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Medical Coder jobs at University of Pittsburgh

- 119 jobs
  • Certified Specialty Coder- Three Rivers Orthopedics

    University of Pittsburgh Medical Center 4.6company rating

    Medical coder job at University of Pittsburgh

    Three Rivers Orthopedics is seeking a Certified Specialty Coder to support 11 orthopedic surgeons specializing in areas including spine and foot/ankle at 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215. This full-time position runs Monday-Friday, 8:00 AM-4:30 PM, with the potential for work-from-home flexibility after training Responsibilities: * Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. * Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. * Perform all coding functions, based on staffing needs and/or department requirements. * Refer problem accounts to appropriate coding or management personnel for resolution. * Maintain daily productivity statistics and submits a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks. Balance daily charges to data entry, forwarding results to departmental designee. * Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed. * Assess current CPT guidelines as well as other applicable payer coding policy changes. * Lead, participate in and/or assist with departmental coding audits. * Identify incomplete documentation in the medical record and formulates a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. * Incorporate into departmental procedures and communicates changes to coders and providers. * Adhere to internal department policies and procedures to ensure efficient work processes. * Maintain required CPC or CSS-P certification and continuing education by attending seminars, reviewing updated CPT Assistant guidelines and updated coding clinics. * Adhere to department time goal for final coding entry to prevent charge lags. * If applicable, abstract required medical and demographic information from the medical record and enters the data into the appropriate information system to ensure accuracy of the database. Responsible for correcting any data to be in error after reviewing the medical record and comparing with system entries. * Progress within the training period toward meeting departmental coding accuracy standards within the first year of employment by assigning correct principal diagnosis/procedure, complications and co-morbidities, and secondary diagnoses as reviewed by the designated trainer and/or the DRG Specialist. Coder should meet appropriate coding productivity standards within the time frame established by management staff. * Advise and instruct providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification. * Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions. * Demonstrate proficiency on billing system functionality as related to claim edit/charge review queues, as well as reimbursement denials. * Complete work assignments in a timely manner and understands the workflow of the department. * Train all new Coders to observe established coding guidelines and to utilize the appropriate billing system. * Investigate and resolve reimbursement issues, including denials, in a timely manner per department standards. * Analyze and interpret patient medical records within an area of medical/clinical specialty in order to determine amount and nature of billable services. * Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems (Medipac/SMS/Meditech), encoders and electronic medical record repositories. * Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements. Qualifications: * High school diploma or GED is required. * Graduation from an approved Health Record Administration or Accredited Medical Record Technician program (RHIA/RHIT or eligible) or a certified coding program preferred. * 3 years of coding experience in the applicable medical specialty is required. * Advanced knowledge of medical coding and billing systems and regulatory requirements is required. * Ability to provide training, guidance, and operational support to lower level staff within area of specialty is required. * Experience and knowledge of accurate DRG and APC assignment is essential. * A bility to problem solve and be knowledgeable in advanced medical terminology, human anatomy/physiology, pharmacology, pathology and the principles of ICD-9-CM and CPT Classification Systems and DSM IV, if applicable. * Proficient computer skills, including working knowledge of MS Excel and MS Access, is preferred. Licensure, Certifications, and Clearances: * Certified Professional Coder (CPC) * Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $44k-54k yearly est. 8d ago
  • Inpatient Coder, Senior

    University of Maryland Medical System 4.3company rating

    Baltimore, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description I. General Summary Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. II. Principal Responsibilities And Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Collaborates with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded. Qualifications III. Education and Experience High School graduate or equivalent. Formal ICD-10-CM and CPT training Associates or Bachelor's degree preferred. Minimum of three years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma and Rehab hospital or 4 years of experience with coding inpatient hospital medical records required. One of the following required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC) IV. Knowledge, Skills And Abilities Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range:$30.26- $42.37 Other Compensation (if applicable): Review the 2024-2025 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $30.3-42.4 hourly 3d ago
  • HIM Specialist

