Certified Professional Coder jobs at Ridgeview

At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system who can also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital's abstracting system. Work focuses on ED using the approved classification Coding systems to include the modifiers. All work must be carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Health coding guidelines. At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey. Education: * High School diploma or equivalent preferred. Licensure/Certification: * Certified Professional Coder (CPC) or Certified Coding Specialist - (CCS-P). CEDC certification strongly preferred. Experience: * Five or more years of continuous coding experience in a professional fee setting within the last 8 years. * 1-2 years ED coding experience. Skills: * Coder must have extensive experience assigning physician E&M levels. Experience with an encoder & CAC system preferred. * Demonstrated knowledge of anatomy and physiology, medical terminology, and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS). * Demonstrated understanding of the clinical content of a health record. * Knowledge of and experience with PC's, Cerner, and/or computer systems and programs highly desired. * Microsoft Office: Email, Word, Excel. * Has a comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi-Cal, Worker's Compensation, Commercial Insurances. * Ability and self-discipline to be able to work remotely. * Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements. * The ability to work independently as well as in a team environment. * Technically savvy (ability to learn software and troubleshoot equipment as needed) Interpersonal Skills: * Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. Hours of Work: * Days, Monday through Friday as assigned based on business need. * Job is classified as hybrid remote. Other Requirements: * Must have a private, distraction-free area in your home for work (HIPAA reasons). * Web-cam training will be used frequently for team engagement. * Internet Requirements: Must have high speed internet. * Please test your internet prior to applying to make sure you are over 125 mbps download speed or be willing to upgrade upon an offer. Compensation: * Hourly Salary Range Min $41.01 - Max $49.84(Offered hourly rate based on years of experience)

At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. 1. Education: High School Graduate or equivalent preferred. College coursework a plus 2. Licensure: Certified Professional Coder (CPC), Certified Coding Specialist (CCS),or Certified Coding Specialist - Physician (CCS-P) 3. Experience: * Five or more years of experience in professional fee coding required including surgical coding in both inpatient and outpatient settings. * Some leadership experience preferred, but not required. * EMR Medical records experience is required. Experience with an encoder system preferred. * Comprehensive knowledge and application of profee surgical guidelines including appropriate coding of assistants and co-surgeons * Demonstrated knowledge of anatomy and physiology, medical terminology, disease process, reimbursement methodologies (DRGs, HCCs, APCs), and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS). * Demonstrated understanding of the clinical content of a health record. * Knowledge of and experience with PC's, Cerner, and/or computer systems and programs highly desired. * Microsoft Office: Email, Word, Excel. * Has a comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi-Cal, Worker's Compensation, Commercial Insurances. 4. Skills: * Ability and desire to hit metrics upon training (idle time is also monitored on this hourly paid position) * Technically savvy (ability to learn software and troubleshoot equipment as needed) * Ability and self-discipline to be able to work remotely. Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements. The ability to work independently as well as in a team environment. 5. Interpersonal Skills: Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. 6. Hours of Work: Full Time Days Monday through Friday as assigned. Timing may also be at discretion of leadership based on business need. 7. Other Requirements: * Must have a private, distraction-free area in your home for work (HIPAA reasons) * Web-cam training will be used frequently for team engagement. * Internet Requirements: Must have high speed internet. Please test your internet prior to applying to make sure you are over 125 mbps download speed or be willing to upgrade upon an offer. 8. Compensation: $41to $49.84 based on years of experience doing the duties of the role.

