Coord Quality Coding, Inpatient
Medical coder job at UC Health
Coordinator Quality Coding, Inpatient Department: UCHlth Inpatient Coding FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $33.82 - $50.73 / hour. Pay is dependent on applicant's relevant experience
Summary:
Responsible for coding data integrity by reviewing diagnosis and procedure code assignments, and validating MS-DRG, APC, or RVU designations. This is a 100% remote position. Qualified/eligible out-of-state candidates may be considered.
Responsibilities:
Conducts internal quality reviews, in accordance with the Coding Compliance Plan. Reviews government, commercial and other external audits. Performs internal audits as requested by other departments. Monitors and reports issues/trends.
Presents coding education to staff, leadership and others throughout the Health System. Provides training as necessary. Assists with developing and guiding SMEs responsibilities.
Responds to coding questions submitted throughout the Health System. Reviews physician queries for appropriateness, and related correspondence.
Reviews coded claims data in response to denials and customer service requests. Provides thorough rationale and explanation for proper code assignments.
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
Requirements:
* Credentials:
Essential:
* Certified Hospital Outpatient Coder
* Certified Coding Specialist
* Certified Professional Coder
* Certified Prof. Coder Apprentice
* Reg Health Info Technician
* Minimum Required Education: High School diploma GED.
* Required Licensure/Certification: Coding-related certification from AHIMA or AAPC.
* Minimum Experience: 3 years of relevant experience.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
UCHealth invests in its Workforce.
UCHealth offers a Three Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of three years' employment.
UCHealth offers their employees a competitive and comprehensive total rewards package (benefit eligibility is based off of FTE status):
* Medical, dental and vision coverage including coverage for eligible dependents
* 403(b) with employer matching contributions
* Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UCHealth with PTO in your bank
* Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options
* Employer paid short term disability and long-term disability with buy-up coverage options
* Wellness benefits
* Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs
* Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year
Loan Repayment:
* UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.
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Who We Are (uchealth.org)
Coder II, Corporate Coding Services, Full Time, First Shift
Medical coder job at UC Health
UC Health is hiring a Full Time Coder II for the Corporate Coding and CDI Department
Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set.
About UC Health
UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.
Responsibilities
Coding quality:
Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG's.
Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation.
Maintains a coding accuracy rating of at least 95% on records assigned.
Queries physicians when necessary to ensure documentation supports the codes assigned.
Coding productivity:
Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals.
Completes productivity data correctly and timely.
Billing edits, coding corrections, DRG changes:
Reviews, researches, and resolves claim edits for billing purposes.
Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated.
Accountability:
Reviews educational materials thoroughly and takes responsibility for applying this information when coding.
Seeks to clarify information and educational material when necessary.
Listens actively.
Maintains information and resources in an organized manner so that information can be referenced easily.
Reviews emails timely and thoroughly and responds when indicated.
Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.
Qualifications
Certified Coders are required to be certified in one of the following: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).
Minimum Required: High School Diploma or GED.
Minimum Required: Formal education in basic ICD-9CM/CPT coding, Medical Terminology, Anatomy/, pathophysiology and disease processes.
Preferred Degree: Associate's Degree or Bachelor's Degree in healthcare related field.
Minimum Required: 1 - 2 Years equivalent experience - At least 1 year of Acute Care Coding.
Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today!
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer.
Auto-ApplySingle Path Coding Specialist II (Remote)
Remote
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.
Day - 08 Hour (United States of America)
This is a Stanford Health Care job.
A Brief Overview
The Single Path Coding (SPC) Specialist-Level 2 is an advanced coder position responsible for reviewing clinical documentation to extract data and assign appropriate International Classification of Diseases 10th Edition Clinical Modification (ICD-10-CM) diagnostic codes, Current Procedural Terminology (CPT) procedure codes and modifiers, group Ambulatory Payment Classifications (APCs) for billing, and process National Correct Coding Initiative (NCCI) and payer specific edits related to hospital and professional coding. The Single Path Coder processes codes for surgical encounters and follows the ICD-10-CM Official Guidelines for Coding and Reporting, the American Health Information Management Association (AHIMA) Code of Ethics and Standards of Ethical Coding, as well as all American Hospital Association (AHA) Coding Clinics for HCPCS and the American Medical Association (AMA) CPT Assistant.
The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding, and interacts with other teams and departments across the organization such as Patient Financial Services, the Patient Billing Office, the Revenue Integrity (Charge Description Master) Team, provider teams and/or Compliance on a routine basis. Additionally, this position interacts with physicians, DFA's, clinical mangers and many other clinical roles throughout the enterprise. The SPC Coding Specialist follows Stanford Health Care policies and procedures and maintains required quality and productivity standards while remaining compliant with third party, State and Federal regulations. In addition to traditional coding related activities, responsibilities also include reviewing and resolving medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes, processing any errors associated with the revenue cycle process, and collaborates on summarizing findings for provider documentation optimization opportunities. When necessary, the SPC Coding Specialist may assist in the design and implementation of workflow changes to reduce coding and billing errors.
The SPC Coding Specialist II is distinguished from SPC Coding Specialist I by mastering more than one specialty and/or possessing coding certification in two specialties.
Locations
Stanford Health Care
What you will do
Reviews medical record documentation and accurately assigns appropriate ICD-10-CM diagnoses, CPT codes and modifiers as applicable for both the hospital and professional claim
Validate and process any medical necessity edits (local or national coverage determinations) that may apply for hospital and professional coding
Process coding-related payer specific edits for the hospital and professional claim
Communicates effectively with provider teams across the organization; serve as an advocate for documentation improvement
Follow established coding conventions and guidelines as set forth by State and Federal regulations
Responsible for monitoring Discharged Not Billed accounts, and as a team, ensure timely, compliant processing of outpatient and inpatient encounters through the hospital and professional revenue cycle
Responsible for maintaining established quality and productivity standards
Demonstrates a high degree of independence in performance of responsibilities, working effectively without direct supervision
Exhibits strong time management, problem solving and communication skills
Critical thinking, good judgment and decision making skills
Excellent written and oral communication skills
Remain abreast of current Centers for Medicare and Medicaid Services (CMS) requirements, NCCI edits, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), payer specific edit processing required to ensure clean claim submission for both the hospital and professional
Follows all established Stanford Health Care policies and procedures
Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth
Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients' rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings
Employees must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions
Education Qualifications
Associate Degree in work -related discipline/field or equivalent combination of education and work experience
Experience Qualifications
Five years; must be proficient in coding surgical encounter specialties
Currently holds role-related certifications RHIA, RHIT, CCS, CCS-P, CPC, or COC or other coding certification in specialized area OR CIRCC for advanced knowledge of Interventional Radiology and Interventional Cardiology coding
Required Knowledge, Skills and Abilities
Successful completion of the Coder Proficiency Exam (pre-hire)
Ability to consistently meet department's quality and productivity standards
Ability to develop and maintain supportive, collaborative relationship with Physicians and other clinical professionals
Ability to adapt to and deal with change and ambiguity
Ability to plan, organize, prioritize, work independently and meet deadlines
Ability to comply with the American Health Information Management Association's Code of Ethics and Standards
Ability to establish and maintain effective working relationships
Ability to manage, organize, prioritize, multi-task and adapt to changing priorities
Ability to solve technical and non-technical problems
Ability to utilize the ICD-10-CM/PCS and CPT-4 coding conventions to code medical record entries; abstract information from medical records; read medical record documentation
Ability to work effectively through and with others
Knowledge of APC grouping methodology
Knowledge of health information systems for medical records (Epic and 3M 360e Computer Assisted Coding)
Ability to foster effective working relationships and build consensus
Ability to work effectively with individuals at all levels of the organization
Knowledge of NCCI and other CMS compliance issues
Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and disease processes
Licenses and Certifications
RHIA - Registered Health Information Administrator or
RHIT - Registered Health Information Technician or
CCS - Certified Coding Specialist or
CPC and/or CCSP - Certified Professional Coder or
COC
Physical Demands and Work Conditions
Blood Borne Pathogens
Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family's perspective:
Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $60.15 - $67.75 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
Auto-ApplyInpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL - Sign-on bonus eligible)
Chicago, IL jobs
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Inpatient Coder II is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. This person possesses a strong foundation in coding conventions, instructions,
Official Guidelines for Coding and Reporting
and
Coding Clinics.
