Medical Coder jobs at The Toledo Clinic

JOB SUMMARY # The Health Information Management (HIM) Coder impacts Memorial#s Healthcare quality initiatives and reimbursement through the assignment of the most accurate and optimal diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Under the direction of the Health Information Management (HIM) Coding and Clinical Documentation Integrity (CDI) Manager, this position will code and analyze physician documentation contained in health records (electronic, paper or hybrid) to determine the appropriate principal diagnosis, secondary diagnoses, and procedures codes to accurately capture MS-DRG assignment.## Use the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers in accordance with coding rules and regulations. The coding information is used to determine APC#s (Ambulatory Payment Classification) for data quantitative analysis, quality research and claim submission. It is necessary that the candidate abides by the Standards of Ethical Coding as set forth by AHIMA and strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care. # Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience.# Recognizes and demonstrates understanding of patient and family centered care.# # PRIMARY JOB RESPONSIBILITIES: # Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior. Codes accounts in work lists appropriately based on priority. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes. Meet and sustain productivity metrics established by the Manager while maintaining high accuracy rate. Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment. Investigates and tracks unbilled accounts to determine reason for incomplete status and works with appropriate resources for completion. Queries physicians and other healthcare providers when there is conflicting, incomplete, or ambiguous information in the health record. Comply with industry standards #Guidelines for Achieving a Compliant Query Practice# when composing queries. Accountable for Claim Edits review and respond to NCCI, OCE, LCD # NCD edits. Abides by and stays current with Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting, American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, and American Health Information Management Association (AHIMA) Standards of Ethical Coding. Maintains appropriate, and demonstrates adequate use of, multiple software applications, including 3-M, Meditech (Expanse), scanning software, etc. Completes assigned tasks in appropriate timeframe and adjusts to increased workload. Problem solves and brings concerns to Manager for resolution when appropriate. Actively contributes to the morale and teamwork of the staff and facility and always presenting a positive attitude and patient-minded vision, with patient satisfaction as the continuing goal. Follows established procedures for specific coding modalities, examples # concurrent and retrospective coding. Assists with training/orientation of new employees and students. Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior. Efficient and productive in a remote work environment. Other duties as assigned. # JOB SPECIFICATIONS # EDUCATION Associate#s degree in Health Information Technology is required.# Minimum of successful completion of a registered coding program with AHIMA approval status, RHIA or RHIT or CCS is required. # EXPERIENCE Three years of Acute Care Hospital coding experience is required.# Knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG group assignments, anatomy, physiology and pathophysiology.# Competency in the use of computer applications. JOB SUMMARY The Health Information Management (HIM) Coder impacts Memorial's Healthcare quality initiatives and reimbursement through the assignment of the most accurate and optimal diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Under the direction of the Health Information Management (HIM) Coding and Clinical Documentation Integrity (CDI) Manager, this position will code and analyze physician documentation contained in health records (electronic, paper or hybrid) to determine the appropriate principal diagnosis, secondary diagnoses, and procedures codes to accurately capture MS-DRG assignment. Use the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers in accordance with coding rules and regulations. The coding information is used to determine APC's (Ambulatory Payment Classification) for data quantitative analysis, quality research and claim submission. It is necessary that the candidate abides by the Standards of Ethical Coding as set forth by AHIMA and strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care. Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care. PRIMARY JOB RESPONSIBILITIES: * Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior. * Codes accounts in work lists appropriately based on priority. * Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes. * Meet and sustain productivity metrics established by the Manager while maintaining high accuracy rate. * Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment. * Investigates and tracks unbilled accounts to determine reason for incomplete status and works with appropriate resources for completion. * Queries physicians and other healthcare providers when there is conflicting, incomplete, or ambiguous information in the health record. Comply with industry standards "Guidelines for Achieving a Compliant Query Practice" when composing queries. * Accountable for Claim Edits review and respond to NCCI, OCE, LCD & NCD edits. * Abides by and stays current with Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting, American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, and American Health Information Management Association (AHIMA) Standards of Ethical Coding. * Maintains appropriate, and demonstrates adequate use of, multiple software applications, including 3-M, Meditech (Expanse), scanning software, etc. * Completes assigned tasks in appropriate timeframe and adjusts to increased workload. * Problem solves and brings concerns to Manager for resolution when appropriate. * Actively contributes to the morale and teamwork of the staff and facility and always presenting a positive attitude and patient-minded vision, with patient satisfaction as the continuing goal. * Follows established procedures for specific coding modalities, examples - concurrent and retrospective coding. * Assists with training/orientation of new employees and students. * Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior. * Efficient and productive in a remote work environment. * Other duties as assigned. JOB SPECIFICATIONS EDUCATION * Associate's degree in Health Information Technology is required. * Minimum of successful completion of a registered coding program with AHIMA approval status, RHIA or RHIT or CCS is required. EXPERIENCE * Three years of Acute Care Hospital coding experience is required. * Knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG group assignments, anatomy, physiology and pathophysiology. * Competency in the use of computer applications.

