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Medical Coder jobs at The University of Chicago - 69 jobs

  • Outpatient Surgery Coder

    University of Washington 4.4company rating

    Columbus, OH jobs

    UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an OUTPATIENT SURGERY CODER. WORK SCHEDULE 100% FTE, Days 100% Remote HIGHLIGHTS This Outpatient Surgery Coding Specialist 3 position provides support to the Enterprise Records and Health Information department for coding highly specialized services. Outpatient Surgery coder should have experience for complex surgical procedures which include but not limited to General Surgery, Integumentary/Plastic, Orthopedics/Podiatry, Respiratory, Cardiovascular, Hemic and Lymphatic, Digestive, Urinary, Reproductive/Genital , Endocrine, Nervous, Ophthalmology, Auditory, and others DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction ERHI provides advice and resources related to the lifecycle management of all UW Medicine records ERHI is an integral part of the Enterprise Revenue Cycle and has a unique role in the organization that supports both clinical and operational activities. PRIMARY JOB RESPONSIBILITIES Reviews available electronic and other appropriate documentation within Epic and/or Cerner to identify all billable ambulatory surgery procedures and services requiring facility fee coding be captured through Epic Hospital Billing (HB) and 3M computer assisted coding (CAC) Reviews and resolves coding edits related to procedures and services charged during the ambulatory surgery visit in the operating room at the time of completing coding Consults with physicians and/or clinical department representatives, as appropriate, to verify services were rendered, documented and meets the requirements for coding as an outpatient/ambulatory patient type Maintains three day coding turnaround times for ambulatory surgery accounts based on date of service Identifies and escalates to Coding Leadership impacts to timely coding and charge capture, and avoidable delays for billing and reimbursement REQUIRED POSITION QUALIFICATIONS High school diploma or equivalent and three years of coding experience or equivalent education/experience. Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). Equivalent experience/education may be considered Compensation, Benefits and Position Details Pay Range Minimum: $68,244.00 annual Pay Range Maximum: $97,740.00 annual Other Compensation: - Benefits: For information about benefits for this position, visit ****************************************************** Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
    $68.2k-97.7k yearly 2d ago
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  • Inpatient Coder (REMOTE)

    Franciscan Missionaries of Our Lady University 4.0company rating

    Baton Rouge, LA jobs

    The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Responsibilities * Coding/Abstracting * Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion. * Quality/Performance * Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record. * Maintains an accuracy rate of not less than 93% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary. * Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility. * Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. * DRG Coding Confirm APC Assignment * Determines the appropriate sequencing of diseases, diagnoses, and surgeries. The Coder accurately assigns appropriate codes to patient records using ICD-9-CM system and CPT-4 guidelines. * Other Duties as Assigned * Performs other duties as assigned or requested. Qualifications Experience - RHIT/RHIA plus 5 years of acute care coding experience, or RHIT/RHIA with ICD-10 curriculum plus 3 years of acute care coding experience, or 7 years acute care coding experience; CCS substitutes for 1 year of acute care coding experience Education - High School or equivalent
    $39k-48k yearly est. 3d ago
  • Coding Specialist 4

    University of Washington 4.4company rating

    Seattle, WA jobs

    UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a **RADIOLOGY CODER** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote HIGHTLIGHTS** Responsible for performing daily activities related to coding and charge submission of abstract Current Procedural Terminology (CPT) professional fee and facility Radiology coding and billing. Analyzes the medical record to assign International Classification of Diseases (ICD), CPT and/or Healthcare Common Procedure Coding System (HCPCS) codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines **DEPARTMENT DESCRIPTION** Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction. ERHI provides advice and resources related to the lifecycle management of all UW Medicine records **PRIMARY JOB RESPONSIBILITIES** + Reviews available electronic and other appropriate documentation within Radiology Information System (RIS) and PACS to identify all billable Radiology procedures and services requiring facility and professional fee coding, ensuring all necessary codes use the appropriate ICD, CPT and/or HCPCS code(s) and quantities + Queries physicians and/or consults with clinical department representatives, as appropriate, to verify services were rendered and documented timely. + Provides feedback to the School of Medicine (SOM) Department of Radiology to assist in the understanding of coding and documentation issues and revenue opportunities. + Maintains three day turnaround times for Radiology Coding based on the date of service; and understands charge lag impact for facility and professional fee services. **REQUIRED POSITION QUALIFICATIONS** + High school diploma or equivalent and three years' coding experience or equivalent education/experience + Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC) **UW Medicine - Where your Impact Goes Further** UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. **Compensation, Benefits and Position Details** **Pay Range Minimum:** $71,052.00 annual **Pay Range Maximum:** $101,700.00 annual **Other Compensation:** - **Benefits:** For information about benefits for this position, visit ****************************************************** **Shift:** First Shift (United States of America) **Temporary or Regular?** This is a regular position **FTE (Full-Time Equivalent):** 100.00% **Union/Bargaining Unit:** SEIU Local 925 Nonsupervisory **About the UW** Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. **Our Commitment** The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** . To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** . Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* . University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
    $71.1k-101.7k yearly 60d+ ago
  • Coding Specialist 4

