Medical Coder jobs at The CORE Institute

Outpatient Coding Quality Educator Specialist - Coding 30697 Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Monday Friday Pay Rate: Min $63,793.60 Mid $79,747.20 Under the direction of the facility Coding and Reimbursement Manager, conducts coding quality reviews and audits of chart documentation to assess accuracy, ensure compliance with federal and payer policies, and identifies areas for improvement for hospital outpatient coding. Develops and delivers training on coding accuracy and compliance, staying updated on regulations and providing expert guidance to coders. Provides ongoing coding education and training to coding team and serves as mentor to all new coding team members. Serves as a subject matter expert and resource for coders, providers, and other staff on coding questions, regulatory changes, and best practice. Prepares reports of findings and meets with coders and Coding Leadership to provide education and training on accurate coding practices and compliance issues. Has thorough knowledge of acute care facility guidelines, modifiers, sequencing rules and the NCCI (National Correct Coding Initiative) edits, OCE (Outpatient Code Editor) edits, Official Guidelines for Coding and reporting for ICD-10-CM/PCS, CPT-4, and HCPCS coding conventions, APC payment classifications and Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback. Responsible for conducting coding and billing training programs for billing and coding specialists. Other duties will include implementing coding department policies and procedures and assisting with reviewing and appealing coding denials. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work: Outpatient Coding Quality Educator Specialist Actively participates in team development, achieving dashboards, and in accomplishing departmental goals and objectives. Performs internal quality assessment reviews on outpatient facility coders to ensure compliance with national coding guidelines and the LRH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed. Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans. Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. Researches coding opportunities and escalates as needed. Communicates Coding topics and/or question trends to Coding Leadership for global education. Prepares and presents coding compliance status reports to the Coding and Reimbursement Manager and Health Information Management AVP. Assists in ensuring coding staff adherence with coding guidelines and policy. Demonstrates and applies expert level knowledge of medical coding practices and concepts. Coaches and mentors coding staff as they develop and grow their coding skills. Provides skilled coding support through regularly scheduled coding meetings and as the need arises. Provide one-on-one coaching and support to coding professionals, offering constructive feedback and guidance to improve coding accuracy and documentation practices. Assists Coding Leadership with outpatient coding denials. Create educational materials, such as manuals, handouts, and multimedia presentations, that effectively communicate complex coding concepts and guidelines. Orients, develops and coordinates on-the-job training of instructing them on systems and policies and procedures in accordance to coding compliance guidelines. Experience essential: 5+ years acute care hospital outpatient coding experience and/or coding auditing 5-10 years of educational experience in a facility or consulting setting. Certification essential: CCS, CPC, RHIT, or RHIA Certification preferred: RHIA About Us: Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. To apply please send your resume to: Tiffany Hanson at: Tiffany.Hanson@my LRH.org

Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Flexible Hours and/or Flexible Schedule Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $19.37 Mid $24.22 Position Summary Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work Duties: Coder II - Outpatient Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment. Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement. Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers. Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines. Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames. Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities. Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Competencies & Skills Essential: Computer Experience, especially with computerized encoder products and computer-assisted coding applications. Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision. Knowledge of anatomy and physiology, pharmacology, and medical terminology. Qualifications & Experience Essential: High School or Equivalent Nonessential: Associate Degree Essential: High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college. Other information: Certifications Essential: CCS Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience Essential: 2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.