Job Description OnPoint Medical Group is looking for a Coder to temporarily join the expanding OnPoint team! OnPoint Medical Group is a physician-led network, with a unique, progressive model of Physician Leadership in each of our family, internal medicine, pain management and pediatric practices. OnPoint Medical Group is committed to expanding access to high-quality healthcare in our surrounding communities, in the most effective and affordable manner possible. This position is temporary for 90 days to help a very busy team (with possible extension). This assignment will be scheduled for 30-40 hours per week. About the Role: The Certified Professional Coder (CPC) position plays a critical role in ensuring accurate and efficient medical coding within healthcare settings. This role involves translating healthcare services, diagnoses, and procedures into standardized codes used for billing and insurance purposes. The primary goal is to facilitate proper reimbursement while maintaining compliance with healthcare regulations and billing practices. The temporary nature of this position requires adaptability and the ability to quickly integrate into existing teams to support fluctuating workloads. Ultimately, the CPC contributes to the financial health of the organization by ensuring that coding is precise, timely, and aligned with current healthcare standards. Minimum Qualifications: Current Certified Professional Coder (CPC) credential from a recognized certifying body such as AAPC (CPC-A) also accepted. Demonstrated experience in medical coding within a healthcare environment. Strong understanding of healthcare billing practices and insurance claim processes. Proficiency in using electronic health records (EHR) and coding software. Excellent attention to detail and ability to maintain confidentiality of patient information. Preferred Qualifications: Experience working in a hospital or clinical setting Familiarity with customer service principles as they relate to patient billing inquiries. Knowledge of healthcare compliance regulations including HIPAA. Ability to work effectively in a fast-paced, temporary assignment environment. Responsibilities: Review and analyze clinical documentation to assign appropriate medical codes for diagnoses, procedures, and services. Ensure coding accuracy and compliance with established guidelines such as ICD-10, CPT, and HCPCS. Collaborate with healthcare providers and billing teams to clarify documentation and resolve coding discrepancies. Maintain up-to-date knowledge of coding regulations, payer requirements, and industry best practices. Support the billing process by preparing coded data for submission to insurance companies and assisting with claim follow-ups. Skills: The required skills in healthcare, customer service, and billing practices are integral to the daily functions of this role. Healthcare knowledge enables the coder to accurately interpret clinical documentation and apply the correct codes. Customer service skills are essential when communicating with healthcare providers and billing departments to resolve coding questions and support claim processing. Proficiency in billing practices ensures that the coding aligns with payer requirements, facilitating timely and accurate reimbursement. Preferred skills such as familiarity with compliance regulations and additional certifications enhance the coder's ability to navigate complex coding scenarios and contribute to overall organizational efficiency. This position will be onsite, located in Highlands Ranch, CO. Supervisor Responsibilities: This position has no supervisory responsibilities Job Elements and Working Conditions: While performing the duties of this job, the employee is regularly required to stand; use hands to handle, or feel; reach with hands and arms and talk or hear. Occasionally required to walk; sit, stoop, kneel, crouch, or crawl. Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus. The above statements describe the general nature and level of work performed by people assigned to this classification. They are not an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. BENEFITS OFFERED FOR STAFF AVERAGING 30+ PER WEEK • Health insurance plan options for you and your dependents • Dental, and Vision, for you and your qualified dependents • Company Paid life insurance • Voluntary options for short-term disability, and long-term disability coverage • AFLAC Plans • Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately • PTO accrued The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. Salary: CPC-A $26 per hour (must be 100% in office) CPC- $29 - $32 per hour (with option for remote work after two weeks of onsite training and proficient in workflows and productivity goals) - Must be located in Colorado OnPoint Medical Group is an EEO Employer. This position will be posted for a minimum of 5 days and may be extended.

