Medical Coder jobs at Tidelands Health - 353 jobs

Provider Coding Specialist
Tidelands Health Group 3.8
Medical coder job at Tidelands Health
Employee Type: Regular Work Shift: Day - 8 hour shift (United States of America) Join Team Tidelands and help people live better lives through better health! Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview Under the supervision of the Coding Supervisor, the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes, CPT, and HCPCS codes to professional surgical patient accounts, based on the medical information provided and consistent with regulatory guidance and best practices in the industry and Organization policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation to ensure accurate code assignment. Organizes and prioritizes work to meet deadlines and goals. Maintains and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Responsible for resolving coding edits, account checks, rejections, and denials to ensure proper reimbursement of service rendered and to maintain an industry standard clean claim rate. What you will do Analyze medical records, interprets documentation, and assigns proper International Classification of Diseases, Tenth Edition Clinical Modification (ICD 10 CM), Current Procedural Terminology/HealthCare Common Procedure Coding System (CPT/HCPCS), and modifiers utilizing designated software, coding manuals and other reference material as required Enter charges for procedures that are not soft coded as instructed for certain patient types Consistently meet coding quality and productivity standards established by the coding department Work closely with Patient Financial Service (PFS) to review documentation and serve as department expert on coding questions. Assist with coding inquiries from billing and administrative staff, ensuring that accurate codes are applied for appropriate reimbursement Gather and verify all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract Review and resolve clearinghouse rejection errors, denials, and charge review/claim edits daily. Also reviews accounts returned from various departments and processes corrections for clean claim submission Collaborate with the Compliance/Quality Team when alerted to coding quality issues found via internal or external reviews; implement with accuracy coding quality recommendations Work with HIM operations as needed to clarify queries and documentation needs for the completion of the medical record. Query providers for clarification on incomplete or ambiguous documentation and follow up to ensure timely resolution Review and code Orthopedic, OB/GYN, and other surgical specialties procedures with minimal supervision, ensuring correct coding and sequencing of diagnoses and procedures Provide continuous education and feedback to surgeons and clinical staff regarding ICD-10 coding and documentation best practices for surgical procedures Education Qualifications High School Diploma Required Experience Qualifications 2+ years of abstract coding for physician services Required Minimum of four years of healthcare experience, with at least three years of professional coding experience in Orthopedics or OB/GYN Required Experience working remotely Preferred Skills and Abilities Basic knowledge of ICD 10-CM diagnostic and CPT/HCPCS procedure codes principles and guidelines Basic knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and metric systems Basic knowledge of Standards of Ethical Coding Skills and ability to communicate effectively both orally and in writing Skills and ability to maintain working relationships with physicians and other staff Skills and ability to review the work of others and maintain confidentiality Knowledge of Microsoft Applications including (Excel, Word, PowerPoint, Outlook, etc) Strong analytical capabilities Strong organizational skills Advanced ability to function independently and be a self-starter Outstanding research skills and ability to use independent judgment to solve problems Handle multiple priorities Listen and acknowledge ideas and expressions of others attentively Converse clearly using appropriate verbal and body language Collaborate with others to achieve a common goal through cooperation Influence others for positive and productive outcomes Review medical record documentation and ensure accurate diagnosis and procedure code assignment to patient records Expertise in assigning accurate CPT , HCPCS Level II, and ICD-10-CM medical codes and modifiers based on coding and payer guidelines. Maintain a solid understanding of anatomy, physiology, and medical terminology as required to accurately code provider services and diagnoses Licenses and Certifications Registered Health Information Administrator - American Health Information Management Association Required or Registered Health Information Technician - American Health Information Management Association Required or Certified Coding Specialist - American Health Information Management Association Required or Certified Coding Specialist - Physician-based - American Health Information Management Association Required or Certified Coding Associate - American Health Information Management Association Required Physical Demand Light Physical Demand The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description. Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.