    University of Washington 4.4company rating

    Seattle, WA jobs

    UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a RADIOLOGY CODER WORK SCHEDULE 100% FTE, Days 100% Remote HIGHTLIGHTS Responsible for performing daily activities related to coding and charge submission of abstract Current Procedural Terminology (CPT) professional fee and facility Radiology coding and billing. Analyzes the medical record to assign International Classification of Diseases (ICD), CPT and/or Healthcare Common Procedure Coding System (HCPCS) codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction. ERHI provides advice and resources related to the lifecycle management of all UW Medicine records PRIMARY JOB RESPONSIBILITIES Reviews available electronic and other appropriate documentation within Radiology Information System (RIS) and PACS to identify all billable Radiology procedures and services requiring facility and professional fee coding, ensuring all necessary codes use the appropriate ICD, CPT and/or HCPCS code(s) and quantities Queries physicians and/or consults with clinical department representatives, as appropriate, to verify services were rendered and documented timely. Provides feedback to the School of Medicine (SOM) Department of Radiology to assist in the understanding of coding and documentation issues and revenue opportunities. Maintains three day turnaround times for Radiology Coding based on the date of service; and understands charge lag impact for facility and professional fee services. REQUIRED POSITION QUALIFICATIONS High school diploma or equivalent and three years' coding experience or equivalent education/experience Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC) UW Medicine - Where your Impact Goes Further UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Compensation, Benefits and Position Details Pay Range Minimum: $71,052.00 annual Pay Range Maximum: $101,700.00 annual Other Compensation: - Benefits: For information about benefits for this position, visit ****************************************************** Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
    $71.1k-101.7k yearly 3d ago
  • Coding Specialist 4

    University of Washington 4.4company rating

    Seattle, WA jobs

    UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a RADIOLOGY CODER WORK SCHEDULE * 100% FTE, Days * 100% Remote HIGHTLIGHTS Responsible for performing daily activities related to coding and charge submission of abstract Current Procedural Terminology (CPT) professional fee and facility Radiology coding and billing. Analyzes the medical record to assign International Classification of Diseases (ICD), CPT and/or Healthcare Common Procedure Coding System (HCPCS) codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction. ERHI provides advice and resources related to the lifecycle management of all UW Medicine records PRIMARY JOB RESPONSIBILITIES * Reviews available electronic and other appropriate documentation within Radiology Information System (RIS) and PACS to identify all billable Radiology procedures and services requiring facility and professional fee coding, ensuring all necessary codes use the appropriate ICD, CPT and/or HCPCS code(s) and quantities * Queries physicians and/or consults with clinical department representatives, as appropriate, to verify services were rendered and documented timely. * Provides feedback to the School of Medicine (SOM) Department of Radiology to assist in the understanding of coding and documentation issues and revenue opportunities. * Maintains three day turnaround times for Radiology Coding based on the date of service; and understands charge lag impact for facility and professional fee services. REQUIRED POSITION QUALIFICATIONS * High school diploma or equivalent and three years' coding experience or equivalent education/experience * Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC) UW Medicine - Where your Impact Goes Further UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Compensation, Benefits and Position Details Pay Range Minimum: $71,052.00 annual Pay Range Maximum: $101,700.00 annual Other Compensation: * Benefits: For information about benefits for this position, visit ****************************************************** Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
    $71.1k-101.7k yearly 1d ago
  • Medical Coding Specialist II - Profee ED/Multispecialty