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records including charge capture/entry to identify the diagnosis and procedure codes performed during the patient's stay are valid and in accordance with coding conventions and guidelines. Record types include ED including charge capture/entry, medical oncology cancer and adult outpatient rehab including cardiac rehab encounter types. Handles returned for coding/coding edits workflow to resolution. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements: Education and Work Experience: * High School Education/GED or equivalent: Required * Associate's/Technical Degree or equivalent combination of education/related experience: Preferred * Three years' outpatient emergency department (ED), medical oncology, adult outpatient rehab and cardiac rehab coding experience: Preferred * Experience in an acute care setting: Preferred Licenses/Certifications: * AHIMA Certified Coding Specialist (CCS): Required * AAPC Certified Professional Coder - CPC (critical access facilities): Preferred * AAPC Certified Outpatient Coder - COC: Preferred * AHIMA Certified Coding Associate (CCA), AHIMA RHIT/RHIA (Registered Health Information Technologist) or (Registered Health Information Administrator): Required - prior to 1-1-2018 - not accepting new CCA, RHIT/RHIA certifications * All Associates hired Jan 1, 2018, and prior have been grandfathered in as acceptable certifications. New hires will be required to have a CCS or CPC dependent on site assignment certification only: Required * Maintain appropriate credential related to essential job assignment: CCS or CPC or COC. For those that were grandfathered in prior to Jan 1, 2018, will be expected to maintain CCA, RHIT, or RHIA certification: Required * Certified Coding Specialist (CCS) or Certified Coding Associate (CCA): Required Essential Functions: * Abstracts and assigns diagnosis codes and procedure codes from the ED patient record to provide information required for billing and reimbursement. Abstracts and assigns diagnosis codes and procedure codes from the MedOnc recurring patient record to provide information required for billing and reimbursement. Abstracts and assigns diagnosis codes and procedure codes from the adult outpatient rehab and cardiac rehab patient record to provide information required for billing and reimbursement. Validates appropriate dates of service against documentation in the EMR for MedOnc recurring encounters with multiple service dates. Completes required abstract fields in registration conversation on ED encounter for OSHPD (state reporting) data submissions. * Posts, corrects and validates ED charges using the ED FCT, ED Ad Hoc FCT. Validates and corrects infusion and injection charges in ED and MedOnc. Appropriates utilization of modifiers. * Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies. Follows outpatient coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. * Follows up coding holds, revenue cycle department holds including related and all other email communication. Collaborates to provide coding feedback and education to departmental leadership regarding complete and accurate documentation. * Maintains required online education requirements. Attends meetings for coder education, audit reviews, staff meetings, coder roundtable and other specialty meetings as needed including emergency department charging, cancer, infusions and injections, cardiac rehab and returned for coding. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Serves as a subject matter expert in hospital and professional coding and interacts with other teams and departments across the organization such as patient financial services, revenue integrity (charge description master) team, provider teams and/or compliance on a routine basis. Performs coding for cardiac/IVR procedures and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes, and processes any errors associated with the revenue cycle process. Assists in the design and implementation of workflow changes to reduce coding and billing errors. Reviews medical record documentation and accurately assigns appropriate ICD-10-CM diagnoses, CPT codes and modifiers as applicable for both the hospital and professional claim. Validates and processes any medical necessity edits (local or national coverage determinations) that may apply for hospital and professional coding. Monitors discharged not billed accounts, and as a team, ensures timely, compliant processing of outpatient and inpatient encounters through the hospital and professional revenue cycle. Codes and posts charges for inpatient and outpatient complex cardiac and interventional radiology procedures and diagnoses for the purpose of reimbursement, research, statistical data gathering, and compliance. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintains current knowledge of coding guidelines and reimbursement reporting requirements. Demonstrates a high degree of independence in performance of responsibilities, working effectively without direct supervision. Exhibits strong time management, problem solving and communication skills. Job Requirements: Education and Work Experience: * High School Education/GED or equivalent: Required * Two years' experience if certified interventional radiology cardiovascular coder (CIRCC); otherwise, ten years' experience: Required * Experience in an acute care setting: Preferred * Experience in cardiac and IVR coding: Required Licenses/Certifications: * Certified Coding Specialist (CCS): Required * Certified Interventional Radiology Cardiovascular Coder (CIRCC) or earn certification within one year of hire: Required * CIRCC-AAPC: Required Essential Functions: * Performs specialty acute cardiac/IVR coding functions. * Handles return for coding review and resolution. * Performs charge reviews and makes corrections as needed. * Communicates complex concepts in simple form to non-finance users to understand the appropriate use and limits of information provided. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Job Details LHSD - SAN DIEGO, CA Fully Remote $27.00 - $31.00 HourlyDescription Who We Are: Lorian Health is a home health and hospice agency seeking energetic candidates to join our team of skilled professionals. Come join a home health agency that is thoughtful, generous, and family-oriented, placing focus on taking the best care of our patients and our employees! Lorian Health sets the highest quality standards for home health services in existence today. Foremost of these, is our belief in equanimity in regard to the treatment of all our patients. Lorian Health is committed to fostering a socially responsible environment within our organization and community and is determined to provide the highest caliber of health care for our patients and their families. What We Offer: We offer a comprehensive employee benefits package that includes, but is not limited to: Health, Dental, Vision, 401K with company match Competitive pay Paid vacation, holidays, and sick leave Full time includes company paid health insurance, dental insurance, vision insurance, paid life insurance, supplemental insurance and 401(k) plan with 4% match, as well as annual accrual of 10 vacation days,10 sick days, 9 holidays. Join our innovative team to help patients empower themselves to improve self-care. Qualifications Requirements: Must live in Pacific, Mountain or Central Time Zones Completion of coding specific coursework Current ICD-10 Coding Certification (HCS-D, BCHH-C, or HCS-H) Minimum of 1 year previous experience with Home Health ICD-10 coding with verified employment/experience are required. Minimum of 1 year previous experience with Hospice ICD-10 coding with verified employment/experience are required. Knowledge of and ability to follow appropriate skilled documentation under Medicare guidelines and conditions of participation. Knowledge of Patient Driven Grouping Models (PDGM) Knowledge of insurance reimbursement procedure. Ability to maintain confidentiality of records and information. Ability to be flexible, follow verbal and written instruction while working in a team oriented environment. Detail oriented with critical thinking and strong clinical judgement and analytical skills. Ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule. Excellent interpersonal relation skills including active listening, conflict resolution, and team building. Communicates effectively with the clinical and office staff involved in any given case in a constructive, goal directed, and professional manner Excellent computer skills to include Microsoft applications (i.e. Word/Excel) and ability to type at least 40 wpm Preferred: OASIS certification (COS-C, HCS-O) Background on OASIS E Graduate of Bachelor is Science in health field Experience with HCHB software

+ Oakland, CA + Information Systems + Health Information Servcies + Full Time - Day + $29.59 - $49.31/ hour + Req #:41965-31091 + FTE:1 **SUMMARY:** Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. **DUTIES & ESSENTIAL JOB FUNCTIONS:** NOTE:The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. 2. Selection and sequencing of diagnoses and procedures must meet the definitions of required data sets. Utilizes up-to-date versions of CPT and ICD-10-CM resources and remains current on changes in coding and billing standards. 3. Strives for the optimal payment to which the facility is legally entitled, remembering that it is unethical and illegal to maximize payment by means that contradict regulatory guidelines. 4. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. 5. Diagnosis coding must be accurate and carried to highest level of specificity; assigns and reports codes that are clearly and consistently supported by documentation in the health record. 6. Follow up status of charges held for clearance; work error reports. 7. Responsible for properly performing month end tasks within the established time-frame including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. 8. Provides feedback and education to physicians regarding billing and documentation. 9. Works with the Billing & Collection team to resolve coding issues. 10. Performs professional fee and documentation audits for a wide variety of specialties. 11. Manage work files to resolve coding edits by researching and using the most up-to-date tools available in order to make the appropriate and compliant corrections for reimbursement. **MINIMUM QUALIFICATIONS:** Education:High School Diploma or equivalent required, Associate's degree preferred. Minimum Experience:Five years relevant coding experience. Minimum Experience:Experience coding and auditing professional fee surgical procedures and office visits. Required Licenses/Certifications:Certified Coding Specialist (CCS-P) or Certified Professional Coder (CPC) certification required from AHIMA or AAPC. PAY RANGE: $29.59 - $49.31/ hour _The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licenses and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program._ Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.