The Inpatient Coder II has a deep understanding of disease process, anatomy/physiology, pharmacology and medical terminology.
Responsibilities:
Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity.
Utilizes expertise in clinical disease process and documentation, to assign Present on Admission (POA) values to all secondary diagnoses for quality metrics and reporting.
Thoroughly reviews the provider notes within the health record and the Findings from the Clinical Documentation Nurse in the Clinical Documentation Improvement (CDI) Department who concurrently reviewed the record and provide their clinical insight on the diagnoses.
Utilizes resources within CAC (Computerized Assisted Coding) software to efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features.
Reviews Discharge Planning and nursing documentation to validate and correct when necessary, the Discharge Disposition which impacts reimbursement under Medicare's Post-Acute Transfer Policy.
Utilizes knowledge of MS-DRG's, APR-DRG's, AHRQ Elixhauser risk adjustment to sequence the appropriate ICD-10-CM codes within the top 24 fields to ensure correct reimbursement and NM's ranking in US News and World Report.
Collaborate with CDI on approximately 45% of discharges regarding the final MS or APR DRG and comorbidity diagnoses.
Educates CDI on regulatory guidelines, Coding Clinics and conventions to report appropriate ICD-10-CM diagnoses.
Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, medical terminology to determine the Principal Diagnosis, secondary diagnoses and procedures.
Follows the ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS
Official Guidelines for Coding and Reporting
,
Coding Clinic
for ICD-10-CM and ICD-10-PCS, coding conventions and instructional notes to assign the appropriate diagnoses and procedures.
Utilizes coding expertise and knowledge to write appeal letters in response to payor DRG downgrade notices.
Resolves Nosology Messages/Alerts and Coding Validation Warning/Errors.
Meets established coding productivity and quality standards.
Qualifications
Required:
3 years of inpatient coding experience in an acute healthcare setting
RHIA, RHIT or CCS credential
AHIMA membership
Preferred:
Associate's degree in related field
RHIA, RHIT with CCS or CDIP/CCDS credential
4 years of inpatient coding experience in a teaching hospital
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Anesthesia Coding Specialist II, PB Coding, Full-time, Days, (Remote - Must reside in IL, IN, IA, or WI)
Chicago, IL jobs
Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
The Coding Specialist II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
CANDIDATE MUST HAVE ANESTHESIA CODING EXPERIENCE.
The PB Coding Specialist II performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on more complex encounters and/or has expertise with HCPCs procedural codes. This position has deep understanding of disease process, A&P and pharmacology and acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patient's service. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The Coding Specialist II also demonstrates expertise to resolve Optum coding edits.
Responsibilities:
Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and Management services, bedside procedures and diagnostic tests as needed.
Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers with a minimum of 95% accuracy.
Ensures charges are captured by performing various reconciliations (procedure schedules, OR logs and clinical system reports)
Provides documentation feedback to physicians
Maintains coding reference information
Trains physicians and other staff regarding documentation, billing and coding.
Reviews and communicates new or revised billing and coding guidelines and information
Attends meetings and educational roundtables, communicates pertinent information to physicians and staff.
Resolves pre-accounts receivable edits. Identifies repetitive documentation problems as well as system issues.
Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers. Adds MBO tracking codes as needed.
Collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement expertise; helps identify and resolve incorrect claim issues and is responsible for drafting letters in order to coordinate appeals
Acts as key point person for Revenue Cycle staff and Account Inquiry Unit staff in obtaining documentation (notes, operative reports, drug treatment plans, etc.). Provides additional code and modifier information to assist with appealing denials. May contact providers for peer-to-peer reviews.
Meets established minimum coding productivity and quality standards for each encounter type
May perform other duties as assigned.
Qualifications
Required:
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS).
Zero (0) to two (2) years of experience in a relevant role.
94% accuracy on organizations coding test.
Preferred:
Bachelor's or Associate's degree in a Health Information Management program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM).
Previous experience with physician coding.
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Medical Coder II, Inpatient Hospital Full Time Remote
Hartford, CT jobs
Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.
At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team.
The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing.
* Experience Preferred: Successful completion of a coding certificate program with AHIMA approval status preferred.
* Education Required: Associate degree or equivalent training acquired through at least three years on-the-job experience.
* Certification is required within one year of hire; acceptable certifications for this position include:
* American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA
* American Academy of Professional Coders (AAPC).
Knowledge, Skills and Abilities:
Knowledge of:
* Coding guidelines for using ICD-9-CM (Volumes 1, 2, and 3), ICD-10-CM, ICD-10-PCS, CPT and HCPCS Level II codes in inpatient and outpatient settings.
* Extensive knowledge of anatomy and medical terminology.
* Maintains, and increases knowledge of issues that affect coding and billing and the healthcare industry.
* Regulatory requirements pertaining to healthcare operations in the practice and hospital settings.
* ICD-9-CM (Vol 1, 2, and 3) Official Coding Guidelines.
* ICD-10-CM Official Coding Guidelines.
* ICD-10-PCS Official Coding Guidelines.
* CPT and HCPCS Level II Coding Guidelines including Evaluation & Management Coding, Surgical Coding, and the use of Modifiers.
* Data management techniques.
Skills:
* Advanced Computer skills, PC experience w/ Windows-based applications.
* Communication skills including strong verbal, written, and interpersonal skills.
* Keyboarding skills with ability to type 40 wpm minimum.
Ability to:
* Analyze complex medical records and identify billable services.
* Work with individuals at all levels within the organization and the community; effectively communicate with providers.
* Manage and prioritize workloads to meet deadlines.
* Research coding questions.
* Gather, review and compile information and prepare reports, often with deadlines.
* Maintain quality and compliance standards.
* Maintain confidentiality of information.
* Function in a fast-paced environment with strong attention to detail meeting productivity and accuracy standards.
* The coder abstracts pertinent information from patient records and assigns ICD-9-CM/ICD-10-CM, ICD-10-PCS or CPT/HCPCS codes, creating APC or DRG group assignments.
* Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
* The coder keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution.
* Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
* Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. The coder assists in coordination of the compilation of data relative to regulatory agencies and the accreditation process.
* Review all charges, ensure accurate charge capture and review medical necessity for all ordered tests/procedures.
* Perform coding and charge capture for facility services including but not limited to emergency department and IV services. Charge capture may include providers' services.
* Monitor coding work queues for simple visit coding including rehabilitation services.
* Proactively communicate with physicians and physician's offices to insure adequate documentation to support ordered services.
* Verify accuracy of patient account/type and demographic data and coordinates with patient financial services to assure accurate billing/reimbursement and reporting.
