Certified Professional Coder jobs at Ridgeview

The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient records and clinical care programs. in accordance with all applicable laws, regulations, and Life Care standards. Education, Experience, and Licensure Requirements Registered nurse with an active state license and MDS and RAI experience. Specific Job Requirements Make independent decisions when circumstances warrant such action Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility Implement and interpret the programs, goals, objectives, policies, and procedures of the department Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation Maintains professional working relationships with all associates, vendors, etc. Maintains confidentiality of all proprietary and/or confidential information Understand and follow company policies including harassment and compliance procedures Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training Essential Functions Exhibit excellent customer service and a positive attitude towards patients Assist in the evacuation of patients Demonstrate dependable, regular attendance Concentrate and use reasoning skills and good judgment Communicate and function productively on an interdisciplinary team Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours Read, write, speak, and understand the English language An Equal Opportunity Employer

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 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 in the hospital setting. Our ideal candidate is a 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. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital's abstracting system. 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. 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. 1. Education: High School Graduate or equivalent preferred. 2. Licensure: Certified Professional Coder (CPC), Certified Coding Specialist - Physician (CCS-P), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) 3. Experience: * Five or more years of continuous experience in Multi-specialty Profee Hospital and clinical coding required. * EMR Medical records experience is required. Experience with an encoder system preferred. * Comprehensive knowledge and application of profee E&M guidelines for physician inpatient coding and billing * 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. * 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. 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) 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 based on business need. * 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 working (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: $41.00 to $49.00 based on years of experience doing the duties of the role. Max is commensurate of 20+ 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.

Part time Shift: Variable Less than 12 hour shift (United States of America) Hours per week: 20 Job Information Exemption Status: Non-Exempt Reviews medical record documentation for assigning accurate ICD-10-CM diagnosis, procedure and CPT codes and chart abstracting for hospital related services, including "dual" medical coding, also known as Single Path Coding, for various specialties. Education Qualifications High School Diploma / GED Required Experience Qualifications 2 years Coding experience. Preferred Skills and Abilities Knowledge of medical terminology. (Required proficiency) Knowledge of coding and regulatory guidelines. (Required proficiency) Licenses and Certifications Registered Health Information Administrator (RHIA) - AHIMA Required or Registered Health Information Technician (RHIT) - AHIMA Required or Certified Coding Specialist - CCS Required or Certified Professional Coder - AAPC CPC also accepted. Required Certified Coding Associate - AHIMA CCA also accepted Required What you will do Selects and assigns appropriate ICD-10-CM diagnosis, procedure and CPT codes utilizing encoding system and application following coding guidelines. Ensures appropriate MS-DRG/APR DRG is assigned. Utilizes Electronic Medical Record (EMR) to identify and enter key administrative and clinical data elements into discrete fields within the EHR. Comply with all legal requirements regarding coding guidelines and policies. Proficient with medical necessity documentation guidelines. Complies with payer specific guidelines for appropriate code assignment. Works coding queues as assigned by manager or designee. Collaborates with Clinical Documentation Improvement (CDI) team for clinical expertise and query opportunities. Submit coding queries to physicians for medical record documentation clarification. Converse with providers or other health care professionals on coding and/or billing practices, if needed. Works professionally, independently and completes assignments in a timely manner. Meets coding productivity and accuracy standards. Participates at coding and department meetings/huddles. Participates at CDI/Coding and other educational sessions. Attends All Employee Meetings. Continually self-educates on current coding guidelines and regulatory changes utilizing electronic reference material. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Not Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability Hybrid Scope No Supervisory Responsibility No Budget Responsibility Physical Demands Balancing: Occasionally 1-3 Hours Carrying: Rarely less than 1 hour Climbing (Stairs): Rarely less than 1 hour Crawling: Rarely less than 1 hour Crouching: Rarely less than 1 hour Eye/Hand/Foot Coordination: Continuously greater than 5 hours Feeling: Continuously greater than 5 hours Grasping (Fine Motor): Continuously greater than 5 hours Grasping (Gross Hand): Continuously greater than 5 hours Handling: Continuously greater than 5 hours Hearing: Occasionally 1-3 Hours Kneeling: Rarely less than 1 hour Lifting: Rarely less than 1 hour up to 10 lbs Operate Foot Controls: Rarely less than 1 hour Pulling: Rarely less than 1 hour up to 10 lbs Pushing: Rarely less than 1 hour up to 10 lbs Reaching (Forward): Occasionally 1-3 Hours up to 10 lbs Reaching (Overhead): Rarely less than 1 hour up to 10 lbs Repetitive Motions: Continuously greater than 5 hours Sitting: Continuously greater than 5 hours Standing: Occasionally 1-3 Hours Stooping: Rarely less than 1 hour Talking: Occasionally 1-3 Hours Walking: Rarely less than 1 hour Physical Demand Comments: Vision requirements include close vision and ability to adjust focus. Working Conditions Burn: Rarely less than 1 hour Chemical: Rarely less than 1 hour Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Explosive: Rarely less than 1 hour Extreme Temperatures: Rarely less than 1 hour Infectious Diseases: Rarely less than 1 hour Mechanical: Rarely less than 1 hour Noise/Sounds: Occasionally 1-3 Hours Other Atmospheric Conditions: Rarely less than 1 hour Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour Radiant Energy: Rarely less than 1 hour Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour Hazards (other): Rarely less than 1 hour Vibration: Rarely less than 1 hour Wet and/or Humid: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.