+ Oakland, CA + Information Systems + Health Information Servcies + Full Time - Day + $29.59 - $49.31/ hour + Req #:41093-30377 + FTE:1 **SUMMARY:** Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. **DUTIES & ESSENTIAL JOB FUNCTIONS:** NOTE:The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. 2. Selection and sequencing of diagnoses and procedures must meet the definitions of required data sets. Utilizes up-to-date versions of CPT and ICD-10-CM resources and remains current on changes in coding and billing standards. 3. Strives for the optimal payment to which the facility is legally entitled, remembering that it is unethical and illegal to maximize payment by means that contradict regulatory guidelines. 4. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. 5. Diagnosis coding must be accurate and carried to highest level of specificity; assigns and reports codes that are clearly and consistently supported by documentation in the health record. 6. Follow up status of charges held for clearance; work error reports. 7. Responsible for properly performing month end tasks within the established time-frame including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. 8. Provides feedback and education to physicians regarding billing and documentation. 9. Works with the Billing & Collection team to resolve coding issues. 10. Performs professional fee and documentation audits for a wide variety of specialties. 11. Manage work files to resolve coding edits by researching and using the most up-to-date tools available in order to make the appropriate and compliant corrections for reimbursement. **MINIMUM QUALIFICATIONS:** Education:High School Diploma or equivalent required, Associate's degree preferred. Minimum Experience:Five years relevant coding experience. Minimum Experience:Experience coding and auditing professional fee surgical procedures and office visits. Required Licenses/Certifications:Certified Coding Specialist (CCS-P) or Certified Professional Coder (CPC) certification required from AHIMA or AAPC. PAY RANGE: $29.59 - $49.31/ hour _The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licenses and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program._ Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.

Responsible for overseeing processing of clinic and hospital professional charges including updating of procedure and diagnosis codes in database coordinating reports and maintaining fee ticket files. Qualifications Education: High School graduate or GED. License, Certification and/or Registration: Certified Professional Coder or similar certifications (CCA, CPC, CCS, etc...). Maintains current coder certification. Experience: Three years of coding experience including one year of experience in a health care organization preferred. Additional Skills/Abilities: Knowledge of accounts receivable practices and medical patient accounting services procedures. Knowledge of coding and clinic operating policies and procedures. Knowledge of insurance agency reimbursement procedures and practices. Knowledge of the organization's policies and procedures. Skill in using computer and calculator. Ability to examine documents for accuracy and completeness. Ability to prepare records in accordance with detailed instructions. Ability to work effectively with co-workers and supervisors as a team member. Ability to communicate clearly. Upholds effective work habits including, but not limited to, regular attendance, teamwork, initiative, dependability and promptness. About Us Highlights of our hospitals Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U.S. News & World Report. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U.S. Army's Partnership for Your Success (PaYS) program. Ask us about incentives and additional opportunities. Huntsville Hospital Benefits: We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more! Learn more about Huntsville Hospital Health System: Careers: ************************************** Benefits: **************************************** Education & Professional Development: ******************************************** Life In Huntsville: ******************************************************

The Certified Vascular Surgery Coder is responsible for accurately coding vascular surgery procedures and related clinical services to ensure proper billing, compliance, and reimbursement. This role requires in-depth knowledge of vascular anatomy, surgical terminology, CPT/ICD-10 coding, and payer guidelines. The ideal candidate is detail-oriented, analytical, and committed to supporting both clinical operations and revenue cycle integrity. This position works closely with Vascular Surgeons, APPs, the billing team, and administrative leadership. Key Responsibilities Review clinical documentation, operative reports, and provider notes to assign accurate CPT, ICD-10, and HCPCS codes for vascular surgery procedures and outpatient visits. Ensure coding is compliant with federal, state, and payer-specific guidelines. Collaborate with Vascular Surgeons and APPs to clarify documentation and ensure accurate code selection. Monitor changes in coding regulations, payer policies, and documentation requirements related to vascular services. Work closely with billing and revenue cycle teams to resolve coding-related denials, rejections, and billing discrepancies. Maintain detailed records of coding activities and support audit readiness. Provide feedback to providers regarding documentation improvements when necessary. Assist with reviewing claims prior to submission to ensure coding accuracy and completeness. Serve as a resource for coding standards and best practices within the Vascular Surgery department. Requirements Qualifications Active coding certification required (e.g., CPC, CCS, COC, CIC, or equivalent). Minimum 2-3 years of coding experience, preferably in vascular surgery or a surgical specialty. Strong understanding of vascular anatomy, surgical terminology, and procedural workflows. Proficiency in CPT, ICD-10, and HCPCS coding frameworks. Experience working with EHR and coding/billing platforms. Excellent communication, critical thinking, and problem-solving skills. High attention to detail and commitment to accuracy. Ability to work independently and collaboratively within a multidisciplinary team. Preferred Skills & Traits Prior experience coding high-complexity vascular procedures. Knowledge of Medicare, commercial payer policies, and pre-billing workflows. Strong analytical abilities and a proactive approach to identifying coding issues. Team-oriented with a positive attitude and strong work ethic.