    University of Wisconsin Medical Foundation 3.8company rating

    Middleton, WI jobs

    Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist II - Profee ED/Multispecialty to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. Qualifications High School Diploma or equivalent and medical coding education Required or In lieu of a medical coding education, an active coding certification Required Associate's Degree in a healthcare related field Preferred Work Experience 1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Required 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred Licenses & Certifications Certified Professional Coder (CPC) Upon Hire Required or Certified Outpatient Coder (COC) Upon Hire Required or Certified Inpatient Coder (CIC) Upon Hire Required or Certified Coding Specialist (CCS) Upon Hire Required or Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or Certified Coding Associate (CCA) Upon Hire Required or Certified Risk Adjustment Coder (CRC) Upon Hire Required or Registered Health Information Technician (RHIT) Upon Hire Required or Registered Health Information Administrator (RHIA) Upon Hire Required Registered Health Information Technician (RHIT) Preferred or Registered Health Information Administrator (RHIA) Preferred Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. View FullJob Description UW Medical Foundation benefits
    $41k-52k yearly est. 1d ago
  • Edits Coder

    University of Washington 4.4company rating

    Seattle, WA jobs

    UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a Coding Specialist 1 - Edits Coder WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information Management department. Under the general supervision of the Manager of Facility Coding, and the direct supervision of the Supervisor of Outpatient Coding, the Edits Coder is responsible for implementing the mission and goals of Enterprise Records and Health Information, and incorporating a “patients are first” service culture. The Edits Coder is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines. PRIMARY JOB RESPONSIBILITIES Validates codes entered at the point of care and/or by other charge sources by reviewing electronic data and making corrections based on a review of all available electronic and other appropriate documentation to support all billable procedures and services. Reviews and resolves coding accounts failed validations, revenue guard, missing modifiers, incorrect modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS procedure codes. Investigates and researches coding issues identified by Revenue Integrity (RI) and Patient Financial Services (PFS) related to inquiries, complaints and/or denials. Makes coding corrections to resolve coding issues; supports RI by reviewing specified procedures for charge accuracy; reroutes accounts to correct coding team for coding resolution based on revenue codes. Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for facility and professional fee services. Identifies potentially avoidable delays to timely billing and help identify systemic issues that contribute to delays in service or inefficient uses of resources to address root cause and prevent ongoing errors. Identifies the need for documentation clarity to support the integrity of the record and for reimbursement compliance; identifies charge error trends and escalate to supervisor. Performs special projects or other duties assigned. May perform the work of lower level classifications of the Coding Specialist series. REQUIRED POSITION QUALIFICATIONS High school diploma or equivalent AND Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). AND One year coding experience or equivalent education/experience. Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration. Compensation, Benefits and Position Details Pay Range Minimum: $59,976.00 annual Pay Range Maximum: $85,848.00 annual Other Compensation: - Benefits: For information about benefits for this position, visit ****************************************************** Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
    $60k-85.8k yearly 3d ago
  • Inpatient Coder

    University of Washington 4.4company rating

    Olympia, WA jobs

    UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODER. Experience in a Level 1 Trauma center or teaching facility is preferred. WORK SCHEDULE 100% FTE, Days Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Implements the mission and goals of Enterprise Records and Health Information, and incorporating a “patients are first” service culture. Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction. PRIMARY JOB RESPONSIBILITIES Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement Reviews patient records upon admission and at discharge to the inpatient Rehabilitation Unit; assigns codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients Abstracts and/or reviews necessary patient data within 3M CAC and Cerner to ensure data integrity, accurate reimbursement, proper case mix and hospital decision support. Identifies the need for documentation clarity and works with the Clinical Documentation Improvement (CDI) department to review clinical documentation and/or request provider documentation clarification Maintains four day turnaround times for inpatient coding based on the discharge date and understand charge lag impacts, especially for high dollar accounts and long length of stays (LOS). REQUIRED POSITION QUALIFICATIONS High school diploma or equivalent and three years of coding experience or equivalent education/experience. Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). UW Medicine - Where your Impact Goes Further UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Compensation, Benefits and Position Details Pay Range Minimum: $71,052.00 annual Pay Range Maximum: $101,700.00 annual Other Compensation: - Benefits: For information about benefits for this position, visit ****************************************************** Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
    $71.1k-101.7k yearly 2d ago
  • Inpatient Coding Review Specialist (H)