Certified Coder REPORTS TO (TITLE): Director of Revenue Cycle HOURLY RANGE: $31.00 - $42.74 DOE Job Summary: The Certified Professional Coder is accountable for ensuring coding compliance for services performed by physicians and non-physician providers (e.g., nurse practitioners and physician assistants) and adhering to government regulations and coding guidelines. This position requires current, in-depth knowledge of coding governmental and commercial rules and regulations, including regulatory compliance requirements. Specific Tasks/Duties Include: * Perform physician/non-physician provider documentation audits for compliance and regulatory requirements. * Perform coding data audits to validate documentation supports services rendered for reimbursement and reporting purposes. * Perform medical record review to abstract information required to support accurate coding for professional provider encounters. * Identify documentation deficiencies and properly query providers for proper code capture. * Partake in educating and training providers and other professionals in appropriate coding * Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors. * Assigns accurate CPT, HCPCS, and ICD medical codes for diagnoses and procedures. * Ensure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. * Code review for medical necessity, claims denials, billing issues, and charge capture. * Assist in the development and implementation of policy and procedures for the understanding of how to integrate medical coding and payment policy changes into the practice's reimbursement processes. * Assist in the integration of coding and reimbursement rule changes and updating the Charge Description Master (CDM), including the appropriate application of modifiers. * Assist in regular, weekly/monthly meetings with departmental site directors and medical directors and provides information related to coding review findings and regulatory coding updates. * Serves as resource and subject matter expert to other staff. * Provides ongoing support and training on all aspects of medical coding. * Other duties as assigned by Director of Revenue Cycle. Education and Experience: * CPC Certification required * COC Certification preferred but not required * CPMA Certification preferred but not required * At least 4 years of experience in physician/non-physician provider documentation review and ensuring coding compliance, to government regulations and coding guidelines within the healthcare industry, preferably in an FQHC setting.

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.

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: *******************************

