Inpatient Coder - Remote
Health information technician job at Tenet Healthcare
Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).
* Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
* Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility.
* Coder Productivity: Meets and/or exceeds Conifer's inpatient coding productivity guidelines
* Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.
* Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls.
* DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures
* Proficient at writing AHIMA compliant physician queries
* Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
* Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
* Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
* Works collaboratively with CDI, Quality and other facility leadership
* Functional knowledge of facility EMR, encoder, CDI tool and other support software
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* One to three years experience performing inpatient coding in acute care setting required
* High school graduate or equivalent is required
* Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements.
CERTIFICATES, LICENSES, REGISTRATIONS
* Required: AHIMA RHIT or RHIA or AAPC CCS approved credential
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to lift 15-20lbs
* Ability to sit and work at a computer for a prolonged period of time. Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments if appropriate
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office/Hospital Work Environment
* Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide
OTHER
* Must be able to travel nationally as needed, not to exceed 10%
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $27.30-$40.95 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Certified Tumor Registrar
Wichita, KS jobs
Introduction . Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Certified Tumor Registrar today with Parallon.
Fully flexible schedule after training! Sunday-Saturday!
Sign-on Bonus Eligible!*
Benefits
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Come join our team as a Certified Tumor Registrar. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications
As a Certified Cancer Registrar, work from home, you will be responsible for case finding and abstraction of cancer data for HCA hospitals.
In this role you will:
* Completes case-finding for assigned facilities, including review of pathology reports, the disease index, suspense list in Meditech and merging appropriate cases into Metriq
* Responsible for reviewing medical records to abstract information according to the standards of the American College of Surgeons (ACOS) and the appropriate State Central Cancer Registry
* Performs timely abstraction of assigned cases to ensure compliance with ACOS standards, i.e. within six months of patient contact
* Completes edit checks and makes appropriate changes on a timely basis
* Follow ACOS and state data standards and coding instructions to abstract all reportable cases
* Attend state and national educational activities as approved by Director
* Submit data to the National Cancer Data Base (NCDB) in accordance with the annual Call for Data
* Submit data monthly to the appropriate State Central Cancer Registry
* Resolve errors resulting in the rejection of records from the NCDB and the state data systems
What you will need:
* Oncology Data Specialist (ODS) certification required
* 1-3 years of Cancer Data Abstraction experience required
* 3-5 years of Cancer Data Abstraction or Medical Records experience preferred
"
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Certified Oncology Data Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
* Must meet eligibility requirements.
Certified Tumor Registrar
San Antonio, TX jobs
Introduction . Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Certified Tumor Registrar today with Parallon.
Fully flexible schedule after training! Sunday-Saturday!
Sign-on Bonus Eligible!*
Benefits
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Come join our team as a Certified Tumor Registrar. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications
As a Certified Cancer Registrar, work from home, you will be responsible for case finding and abstraction of cancer data for HCA hospitals.
In this role you will:
* Completes case-finding for assigned facilities, including review of pathology reports, the disease index, suspense list in Meditech and merging appropriate cases into Metriq
* Responsible for reviewing medical records to abstract information according to the standards of the American College of Surgeons (ACOS) and the appropriate State Central Cancer Registry
* Performs timely abstraction of assigned cases to ensure compliance with ACOS standards, i.e. within six months of patient contact
* Completes edit checks and makes appropriate changes on a timely basis
* Follow ACOS and state data standards and coding instructions to abstract all reportable cases
* Attend state and national educational activities as approved by Director
* Submit data to the National Cancer Data Base (NCDB) in accordance with the annual Call for Data
* Submit data monthly to the appropriate State Central Cancer Registry
* Resolve errors resulting in the rejection of records from the NCDB and the state data systems
What you will need:
* Oncology Data Specialist (ODS) certification required
* 1-3 years of Cancer Data Abstraction experience required
* 3-5 years of Cancer Data Abstraction or Medical Records experience preferred
"
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Certified Oncology Data Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
* Must meet eligibility requirements.
Certified Tumor Registrar
Chattanooga, TN jobs
Introduction . Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Certified Tumor Registrar today with Parallon.