    University of Maryland Medical System 4.3company rating

    Largo, MD jobs

    At UM Capital Region Health, we're about to change UP everything with the opening of our new hospital in Spring 2021! Located in Largo in the heart of Prince George's County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George's County residents. Job Description NOTE: The hours for this role Monday-Friday from 8am-4:30pm. Position Summary Under regular supervision of the HIM Supervisor the HIM Specialist analyzes electronic medical records to ensure they are complete and accurate ensuring the quality of health information in various systems for timely retrieval. Principal Duties: Uses of HIM EMR applications to identify and process incomplete electronic medical records. Assigns chart deficiencies for completion of specific documents to the appropriate physician according to established policies and procedures in the electronic medical record. Generates and prints reports for physicians based on required criteria in paper and electronic formats. Demonstrates thorough knowledge of the workflows in the electronic system in order to follow the flow of the medical record and to assure completion of documentation in the electronic record. Monitors and responds to physician message center box located within the electronic record system. Assists with physician suspension, generating and notifying of alert/suspension letters and other necessary written communications. Performs analysis and reanalysis of records as required and update-required system to reflect status changes to the record. Abstracts data and information electronically to complete the following functions ie: operative report monitoring, Cerbatch application monitoring, 3808 process, death and birth certificate process. Monitors dictation and transcription processes and systems Ensures charts/documents are in the correct folder in the EMR. Performs related work as assigned. Ensures charts/documents are in the correct folder in the EMR. Performs related work as assigned. Commitment to Co-Workers: Offers assistance to colleagues and other departments when needed. Takes responsibility for solving problems regardless of origin; completes assignments, and respects deadlines. Resolves conflict directly with colleagues and seeks assistance from others if the issue cannot be resolved. Refrains from criticism in public. Mindful and respectful of others' time and schedules. Attends meetings on time and communicates any absences. Provides co-workers with a status report for continuity of workflow when planning to be out of the office off the unit, or away from the department Communication Standards: Respectful, courteous and professional in all forms of communication and follows facility's service communication protocol in all interactions. Refrains from use of personal cell phone in HIM department Makes every effort to answer telephone calls within three rings, introducing himself/herself, department and title (if appropriate). Asks permission before placing the caller on hold or using the speakerphone. If caller is transferred, gives the caller the extension number of the person he or she is being transferred to. Offers further assistance to the caller upon completing the conversation. Returns email and voicemail messages promptly but no later than within one business day (24 hours). Always mindful of voice and language in public. Excellent customer assistance and relations with all customers, patients/clients and, physicians Self-Management: Reports to work appropriately groomed and in compliance with the Hospital's dress code. Wears identification badge at all times at chest level and facing outwards so identification is clearly visible. Complete all assignments within deadlines or negotiates alternative actions and time frames in order to achieve desired outcomes. Completes mandatory annual education and competency requirements. Follows UM Capital's safety, infection control and employee health standards. Demonstrates responsibility for personal growth, development and professional knowledge and competency. Adheres to all UM Capital 'sand department policies and procedures, including Code of Conduct and professional behavior standards. Does not exceed Hospital guidelines in reference to attendance, punctuality, and use of sick and unplanned absences. Provides notification of absences, lateness and vacation requests according to department guidelines. Respects length of time for lunch and break times. Reviews, signs, and adheres to UM Capital's and/or departmental confidentiality statement. Qualifications Licensure/Certification/Registration: Accredited/Registered Health Information Technician or Administrator (RHIT/RHIA) or other American Health Information Management Association (AHIMA) certifications will be considered or the ability to obtain within 6 months of appointment. Required Education/Knowledge: AA in Health Information Technology or related field; a Bachelor's degree is preferred or one year of significant experience with acute care inpatient and or outpatient health information management in lieu of an academic year, e.g., 4 or more years of acute care electronic medical record experience will be considered equivalent to a bachelor's degree. Recognizes medical record documentation required content. Skills: Detail-oriented/analytical abilities with the EMR applications, e.g., Cerner, SMS, EPIC, Meditech, Onbase,EDM/PICIS. Understanding of chart analysis and records flow and completion in a paper and in electronic formats. Ability to identify incomplete documents such as operative reports, verbal orders, history and physicals. Knowledgeable of HIM industry standards as it pertains to: Joint Commission, HIPAA,HIE/RHIO. Preferred Proficiency and knowledge with Microsoft Office Word and Excel applications, PowerPoint. Competent knowledge and working experience with Medical Terminology. Good interpersonal skills with ability to work and communicate (verbally and written) with all levelsof hospital personnel, including physicians, clinicians, and patients. Good organizational and time management skills to meet tight deadlines and shifting schedules. Understands and practices confidentiality policies and procedures. Computer literacy and possess hardware/software troubleshooting knowledge and capabilities. Standard Office Equipment knowledge of: fax machine, copy machine, computer keyboard; scanning Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $20.38- $26.00 Other Compensation (if applicable): Review the 2024-2025 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $20.4-26 hourly 3d ago
  • OUTPATIENT SURGERY CODER