* The coder displays initiative and supports continuous quality improvement efforts. He/she performs special projects, training, education, and/or other duties as assigned.
* Continuously evaluate the quality of clinical documentation to spot incomplete or inconsistent documentation for inpatient encounters that impact code selection and resulting DRG groups.
* Monitor unbilled account reports for outstanding or uncoded discharges.
* Reviews bills and payments to insure correct billing and reimbursement.
* Audits, corrects, and submits any denials as appropriate. Possess knowledge and understanding of discharge, not final billed (DNFB) parameters.
* Abstracts data for special projects and quality initiatives
* Effectively uses of software to follow through on accuracy of claim submission.
* Effectively communicates with patient financial services to resolve coding and billing questions or concerns.
Auto-ApplyCoord Quality Coding, Inpatient
Denver, CO jobs
Coordinator Quality Coding, Inpatient Department: UCHlth Inpatient Coding FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $33.82 - $50.73 / hour. Pay is dependent on applicant's relevant experience
Summary:
Responsible for coding data integrity by reviewing diagnosis and procedure code assignments, and validating MS-DRG, APC, or RVU designations. This is a 100% remote position. Qualified/eligible out-of-state candidates may be considered.
Responsibilities:
Conducts internal quality reviews, in accordance with the Coding Compliance Plan. Reviews government, commercial and other external audits. Performs internal audits as requested by other departments. Monitors and reports issues/trends.
Presents coding education to staff, leadership and others throughout the Health System. Provides training as necessary. Assists with developing and guiding SMEs responsibilities.
Responds to coding questions submitted throughout the Health System. Reviews physician queries for appropriateness, and related correspondence.
Reviews coded claims data in response to denials and customer service requests. Provides thorough rationale and explanation for proper code assignments.
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
Requirements:
+ Credentials:
Essential:
* Certified Hospital Outpatient Coder
* Certified Coding Specialist
* Certified Professional Coder
* Certified Prof. Coder Apprentice
* Reg Health Info Technician
+ Minimum Required Education: High School diploma GED.
+ Required Licensure/Certification: Coding-related certification from AHIMA or AAPC.
+ Minimum Experience: 3 years of relevant experience.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
UCHealth invests in its Workforce.
UCHealth offers a Three Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of three years' employment.
UCHealth offers their employees a competitive and comprehensive total rewards package (benefit eligibility is based off of FTE status):
+ Medical, dental and vision coverage including coverage for eligible dependents
+ 403(b) with employer matching contributions
+ Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UCHealth with PTO in your bank
+ Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options
+ Employer paid short term disability and long-term disability with buy-up coverage options
+ Wellness benefits
+ Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs
+ Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year
Loan Repayment:
+ UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.
AF123
Who We Are (uchealth.org)
Senior EMR Analyst - Epic Cheers CRM
Remote
At Cincinnati Children's, we are committed to delivering exceptional, patient-centered experiences that extend far beyond the clinical visit. The Senior EMR Analyst - Epic Cheers plays a critical role in advancing this mission by supporting and enhancing our enterprise CRM capabilities. In this role, you will design, build, and optimize the Epic Cheers platform to strengthen how we communicate, engage, and partner with patients and families throughout their care journey.
As a senior member of the EMR team, you'll collaborate closely with Patient Access, Marketing & Communications, Digital Experience, and clinical operational leaders to build automated, data-driven outreach and engagement workflows that help improve appointment adherence, streamline communication, and elevate the overall patient experience. Your technical expertise in Epic, combined with your understanding of CRM strategies and patient engagement needs, will directly influence how Cincinnati Children's builds long-term relationships with the families we serve.
This role is ideal for an analyst who thrives at the intersection of technology, communication, and patient experience, bringing both strong configuration skills and the ability to partner with cross-functional stakeholders to translate goals into scalable, sustainable system solutions. Through your work with Epic Cheers, you will help Cincinnati Children's continue to advance its mission of improving child health through innovation, connection, and excellence in care.
JOB RESPONSIBILITIES
Build/Configuration/Release Mgmt
Analyze, design, implement, and maintain complex systems that greatly improves clinical care and patient management.
Support system testing.
Document testing outcomes.
Drives process improvement efforts.
Demonstrates advanced problem solving and technical solution skills.
Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions.
Contributes to strategic planning efforts.
Leads strategy and innovation in applicable clinical systems training and build environments to ensure currency and usability.
Independently develop and mentor others on education technology content for applicable use.
Drive the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need.
Leadership and Mentoring
Take ownership of tasks with sense of urgency and drive them to completion.
Independent in work effort, escalating when appropriate.
Coordinate necessary resources and communicate impacts to the user community.
Collaborate with other team members to resolve issues and foster success with the customer base.
Serves as a mentor when working through details of a problem to reach a positive solution.
Set strategy and vision to support a user base through clinical system training and the creation and curation of expert education and training materials.
Strategize with end users to ensure that clinical system applications and accompanying training programs and materials remain current and support patient care delivery processes.
Network with internal and external experts to identify best practices for clinical system use and training.
Promote use of industry best practice tools for efficiency and innovative education and learning.
Professional Growth & Development
Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections.
Conduct and participate in instructional sessions.
Use knowledge to improve skills.
Develop and maintain positive relationships, both internal and external to CCHMC.
Motivate people and encourage teamwork.
Work well with others and fosters a positive team environment.
Use knowledge to drive innovation.
Prepare oral and written presentations.
Project Management
Lead the design, development, and implementation of new and enhanced EMR requests.
Develop and manage project plans and other project- related documentation for complex projects.
Manages multiple moderate to complex projects independently.
Determine the scope of complex projects.
Coordinate the appropriate resources needed.
Independently prioritize assigned tasks and projects.
Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues.
Independently works with cross functional teams to ensure proper integration.
Consult with and support the end user community to develop and validate requirements for system solutions.
Work with 3rd-party developers to review potential software development solutions for integrated build issues.
Manage Customer Relationships
Develop collaborative professional relationships with customer group and key stakeholders.
Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support.
Plan, execute, and support a user base through clinical system training and the creation and curation of expert education and training materials.
Adhere to and promote continual adoption of change management policies and procedures.
Strong sense of personal accountability.
Model outstanding customer service behavior, including timely and effective follow-up with customers.
Always maintain CCHMC's service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES).
JOB QUALIFICATIONS
Bachelor's degree in a related field OR equivalent combination of education and experience
5+ years of work experience in a related job discipline
PREFERRED QUALIFICATIONS
Existing or current Epic certifications strongly preferred, especially in:
Cadence
Ambulatory
MyChart
ADT (nice to have but not required)
Hands-on experience working within at least one of the Epic modules listed above.
Ability to obtain the Epic Cheers certification within 3 months of hire (required).
Demonstrated experience supporting EMR workflows, clinical operations, or patient access processes in an Epic environment.
Proven ability to partner with clinicians, and Epic operational teams, with IT to translate workflows needs and deliver effective Epic solutions.
Familiarity with healthcare data standards, patient scheduling/registration concepts, and frontline end-user support.
Primary Location
Remote
Schedule
Full time
Shift
Day (United States of America)
Department
IS Digital Health
Employee Status
Regular
FTE
1
Weekly Hours
40
*Expected Starting Pay Range
*Annualized pay may vary based on FTE status
$91,520.00 - $116,688.00
Market Leading Benefits Including*:
Medical coverage starting day one of employment. View employee benefits here.