JOB TITLE: LOP Specialty/ Certified Coder - (Hybrid Role) This is a hybrid position based at our corporate office in Brentwood, TN, with on-site work required Monday through Wednesday. GENERAL SUMMARY OF DUTIES: Reviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner. SUPERVISION RECEIVED: Billing & Coding Supervisor EDUCATION/EXPERIENCE: 1. Certified Professional Coding Certificate. 2. Associate's degree preferred or 5 years medical coding experience. 3. Must have functional knowledge of medical terminology, anatomy, and physiology. 4. Prior experience coding with ICD-10-CM. KNOWLEDGE: 1. Knowledge of clinic policies and procedures. 2. Knowledge of computer systems, programs, and spreadsheet applications. 3. Knowledge of medical terminology. 4. Knowledge of collection practices. 5. Knowledge of governmental, legal, and regulatory provisions related to collection activity. ESSENTIAL FUNCTIONS: 1. Analyzes accurately outpatient charts, records all deficiencies, and assigns appropriate responsibility for completion. 2. Develops a system for and performs regular quality control reviews for accuracy. 3. Tracks problems, related to record completion, and reports these to the Supervisor. 4. Assures that records are available when requested. Controls record completion for medical staff. 5. Assures coding is completed on all patients within two working days of discharge, and that it is consistent with ICD-9-CM and CPT-4 coding procedures as applicable. 6. Completes data entry, claim, and report generation. 7. Demonstrates a functional knowledge of all departmental operations and relates them to the company's overall objectives. 8. Communicates with the Billing & Coding Supervisor and peers regarding input into more effective and efficient departmental operations and explores, suggests, and pursues professional enhancement opportunities for self. 9. Maintains a professional work atmosphere by interacting and communicating in a positive manner with customers, patients, families, payors, physicians, and their office personnel, co-workers, and supervisors. 10. Performs other related duties as required necessary for this position, or as may be required to meet emergency situations. 11. Assures CPC certification is current. 12. Stays abreast of any changes in guidelines. 13. All other duties as assigned. SKILLS: 1. Skills in gathering and reporting claim information. 2. Skills in solving utilization problems. 3. Skills in written and verbal communication, as well as customer relations. 4. Skills in working with Windows based software systems. PERFORMANCE EXPECTATIONS: 1. Ability to code medical records with ICD-10-CM. 2. Well developed organizational and communication skills (both written and verbal). 3. Highly professional, confident, conscientious, and cooperative attitude. 4. Must be able to recognize and apply priorities, as well as exhibit attention to detail. 5. Excellent communication skills with various internal and external entities. PHYSICAL/MENTAL DEMANDS: Requires sitting and standing associated with a normal office environment. ENVIRONMENTAL/WORKING CONDITIONS: Normal, busy office environment with much telephone work and occasional evening or weekend work. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve Benefits: * Comprehensive health, dental, and vision insurance * Health Savings Account with an employer contribution * Life Insurance * PTO * 401(k) retirement plan with a company match * And more! ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve. * If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization. * No Recruiters Please

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente. Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. Habitat Health is growing, and we're looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit ****************************** Role Scope: We are looking for a Certified Risk Adjustment Coder who is passionate about supporting accurate and compliant documentation for our PACE participants. This role requires a self-starter who thrives in an independent, remote environment, with strong critical thinking skills and a drive to deliver the highest quality outcomes. The ideal candidate will have hands-on expertise in both CMS-HCC v24 and v28 models and the ability to apply coding standards across multiple workflows. Review participant medical records and provider documentation to identify, validate, and code risk-adjustable diagnoses in accordance with CMS-HCC v24 and v28 guidelines. Ensure complete, accurate, and compliant ICD-10-CM coding with a primary focus on concurrent and retrospective reviews (with flexibility for pre-visit planning as needed). Draft and submit compliant provider queries to clarify documentation and support accurate coding. Track and follow through on open queries-engaging with providers, monitoring responses, and closing them out appropriately. Apply strong critical thinking skills to resolve complex documentation and coding scenarios. Maintain clear, professional communication with providers and internal teams to support documentation completeness. Stay current with CMS, OIG, and industry regulations related to risk adjustment and coding compliance Qualifications: Active CRC (Certified Risk Adjustment Coder) required. Minimum of 1 year of experience in risk adjustment coding. In-depth knowledge of ICD-10-CM and CMS-HCC models v24 and v28. Demonstrated ability to work independently, stay organized, and follow through on tasks with minimal oversight. Strong written and verbal communication skills, with the ability to engage providers in a professional and solutions-oriented manner. High attention to detail and ability to critically analyze clinical documentation. Proficiency with electronic health records (EHR) and Microsoft Excel. Aligns with our purpose and our values, and is excited about living those out in daily practice Nice to have: Experience as a risk adjustment coder in PACE, long-term care, or complex care populations. Background in clinical documentation improvement (CDI) or coding quality assurance. Experience with Epic/OCHIN systems. Compensation: We take into account an individual's qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is $24-$28 hourly and is bonus eligible. The actual offer will be at the company's sole discretion and determined by relevant business considerations, including the final candidate's qualifications, years of experience, skillset, and geographic location. Vaccination Policy, including COVID-19 At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, please note that we have vaccination policies to keep both our team members and participants safe. For covid and flu, we require either proof of vaccination or declination form and required masking while in participant locations as a safe as an essential requirement of this role. Requests for reasonable accommodations due to an applicant's disability or sincerely held religious beliefs will be considered and may be granted based upon review. We also require that team members adhere to all infection control, PPE standards and vaccination requirements related to specific roles and locations as a condition of employment. Our Commitment to Diversity, Equity, and Inclusion: Habitat Health is an Equal Opportunity employer and is committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law. Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law. Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at *************************. Beware of Scams and Fraud Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from @habitathealth.com email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams' option: *******************************