    University of Miami 4.3company rating

    Medley, FL jobs

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The University of Miami/UHealth -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient Coding Review Specialist (H) under the general direction of the Inpatient Coding Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality Management Analysts to ensure accurate and compliant coding on all Mortality cases prior to billing. The Inpatient Coding Review Specialist also performs quality reviews that specifically focus on the identification and validation of Hospital Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Present on Admission status, complications, and comorbidities that impact USNWR rankings and Vizient quality measures. CORE JOB FUNCTIONS * Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify missed coding opportunities supported by documentation, enhancing severity of illness and risk of mortality indicators through the provider query process. * Validates the assigned principal diagnosis, significant secondary ICD-10-CM diagnosis codes, Present On Admission (POA) indicators, and ICD-10-PCS procedure codes to ensure compliance with ICD-10-CM/PCS Official Coding Guidelines, UHDDS, and regulatory requirements for accurate MS-DRG assignment. * Ensures accurate capture of Severity of Illness (SOI) and Risk of Mortality (ROM) indicators. * Applies knowledge of the Elixhauser Comorbidity Index and Vizient quality measure logic, focusing on specialty-specific conditions that impact MCC/CC capture and quality data reporting. * Collaborates with CDI, quality teams, and physicians to clarify ambiguous or incomplete documentation through the provider query process, initiates queries when necessary. * Participates in meetings with CDI, providers, and colleagues to discuss coding findings, share expertise, and defend coding decisions using documentation and official guidelines. * Conducts POA reviews for cases marked "No" and provides feedback to leadership for coder education and improvement. * Reviews denial cases and provides detailed feedback to the Revenue Cycle Director and Audit Specialists. * Assists in resolving claim edits across all accounts, regardless of the initial coder assignment. * Performs initial inpatient coding when primary responsibilities are complete or additional hours are approved. * Meets or exceeds established quality and productivity benchmarks set by leadership. * Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS * High School diploma or equivalent * Refer to department description for applicable certification requirements * Minimum 5 years of relevant experience * Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands. * Teamwork: Ability to work collaboratively with others and contribute to a team environment. * Technical Proficiency: Skilled in using office software, technology, and relevant computer applications. * Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders. Any relevant education, certifications and/or work experience may be considered. #LI-NN1 The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H11
    $48k-57k yearly est. Auto-Apply 41d ago
  • Coding Specialist Lead

    University of Washington 4.4company rating

    Seattle, WA jobs

    Faculty Practice Plane Services (FPPS) has outstanding opportunities for a full-time (100% FTE, 40 hours/week), day shift, CODING SPECIALIST LEAD. WORK SCHEDULE * 40 hours per week * Day Shift is Remote The CODING SPECIALIST LEAD is responsible for assuming a leadership role with the Coding & Charge Capture Department, guiding daily production and workflow of coders when the supervisor is unavailable. S/he will possess a thorough knowledge of coding guidelines and will demonstrate effective problem-solving skills and work with more complex and/or specialized accounts/projects/assignments. The Lead will participate in on-the-job, desk level training thus s/he must possess superior coding knowledge and skills, support learning and development opportunities for staff, performing QA reviews on new coders, and effectively use one-on-one instructional techniques. ESSENTIAL DUTIES * Oversee the instruction, delegate tasks, and check accuracy of coding specialist's work. * Identify all billable services (regardless of location rendered) requiring professional fee billing, as determined jointly by UWP and the Clinical Department. * Review all applicable data sources (EPIC, ORCA, Mindscape,) or other, as applicable, for new admissions, transfers, discharges, expirations, ambulatory procedures, ambulatory visits or other possible sources of billable services. * Access and review all available electronic or other appropriate information to identify billable services requiring professional fee billing. * As necessary, request patient medical charts (for non-electronic providers). * Code all documented required professional services, ensuring all are coded using the appropriate CPT & ICD-10 codes. Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards. * Reviews and resolves coding denials and coding claim edits in Epic daily as part of routine operations. REQUIRED POSITION QUALIFICATIONS * High school diploma or equivalent * Three (3) years of coding experience * Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). ABOUT FACULTY PRACTICE PLAN SERVICES UW Medicine Faculty Practice Plan Services (FPPS) supports UW Physicians (UWP), a practice group for more than 1,800 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Neighborhood Clinics, UW Medical Center - Northwest, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children's Hospital. Teamwork. Community. Opportunity. Become part of our?team. Join our mission to make life healthier for everyone in our community.? ABOUT UW MEDICINE - WHERE YOUR IMPACT GOES FURTHER UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public?by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.?? All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Compensation, Benefits and Position Details Pay Range Minimum: $76,164.00 annual Pay Range Maximum: $109,032.00 annual Other Compensation: * Benefits: For information about benefits for this position, visit ****************************************************** Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
    $76.2k-109k yearly 1d ago
  • Coder Certified (Remote) - Surgery