Competitive retirement plans
Tuition reimbursement for continuing education
Expansive employee discount programs through our many community partners
Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
Physical and mental health wellness programs
Relocation assistance available for qualified positions
*
Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
One of the nation's America's Most Innovative Companies as noted by Fortune
Consistently certified as great place to work
A Leading Disability Employer as noted by the National Organization on Disability
Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
Auto-ApplyEMR Analyst II - Epic Inpatient
Remote
Join one of the top pediatric hospitals in the nation and a recognized leader and top employer for technology professionals as an Epic Analyst (Inpatient). At Cincinnati Children's, you will play a vital role in advancing our mission to improve child health and transform care delivery through technology and innovation.
In this role, you will support and enhance our Epic systems that power patient care, registration, scheduling, and billing across the enterprise. This position is ideal for someone who thrives in a technical environment-focused on Epic build, configuration, and optimization-to ensure seamless system performance for clinicians and patients alike. You will collaborate with cross-functional teams to design, implement, and maintain innovative Epic solutions that strengthen workflows, improve data integrity, and elevate operational efficiency at one of the nation's best places to work in healthcare technology.
As part of your continued growth, you will also gain exposure to Epic Bugsy Infection Control- a forward-thinking Epic module that plays a key role in advancing patient safety, infection prevention, and care quality across the organization.
JOB RESPONSIBILITIES
Build/Configuration/Release Management
Analyze, design, implement, and maintain moderately complex systems that greatly improves clinical care and patient management.
Support system testing.
Document testing outcomes.
Work to develop technical solutions.
Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions.
Where applicable, collaborate on the scheduling of the applicable clinical systems training and build environments to ensure currency and usability to support end user training.
Independently develops educational technology content for applicable use.
Recommends opportunities for and participates in process improvement to advance education and learning processes, content tracking, content review and revision.
Drives the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need.
Leadership
Take ownership of tasks with sense of urgency and drive them to completion.
Take initiative and know what needs to be done.
Communicate to supervisor regarding overall issues, roadblocks.
Identify the appropriate resources needed to complete small/medium projects.
Support the communication on project-related issues and developments.
Work with cross functional teams.
Attend and participate in design and leadership team meetings for the various clinical applications deployed throughout the hospital.
Consult with end users to ensure that clinical system applications and accompanying training programs and materials support global and unique patient care delivery processes.
Network with internal and external experts to identify best practices for clinical system use and training.
Promote use of industry best practice tools for efficiency and innovative education and learning.
Professional Growth & Development
Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections.
Conduct and participate in instructional sessions.
Use knowledge to improve skills.
Develop and maintain positive relationships, both internal and external to CCHMC.
Motivate people and encourage teamwork.
Work well with others and fosters a positive team environment.
Prepare oral and written presentations.
Project Management
Support/and or lead the design, development, and implementation of new and enhanced application requests.
Support and/or lead project plans and other project- related documentation for moderately complex projects.
Determine the scope of moderately complex projects.
Coordinate the appropriate resources needed.
Prioritize, organize, and complete assigned tasks and associated documentation upon directives from supervisor or customers.
Seek the appropriate resources needed for activities.
Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues.
Effectively works with cross functional teams to ensure proper integration.
Consult with and support the end user community to develop and validate requirements for system solutions.
Customer Support
Develop collaborative professional relationships with customer group and key stakeholders.
Demonstrates advanced troubleshooting skills.
Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support.
Independently critically thinks to work through details of a problem to reach a positive solution.
Plan and execute the support for a user base through clinical system training and the creation and curation of advanced education and training materials.
Adhere to and promote continual adoption of change management policies and procedures.
Interact with all levels of staff throughout the Medical Center in a collaborative manner.
Strong sense of personal accountability.
Model outstanding customer service behavior, including timely and effective follow-up with customers.
Always maintain CCHMC's service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES).
JOB QUALIFICATIONS
Education: Bachelor's Degree or equivalent combination of education and experience.
Experience: 2+ years of work experience in a related job discipline.
PREFERRED QUALIFICATIONS
Epic Certifications: EpicCare Inpatient Clinical Documentation, EpicCare Inpatient Procedure Orders or Epic Bugsy Infection Control - with Bugsy experience valued for its forward-thinking approach to infection prevention and surveillance.
Strong technical aptitude with experience in Epic build, configuration, testing, and troubleshooting.
Experience with system integrations, interface validation, and release management processes.
Ability to analyze workflows, translate business requirements into technical solutions, and collaborate with both technical and clinical partners.
Desire to expand Epic expertise through exposure to advanced modules and ongoing professional development opportunities.
Primary Location
Remote
Schedule
Full time
Shift
Day (United States of America)
Department
IS Epic
Employee Status
Regular
FTE
1
Weekly Hours
40
*Expected Starting Pay Range
*Annualized pay may vary based on FTE status
$81,723.20 - $104,208.00
Market Leading Benefits Including*:
Medical coverage starting day one of employment. View employee benefits here.
Competitive retirement plans
Tuition reimbursement for continuing education
Expansive employee discount programs through our many community partners
Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
Physical and mental health wellness programs
Relocation assistance available for qualified positions
*
Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
One of the nation's America's Most Innovative Companies as noted by Fortune
Consistently certified as great place to work
A Leading Disability Employer as noted by the National Organization on Disability
Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
Auto-ApplyCoder II, PBO Coding, Full time, 1st shift
Medical coder job at UC Health
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set.
Responsibilities
Coding quality:
Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG's.
Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation.
Maintains a coding accuracy rating of at least 95% on records assigned.
Queries physicians when necessary to ensure documentation supports the codes assigned.
Coding productivity:
Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals.
Completes productivity data correctly and timely.
Billing edits, coding corrections, DRG changes:
Reviews, researches, and resolves claim edits for billing purposes.
Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated.
Accountability:
Reviews educational materials thoroughly and takes responsibility for applying this information when coding.
Seeks to clarify information and educational material when necessary.
Listens actively.
Maintains information and resources in an organized manner so that information can be referenced easily.
Reviews emails timely and thoroughly and responds when indicated.
Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.
Qualifications
Minimum Required: High School Diploma or GED. Minimum Required: Formal education in basic ICD-9CM/CPT coding, Medical Terminology, Anatomy/, pathophysiology and disease processes. Preferred Degree: Associate's Degree in healthcare related field. Preferred Degree: Bachelor's Degree in healthcare related field. | Certified Coders are required to be certified in one of the following: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). | Minimum Required: 1 - 2 Years equivalent experience - At least 1 year of Acute Care Coding.
Auto-ApplyCoding Specialist I
Norwood, OH jobs
This position abstracts provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers.
Job Requirements:
High School Degree or GED
CPC-A, CPC, CCS-P, CCA
ICD-10-CM and CPT Coding Guidelines
Medical terminology
Anatomy
Physiology
Experience Related Fields
Job Responsibilities:
Assists with coding/billing questions from both internal and external customers. Which will include follow up on denials, research, review of charts for potential coding issues. Follow up with provider on any documentation that is insufficient or unclear and escalate where necessary. Communicate with other clinical staff regarding documentation trends. Maintains a close working relationship with all departments and internal customers including leadership and consolidates effotrts to ensure appropriate and standardized coding procedures are followed. Ensures understanding and compliance with coding protocols, rules and regulations from government agencies, insurance companies, and other resources. Maintains knowledge of current coding revisions and effectively communicates changes with provider. Maintains accurate and current CPT and ICD-10-CM resources within the billing and clinical systems. Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes. Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable. Ensure that all codes are current, active, and billiable according to CCI. Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes. Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable. Ensure that all codes are current, active, and billiable according to CCI.