$44k-60k yearly est. Auto-Apply 8d ago

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Supervisor Provider Coding Specialist
Tidelands Health 3.8
Medical coder job at Tidelands Health
Employee Type: Regular Work Shift: Day - 8 hour shift (United States of America) **Join Team Tidelands and help people live better lives through better health!** **Supervisor Provider Coding Specialist** Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. **A Brief Overview** The Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager, is responsible for overseeing daily coding workflow in the assignment of ICD-10 CM, CPT, and HCPCS codes. Accountable for quality, timeliness, completeness, and accuracy of the coding team to ensure optimal reimbursement and goal attainment. The coding supervisor performs quality reviews and provides education and training when deficiencies are identified, or new processes are implemented. Incorporates initiatives that improve compliance and reduce risks to the institution. Serves as a resource and technical expert for complex coding/billing issues. Informs, educates, and coordinates with other Revenue Cycle, Clinical Operations, and other stakeholders regarding the coding and charge capture process. Assists coding manager with coding-related projects and staff oversight. **What you will do** + Leads and guides staff that performs medical coding functions and supervises the processes and systems required to accomplish timely, accurate, and compliant record management and coding. + Supervise and coordinate all activities of the medical coders to include effective management of staffing schedule to achieve timely coding, provider and coder audits, identification of and implementation of proactive denial mitigants, and staff engagement. + Responsible for maintaining current knowledge of applicable medical record and coding laws, rules, and regulations, Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines. + Assists with development of policies, procedures and job aids related to coding and charge entry. Assist in the development of processes and education of team related to provider coding. Translates regulatory requirements into daily operating procedures. Assists with the preparation of special reports for Leadership to document utilization of the charge capture outcomes (e.g., late entry volumes, pricing impacts, etc.). + Assists with and works in cooperation with CDM managers to establish charge capture, CDM maintenance practices and methodologies. Recommends revisions to charge codes and submits requests for charge codes for new services. + Support ongoing education needs of employee-partners to keep all apprised of most current coding regulations and guidance. Educates caregivers on charge capture as omissions or errors are identified. + Supervise daily revenue cycle operations to include creation, monitoring and problem-resolution needed to achieve agreed upon revenue cycle metrics for the coding team + Work with physicians to ensure consistent coding and documentation policies and procedures are followed + Act as a resource to clinic staff on matters pertaining to the revenue cycle + Identifies inconsistencies and works with Clinical Informatics to streamline charge capture process. + Lead or participate in cross-functional workgroups/committees as needed + Support all other functions of the Revenue Cycle Team + Will work with HR, IT Provisioning team, and coding manager/director in all aspects of onboarding new employees **Education Qualifications** + High School Diploma Required + Associate's Degree in healthcare administration, Health Information Technology, or related field Preferred **Experience Qualifications** + 2 years of supervisory experience based on education Required + 3 years of coding experience for hospital and/or professional fee services for multi-specialty departments Required + 2 years of coding auditing experience Preferred + Minimum of five (5) years of coding experience and/or charge capture experience, including two (2) years in a healthcare revenue cycle supervisor/lead role Required + Experience in a Supervisor/Lead role with oversight of 4+ employees Required + Experience with coding and/or auditing in a Healthcare environment for hospital and/or professional fee services for multi-specialty departments Required + Experience with ICD-10 diagnosis, ICD-10 procedures, HCPCS level I and II codes, and CPT coding Required **Skills and Abilities** + Knowledge of outpatient charging and OPPS rules + Ability to work with departments to identify charge revenue opportunities and ways to improve charge capture + Strong understanding of hospital and ambulatory workflows. + Must be able to work extended hours and/or flexible hours as needed to meet department project demands and/or department goals. + Required to have the ability to apply logical thinking to practical problems. + Be able to deal with a variety of abstract and concrete variables and respond effectively to sensitive inquiries or complaints. + Attention to detail; ensuring accuracy in work + Ability to multi-task and ensure deadlines are met consistently + Ability to work as a team member, collaboratively and positively **Licenses and Certifications** + Certified Coding Specialist - American Health Information Management Association Required + Certified Coding Specialist - Physician-based - American Health Information Management Association Required + Certified Professional Coder - American Academy of Professional Coders Required + Registered Health Information Administrator - American Health Information Management Association Required + Registered Health Information Technician - American Health Information Management Association Required **Physical Demand** Light Physical Demand The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description. Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.