    Washington University In St. Louis 4.2company rating

    Remote

    Scheduled Hours40Position reviews medical record documentation to determine appropriate billing codes and necessary documentation.Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Job Location/Working Conditions: Normal office environment. Physical Effort: Typically sitting at desk or table. Equipment: Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.Required Qualifications Education: A diploma, certification or degree is not required. Certifications/Professional Licenses: The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Work Experience: No specific work experience is required for this position. Skills: Not Applicable Driver's License: A driver's license is not required for this position.More About This JobRequired Qualifications: Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee's department). Preferred Qualifications: Previous coding experience or experience equivalent to an associate's degree in a related field. Knowledge of ICD-10 and CPT coding. Preferred Qualifications Education: Associate degree - Medical Coding & Billing Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical TerminologyGradeC10-HSalary Range$25.30 - $37.94 / HourlyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.Pre-Employment ScreeningAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: ****************************** EEO StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
    $25.3-37.9 hourly Auto-Apply 59d ago
  • Surgical Certified Procedural Coding Specialist

    University of Arkansas for Medical Sciences 4.8company rating

    Little Rock, AR jobs

    Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for “Find Jobs for Students”. All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through “My Draft Applications” located on your Candidate Home page. Closing Date: 01/22/2026 Type of Position:Clinical Staff - Clinical Support Job Type:Regular Work Shift:Day Shift (United States of America) Sponsorship Available: No Institution Name: University of Arkansas for Medical Sciences The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. UAMS offers amazing benefits and perks (available for benefits eligible positions only): Health: Medical, Dental and Vision plans available for qualifying staff and family Holiday, Vacation and Sick Leave Education discount for staff and dependents (undergraduate only) Retirement: Up to 10% matched contribution from UAMS Basic Life Insurance up to $50,000 Career Training and Educational Opportunities Merchant Discounts Concierge prescription delivery on the main campus when using UAMS pharmacy Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button. The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. For general application assistance or if you have questions about a job posting, please contact Human Resources at ***********************. Department:FIN | CORE Coding - PB Surgery Department's Website: Summary of Job Duties:** REMOTE CODING POSITION ** ** WILL WORK FROM HOME ** The Certified Procedural Coding Specialist - Surgical will work under supervision and reads/ interprets health record documentation to identify all diagnoses and procedures. Qualifications: Minimum Qualifications: High School Diploma/GED. Must have an understanding of CPT and ICD-10. Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA. Must have two (2) years of coding experience. Preferred Qualifications: Associates or Bachelor's in Health Information Management. Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA. OR Bachelor's degree in health information management or related field. Preferred RHIA or RHIT. Additional Information: Responsibilities: Assess the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned. Apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures; Apply knowledge of disease processes and surgical procedures to assign non-indexed medical terms to the appropriate class in the classification/nomenclature system; Apply knowledge of Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis and principal procedures; apply knowledge of Prospective Payment System to confirm DRGs as well as APCs; Possess a complete understanding of ICD-10 and CPT coding classification systems; apply knowledge of coding to assist patient billing Services to submit clean claims for medical necessity. Salary Information: Commensurate with education and experience Required Documents to Apply: License or Certificate (see special instructions for submission instructions), List of three Professional References (name, email, business title), Resume Optional Documents: Special Instructions to Applicants: Recruitment Contact Information: Please contact *********************** for any recruiting related questions. All application materials must be uploaded to the University of Arkansas System Career Site ***************************************** Please do not send to listed recruitment contact. Pre-employment Screening Requirements:Criminal Background Check This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. Constant Physical Activity:Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting Frequent Physical Activity:Hearing, Talking Occasional Physical Activity:Standing, Stooping, Walking Benefits Eligible:Yes
    $40k-47k yearly est. Auto-Apply 27d ago
  • Inpatient Coder