Other job-related information:
Qualifications: Successful completion of a certification program from an accredited organization. Strong knowledge of anatomy, physiology, and medical terminology. Excellent typing and 10-key speed accuracy. Commitment to a high level of customer service. Superior mathmatical skills. Familarity with ICD-10 codes and procedures. Solid oral and written communication skills. Working knowledge of medical jargon and anatomy preferred. Able to work independently.
Working Conditions:
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Consistently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Interpersonal Communication - Consistently
Kneeling - Rarely
Lifting
Lifting 50+ Lbs - Rarely
Lifting 11-50 Lbs - Rarely
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Consistently
Standing - Frequently
Stooping - Rarely
Talking - Frequently
Thinking/Reasoning - Consistently
Use of Hands - Occasionally
Color Vision - Rarely
Visual Acuity: Far - Frequently
Visual Acuity: Near - Frequently
Walking - Occasionally
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:
Serve: ALWAYS…
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS…
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
Respect: ALWAYS…
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS…
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community
Auto-ApplyHospital Coding Specialist III (Remote)
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Hospital Coding Specialist III (Remote) Cost Center:101651098 System Support-Facility CodingScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; day shifts (United States of America) Job Description:
**May be eligible for a sign-on bonus!**
JOB SUMMARY
The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification of Diseases (ICD) Official Guidelines for Coding and Reporting and in the Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS-DRG (Medicare Severity-Diagnosis Related Group) or APR-DRG (All Patients Refined Diagnosis Related Groups) for complex, multi-specialty inpatient services. This individual understands and applies applicable medical terminology, anatomy and physiology, surgical technology, pharmacology and disease processes. The Hospital Coding Specialist III reviews professional and hospital inpatient medical record documentation and properly identifies and assigns:
ICD CM and PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, surgical procedures and/or other procedures.
MS-DRG /APR-DRG
Present on admission indicators
HAC (Hospital Acquired conditions) and when required, report through established procedures
PSI conditions and report through established procedures
Discharge Disposition code
Works collaboratively with the Clinical Documentation Improvement Specialists to address documentation concerns and DRG assignments
Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested
JOB QUALIFICATIONS
EDUCATION
The individual applying must meet the minimum qualifications in all three required sections below to be considered a candidate for interview. Please consider when listing minimum qualifications.
Minimum Required: AHIMA or AAPC approved Medical Coding Diploma or Health Information Management Degree or related program.
Preferred/Optional: None
EXPERIENCE
Minimum Required: Three years of progressive inpatient coding experience in an acute care facility.
Preferred/Optional: Experience with electronic health record systems. Academic or level I or II trauma experience is a plus.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position
Minimum Required: Active credential of Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) through the American Health Information Management Association (AHIMA); or AAPC (American Academy of Professional Coders) at the time of hire.
Preferred/Optional: If AAPC credential, preferred is CIC (Certified Inpatient Coder).
**May be eligible for a sign-on bonus!**
Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states:
Alabama
(limitations in some counties)
Arizona
(limitations in some counties)
Arkansas
Colorado
(limitations in some counties)
Florida
Georgia
Idaho
Illinois
(limitations in some counties)
Indiana
Iowa
Kansas
Kentucky
(limitations in some counties)
Louisiana
Maine
(limitations in some counties)
Michigan
Minnesota
(limitations in some counties)
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
(limitations in some counties)
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
(limitations in some counties)
Pennsylvania
(limitations in some counties)
South Carolina
South Dakota
Tennessee
Texas
(limitations in some counties)
Utah
Virginia
Wisconsin
Wyoming
Marshfield Clinic Health System will not employ individuals living in states not listed above.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Auto-ApplySenior EMR Analyst - Epic Cheers CRM
Cincinnati, OH jobs
At Cincinnati Children's, we are committed to delivering exceptional, patient-centered experiences that extend far beyond the clinical visit. The Senior EMR Analyst - Epic Cheers plays a critical role in advancing this mission by supporting and enhancing our enterprise CRM capabilities. In this role, you will design, build, and optimize the Epic Cheers platform to strengthen how we communicate, engage, and partner with patients and families throughout their care journey.
As a senior member of the EMR team, you'll collaborate closely with Patient Access, Marketing & Communications, Digital Experience, and clinical operational leaders to build automated, data-driven outreach and engagement workflows that help improve appointment adherence, streamline communication, and elevate the overall patient experience. Your technical expertise in Epic, combined with your understanding of CRM strategies and patient engagement needs, will directly influence how Cincinnati Children's builds long-term relationships with the families we serve.
This role is ideal for an analyst who thrives at the intersection of technology, communication, and patient experience, bringing both strong configuration skills and the ability to partner with cross-functional stakeholders to translate goals into scalable, sustainable system solutions. Through your work with Epic Cheers, you will help Cincinnati Children's continue to advance its mission of improving child health through innovation, connection, and excellence in care.
JOB RESPONSIBILITIES
Build/Configuration/Release Mgmt
* Analyze, design, implement, and maintain complex systems that greatly improves clinical care and patient management.
* Support system testing.
* Document testing outcomes.
* Drives process improvement efforts.
* Demonstrates advanced problem solving and technical solution skills.
* Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions.
* Contributes to strategic planning efforts.
* Leads strategy and innovation in applicable clinical systems training and build environments to ensure currency and usability.
* Independently develop and mentor others on education technology content for applicable use.
* Drive the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need.
Leadership and Mentoring
* Take ownership of tasks with sense of urgency and drive them to completion.
* Independent in work effort, escalating when appropriate.
* Coordinate necessary resources and communicate impacts to the user community.
* Collaborate with other team members to resolve issues and foster success with the customer base.
* Serves as a mentor when working through details of a problem to reach a positive solution.
* Set strategy and vision to support a user base through clinical system training and the creation and curation of expert education and training materials.
* Strategize with end users to ensure that clinical system applications and accompanying training programs and materials remain current and support patient care delivery processes.
* Network with internal and external experts to identify best practices for clinical system use and training.
* Promote use of industry best practice tools for efficiency and innovative education and learning.
Professional Growth & Development
* Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections.
* Conduct and participate in instructional sessions.
* Use knowledge to improve skills.
* Develop and maintain positive relationships, both internal and external to CCHMC.
* Motivate people and encourage teamwork.
* Work well with others and fosters a positive team environment.
* Use knowledge to drive innovation.
* Prepare oral and written presentations.
Project Management
* Lead the design, development, and implementation of new and enhanced EMR requests.
* Develop and manage project plans and other project- related documentation for complex projects.
* Manages multiple moderate to complex projects independently.
* Determine the scope of complex projects.
* Coordinate the appropriate resources needed.
* Independently prioritize assigned tasks and projects.
* Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues.
* Independently works with cross functional teams to ensure proper integration.
* Consult with and support the end user community to develop and validate requirements for system solutions.
* Work with 3rd-party developers to review potential software development solutions for integrated build issues.
Manage Customer Relationships
* Develop collaborative professional relationships with customer group and key stakeholders.
* Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support.
* Plan, execute, and support a user base through clinical system training and the creation and curation of expert education and training materials.
* Adhere to and promote continual adoption of change management policies and procedures.
* Strong sense of personal accountability.
* Model outstanding customer service behavior, including timely and effective follow-up with customers.
* Always maintain CCHMC's service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES).