Clinical Documentation Integrity Specialist Certified Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health is East Tennessee's top-performing healthcare network with 10 hospitals and over 85 outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area's largest employer with over 11,000 employees. Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer. Position Summary: The CDI Specialist Certified serves as liaison between the physicians and hospital departments to promote consistency and efficiency in documentation and to facilitate data quality and compliance in hospital services. CDI is responsible for facilitating concurrent documentation reviews in the setting of an acute care facility. Concurrent reviews assure the completeness of medical record, the accuracy of documentation, and the appropriate assignment of a final DRG. The CDI Specialist functions as a resource for clinical staff and other groups involved in the care and discharge planning of patients. To assure appropriate DRG assignment and the validity and reliability of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the severity of the patient's condition, and the resources used in the diagnosis and treatment of the patient. The validation of the clinical diagnoses is an additional focus and responsibility. Recruiter: Suzie McGuinn|| ***************** Responsibilities Initiates and performs concurrent documentation reviews to assign initial DRGs and GLMOS for physician and case management to follow. Collaborates extensively with individual physicians and other medical and clinical staff departments to facilitate complete and accurate documentation of the inpatient record. Monitors inpatient admissions for Length of Stay (LOS) related to initial DRGs and updates to working DRGs and SOI/ROM for final coding and DRG assignment. Prepares reports for any assigned facilities. Assists with the collection and maintenance of data that reflects the productivity and effectiveness of all CDI actions related to individual chart reviews, queries, response to queries, and communication and education with physicians. Understands HACs, PSI and POA issues as it relates to quality measures. Serves as a resource for physicians to help link ICD-10-CM and ICD-10-PCS coding guidelines and medical terminology to improve accuracy of final Code assignment. Works in a collaborative fashion with Health Information Management, Coding Departments to assure that initial and final DRGs are correct. Assigns concurrent queries when required to assure that documentation is consistent and that diagnoses meet clinical definitions. Assists the HIM department with post discharge queries as needed. Assesses documentation to assure that risk measures accurately reflect the severity and risk involved in patient's care. Educates and assists physicians and clarifies coding versus clinical issues. Identifies opportunities for intradepartmental and interdepartmental operational improvements. Is informed about annual changes pertinent to ICD-10-CM/PCS and follows through with educating appropriate parties and applies information to concurrent reviews as needed. Develops and maintains departmental and hospital policies and procedures and implements new policies and procedures relative to coding. Monitors activities and findings with regards to audits and denials and subsequently adjusts to potential trends when reported. Attends meetings and provides input as it relates to coding, medical documentation, and reimbursement issues specific to medical billing and regulatory requirements. Increases awareness of compliance as it relates to coding and documentation. Applies knowledge related to proper documentation necessary to support MS-DRGs/APR DRGs/Medical Necessity/ROM/SOI assignment. Reconciles discharge and coded records to assure that queries have been answered and results are correctly assigned. Keeps current on local, state and federal regulations to ensure compliance. Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk. Works with Denials Elimination Group and deals with physician specific issues as it impacts denials. Insures corrective action is taken to prevent denials from reoccurring. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications Minimum Education: None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Graduate from an accredited HIM program preferred. Minimum Experience: Two (2) years coding experience or relevant work with health systems either in acute care or outpatient settings. Effective interpersonal skills in order to interact effectively with all levels of hospital personnel. Organization and prioritization skills. Effective written and verbal communications skills. Analytical skills. Proficient computer skills. Licensure Requirement: RHIT with CDI certification or RHIA with CDI certification required.

