Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Facility: Remote ND (Fargo)
Location: Fargo, ND
Address:
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $21.50 - $34.50
Department Details
Remote Position.
Job Summary
The Cancer Registrar, Certified holds the Oncology Data Specialist (ODS) certification and independently abstracts all cancer sites into the Cancer Registry while meeting quality standards. This role efficiently and effectively performs all cancer registry workflows including case finding, abstracting, patient follow-up, and safety net workflows. Independently analyzes and interprets clinical and demographic data and determine appropriateness of case inclusion in cancer database. Identifies, codes and abstracts records of all eligible cancer patients (analytic and non-analytic), utilizing the cancer registry data system within the guidelines and requirements of the American College of Surgeons CoC, State, Cancer Registry standard setters, and other applicable requirements.
Completes abstracting in a multi-facility database structure, analyzes cases for inclusion or exclusion, performs patient follow-up analysis, and is able to complete all safety net workflows. Maintains work performance within production and quality guidelines. Works proficiently in Epic workflows.
Completes necessary continuing education to maintain ODS certification, compliance with CoC accreditation standards, and maintains current knowledge of guidance/updates issues by cancer registry standard setters. Possesses knowledge of ICD-10, ICD-0, and morphology coding. Requires extensive knowledge of anatomy, physiology, disease processes, and current standards of care.
Adheres to, displays and upholds the Sanford Values. Serves as a role model on professionalism, attitude, knowledge, demeanor and execution of duties. Regularly uses critical thinking skills, problem solving and decision making skills in the course of work. Possesses attributes to include: Skillful and flexible at managing change. Understands a systems approach to problem solving. Possesses excellent written and oral communication skills. Well organized. Willingness and ability to make decisions and be accountable for same. Flexibility, creativity and a willingness to implement new ideas.
Knowledgeable in computer hardware and software applications including Microsoft Office, electronic medical records (EMR) and Cancer Registry database. Ability to work with team members in remote locations using a variety of technologies. Works extensively with electronic medical records and protected health information and is required to adhere to Health Insurance Portability and Accountability Act (HIPAA) privacy and security regulations and policies related to the same.
Qualifications
Oncology Data Specialist certified through the National Cancer Registrars Association is required and must meet post-secondary education requirements of NCRA.
Minimum of one year Cancer Registry experience is preferred.
Oncology Data Specialist certified through the National Cancer Registrars Association is required.
Benefits
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Req Number: R-0246126
Job Function: Revenue Cycle
Featured: No
$21.5-34.5 hourly 6d ago
Looking for a job?
Let Zippia find it for you.
Lead Health Information Management Technician
Altru Health System 4.6
Grand Forks, ND jobs
Everything we do is underscored by a why - and that why is one another. Pay Range: $17.92 - $26.88 The HIM Lead position is responsible for helping in the Release of Information, HIM Technician duties and Data Integrity areas as needed. This position will be accountable for productivity reports and supporting the HIM manager with review of policies/procedures for the HIM department.
Essential Job Functions:
Ensures that PHI and business information are available only to authorized clinicians and used for authorized purposes.
Monitors the Pneumatic Tube System and all incoming inpatient and/or outpatient documentation to the HIM department to be processed, prepped, sorted, indexed, and scanned.
Ensures complete and accurate health records by working closely within all operational areas of HIM using knowledge of all HIM workstations, all relevant hospital systems, and interfaces and workflows to analyze, correct, and make suggestions for enhancement and improvement processes within the department and Epic.
Reviews requests for Protected Health Information (PHI) to ensure the request is HIPAA compliant. Retrieves requested PHI and processes requests according to established policies and procedures.
Processes subpoenas/dispositions/court orders and potential HIPAA breaches collaboratively with the HIM Manager, HIPAA Privacy Officer, and Risk management in complying with patient rights to inspect, amend, correct, restrict, and release PHI.
Validates, verifies, and monitors all information contained in the database and in reports against information in the system to ensure the integrity of the data.
Maintains accuracy of Altru Health System's Master patient index by following up on medical records numbers and/or account numbers by validation of patient, eliminating duplication, and maintaining accuracy.
Generates reports requested from ancillary departments, providers, and administration as well as distribution of Productivity Reports within the teams.
Assists in the development, testing, analysis implementations, and maintenance of HIM Systems.
Performs other duties as assigned or needed to meet the needs of the department/organization.
Certification
Registered Health Information Technician (RHIT) | American Health Information Management Association (AHIMA) | Preferred | HR Primary Sources
Work Experience:
• Required: A minimum of 3 years Related Experience
Language Requirements:
This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands :
• Sit: Frequently (34-66%)
• Stand: Occasionally (5-33%)
• Walk: Occasionally (5-33%)
• Stoop/Bend: Occasionally (5-33%)
• Reach: Frequently (34-66%)
• Crawl: Not Applicable
• Squat/Crouch/Kneel: Occasionally (5-33%)
• Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
• See: Continuously (67-100%)
• Hear: Continuously (67-100%)
Weight Demands:
• Lift -Floor to Waist Level: Sedentary (
• Carry: Sedentary (
• Push/Pull: Sedentary (
• Slide/Transfer: Not Applicable
Working Conditions:
• Indoor: Continuously (67-100%)
• Outdoor: Not Applicable
• Extreme Temperature: Not Applicable
Driving Requirement Definitions:
Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position:
Infrequent Driver
Reference ID: R6752
Making a real difference. For one another.