**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** .

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 coding and abstracting functions for Trauma Patients including Emergency Department, Observation, Observation in a bed and the inpatient setting. Responsibilities And Duties: 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 POA indicator to all inpatient account diagnoses as required by official coding guidelines. * Accurately Assign ICD10 diagnosis/procedure codes, AIS scoring at the minimum standards of 95% quality and meeting and maintaining the minimum Coder productivity requirements. 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 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 providers and supervisors with reviewing accounts denied by NTDB and other governing bodies for appropriate documentation to support original coding. 35% * Abstracts all data elements necessary to complete NTDB and TQIP requirements and meet hospital-reporting requirements. * In the event of insufficient, missing, or conflicting documentation, follows department policy for follow up and physician query. * Identifies problem cases in EPIC and forwards to appropriate staff for follow up. 5% * Verifies demographics, account number, service and identify missing or incorrect forms in each record. 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: Additional Job Description: SPECIALIZED KNOWLEDGE Associate's degree or 1-3 years of coding experience in an acute care/hospital setting. Specialized Knowledge: AIS Scoring, ICD-10CM and PCS classification systems, Advanced Anatomy & Physiology, Pathophysiology, Pharmacology, Medical Terminology, inpatient documentation schemes. Knowledge of Hospital Acquired Conditions (HAC), Present on Admission (POA), Severity of Illness (SOI), Risk of Mortality (ROM), and Quality outcome indicators. Knowledge of operative reports, clinical lab, and radiology results for physician queries. Knowledge of Clinical Documentation improvement programs. Knowledge of NTDB and TQIP abstracting elements. Work Shift: Day Scheduled Weekly Hours : 40 Department Trauma Services 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

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Advanced outpatient coding position that reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA,) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. . Follows Mercy Policies and Procedures and maintains required quality and productivity standards. **ESSENTIAL FUNCTIONS** + Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation. . The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX. + ·Correctly abstract required data per facility specifications. + ·Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines. + Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and premise as a team, ensure timely, compliant processing of outpatient claims in the billing system. + Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards. + Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS,) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. + Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy + Follows all established Mercy Health policies and procedures to include abiding by paid time off, (PTO) requirements. + Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth. + Training/Mentoring - SMART Responsibilities where applicable **Required Minimum Education:** + Vocational/Technical Degree, Specialty/Major: HIM / Coding Certification + Preferred Education: 2 year/Associate's Degree, Specialty/Major: HIM / Coding Certification + LICENSURE/CERTIFICATIONS (must be non-expired/active unless otherwise stated): + Required: If RHIA or RHIT or CCA upon hire without COC or CCS, will be required to acquire COC or CCS and CRCR within 1 year of hire + Preferred: RHIA or RHIT or CCS or COC or CCA or CPC **MINIMUM QUALIFICATIONS** + Minimum Years and Type of Experience: Completion of Coding Curriculum with one year of previous coding experience. + Other Knowledge, Skills and Abilities Required: Satisfactory completion of Medical Terminology and Anatomy and Physiology. Completion of ICD-10 training. Previous use of Coding Software Tools. + Knowledge of medical record content to include electronic medical records, (EMRs.) Ability to function independently, with minimal supervision, as well as part of a team. + Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions. + Proficiency in keyboarding skills and working knowledge of computers. Excellent communication skills. + Other Knowledge, Skills and Abilities Preferred: Previous coding experience in an acute care setting and previous use of coding software tools. Previous use of CAC. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, CPT IV codes, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes 3M 360 in accordance with established workflow. Follows Ensemble policies and procedures and maintains required quality and productivity standards. **Essential Job Functions** + Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided. + Correctly abstract required data per facility specifications. + Responsible to assist with writing appeals for Diagnosis Related Group, (DRG) denials in order to support the assigned Diagnosis Related Group, (DRG) and to address the clinical documentation utilized in the decision making process to support the validity of the assigned codes. + Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis, and as a team, ensure timely, compliant processing of inpatient accounts through the billing system. + Collaborates with Clinical Documentation Specialists, (CDEs,) and members of the