Fully flexible schedule after training! Sunday-Saturday!
Sign-on Bonus Eligible!*
Benefits
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Come join our team as a Certified Tumor Registrar. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications
As a Certified Cancer Registrar, work from home, you will be responsible for case finding and abstraction of cancer data for HCA hospitals.
In this role you will:
* Completes case-finding for assigned facilities, including review of pathology reports, the disease index, suspense list in Meditech and merging appropriate cases into Metriq
* Responsible for reviewing medical records to abstract information according to the standards of the American College of Surgeons (ACOS) and the appropriate State Central Cancer Registry
* Performs timely abstraction of assigned cases to ensure compliance with ACOS standards, i.e. within six months of patient contact
* Completes edit checks and makes appropriate changes on a timely basis
* Follow ACOS and state data standards and coding instructions to abstract all reportable cases
* Attend state and national educational activities as approved by Director
* Submit data to the National Cancer Data Base (NCDB) in accordance with the annual Call for Data
* Submit data monthly to the appropriate State Central Cancer Registry
* Resolve errors resulting in the rejection of records from the NCDB and the state data systems
What you will need:
* Oncology Data Specialist (ODS) certification required
* 1-3 years of Cancer Data Abstraction experience required
* 3-5 years of Cancer Data Abstraction or Medical Records experience preferred
"
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Certified Oncology Data Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
* Must meet eligibility requirements.
HIM Coder 3, PRN
Fresno, CA jobs
Opportunities for you!
Consecutively recognized as a top employer by Forbes
Vacation time starts building on Day 1, and builds with your seniority
403(b) retirement plan with up to 7% matching contributions
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Want to learn more? Click here.
Responsibilities
This role serves the entire Community Health System as part of a team of over 30 people made up of coders, clerical support and educators. This team works together to meet and exceed common goals. In this remote position, you will assign ICD-10-CM/PCS and CPT-4 codes for statistical and reimbursement requirements to inpatient and/or outpatient accounts. We use the most current and up-to-date technology and software, meaning you will have the constant opportunity to grow and learn in your role!
Review charts thoroughly to ascertain all diagnosis and procedures.
Code all diagnoses and procedures in accordance to ICD-10-CM/PCS and CPT-4 coding practices, rules and guidelines for all inpatient services, observation and ambulatory accounts.
Maintains 99% rate of information correctly abstracted. Completes abstract competency annually.
Maintain the knowledge base necessary for current coding practices and remain up to date with the following manuals: Administration, Health Information Management Services, Emergency Management and Safety.
Whether working independently or alongside teammates, you'll contribute to a standard of excellence that defines the Community experience from day one!
Qualifications
Education & Experience
High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate
Completion of courses in Medical Terminology, Anatomy and Physiology
5 years of recent inpatient coding experience in an acute care setting
Proficient in ICD-10-CM/PCS and CPT-4 coding, DRG and APRDRG assignment
Licenses and Certifications
CCS - Certified Coding Specialist
Fully Remote
Disclaimers
• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.
Auto-ApplyHIM Coder 3, PRN
Fresno, CA jobs
Job Description
Opportunities for you!
Consecutively recognized as a top employer by Forbes
Vacation time starts building on Day 1, and builds with your seniority
403(b) retirement plan with up to 7% matching contributions
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Want to learn more? Click here.
Responsibilities
This role serves the entire Community Health System as part of a team of over 30 people made up of coders, clerical support and educators. This team works together to meet and exceed common goals. In this remote position, you will assign ICD-10-CM/PCS and CPT-4 codes for statistical and reimbursement requirements to inpatient and/or outpatient accounts. We use the most current and up-to-date technology and software, meaning you will have the constant opportunity to grow and learn in your role!
Review charts thoroughly to ascertain all diagnosis and procedures.
Code all diagnoses and procedures in accordance to ICD-10-CM/PCS and CPT-4 coding practices, rules and guidelines for all inpatient services, observation and ambulatory accounts.
Maintains 99% rate of information correctly abstracted. Completes abstract competency annually.
Maintain the knowledge base necessary for current coding practices and remain up to date with the following manuals: Administration, Health Information Management Services, Emergency Management and Safety.