$40k-57k yearly est. 60d+ ago
Remote Senior Inpatient Coding Specialist
Adventhealth 4.7
Orlando, FL jobs
**Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 601 E ROLLINS ST **City:** ORLANDO **State:** Florida **Postal Code:** 32803 **Job Description:** **Schedule:** Full Time Reviews, analyzes, and interprets clinical documentation applying applicable codes in accordance with prescribed rules, coding policy, payer specifications, and official guidelines. Evaluates and optimizes various diagnostic options in accordance with standard rules, official coding guidelines, regulatory agencies, and approved policies. Verifies assigned codes and ensures diagnostic and procedure codes are supported by the physician's clinical documentation. Communicates effectively with physicians and allied health personnel to ensure comprehensive, accurate, and timely clinical documentation. Discusses optimization and documentation issues with physicians and clinical personnel, querying for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** Bachelor's, High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Radiologic Technologist (R.T.-CERT) - EV Accredited Issuing Body, Infection Control Certification (CIC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body **Pay Range:** $23.91 - $44.46 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Health Information Management **Organization:** AdventHealth Orlando Support **Schedule:** Full time **Shift:** Day **Req ID:** 150659276
$23.9-44.5 hourly 8d ago
Remote Inpatient Coding Specialist
Adventhealth 4.7
Orlando, FL jobs
**Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 601 E ROLLINS ST **City:** ORLANDO **State:** Florida **Postal Code:** 32803 **Job Description:** **Schedule:** Full Time **Shift** : Days Queries physicians for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions as needed. Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, understanding their impact on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations. Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance. Reviews encounters for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body **Pay Range:** $21.73 - $40.42 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Health Information Management **Organization:** AdventHealth Orlando Support **Schedule:** Full time **Shift:** Day **Req ID:** 150658928
$21.7-40.4 hourly 8d ago
Coder/Abstractor III (Remote, WA residents only)
Valley Medical Center 3.8
Renton, WA jobs
Health Information Management The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Coder/Abstractor III JOB OVERVIEW: Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding related edits and denials and provides ongoing feedback and education to physicians and clinicians. Responsible for following up on all accounts unable to code due to missing/incomplete documentation or charges. AREA OF ASSIGNMENT: Health Information Management HOURS OF WORK: As assigned RESPONSIBLE TO: Manager, Health Information Management PREREQUISITES: * Associate or bachelor's degree in HIM, required. * RHIA, RHIT, or CCS required. * 3 or more years exclusively in inpatient hospital coding experience, required. * Demonstrated advanced ability to use and understand DRG, ICD-10-CM, and ICD-10-PCS coding methodologies. * Advanced knowledge of anatomy, physiology, pharmacology, disease processes and medical terminology * Ability to communicate in writing and verbally in the English language in an effective manner. Effective communication includes ability to spell accurately and write legibly. QUALIFICATIONS: * Ability to research authoritative citations related to coding, compliance, and additional reporting needs. * Ability to carry out assignments independently, follow procedures, and exercise good judgment. * Excellent customer service skills, including telephone interactions. * Proficient data entry skills. * Proven ability to interact with physicians and support staff. * Attention to detail and excellent organizational skills are essential. * Knowledge of Medicare, Medicaid, and third-party coding and billing requirements. * Successful completion or pre-hire coding test. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: Must be able to prioritize and multi-task. Must possess ability to work independently, with a minimum of direction, and take initiative in problem solving. Must be able to interact professionally and effectively with a wide variety of people, including operations staff, providers, the general public, and departments in VMC. Must be able to function effectively in an environment with frequent interruptions and multiple tasks. Requires manual and finger dexterity and vision corrected to normal range. Requires ability to travel several miles to various sites on any given day. PERFORMANCE RESPONSIBILITIES: * Generic Job Functions: See Generic Job Description for Administrative Partner. * Essential Responsibilities and Competencies: * Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG). * Responsible for final coding and DRG accuracy on all inpatient accounts. * Maintains confidentiality of protected health information. * Reviews coding-based edits, corrects errors, and educates clinic and medical staff on appropriate use of ICD-10-CM and ICD-10-PCS codes. * Demonstrate advanced competency with ICD-10-CM and ICD-10-PCS code assignment for diagnoses and procedures for hospital requirements. * Collaborates with Clinical Documentation Specialists, HIM deficiency team, and members of the medical staff to ensure completeness of documentation in the charts so that appropriate codes, and ultimately the correct Diagnosis Related Group (DRG,) may be assigned. * Codes all records based on documentation, being careful to follow strict coding guidelines, payer regulations, and ethics. * Ensure compliance with all Federal and State guidelines regarding correct coding initiatives. * Meets productivity coding standards as outlined in the productivity policy. * Participates in coding meetings to enhance knowledge and coding compliance skills. * Communicates effectively with Revenue Cycle team and hospital departments in relationship to coding or charging