Job Description 1.0 FTE - Day Shift Starting Pay- $24.09 - $30.11 Work must be performed from within the State of Minnesota At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher. Medical Insurance Paid Time Off Dental Insurance Vision Insurance Basic Life Insurance Tuition Reimbursement Employer Paid Short-Term Disability and Long-Term Disability Adoption Assistance Plan Qualifications: Associate degree or equivalent experience required Knowledge of medical terminology and anatomy required ICD-10, ICD-10-PCS, CPT, HCPCS, APC, and DRG coding experience required RHIT or CPC certification or accreditation required One year coding experience Job Responsibilities: Assigns ICD-10, ICD-10-PCS, HCPCS, modifiers, and CPT codes. Utilizes the DRG grouper, APC grouper, and other computer-based programs to ensure optimal reimbursement. Assists in the data collection for concurrent chart reviews on admissions. Remains current on insurance payer guidelines by reviewing monthly news bulletins. Monitors the timeliness of documentation to identify any areas that need to be evaluated. Assists in monitoring pre-claim edit data to ensure correct claims are billed. Manages assigned work list for account denials and insurance inquiries. Works on various departmental reports as assigned. Attends available training to remain current with coding guidelines as they change. Other duties as assigned.

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

Policy Name Certified Professional Coder and Responsibilities Department Effective Date Last Revision June 2025 Policy Owner Clinic Manager Policy Description and Purpose: Managing patient care involves a team of clinical and nonclinical staff interacting with patients and working to achieve patient-centered care. s and responsibilities of the care team emphasize a team-based approach to patient care and promote training of team members to meet the highest level of function allowed by state law. Procedure: The and responsibilities are defined for Certified Professional Coder in the Gastroenterology department at Murfreesboro Medical Clinic below: Job Title Certified Professional Coder (CPC) Job Description The CPC researches and codes all office, surgical and procedural-based reports/records by assigning accurate CPT codes, current version of ICD-10 (diagnosis codes), HCPCS and modifiers in accordance with CMS coding guidelines and principles in a compliant manner. Working Conditions Work is performed in an office setting and possible exposure to communicable diseases, toxic substances, bodily fluids, and other conditions common to medical practice. Varied activities including walking, bending, reaching, lifting, stooping, and sitting for extended periods of time will occur. Also, occasional stress from multiple responsibilities. Overtime hours may be required as needed. Job Responsibilities Represent MMC in a courteous and professional manner Responsible for accurate and complete coding according to Compliance Guidelines, and for assigning ICD-10 and CPT codes from doctors/providers documentation. Ensure coded services, provider charges and medical record documentation meet appropriate guidelines or standards. Works A/R queues to resolve denials or errors in a timely manner. Provide ongoing feedback and targeted training to doctors/providers and other providers regarding coding guidelines and requirements. Stay up to date with changes in CMS guidelines. Research and stay current with health insurance billing requirements. Must meet month end requirement. Works with medical staff and patient accounting staff to resolve coding issues and associated problems. Reviews reimbursement from third-party payers to ensure payment through proper use of codes. Be proactive and participate in educational activities such as webinars, AAPC education opportunities and conferences. Be at your workstation on time and prepared to start the day Email communication is utilized in this department for important messages and updates. Staff members are expected to read emails frequently. Be flexible when asked to stay past your scheduled work time (as needed) to accommodate the needs of patients Meet or exceed patient, doctor, and staff expectations through a cooperative, teamwork approach Keep your work area and the clinic clean. Be knowledgeable of and adhere to all HIPAA and OSHA guidelines. Be knowledgeable of and adhere to all MMC policies and procedures. With instruction, perform other duties as required or assigned Required Skills Excellent customer service skills Strong skills in communicating effectively with co-workers, providers, and patients Ability to conduct daily functions in an appropriate, professional, and compassionate manner Ability to manage/prioritize multiple tasks in an efficient and timely manner Teamwork attitude Flexibility to respond to changing demands Ability to react calmly and competently in stressful situations Effectively utilize computer systems and programs that are necessary to complete daily tasks Education/Experience Requirements * High school diploma or GED * Coding Certification (Certified Professional Coder CPC) Required MMC Vision, Mission, and Values Our vision is to be a leading contributor to community health through participation in programs that promote wellness, facilitate diagnosis, and enhance treatment of disease. Our mission is to foster continuous improvement in community health through the delivery of quality, accessible medical and surgical care in a cost-effective manner to the residents of Middle Tennessee. Our values guide our actions as we strive to carry out our mission. A progressive approach to advances in medicine and changes in the health care delivery system Responsive to patient and community needs Collaborative with other physicians, hospitals, allied health providers and the community in improving health care Professional, ethical and socially responsible Team-oriented management and leadership A positive, open and responsive work setting