    University of Washington 4.4company rating

    Columbus, OH jobs

    **UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for an **OUTPATIENT SURGERY CODER.** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote HIGHLIGHTS** This Outpatient Surgery Coding Specialist 3 position provides support to the Enterprise Records and Health Information department for coding highly specialized services. Outpatient Surgery coder should have experience for complex surgical procedures which include but not limited to General Surgery, Integumentary/Plastic, Orthopedics/Podiatry, Respiratory, Cardiovascular, Hemic and Lymphatic, Digestive, Urinary, Reproductive/Genital , Endocrine, Nervous, Ophthalmology, Auditory, and others **DEPARTMENT DESCRIPTION** Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction ERHI provides advice and resources related to the lifecycle management of all UW Medicine records ERHI is an integral part of the Enterprise Revenue Cycle and has a unique role in the organization that supports both clinical and operational activities. **PRIMARY JOB RESPONSIBILITIES** + Reviews available electronic and other appropriate documentation within Epic and/or Cerner to identify all billable ambulatory surgery procedures and services requiring facility fee coding be captured through Epic Hospital Billing (HB) and 3M computer assisted coding (CAC) + Reviews and resolves coding edits related to procedures and services charged during the ambulatory surgery visit in the operating room at the time of completing coding + Consults with physicians and/or clinical department representatives, as appropriate, to verify services were rendered, documented and meets the requirements for coding as an outpatient/ambulatory patient type + Maintains three day coding turnaround times for ambulatory surgery accounts based on date of service + Identifies and escalates to Coding Leadership impacts to timely coding and charge capture, and avoidable delays for billing and reimbursement **REQUIRED POSITION QUALIFICATIONS** + High school diploma or equivalent and three years of coding experience or equivalent education/experience. + Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). + Equivalent experience/education may be considered **Compensation, Benefits and Position Details** **Pay Range Minimum:** $68,244.00 annual **Pay Range Maximum:** $97,740.00 annual **Other Compensation:** - **Benefits:** For information about benefits for this position, visit ****************************************************** **Shift:** First Shift (United States of America) **Temporary or Regular?** This is a regular position **FTE (Full-Time Equivalent):** 100.00% **Union/Bargaining Unit:** SEIU Local 925 Nonsupervisory **About the UW** Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. **Our Commitment** The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** . To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** . Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* . University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
    $68.2k-97.7k yearly 33d ago
  • Coding Specialist 4

    University of Washington 4.4company rating

    Seattle, WA jobs

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

    University of Washington 4.4company rating

    Seattle, WA jobs

    **UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for a **Coding Specialist 1 - Edits Coder** **WORK SCHEDULE** + 100% FTE + Mondays - Fridays + 100% Remote HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information Management department. Under the general supervision of the Manager of Facility Coding, and the direct supervision of the Supervisor of Outpatient Coding, the Edits Coder is responsible for implementing the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. The Edits Coder is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines. **PRIMARY JOB RESPONSIBILITIES** + Validates codes entered at the point of care and/or by other charge sources by reviewing electronic data and making corrections based on a review of all available electronic and other appropriate documentation to support all billable procedures and services. + Reviews and resolves coding accounts failed validations, revenue guard, missing modifiers, incorrect modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS procedure codes. + Investigates and researches coding issues identified by Revenue Integrity (RI) and Patient Financial Services (PFS) related to inquiries, complaints and/or denials. Makes coding corrections to resolve coding issues; supports RI by reviewing specified procedures for charge accuracy; reroutes accounts to correct coding team for coding resolution based on revenue codes. + Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for facility and professional fee services. Identifies potentially avoidable delays to timely billing and help identify systemic issues that contribute to delays in service or inefficient uses of resources to address root cause and prevent ongoing errors. + Identifies the need for documentation clarity to support the integrity of the record and for reimbursement compliance; identifies charge error trends and escalate to supervisor. + Performs special projects or other duties assigned. + May perform the work of lower level classifications of the Coding Specialist series. **REQUIRED POSITION QUALIFICATIONS** High school diploma or equivalent AND Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). AND One year coding experience or equivalent education/experience. Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration. **Compensation, Benefits and Position Details** **Pay Range Minimum:** $59,976.00 annual **Pay Range Maximum:** $85,848.00 annual **Other Compensation:** - **Benefits:** For information about benefits for this position, visit ****************************************************** **Shift:** First Shift (United States of America) **Temporary or Regular?** This is a regular position **FTE (Full-Time Equivalent):** 100.00% **Union/Bargaining Unit:** SEIU Local 925 Nonsupervisory **About the UW** Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. **Our Commitment** The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** . To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** . Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* . University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
    $60k-85.8k yearly 12d ago
  • Coder Certified (Remote) - Surgery