To take the best care of our patients and community - including friends, family, and neighbors - we need people who are committed to growth, excellence, and one another.
At Altru, you'll find a culture where support and teamwork are at the heart of what we do. You'll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)
$17.9-26.9 hourly 1d ago
Senior HB Coder-Remote
Mayo Clinic Health System 4.8
Rochester, MN jobs
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
* Medical: Multiple plan options.
* Dental: Delta Dental or reimbursement account for flexible coverage.
* Vision: Affordable plan with national network.
* Pre-Tax Savings: HSA and FSAs for eligible expenses.
* Retirement: Competitive retirement package to secure your future.
Responsibilities
The Hospital Senior Coder is responsible for working collaboratively with various team members such as physicians and other hospital administration. This position coordinates with others as needed to ensure comprehensive and timely completion of hospital coding processes. This position will mentor, instruct and/or train other Hospital Coders in compliant coding standards (ICD-10 coding conventions, Official ICD-10 Reporting Guidelines, Coding Clinic, etc.). The Hospital Senior Coder reviews, interprets, and translates provider medical diagnostic and procedural information documentation into appropriate codes following hospital inpatient and/or outpatient claims and reporting requirements
Qualifications
High School diploma and 7 years hospital inpatient coding and/or hospital outpatient coding experience
OR
Associate's Degree and 5 years hospital inpatient coding and/or hospital outpatient coding experience required;
Bachelor's Degree in a healthcare related field preferred.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC).
Knowledge and experience with inpatient or coding guidelines and facility claim rules along with appropriate coding skills: ICD-10-CM diagnosis assignment, ICD-10-PCS procedure assignment, DRG assignment (e.g., MS-DRG and APR-DRG) for SOI and ROM, CPT procedure assignment, HCPCS assignment and/or modifier assignment. Experience with Experience with National Correct Coding Initiative (CCI) edits, National Coverage Determinations (NCD), Local Coverage Determinations (LCD), Coding Clinic, Coding Clinics for HCPCS, Current Procedural Terminology (CPT) Assistant coding guidelines, and official ICD-10 guidelines for Coding and Reporting. In-depth knowledge of medical terminology, anatomy and physiology, simple to complex disease processes, pathophysiology, and pharmacology. Knowledge and experience with principles, methods, and techniques related to compliant healthcare billing. Knowledge and experience with coding and billing requirements for services furnished in teaching settings. Knowledge of coding and billing requirements for provider based (PBB) facilities and critical access hospital (CAH). Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, is attentive to detail, demonstrate follow through skills and maintain a positive attitude. Registered Health Information Administrator (RHIA), Healthcare Financial Management Association (HFMA) Certification Preferred.
* This position is a 100% remote work. Individual may live anywhere in the US.
This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Exemption Status
Nonexempt
Compensation Detail
$30.25 -$45.01 / hour
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
80
Schedule Details
Monday-Friday Business Hours
Weekend Schedule
N/A
International Assignment
No
Site Description
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Recruiter
Ronnie Bartz
$30.3-45 hourly 4d ago
Senior HB Coder-Remote
Mayo Clinic 4.8
Rochester, MN jobs
**Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (************************************** - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
**Benefits Highlights**
+ Medical: Multiple plan options.
+ Dental: Delta Dental or reimbursement account for flexible coverage.
+ Vision: Affordable plan with national network.
+ Pre-Tax Savings: HSA and FSAs for eligible expenses.
+ Retirement: Competitive retirement package to secure your future.
**Responsibilities**
The Hospital Senior Coder is responsible for working collaboratively with various team members such as physicians and other hospital administration. This position coordinates with others as needed to ensure comprehensive and timely completion of hospital coding processes. This position will mentor, instruct and/or train other Hospital Coders in compliant coding standards (ICD-10 coding conventions, Official ICD-10 Reporting Guidelines, Coding Clinic, etc.). The Hospital Senior Coder reviews, interprets, and translates provider medical diagnostic and procedural information documentation into appropriate codes following hospital inpatient and/or outpatient claims and reporting requirements
**Qualifications**
High School diploma and 7 years hospital inpatient coding and/or hospital outpatient coding experience
OR
Associate's Degree and 5 years hospital inpatient coding and/or hospital outpatient coding experience required;
Bachelor's Degree in a healthcare related field preferred.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC).
