcare related field or equivalent experience. Must be a Certified Professional Coder with 7-10 years minimum direct professional coding experience. Certified Professional Coder CPC, Certified Risk Adjustment Coder CRC (not required but a plus), Certified Professional Compliance Officer Certification - CPCO (not required but a plus). Must have strong knowledge of all guidelines for ICD-10, CPT/HCPCS codes, medical terminology, and billing processes. Knowledge of Medical Billing/EHR (Electronic Health Records) systems preferably Medent. Knowledge of EOBs (Explanation of Benefit), EFTs (Electronic Funds Transfer) and ERAs (Electronic Remittance Advice). Knowledge of Microsoft Office software. Must possess team leadership skills and have a positive disposition. Must be focused, self-directed, & organized, with problem-solving abilities. Accurate and precise attention to detail. Excellent verbal and written communication skills. REQUIRED LICENSES/CERTIFICATIONS Certified Professional Coder-CPC Certified Risk Adjustment Coder-CRC (not required but a plus) Certified Professional Compliance Officer Certification - CPCO (not required but a plus) PREFERRED QUALIFICATIONS FQHC billing helpful (not required but a plus). General working knowledge/previous exposure of healthcare environments and auditing concepts, medical billing/operations, medical terminology and clinical documentation.

ABOUT PATH INC. PATH (People Acting to Help) Inc. is a comprehensive Community Behavioral Health and Intellectual Disability Center. We offer a wide of array of services and supports to meet the needs of our community in Northeast Philadelphia. PATH regularly achieves the highest levels of accreditation including a 5 Star Provider Rating by CBH, Philadelphia's Managed Care Entity, and recognition and awards related to our high-quality, innovative programs and staff accomplishments and contributions. Our Mission? To Help Individuals Achieve a More Independent and Fulfilling Life. WHY WORK AT PATH? A Career with Meaning At PATH, our team members are at the heart of what we do, so we work hard to give them the best reasons to work here - and to stay here. In addition to the satisfaction of making a real difference in people's lives, we offer: • Competitive pay • Annual increases • Performance and longevity bonuses • Comprehensive benefits package for staff and family • Generous number of paid holidays, vacation, sick, and personal time • No-cost pension plan • Ongoing professional development opportunities, including licensure supervision • Cutting-edge treatment facility, resources, and treatment modalities • Opportunities for advancement and growth within the organization • Eligible for the Federal Public Student Loan Forgiveness (PSLF) program • Referral bonus for referring a friend who accepts employment JOB SUMMARY: To promote the mission of PATH to help individuals achieve a more independent and fulfilling life by being an effective team member. To work as a team member to provide crisis intervention, support, safety plans and linkages to youth and families in Northeast Philadelphia, Region 1. As a CPS, will provide support and perspective as an individual with lived experience. The program operates 365 days/year, 24 hours/day. QUALIFICATIONS: High School Diploma or GED. 1 year experience in the Behavioral Health system. PA Peer Specialist Certification. Valid Driver's License and personal vehicle required. Ability to use an Electronic Health Record. Good interpersonal and communication skills. SPECIFIC DUTIES: Provide crisis assessment, intervention, education, and support in person, with assigned team member, within a designated time frame to referrals received by DBH/CBH. As a CPS, share lived experience to connect with and provide support to individuals in crisis and aid in developing a crisis support plan. Utilize approved evidence-based practices and tools when providing crisis assessment and intervention, including SAMHSA crisis intervention guidelines and resolution models. Assure all interventions are person-centered and driven by the individual and their family/supports. Assist the family/supports, if release of information allows, in the understanding of the events that led to the crisis from everyone's perspective. Assist the individual in obtaining and maintaining culturally appropriate basic living needs including but not limited to housing, food, medical care, recreation, and education through linkage to resources and additional supports. To provide follow-up care and/or transfer to other levels of care from the moment that an assessment is completed, and the plan has been developed. Assure appointments are scheduled at a time and place convenient for the individual. To complete or assist others in completing involuntary commitment petitions. To arrange and follow through with voluntary or involuntary hospitalization admissions. To follow all procedures regarding the initiation of a commitment. Link the individual to the CRC or other 24/7 crisis staff and remain with them until the connection and collaboration is completed. Develop with the individual and their family/supports, if available, a safety/ crisis plan obtaining everyone's perspective, strengths and ideas. Be knowledgeable of local community resources and services and provide care coordination. Provide up to 72 hours of intervention by scheduling follow up appointments at a time convenient for the individual, which includes evening and weekend appointments in the home and community. Other duties as assigned. PHYSICAL DEMANDS: Minimal in nature. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Job DescriptionLocation: Philadelphia, PA 19122Date Posted: 12/16/2025Category: ClinicalEducation: None One of our clients, a well-known hospital in Philadelphia, is urgently seeking a Medical Coder! Delta-T Group has been in business for over 35 years, and connects professionals with client opportunities within the special education, social service, behavioral health, and disability sectors. CLIENT'S AVAILABLE HOURS *Flexible Scheduling & Create your own schedule! *Work up to 10 hours each week! MUST BE CERTIFIED OR REGISTERED! *AHIMA (American Health Information Management Association) *CCS (Certified Coding Specialist) *RHIT (Registered Health Information Technician) *RHIA (Registered Health Information Administrator) ROLE RESPONSIBILITIES *Complies with legal requirements regarding coding procedures and practices *Assigns and sequences all codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes *Conducts audits and coding reviews to ensure all documentation is accurate and precise *Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations *Follows up with the provider on any documentation that is insufficient or unclear *Communicates with other clinical staff regarding documentation *Searches for information in cases where the coding is complex or unusual *Receive and review patient charts and documents for accuracy *Reviews the previous day's batch of patient notes for evaluation and coding *Ensures that all codes are current and active *Collaborate with billing department to ensure all bills are satisfied in a timely manner, review any issues related to coding preventing timely payment/billing of claims *Communicates with insurance companies, about coding errors and disputes if necessary *Contacts physicians and other health care professionals with questions about treatments or tests given to patients with regard to coding procedures Interested? Reply today to speak to a Recruiter! DTG ADVANTAGES Establish a relationship with one of the nation's largest referral agencies for behavioral-health. Compensation processed weekly. Increase or decrease your schedule at your discretion: choose opportunities that best fit your schedule. Accessibility to grow professionally. Access to a broad array of client opportunities. DTG'S COMPANY OVERVIEW Delta-T Group's mission is to provide cost-effective, reliable referrals, and innovative staffing solutions, for the social services, behavioral health, allied health and special education fields, for the betterment of independent behavioral health professionals seeking new opportunities and those needing care and support. Title: Registered or Certified Medical Coder - Flexible PT SchedulingClass: Administrative Type: TEMPORARYRef. No.: 1310520-1BC: #DTG101 Company: Delta-T Group, Inc.Contract Contact: Contract Submit PA BehavOffice Email: **************************** Office Phone: ************Office Address: 950 E Haverford Road, Suite 200, Bryn Mawr, PA 19010 About Us: Each Delta-T Group office is separately incorporated. Delta-T Group is a referral service for self-employed independent contractors seeking behavioral healthcare education and social service supplemental marketplace opportunities. Delta-T cannot guarantee any number or duration of referrals or opportunities as a result of your registration. When and if opportunities become available, you may accept or decline such referrals at your sole discretion.

Full-time Description At COMHAR, it's our mission to provide health and human services that empower individuals, families and communities to live healthier, self-determined lives. We are currently looking for an Certified Peer Specialist for our HOPE program. The HOPE (Helping Opportunities for People's Empowerment) program is a site and community based psychiatric rehabilitation program that is part of COMHAR's CIRC (Community Integrated Recovery Center) model for adults and seniors. Responsibilities: Act as a role model to persons in recovery to inspire hope, share life experiences and lessons learned as a person in recovery Engage individuals who may be at-risk and provide stage-appropriate recovery education and supports, e.g., usage of the leveling system and evidence based practice Assist in the orientation process for persons who are new to receiving mental health and substance use disorders services Assist in development and implementation of educational and support groups, activities deemed beneficial by the program community, e.g., warm line, calendar of events, etc. Introduce and link individuals to community resources and peer supports outside of the facility to promote community integration, e.g., public transportation training, computer educational/G.E.D. classes, vocational services, (OVR, job training), health and wellness, banking, and financial entitlements, etc. Actively participate in team meetings and promote a recovery perspective as a key component of all discussions Requirements Requirements: HS/GED + Certified Peer Specialist (CPS) Certification, Experience working with people who have co-occurring challenges, Mental Health, and Substance Abuse 1 year experience of MH direct service This can be paid or volunteer work experience in MH direct care. Forensic training is a plus We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace. COMHAR, Inc. is a not-for-profit community based health and human service organization founded in 1975. We do not discriminate in services or employment on the basis of race, color, religion, ancestry, national origin, sex, sexual orientation, gender identity, age, disability, past or present receipt of disability-related services or supports, marital status, veteran status, or any other class of persons protected by federal, state or local law.