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Medical Coder jobs at The CORE Institute - 866 jobs

  • Coder II - Remote

    The Center for Orthopedic and Research E 4.6company rating

    Medical coder job at The CORE Institute

    Job Description ESSENTIAL FUNCTIONS Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues. EDUCATION High school diploma/GED or equivalent working knowledge preferred. Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC). EXPERIENCE At least three years of experience in provider coding and medical terminology with extensive knowledge of ICD-10, CPT, and HCPC coding required. Preferred specialty experience in areas of Orthopedics, Neurology, Physical Medicine, and Rehabilitation or Pain Management. REQUIREMENTS A minimum of one of the following credentials: CCS-P or CPC. Meets established coding and abstracting quality and productivity standards. Experience with various coding software. Previous experience with remote coding is preferred. Possesses PC skills, both keyboarding and applications. Requires a good understanding of anatomy, physiology, medical terminology, and disease processes. Ability to work independently. Excellent attention to details. KNOWLEDGE Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable. Knowledge of government and commercial insurance plans requirements. Understands and applies medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes. SKILLS Skill in customer service and an understanding of The HOPCo code of conduct and culture. Skill in communicating effectively with physicians, clinical staff, and the public. Skill in establishing good working relationships with both internal and external customers. ABILITIES Ability to maintain patient confidentiality. Ability to communicate with internal and external customers professionally. Ability to work independently. ENVIRONMENTAL WORKING CONDITIONS Normal office environment. PHYSICAL/MENTAL DEMANDS Requires sitting and standing associated with a normal office environment. Some bending and stretching are required. Manual dexterity using a calculator and computer keyboard. ORGANIZATIONAL REQUIREMENTS HOPCo Mission, Vision, and Values must be read and signed. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.
    $57k-74k yearly est. 11d ago
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  • HOSPITAL INPATIENT CODER SR

    Moffitt Cancer Center 4.9company rating

    Tampa, FL jobs

    The Hospital Inpatient Coder Senior will be expected to apply extensive knowledge in assigning ICD-10- CM diagnosis and ICD-10-PCS procedure codes and Medicare Severity-Diagnosis Related Groupers (MS-DRG) for complex hospital inpatient services. Applies clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation included in an inpatient record. Abstracts data in compliance with national and regional policies. Clarifies physician documentation by utilizing a facility-established query process. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM/ICD-10-PCS Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable. The Hospital Inpatient Coder Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership. Responsibilities: Coding Encounter Key Performance Indicator Requirements Constraints of systems Query Knowledge Team Support Special Projects Perform other duties as assigned Credentials and Experience: High School Diploma/GED Five (5) years in hospital inpatient coding experience with ICD-10 diagnosis, procedure codes and MSDRG. Any (one) of the following certifications is required: CCS) Certified Coding Specialist (CPC) Certified Professional Coder (COC) Certified Outpatient Coding (CCS-P) Certified Coding Specialist - Physician (RHIT) Registered Health Information Technician (RHIA) Registered Health Information Administrator (CIC) Certified Inpatient Coder *Any certification not listed above, but issued from a Governing Body listed below, will be considered by the business AHIMA ************* or AAPC ************ Minimum Skills/Specialized Training Required Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties. Experience in coding hospital inpatient electronic medical records. Excellent communication and interpersonal skills. Experience with automated patient care and coding systems. Competence with MS Office software Extensive knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and ICD-10-PCS coding guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS"). Preferred Experience Preferred qualifications include: • Experience with coding oncology-related services.
    $56k-69k yearly est. 3d ago
  • Coder II - Outpatient - Coding & Reimbursement

    Lakeland Regional Health-Florida 4.5company rating

    Lakeland, FL jobs

    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.
    $43k-53k yearly est. 21h ago
  • Hospital Coder