    Suny Downstate Health Sciences University 3.9company rating

    New York, NY jobs

    Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors. Bargaining Unit: UUP Job Summary: The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Inpatient Coder. Reporting to the Coding Manager and to the Director of the Health Information Management, the successful candidate will: Abstract clinical information from the medical record and assign appropriate ICD-10cm and ICD-10PCS or CPT codes according to established procedures. Maintain optimal standard of coding and assume uniformity of coding for compliance and reimbursement. Ensure the selection of accurate and descriptive codes from the appropriate classification system. Ensure the confidentiality of data contained on the patients' medical records. Analyze the information contained in the medical record to ensure that the most appropriate codes are used. Query the physicians for appropriate documentation. Work collaboratively with all department and hospital staff. Perform other related duties as assigned. Required Qualifications: RHIA or RHIT or CCS coding certification. 1+ year in a supervisory/administrator capacity. Ability to make coding decisions based on use of established coding guidelines. Ability to work independently and be a self-starter. Preferred Qualifications: Bachelor of Science Degree with related Health Information Management experience, and 3-5 years direct coding experience in an acute care setting preferred. Work Schedule: Monday to Friday; 9:00am to 5:00pm Salary Grade/Rank: SL-2 Salary Range: Commensurate with experience and qualifications Executive Order: Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at ************** or via email at ****************. Equal Employment Opportunity Statement: SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws. Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply. If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at *****************
    $45k-55k yearly est. 60d+ ago
  • Outpatient Coder

    Suny Downstate Health Sciences University 3.9company rating

    New York, NY jobs

    Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors. Bargaining Unit: UUP Job Summary: The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Outpatient Coder / TH Medical Records Specialist. The successful candidate will: Report to the Coding Manager and Director of HIM Department. Abstract clinical information from the medical record and assign appropriate ICD-10 CM and ICD-10 PCS/or CPT codes according to established procedures. Maintain optimal standards of coding and assume uniformity of coding for compliance and reimbursement. Ensure the selection of accurate and descriptive codes from the appropriate classification system. Ensure the confidentiality of data contained in the patients medical records. Analyze the information contained in the medical records. Analyze the information contained in the medical records to ensure that the most appropriate codes are used. Queries the physicians for the appropriate documentation. Work collaboratively with all departments and hospital staff. Perform other related duties as assigned. Required Qualifications: RHIA or RHIT or CCS or CPC coding certification. Ability to make coding decisions based on use of established coding guidelines. Must have ability to work independently and be a self-starter. Preferred Qualifications: BS Degree with related Health Information Management experience. 3-5 years direct coding experience in an acute care setting. Work Schedule: Monday to Friday; 9:00am to 5:00pm (Full-Time) Salary Grade/Rank: SL-2 Salary Range: Commensurate with experience and qualifications Executive Order: Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at ************** or via email at ****************. Equal Employment Opportunity Statement: SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws. Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply. If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at *****************
    $45k-55k yearly est. 60d+ ago
  • Med Records Coder IV, Complex

    University of Rochester 4.1company rating

    Albany, NY jobs

    As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 108 H Compensation Range: $24.91 - $34.87 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._ **Responsibilities:** The Medical Coder IV, Complex functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation for multiple specialties and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. **ESSENTIAL FUNCTIONS** + Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines. + Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up. + Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed. + Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution. + Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete. + Other duties as assigned **MINIMUM EDUCATION & EXPERIENCE** + HS Diploma + Associates degree in Health Information Technology or health related field, preferred + 3 years' experience as Medical Coder + Additional coding experience in area of assignment, preferred + or equivalent combination of education and experience **KNOWLEDGE, SKILLS AND ABILITIES** + Knowledge of ICD-10CM, CPT and HCPSC + Working knowledge of medical terminology and anatomy **LICENSES AND CERTIFICATIONS** (preferred) + Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS). + Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute. The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law. Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. **Learn. Discover. Heal. Create.** Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals. At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
    $24.9-34.9 hourly 9d ago
  • Med Records Coder III