Precision, Compassion, Results-Join the Team That Delivers Set your sights on a career with NewYork-Presbyterian Queens and play an integral role in our goal to provide the highest level of complex and innovative surgical care, education for the next generation of surgeons as well as groundbreaking quality enhancements and clinical research. Our Surgical Outcomes Coordinators utilize a uniquely collaborative healthcare model, interfacing with the entire surgical team, including nurses and anesthesia staff to assist with oversight and maintenance of the surgical quality platforms within the Department of Surgery. Surgical Outcomes Coordinator | Per Diem Transform your career as a Surgical Outcomes Coordinator and work closely with widely renowned clinical leaders. Utilize your clinical expertise and your keen eye for detail in analyzing, identifying, and recommending opportunities for improvement based upon the noted patterns and trends. Abstract designated surgical cases within the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) and Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) to help make tomorrow better for countless individuals. Move into the next phase of your career with this dynamic opportunity. Participate in the peer review process, resident education and research. Be a part of an all-embracing culture of teamwork , collaboration and innovation . Enjoy flexible scheduling, strong nurse-physician partnership, and opportunities for professional advancement, ours is a destination workplace for talented Quality Improvement Specialists. Preferred Criteria Prior NSQIP and/or CDI experience Required Criteria Bachelor's degree NYS licensed Nurse Practitioner, Registered Nurse, or Physician Assistant Certification/recertification as SCR through ACS NSQIP. Certification/recertification as SCR through MBSAQIP 5 years of recent hospital experience and/or verifiable Documentation Improvement experience #LI-MM1 Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today. Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses . __________________ 2024 “Great Place To Work Certified” 2024 “America's Best Large Employers” - Forbes 2024 “Best Places to Work in IT” - Computerworld 2023 “Best Employers for Women” - Forbes 2023 “Workplace Well-being Platinum Winner” - Aetna 2023 “America's Best-In-State Employers” - Forbes “Silver HCM Excellence Award for Learning & Development” - Brandon Hall Group NewYork-Presbyterian Hospital is an equal opportunity employer. Salary Range: $81.00/Hourly It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Hospital Coding Specialist III (Remote) Cost Center: 101651098 System Support-Facility Coding Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Mon-Fri; day shifts (United States of America) Job Description: May be eligible for a sign-on bonus! JOB SUMMARY The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification of Diseases (ICD) Official Guidelines for Coding and Reporting and in the Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS-DRG (Medicare Severity-Diagnosis Related Group) or APR-DRG (All Patients Refined Diagnosis Related Groups) for complex, multi-specialty inpatient services. This individual understands and applies applicable medical terminology, anatomy and physiology, surgical technology, pharmacology and disease processes. The Hospital Coding Specialist III reviews professional and hospital inpatient medical record documentation and properly identifies and assigns: * ICD CM and PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, surgical procedures and/or other procedures. * MS-DRG /APR-DRG * Present on admission indicators * HAC (Hospital Acquired conditions) and when required, report through established procedures * PSI conditions and report through established procedures * Discharge Disposition code * Works collaboratively with the Clinical Documentation Improvement Specialists to address documentation concerns and DRG assignments * Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested JOB QUALIFICATIONS EDUCATION The individual applying must meet the minimum qualifications in all three required sections below to be considered a candidate for interview. Please consider when listing minimum qualifications. Minimum Required: AHIMA or AAPC approved Medical Coding Diploma or Health Information Management Degree or related program. Preferred/Optional: None EXPERIENCE Minimum Required: Three years of progressive inpatient coding experience in an acute care facility. Preferred/Optional: Experience with electronic health record systems. Academic or level I or II trauma experience is a plus. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position Minimum Required: Active credential of Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) through the American Health Information Management Association (AHIMA); or AAPC (American Academy of Professional Coders) at the time of hire. Preferred/Optional: If AAPC credential, preferred is CIC (Certified Inpatient Coder). May be eligible for a sign-on bonus! Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states: Alabama (limitations in some counties) Arizona (limitations in some counties) Arkansas Colorado (limitations in some counties) Florida Georgia Idaho Illinois (limitations in some counties) Indiana Iowa Kansas Kentucky (limitations in some counties) Louisiana Maine (limitations in some counties) Michigan Minnesota (limitations in some counties) Mississippi Missouri Montana Nebraska Nevada New Hampshire (limitations in some counties) North Carolina North Dakota Ohio Oklahoma Oregon (limitations in some counties) Pennsylvania (limitations in some counties) South Carolina South Dakota Tennessee Texas (limitations in some counties) Utah Virginia Wisconsin Wyoming Marshfield Clinic Health System will not employ individuals living in states not listed above. Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

We are seeking a Certified Medical Coder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Coder Abstractor ? Remote work schedule Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. SKILLS At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and outpatient E/M services. Thorough knowledge of medical terminology, ICD-10-CM and CPT4 coding necessary. Understanding of both the medical and business side of healthcare operations. Highly organized, self-motivated, detail-oriented and energetic team player. Excellent verbal and written communication skills. Strong computer skills including MSOffice, Internet, and E-mail. Epic experience helpful Summary: Under general supervision, according to established policies, procedures and protocols, codes all disease and operations according to accepted classifications. Insure compliance with PRO data reporting and other regulatory licensing and accrediting agencies. The Benefits of Working : Competitive salaries Full benefits, paid holidays, and paid time off (up to 19 days your first year) Tuition reimbursement and ongoing educational opportunities Retirement savings plan with employer match and personal consulting Wellness plans, an employee assistance program and employee discounts Applicant Location: Remote USA Only