JOB QUALIFICATIONS
* Bachelor's degree in a related field OR equivalent combination of education and experience
* 5+ years of work experience in a related job discipline
PREFERRED QUALIFICATIONS
* Existing or current Epic certifications strongly preferred, especially in:
* Cadence
* Ambulatory
* MyChart
* ADT (nice to have but not required)
* Hands-on experience working within at least one of the Epic modules listed above.
* Ability to obtain the Epic Cheers certification within 3 months of hire (required).
* Demonstrated experience supporting EMR workflows, clinical operations, or patient access processes in an Epic environment.
* Proven ability to partner with clinicians, and Epic operational teams, with IT to translate workflows needs and deliver effective Epic solutions.
* Familiarity with healthcare data standards, patient scheduling/registration concepts, and frontline end-user support.
Primary Location
Remote
Schedule
Full time
Shift
Day (United States of America)
Department
IS Digital Health
Employee Status
Regular
FTE
1
Weekly Hours
40
* Expected Starting Pay Range
* Annualized pay may vary based on FTE status
$91,520.00 - $116,688.00
Market Leading Benefits Including*:
* Medical coverage starting day one of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
* Physical and mental health wellness programs
* Relocation assistance available for qualified positions
* Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
* Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
* Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
* Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
* One of the nation's America's Most Innovative Companies as noted by Fortune
* Consistently certified as great place to work
* A Leading Disability Employer as noted by the National Organization on Disability
* Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
EMR Analyst II - Epic Beaker
Cincinnati, OH jobs
Join a team transforming the future of diagnostics at one of the nation's top pediatric medical centers. As an Analyst, you'll play a pivotal role in optimizing laboratory workflows, enhancing data integrity, and ensuring clinicians have the tools they need to deliver world-class patient care. If you thrive in complex problem-solving, love partnering with clinical and technical teams, and want your work to directly improve the lives of children and families, this is the opportunity to make a measurable impact.
JOB RESPONSIBILITIES
Build/Configuration/Release Mgmt
* Analyze, design, implement, and maintain moderately complex systems that greatly improves clinical care and patient management.
* Support system testing.
* Document testing outcomes.
* Work to develop technical solutions.
* Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions.
* Where applicable, collaborate on the scheduling of the applicable clinical systems training and build environments to ensure currency and usability to support end user training.
* Independently develops educational technology content for applicable use.
* Recommends opportunities for and participates in process improvement to advance education and learning processes, content tracking, content review and revision.
* Drives the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need.
Leadership
* Take ownership of tasks with sense of urgency and drive them to completion.
* Take initiative and know what needs to be done.
* Communicate to supervisor regarding overall issues, roadblocks.
* Identify the appropriate resources needed to complete small/medium projects.
* Support the communication on project-related issues and developments.
* Work with cross functional teams.
* Attend and participate in design and leadership team meetings for the various clinical applications deployed throughout the hospital.
* Consult with end users to ensure that clinical system applications and accompanying training programs and materials support global and unique patient care delivery processes.
* Network with internal and external experts to identify best practices for clinical system use and training.
* Promote use of industry best practice tools for efficiency and inno
Professional Growth & Development
* Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections.
* Conduct and participate in instructional sessions.
* Use knowledge to improve skills.
* Develop and maintain positive relationships, both internal and external to CCHMC.
* Motivate people and encourage teamwork.
* Work well with others and fosters a positive team environment.
* Prepare oral and written presentations.
Project Management
* Support/and or lead the design, development, and implementation of new and enhanced application requests.
* Support and/or lead project plans and other project-related documentation for moderately complex projects.
* Determine the scope of moderately complex projects.
* Coordinate the appropriate resources needed.
* Prioritize, organize, and complete assigned tasks and associated documentation upon directives from supervisor or customers.
* Seek the appropriate resources needed for activities.
* Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues.
* Effectively works with cross functional teams to ensure proper integration.
* Consult with and support the end user community to develop and validate requirements for system solutions.
Customer Support
* Develop collaborative professional relationships with customer group and key stakeholders.
* Demonstrates advanced troubleshooting skills.
* Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support.
* Independently critically thinks to work through details of a problem to reach a positive solution.
* Plan and execute the support for a user base through clinical system training and the creation and curation of advanced education and training materials.
* Adhere to and promote continual adoption of change management policies and procedures.
* Interact with all levels of staff throughout the Medical Center in a collaborative manner.
* Strong sense of personal accountability.
* Model outstanding customer service behavior, including timely and effective follow-up with customers.
* Always maintain CCHMC s service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES).
JOB QUALIFICATIONS
* Bachelor's Degree or equivalent combination of education and experience
* 2+ years of work experience in a related job discipline
PREFERRED QUALIFICATIONS
* Experience working in an Anatomic Pathology laboratory (histology, cytology, or surgical pathology).
* Strong understanding of AP workflows, specimen handling, and reporting requirements.
* Prior Epic Beaker AP build or support experience preferred.
* Excellent problem-solving and communication skills.
Primary Location
Remote
Schedule
Full time
Shift
Day (United States of America)
Department
IS Lab Informatics System
Employee Status
Regular
FTE
1
Weekly Hours
40
* Expected Starting Pay Range
* Annualized pay may vary based on FTE status
$81,723.20 - $104,208.00
Market Leading Benefits Including*:
* Medical coverage starting day one of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
* Physical and mental health wellness programs
* Relocation assistance available for qualified positions
* Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
* Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
* Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
* Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
* One of the nation's America's Most Innovative Companies as noted by Fortune
* Consistently certified as great place to work
* A Leading Disability Employer as noted by the National Organization on Disability
* Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
EMR Analyst II - Epic Inpatient
Cincinnati, OH jobs
Join one of the top pediatric hospitals in the nation and a recognized leader and top employer for technology professionals as an Epic Analyst (Inpatient). At Cincinnati Children's, you will play a vital role in advancing our mission to improve child health and transform care delivery through technology and innovation.
In this role, you will support and enhance our Epic systems that power patient care, registration, scheduling, and billing across the enterprise. This position is ideal for someone who thrives in a technical environment-focused on Epic build, configuration, and optimization-to ensure seamless system performance for clinicians and patients alike. You will collaborate with cross-functional teams to design, implement, and maintain innovative Epic solutions that strengthen workflows, improve data integrity, and elevate operational efficiency at one of the nation's best places to work in healthcare technology.
As part of your continued growth, you will also gain exposure to Epic Bugsy Infection Control- a forward-thinking Epic module that plays a key role in advancing patient safety, infection prevention, and care quality across the organization.
JOB RESPONSIBILITIES
Build/Configuration/Release Management
* Analyze, design, implement, and maintain moderately complex systems that greatly improves clinical care and patient management.
* Support system testing.
* Document testing outcomes.
* Work to develop technical solutions.
* Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions.
* Where applicable, collaborate on the scheduling of the applicable clinical systems training and build environments to ensure currency and usability to support end user training.
* Independently develops educational technology content for applicable use.
* Recommends opportunities for and participates in process improvement to advance education and learning processes, content tracking, content review and revision.
* Drives the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need.
Leadership
* Take ownership of tasks with sense of urgency and drive them to completion.
* Take initiative and know what needs to be done.
* Communicate to supervisor regarding overall issues, roadblocks.
* Identify the appropriate resources needed to complete small/medium projects.
* Support the communication on project-related issues and developments.
* Work with cross functional teams.
* Attend and participate in design and leadership team meetings for the various clinical applications deployed throughout the hospital.
* Consult with end users to ensure that clinical system applications and accompanying training programs and materials support global and unique patient care delivery processes.
* Network with internal and external experts to identify best practices for clinical system use and training.