    Albany Medical Health System 4.4company rating

    Albany, NY jobs

    Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities * Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. * Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines. * Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. * Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim. * Comply with comprehensive internal coding policies and procedures that are consistent with requirements. * Attends coding meetings and roundtable sessions. * Participates in daily huddles and LEAN problem-solving activities. * Focused with no distractions while working and participating in meetings. * Ensures camera on while attending Teams calls. * Assists with organizing the shared drive for the medical coding department. * Other duties as assigned by manager. Qualifications * High School Diploma/G.E.D. - required * Prior experience in hospital medical coding - preferred * Prior experience with 3M 360 and EPIC system - preferred * Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency) * Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency) * Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency) * Excellent written and verbal communication skills. (High proficiency) * Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency) * Detail-oriented and efficient while maintaining productivity. * Coding certification / credential through AHIMA or AAPC and be in good standing. - required Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands * Standing - Occasionally * Walking - Occasionally * Sitting - Constantly * Lifting - Rarely * Carrying - Rarely * Pushing - Rarely * Pulling - Rarely * Climbing - Rarely * Balancing - Rarely * Stooping - Rarely * Kneeling - Rarely * Crouching - Rarely * Crawling - Rarely * Reaching - Rarely * Handling - Occasionally * Grasping - Occasionally * Feeling - Rarely * Talking - Frequently * Hearing - Frequently * Repetitive Motions - Frequently * Eye/Hand/Foot Coordination - Frequently Working Conditions * Extreme cold - Rarely * Extreme heat - Rarely * Humidity - Rarely * Wet - Rarely * Noise - Occasionally * Hazards - Rarely * Temperature Change - Rarely * Atmospheric Conditions - Rarely * Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
    $55.9k-83.8k yearly Auto-Apply 42d ago
  • Coding Specialist II, Remote

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Somerville, MA jobs

    Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This position will be coding for vascular surgery. Job Summary Summary: Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement. Participates in peer review to ensure accuracy and timeliness standards are maintained. Resolve complex coding questions that arise from team. Does this position require Patient Care? No Essential Functions -Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines. -Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes. -Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. -Manages complex coding situations and supports peers through challenging questions. -Peer reviews records for management to ensure accuracy of information. -Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. -Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. -Identifies reportable elements, complications, and other procedures. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience Medical Coding Experience 2-3 years required Knowledge, Skills and Abilities - In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. - Strong understanding of coding guidelines, regulations, and industry best practices. - Excellent leadership and team management skills, with the ability to motivate and develop coding team members. - Strong communication and interpersonal skills to effectively collaborate with healthcare providers, coders, and other stakeholders. - Strong problem-solving skills to address coding-related challenges and implement effective solutions. - Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $21.8-31.1 hourly Auto-Apply 7d ago
  • Coding Specialist II, Remote

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Somerville, MA jobs

    Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This position will be coding for Cardiology. Seeking candidates with EP and Cath lab coding experience Job Summary Summary: Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. Does this position require Patient Carre? No Essential Functions: Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information. -Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies. -Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes. -Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials. -Utilize coding software, encoders, and electronic health record systems to facilitate the coding process. -Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives. -Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges. Qualifications Education High School Diploma or Equivalent required Licenses and Credentials Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred Experience Medical Coding Experience 3-5 years required Knowledge, Skills and Abilities - In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. - Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations. - Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes. - Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding. - Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff. - Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $21.8-31.1 hourly Auto-Apply 35d ago
  • Remote - Clinic/Outpatient Coder III