medical staff to ensure completeness of documentation in the charts so that appropriate codes, and ultimately the correct Diagnosis Related Group (DRG,) may be assigned. + Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators established for 3M 360 CAC for CRS and Direct Code. + Remain abreast of current Centers for Medicare and Medicaid Services, (CMS) requirements as well as Correct Coding Initiative, (CCI) edits, Hospital Acquired Conditions, (HAC's) and when applicable, National Coverage Determinations, (NCDs) and Local Coverage Determinations, (LCDs,) including the addition of appropriate modifiers to ensure a clean claim the first time through. + Maintains competency and accuracy while utlizing tools of the trade, such as the 3M encoder, Computer Assisted Coding, (CAC,) Clinical Documentation Improvement System, (CDIS,) and abstracting systems, and all reference materials. Reports inaccuracies found in software applications to HIM Coding Manager/Supervisor, reports any potential unethical and/or fradulent activity per compliance policy. + This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation **Required Licensure:** RHIA, RHIT, CCS, CIC, or CCA As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, CPT IV codes, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes 3M 360 in accordance with established workflow. Follows Ensemble policies and procedures and maintains required quality and productivity standards. Essential Job Functions * Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided. * Correctly abstract required data per facility specifications. * Responsible to assist with writing appeals for Diagnosis Related Group, (DRG) denials in order to support the assigned Diagnosis Related Group, (DRG) and to address the clinical documentation utilized in the decision making process to support the validity of the assigned codes. * Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis, and as a team, ensure timely, compliant processing of inpatient accounts through the billing system. * Collaborates with Clinical Documentation Specialists, (CDEs,) and members of the medical staff to ensure completeness of documentation in the charts so that appropriate codes, and ultimately the correct Diagnosis Related Group (DRG,) may be assigned. * Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators established for 3M 360 CAC for CRS and Direct Code. * Remain abreast of current Centers for Medicare and Medicaid Services, (CMS) requirements as well as Correct Coding Initiative, (CCI) edits, Hospital Acquired Conditions, (HAC's) and when applicable, National Coverage Determinations, (NCDs) and Local Coverage Determinations, (LCDs,) including the addition of appropriate modifiers to ensure a clean claim the first time through. * Maintains competency and accuracy while utlizing tools of the trade, such as the 3M encoder, Computer Assisted Coding, (CAC,) Clinical Documentation Improvement System, (CDIS,) and abstracting systems, and all reference materials. Reports inaccuracies found in software applications to HIM Coding Manager/Supervisor, reports any potential unethical and/or fradulent activity per compliance policy. * This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation Required Licensure: RHIA, RHIT, CCS, CIC, or CCA As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Advanced outpatient coding position that reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA,) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. . Follows Mercy Policies and Procedures and maintains required quality and productivity standards. ESSENTIAL FUNCTIONS * Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation. . The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX. * ·Correctly abstract required data per facility specifications. * ·Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines. * Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and premise as a team, ensure timely, compliant processing of outpatient claims in the billing system. * Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards. * Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS,) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. * Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy * Follows all established Mercy Health policies and procedures to include abiding by paid time off, (PTO) requirements. * Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth. * Training/Mentoring - SMART Responsibilities where applicable Required Minimum Education: * Vocational/Technical Degree, Specialty/Major: HIM / Coding Certification * Preferred Education: 2 year/Associate's Degree, Specialty/Major: HIM / Coding Certification * LICENSURE/CERTIFICATIONS (must be non-expired/active unless otherwise stated): * Required: If RHIA or RHIT or CCA upon hire without COC or CCS, will be required to acquire COC or CCS and CRCR within 1 year of hire * Preferred: RHIA or RHIT or CCS or COC or CCA or CPC MINIMUM QUALIFICATIONS * Minimum Years and Type of Experience: Completion of Coding Curriculum with one year of previous coding experience. * Other Knowledge, Skills and Abilities Required: Satisfactory completion of Medical Terminology and Anatomy and Physiology. Completion of ICD-10 training. Previous use of Coding Software Tools. * Knowledge of medical record content to include electronic medical records, (EMRs.) Ability to function independently, with minimal supervision, as well as part of a team. * Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions. * Proficiency in keyboarding skills and working knowledge of computers. Excellent communication skills. * Other Knowledge, Skills and Abilities Preferred: Previous coding experience in an acute care setting and previous use of coding software tools. Previous use of CAC. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion? Who we are With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. Our culture At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community. Our benefits We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that's why we offer our employees a flexible, competitive benefit package. In addition to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and retirement, we also offer an employee assistance program, paid time off, holidays, and a wellness program designed to support our employees so they can live their best lives. As an OSUP employee, you will be eligible for these various benefits depending on your employment status. Responsibilities Determines accurate CPT, HCPCS procedure and professional supply codes and ICD-10-CM diagnosis codes used for billing services provided by physicians and licensed non-physician providers. Performs activities related to physician practice management and coding to maintain compliance with payer reimbursement policies and Federal health care program requirements. Provides training and education on coding and compliance issues to physicians, non-physician providers and staff on an ongoing basis. Interacts with patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation as well as communication on coding and compliance issues. Performs audits and analyses of payer denials; provides information on compliance issues arising from audits and formulates recommendations to providers regarding improved documentation practices to avoid future claims denials. Researches inquiries from providers and patients about fees, reimbursements, and denials. Monitors data sources to ensure receipt and analysis of all charges. Updates encounter forms/super bills on an annual basis with respect to diagnostic, procedural and supply code changes. Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients. Other duties or special projects as assigned. Qualifications High School diploma or GED; Certification in CPC, CCS, CCS-P, RHIT; or specialty coding with one to three years' experience directly related to coding and reimbursement for physician services; or equivalent combination of education and experience. Knowledge of CPT, HCPCS procedure and professional supply codes and ICD-10-CM (or current version) diagnosis codes used for billing services provided by physicians and licensed non-physician providers. Knowledge of third party fee profiles and reimbursement requirements. Knowledge of current and developing issues and trends in medical coding procedures and requirements. Analytical ability to gather and interpret data and develop, recommends, and implement solutions. Ability to interact and communicate with individuals at all levels of the organization. Preferences: Experience working with Electronic Medical Records and IDX. Pay Range USD $23.84 - USD $35.76 /Hr.

**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 coding and abstracting functions for Trauma Patients including Emergency Department, Observation, Observation in a bed and the inpatient setting. **Responsibilities And Duties:** 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 POA indicator to all inpatient account diagnoses as required by official coding guidelines. - Accurately Assign ICD10 diagnosis/procedure codes, AIS scoring at the minimum standards of 95% quality and meeting and maintaining the minimum Coder productivity requirements. 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 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 providers and supervisors with reviewing accounts denied by NTDB and other governing bodies for appropriate documentation to support original coding. 35% - Abstracts all data elements necessary to complete NTDB and TQIP requirements and meet hospital-reporting requirements. - In the event of insufficient, missing, or conflicting documentation, follows department policy for follow up and physician query. - Identifies problem cases in EPIC and forwards to appropriate staff for follow up. 5% - Verifies demographics, account number, service and identify missing or incorrect forms in each record. 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:** **Additional Job Description:** **SPECIALIZED KNOWLEDGE** Associate's degree or 1-3 years of coding experience in an acute care/hospital setting. Specialized Knowledge: AIS Scoring, ICD-10CM and PCS classification systems, Advanced Anatomy & Physiology, Pathophysiology, Pharmacology, Medical Terminology, inpatient documentation schemes. Knowledge of Hospital Acquired Conditions (HAC), Present on Admission (POA), Severity of Illness (SOI), Risk of Mortality (ROM), and Quality outcome indicators. Knowledge of operative reports, clinical lab, and radiology results for physician queries. Knowledge of Clinical Documentation improvement programs. Knowledge of NTDB and TQIP abstracting elements. **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** Trauma Services 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

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As an Interventional Radiology Coder, you will be dedicated to either hospital inpatient or hospital outpatient coding. In this role, you will code and abstract highly complex clinical information from high-acuity inpatient charts or outpatient surgery and observation charts for reimbursement, research and compliance with federal regulations and other agencies, utilizing established coding principles and protocols. This position will help expand our in-house outpatient surgery coding team, including the ability to code and charge for interventional radiology procedures. **Inpatient:** + Identify, review, and assign highly complex/high-acuity codes, including ICD-10-CM, PCS, POA and PSI indicators for inpatient charts. **Outpatient:** + Identify, review and assign highly complex codes, including ICD-10-CM and CPT for ambulatory surgery and observation charts. **A caregiver in this role works remotely from 7:00 a.m. -- 5:00 p.m.