Knowledge and experience with inpatient or coding guidelines and facility claim rules along with appropriate coding skills: ICD-10-CM diagnosis assignment, ICD-10-PCS procedure assignment, DRG assignment (e.g., MS-DRG and APR-DRG) for SOI and ROM, CPT procedure assignment, HCPCS assignment and/or modifier assignment. Experience with Experience with National Correct Coding Initiative (CCI) edits, National Coverage Determinations (NCD), Local Coverage Determinations (LCD), Coding Clinic, Coding Clinics for HCPCS, Current Procedural Terminology (CPT) Assistant coding guidelines, and official ICD-10 guidelines for Coding and Reporting. In-depth knowledge of medical terminology, anatomy and physiology, simple to complex disease processes, pathophysiology, and pharmacology. Knowledge and experience with principles, methods, and techniques related to compliant healthcare billing. Knowledge and experience with coding and billing requirements for services furnished in teaching settings. Knowledge of coding and billing requirements for provider based (PBB) facilities and critical access hospital (CAH). Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, is attentive to detail, demonstrate follow through skills and maintain a positive attitude. Registered Health Information Administrator (RHIA), Healthcare Financial Management Association (HFMA) Certification Preferred.
***This position is a 100% remote work. Individual may live anywhere in the US.**
****This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.**
_During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps._
**Exemption Status**
Nonexempt
**Compensation Detail**
$30.25 -$45.01 / hour
**Benefits Eligible**
Yes
**Schedule**
Full Time
**Hours/Pay Period**
80
**Schedule Details**
Monday-Friday Business Hours
**Weekend Schedule**
N/A
**International Assignment**
No
**Site Description**
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. (*****************************************
**Equal Opportunity**
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" (**************************** . Mayo Clinic participates in E-Verify (******************************************************************************************** and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
**Recruiter**
Ronnie Bartz
**Equal opportunity**
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
$30.3-45 hourly 42d ago
Coding Specialist II, Remote
Brigham and Women's Hospital 4.6
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
This position will be coding for vascular surgery.
Job Summary
Summary:
Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement. Participates in peer review to ensure accuracy and timeliness standards are maintained. Resolve complex coding questions that arise from team.
Does this position require Patient Care? No
Essential Functions
* Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines.
* Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes.
* Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
* Manages complex coding situations and supports peers through challenging questions.
* Peer reviews records for management to ensure accuracy of information.
* Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
* Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
* Identifies reportable elements, complications, and other procedures.
Qualifications
Education
High School Diploma or Equivalent required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Experience
Medical Coding Experience 2-3 years required
Knowledge, Skills and Abilities
* In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
* Strong understanding of coding guidelines, regulations, and industry best practices.
* Excellent leadership and team management skills, with the ability to motivate and develop coding team members.
* Strong communication and interpersonal skills to effectively collaborate with healthcare providers, coders, and other stakeholders.
* Strong problem-solving skills to address coding-related challenges and implement effective solutions.
* Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$21.8-31.1 hourly Auto-Apply 8d ago
Coding Specialist II, Remote
Brigham and Women's Hospital 4.6
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
This role is on the Medical Specialties team.
Seeking experience coding in:
Primary care
E&M
Endocrine
Hematology
Job Summary
Summary:
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.
Does this position require Patient Care? No
Essential Functions
Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
* Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
* Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
* Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
* Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
* Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
* Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
Qualifications
Education
High School Diploma or Equivalent required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
Medical Coding Experience 3-5 years required
Knowledge, Skills and Abilities
* In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
* Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
* Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
* Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
* Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
* Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$21.8-31.1 hourly Auto-Apply 43d ago
Coder Lead Facility - Day Surgery/Observation
Aurora Health Care 4.7
Oklahoma jobs
Department:
10347 Enterprise Revenue Cycle - Coding Production Operations: Outpatient Coding Operations
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Full time first shift
This is a REMOTE opportunity
Preferred certifications include: CCA, CCS, RHIT, RHIA
Pay Range
$30.70 - $46.05
Major Responsibilities:
Acts as a resource and role model to team members, which includes training/orienting, providing day-to-day work direction, and giving input on performance. Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues.
Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers. Meets or exceeds department quality and production standards.
Performs informal quality reviews on a monthly basis providing coding education to coding team members for accuracy. May assist with provider education/orientation regarding policy requirements of federal and state government agencies.
Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding guidelines, procedures and protocols. Detects, reports and acts as a resource to assist in resolving billing compliance issues. Serves as liaison between business office, medical records, patient care and/or coding department by providing feedback to caregivers and leaders.
Responsible for processing denial management claims and addressing patient concerns. Serves as a resource to caregivers regarding pre-authorizations, referrals, and estimating charges prior to a patient's visit. Coordinates payer audit reviews and acts as a resource for coding-related audits.
Participates in various department projects including but not limited to researching new services, claim scrubbing, quality checks/assessing errors, presenting demonstrations, etc. Acts as the system/application administrator; ensures the integrity of the system and recognizes performance issues. Performs calibration and troubleshooting procedures and escalates unresolved issues as needed.
Suggests modifications to current policies and procedures that are needed to coincide with requirements of insurance payers. Serves as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver.
Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate.
Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
Meets and exceeds departmental quality (95% or more) and productivity standards (100%). Achieves productivity expectations to support discharged not final billed (DNFB). Assist in the production of annual edit review based on CPT, ICD and HCPCS changes as well as assist in development of edits based on publications and society updates.
Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time. Answer and prioritize correspondence at all levels e.g., coding assistants, coders, leads, supervisors, and managers.