Wickenburg Community Hospital is a beautiful and sophisticated rural-access hospital located in Wickenburg, Arizona. WCH is a 8-bed Emergency Department, 19-bed Acute department and many ancillary services. We also have 3 Primary Care Clinics. Here at WCH, we strive to maintain the highest standards of professionalism and care. Join us today and let us be part of your success story. We offer: Full Benefits PTO/Sick Leave Wellness Benefits Wickenburg Community Hospital is a non-profit organization and qualifies for the Public Service Loan Forgiveness (PSLF) program. General Description We are seeking a highly detail-oriented and experienced Surgery HIM Coder to join our Health Information Management team. This position is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS codes for surgical procedures based on clinical documentation in the patient medical record. The Surgery Coder ensures coding compliance with federal regulations and internal policies to optimize reimbursement and ensure data integrity. This is a remote position with a 4 day on-site work rotation, every 6-7 weeks. Essential Job Duties Review operative reports, physician documentation, and other clinical records to assign accurate and complete ICD-10-CM, CPT, and HCPCS codes. Abstract relevant information from medical records into the health information system. Ensure compliance with all coding guidelines (AAPC, AHIMA, CMS, and payer-specific). Query physicians when documentation is unclear, conflicting, or incomplete. Meet productivity and accuracy standards as established by the department. Collaborate with the clinical documentation integrity (CDI) team to support proper documentation practices. Stay updated with current coding changes and surgical procedures through continuous education and training. Assist in audit processes and respond to coding-related denials as needed. Serve as backup to Acute and ED Coding Qualifications Required: High school diploma or GED. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification from AAPC or AHIMA. Minimum of 2 years of surgical coding experience in an acute care or outpatient surgical setting. In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems. Familiarity with EHR systems Experience with same-day surgery or ASC coding. Skills & Competencies Strong attention to detail and organizational skills. Ability to work independently and meet tight deadlines. Excellent written and verbal communication skills. Knowledge of medical terminology, anatomy, and physiology. Commitment to maintaining confidentiality and data security Physical Requirements/Working Conditions Must be able to sit for long periods Must be able to operate standard office equipment Must be able to lift and carry up to 20 lbs Must be able to work paying close attention to detail with frequent interruptions. Ability to work in a fast pace environment. Adequate hearing and vision for effective communication. Follow complex instructions. Think logically in following procedures and instructions. Work well under stress, with interruptions and deadlines. Effectively communicate dept needs to other departments.

The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation. PRIMARY JOB RESPONSIBILITIES: Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or computer-assisted coding software (CAC) set forth by client and Accuity. Abstracts pertinent data from documentation in accordance with client, state, and federal reporting requirements. Identifies instances in which provider clarification is necessary to ensure quality, completeness of documentation, and optimal, compliant reimbursement and communicates to appropriate channels. Updates and/or recommends coding changes as necessary due to additions or revisions in physician documentation and Internal Controls and Quality. Maintains required standards of performance in both coding accuracy and productivity to meet client turnaround and satisfaction. Records accurate production logs, time keeping, and other relevant tracking information daily. Performs additional job-related duties as assigned from coding management within pre-determined schedule. Stays current with most recent coding changes and guidance from CMS, AHA Coding Clinics, AHIMA, Official Inpatient Coding Guidelines, as well as internal education from Physicians, CDI and Coding leadership. Completes required Continuing Education hours to maintain credential requirements. Participate in Coding department meetings and other events as assigned. Maintains a collegial working relationship with other departments. Accepts coaching, training, and education on a routine basis as needed. Requirements POSITION QUALIFICATIONS: Education: Minimum HS Diploma or GED required Coding credential required from AHIMA (RHIA, RHIT, CCS) or AAPC (CPC, CIC) Associate's or bachelor's degree in HIM or coding preferred Experience: Minimum 5 years of current Inpatient facility coding experience; minimum 2 years Level 2 trauma center and/or 2 years academic teaching medical center Extensive knowledge of ICD-10 guidelines and coding regulations Demonstrated knowledge in DRG methodologies and compliant reimbursement practices Knowledge, Skills, and Abilities: Proficiency in utilizing a variety of EMR systems, EPIC experience preferred Independently research coding questions and utilize Accuity's internal educational resources Ability to use a PC in a Windows environment, including MS Word, MS Excel, MS Teams Autonomous, focused individual able to work remotely or on-site in a rapidly growing organization

Open PositionPosition: Coding Specialist Department: Health Information Management Location: Cass City, MI Hours: Full-Time. Full-Benefits. Days Aspire Rural Health Systems is seeking a Coding Specialist in our Health Information Management department. We are looking for those who have a great attitude to join our dedicated team of healthcare professionals who are constantly striving to provide the highest quality of services for our patient. Requirements: CPT Coding, HCPCS Coding, ICD-10 Coding and Revenue Coding, Data Processing, Accounts Receivable Collections, Excel, Word and other office equipment High School Diploma, Certification from AAPC or AHIMA 5 years with hospital or physician coding and/or auditing In depth knowledge of ICD CM, ICD PCS and CPT/HCPCS Strong analytical and communication skills Responsibilities: Responsible for conducting coding and billing training programs for billing and coding specialists and physicians. Creates presentations, develops learning material and other training material. "We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law."