** A caregiver who excels in this role will: + Clarify highly complex discrepancies in documentation and coding. + Ensure accuracy and timeliness of highly complex/high acuity coding/abstracting for inpatient charts to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care. + Leverage AI tools to enhance quality and productivity and reduce manual effort in routine tasks. + Monitor performance and accuracy of AI-assisted outputs, ensuring alignment with quality standards and coding guidelines. + Contribute to the development of internal best practices for ethical and secure use of AI technologies. + Ensure accuracy and timeliness of highly complex coding/abstracting for outpatient charts to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care. + Abstract highly complex clinical information from high acuity inpatients or surgical outpatients and observations for the purpose of reimbursements, research and compliance with federal regulations and other agencies utilizing established coding principles and protocols. + Accurately code high complexity/high acuity cases. + Extract pertinent highly complex information from clinical notes, operative notes, radiology reports, laboratory reports, specialty forms, etc. using ICD-10-CM/PCS codes or CPT codes, POA indicators and PSI indicators. + Identify medical and surgical complications and untoward events for accurate MS-DRG/APR- DRG for inpatient charts or APC assignment for outpatient charts. + Follow up on highly complex/high acuity coding of medical records as a result of internal or external reviews which identified Coding, APC or DRG discrepancies. + Support special studies in relation to coding and abstracting information according to policies and procedures. + Maintain knowledge and skills via written coding resources, clinical information, videos, etc. + Meet or exceed productivity and quality standards and established department benchmarks. Minimum qualifications for the ideal future caregiver include: + High School Diploma + Three years of experience abstracting, identifying, reviewing and assigning highly complex/high acuity ICD-10-CM, CPT, ICD-10-PCS, POA and PSI indicators, surgical complications for inpatient, **or** CPT codes for surgical outpatient and observations + **OR** a completion of the Cleveland Clinic Coder Trainee Program with a focus on highly complex/high acuity cases **and** two years of experience + Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) or Certified Interventional Radiology Cardiovascular Coder (CIRCC) by American Academy of Professional Coders (AAPC) + _Coding assessment relevant to the work may be required_ + Current with emerging AI technologies + Interventional Radiology, coding and charging experience Preferred qualifications for the ideal future caregiver include: + Certified Interventional Radiology Cardiovascular Coder (CIRCC) + Professional and hospital experience + Acute care background or experience in a facility performing interventional radiology procedures Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: ******************************************** **Work Experience:** + Three years of experience abstracting, identifying, reviewing, and assigning highly complex/high acuity ICD-10-CM, CPT, PCS, POA and PSI indicators for inpatient, or surgical outpatient and observations is required. + Successful completion of the Cleveland Clinic Coder Trainee Program with a focus on highly complex/high acuity cases may substitute one year of the required experience. **Physical Requirements:** + Ability to perform work in a stationary position for extended periods. + Ability to travel throughout the hospital system. + Ability to work with physical records, such as retrieving and filing them. + Ability to operate a computer and other office equipment. + Ability to communicate and exchange accurate information. + In some locations, ability to move up to 25 lbs. **Personal Protective Equipment:** + Follows Standard Precautions using personal protective equipment. **Pay Range** Minimum hourly: $25.13 Maximum hourly: $38.33 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.). Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As an Interventional Radiology Coder, you will be dedicated to either hospital inpatient or hospital outpatient coding. In this role, you will code and abstract highly complex clinical information from high-acuity inpatient charts or outpatient surgery and observation charts for reimbursement, research and compliance with federal regulations and other agencies, utilizing established coding principles and protocols. This position will help expand our in-house outpatient surgery coding team, including the ability to code and charge for interventional radiology procedures. Inpatient: * Identify, review, and assign highly complex/high-acuity codes, including ICD-10-CM, PCS, POA and PSI indicators for inpatient charts. Outpatient: * Identify, review and assign highly complex codes, including ICD-10-CM and CPT for ambulatory surgery and observation charts. A caregiver in this role works remotely from 7:00 a.m. -- 5:00 