Licensure, Registration, and/or Certification Required:
Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
Education Required:
Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist (or equivalent experience)
Experience Required:
Typically requires 7 years of experience in professional coding that includes experiences in revenue cycle processes and health information workflows or related health care leadership experience.
Knowledge, Skills & Abilities Required:
Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. Knowledgeable in researching coding related topics and issues.
Advanced profiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
Excellent computer skills including the use of Microsoft officeproducts, electronic mail, including exposure or experience with electronic coding systems or applications.
Excellent communication (oral and written) and interpersonal skills.
Excellent organization, prioritization, and reading comprehension skills.
Excellent analytical skills, with a high attention to detail.
Ability to work independently and exercise independent judgment and decision making.
Ability to meet deadlines while working in a fast-paced environment.
Ability to take initiative and work collaboratively with others.
Physical Requirements and Working Conditions:
Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able to continuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
Operates all equipment necessary to perform the job.
This indicates the general nature and level of work expected of the incumbent. It is not designed
to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
#REMOTE
#LI - REMOTE
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$30.7-46.1 hourly Auto-Apply 4d ago
Hospital Inpatient Coder II-Remote
Mayo Clinic 4.8
Rochester, MN jobs
**Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (************************************** - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
**Benefits Highlights**
+ Medical: Multiple plan options.
+ Dental: Delta Dental or reimbursement account for flexible coverage.
+ Vision: Affordable plan with national network.
+ Pre-Tax Savings: HSA and FSAs for eligible expenses.
+ Retirement: Competitive retirement package to secure your future.
**Responsibilities**
The HB IP Coder reviews, interprets, and translates provider medical diagnostic and procedural documentation into appropriate codes following hospital inpatient claims and reporting requirements. The HB Inpatient Coder initiates provider queries as needed to support accurate and comprehensive code assignment.
**Qualifications**
Associate degree required and a minimum of 3 years of relevant hospital inpatient coding experience.
Bachelor's Degree preferred.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) required.
Knowledge of hospital inpatient coding principles including Diagnosis Related Group (DRG) assignment logic, conditions affecting hospital quality measures such as Hospital Acquired Conditions, Present on Admission, and HCCs.
Ability to work concurrently in a fast-paced environment with identified productivity requirements and with individuals having diverse personalities and work styles.
Requires strong accuracy, attentiveness to detail and time management skills for translating complex medical documentation into diagnostic classification system codes.
In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process.
***This position is a 100% remote work. Individual may live anywhere in the US.**
****This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.**
_During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps._
**Exemption Status**
Nonexempt
**Compensation Detail**
$28.80 - $38.89/ hour
**Benefits Eligible**
Yes
**Schedule**
Full Time
**Hours/Pay Period**
80
**Schedule Details**
M-F
**International Assignment**
No
**Site Description**
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. (*****************************************
**Equal Opportunity**
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" (**************************** . Mayo Clinic participates in E-Verify (******************************************************************************************** and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
**Recruiter**
Ronnie Bartz
**Equal opportunity**
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
$28.8-38.9 hourly 60d+ ago
Surgical Coder II-Remote
Mayo Clinic 4.8
Rochester, MN jobs
**Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (************************************** - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
**Benefits Highlights**
+ Medical: Multiple plan options.
+ Dental: Delta Dental or reimbursement account for flexible coverage.
+ Vision: Affordable plan with national network.
+ Pre-Tax Savings: HSA and FSAs for eligible expenses.
+ Retirement: Competitive retirement package to secure your future.
**Responsibilities**
The Surgical Coder reviews, analyzes, and codes professional/physician medical record documentation to include, but not limited to, medical diagnostic and procedural information for various practices. This coder works collaboratively with surgeons to ensure the accuracy of the code sets on the surgical case.
There are currently 2 openings:
1. The preferred candidate will have professional surgical **coding experience in Urology and Gynecology.**
2. The preferred candidate will have professional surgical **coding experience in Plastic Surgery**
**Qualifications**
High School diploma and 6 years of physician/professional/procedural/surgical coding experience
OR
Associate's Degree and 4 years of physician/professional/procedural/surgical coding experience required; Bachelor's Degree preferred.
Minimum of 4 years of physician/professional/procedural/surgical coding experience.
1. Knowledge of professional/physician coding rules for specialized surgical professionals. Experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
2. In-depth knowledge of medical terminology, surgical procedures, disease processes, patient health record content and the medical record coding process.
3. Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections.
4. Knowledge of coding and billing requirements for services furnished in a teaching settings.
5. Knowledge of coding and billing requirements for provider based billing facilities.
6. Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, is attentive to detail, demonstrate follow through skills and maintain a positive attitude.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist - Physician (CCS-P) or a coding credential of a Certified Professional Coder (CPC) **required.**
Healthcare Financial Management Association (HFMA) Certification Preferred.