concerns and the submission of claims. * Reviews coding-based payment denials, identifies patterns, corrects errors, and educates clinic and revenue cycle staff on appropriate coding procedures when services are denied due to inappropriate diagnosis or procedure coding. * Provides immediate telephone support to clinic, medical, and revenue cycle staff who have coding questions. * Assists with new provider orientation on VMC's coding, audit process and documentation standards. * Apprises management of concerns as appropriate, including backlogs and time available for additional tasks. * As necessary, negotiates a work improvement plan with management to raise work quality and quantity to standards. * Maintains appropriate CEU's annually as required for certification. * Adheres to policies and procedures as required by VMC. * Performs all job functions in a manner consistent with Valley's expectations as defined in Valley Values. * Completes additional projects and duties as assigned. Created: 1/21 Grade: OPEIUO FLSA: NE CC: 8490 Job Qualifications: PREREQUISITES: * Associate or bachelor's degree in HIM, required. * RHIA, RHIT, or CCS required. * 3 or more years exclusively in inpatient hospital coding experience, required. * Demonstrated advanced ability to use and understand DRG, ICD-10-CM, and ICD-10-PCS coding methodologies. * Advanced knowledge of anatomy, physiology, pharmacology, disease processes and medical terminology * Ability to communicate in writing and verbally in the English language in an effective manner. Effective communication includes ability to spell accurately and write legibly. QUALIFICATIONS: * Ability to research authoritative citations related to coding, compliance, and additional reporting needs. * Ability to carry out assignments independently, follow procedures, and exercise good judgment. * Excellent customer service skills, including telephone interactions. * Proficient data entry skills. * Proven ability to interact with physicians and support staff. * Attention to detail and excellent organizational skills are essential. * Knowledge of Medicare, Medicaid, and third-party coding and billing requirements. * Successful completion or pre-hire coding test.
$60k-73k yearly est. 31d ago
Medical Coding Specialist II - Inpatient
UW Health 4.5
Middleton, WI jobs
Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. 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 - Inpatient to: Determine and assign ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes. Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows. 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. In lieu of a medical coding education, an active coding certification is required. Required Work Experience 2 years of progressive inpatient facility coding experience Required 2 years or more of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center Preferred Licenses & Certifications Certified Coding Specialist (CCS) Upon Hire Required or Certified Inpatient Coder (CIC) Upon Hire Required Registered Health Information Technician (RHIT) Preferred 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. Job Description UW Hospital and Clinics benefits
$59k-74k yearly est. Auto-Apply 23h ago
Medical Coding Specialist II - Inpatient
UW Health 4.5
Rockford, IL jobs
Work Schedule: 100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote. At UW Health in northern Illinois, you will have: • Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance • Annual wellness reimbursement • Opportunity for on-site day care through UW Health Kids • Tuition reimbursement for career advancement--ask about our fully funded programs! • Abundant career growth opportunities to nurture professional development • Strong shared governance structure • Commitment to employee voice Qualifications High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required Graduate of a Health Information Technology program. Preferred Work Experience 2 years Two years of progressive inpatient facility coding experience. Required 2 years Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center. Preferred Licensure and Certifications Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC). Required Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) AND Registered Health Information Technician (RH 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. Job Description UW Health in northern Illinois benefits
$60k-76k yearly est. Auto-Apply 23h ago
Hospital Coder
Albany Medical Health System 4.4
Albany, NY jobs
Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities * Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. * Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines. * Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. * Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim. * Comply with comprehensive internal coding policies and procedures that are consistent with requirements. * Attends coding meetings and roundtable sessions. * Participates in daily huddles and LEAN problem-solving activities. * Focused with no distractions while working and participating in meetings. * Ensures camera on while attending Teams calls. * Assists with organizing the shared drive for the medical coding department. * Other duties as assigned by manager. Qualifications * High School Diploma/G.E.D. - required * Prior experience in hospital medical coding - preferred * Prior experience with 3M 360 and EPIC system - preferred * Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency) * Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency) * Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency) * Excellent written and verbal communication skills. (High proficiency) * Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency) * Detail-oriented and efficient while maintaining productivity. * Coding certification / credential through AHIMA or AAPC and be in good standing. - required Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands * Standing - Occasionally * Walking - Occasionally * Sitting - Constantly * Lifting - Rarely * Carrying - Rarely * Pushing - Rarely * Pulling - Rarely * Climbing - Rarely * Balancing - Rarely * Stooping - Rarely * Kneeling - Rarely * Crouching - Rarely * Crawling - Rarely * Reaching - Rarely * Handling - Occasionally * Grasping - Occasionally * Feeling - Rarely * Talking - Frequently * Hearing - Frequently * Repetitive Motions - Frequently * Eye/Hand/Foot Coordination - Frequently Working Conditions * Extreme cold - Rarely * Extreme heat - Rarely * Humidity - Rarely * Wet - Rarely * Noise - Occasionally * Hazards - Rarely * Temperature Change - Rarely * Atmospheric Conditions - Rarely * Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