Job Description OnPoint Medical Group is searching for an outstanding Certified Professional Coder to join our team! Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal - to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands. About the Role: The Certified Professional Coder (CPC) plays a critical role in the healthcare industry by accurately translating medical diagnoses, procedures, and services into standardized codes used for billing and record-keeping. This position ensures that healthcare providers receive proper reimbursement from insurance companies and government programs by applying precise coding guidelines and regulations. The CPC collaborates closely with healthcare professionals to review clinical documentation, clarify ambiguities, and maintain compliance with coding standards. By maintaining up-to-date knowledge of coding systems such as ICD-10, CPT, and HCPCS, the coder supports the integrity and efficiency of the revenue cycle management process. Ultimately, this role contributes to the financial health of medical practices while safeguarding patient data confidentiality and regulatory compliance. Candidates are required to reside in Colorado and may be required to attend in office meetings. In office required during training period. Responsibilities: Review and analyze clinical documentation to assign accurate medical codes for diagnoses, procedures, and services. Ensure compliance with federal regulations, payer policies, and coding guidelines to minimize claim denials and audits. Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies. Maintain and update coding knowledge by participating in ongoing education and training programs. Prepare and submit coded data for billing and reimbursement processes, ensuring accuracy and timeliness. Minimum Qualifications: Current Certified Professional Coder (CPC) credential from the AAPC or equivalent certification. Strong understanding of ICD-10-CM, CPT, and HCPCS coding systems and guidelines. Familiarity with medical terminology, anatomy, and healthcare documentation standards. Experience with electronic health record (EHR) systems and coding software. Ability to maintain confidentiality and comply with HIPAA regulations. Preferred Qualifications: Experience working in a hospital, physician practice, or healthcare billing environment. Knowledge of payer-specific billing requirements and insurance claim processes. Additional certifications such as Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC). Proficiency in auditing and quality assurance of coded data. Strong analytical and problem-solving skills related to coding and reimbursement. Skills: The required skills enable the Certified Professional Coder to accurately interpret complex clinical documentation and apply appropriate coding standards, which is essential for correct billing and reimbursement. Proficiency with coding software and electronic health records facilitates efficient data entry and claim submission. Strong communication skills are used daily to collaborate with healthcare providers and resolve documentation issues, ensuring coding accuracy. Analytical skills help identify discrepancies and potential compliance risks, supporting audit readiness and quality assurance. Preferred skills such as knowledge of payer-specific requirements and additional certifications enhance the coder's ability to navigate complex billing environments and improve overall revenue cycle performance. WORK ENVIROMENT 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 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 FSA options Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately Paid Time-Off earned This position will be posted for a minimum of 5 days and may be extended. 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. OnPoint Medical Group is an EEO Employer. Applicants can redact age information from requested transcripts.