    Washington University In St. Louis 4.2company rating

    Remote

    Scheduled Hours40Position reviews medical record documentation to determine appropriate billing codes and necessary documentation.Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Job Location/Working Conditions: Normal office environment. Physical Effort: Typically sitting at desk or table. Equipment: Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.Required Qualifications Education: A diploma, certification or degree is not required. Certifications/Professional Licenses: The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Work Experience: No specific work experience is required for this position. Skills: Not Applicable Driver's License: A driver's license is not required for this position.More About This JobRequired Qualifications: Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee's department). Preferred Qualifications: Previous coding experience or experience equivalent to an associate's degree in a related field. Knowledge of ICD-10 and CPT coding. Preferred Qualifications Education: Associate degree - Medical Coding & Billing Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical TerminologyGradeC10-HSalary Range$25.30 - $37.94 / HourlyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.Pre-Employment ScreeningAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: ****************************** EEO StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
    $25.3-37.9 hourly Auto-Apply 27d ago
  • INPATIENT CODER

    University of Washington 4.4company rating

    Olympia, WA jobs

    **UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for an **INPATIENT CODER** . Experience in a Level 1 Trauma center or teaching facility is preferred. **WORK SCHEDULE** + 100% FTE, Days + Mondays - Fridays + 100% Remote **POSITION HIGHLIGHTS** + Implements the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. + Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing + Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines **DEPARTMENT DESCRIPTION** Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction. **PRIMARY JOB RESPONSIBILITIES** + Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement + Reviews patient records upon admission and at discharge to the inpatient Rehabilitation Unit; assigns codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients + Abstracts and/or reviews necessary patient data within 3M CAC and Cerner to ensure data integrity, accurate reimbursement, proper case mix and hospital decision support. + Identifies the need for documentation clarity and works with the Clinical Documentation Improvement (CDI) department to review clinical documentation and/or request provider documentation clarification + Maintains four day turnaround times for inpatient coding based on the discharge date and understand charge lag impacts, especially for high dollar accounts and long length of stays (LOS). **REQUIRED POSITION QUALIFICATIONS** + High school diploma or equivalent and three years of coding experience or equivalent education/experience. + Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). **_UW Medicine - Where your Impact Goes Further_** UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. **Compensation, Benefits and Position Details** **Pay Range Minimum:** $71,052.00 annual **Pay Range Maximum:** $101,700.00 annual **Other Compensation:** - **Benefits:** For information about benefits for this position, visit ****************************************************** **Shift:** First Shift (United States of America) **Temporary or Regular?** This is a regular position **FTE (Full-Time Equivalent):** 100.00% **Union/Bargaining Unit:** SEIU Local 925 Nonsupervisory **About the UW** Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. **Our Commitment** The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** . To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** . Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* . University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
    $71.1k-101.7k yearly 60d+ ago
  • Edits Coder

    University of Washington 4.4company rating

    Campus, IL jobs

    UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a Coding Specialist 1 - Edits Coder WORK SCHEDULE * 100% FTE * Mondays - Fridays * 100% Remote HIGHLIGHTS The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information Management department. Under the general supervision of the Manager of Facility Coding, and the direct supervision of the Supervisor of Outpatient Coding, the Edits Coder is responsible for implementing the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. The Edits Coder is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines. PRIMARY JOB RESPONSIBILITIES * Validates codes entered at the point of care and/or by other charge sources by reviewing electronic data and making corrections based on a review of all available electronic and other appropriate documentation to support all billable procedures and services. * Reviews and resolves coding accounts failed validations, revenue guard, missing modifiers, incorrect modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS procedure codes. * Investigates and researches coding issues identified by Revenue Integrity (RI) and Patient Financial Services (PFS) related to inquiries, complaints and/or denials. Makes coding corrections to resolve coding issues; supports RI by reviewing specified procedures for charge accuracy; reroutes accounts to correct coding team for coding resolution based on revenue codes. * Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for facility and professional fee services. Identifies potentially avoidable delays to timely billing and help identify systemic issues that contribute to delays in service or inefficient uses of resources to address root cause and prevent ongoing errors. * Identifies the need for documentation clarity to support the integrity of the record and for reimbursement compliance; identifies charge error trends and escalate to supervisor. * Performs special projects or other duties assigned. * May perform the work of lower level classifications of the Coding Specialist series. REQUIRED POSITION QUALIFICATIONS High school diploma or equivalent AND Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). AND One year coding experience or equivalent education/experience. Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration. Compensation, Benefits and Position Details Pay Range Minimum: $59,976.00 annual Pay Range Maximum: $85,848.00 annual Other Compensation: * Benefits: For information about benefits for this position, visit ****************************************************** Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
    $60k-85.8k yearly 11d ago
  • Inpatient Coder, Senior