$55.9k-83.8k yearly Auto-Apply 51d ago
Per Diem Coding Specialist
Massachusetts Eye and Ear Infirmary 4.4
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This is a fully remote coding role. This position will be coding for Radiology. Job Summary Summary: Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement. Does this position require Patient Care? No Essential Functions: Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines. -Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. -Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. -Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. -Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. -Identifies reportable elements, complications, and other procedures. Qualifications Education High School Diploma or Equivalent required Licenses and Credentials Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred Experience medical coding experience 0-1 year preferred Knowledge, Skills and Abilities - Proficiency in ICD-10, CPT , HCPCS, and modifiers for coding of professional fee services. - Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines are required. - Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. - Proficient with computer applications (MS Office etc.), Excellent data entry skills. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 0 Employee Type Per Diem Work Shift Day (United States of America) Pay Range $22.22 - $31.71/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$22.2-31.7 hourly Auto-Apply 2d ago
Coding Specialist II, Remote
Massachusetts Eye and Ear Infirmary 4.4
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This position is on the surgical coding team. This role will work on Ambulatory work queues and E&M leveling. Job Summary Summary: Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. Does this position require Patient Care? No Essential Functions: Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information. -Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies. -Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes. -Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials. -Utilize coding software, encoders, and electronic health record systems to facilitate the coding process. -Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives. -Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges. Qualifications Education High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred Experience Medical Coding Experience 3-5 years required Knowledge, Skills and Abilities - In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. - Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations. - Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes. - Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding. - Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff. - Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$21.8-31.1 hourly Auto-Apply 15d ago
Remote - Clinic/Outpatient Coder III
Mosaic Life Care 4.3
Remote
Remote - Clinic/Outpatient Coder III Outpatient Coding PRN Status Variable Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Expected to be proficient in assigning ICD-10-CM and/or CPT codes for following types of services: Outpatient: Complex Surgeries, Observations (non-obstetric), Interventional radiology, radiation oncology and/or non-complex inpatient coding encounters. Clinic coder: Either proficient in coding for all non-surgery specialty areas, primary care, or complex surgeries. This position works under the guidance and supervision of the HIM Outpatient APC and Clinic Coding Manager and is employed by Mosaic Health System. Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Communicates with providers, querying providers to ensure the highest level of specificity is provided in documentation. May assist in training of newly hired coders. Caregiver may work in conjunction with Patient Financial Services to verify and modify charges and coding to ensure accuracy of supporting documentation, payer rules and correct coding. Working reports for clean-up, auditing services, edits, and denials. Ensures data accuracy of State HIDI data by responding to edits received. Performs other duties as assigned. Must have coding education, HS Diploma and Medical Terminology and Anatomy and Physiology Required to obtain CCS - Certified Coding Specialist or RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician or CPC and/or CCSP - Certified Professional Coder within 180 days of employment. Must also obtain COC - Certified Outpatient Coding within 180 days of employment. Five years experience in a Health Information Services department performing a job that requires detail, and familiarity with patient medical record preferred.
$24.7-37.1 hourly 60d+ ago
Remote - Inpatient Coder II
Mosaic Life Care 4.3
Remote
Remote - Inpatient Coder II Inpatient Coding PRN Status Day Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology. This position works under the supervision of the Manager and is employed by Mosaic Health System. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials. Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record. Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding. Ensures data accuracy by responding to coding edits received. Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral. Mentors and assists with training coders. Completes analysis by utilizing reports, record reviews, etc. Other duties as assigned. Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required. CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required. Three years experience in coding in an acute care setting required.