***This position is a 100% remote work. Individual may live anywhere in the US.**
****This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.**
_During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps._
**Exemption Status**
Nonexempt
**Compensation Detail**
$28.80 -$38.89 / hour
**Benefits Eligible**
Yes
**Schedule**
Full Time
**Hours/Pay Period**
80
**Schedule Details**
40 hours M-F
**International Assignment**
No
**Site Description**
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. (*****************************************
**Equal Opportunity**
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" (**************************** . Mayo Clinic participates in E-Verify (******************************************************************************************** and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
**Recruiter**
Ronnie Bartz
**Equal opportunity**
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
$28.8-38.9 hourly 40d ago
Hospital Inpatient Coder II-Remote
Mayo Clinic Health System 4.8
Rochester, MN jobs
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
* Medical: Multiple plan options.
* Dental: Delta Dental or reimbursement account for flexible coverage.
* Vision: Affordable plan with national network.
* Pre-Tax Savings: HSA and FSAs for eligible expenses.
* Retirement: Competitive retirement package to secure your future.
Responsibilities
The HB IP Coder reviews, interprets, and translates provider medical diagnostic and procedural documentation into appropriate codes following hospital inpatient claims and reporting requirements. The HB Inpatient Coder initiates provider queries as needed to support accurate and comprehensive code assignment.
Qualifications
Associate degree required and a minimum of 3 years of relevant hospital inpatient coding experience.
Bachelor's Degree preferred.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) required.
Knowledge of hospital inpatient coding principles including Diagnosis Related Group (DRG) assignment logic, conditions affecting hospital quality measures such as Hospital Acquired Conditions, Present on Admission, and HCCs.
Ability to work concurrently in a fast-paced environment with identified productivity requirements and with individuals having diverse personalities and work styles.
Requires strong accuracy, attentiveness to detail and time management skills for translating complex medical documentation into diagnostic classification system codes.
In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process.
* This position is a 100% remote work. Individual may live anywhere in the US.
This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Exemption Status
Nonexempt
Compensation Detail
$28.80 - $38.89/ hour
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
80
Schedule Details
M-F
International Assignment
No
Site Description
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Recruiter
Ronnie Bartz
$28.8-38.9 hourly 14d ago
Surgical Coder II-Remote
Mayo Clinic Health System 4.8
Rochester, MN jobs
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
* Medical: Multiple plan options.
* Dental: Delta Dental or reimbursement account for flexible coverage.
* Vision: Affordable plan with national network.
* Pre-Tax Savings: HSA and FSAs for eligible expenses.
* Retirement: Competitive retirement package to secure your future.
Responsibilities
The Surgical Coder reviews, analyzes, and codes professional/physician medical record documentation to include, but not limited to, medical diagnostic and procedural information for various practices. This coder works collaboratively with surgeons to ensure the accuracy of the code sets on the surgical case.
There are currently 2 openings:
* The preferred candidate will have professional surgical coding experience in Urology and Gynecology.
* The preferred candidate will have professional surgical coding experience in Plastic Surgery
Qualifications
High School diploma and 6 years of physician/professional/procedural/surgical coding experience
OR
Associate's Degree and 4 years of physician/professional/procedural/surgical coding experience required; Bachelor's Degree preferred.
Minimum of 4 years of physician/professional/procedural/surgical coding experience.
1. Knowledge of professional/physician coding rules for specialized surgical professionals. Experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
2. In-depth knowledge of medical terminology, surgical procedures, disease processes, patient health record content and the medical record coding process.
3. Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections.
4. Knowledge of coding and billing requirements for services furnished in a teaching settings.
5. Knowledge of coding and billing requirements for provider based billing facilities.
6. Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, is attentive to detail, demonstrate follow through skills and maintain a positive attitude.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist - Physician (CCS-P) or a coding credential of a Certified Professional Coder (CPC) required.
Healthcare Financial Management Association (HFMA) Certification Preferred.
* This position is a 100% remote work. Individual may live anywhere in the US.
This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Exemption Status
Nonexempt
Compensation Detail
$28.80 -$38.89 / hour
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
80
Schedule Details
40 hours M-F
International Assignment
No
Site Description
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Recruiter
Ronnie Bartz
$28.8-38.9 hourly 41d ago
Procedural-Surgical Coder I-Remote
Mayo Clinic Health System 4.8
Rochester, MN jobs
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
* Medical: Multiple plan options.
* Dental: Delta Dental or reimbursement account for flexible coverage.
* Vision: Affordable plan with national network.
* Pre-Tax Savings: HSA and FSAs for eligible expenses.
* Retirement: Competitive retirement package to secure your future.
Responsibilities
The Procedural Coder reviews, analyzes, and codes professional/physician medical record documentation to include, but not limited to, medical diagnostic and procedural information for various practices.
Qualifications
High School diploma and 4 years procedural/surgical coding experience (non-Mayo) or 4 years non-surgical Mayo Clinic coding experience
OR
Associate's Degree and 2 years procedural/surgical coding experience (non-Mayo) or 2 years non-surgical Mayo Clinic coding experience required;
Bachelor's Degree preferred.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist - Physician (CCS-P) or a coding credential of a Certified Professional Coder (CPC) required.
Healthcare Financial Management Association (HFMA) Certification Preferred.
The Preferred applicant will have prior experience with Orthopedic outpatient and clinic procedures.