Job Description 1.0 FTE - Day Shift Starting Pay- $24.57 - $30.71 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.

Description: FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Coordinator of Adult Case Management; Adult Case Management Team Lead POSITIONS SUPERVISED: N/A POSITION OVERVIEW: The Certified Peer Specialist (CPS) is responsible for utilizing his/her own recovery story to help consumers to develop skills necessary to recovery. The goal of peer support is for the consumer to regain control of his/her own life and recovery process by helping consumers to develop a network for information/support, assisting consumers to regain the ability to make independent choices and take a proactive role in treatment, and assisting consumers with identification and response to precursors/triggers of mental health symptoms. The CPS will demonstrate competency in recovery and the ability to self-manage symptoms with on-going coping skills. The CPS will be expected to provide the majority of consumer contact in community locations that concur with where the consumer lives, works, attends school, and/or socializes. ESSENTIAL POSITION RESPONSIBILITIES: Provides services in order to maintain required productivity/billing standard set by the department. Meets deadlines and ensures accuracy of various reports/paperwork, mileage sheets, and electronic timesheets. Provides peer support (PSI) services in accordance with the consumer's treatment plan goals. Maintains accurate and timely documentation of service provision. Completes progress notes in a manner that individualizes each note, reflecting appropriate interventions and progress towards goals. Submits required progress notes/billing information in a timely manner as per agency, MCO/Medicaid, and COMCARE guidelines and contracts. Assists consumers in communicating and setting personal goals and objectives for recovery for their individual treatment plan. Assists consumers in obtaining or sharing information in a group or individual (one- on-one) setting to aid in the recovery process. Assists consumers in developing or using a recovery plan, i.e. Wellness Recovery Action Plan (WRAP). The plan will include utilizing and teaching problem-solving techniques, building social skills, learning to combat negative self-talk, and learning to identify and overcome precursors and triggers that can impair daily function. Assists and teaches consumers to communicate, advocate, and make informed choices in all areas of their lives which include, but are not limited to: medications, diagnosis, treatment, housing, employment, and education. Models effective coping skills and self-help strategies. Provides consistency in services to consumers by arriving on time to scheduled appointments and/or notifying consumers in the event of tardiness. Observes and notifies supervisor of changes in consumer condition. Requirements: OTHER POSITION REQUIREMENTS: Maintains acceptable overall attendance record, to include department staff meetings, agency meetings, and trainings as required. Ensures appropriate notification to supervisor for absences, and ensures that work is covered. Flexible in work schedule when needed. Must have access to a reliable personal vehicle and be able to transport consumers on a regular basis as part of the job essential job responsibilities. Exhibits appropriate level of technical knowledge for the position. Produces quantity of work necessary to meet job requirements. Works well with a team, keeps others informed of information needed. Treats others with respect, maintaining a spirit of cooperation. Maintains effective and professional verbal and written interactions with peers, customers, supervisors and other staff. Uses diplomacy and tact in dealing with difficult situations or people. Demonstrates effective listening skills. Is receptive to constructive feedback. Demonstrates the ability and willingness to handle new assignments, changes in procedures and business requirements. Identifies what needs to be done and takes appropriate action. Completes assigned work, meets deadlines without reminders/follow-up from supervisor or others. Performs work conscientiously with a high degree of accuracy. POSITION REQUIREMENTS: The CPS must be at least 18 years old and is expected to be reliable and possess the ability to interact and communicate effectively (verbal and written) with supervisors, co-workers, and consumers. The CPS must complete all required Kansas Certified Peer Support Trainings within one year of employment. The CPS must possess basic computer and typing skills. The position requires the applicant to self identify as a present or former, primary consumer of mental health services. Skills in working with people and the ability to respond appropriately to a variety of situations are essential. Must have a valid driver's license, driving record in good standing, reliable personal transportation, and be able to safely operate and transport consumers using their own vehicle as required by the position. Proof of valid auto insurance is required. Approved mileage will be reimbursed in accordance with company policy. PHYSICAL REQUIREMENTS: * Driving (for the purposes of community mobility) * Extensive writing/note taking * Lifting/carrying up to 30 pounds * Bending/stooping/climbing stairs * Typing for extended periods of time * Sitting for extended periods of time All the above duties and responsibilities are considered essential job functions subject to reasonable accommodation. All job requirements listed indicate the minimum level of knowledge, skills and/or ability deemed necessary to perform the job proficiently. This job description is not to be construed as a detailed statement of duties, responsibilities or requirements. Employees may be required to perform any other job-related instructions as requested by their supervisors, subject to reasonable accommodation. EEO race, color, religion, sex, parental status, national origin, age, disability, genetic information, political affiliation, military service, or other non-merit based factors.