p.m. A caregiver who excels in this role will: * Clarify highly complex discrepancies in documentation and coding. * Ensure accuracy and timeliness of highly complex/high acuity coding/abstracting for inpatient charts to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care. * Leverage AI tools to enhance quality and productivity and reduce manual effort in routine tasks. * Monitor performance and accuracy of AI-assisted outputs, ensuring alignment with quality standards and coding guidelines. * Contribute to the development of internal best practices for ethical and secure use of AI technologies. * Ensure accuracy and timeliness of highly complex coding/abstracting for outpatient charts to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care. * Abstract highly complex clinical information from high acuity inpatients or surgical outpatients and observations for the purpose of reimbursements, research and compliance with federal regulations and other agencies utilizing established coding principles and protocols. * Accurately code high complexity/high acuity cases. * Extract pertinent highly complex information from clinical notes, operative notes, radiology reports, laboratory reports, specialty forms, etc. using ICD-10-CM/PCS codes or CPT codes, POA indicators and PSI indicators. * Identify medical and surgical complications and untoward events for accurate MS-DRG/APR- DRG for inpatient charts or APC assignment for outpatient charts. * Follow up on highly complex/high acuity coding of medical records as a result of internal or external reviews which identified Coding, APC or DRG discrepancies. * Support special studies in relation to coding and abstracting information according to policies and procedures. * Maintain knowledge and skills via written coding resources, clinical information, videos, etc. * Meet or exceed productivity and quality standards and established department benchmarks. Minimum qualifications for the ideal future caregiver include: * High School Diploma * Three years of experience abstracting, identifying, reviewing and assigning highly complex/high acuity ICD-10-CM, CPT, ICD-10-PCS, POA and PSI indicators, surgical complications for inpatient, or CPT codes for surgical outpatient and observations * OR a completion of the Cleveland Clinic Coder Trainee Program with a focus on highly complex/high acuity cases and two years of experience * Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) or Certified Interventional Radiology Cardiovascular Coder (CIRCC) by American Academy of Professional Coders (AAPC) * Coding assessment relevant to the work may be required * Current with emerging AI technologies * Interventional Radiology, coding and charging experience Preferred qualifications for the ideal future caregiver include: * Certified Interventional Radiology Cardiovascular Coder (CIRCC) * Professional and hospital experience * Acute care background or experience in a facility performing interventional radiology procedures Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: ******************************************** Work Experience: * Three years of experience abstracting, identifying, reviewing, and assigning highly complex/high acuity ICD-10-CM, CPT, PCS, POA and PSI indicators for inpatient, or surgical outpatient and observations is required. * Successful completion of the Cleveland Clinic Coder Trainee Program with a focus on highly complex/high acuity cases may substitute one year of the required experience. Physical Requirements: * Ability to perform work in a stationary position for extended periods. * Ability to travel throughout the hospital system. * Ability to work with physical records, such as retrieving and filing them. * Ability to operate a computer and other office equipment. * Ability to communicate and exchange accurate information. * In some locations, ability to move up to 25 lbs. Personal Protective Equipment: * Follows Standard Precautions using personal protective equipment. Pay Range Minimum hourly: $25.13 Maximum hourly: $38.33 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).

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.

Join Our Team at Avita Health System - Avita Health System - Crestline Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we've tripled in size, now employing over 2,200 team members and more than 160 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us. We're currently seeking a dedicated Certified Coder to join our Medical Records Department at our Crestline location. Position Overview Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses and procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner. Ability to work remotely if quality and productivity standards are maintained. Holds appropriate AHIMA certification. Reports to Coding Manager. Qualifications Required: High school graduate or equivalent. RHIT or CCS coding certification. Minimum or 2 years of hospital coding experience. ICD-10, CPT and HCPCS coding knowledge. Knowledge of medical terminology, anatomy and physiology. Why Join the Avita Health System Team? At Avita, we're committed to creating a supportive, inclusive, and empowering environment where every team member plays a vital role in delivering exceptional care to our communities. Whether you're on the front lines or behind the scenes, your work matters here. What You Can Expect at Avita: A collaborative and engaged workplace culture Competitive wages and comprehensive benefits Generous paid time off (PTO) to support work-life balance Health, dental, and vision insurance options 403(b) retirement plans with up to 4% employer match Paid parental leave Pharmacy discounts for employees Free on-site parking Opportunities for professional growth and internal advancement Recognition programs, including the DAISY Nursing Award for excellence Join a team that values your contributions and supports your career journey every step of the way. Location: Avita Health System - Crestline - Medical Records Department Avita Health System is an Equal Opportunity Employer. IND2 Monday - Friday 8:00a - 4:30p