1. Knowledge of professional/physician coding rules for specialized medical and surgical professionals. Experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
2. In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process.
3. Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections.
4. Knowledge of coding and billing requirements for services furnished in a teaching settings.
5. Knowledge of coding and billing requirements for provider based billing facilities.
6. Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, is attentive to detail, demonstrate follow through skills and maintain a positive attitude.
* This position is a 100% remote work. Individual may live anywhere in the US.
This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Exemption Status
Nonexempt
Compensation Detail
$27.44 -$37.04 / hour
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
80
Schedule Details
Standard M-F Days
International Assignment
No
Site Description
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Recruiter
Ronnie Bartz
$27.4-37 hourly 2d ago
Senior HB Coder-Remote
Mayo Clinic 4.8
Rochester, MN jobs
The Hospital Senior Coder is responsible for working collaboratively with various team members such as physicians and other hospital administration. This position coordinates with others as needed to ensure comprehensive and timely completion of hospital coding processes. This position will mentor, instruct and/or train other Hospital Coders in compliant coding standards (ICD-10 coding conventions, Official ICD-10 Reporting Guidelines, Coding Clinic, etc.). The Hospital Senior Coder reviews, interprets, and translates provider medical diagnostic and procedural information documentation into appropriate codes following hospital inpatient and/or outpatient claims and reporting requirements
High School diploma and 7 years hospital inpatient coding and/or hospital outpatient coding experience
OR
Associate's Degree and 5 years hospital inpatient coding and/or hospital outpatient coding experience required;
Bachelor's Degree in a healthcare related field preferred.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC).
Knowledge and experience with inpatient or coding guidelines and facility claim rules along with appropriate coding skills: ICD-10-CM diagnosis assignment, ICD-10-PCS procedure assignment, DRG assignment (e.g., MS-DRG and APR-DRG) for SOI and ROM, CPT procedure assignment, HCPCS assignment and/or modifier assignment. Experience with Experience with National Correct Coding Initiative (CCI) edits, National Coverage Determinations (NCD), Local Coverage Determinations (LCD), Coding Clinic, Coding Clinics for HCPCS, Current Procedural Terminology (CPT) Assistant coding guidelines, and official ICD-10 guidelines for Coding and Reporting. In-depth knowledge of medical terminology, anatomy and physiology, simple to complex disease processes, pathophysiology, and pharmacology. Knowledge and experience with principles, methods, and techniques related to compliant healthcare billing. Knowledge and experience with coding and billing requirements for services furnished in teaching settings. Knowledge of coding and billing requirements for provider based (PBB) facilities and critical access hospital (CAH). Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, is attentive to detail, demonstrate follow through skills and maintain a positive attitude. Registered Health Information Administrator (RHIA), Healthcare Financial Management Association (HFMA) Certification Preferred.
*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
$57k-71k yearly est. Auto-Apply 6d ago
Surgical Coder II-Remote
Mayo Clinic 4.8
Rochester, MN jobs
The Surgical Coder reviews, analyzes, and codes professional/physician medical record documentation to include, but not limited to, medical diagnostic and procedural information for various practices. This coder works collaboratively with surgeons to ensure the accuracy of the code sets on the surgical case.
There are currently 2 openings:
The preferred candidate will have professional surgical coding experience in Urology and Gynecology.
The preferred candidate will have professional surgical coding experience in Plastic Surgery
High School diploma and 6 years of physician/professional/procedural/surgical coding experience
OR
Associate's Degree and 4 years of physician/professional/procedural/surgical coding experience required; Bachelor's Degree preferred.
Minimum of 4 years of physician/professional/procedural/surgical coding experience.
1. Knowledge of professional/physician coding rules for specialized surgical professionals. Experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
2. In-depth knowledge of medical terminology, surgical procedures, disease processes, patient health record content and the medical record coding process.
3. Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections.
4. Knowledge of coding and billing requirements for services furnished in a teaching settings.
5. Knowledge of coding and billing requirements for provider based billing facilities.
6. Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, is attentive to detail, demonstrate follow through skills and maintain a positive attitude.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist - Physician (CCS-P) or a coding credential of a Certified Professional Coder (CPC) required.
Healthcare Financial Management Association (HFMA) Certification Preferred.
*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
$57k-71k yearly est. Auto-Apply 42d ago
Hospital Inpatient Coder II-Remote
Mayo Clinic 4.8
Rochester, MN jobs
The HB IP Coder reviews, interprets, and translates provider medical diagnostic and procedural documentation into appropriate codes following hospital inpatient claims and reporting requirements. The HB Inpatient Coder initiates provider queries as needed to support accurate and comprehensive code assignment.
Associate degree required and a minimum of 3 years of relevant hospital inpatient coding experience.
Bachelor's Degree preferred.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) required.
Knowledge of hospital inpatient coding principles including Diagnosis Related Group (DRG) assignment logic, conditions affecting hospital quality measures such as Hospital Acquired Conditions, Present on Admission, and HCCs.
Ability to work concurrently in a fast-paced environment with identified productivity requirements and with individuals having diverse personalities and work styles.