    Mosaic Life Care 4.3company rating

    Remote

    Remote - Clinic/Outpatient Coder III Outpatient Coding PRN Status Variable Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Expected to be proficient in assigning ICD-10-CM and/or CPT codes for following types of services: Outpatient: Complex Surgeries, Observations (non-obstetric), Interventional radiology, radiation oncology and/or non-complex inpatient coding encounters. Clinic coder: Either proficient in coding for all non-surgery specialty areas, primary care, or complex surgeries. This position works under the guidance and supervision of the HIM Outpatient APC and Clinic Coding Manager and is employed by Mosaic Health System. Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Communicates with providers, querying providers to ensure the highest level of specificity is provided in documentation. May assist in training of newly hired coders. Caregiver may work in conjunction with Patient Financial Services to verify and modify charges and coding to ensure accuracy of supporting documentation, payer rules and correct coding. Working reports for clean-up, auditing services, edits, and denials. Ensures data accuracy of State HIDI data by responding to edits received. Performs other duties as assigned. Must have coding education, HS Diploma and Medical Terminology and Anatomy and Physiology Required to obtain CCS - Certified Coding Specialist or RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician or CPC and/or CCSP - Certified Professional Coder within 180 days of employment. Must also obtain COC - Certified Outpatient Coding within 180 days of employment. Five years experience in a Health Information Services department performing a job that requires detail, and familiarity with patient medical record preferred.
    $24.7-37.1 hourly 60d+ ago
  • Remote - Inpatient Coder II

    Mosaic Life Care 4.3company rating

    Remote

    Remote - Inpatient Coder II Inpatient Coding Full Time Status Day Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology. This position works under the supervision of the Manager and is employed by Mosaic Health System. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials. Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record. Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding. Ensures data accuracy by responding to coding edits received. Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral. Mentors and assists with training coders. Completes analysis by utilizing reports, record reviews, etc. Other duties as assigned. Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required. CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required. Three years experience in coding in an acute care setting required.
    $24.7-37.1 hourly 60d+ ago
  • Remote - Inpatient Coder II

    Mosaic Life Care 4.3company rating

    Remote

    Remote - Inpatient Coder II Inpatient Coding PRN Status Day Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology. This position works under the supervision of the Manager and is employed by Mosaic Health System. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials. Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record. Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding. Ensures data accuracy by responding to coding edits received. Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral. Mentors and assists with training coders. Completes analysis by utilizing reports, record reviews, etc. Other duties as assigned. Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required. CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required. Three years experience in coding in an acute care setting required.
    $24.7-37.1 hourly 60d+ ago
  • Clinical Coder IV/Acute Care - Medical Records

    Atrium Health 4.7company rating

    Charlotte, NC jobs

    00153661 Employment Type: Full Time Shift: Day Shift Details: Monday-Friday 1st shift Standard Hours: 40.00 Department Name: Medical Records Location Details: Onboarding at Arrowpoint, after training able to work remote Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth Job Summary To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership. Essential Functions Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Reviews charges and Evaluation and Management levels. Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management. Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the CHS Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Carolinas HealthCare System is an EOE/AA Employer
    $43k-62k yearly est. 60d+ ago
  • Coding Specialist

    Ear, Nose & Throat Specialists of Wisconsin, Sc 4.4company rating

    Appleton, WI jobs

    **This is an on-site position and candidates must be localout-of-area applicants should not apply.** Join Our Team at Ear, Nose, and Throat Specialists of Wisconsin! Are you passionate about helping others, love delivering great customer service, and thrive in a positive, team-first environment? If so, we'd love to meet you! Ear, Nose, and Throat Specialists of Wisconsin is growingand we're looking for someone with a welcoming personality and a can-do attitude to join our team! At ENT Specialists of Wisconsin, we believe in more than just workwe believe in balance, support, and a culture where every employee feels heard and valued. If you're looking for a workplace where people genuinely care about each other and where your contributions matter, you've found it. What Makes Our Workplace Special: Flexible working hours for better work-life balance Autonomy in your role and the ability to make a real impact Growth opportunities and on-the-job training A relaxed, casual environment with supportive, friendly coworkers Fun company perks and a people-first culture What You'll Do Account for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications Research and analyze data needs for reimbursement Analyze medical records and identify documentation deficiencies Assign codes for reimbursement; research and compliance with regulatory requirements utilizing guidelines Research and facilitate a plan of action to correct discrepancies and prevent future coding errors Maintains the integrity and confidentiality of financial and protected patient files Physician credentialing Serve as coding consultant to staff and providers What We're Looking For: A high school diploma or equivalent CPC, CCSP, RIT or similar certification required Minimum of 2 years' experience in a similar role Excellent verbal and written communication skills with the ability to manage sensitive and confidential situations. Availability for full-time hours (40/week) Primary location(s): Appleton-Westhill Clinic Why You'll Love Working Here: Generous paid time off (starts accruing immediately!) Schedule flexibility that fits your life Comprehensive health care coverage (individual & family) Annual education allowance 401(K) retirement plan + year-end profit sharing Company-paid short- and long-term disability coverage Paid holidaysincluding a personal floating holiday just for you If you're looking to join a compassionate, dynamic team where people come first, apply today! PI30f09fe289c4-31181-39372149
    $44k-51k yearly est. 8d ago
  • Risk Adjustment Medical Coder