Whether working independently or alongside teammates, you'll contribute to a standard of excellence that defines the Community experience from day one!
Qualifications
Education & Experience
High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
Completion of courses in Medical Terminology, Anatomy and Physiology required
5 years of recent inpatient coding experience in an acute care setting required
Proficient in ICD-10-CM/PCS and CPT-4 coding, DRG and APRDRG assignment required
Licenses and Certifications
CCS - Certified Coding Specialist required
Fully Remote
Certified Cancer Registrar Part Time
Largo, FL jobs
**Introduction** Do you have the career opportunities as a Certified Cancer Registrar Part Time you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare.
**This position is part time with flexibility after training.**
**Benefits**
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (**********************************************************************
**_Note: Eligibility for benefits may vary by location._**
Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Certified Cancer Registrar Part Time where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
**Job Summary and Qualifications**
As a Certified Cancer Registrar, work from home, you will be responsible for case finding and abstraction of cancer data for HCA hospitals.
In this role you will:
+ Completes case-finding for assigned facilities, including review of pathology reports, the disease index, suspense list in Meditech and merging appropriate cases into Metriq
+ Responsible for reviewing medical records to abstract information according to the standards of the American College of Surgeons (ACOS) and the appropriate State Central Cancer Registry
+ Performs timely abstraction of assigned cases to ensure compliance with ACOS standards, i.e. within six months of patient contact
+ Completes edit checks and makes appropriate changes on a timely basis
+ Follow ACOS and state data standards and coding instructions to abstract all reportable cases
+ Attend state and national educational activities as approved by Director
+ Submit data to the National Cancer Data Base (NCDB) in accordance with the annual Call for Data
+ Submit data monthly to the appropriate State Central Cancer Registry
+ Resolve errors resulting in the rejection of records from the NCDB and the state data systems
What you will need:
+ Oncology Data Specialist (ODS) certification required
+ 1-3 years of Cancer Data Abstraction experience required
+ 3-5 years of Cancer Data Abstraction or Medical Records experience preferred
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Certified Cancer Registrar Part Time opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Certified Cancer Registrar Part Time
Largo, FL jobs
Introduction Do you have the career opportunities as a Certified Cancer Registrar Part Time you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nations leading provider of healthcare services, HCA Healthcare.
This position is part time with flexibility after training.
Benefits
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Certified Cancer Registrar Part Time where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Job Summary and Qualifications
As a Certified Cancer Registrar, work from home, you will be responsible for case finding and abstraction of cancer data for HCA hospitals.
In this role you will:
* Completes case-finding for assigned facilities, including review of pathology reports, the disease index, suspense list in Meditech and merging appropriate cases into Metriq
* Responsible for reviewing medical records to abstract information according to the standards of the American College of Surgeons (ACOS) and the appropriate State Central Cancer Registry
* Performs timely abstraction of assigned cases to ensure compliance with ACOS standards, i.e. within six months of patient contact
* Completes edit checks and makes appropriate changes on a timely basis
* Follow ACOS and state data standards and coding instructions to abstract all reportable cases
* Attend state and national educational activities as approved by Director
* Submit data to the National Cancer Data Base (NCDB) in accordance with the annual Call for Data
* Submit data monthly to the appropriate State Central Cancer Registry
* Resolve errors resulting in the rejection of records from the NCDB and the state data systems
What you will need:
* Oncology Data Specialist (ODS) certification required
* 1-3 years of Cancer Data Abstraction experience required
* 3-5 years of Cancer Data Abstraction or Medical Records experience preferred
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Certified Cancer Registrar Part Time opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Remote Inpatient Coding Specialist ($5k Sign On Bonus)
Brentwood, TN jobs
Inpatient Coding Specialist Join Our Team and Earn a $5,000 Sign-On Bonus! Schedule: Flexible Shifts! You provide your manager with the days and start/end time you are available to complete your 40hrs per week. All United States time zones are welcome.
Job Location Type: Remote
Your experience matters
At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .
How you'll contribute
As an Inpatient Coding Specialist, you will be responsible for Assigning diagnosis and procedure codes using the appropriate coding classification system on all episodes of care inpatient encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure the accuracy of the information and resolve identified issues. Ensure the accurate selection of the principal diagnosis, principal procedure, and all applicable diagnoses and procedures. Ensure compliance with official guidelines (ICD-10-CM, ICD-10-PCS, and/or AHA Coding Clinic), AHIMA Standards of Ethical Coding, and LifePoint Health Support Center (HSC) policies and procedures.
A Inpatient Coding Specialist who excels in this role:
* Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM/PCS codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing.
* Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.
* Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.
* Follow coding workflows for service type to include addressing compliance reviews.
* Submit physician queries when clarification of documentation is needed.
* Facilitate a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive.
* May assist in training and reviewing the work of other coders for accuracy and efficiency.
* Make recommendations to the supervisor, and implement and monitor results as appropriate in support of the overall goals of the department.
* Seek advice and guidance as needed to ensure proper understanding.
* Assist others with responsibilities and adjusts work schedule to meet department needs.
* Use independent discretion/decision-making while effectively working remotely.
* Attend required educational webinars, conference calls, and other coding seminars, and participate in all formal and informal coding discussions.
* Maintain coding education hours and renew annual coding credentials as applicable.
* Complete all assigned compliance courses within the designated period.
* Conform to AHIMA's Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy, and ensure patient/employee privacy and dignity by maintaining confidentiality with no infractions.
* Other related job tasks or responsibilities as assigned.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
* Comprehensive Benefits: Multiple levels of medical, dental and vision coverage- tailored benefit options for part-time and PRN employees, and more.
* Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
* Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
* Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
* Professional Development: Ongoing learning and career advancement opportunities.
What we're looking for
* Education: Associate degree in health-related field preferred.
* Experience: One year of inpatient coding experience in an acute care hospital is preferred.
* Certifications: Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) preferred.
EEOC Statement
"Lifepoint Health an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
Employment Sponsorship Statement
"You must be work authorized in the United States without the need for employer sponsorship"
Remote Physician Pro Fee Coding Specialist-Orthopedics
Franklin, TN jobs
The Multi-Specialty Physician Coder is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
**Essential Functions**
+ Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation.
+ Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs).
+ Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education.
+ Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement.
+ Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance.
+ Performs edit checks on coded data before transmittal, identifying and correcting errors as needed.
+ Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies.
+ Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices.
+ Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Qualifications**
+ H.S. Diploma or GED required
+ Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred
+ 2-4 years of experience in physician coding, professional fee coding, or medical billing required
+ Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred
**Knowledge, Skills and Abilities**
+ Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services.
+ Understanding of modifier usage, place-of-service coding, and payer billing guidelines.
+ Experience with electronic health records (EHR), coding software, and claim processing systems.
+ Ability to identify documentation deficiencies and escalate for provider education.
+ Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements.
+ Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement.
+ Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff.
**Licenses and Certifications**
+ Certified Coder-AHIMA or AAPC (CPC) required or
+ CCS-Certified Coding Specialist (CCS-P) required
+ Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Remote Physician Pro Fee Coding Specialist-Cardiology
Franklin, TN jobs
The Remote Physician Pro Fee Coding Specialist-Cardiology is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
**Essential Functions**
+ Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation.
+ Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs).
+ Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education.
+ Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement.
+ Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance.
+ Performs edit checks on coded data before transmittal, identifying and correcting errors as needed.
+ Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies.
+ Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices.
+ Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
**Qualifications**
+ H.S. Diploma or GED required
+ Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred
+ 2-4 years of experience in physician coding, professional fee coding, or medical billing required
+ Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred
**Knowledge, Skills and Abilities**
+ Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services.
+ Understanding of modifier usage, place-of-service coding, and payer billing guidelines.
+ Experience with electronic health records (EHR), coding software, and claim processing systems.
+ Ability to identify documentation deficiencies and escalate for provider education.
+ Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements.
+ Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement.
+ Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff.
**Licenses and Certifications**
+ Certified Coder-AHIMA or AAPC (CPC) required or
+ CCS-Certified Coding Specialist (CCS-P) required
+ Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Remote Physician Pro Fee Coding Specialist - Radiation Oncology
Franklin, TN jobs
The Remote Physician Pro Fee Coding Specialist-Radiation Oncology is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
**Essential Functions**
+ Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation.
+ Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs).
+ Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education.
+ Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement.
+ Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance.
+ Performs edit checks on coded data before transmittal, identifying and correcting errors as needed.
+ Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies.
+ Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices.
+ Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
**Qualifications**
+ H.S. Diploma or GED required
+ Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred
+ 2-4 years of experience in physician coding, professional fee coding, or medical billing required
+ Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred
**Knowledge, Skills and Abilities**
+ Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services.
+ Understanding of modifier usage, place-of-service coding, and payer billing guidelines.
+ Experience with electronic health records (EHR), coding software, and claim processing systems.
+ Ability to identify documentation deficiencies and escalate for provider education.
+ Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements.
+ Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement.
+ Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff.
**Licenses and Certifications**
+ Certified Coder-AHIMA or AAPC (CPC) required or
+ CCS-Certified Coding Specialist (CCS-P) required
+ Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Cardiology Profee Coder
Brentwood, TN jobs
**Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Cardiology Profee CoderParallon
**Parallon is looking for a Profee Coder with a specialization in Cardiology.**
**Fully work from home position!**
**Benefits**
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (**********************************************************************
**_Note: Eligibility for benefits may vary by location._**
We are seeking a Profee Coder for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!
**Job Summary and Qualifications**
As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs.
What you will do in this role:
+ Reviews and codes clinical notes and operative reports for assigned specialty/specialties.
+ Coordinates and reconciles multiple schedules to ensure complete charge capture.
+ Charge entry of codes into billing system in a timely manner.
+ Work in conjunction with A/R team on follow up and resolution of coding related denials and rejections, including recommendation of new/updated coding edits.
+ Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through pertinent materials.
What qualifications you will need:
+ High school diploma or GED preferred
+ Minimum two years of professional fee coding and/or reimbursement experience required. Relevant education may substitute for experience requirement.
+ Knowledge of medical terminology and anatomy and physiology is preferred.
+ Knowledge of pathophysiology is preferred.
+ Coding certification through AHIMA or AAPC required. Work experience may be accepted in lieu of credential.
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Profee Coder opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing - apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Medical Management Auditor
Remote
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes
Develop and maintain the audit process and tools related to: authorizations, appeals, quality events, and case management in CCMS; interrater reliability related to InterQual; and data entry into the credentialing subsystem
Develop and maintain the audit schedule
Audit staff as outlined in the system auditing policies
Train audit staff at the health plan in the use of audit process and tools
Facilitate compliance with the auditing process
Act as a consultant related to system auditing to others in the unit, department and health plan
Work with staff to identify and resolve authorization load error report system problems
Coordinate auditing outcomes with the Trainer to identify, develop and publish corrective actions/educational material related to audit errors
Coordinate auditing outcomes and system maintenance with the Sr.
Clinical Systems Specialist to resolve or enhance clinical systems
Performs other duties as assigned
Complies with all policies and standards
***POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN MISSOURI***Ideal candidate will be a Licensed Practical Nurse (LPN) with auditing experience.
Education/Experience:
Bachelor's degree in related field or equivalent experience. 3+ years of related experience.
For Home State Health Plan only: State unrestricted license as Licensed Master Social Worker (LMSW), Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), Licensed Professional Counselor (LPC), Registered Nurse (RN), or Licensed Practical Nurse (LPN)
Pay Range: $55,100.00 - $99,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Auto-ApplySenior Medical Coder
Eugene, OR jobs
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
The **Senior Medical Coder** performs concurrent review of FFS coding rules in Athena, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials.