The coder researches and codes all anesthesia services by assigning accurate CPT codes, current version of ICD-10 (diagnosis codes), HCPCS and modifiers in accordance with coding guidelines and principles in a compliant manner. Must be willing to provide billing and coding support clinic-wide, when requested. Coders must adhere to all policies and procedures of MMC. Working Conditions Work is performed in an office setting or remote and involves frequent telephone contact. There is possible exposure to communicable diseases, toxic substances, bodily fluids, and other conditions common to medical practice. Varied activities including walking, bending, reaching, lifting (up to 30 pounds), stooping, assisting patients and sitting for extended periods of time may occur. Primary Responsibilities Code Assignment: Apply CPT, ICD-10, and HCPCS codes to anesthesia procedures based on clinical documentation. Documentation Review: Analyze patient records to ensure coding accuracy and compliance with regulatory standards. Claims Processing: Submit claims promptly and resolve any discrepancies or denials through appeals or corrections. Modifier Application: Use appropriate modifiers to reflect anesthesia time, complexity, and provider involvement. Compliance: Ensure all coding practices align with federal regulations, payer guidelines, and internal policies. Manage daily appointment reconciliation report to complete month-end closeout Be knowledgeable and adhere to OSHA guidelines and MMC policies and procedures Must maintain excellent attendance Skills and Qualifications Excellent customer service skills Ability to conduct daily functions in an appropriate, professional, and compassionate manner Ability to manage/prioritize multiple tasks in an efficient and timely manner Flexibility to respond to changing demands Certifications: Preferred credentials include CPC (Certified Professional Coder), CANPC (Certified Anesthesia and Pain Management Coder), or CCS (Certified Coding Specialist). Experience: Requires 3-5 years of outpatient anesthesia coding experience. Technical Proficiency: Familiarity with coding software and electronic health records. Attention to Detail: Precision is critical to avoid billing errors and ensure full reimbursement. Communication: Ability to collaborate with physicians, billing teams, and insurance providers. MMC Vision, Mission, and Values Our vision is to be a leading contributor to community health through participation in programs that promote wellness, facilitate diagnosis, and enhance treatment of disease. Our mission is to foster continuous improvement in community health through the delivery of quality, accessible medical and surgical care in a cost-effective manner to the residents of Middle Tennessee. Our values guide our actions as we strive to carry out our mission. A progressive approach to advances in medicine and changes in the health care delivery system Responsive to patient and community needs Collaborative with other physicians, hospitals, allied health providers and the community in improving health care Professional, ethical and socially responsible Team-oriented management and leadership A positive, open and responsive work setting * This description is intended to provide only basic guidelines for meeting job requirements. It is not intended to serve as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Temporary Description The Certified Medical Coder represents Roots Community Health Center, working as part of a team in a highly visible setting. This position provides support to the Director of Billing, Billing and Coding Administrator. This position works in collaboration with the providers, billing specialist and finance team, using efficient medical coding. The Certified Medical Coder provides coding audits of all billing providers within the practice based on documentation guidelines, Medicare Guidelines and coding initiatives. As the coder audits and interprets patient medical records, transcriptions, test results, and other documentation, we'll rely on the coder to ask questions, make coding recommendations, research billable procedures and codes - all to ensure a smooth billing process. This is a 6-month temporary position. Duties and Responsibilities: Code office visits and procedures using CPT, ICD-10 codes Audit and review coding (CPT, ICD-10) physician notes in the EHR Manage Coder Correct/ Super Coder Codify Platforms (AAPC) Make coding recommendations; working with providers to ensure accuracy using billing/payer guidelines. Educate providers on coding policies and guidelines, medical necessity criteria, programs correct billing methods and procedure codes by written and verbal communication Correspond or meet with providers to resolve billing practices Audit documentation to ensure it supports complete, accurate and compliant billing with both CMS and payer requirements Assist practice physicians and managers with all coding errors, denials, or issues encountered in the billing process Monitor charge review queues to ensure that all accounts flow through to billing appropriately Submit all charges into billing EHR system AdvancedMD for claims processing Act as liaison between billing department and clinic management/physicians Translate written policy interpretation into CPT, HCPC, ICD-10 codes for input into systems This position is responsible for ensuring compliance with all aspects of applicable regulations, payer billing guidelines. Identify specific billing and reimbursement projects as they arise Conduct research coding on denied claims and take steps toward resolution Correct coding errors in coordination with the billing specialist Reviews insurance plans and carrier information for appropriate coding regulations per payer contracted services Verify insurance information/PCP assignment Ensure/verify the accuracy of patient demographics and insurance information in Electronic Health Record Report trends and denial patterns to the Director of Billing Participate in internal chart audits, billing audits, and other compliance programs Makes recommendations for policies and procedures relating to payer billing guidelines Attending Billing and Interdepartmental meetings. Requirements Competencies: High School Diploma or GED, Billing/Coding Certification Must have experience working in non-profit organization or a community clinic preferred, but not required. Certification in medical billing/coding Minimum 1 years' experience performing medical billing, claims review Minimum 1 years' experience with claims follow-up from physician office, third-party setting Familiarity with medical terminology and the medical record coding process In-depth knowledge/ awareness of all areas related to Payer-specific (Medicare Medi-Cal Medicaid and/or Private) Claims and how they interrelate Knowledge of principles methods and techniques related to compliant healthcare billing/collections - Familiarity with Payer-specific (Medicare Medi-Cal Medicaid -CalAim, Private) Claims management Previous experience with either Electronic Health Record and Practice Management Systems Full understanding of insurance denials, EDI coding rejections and exclusions Previous experience with HCFA 1500 claim forms and electronic billing. Interest/experience working with low-income communities of color Excellent written and verbal communication skills Solid organizational skills including attention to detail and multi-tasking skills. Demonstrates ability to manage time efficiently and multi-task effectively. Clear and effective external and internal, verbal and written, communication skills. Strong critical thinker and problem solver Excellent team-player Ability to work with patients from different backgrounds (culture competency) Ability to communicate clearly and respectfully with co-workers and clients Strong working knowledge of Microsoft Office (Word, Excel, PowerPoint) Ability/willingness to learn Electronic Health Records Insight reporting Roots Community Health Center is proud to be an Equal Employment Opportunity/Affirmative Action Employer and values diversity of culture, thought and lived experiences. We seek talented, qualified individuals regardless of race, color, religion, sex, pregnancy, marital status, age, national origin or ancestry, citizenship, conviction history, uniform service membership/veteran status, physical or mental disability, protected medical conditions, genetic characteristics, sexual orientation, gender identity, gender expression regardless of physical gender, or any other consideration made unlawful by federal, state, or local laws. Roots uses E Verify to validate the eligibility of our new employees to work legally in the United States. Salary Description $31.00-$36.00