Do you love to care for patients in a warm and welcoming environment? Gastro Health is currently looking for an enthusiastic full-time Coding Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours - and we enjoy paid holidays per year plus paid time off. In this role, the you will work closely with Manager, Coding Operations and management team. The Team Lead will ensure that the company core values are being met. Job Description Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies Apply current billing and coding guidelines Evaluate that charges provided by the physicians support the level being billed based on the documentation Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements Manage claims for auditing purposes, including placing them on hold and billing once the process is complete Email office managers and physicians where updates are needed to operative reports Minimum Requirements High School Diploma or GED equivalent Must have CPC or equivalent certification Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting. Certified coder AAPC or AHIMA Excellent communication skills both verbal and written. Able to analyze data and quickly identify process-based issues for remediation. Maintains confidentiality in all matters that include Patient Health Information and employee data. Hands-on participation in process/workflow design including team member involvement across the department. Intermediate experience with Microsoft Excel and Office products is required. Target Oriented and Coding team resolution mindset Prior experience collaborating with a remote team is highly preferred. Gastro Health is the largest gastroenterology multi-specialty group in the country. We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. Gastro Health is always looking for talented individuals who share our mission to provide outstanding medical care and an exceptional healthcare experience. This position offers a great work/life balance! We are growing rapidly and support internal advancement We offer competitive compensation 401(k) retirement plans Profit-Sharing Dental insurance Health insurance Life insurance Paid time off Vision insurance Disability insurance Pet insurance We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person's health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes. HOPE ~ HEALTH ~ HEALING Terros Health made the list!! "Most Admired Companies of 2020, 2022 & 2023" as awarded by AZ Big Media. The Revenue Cycle Medical Coder position is responsible for supporting the Revenue Cycle Management (RCM) Department with claims coding and billing review, best practices, coding recommendations and policy setting, and staff training and education. This position reports to the Director, Revenue Cycle. * Ensuring that procedural and diagnosis codes are assigned correctly and sequenced appropriately per government and insurance regulations * Reviewing claims and configuration to ensure compliance with coding guidelines and best practices * Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of billable services * Training and support to claims team members and practitioners related to appropriate billing procedures and coding requirements * Recommending and implementing strategic protocols for coding review and code modifications * Completing overarching coding practice evaluations * Collaborating with cross functional teams such as Compliance and Contracting * Stay up to date on coding requirements and best practices, including attending external trainings and meetings to proactively develop and implement forward thinking best practices Apply with your resume at ******************** Benefits & Wellness * Multiple medical plans - including a no premium plan for employees and their families * Multiple dental plans - including orthodontia * Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support * 4 Weeks of paid time off in the first year * Wellness program * Pet Insurance * Group life and disability insurance * Employee Assistance Program for the Whole Family * Personal and family mental and physical health access * Professional growth & development - including scholarships, clinical supervision, and CEUs * Tuition discounts with GCU and The University of Phoenix * Working Advantage - Employee perks and discounts * Gym memberships * Car rentals * Flights, hotels, movies and more * Bilingual pay differential