**Schedule** : Monday to Friday, 6 AM- 6 PM PST, 40 hours/week
**Location** : Remote - Nationwide
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules, and guidelines
+ Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
+ Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
+ Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information
+ Follow up with providers as necessary when responses to queries are not provided on a timely basis
+ Utilize medical coding software programs or reference materials to identify appropriate codes
+ Apply post-query response to make final determinations
+ Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations
+ Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
+ Resolve medical coding edits or denials in relation to code assignment
+ Provide information or respond to questions from medical coding quality audits
+ Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
+ Attain and/or maintain relevant professional certifications and continuing education seminars as required
+ Utilize and navigate across clinical software applications to assign medical codes or complete reviews
+ Will be monitored and mentored to achieve removal of apprentice classification when appropriate
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ Coding Certification from AAPC or AHIMA Professional Coding Association: (CPC-A)
+ 3+ years of coding experience in family medicine
+ Advanced level of proficiency with ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines
+ Advanced level of knowledge of medical terminology, disease process and anatomy and physiology
+ Must be task oriented and able to meet designated deadlines and productivity standards
**Preferred Qualifications:**
+ Previous Revenue Cycle experience working denials
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN
Senior Inpatient Facility Certified Medical Coder
Saint Paul, MN jobs
**$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS** Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As **Senior Inpatient Facility Certified Medical Coder** you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. This is a virtual, remote, position that requires candidates to be highly organized, self-starters, and well-versed in technical applications. Previous success in a remote environment is preferred.
We offer 4 weeks of training. The hours during training will be 8:00 AM - 5:00 PM Monday-Friday. Training will be conducted virtually from your home.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
+ Abstract additional data elements during the Chart Review process when coding, as needed
+ Adhere to the ethical standards of coding as established by AAPC and / or AHIMA
+ Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360
+ Provide documentation feedback to providers and query physicians when appropriate
+ Maintain up-to-date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc.
+ Participate in coding department meetings and educational events
+ Review and maintain a record of charts coded, held, and / or missing
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually
+ 3+ years of Acute Care inpatient medical coding experience (hospital, facility, etc.)
+ 2+ years of experience working in a Level 2 (or higher) trauma center and/or teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding
+ 2+ years of ICD - 10 (CM & PCS) and DRG coding experience
+ Ability to pass all pre-employment requirements including, but not limited to, drug screening, background check, and coding
**Preferred Qualifications:**
+ 2+ years of outpatient facility coding experience
+ Experience working in a Level 1 Trauma center
+ Experience with OSHPD reporting
+ Experience with various encoder systems (eCAC, 3M, EPIC)
+ Ability to use a personal computer in a Windows environment, including Microsoft Excel (create, edit, save, and send spreadsheets) and EMR systems
+ Ability to work the weekly schedule (40 hours / week) with the opportunity to choose between Tuesday - Saturday OR Sunday - Thursday including the flexibility to work occasional overtime and 1 weekend day based on business needs
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
****PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.**
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN
Certified Surgical Medical Coder - Remote- New England Resident Only
Newton, MA jobs
Explore opportunities at Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.
As the Certified Medical Coder, you will ensure accurate coding of surgical services using CPT-4 and ICD-9/ICD-10, aligned with federal and insurance regulations. Review and interpret operative and pathology reports to validate diagnosis and procedure coding. Identify and recommend documentation improvements based on CMS standards to optimize reimbursement. As well as entering coding data into electronic medical records and serve as a resource for facility coding issues. Stay current with billing/coding updates and maintain certification through continuing education.
Primary Responsibilities:
* Ensure accurate coding of surgical services using CPT-4 and ICD-9/ICD-10, aligned with federal and insurance regulations
* Review and interpret operative and pathology reports to validate diagnosis and procedure coding
* Identify and recommend documentation improvements based on CMS standards to optimize reimbursement
* Enter coding data into electronic medical records and serve as a resource for facility coding issues
* Stay current with billing/coding updates and maintain certification through continuing education
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* 3+ years of surgical facility coding experience
* Thorough knowledge of medical terminology and ICD-9/ICD-10 and CPT4 coding
* Understanding both the medical and business side of healthcare operations
* Demonstrated ability to multi-task in a fast-paced environment
* Proven excellent verbal and written communication skills
* Proven detail oriented
* Proven solid computer and office skills including phone, keyboard, computer and computer applications, MSOffice, Internet, and E-mail
* Proven excellent problem-solving ability
* Proven good interpersonal skills
Preferred Qualification:
* 2 - 4 year degree in healthcare or related field
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Certified Surgical Medical Coder - Remote- New England Resident Only- Atrius Health
Newton, MA jobs
**Explore opportunities at Atrius Health** , part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind **Caring. Connecting. Growing together.**
As the Certified Medical Coder, you will ensure accurate coding of surgical services using CPT-4 and ICD-9/ICD-10, aligned with federal and insurance regulations. Review and interpret operative and pathology reports to validate diagnosis and procedure coding. Identify and recommend documentation improvements based on CMS standards to optimize reimbursement. As well as entering coding data into electronic medical records and serve as a resource for facility coding issues. Stay current with billing/coding updates and maintain certification through continuing education.