Full-time Description Certified Parent Peer Specialist FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Children's Coordinator POSITIONS SUPERVISED: N/A POSITION OVERVIEW: The Certified Parent Peer Specialist provides a specialized service that supports parents with children who have Serious Emotional Disturbance (SED), Substance Use, or co-occurring conditions. This service is provided to support the stabilization of the child and enhance the family's quality of life. The Certified Parent Peer Specialist is required to have lived experience raising a child with SED, Substance Use, or co-occurring conditions. This position is also required to complete the KDADS certification and training process to become a certified Parent Peer Support Specialist. ESSENTIAL POSITION RESPONSIBILITIES: 1. Completes training and certification process in a timely manner as outlined by supervisor and the training and certification process. 2. 62.5% of clocked in time will be providing direct service. 3. Initiates and maintains a professional and collaborative relationship with Family's Together. Utilizes Families Together as a resource. 4. Meets face-to-face with parents to assist and provide interventions for child to meet identified goals. 5. Meets deadlines and ensures accuracy of all documentation, mileage, and electronic timesheets. 6. Maintains accurate and medically necessary documentation of service provision through progress notes. Completes progress notes in a manner that individualizes each note, reflecting appropriate interventions and progress towards goals. Concurrent documentation is expected in collaboration with the parents. 7. Progress notes will be completed and signed either the same day of the service or by 9:00 the following business day. Notes for services that are completed on Friday will be completed and signed by the end of that day. 8. Certified Parent Peer Specialist will assist parents with participation, education, and support during times of child's hospitalization, with focus on the transition of treatment from hospitals back home. Parent Peer Support will aid parents in ensuring follow-up care within 3 days after hospitalization, developing transition plans, ensuring all medication information is updated and assessing community safety as appropriate. 9. Certified Parent Peer Specialist will assist parents with problem solving, accessing resources, completing referrals, treatment plan reviews, scheduling to meet identified needs/goals, facilitation and coordination of ancillary services and ensuring follow up with appointments. 10. This position services as a liaison between providers and parents as needed for service coordination and mutual understanding of treatment needs. 11. Participates in the treatment plan process with families to ensure parents are supported and assisting with updates and goal development as needed. 12. Provides access to supports by assisting parents in obtaining access to needed medical, social, educational, employment and other services - including assisting with arranging transportation to needed services. 13. Employs strategies in working with parents using Evidence Based or Best Practice interventions. Ensures family support by increasing the knowledge of their support system about the youth's condition, and advocating on behalf of the client/family. 14. Monitors status of youth and provides level of personal and other supports needed for parents consistent with youth status. Provides referrals to community supports and resources to ensure that needed services are available and accessed such as long-term care, substance abuse services, housing, transportation, employment, personal care, and basic needs. 15. Demonstrates excellent communication with Case Managers and other service providers to maintain a collaborative and strong approach to participation with the treatment team. 16. Assists parents with crisis situations and/or in developing a crisis plan in conjunction with assigned Case Manager. Completes Crisis Communication, Transition In Care Form and any other appropriate communication/contacts during times of crisis. This includes collaboration with external providers involved in consumer cases and COMCARE Crisis as necessary. 17. Provides comprehensive transitional care with parents in conjunction with Case Manager following an in or out-of-school suspension or expulsion including evaluation of behaviors that led to displacement, current services in place, a plan for out of school time, determining if safety plan is needed, and in collaboration with the treatment team and school. 18. Demonstrates exceptional communication and relationships with schools. Attends 504 and IEP meetings with parents. Works with parents to problem solve area's of concern with school and serves as a liaison between school and parents as needed to ensure support, understanding, and needs of youth are being met. OTHER POSITION REQUIREMENTS: Maintains acceptable overall attendance record, to include department staff meetings, agency meetings, and trainings as required. Ensures appropriate notification to supervisor for absences and ensures that work is covered. Flexible in work schedule when needed. Exhibits appropriate level of technical knowledge for the position. Produces quantity of work necessary to meet job requirements. Works well with a team, keeps others informed of information needed. Treats others with respect, maintaining a spirit of cooperation. Maintains effective and professional verbal and written interactions with peers, customers, supervisors, and other staff. Uses diplomacy and tact in dealing with difficult situations or people. Demonstrates effective listening skills. Is receptive to constructive feedback. Demonstrates the ability and willingness to handle new assignments, changes in procedures and business requirements. Identifies what needs to be done and takes appropriate action. Completes assigned work, meets deadlines without reminders/follow-up from supervisor or others. Performs work conscientiously with a high degree of accuracy. Meets goals and objectives as mutually agreed upon during last performance review (if applicable). POSITION REQUIREMENTS: Applicants must have lived experience in raising a youth with SED, Substance Use, or cooccurring. Computer literacy required. Preferred areas include knowledge of youth and mental health, school resources, community resources, housing alternatives and vocational services; ability to write and communicate verbally in a clear and concise fashion; and the ability to develop and maintain rapport with youth, family, constituents and staff. A valid Kansas drivers license and access to personal vehicle required. PHYSICAL REQUIREMENTS: * Driving (for purposes of community mobility) * Typing/data entry, writing * Lifting/carrying up to 30 pounds * Bending/Stooping/Climbing All the above duties and responsibilities are considered essential job functions subject to reasonable accommodation. All job requirements listed indicate the minimum level of knowledge, skills and/or ability deemed necessary to perform the job proficiently. This job description is not to be construed as a detailed statement of duties, responsibilities, or requirements. Employees may be required to perform any other job-related instructions as requested by their supervisors, subject to reasonable accommodation. EEO race, color, religion, sex, parental status, national origin, age, disability, genetic information, political affiliation, military service, or other non-merit based factors.