    High Country Community Health 3.9company rating

    Boone, NC jobs

    Job DescriptionDescription: Full Time, Remote Exempt / Salary Organization High Country Community Health (HCCH) is a federally funded Community and Migrant Health Center with medical locations in Watauga, Avery, Burke, and Surry Counties. The mission of HCCH is to provide comprehensive and culturally sensitive primary health care services that may include dental, mental and substance abuse services to the medically under-served population of Watauga, Avery, Burke, and Surry Counties and the surrounding rural communities. Supervisory Relationship: Reports to: Deputy CFO Job Summary and Responsibilities Provides thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and patient complexity of care. Utilizes knowledge of official coding guidelines, HCC standards, Risk Adjustment Factor (RAF) scoring, and physician query briefs. Will participate in Provider education on the importance of diagnosis specificity and documentation guidelines. The Risk Adjustment Coder works to maintain a thorough knowledge of our current automated eClinicalsWork (eCW) enterprise billing system, through which the coding and documentation review are functionalized to provide support to HCCH providers and staffs as necessary. Provides subject matter expertise to others including staff in the Billing department as necessary. This position requires professional maturity, responsibility, integrity, and subject matter expertise to complete the work timely; communicate setbacks to deliverables. and to collaborate with others to meet production and quality standards. Responsibilities include: -Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines -Validate and ensure the completeness, accuracy, and integrity of coded data. -Concurrently, prospectively, and retrospectively review medical records to identify unclear, ambiguous, or inconsistent documentation ensuring full capture of severity, accuracy, and quality. -Query providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. -Utilizes approved resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS and ensures documentation in the medical record follows official coding guidelines, internal guidelines, and AHIMA physician query brief standards. -Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. -Comply with HIPAA laws and regulations. -Maintain coding quality and productivity standards set forth by HCCH. -Maintain competency in evolving areas of coding, guidelines, and risk adjustment reimbursement reporting requirements. -Assist in internal and external coding audits to ensure the quality and compliance of coding practices. -Provide ongoing feedback to physicians and other providers regarding coding guidelines and requirements, including education and support for improvement in HCC coding, and RAF scoring. -Assist with educational in-services for physicians, other providers, and clinic staff relating to coding and documentation compliance as well as new policies and procedures relating to clinical documentation compliance related to billing. -Maintains complete confidentiality of patient information. -Assists with developing, implementing, and reviewing policies, procedures, and forms related to areas of responsibility. -Other duties as assigned by your Supervisor. Requirements: Requirements/Skills/Experience -High-speed internet access -Strong clinical knowledge related to chronic illness diagnosis, treatment, and management. -Knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred. -Personal discipline to work remotely without direct supervision -Dental coding skills a plus -Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation. Qualifications: -Bachelor's degree in allied health or any related field required. -Minimum 2 years of progressive Professional Risk Adjustment Coding experience required. -Active Certified Risk Adjustment Coder certification (CRC and/or CPC) required -Candidates hired with active CPC, but without Certified Risk Adjustment Coder certification (CRC) must obtain CRC certification within 9 months of hire. Travel Requirements None. Salary Commensurate with experience, education and certifications
    $38k-49k yearly est. 16d ago
  • Cardiology Coding Specialist (Remote)