Job Details Central - Phoenix, AZ Full Time High School Diploma/GED In-Office Day Shift Accounting/FinanceDescription Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person's health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes. HOPE ~ HEALTH ~ HEALING Terros Health made the list!! "Most Admired Companies of 2020, 2022 & 2023" as awarded by AZ Big Media. The Revenue Cycle Medical Coder position is responsible for supporting the Revenue Cycle Management (RCM) Department with claims coding and billing review, best practices, coding recommendations and policy setting, and staff training and education. This position reports to the Director, Revenue Cycle. Ensuring that procedural and diagnosis codes are assigned correctly and sequenced appropriately per government and insurance regulations Reviewing claims and configuration to ensure compliance with coding guidelines and best practices Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of billable services Training and support to claims team members and practitioners related to appropriate billing procedures and coding requirements Recommending and implementing strategic protocols for coding review and code modifications Completing overarching coding practice evaluations Collaborating with cross functional teams such as Compliance and Contracting Stay up to date on coding requirements and best practices, including attending external trainings and meetings to proactively develop and implement forward thinking best practices Apply with your resume at ******************** Benefits & Wellness Multiple medical plans - including a no premium plan for employees and their families Multiple dental plans - including orthodontia Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support 4 Weeks of paid time off in the first year Wellness program Pet Insurance Group life and disability insurance Employee Assistance Program for the Whole Family Personal and family mental and physical health access Professional growth & development - including scholarships, clinical supervision, and CEUs Tuition discounts with GCU and The University of Phoenix Working Advantage - Employee perks and discounts Gym memberships Car rentals Flights, hotels, movies and more Bilingual pay differential Qualifications High School diploma or equivalent. Bachelor's degree preferred. Certification in medical coding and billing, CPC, CCS, RHIT required 5+ years' experience in a coding and billing position Demonstrated knowledge of NextGen or similar HER Intermediate knowledge of Microsoft suite, especially excel Experience interacting with cross functional partners, and external payers and stakeholders Strong communication skills - written and verbal. Excellent collaboration and partnership skills This role is a non-driving position. This position is performed at one location and does not require travel to various Terros Health centers. May be 18 years of age and with less than two years' driving experience or no driving experience. Must have a valid Level 1 Arizona Fingerprint Clearance card or apply for one within 7 working days of assuming role. Must pass background check, TB test and other pre-employment screening Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Navajo Preference Employment Act TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law and applicable federal law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation, Hopi Tribe, and San Juan Southern Paiute Tribe and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position. Applicants who are legally married to an enrolled member of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe, who have resided within the territorial jurisdiction of the Navajo Nation or other federally-recognized American Indian Tribe for at least one continuous year immediately preceding the date of application, and who meet the necessary qualifications for this position will be given secondary preference. Applicants who are enrolled members of any other federally-recognized American Indian Tribe and who meet the necessary qualifications will be given tertiary preference. Overview PRIMARY FUNCTION: The incumbent performs highly technical and specialized functions by reviewing, analyzing, and coding diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform medical coding for continuing patient care and reimbursement. The coding function is a primary source for data and information used in health care, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function(s) ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The potential for working remotely does exist as long as the factors in the remote workers policies can be met. Qualifications NECESSARY QUALIFICATIONS: Education: High School Diploma or GED Experience: Certified Medical Coder I * Must have at least three (3) months to a year of experience with medical coding Certified Medical Coder II * Must have two (2) years of medial coding experience Certified Medical Coder III * Must have five (5) years of medical coding experience Certifications: * Must have and maintain current coder certification with AHIMA/AAPC Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: * Possession of high ethical standards and no history of complaint * Reliable and dependable; reports to work as scheduled without excessive absence * Positive working relationships with others * Maintains a positive professional attitude and demonstrates good interpersonal communication skills * Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system to identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record * Knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) * Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job. * Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job * Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job * Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Prolonged standing, regular reaching, bending stooping, moderate lifting in the performance of assigned duties. May work nights, weekends, and holidays. Manual dexterity, visual acuity, and the ability to speak and hear are required. Physical demands of this position are prolonged sitting and occasional standing, walking, driving, bending, climbing, kneeling, crouching, twisting, and maintaining balance. Mental: Must carry out daily duties and project assignments in an independent manner utilizing knowledge and experience of the section time limits, procedures, and objectives to establish individual work priorities. High levels of mental concentration are required. Mental demands of this position are prolonged ability to concentrate, work alone, and adapt to shift work, frequently work in close crowded areas, occasional ability to cope with high stress level, make decisions under high pressure, manage altercations, be highly flexible, handle multiple priorities in stressful situation, have a high degree of patience, and cope with anger/fear/hostility of others. Environmental: Employee will occasionally be exposed to infectious disease, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, unprotected heights, and loud noises. Responsibilities ESSENTIAL FUNCTIONS: Certified Medical Coder I * Relies on instruction and pre-established guidelines to perform the functions of the job * Work under immediate supervision or team lead Certified Medical Coder II * Relies on limited experience and judgment to plan and accomplish goals and performs a variety of tasks * Works under general supervision with a certain degree of creativity and latitude Certified Medical Coder III * Relies on extensive experience and judgment to plan and accomplish goals * Performs a variety of tasks and may lead and direct the work of others * A wide degree of creativity and latitude and works independently; provides detailed reports to Supervisor/Manager. * Assigns and sequences medical codes to diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete. Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions. * Abstracts all necessary information and assigns medical codes, which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established guidelines. * Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. Correlates generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct medical code. Analyzes provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct medical code. * Coder's accuracy/quality of coding must be at 95% per monthly, quarterly and yearly audit results (as determined by the facility compliance officer). Coding productivity must meet best practices per patient types. * Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. * Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established third party reimbursement agencies and special screening criteria. * Enroll in continuing education courses to maintain certification. * Performs other duties assigned by the Director or Lead Coder. * Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering face piece respirator or higher, if available), and eye or face shield. * Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) * Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.