Job Description The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting. The Coder is also responsible to assist the Revenue Cycle team. Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided. Job Requirements Minimum Education Requirement Training/certification from an accredited coding/billing program. Must be certified upon hire, or successfully complete certification exam within 3 months of hire. Minimum Experience Requirement Three years' experience in medical office billing preferred. Working knowledge of computers, billing and basic office software, especially Excel. Ability to communicate with all levels of staff. Analytical ability to detect trends in reimbursement/collections and to recommend or take corrective action. Prior experience using encoder software. Demands are typical of a position in a medical billing office, with extensive periods of sitting at a desk working on a computer. External applicants, as well as position incumbents who become disabled, must be able to perform the essential functions, either unaided or with the assistance of a reasonable accommodation, to be determined on a case-by-case basis. Required Skills Because medical billing duties are so varied, a flexible skill set is needed to perform them well. The following skills and personality traits are necessary to succeed in the field of medical billing/collections. Ability to multi-task Ability to understand insurance denials and payer remittances Ability to understand different insurance policies/coverages Ability to employ people skills to handle different personalities and situations Essential Functions Coder responsibilities below are subject to change as the job demands change: Using encoder software to compliantly apply appropriate CPT/HCPC and ICD codes to claims. Use claims submission software to review and resolve any rejected/denied or otherwise unpaid claims. Promptly reports any trends or issues impacting timely coding and billing of claims to management team. Collaborates with team, including providers, practice managers and revenue cycle to resolve. Act as a consultant for billing/coding questions from BMS practice staff. Maintain coding credential and staying up to date on changing guidelines by obtaining an appropriate number of CEUs Researching unpaid claims. Submitting appeals as necessary. Researching and resolving credit balances. Employee Statement of Understanding I understand that this document is intended to describe the general nature and level of work being performed. The statements in this document are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. Monday thru Friday 8am to 430pm Full Time FTE 40 hour per week

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

UC Health is hiring a Full Time Digital Health Systems Co-Op Student Co-Op students participate in an organized co-op program sponsored by a university. The Co-op student will provide a variety of support tasks while participating in a mentoring and learning environment. The student may work in different functional areas within IS&T. About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. System Development and Support * Assist in the development, implementation, and evaluation of digital health solutions that address specific patient needs, community health goals, or organizational objectives * Ensure all programs comply with healthcare regulations, security and quality standards Project Support and Stakeholder Collaboration * Support UCH teams with user testing, troubleshooting, & refinement of digital health tools * Collaborate with clinicians, IT, & administrative staff to improve digital health experience Data Collection and Reporting * Collect, review, analyze, interpret and communicate program data to track performance metrics and outcomes * Present regular reports for UCH DHS, and other stakeholders as assigned * Use data to identify areas for improvement and make evidence-based decisions to optimize program delivery Compliance and Risk Management * Assist with ensuring programs adhere to healthcare laws, regulations, and accreditation standards * Identify potential risks and barriers related to program implementation and delivery, taking corrective actions when needed Training and Development * Help create training materials and provide support to contribute to documentation of processes, workflows, and lessons learned Other duties as assigned * Minimum Required: High School Diploma or GED * 0 - 6 Months equivalent experience * The Co-Op is a current student in a University Sponsored program pursuing a degree. Typically, the co-op student has completed 1 year of college training before assuming a co-op work assignment REQUIRED SKILLS AND KNOWLEDGE: * Gather and assess information pertaining to its reliability, reasonability and completeness; * Prepare summaries of that information using standard Microsoft Office tools (MS Excel, MS Word, etc.); * Have good writing skills, such that they are able to summarize their analyses and assessments; * Work with UC Health associates from all areas of the campus; * Have good inter-personnel skills. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer.