Requires strong accuracy, attentiveness to detail and time management skills for translating complex medical documentation into diagnostic classification system codes.
In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process.
*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
$57k-71k yearly est. Auto-Apply 14d ago
Procedural-Surgical Coder I-Remote
Mayo Clinic 4.8
Rochester, MN jobs
The Procedural Coder reviews, analyzes, and codes professional/physician medical record documentation to include, but not limited to, medical diagnostic and procedural information for various practices.
High School diploma and 4 years procedural/surgical coding experience (non-Mayo) or 4 years non-surgical Mayo Clinic coding experience
OR
Associate's Degree and 2 years procedural/surgical coding experience (non-Mayo) or 2 years non-surgical Mayo Clinic coding experience required;
Bachelor's Degree preferred.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist - Physician (CCS-P) or a coding credential of a Certified Professional Coder (CPC) required.
Healthcare Financial Management Association (HFMA) Certification Preferred.
The Preferred applicant will have prior experience with Orthopedic outpatient and clinic procedures.
1. Knowledge of professional/physician coding rules for specialized medical and surgical professionals. Experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
2. In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process.
3. Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections.
4. Knowledge of coding and billing requirements for services furnished in a teaching settings.
5. Knowledge of coding and billing requirements for provider based billing facilities.
6. Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, is attentive to detail, demonstrate follow through skills and maintain a positive attitude.
*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
$57k-71k yearly est. Auto-Apply 3d ago
Coder III - Cardiology
Aurora Health Care 4.7
Sheboygan, WI jobs
Department:
13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical and Complex
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Fully Remote Position
Experience Desired: Complex Cardiology coding experience
Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, IL, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.
Pay Range
$28.05 - $42.10
Major Responsibilities:
This role will have all responsibilities of coding assistant, coder I and II plus the following: assist with special projects as requested, assists with training other coders as requested, Monitors and responds to accounts in the charge router, charge router messages, CRMs, Compliance and Integrity review requests.
Adhere to organizational and internal department policies and procedures to ensure efficient work processes.
Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software.
Serves as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver.
Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate.
Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. Knowledgeable in researching coding related topics and issues.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.
Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
Meets and exceeds departmental quality (95% or more) and productivity standards (100%). Achieves productivity expectations to support discharged not final billed (DNFB).
Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.
Assist in the production of annual edit review based on CPT, ICD and HCPCS changes as well as assist in development of edits based on publications and society updates.
Answer and prioritize correspondence at all levels e.g., coding assistants, coders, leads, supervisors, and managers
Licensure, Registration, and/or Certification Required:
Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
Education Required:
Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge)
Experience Required:
Typically requires 5 years of experience in professional coding that includes experiences in professional revenue cycle processes and health information workflows.
Knowledge, Skills & Abilities Required:
Proficient in Microsoft Office, Word, Excel, and PowerPoint.
Advanced knowledge and understanding of anatomy, physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology) and is able to apply these sciences to accurately assign codes to cases to include surgical cases.
Demonstrates knowledge of National Council on Compensation Insurance, Inc (NCCI) edits, and local and national coverage decisions.
Expert knowledge and experience in ICD-10-CM, CPT, and 3M Encoder.
Expert knowledge and experience in ICD-10-CM and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Payment Classifications (APC).
Advanced knowledge of pharmacology indications for drug usage and related adverse reactions.
Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems.
Excellent communication and reading comprehension skills.
Demonstrated analytical aptitude, with a high attention to detail and accuracy.
Experienced with remote workforce operations required.
Strong sense of ethics.
Physical Requirements and Working Conditions:
Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able tocontinuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
Operates all equipment necessary to perform the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
#REMOTE
#LI-REMOTE
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$28.1-42.1 hourly Auto-Apply 2d ago
Clinical Coder Atrium Health - Trauma Registrar - Acute Care - REMOTE
Aurora Health Care 4.7
Charlotte, NC jobs
Department:
36200 Carolinas Medical Center - Trauma Services
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Position is for the Trauma Registry. This is a remote position. Starting hours are Mon-Thurs 6a-4:30p with flexibility increasing over time.
Specialty Area: Trauma
Additional Essential Functions:
Downloads and analyzes daily reports using EPIC to identify patient cases that meet Trauma Registry inclusion criteria
Creates/maintains daily log of identified patients, using Excel.
Demonstrates technical competence in navigating external websites (EMS, ME, etc.) and abstracting required data.
Completes concurrent and retrospective data abstraction of Trauma registry cases-including reconciling data as new information becomes available
Supports data validation through bi-weekly individual validation reports as well as end of month reports.
Supports data accuracy through required ACS inter-rater review of a minimum 10% of records abstracted.
Supports NC/ACS required data transfers in accordance with submission deadlines.
Maintains compliance with required departmental, NC, TQIP/ACS-sanctioned ongoing education.
Attends departmental, regional, and state meetings as required
Collaborates with members of the Trauma Program including PI Coordinators, Program Managers, Physician liaisons, etc.
Participates in required ACS/NC trauma designation survey processes.
Completes records of low complexity, ED discharged - 2 days LOS, scene calls only.