    University of Rochester 4.1company rating

    Albany, NY jobs

    As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._ **Responsibilities:** Reviews codes for accuracy in accordance with coding rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution. **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal. + Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem. Provides feedback for correction and follow-up. + May abstract data and review codes for accuracy. Ensures accurate reimbursement based on guidelines and/or abstraction of provider documentation. + Responds to coding information requests and inquiries from various sources. + Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete. + Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + High School diploma or equivalent and 1 year Medical Coder experience required + Associate's degree preferred + Or equivalent combination of education and experience **KNOWLEDGE, SKILLS AND ABILITIES** + Knowledge of ICD-10CM, CPT and HCPSC required + Working knowledge of medical terminology and anatomy required **LICENSES AND CERTIFICATIONS** + American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred + Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law. Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. **Learn. Discover. Heal. Create.** Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals. At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
    $21.4-29.9 hourly 34d ago
  • Surgical Certified Procedural Coding Specialist

    University of Arkansas System 4.1company rating

    Little Rock, AR jobs

    Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for "Find Jobs for Students". All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through "My Draft Applications" located on your Candidate Home page. Closing Date: 01/22/2026 Type of Position: Clinical Staff - Clinical Support Job Type: Regular Work Shift: Day Shift (United States of America) Sponsorship Available: No Institution Name: University of Arkansas for Medical Sciences The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. UAMS offers amazing benefits and perks (available for benefits eligible positions only): * Health: Medical, Dental and Vision plans available for qualifying staff and family * Holiday, Vacation and Sick Leave * Education discount for staff and dependents (undergraduate only) * Retirement: Up to 10% matched contribution from UAMS * Basic Life Insurance up to $50,000 * Career Training and Educational Opportunities * Merchant Discounts * Concierge prescription delivery on the main campus when using UAMS pharmacy Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button. The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. For general application assistance or if you have questions about a job posting, please contact Human Resources at ***********************. Department: FIN | CORE Coding - PB Surgery Department's Website: Summary of Job Duties: REMOTE CODING POSITION WILL WORK FROM HOME The Certified Procedural Coding Specialist - Surgical will work under supervision and reads/ interprets health record documentation to identify all diagnoses and procedures. Qualifications: Minimum Qualifications: * High School Diploma/GED. * Must have an understanding of CPT and ICD-10. * Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA. * Must have two (2) years of coding experience. Preferred Qualifications: * Associates or Bachelor's in Health Information Management. * Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA. OR * Bachelor's degree in health information management or related field. * Preferred RHIA or RHIT. Additional Information: Responsibilities: * Assess the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned. * Apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures; * Apply knowledge of disease processes and surgical procedures to assign non-indexed medical terms to the appropriate class in the classification/nomenclature system; * Apply knowledge of Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis and principal procedures; apply knowledge of Prospective Payment System to confirm DRGs as well as APCs; * Possess a complete understanding of ICD-10 and CPT coding classification systems; apply knowledge of coding to assist patient billing Services to submit clean claims for medical necessity. Salary Information: Commensurate with education and experience Required Documents to Apply: License or Certificate (see special instructions for submission instructions), List of three Professional References (name, email, business title), Resume Optional Documents: Special Instructions to Applicants: Recruitment Contact Information: Please contact *********************** for any recruiting related questions. All application materials must be uploaded to the University of Arkansas System Career Site ***************************************** Please do not send to listed recruitment contact. Pre-employment Screening Requirements: Criminal Background Check This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. Constant Physical Activity: Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting Frequent Physical Activity: Hearing, Talking Occasional Physical Activity: Standing, Stooping, Walking Benefits Eligible: Yes
    $37k-43k yearly est. Auto-Apply 26d ago
  • Medical Records Coder II