    Cardiology 4.7company rating

    California City, CA jobs

    Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)
    $57k-72k yearly est. 60d+ ago
  • Coder IV

    Ohiohealth 4.3company rating

    Homeworth, OH jobs

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 1. 60% Assigns appropriate admit, & principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO a indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately Assign DRG/MSDRG/APR-DRG at the minimum standards of 95% Review Diagnosis and CC/MCC for maximum SOI/ROM Clinical understand of laboratory and radiology values Knowledge of quality outcomes indicators Work with CDS to improve physician documentation and case mix index Assign Principal Diagnosis accurately at least 95% or better Monitor and appropriately assign HAC codes when appropriate Responsible for recognizing when it is necessary to obtain further clarification from physician when documentation is inadequate, ambiguous, or unclear for coding purposes. Assists educators and supervisors with reviewing accounts denied by RAC and other governmental payers for appropriate documentation to support original coding. 2. 20% In the event of insufficient, missing or conflicting documentation, assigns transaction codes in HBOC system and follows department policy for follow up and physician query. 3. 10% : Abstracts all data elements necessary to complete UB0 4 and meet hospital-reporting requirements. 4. 5% : Verifies demographics, corrects account number, charges and service and identify missing or incorrect forms in each record. 5. 5% : Identifies problem cases on the DNFB and forwards to appropriate staff for follow up. The major duties, responsibilities and listed above are not intended to be all-inclusive of the duties, responsibilities and to be performed by employees in this job. Employee is expected to all perform other duties as requested by supervisor. Minimum Qualifications: Bachelor's Degree (Required) AHIMA - American Health Information Management Association - American Health Information Management Association, CCS - Certified Coding Specialist - American Health Information Management Association Additional Job Description: Work Shift: Day Scheduled Weekly Hours : 40 Department Hospital Coding Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.
    $45k-54k yearly est. Auto-Apply 60d+ ago
  • CODER INPATIENT

    Carson-Tahoe Regional Health Care 4.6company rating

    Carson City, NV jobs

    US:NV:Carson City Health Information Management Full Time - Remote About Carson Tahoe Health CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. Summary As senior level coding specialist, assigns compliant, complete and accurate coding MS-DRG's, ICD-10-CM diagnosis codes, ICD-10-CM procedure codes, and Present on Admission (POA) indicators for the hospital inpatient, and LTACH on services based upon the clinical documentation provided within the medical record. Works collaboratively with other members of the Revenue Cycle to complete all essential responsibilities in a timely fashion to meet the quality, utilization, and financial needs of the organization. Ensures complete and accurate abstraction of the medical record data. Qualifications Required * Minimum of one of the following active credentials: o AHIMA RHIA or RHIT or CCS or AAPC CIC * Three years of previous inpatient hospital coding experience or two years as a clinical coder 2. Preferred * Active AHIMA membership * Active AAPC membership * Associate's degree in health information technology from an accredited program. Top 5 Reasons to Live in Carson City, Nevada * Live, work and play in one of the most beautiful regions in the world * Enjoy an array of outdoor activities world class skiing, golf, camping, mountain biking, hiking, water skiing, kayaking, hunting and fishing * Just next door is Beautiful Lake Tahoe * We are minutes from Reno known as the 'biggest little city in the world' - Fine dining, nightlife, shopping and home to the University of Nevada Reno. * Family friendly atmosphere with affordable housing & excellent school system Our Benefits * No State Income Tax * Medical, Dental, Vision, FSA, Telehealth * Paid Time Off, Mental Health, and Volunteer Days * 100% Vested 401K & Roth with Company Contribution * Tuition Reimbursement * Referral Bonuses * On Site Education & Certification Programs * Base Wage Increases for Relevant Advanced Degrees * Free Calm App Subscription
    $64k-83k yearly est. 13d ago
  • CODER INPATIENT