Accuracy Metric:
100% review - 0-3 months employed
50% review - 3-6 months employed
25% review >= 6 months employed
Pay Range
$25.30 - $37.95
CCA or CPC-A required or must be obtained within one year.
Current RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC), CIC preferred plus a passing score on the Coding test.
Essential Functions
Reviews low complexity medical records to identify the appropriate principal diagnosis and procedure and all other appropriate secondary diagnoses and procedures.
Reviews charges including Evaluation and Management levels.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
Abstracts coded data and other pertinent data in the hospital electronic health record.
Ensures the accuracy of data input.
Meets established quality and productivity standards.
Stays abreast of coding principles and regulatory guidelines related to outpatient coding.
ysical Requirements
Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment.
Education, Experience and Certifications.
High School Diploma or GED required. Courses in Medical Terminology, Anatomy & Physiology and Pharmacology preferred. Coding Experience Preferred. CCA or CPC-A required or must be obtained within one year. Current RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC), CIC preferred plus a passing score on the Coding test. Proficient with Microsoft Office Applications required.
#REMOTE
#LI-REMOTE
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$25.3-38 hourly Auto-Apply 2d ago
Quality Review and Coding Specialist, Continuum of Care
SSM Health Saint Louis University Hospital 4.7
Remote
It's more than a career, it's a calling.
MO-REMOTE
Worker Type:
PRN Responsible for performing audits and coding patient charts at the appropriate timepoints in care. This role will review assessments and plans of care to ensure that the coded diagnoses on patient charts are accurately reflected in assessment and plan of care documentation.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
Utilizes computerized coding/abstracting equipment, codes all diagnoses/procedures in accordance with coding guidelines while meeting quality and productivity standards.
Provides necessary assistance to field staff and leadership to Outcome and Assessment Information Set (OASIS), Healthy Outcomes from Positive Experiences (HOPE), and/or ICD-10 queries.
Assists coders and quality review staff in performance of duties.
Maintains and reports statistical information when applicable.
Reviews daily reports to ensure all records are processed.
Consults with field clinical staff regarding appropriate ICD codes and sequencing.
Performs other duties as assigned.
EDUCATION
High School diploma/GED or 10 years of work experience
EXPERIENCE
Two years' experience
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois
• Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board
• Or
• Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
• Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board
• Or
• Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Registered Nurse (RN) - Missouri Division of Professional Registration
• Or
• Registered Nurse (RN) Issued by Compact State
State of Work Location: Oklahoma
• Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board
• Or
• Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Registered Nurse (RN) Issued by Compact State
• Or
• Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
State of Work Location: Wisconsin
• Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board
• Or
• Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Registered Nurse (RN) Issued by Compact State
• Or
• Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
Work Shift:
Variable Shift (United States of America)
Job Type:
Employee
Department:
********** Hospice-HH Coding
Scheduled Weekly Hours:
0
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
$46k-55k yearly est. Auto-Apply 31d ago
Certified Coding Specialist - Profee
UPMC 4.3
Pittsburgh, PA jobs
UPMC is currently hiring multiple Certified Coding Specialists to join the Physician Revenue Cycle Enhancement team. This position offers the flexibility to work remotely. In this role, you will be responsible for reviewing medical charts to identify opportunities for process improvement. You will conduct audits to ensure accuracy in code and charge selection, support internal and external audit reviews-including RAC-related audits-and approve account adjustments as appropriate.
We're seeking candidates who are passionate about driving process enhancements and comfortable collaborating directly with physicians across the UPMC system.
The final candidate will be selected for a job title within the career ladder that reflects the level of education, experience, and manager discretion at the time of offer.
Responsibilities:
+ Adhere to internal system-wide policies, competencies, behaviors and procedures to ensure efficient work processes. Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements.
+ Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements.
+ Code all diagnoses and procedures by assigning and verifying the proper ICD and CPT codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding.
+ Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process.
+ Investigate and resolve reimbursement issues, including denials, in a timely manner and demonstrate proficiency on billing system.
+ Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling.
+ Prepare periodic reports for clinical staff identifying unbilled charges due to inadequate documentation.
+ Advise and instruct coders/providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification.
+ Refer problem accounts to appropriate coding or management personnel for resolution.
+ Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions.
Certified Coding Specialist I Qualifications:
+ High school graduate or equivalent.
+ Graduate of an approved certified coding program preferred.
+ Proficient computer skills with MS excel knowledge preferred.
+ 5 years surgical coding experience (includes anesthesia coding) OR advanced E/M coding experience.
+ Professional coding experience is preferred
Certified Coding Specialist II Qualifications:
+ High school graduate or equivalent.
+ Graduate of an approved certified coding program preferred.
+ Proficient computer skills with MS excel knowledge preferred.
+ 5 years surgical coding experience (includes anesthesia coding) or advanced E/M coding experience.
+ 2 years training or supervisory experience required.
+ 7-10 years of professional coding is preferred
Licensure, Certifications, and Clearances:
+ CPC or Certified Coding Specialist (CCS) specialty certification required
+ Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT)
UPMC is an Equal Opportunity Employer/Disability/Veteran