Full-time Description FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Coordinator of Adult Case Management; Adult Case Management Team Lead POSITIONS SUPERVISED: N/A POSITION OVERVIEW: The Certified Peer Specialist (CPS) is responsible for utilizing his/her own recovery story to help consumers to develop skills necessary to recovery. The goal of peer support is for the consumer to regain control of his/her own life and recovery process by helping consumers to develop a network for information/support, assisting consumers to regain the ability to make independent choices and take a proactive role in treatment, and assisting consumers with identification and response to precursors/triggers of mental health symptoms. The CPS will demonstrate competency in recovery and the ability to self-manage symptoms with on-going coping skills. The CPS will be expected to provide the majority of consumer contact in community locations that concur with where the consumer lives, works, attends school, and/or socializes. ESSENTIAL POSITION RESPONSIBILITIES: Provides services in order to maintain required productivity/billing standard set by the department. Meets deadlines and ensures accuracy of various reports/paperwork, mileage sheets, and electronic timesheets. Provides peer support (PSI) services in accordance with the consumer's treatment plan goals. Maintains accurate and timely documentation of service provision. Completes progress notes in a manner that individualizes each note, reflecting appropriate interventions and progress towards goals. Submits required progress notes/billing information in a timely manner as per agency, MCO/Medicaid, and COMCARE guidelines and contracts. Assists consumers in communicating and setting personal goals and objectives for recovery for their individual treatment plan. Assists consumers in obtaining or sharing information in a group or individual (one- on-one) setting to aid in the recovery process. Assists consumers in developing or using a recovery plan, i.e. Wellness Recovery Action Plan (WRAP). The plan will include utilizing and teaching problem-solving techniques, building social skills, learning to combat negative self-talk, and learning to identify and overcome precursors and triggers that can impair daily function. Assists and teaches consumers to communicate, advocate, and make informed choices in all areas of their lives which include, but are not limited to: medications, diagnosis, treatment, housing, employment, and education. Models effective coping skills and self-help strategies. Provides consistency in services to consumers by arriving on time to scheduled appointments and/or notifying consumers in the event of tardiness. Observes and notifies supervisor of changes in consumer condition. Requirements OTHER POSITION REQUIREMENTS: Maintains acceptable overall attendance record, to include department staff meetings, agency meetings, and trainings as required. Ensures appropriate notification to supervisor for absences, and ensures that work is covered. Flexible in work schedule when needed. Must have access to a reliable personal vehicle and be able to transport consumers on a regular basis as part of the job essential job responsibilities. Exhibits appropriate level of technical knowledge for the position. Produces quantity of work necessary to meet job requirements. Works well with a team, keeps others informed of information needed. Treats others with respect, maintaining a spirit of cooperation. Maintains effective and professional verbal and written interactions with peers, customers, supervisors and other staff. Uses diplomacy and tact in dealing with difficult situations or people. Demonstrates effective listening skills. Is receptive to constructive feedback. Demonstrates the ability and willingness to handle new assignments, changes in procedures and business requirements. Identifies what needs to be done and takes appropriate action. Completes assigned work, meets deadlines without reminders/follow-up from supervisor or others. Performs work conscientiously with a high degree of accuracy. POSITION REQUIREMENTS: The CPS must be at least 18 years old and is expected to be reliable and possess the ability to interact and communicate effectively (verbal and written) with supervisors, co-workers, and consumers. The CPS must complete all required Kansas Certified Peer Support Trainings within one year of employment. The CPS must possess basic computer and typing skills. The position requires the applicant to self identify as a present or former, primary consumer of mental health services. Skills in working with people and the ability to respond appropriately to a variety of situations are essential. Must have a valid driver's license, driving record in good standing, reliable personal transportation, and be able to safely operate and transport consumers using their own vehicle as required by the position. Proof of valid auto insurance is required. Approved mileage will be reimbursed in accordance with company policy. PHYSICAL REQUIREMENTS: * Driving (for the purposes of community mobility) * Extensive writing/note taking * Lifting/carrying up to 30 pounds * Bending/stooping/climbing stairs * Typing for extended periods of time * Sitting for extended periods of time All the above duties and responsibilities are considered essential job functions subject to reasonable accommodation. All job requirements listed indicate the minimum level of knowledge, skills and/or ability deemed necessary to perform the job proficiently. This job description is not to be construed as a detailed statement of duties, responsibilities or requirements. Employees may be required to perform any other job-related instructions as requested by their supervisors, subject to reasonable accommodation. EEO race, color, religion, sex, parental status, national origin, age, disability, genetic information, political affiliation, military service, or other non-merit based factors.

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

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.