    Carson-Tahoe Regional Health Care 4.6company rating

    Carson City, NV jobs

    US:NV:Carson City Health Information Management Full Time Day Shift - REMOTE About Carson Tahoe Health CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. Summary As senior level coding specialist, assigns compliant, complete and accurate coding MS-DRG's, ICD-10-CM diagnosis codes, ICD-10-CM procedure codes, and Present on Admission (POA) indicators for the hospital inpatient, and LTACH on services based upon the clinical documentation provided within the medical record. Works collaboratively with other members of the Revenue Cycle to complete all essential responsibilities in a timely fashion to meet the quality, utilization, and financial needs of the organization. Ensures complete and accurate abstraction of the medical record data. Qualifications Required * Minimum of one of the following active credentials: o AHIMA RHIA or RHIT or CCS or AAPC CIC * Three years of previous inpatient hospital coding experience or two years as a clinical coder 2. Preferred * Active AHIMA membership * Active AAPC membership * Associate's degree in health information technology from an accredited program. Top 5 Reasons to Live in Carson City, Nevada * Live, work and play in one of the most beautiful regions in the world * Enjoy an array of outdoor activities world class skiing, golf, camping, mountain biking, hiking, water skiing, kayaking, hunting and fishing * Just next door is Beautiful Lake Tahoe * We are minutes from Reno known as the 'biggest little city in the world' - Fine dining, nightlife, shopping and home to the University of Nevada Reno. * Family friendly atmosphere with affordable housing & excellent school system Our Benefits * No State Income Tax * Medical, Dental, Vision, FSA, Telehealth * Paid Time Off, Mental Health, and Volunteer Days * 100% Vested 401K & Roth with Company Contribution * Tuition Reimbursement * Referral Bonuses * On Site Education & Certification Programs * Base Wage Increases for Relevant Advanced Degrees * Free Calm App Subscription
    $64k-83k yearly est. 13d ago
  • Coder-Health Information-8125

    Kingman Healthcare 4.3company rating

    Kingman, AZ jobs

    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
    $48k-64k yearly est. Auto-Apply 60d+ ago
  • Health Information Management (HIM) Coder - Outpatient - PER DIEM

    Rome Health 4.4company rating

    Rome, NY jobs

    Job Description Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
    $40k-52k yearly est. 6d ago
  • Health Information Coder (ICD-10CM)

    Lindengrove Communities 3.9company rating

    Fitchburg, WI jobs

    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
    $22-25 hourly 52d ago
  • Health Information Spec II

    Sarasota Memorial Health Care System 4.5company rating

    Sarasota, FL jobs

    Department Health Information Management Responsible for the day to day tasks related to the processing of health information to include but not limited to the following: chart pick-up, general HIM reception and transcription, release of information, indexing and quality assurance of medical records, analysis, amendments, audits, and birth certificate processing, emergency assistance program processing, and chart completion. Required Qualifications * Require a minimum of two (2) years of previous experience in Health Information Management. Preferred Qualifications * Prefer the ability to work independently, shift priorities, and demonstrate decision making ability. * Prefer the ability to cross train on all processes involved in scanning paper records and training staff on these processes. * Prefer advanced knowledge of word processing and spreadsheet applications. * Prefer knowledge of Joint Commission and CMS Conditions of Participation. * Prefer demonstrated strong interpersonal, communication and organization skills. * Prefer the ability to perform clerical duties, repetitive and detailed tasks. * Prefer the ability to interact with ancillary departments. Mandatory Education HS EQ: High School Diploma, GED or Certificate Preferred Education Required License and Certs Preferred License and Certs Tuesday through Saturday 10:00AM-6:30PM Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. *********************************
    $51k-63k yearly est. 41d ago

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