Description Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department: Health Information Management Safety Sensitive: YES Reports to: HIM Director/Manager Exempt Status: NO Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Ensures data quality in compliance with State, Federal and regulatory requirements. Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. Codes all professional charges to ensure accurate and timely billing Perform coding reviews and/or surgical coding for practices and providers. Evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors. Provides technical guidance, training, and on-going coding education when instructed, to physicians and their office staff and other ancillary departments on both general and specific coding issues to include documentation and guidance in quality coding for proper collection of health data. Evaluate insurance requests and claim denials to assist the Business Office with the revenue cycle. Manage work activities, work assignments and schedules to ensure accurate and timely submission of information. Provides reports as requested on data collected, abstracted and coded. Review bulletins, newsletters and periodicals and attends workshops to stay abreast of current issues, trends and changes in the laws and regulations governing medical record coding and documentation. Demonstrates dependability, teamwork, and maintains patient confidentiality. Develops and maintains excellent relationships with providers, provider's staff, operational directors, and business office staff. Works well with individual practices, the Business Office, and Operation Directors. Strives to be a productive member of this institution, attends departmental meetings as required, maintains certification, and obtains continued education units (CEU). Completes all other duties, projects, and assignments as directed/requested. Qualifications Advanced knowledge of ICD-10-CM, CPT, HCPCS, Medical Terminology and medically approved abbreviations required. Thorough understanding of CMS coding and billing guidelines required. Excellent written and verbal communication skills and critical thinking skills. Ability to work independently and make independent decisions based on specialized knowledge. Computer literacy and familiarity with the operation of basic office equipment, required. Education: High school diploma or equivalent Certification/Licensure: Maintains current Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC), or currently enrolled in AHIMA or AAPC and actively working towards obtaining Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC). Certification required within 12 months of hire or placement in this position. Preferences Experience: Experience in a medical billing/coding office. Special Position Requirements [Optional section: any travel, security, risk, hazard or related special conditions which apply to the position] · Travel to off-site locations as required. Exposure Categories: Category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues Work Requirements [Optional section: work requirements for physical or other important issues which relate to the job] · Ability to stand and walk in the performance of job responsibilities. · Ability to work at a computer for extended periods. · Some bending and lifting may be required. Date Staff Position Description Created / Revised: 03/21/2019

Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the-art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We're committed to your long-term success, providing competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long-term success while introducing you to our mission and celebrated service orientation. Join us, and let's make a difference together. SUMMARY OF JOB The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMA's publication CPT Assistant. Responsible for meeting quality expectations for data abstraction, coding, APC assignment, DRG assignment and meets Redeemer Health's expected productivity standards for the position. Performs assigned duties in accordance with hospital specific coding policies and procedures. The Senior Coding Specialist will conduct monthly data and coding quality assessments to determine whether coding accuracy is at the 95% rate. The Senior Coding Specialist will assist the Coding Coordinator in development of educational programs for all coding staff on an ongoing basis. Assists the Coding Coordinator with the documentation improvement programs. Responsible for remaining current with latest healthcare technology and coding advice through reading available coding literature, attendance of seminars and in-services, internet research and other educational resources. Performs duties in support of the Medical Center mission to ensure the highest quality of patient care in an economically sound and efficient manner. Connecting To Mission: All individuals within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of the position, every job contributes to the challenge of providing healthcare. There is an ongoing responsibility for ensuring the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship, and Collaboration are present in our interactions with one another and in the service we provide. RECRUITMENT REQUIREMENTS Registered Health Information Technician, Registered Health Information Administrator preferred or equivalent experience. Certified Coding Specialist required or agreement to sit and successfully pass the examination within one year of hire date. Must have a minimum of 1 year coding experience utilizing ICD-9-CM and CPT-4 in an acute care setting. Internal progression from Coding Specialist to Sr. Coding Specialist I may occur less than 1 year coding experience when the internal candidate has demonstrated consistency in meeting the quality and quantity standards for the Sr. Coding Specialist I job position and has obtained the CCS credential. A strong background in Anatomy, Physiology, Clinical Medicine and Medical Terminology. A graduate of an accredited hospital based coding program with certification of completion or successful completion of college credited course work in Medical Terminology, Anatomy & Physiology and Pathophysiology/Disease Processes/Pharmacology required. Requires the ability to read and interpret medical terminology and apply coding skills utilizing knowledge of anatomy, physiology and disease processes. Must be detail oriented and have basic computer skills. Experience with computerized encoders and abstracting systems preferred. EQUAL OPPORTUNITY Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.