**Primary Responsibilities:**
+ Ensure accurate coding of surgical services using CPT-4 and ICD-9/ICD-10, aligned with federal and insurance regulations
+ Review and interpret operative and pathology reports to validate diagnosis and procedure coding
+ Identify and recommend documentation improvements based on CMS standards to optimize reimbursement
+ Enter coding data into electronic medical records and serve as a resource for facility coding issues
+ Stay current with billing/coding updates and maintain certification through continuing education
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ 3+ years of surgical facility coding experience
+ Thorough knowledge of medical terminology and ICD-9/ICD-10 and CPT4 coding
+ Understanding both the medical and business side of healthcare operations
+ Demonstrated ability to multi-task in a fast-paced environment
+ Proven excellent verbal and written communication skills
+ Proven detail oriented
+ Proven solid computer and office skills including phone, keyboard, computer and computer applications, MSOffice, Internet, and E-mail
+ Proven excellent problem-solving ability
+ Proven good interpersonal skills
**Preferred Qualification:**
+ 2 - 4 year degree in healthcare or related field
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Senior Medical Coder
Minnetonka, MN jobs
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
The **Senior Medical Coder** performs concurrent review of FFS coding rules in Athena, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials.
**Schedule** : Monday to Friday, 6 AM- 6 PM PST, 40 hours/week
**Location** : Remote - Nationwide
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules, and guidelines
+ Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
+ Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
+ Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information
+ Follow up with providers as necessary when responses to queries are not provided on a timely basis
+ Utilize medical coding software programs or reference materials to identify appropriate codes
+ Apply post-query response to make final determinations
+ Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations
+ Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
+ Resolve medical coding edits or denials in relation to code assignment
+ Provide information or respond to questions from medical coding quality audits
+ Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
+ Attain and/or maintain relevant professional certifications and continuing education seminars as required
+ Utilize and navigate across clinical software applications to assign medical codes or complete reviews
+ Will be monitored and mentored to achieve removal of apprentice classification when appropriate
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ Coding Certification from AAPC or AHIMA Professional Coding Association: (CPC-A)
+ 3+ years of coding experience in family medicine
+ Advanced level of proficiency with ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines
+ Advanced level of knowledge of medical terminology, disease process and anatomy and physiology
+ Must be task oriented and able to meet designated deadlines and productivity standards
**Preferred Qualifications:**
+ Previous Revenue Cycle experience working denials
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN
Outpatient Coder II - Remote
Health information technician job at Tenet Healthcare
Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
* Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
* Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility.
* Goal: Average coding quality standard of =>95% accuracy per monitoring period.
* Does not meet =
* Meets => 95% accuracy
* Exceeds =>95.01% accuracy
* Coding Labor Productivity: Meets and/or exceeds Conifer's coding productivity guidelines.
* Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls
* Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Proficient in outpatient diagnosis coding guidelines
* Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines
* Ability to establish and maintain effective working relationships as required by the duties of the position
* Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
* Ability to establish and maintain effective working relationships as required by the duties of the position
* Ability to concentrate and accomplish tasks with explicit accuracy
* Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
* Functional knowledge of facility EMR, encoder and other support software
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* One year of experience performing medical record coding in acute care setting preferred
* High school graduate or equivalent is required
* Completion of basic coding course (academic, seminar, workshop or facility-based), including medical terminology and basic anatomy and physiology, or an equivalent combination of education and experience also required
CERTIFICATES, LICENSES, REGISTRATIONS
* Required: AHIMA or AAPC approved credential
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
* Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office Work Environment
* Hospital Work Environment
OTHER
* Must be able to travel nationally as needed, not to exceed 10%
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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