UC Health is hiring a Full Time Digital Health Systems Co-Op Student Co-Op students participate in an organized co-op program sponsored by a university. The Co-op student will provide a variety of support tasks while participating in a mentoring and learning environment. The student may work in different functional areas within IS&T. About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. Minimum Required: High School Diploma or GED 0 - 6 Months equivalent experience The Co-Op is a current student in a University Sponsored program pursuing a degree. Typically, the co-op student has completed 1 year of college training before assuming a co-op work assignment REQUIRED SKILLS AND KNOWLEDGE: Gather and assess information pertaining to its reliability, reasonability and completeness; Prepare summaries of that information using standard Microsoft Office tools (MS Excel, MS Word, etc.); Have good writing skills, such that they are able to summarize their analyses and assessments; Work with UC Health associates from all areas of the campus; Have good inter-personnel skills. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer. System Development and Support Assist in the development, implementation, and evaluation of digital health solutions that address specific patient needs, community health goals, or organizational objectives Ensure all programs comply with healthcare regulations, security and quality standards Project Support and Stakeholder Collaboration Support UCH teams with user testing, troubleshooting, & refinement of digital health tools Collaborate with clinicians, IT, & administrative staff to improve digital health experience Data Collection and Reporting Collect, review, analyze, interpret and communicate program data to track performance metrics and outcomes Present regular reports for UCH DHS, and other stakeholders as assigned Use data to identify areas for improvement and make evidence-based decisions to optimize program delivery Compliance and Risk Management Assist with ensuring programs adhere to healthcare laws, regulations, and accreditation standards Identify potential risks and barriers related to program implementation and delivery, taking corrective actions when needed Training and Development Help create training materials and provide support to contribute to documentation of processes, workflows, and lessons learned Other duties as assigned

What We're Looking For Are you a proactive problem-solver who takes pride in delivering meaningful work that makes a lasting impact? We're looking for a driven and detail-oriented professional to join our team as a Billing Coder - FQHC / PPS Specialist. In this role, you'll play a vital part in ensuring financial stability, compliance, and continued mission impact, helping us move forward with purpose and precision. The ideal candidate values continuous learning, leads with a welcoming spirit, takes ownership of their work, and is passionate about supporting people and building stronger communities. We are seeking a highly experienced Billing Coder with deep FQHC expertise for our billing team-particularly in Prospective Payment System (PPS) and Medicare FQHC billing. Essential Job Duties: * Serve as a subject-matter expert for PPS and FQHC billing workflows * Ensure accurate, compliant coding and claim submission * Support denial resolution, rebilling, and staff education * Act as a technical resource to the Billing Manager and billing team * Accurately bill FQHC encounters under the Prospective Payment System (PPS) * Apply correct Medicare FQHC G-codes (G0466-G0470) and Revenue Code 0521 * Maintain compliance with HRSA FQHC certification standards, including sliding fee scale and encounter documentation requirements * Serve as a go-to resource for complex billing questions What We Offer Attending to your needs today: * Your ideas, input, and contributions are valued and recognized. * Excellent clinical, administrative, and management support. * Forward-thinking, collaborative, transparent, and inclusive company culture. * Employee Assistance Program. * Competitive Medical, Dental, and Vision plans. * Competitive Market Value Compensation. * Generous Paid Time Off. * Tuition assistance. Protecting your future: * Medical, dental and vision insurance * 403(b) retirement plan with match * Employer-paid life insurance * Employer-paid long-term disability Third Street is an equal opportunity employer. Our goal is to be a diverse workforce that is representative, at all job levels, of the communities and patients we serve. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. If you require reasonable accommodation in completing this application, please direct your inquiries to ************************ or call ************ ext. 2201 Requirements Qualifications: * High school diploma or GED required * Demonstrated experience billing for an FQHC (required) * Strong working knowledge of: * Prospective Payment System (PPS) * Medicare FQHC G-codes (G0466-G0470) * Revenue Code 0521 * HRSA compliance requirements for FQHC billing * Experience with claim research, appeals, and payer follow-up * Proficiency with EHR and billing systems, preferably Epic. About Us: Third Street is a patient-centered medical home driving change in the community. We adapt to the needs of those we serve while building services to fill gaps in care to invest in a healthier future for all. At Third Street, we provide high-quality care through the continual learning of our employees and by building a diverse team. We value our employees, communicate our expectations, and train our team on best practices. Organizational Information: * Established in 1994, Third Street Family Health Services is a regional not-for-profit community health center providing medical, dental, OB/GYN, pediatric, community outreach, and behavioral health services across eleven locations in Richland, Marion, Ashland, and Crawford counties. Our mission is to deliver comprehensive health and wellness care, accessible to all in the communities we serve. We believe that the health status of our community can be improved by providing accessible and affordable health care, advocacy, and community health initiatives. * We provide patient-centered care and provide our services with respect, integrity, and accountability top of mind. For more information, visit tsfhs.org or find them on Facebook or Twitter. Mission: To deliver comprehensive health and wellness care, accessible to all in the communities we serve.