CODER/ABSTRACTOR Assign diagnosis and procedure codes based on documentation present on records for correct reimbursement and statistical databases MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED High school graduate and equivalent secondary education skills. Must be graduate of a health Information Technology program or Certification by AHIMA or have equivalent experience coding in a hospital for three years or more. Graduate of Health Information Technology program preferred. Coding experience required as above. Experience with Meditech and Microsoft Word preferred.

Full-time (This is not a remote position.) Responsible for coding and abstracting of outpatient services which include; Ancillary, Infusion Clinic charts. Keep current with ICD-10-CM, HCPCS/CPT- 4, Modifiers and coding guidelines and disposition. Minimum Requirements Ability to communicate effectively; Good organization skills, detail oriented, legible handwriting; Knowledge of medical records principles and practices, anatomy, physiology, medical terminology and classification of diagnoses and operations. Possess a heightened level of knowledge and understanding of ICD 10-CM and CPT-4 coding principles as recommended by the AHIMA coding competencies. Prior hospital coding required; CCS preferred. Knowledge of insurance regulations helpful; Data entry experience necessary; Responsible party needs to be a self-starter and good at managing time effectively.

Position#Summary Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff. Primary Position Responsibilities Codes and abstracts inpatient/outpatient records using ICD-10 Queries medical/clinical staff for clarification of documentation Uses 3M360 computer assisted coding program for coding and tracking queries Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded) Maintains current CCS certification and/ or RHIT Qualifications Minimum Education: Required: High School Diploma or Equivalent Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: Associate#s Degree Minimum Years of Experience (Amount, Type and Variation): Required: Minimum 2-3 years coding experience Preferred: Minimum 2-3 years of hospital coding experience License, Registry or Certification: Required: Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: None Knowledge, Skills and/or Abilities: Required: Proficient in ICD-9 and ICD-10, DRG Assignment, CPT-4 coding. Excellent verbal/written communication skills. Preferred: Previous use of 3M Assisted Coding System. # Hunterdon Health is committed to providing a competitive benefit package to our employees.# Benefit#offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings. # The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant#s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty). Position Summary * Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff. Primary Position Responsibilities * Codes and abstracts inpatient/outpatient records using ICD-10 * Queries medical/clinical staff for clarification of documentation * Uses 3M360 computer assisted coding program for coding and tracking queries * Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded) * Maintains current CCS certification and/ or RHIT Qualifications * Minimum Education: * Required: * High School Diploma or Equivalent * Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) * Preferred: * Associate's Degree * Minimum Years of Experience (Amount, Type and Variation): * Required: * Minimum 2-3 years coding experience * Preferred: * Minimum 2-3 years of hospital coding experience * License, Registry or Certification: * Required: * Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) * Preferred: * None * Knowledge, Skills and/or Abilities: * Required: * Proficient in ICD-9 and ICD-10, DRG Assignment, CPT-4 coding. * Excellent verbal/written communication skills. * Preferred: * Previous use of 3M Assisted Coding System. Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings. The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant's hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).