* Promote use of industry best practice tools for efficiency and innovative education and learning.
Professional Growth & Development
* Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections.
* Conduct and participate in instructional sessions.
* Use knowledge to improve skills.
* Develop and maintain positive relationships, both internal and external to CCHMC.
* Motivate people and encourage teamwork.
* Work well with others and fosters a positive team environment.
* Prepare oral and written presentations.
Project Management
* Support/and or lead the design, development, and implementation of new and enhanced application requests.
* Support and/or lead project plans and other project- related documentation for moderately complex projects.
* Determine the scope of moderately complex projects.
* Coordinate the appropriate resources needed.
* Prioritize, organize, and complete assigned tasks and associated documentation upon directives from supervisor or customers.
* Seek the appropriate resources needed for activities.
* Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues.
* Effectively works with cross functional teams to ensure proper integration.
* Consult with and support the end user community to develop and validate requirements for system solutions.
Customer Support
* Develop collaborative professional relationships with customer group and key stakeholders.
* Demonstrates advanced troubleshooting skills.
* Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support.
* Independently critically thinks to work through details of a problem to reach a positive solution.
* Plan and execute the support for a user base through clinical system training and the creation and curation of advanced education and training materials.
* Adhere to and promote continual adoption of change management policies and procedures.
* Interact with all levels of staff throughout the Medical Center in a collaborative manner.
* Strong sense of personal accountability.
* Model outstanding customer service behavior, including timely and effective follow-up with customers.
* Always maintain CCHMC's service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES).
JOB QUALIFICATIONS
* Education: Bachelor's Degree or equivalent combination of education and experience.
* Experience: 2+ years of work experience in a related job discipline.
PREFERRED QUALIFICATIONS
* Epic Certifications: EpicCare Inpatient Clinical Documentation, EpicCare Inpatient Procedure Orders or Epic Bugsy Infection Control - with Bugsy experience valued for its forward-thinking approach to infection prevention and surveillance.
* Strong technical aptitude with experience in Epic build, configuration, testing, and troubleshooting.
* Experience with system integrations, interface validation, and release management processes.
* Ability to analyze workflows, translate business requirements into technical solutions, and collaborate with both technical and clinical partners.
* Desire to expand Epic expertise through exposure to advanced modules and ongoing professional development opportunities.
Primary Location
Remote
Schedule
Full time
Shift
Day (United States of America)
Department
IS Epic
Employee Status
Regular
FTE
1
Weekly Hours
40
* Expected Starting Pay Range
* Annualized pay may vary based on FTE status
$81,723.20 - $104,208.00
Market Leading Benefits Including*:
* Medical coverage starting day one of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
* Physical and mental health wellness programs
* Relocation assistance available for qualified positions
* Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
* Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
* Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
* Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
* One of the nation's America's Most Innovative Companies as noted by Fortune
* Consistently certified as great place to work
* A Leading Disability Employer as noted by the National Organization on Disability
* Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
Medical Biller II
Norwood, OH jobs
Job Overview: The level II Medical Biller's general responsibilities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. Medical Biller II should be cross trained to work with different payers to help assist other billing staff. Reviews, investigates, and resolves credit balances. Medical Biller II will ensure the proper documentation in the facility's billing system. Responsible also for providing excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner. Job Requirements: * High School Diploma or GED or GED (Required) * 3 - 4 years' experience in related field (Required) * Billing knowledge that includes ICD-9, ICD-10, and CPT terminology * Epic and Clearing House experience * Working knowledge of insurance policies and appeals Consistently meets individual productivity incentive standards Job Responsibilities: * Knowledge: Works with little supervisory oversight and exercises appropriate judgement in identifying payer trends. Identifies and appropriately communicates process improvement with team leaders and supervisors in a timely manner. Maintains a close working relationship with all departments and consolidates efforts to ensure appropriate and standardized coding/billing procedures are followed. * Quality Review: Consistently produces quality work and actions to move a claim to proper payment or account resolution while maintaining assigned work queues. * Personal Productivity: Completes assigned workload based on key performance indicators on a daily basis to ensure standard productivity is met. * Patient Accounting Cash: Meet or exceed approved target; collect 100% of net revenue booked based on remittance. * Aging: Decrease AR greater than 90 days for Insurance accounts as set by department each year. Lower is better. Working Conditions: Climbing - Rarely Concentrating - Consistently Continuous Learning - Frequently Hearing: Conversation - Frequently Hearing: Other Sounds - Rarely Interpersonal Communication - Rarely Kneeling - Rarely Lifting
Lifting 50+ Lbs. - Rarely Lifting
Pulling - Rarely Pushing - Rarely Reaching - Rarely Reading - Consistently Sitting - Consistently Standing - Frequently Stooping - Rarely Talking - Frequently Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Frequently Visual Acuity: Far - Consistently Visual Acuity: Near - Consistently Walking - Frequently TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS... * Welcome everyone by making eye contact, greeting with a smile, and saying "hello" * Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist * Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS... * Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met * Offer patients and guests priority when waiting (lines, elevators) * Work on improving quality, safety, and service Respect: ALWAYS... * Respect cultural and spiritual differences and honor individual preferences. * Respect everyone's opinion and contribution, regardless of title/role. * Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS... * Value the time of others by striving to be on time, prepared and actively participating. * Pick up trash, ensuring the physical environment is clean and safe. * Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS... * Acknowledge wins and frequently thank team members and others for contributions. * Show courtesy and compassion with customers, team members and the community
Medical Biller III
Norwood, OH jobs
Job Overview: The Medical Biller III role is to have set duties similar to an Account Specialist II to assist other account specialists with difficult and complex accounts. In addition to the duties of an Account Specialist II, this person will take on special projects assigned by the Supervisor/Manager. Will interact with departments directly related to Patient Accounting. (i.e. Medical Records, Revenue Management, Managed Care.) Job Requirements: * High School Diploma or GED Degree or GED (Required) * 5 - 7 years' experience (Required) * Must have extensive knowledge and experience in Billing, Payer policies, and appeals * Exceeds individual productivity incentive standards * Ability to train and assist others * Works without direct supervision * Shows good attitude and leads by example Job Responsibilities: * Knowledge: Works with little to no supervisory oversight and exercises appropriate judgement in identifying payer trends. Identifies and appropriately communicates process improvement with team leaders and supervisors in a timely manner. Maintains a close working relationship with all departments and consolidates efforts to ensure appropriate and standardized coding/billing procedures are followed. Responsible for new hire and refresher training. Subject matter experts that demonstrate the ability to work independently, effectively managing tasks and responsibilities. * Quality Review: Consistently produces quality work and actions to move a claim to proper payment or account resolution while maintaining assigned work queues. * Personal Productivity: Completes assigned workload based on key performance indicators on a daily basis to ensure standard productivity is met. * Patient Accounting Cash: Meets or exceeds approved target; collects 100% of net revenue booked based on remittance. * Aging: Decreases AR greater than 90 days for Insurance accounts as set by department each year. Lower is better. Other Related Information: This person should be a self-starter and uses initiative. Thinks outside the box; good at problem solving. Working Conditions: Climbing - Rarely Concentrating - Consistently Continuous Learning - Occasionally Hearing: Conversation - Frequently Interpersonal Communication - Consistently Kneeling - Rarely Lifting
Lifting 50+ Lbs. - Rarely Lifting
Pulling - Rarely Pushing - Rarely Reaching - Occasionally Reading - Consistently Sitting - Consistently Standing - Occasionally Stooping - Rarely Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Consistently Walking - Frequently TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS... * Welcome everyone by making eye contact, greeting with a smile, and saying "hello" * Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist * Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS... * Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met * Offer patients and guests priority when waiting (lines, elevators) * Work on improving quality, safety, and service Respect: ALWAYS... * Respect cultural and spiritual differences and honor individual preferences. * Respect everyone's opinion and contribution, regardless of title/role. * Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS... * Value the time of others by striving to be on time, prepared and actively participating. * Pick up trash, ensuring the physical environment is clean and safe. * Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS... * Acknowledge wins and frequently thank team members and others for contributions. * Show courtesy and compassion with customers, team members and the community
Surgical Coordinator - Blue Ash
Blue Ash, OH jobs
Company: Cincinnati Eye Institute Job Title: Surgical Coordinator Department: Ophthalmology Reports To: Clinic Manager Deliver excellent patient-centered care by ensuring the financial and surgical communication process is complete for patients having surgical procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES
This position will require flexibility and a broad knowledge base, with ability to perform any of the below tasks.