$24.7-37.1 hourly 60d+ ago
Clinical Coder IV/Acute Care - Medical Records
Atrium Health 4.7
Charlotte, NC jobs
00153661 Employment Type: Full Time Shift: Day Shift Details: Monday-Friday 1st shift Standard Hours: 40.00 Department Name: Medical Records Location Details: Onboarding at Arrowpoint, after training able to work remote Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth Job Summary To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership. Essential Functions Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Reviews charges and Evaluation and Management levels. Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management. Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the CHS Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Carolinas HealthCare System is an EOE/AA Employer
$43k-62k yearly est. 60d+ ago
Risk Adjustment Medical Coder
High Country Community Health 3.9
Boone, NC jobs
Job DescriptionDescription: Full Time, Remote Exempt / Salary Organization High Country Community Health (HCCH) is a federally funded Community and Migrant Health Center with medical locations in Watauga, Avery, Burke, and Surry Counties. The mission of HCCH is to provide comprehensive and culturally sensitive primary health care services that may include dental, mental and substance abuse services to the medically under-served population of Watauga, Avery, Burke, and Surry Counties and the surrounding rural communities. Supervisory Relationship: Reports to: Deputy CFO Job Summary and Responsibilities Provides thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and patient complexity of care. Utilizes knowledge of official coding guidelines, HCC standards, Risk Adjustment Factor (RAF) scoring, and physician query briefs. Will participate in Provider education on the importance of diagnosis specificity and documentation guidelines. The Risk Adjustment Coder works to maintain a thorough knowledge of our current automated eClinicalsWork (eCW) enterprise billing system, through which the coding and documentation review are functionalized to provide support to HCCH providers and staffs as necessary. Provides subject matter expertise to others including staff in the Billing department as necessary. This position requires professional maturity, responsibility, integrity, and subject matter expertise to complete the work timely; communicate setbacks to deliverables. and to collaborate with others to meet production and quality standards. Responsibilities include: -Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines -Validate and ensure the completeness, accuracy, and integrity of coded data. -Concurrently, prospectively, and retrospectively review medical records to identify unclear, ambiguous, or inconsistent documentation ensuring full capture of severity, accuracy, and quality. -Query providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. -Utilizes approved resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS and ensures documentation in the medical record follows official coding guidelines, internal guidelines, and AHIMA physician query brief standards. -Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. -Comply with HIPAA laws and regulations. -Maintain coding quality and productivity standards set forth by HCCH. -Maintain competency in evolving areas of coding, guidelines, and risk adjustment reimbursement reporting requirements. -Assist in internal and external coding audits to ensure the quality and compliance of coding practices. -Provide ongoing feedback to physicians and other providers regarding coding guidelines and requirements, including education and support for improvement in HCC coding, and RAF scoring. -Assist with educational in-services for physicians, other providers, and clinic staff relating to coding and documentation compliance as well as new policies and procedures relating to clinical documentation compliance related to billing. -Maintains complete confidentiality of patient information. -Assists with developing, implementing, and reviewing policies, procedures, and forms related to areas of responsibility. -Other duties as assigned by your Supervisor. Requirements: Requirements/Skills/Experience -High-speed internet access -Strong clinical knowledge related to chronic illness diagnosis, treatment, and management. -Knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred. -Personal discipline to work remotely without direct supervision -Dental coding skills a plus -Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation. Qualifications: -Bachelor's degree in allied health or any related field required. -Minimum 2 years of progressive Professional Risk Adjustment Coding experience required. -Active Certified Risk Adjustment Coder certification (CRC and/or CPC) required -Candidates hired with active CPC, but without Certified Risk Adjustment Coder certification (CRC) must obtain CRC certification within 9 months of hire. Travel Requirements None. Salary Commensurate with experience, education and certifications
$38k-49k yearly est. 25d ago
Cardiology Coding Specialist (Remote)
Cardiology 4.7
California City, CA jobs
Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)
$57k-72k yearly est. 60d+ ago
Coding Specialist
Hopehealth, Inc. 3.9
Florence, SC jobs
Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: • High School Diploma or GED required. Associate degree preferred. • Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services. • Knowledge of insurance industry and medical terminology/anatomy required. Required Skills / Abilities: • Good oral and written skills. • Detailed oriented with strong organizational skills. • Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. • Demonstrates the ability to work in a high pressure environment • Strong active listening skills, attention to detail, and decision-making skills are required • Pleasant, friendly attitude with the ability to adapt to change is essential • Superior problem- solving abilities is required • Ability to collaborate with all departments • Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. • Possess excellent customer service skills and be well organized. • Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently • Must be comfortable taking direction from Leadership Supervisory Responsibilities: • None Essential Job Functions: These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers. • Review assigned charts for correct ICD10 and CPT coding. • Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. • Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. • Must maintain coding credentials thru AAPC. • Ability to research coding questions in order to remain compliant with third party and regulatory guidelines. • Perform other assigned duties. Position Category: Certified Coding Specialist I • Candidate has no previous medical billing or insurance industry experience • Candidate has no previous coding experience Certified Coding Specialist II • Candidate has less than 5 years of medical billing or insurance industry experience and/or • Candidate has less than 5 years of medical coding experience Certified Coding Specialist III • Candidate has more than 5 years of medical billing or insurance industry experience and/or • Candidate has more than 5 years of medical coding experience Physical Requirements: Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
$36k-44k yearly est. Auto-Apply 45d ago
Coding Specialist
Hopehealth, Inc. 3.9
Florence, SC jobs
Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: * High School Diploma or GED required. Associate degree preferred. * Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services. * Knowledge of insurance industry and medical terminology/anatomy required. Required Skills / Abilities: * Good oral and written skills. * Detailed oriented with strong organizational skills. * Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. * Demonstrates the ability to work in a high pressure environment * Strong active listening skills, attention to detail, and decision-making skills are required * Pleasant, friendly attitude with the ability to adapt to change is essential * Superior problem- solving abilities is required * Ability to collaborate with all departments * Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. * Possess excellent customer service skills and be well organized. * Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently * Must be comfortable taking direction from Leadership Supervisory Responsibilities: * None Essential Job Functions: These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers. * Review assigned charts for correct ICD10 and CPT coding. * Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. * Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. * Must maintain coding credentials thru AAPC. * Ability to research coding questions in order to remain compliant with third party and regulatory guidelines. * Perform other assigned duties. Position Category: Certified Coding Specialist I * Candidate has no previous medical billing or insurance industry experience * Candidate has no previous coding experience Certified Coding Specialist II * Candidate has less than 5 years of medical billing or insurance industry experience and/or * Candidate has less than 5 years of medical coding experience Certified Coding Specialist III * Candidate has more than 5 years of medical billing or insurance industry experience and/or * Candidate has more than 5 years of medical coding experience Physical Requirements: Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
$36k-44k yearly est. 5d ago
Health Information Management -HIM - Coder - Inpatient -REMOTE
Rome Health 4.4
Rome, NY jobs
Health Information Management - HIM - Coder - Inpatient The Inpatient Coder is responsible for coding discharged inpatient encounters. May work in collaboration with Clinical Documentation Improvement nurses. Utilizes Clintegrity encoder for DRG assignment. Submits coding queries as necessary for appropriate provider clarification. Maintains coding knowledge and certifications. Maintains working knowledge of Medicare rules and regulations. Understands importance coding plays in the revenue cycle process Meets or exceeds coding productivity and quality standards Assists with DRG appeals as necessary Assists Coding Manager with identifying problems or trends that need immediate attention Adheres to all department and hospital policies and procedures High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified Professional Coder (CPC) required. KNOWLEDGE AND SKILLS REQUIRED: Must possess critical thinking and analytical skills. Knowledgeable in medical terminology, anatomy and physiology, ICD-10 and PCS coding guidelines, CPT, HCPCS, and basic coding principles according to whether assigned to inpatient or outpatient duties. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
$40k-52k yearly est. 5d ago
Health Information Management (HIM) Coder - Outpatient - PER DIEM
Rome Health 4.4
Rome, NY jobs
Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
$40k-52k yearly est. 60d+ ago
Health Information Management (HIM) Coder - Outpatient - PER DIEM
Rome Health 4.4
Rome, NY jobs
Job Description Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
$40k-52k yearly est. 15d ago