The Senior Medical Documentation Auditor works under the direction of the Chief Compliance Officer to support the UNLV Health Compliance Program. The auditor will design and execute audits of medical records, conduct educational training sessions with clinicians based on the audit results, and research and respond to inquiries. Identifies organizational risks and coding trends by performing audits and reviewing analytical data. Educate physicians and clinical staff to improve their medical documentation to be in line with medical record documentation requirements. Develops and executes audits, by applying their technical audit and computer software skills, to prepare accurate and detailed audit reports mitigating liability to the organization. Candidates must be legally authorized to work in the United States. Please Note: UNLV Health does not provide employment sponsorships or sponsorship transfers for any positions. ADVANTAGES OF WORKING FOR UNLV HEALTH Working Monday through Friday, 8AM to 5PM. (Actual hours may vary depending on business need) 12 Paid Holidays per year, starting with your first day of employment! 20 + PTO days per year! (Depending on Position) 3% 401K Contribution, even if you do not contribute! Medical, Dental, and Vision benefits that start the first of the month following your start date! And more! MAJOR RESPONSIBILITIES Plan, develop and execute reviews (i.e., audit, assessments, and investigations) to evaluate the medical records for compliance with established documentation, coverage, coding and billing guidelines. Develop and conduct education programs for physicians (i.e., attending, fellows, and residents) and clinical staff (PA, NP/APRN, RN, LPV/LVN, therapists, and medical assistants) on documentation, coverage, coding and billing guidelines. Prepare detailed audit reports and documentation to support findings of deficiencies and recommendations for improvements or corrections Ensure the correct application of ICD-10, CPT, and HCPCS codes for diagnoses, treatments, procedures, and services provided. Implement corrective actions and educate physicians and clinical staff to improve their medical documentation to be in line with medical record documentation requirements. Research and respond to inquiries submitted by providers, coders and administrative staff regarding medical records documentation and billing practices. Act as the compliance liaison with faculty members, developing relationships and functioning as a resource to all providers and their staff relating to documentation, coding and billing audits and results. Serve as an institutional subject matter expert and authoritative resource on medical record documentation requirements. Maintains up-to-date information on all the standards set by Medicare, Medicaid, and other entities relating to medical record documentation requirements. Analyze audit data to track trends, identify recurring issues, and provide feedback to improve overall coding accuracy. Assist with internal and external audits, responding to any documentation/coding-related queries. Support the development and implementation of a compliance program that includes regular audits, feedback mechanisms, and policy updates. Review clinical documentation and verify the accuracy of CPT/HCPCS and ICD-10 codes. Monitor regulatory and reimbursement updates to ensure organizational compliance. Participate in special assignments and compliance initiatives as requested by leadership. Provide onboarding education for new physicians and ongoing training to ensure continued compliance with current standards. EXPERIENCE, EDUCATION, AND CERTIFICATIONS Bachelor's Degree in Business, Healthcare, and/or related field preferred Minimum of five (5) years of experience in healthcare compliance, medical coding, and/or related field required or minimum of seven (7) years of experience in lieu of Bachelor's degree High School Diploma or GED equivalency required Relevant industry certifications (must have at least one): Certified Professional Medical Auditor certification (CPMA) required Certified Professional Coder (e.g., AAPC, AHIMA). Certified in Healthcare Compliance (CHC) certification or equivalent. KNOWLEDGE, SKILLS, AND ABILITIES Advanced knowledge and experience conducting Medical Record audits and ability to interpret and apply Federal and State regulations, coding and billing requirements Advanced knowledge of HIPAA and other information privacy and security requirements Advanced knowledge of medical diagnostic and procedural terminology Advanced knowledge of outpatient coding practices at both the clinical and inpatient settings Advanced knowledge of compliance and regulatory requirements including outpatient CMS regulations Demonstrated ability to constructively and sensitively provide feedback to providers and medical center leadership regarding federal and state coding, medical documentation and compliance guidelines, audit results and risk areas Must have the aptitude to learn, comprehend and assess complex administrative, clinical and operational processes, and workflow and business arrangements to identify deficiencies, opportunities and risks Strong critical thinking, problem solving, and analytical skills Demonstrated proficiency in Microsoft Office (Word, Outlook, and Excel) Excellent verbal and written communication skills Must be able to work independently with minimal supervision Must be able to work within a team environment Must be able to multitask and prioritize work in a fast-paced environment Must be able to maintain confidentiality Must be able to pay close attention to details PHYSICAL REQUIREMENTS May include standing, sitting, and/or walking for extended periods May include performing repetitive tasks May include working on a special schedule (i.e., evenings and weekends) May include working with challenging patients and clients May include lifting up to 25 pounds UNLV Health will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation, or any other category protected by law. If you have any questions about our interview and hiring procedures, please contact Recruitment at ****************************

Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities * Maintains and actively promotes effective communication with all individuals. * Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. * Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. * Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes. * Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate. * Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines. * Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies. * Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. * Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary. * Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency. * Maintains confidentiality, privacy and security in all matters pertaining to this position. * Performs other duties, as assigned. Requirements * High School education or equivalent. * Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date. * One (1) year of coding experience preferred. * Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology. * Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA). * Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred. * Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications. * Strong organizational, analytical, and problem-solving skills, and attention to detail. * Strong Keyboarding and filing abilities. * Ability to exhibit professionalism, flexibility, dependability, and a desire to learn. * Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms. * Commitment to quality outcomes and services for all individuals. * Ability to relate well to all individuals. * Ability to maintain and protect the confidentiality of information. * Ability to exercise independent judgment and make sound decisions. * Ability to adapt to change. Benefits * Employee Referral Bonus Program. * Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution) * Paid Time Off and Holidays acquired from day one of hire. * Health (low to no cost), Dental, & Vision Insurance * Flexible Spending Account (Medical and Dependent Care) * 401(k) with Company Match * Financial and Retirement Planning at No Charge * Basic Life Insurance & AD&D - Company Paid * Short Term Disability - Company Paid * Voluntary Ancillary Coverage * Employee Assistance Program * Benefits vary by full-time, part-time, and PRN status. If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you! Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting. The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all. #IlluminusHQ Salary Description $22 - $25 per hour depending on experience