* Schedule surgery, perform pre-surgery patient education regarding preparation for surgery and communicate with all associated facilities.
* Schedule and coordinate pre-op appointments with the patient and/or the patient's care giver.
* Check every patient chart for insurance benefits, prepare a cost summary and counsel patients regarding finances.
* Counsel patients for Physician Fee and Eye Surgery Center.
* Follow up on and collect surgery payments.
* Other duties as assigned.
QUALIFICATIONS
* Desire to gain industry knowledge and training
* Demonstrates initiative in accomplishing practice goals
* Ability to grow, adapt, and accept change
* Consistently creating a positive work environment by being team-oriented and patient-focused
* Ability to interact with all levels of employees in a courteous, professional manner at all times
* Reliable transportation that would allow employee to go to multiple work locations with minimal notice
* Commitment to work over 40 hours to meet the needs of the business
* Ability to work weekends when applicable
EDUCATION AND/OR EXPERIENCE
* High School diploma or GED equivalent is required
* Experience in financial counseling is preferred
* Experience working with insurance is preferred
LICENSES AND CREDENTIALS
* Minimum Required: None
SYSTEMS AND TECHNOLOGY
* Proficient in Microsoft Excel, Word, PowerPoint, Outlook
PHYSICAL REQUIREMENTS
* This role requires a variety of physical activities to effectively perform essential job functions. The position involves frequent walking (75%), sitting (50%), and standing (50%), with regular bending, stooping, and reaching (25-50%). Employees must be able to lift, carry, push, and pull items up to 25 lbs. Strong fine motor skills and full use of hands are essential, as the role demands constant grasping, writing/typing, and use of technology. Visual and auditory acuity-including color, depth, peripheral vision, and the ability to adjust focus-is required 100% of the time. Occasional driving or climbing may also be necessary.
If you need assistance with this application, please contact **************. Please do not contact the office directly - only resumes submitted through this website will be considered.
EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Auto-ApplySurgical Coordinator - Blue Ash
Blue Ash, OH jobs
Job DescriptionCompany: Cincinnati Eye Institute Job Title: Surgical CoordinatorDepartment: Ophthalmology Reports To: Clinic Manager
Deliver excellent patient-centered care by ensuring the financial and surgical communication process is complete for patients having surgical procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES
This position will require flexibility and a broad knowledge base, with ability to perform any of the below tasks.
Schedule surgery, perform pre-surgery patient education regarding preparation for surgery and communicate with all associated facilities.
Schedule and coordinate pre-op appointments with the patient and/or the patient's care giver.
Check every patient chart for insurance benefits, prepare a cost summary and counsel patients regarding finances.
Counsel patients for Physician Fee and Eye Surgery Center.
Follow up on and collect surgery payments.
Other duties as assigned.
QUALIFICATIONS
Desire to gain industry knowledge and training
Demonstrates initiative in accomplishing practice goals
Ability to grow, adapt, and accept change
Consistently creating a positive work environment by being team-oriented and patient-focused
Ability to interact with all levels of employees in a courteous, professional manner at all times
Reliable transportation that would allow employee to go to multiple work locations with minimal notice
Commitment to work over 40 hours to meet the needs of the business
Ability to work weekends when applicable
EDUCATION AND/OR EXPERIENCE
High School diploma or GED equivalent is required
Experience in financial counseling is preferred
Experience working with insurance is preferred
LICENSES AND CREDENTIALS
Minimum Required: None
SYSTEMS AND TECHNOLOGY
Proficient in Microsoft Excel, Word, PowerPoint, Outlook
PHYSICAL REQUIREMENTS
This role requires a variety of physical activities to effectively perform essential job functions. The position involves frequent walking (75%), sitting (50%), and standing (50%), with regular bending, stooping, and reaching (25-50%). Employees must be able to lift, carry, push, and pull items up to 25 lbs. Strong fine motor skills and full use of hands are essential, as the role demands constant grasping, writing/typing, and use of technology. Visual and auditory acuity-including color, depth, peripheral vision, and the ability to adjust focus-is required 100% of the time. Occasional driving or climbing may also be necessary.
If you need assistance with this application, please contact **************. Please do not contact the office directly - only resumes submitted through this website will be considered.
EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Surgical Coordinator - Medical Arts Building Clifton
Cincinnati, OH jobs
Company: Cincinnati Eye Job Title: Surgical Coordinator Department: Ophthalmology Reports To: Clinic Manager
Deliver excellent patient-centered care by ensuring the financial and surgical communication process is complete for patients having surgical procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES
This position will require flexibility and a broad knowledge base, with ability to perform any of the below tasks.
Schedule surgery, perform pre-surgery patient education regarding preparation for surgery and communicate with all associated facilities.
Schedule and coordinate pre-op appointments with the patient and/or the patient's care giver.
Check every patient chart for insurance benefits, prepare a cost summary and counsel patients regarding finances.
Counsel patients for Physician Fee and Eye Surgery Center.
Follow up on and collect surgery payments.
Other duties as assigned.
QUALIFICATIONS
Desire to gain industry knowledge and training
Demonstrates initiative in accomplishing practice goals
Ability to grow, adapt, and accept change
Consistently creating a positive work environment by being team-oriented and patient-focused
Ability to interact with all levels of employees in a courteous, professional manner at all times
Reliable transportation that would allow employee to go to multiple work locations with minimal notice
Commitment to work over 40 hours to meet the needs of the business
Ability to work weekends when applicable
EDUCATION AND/OR EXPERIENCE
High School diploma or GED equivalent is required
Experience in financial counseling is preferred
Experience working with insurance is preferred
LICENSES AND CREDENTIALS
Minimum Required: None
SYSTEMS AND TECHNOLOGY
Proficient in Microsoft Excel, Word, PowerPoint, Outlook
PHYSICAL REQUIREMENTS
This role requires a variety of physical activities to effectively perform essential job functions. The position involves frequent walking (75%), sitting (50%), and standing (50%), with regular bending, stooping, and reaching (25-50%). Employees must be able to lift, carry, push, and pull items up to 25 lbs. Strong fine motor skills and full use of hands are essential, as the role demands constant grasping, writing/typing, and use of technology. Visual and auditory acuity-including color, depth, peripheral vision, and the ability to adjust focus-is required 100% of the time. Occasional driving or climbing may also be necessary.
If you need assistance with this application, please contact **************. Please do not contact the office directly - only resumes submitted through this website will be considered.
EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
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