Job DescriptionDescription: Provides addiction treatment services independently to clients requiring assistance with substance use disorders in a complete range of duties associated with addiction treatment CORE RESPONSIBILITIES Interviews, reviews records, and confers with other professionals to evaluate condition of clients Formulates programs for treatment and rehabilitation of clients Counsels clients individually and in group sessions to assist clients in overcoming alcohol and drug dependency Counsels family members to assist family in dealing with and providing support for the client Refers client to other support services as needed such as medical evaluation and treatment, social services and employment services Monitors condition of client to evaluate success of therapy; adapts treatment as needed Maintains accurate and timely clinical records consistent with Center standards Prepares documents for presentation in court and presents testimony in court Participates in meetings and in-services Participates in a minimum of 2 hours clinical supervision per month Performs other job duties as assigned Requirements: EDUCATION Bachelor's Degree in related health sciences CERTIFICATES, LICENSES, REGISTRATIONS Certified in the State of Colorado as a Certified Addictions Counselor Level 3 SKILLS, KNOWLEDGE, AND ABILITIES Ability to work well with special populations along with maintaining appropriate boundaries Knowledge of methods of substance use disorder treatment and intervention Knowledge of community resources Skills to serve culturally diverse populations that may have a bearing on service provision Effective written and verbal communication skills Demonstrates effective time management and the ability to multi-task Knowledge of basic computer literacy such as e-mail communication and word processing Ability to work flexible and on-call hours, which may be required Ability to travel within the Center's service area or to other locations as needed

The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position. An inpatient coder is responsible for utilizing coding policies and procedures in evaluating the diagnostic and procedural information within the medical record for determination of accurate DRG or APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database. An inpatient coder functions under the direct authority and supervision of the Coding Supervisor and Director of the Health Information Management Department. Some of the many skills performed Coding of diagnoses and procedures for: Inpatients Observation Other Outpatient Service Types, if appropriate Qualifications EDUCATION: High school graduate or equivalent 2 years or more in Health Information Management 1-2 years' experience in inpatient coding LICENSURE/CERTIFICATION: RHIA, RHIT, or CCS certification preferred Certification must be obtained within one (1) year of employment About Us Lake Guntersville, a mountain-lakes jewel, is located approximately 30 miles from metro Huntsville - and is home to Marshall Medical Centers. Marshall Medical Centers, an affiliate of the Huntsville Hospital Health System, serves the residents of Marshall County and the surrounding area (population approximately 125,000). With two hospitals, eight outpatient locations and a highly-trained team of physicians practicing 28 specialties, Marshall Medical is a confident, convenient choice for local healthcare. Residents can remain close to home and receive excellent care - often provided by those who are neighbors and friends. Marshall Medical Center South is a 150-bed hospital in Boaz, Alabama, and opened in 1956. Marshall Medical Center North, in Guntersville, opened in 1990 - and - is a 90-bed facility. In addition to the two hospitals, the Gary R. Gore Medical Complex is conveniently located mid-county and is home to several outpatient clinics and a 22,000 square foot comprehensive Cancer Care Center. Named by the Joint Commission as a “Top Quality Performer” among America's hospitals, Marshall Medical Centers' patients can be assured they are being treated in an environment where a premium is placed on quality and best practices.