    University of Rochester 4.1company rating

    Albany, NY jobs

    As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 105 H Compensation Range: $19.96 - $27.94 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment. Prepares reports for designated leader(s). **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow. + Completes system edit reviews to make corrections before transmittal. + Ensures work queue and responsibilities are handled within established guidelines and timeframes. + Troubleshoots problems that prevent claims from being released. + Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem. + Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete. + Prepares reports for designated leader to document recurring problems and identifies the source of reimbursement delays. + Works closely with designated leader to ensure effective communication to resolve invoice payment delays. + As necessary, provides Providers and other staff with information relative to coding. + Responds to coding information requests and inquiries from various sources. Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + High School diploma or equivalent and less than 1 year of relevant experience required + Or equivalent combination of education and experience **KNOWLEDGE, SKILLS AND ABILITIES** + Knowledge of ICD-10CM, CPT and HCPSC preferred + Working knowledge of medical terminology and anatomy preferred **LICENSES AND CERTIFICATIONS** + American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS). preferred or + Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute. preferred The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law. Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. **Learn. Discover. Heal. Create.** Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals. At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
    $20-27.9 hourly 53d ago
  • Medical Records Coder IV, Lead

    University of Rochester 4.1company rating

    Rochester, NY jobs

    As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** 220 Hutchison Rd, Rochester, New York, United States of America, 14620 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URCB 209 H Compensation Range: $25.79 - $36.11 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Coding Lead is responsible for working within specific functions within the professional fee organization, providing expertise within the revenue cycle department and assisting in guiding the actions of staff. Responsible for providing guidance and direction for coding staff, resolving simple and complex questions and providing performance feedback to management. The Coding Lead is required to have demonstrated knowledge and understanding of some aspects of billing office operations, including basic principles of staff management/supervision. The Coding Lead is expected to maintain expert knowledge of professional fee coding including CPT, ICD, E&M, Modifiers and requirements for multiple specialties. **Key Functions and Expected Performances** With general direction of the Manager / Assistant Manager and in addition to the duties outlined for their specific functional assignment: + 25% Supports priorities assigned by Manager and/or Assistant Manager. Acts as a resource to staff. Interprets direction and provides guidance to staff where necessary. Keeps current on relevant areas of knowledge. Functions as department leader in the absence of a supervisor/manager. Understands Coding workflows for abstract coding, resolving coding charge review and claim edits, and resolving coding denials. + 25% Identifies and escalates coding issues and trends to management. Assists in recommending coding workflow solutions to resolve issues and improve operations. Facilitates staff training on new processes or identified quality issues. + 25% The Coding Lead will retain coding assignments in their respective areas and will maintain productivity and accuracy standards in their own work product. + 15% Provides performance feedback to supervisors and managers for staff. Keeps management informed of process changes and impacts to staff. + 10% Cultivates and maintains professional relationships with primary customers within area of responsibility and across the organization to foster opportunities for revenue enhancement, enhanced customer service and learning and development. May perform other duties as assigned. **Qualifications:** Required: + Associates degree in Health Information Technology or Bachelors in Health Information Administration preferred with three years coding experience; or equivalent combination of education and experience. + Successful completion of Coding Certification such as: American Health Information Management Association (AHIMA); accreditation examination for Registered Health Information Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist (CCS); CPC. Knowledge of ICD-9CM and ICD-10CM required + Excellent problem-solving skills + Excellent communication skills + Excellent customer service skills Preferred: + Certification in Professional Fee Coding (AAPC, AHIMA) + Strong working knowledge of the professional billing software applications + Ability to type 25 wpm. The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law. Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. **Learn. Discover. Heal. Create.** Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals. At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
    $25.8-36.1 hourly 60d+ ago
  • Med Records Coder III

    University of Rochester 4.1company rating

    Rochester, NY jobs

    As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: Reviews codes for accuracy in accordance with coding rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution. **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal. + Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem. Provides feedback for correction and follow-up. + May abstract data and review codes for accuracy. Ensures accurate reimbursement based on guidelines and/or abstraction of provider documentation. + Responds to coding information requests and inquiries from various sources. + Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete. Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + High School diploma or equivalent and 1-year Medical Coder experience required + Associate's degree preferred + Or equivalent combination of education and experience **KNOWLEDGE, SKILLS AND ABILITIES** + Knowledge of ICD-10CM, CPT and HCPSC required + Working knowledge of medical terminology and anatomy required **LICENSES AND CERTIFICATIONS** + American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred + Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law. Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. **Learn. Discover. Heal. Create.** Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals. At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
    $21.4-29.9 hourly 60d+ ago

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