    University of Maryland Medical Center Baltimore Washington 4.3company rating

    Baltimore, MD jobs

    * Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. * Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. * Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. * Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. * Collaborates with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded. Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Qualifications III. Education and Experience * High School graduate or equivalent. Formal ICD-10-CM and CPT training Associates or Bachelor's degree preferred. * Minimum of three years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma and Rehab hospital or 4 years of experience with coding inpatient hospital medical records required. * One of the following required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC) IV. Knowledge, Skills and Abilities * Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range:$30.26- $42.37 Other Compensation (if applicable): Review the 2024-2025 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $30.3-42.4 hourly 60d+ ago
  • Inpatient Coder, Senior

    University of Maryland Medical System 4.3company rating

    Baltimore, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description I. General Summary Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Collaborates with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded. Qualifications III. Education and Experience High School graduate or equivalent. Formal ICD-10-CM and CPT training Associates or Bachelor's degree preferred. Minimum of three years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma and Rehab hospital or 4 years of experience with coding inpatient hospital medical records required. One of the following required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC) IV. Knowledge, Skills and Abilities Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range:$30.26- $42.37 Other Compensation (if applicable): Review the 2024-2025 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $30.3-42.4 hourly 11d ago
  • Inpatient Coder, Senior

    University of Maryland Medical System 4.3company rating

    Baltimore, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description I. General Summary Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Collaborates with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded. Qualifications III. Education and Experience High School graduate or equivalent. Formal ICD-10-CM and CPT training Associates or Bachelor's degree preferred. Minimum of three years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma and Rehab hospital or 4 years of experience with coding inpatient hospital medical records required. One of the following required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC) IV. Knowledge, Skills and Abilities Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range:$30.26- $42.37 Other Compensation (if applicable): Review the 2024-2025 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].
    $30.3-42.4 hourly 60d+ ago
  • Coder 2 - Clinic

    Franciscan Missionaries of Our Lady University 4.0company rating

    Baton Rouge, LA jobs

    To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Responsibilities Job Title: Coder 2 - Clinic To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. * Quality and Performance Improvement * Research, develops and implements standardized process for quality monitoring of inpatient and outpatient coding and abstracting. Conducts quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist. Assists Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implements innovative ideas and process changes. * Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. * Collaboration and Partnership * Establishes and maintains interdepartmental relationships with Network providers to facilitate cooperation and compliance. Assists the Physician Network, Revenue Management Department and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities of education and process improvement. * Collaborates with Management to identify and coordinate educational needs based audit results and new technologies. Provide support to the Coding and Reimbursement Specialist of monthly statistics and educational programs to staff on a regular basis. Provides technical assistance to the Systems Specialist for authorized coding database retrieval and identification and resolution of software and system functionality. * Other Duties As Assigned * Performs other duties as assigned or requested. Qualifications * Associates degree, Bachelors degree, or coding certification (CCS or CPC) with 3 years' experience OR 5 years' experience in medical coding without degree or certification * * Thorough knowledge of medical terminology, managed care financial agreements; Thorough knowledge of CPT-4, HCPC, and ICD-9 codes
    $39k-48k yearly est. 49d ago
  • Coder 3 - Clinic

    Franciscan Missionaries of Our Lady University 4.0company rating

    Baton Rouge, LA jobs

    The Clinic Coder 3 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate codes to patient records according to established procedures. Assigns codes for specialty practices. Works with coding databases and confirms CPT assignments. Reviews and audits Physician Group provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Researches complex coding scenarios. Creates and presents coding education to clinical providers. Responsibilities * Coding/Abstracting * Determines the appropriate sequencing of diseases, diagnoses, and surgeries. Accurately assigns appropriate codes to patient records using applicable system(s), guidelines and regulations. * Assigns codes for specialty physician practices. * Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion. * Corresponds with other areas of the coding department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record. * Maintains an accuracy rate of not less than 90% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary. * Quality/Performance * Researches, develops, and implements standardized processes for quality monitoring of coding and abstracting. Conducts high level quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist. Assists Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implements innovated ideas and process changes. * Conducts and organizes provider meetings, provider peer reviews, and physician queries. * Establishes and maintains interdepartmental relationships with providers to facilitate cooperation and compliance. Assists the Physician Group Revenue Management Department and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities of education and process improvement. * Supports the auditing and education functions of the coding team. Performs audits on clinics in which they are assigned for production coding. Educates clinic staff on coding and documentation needs. * Collaborates with management to identify and coordinate educational needs based audit results and new technologies. Provides support of monthly statistics and educational programs to staff on a regular basis. Provides technical assistance to IS staff authorized coding database retrieval and identification and resolution of software and system functionality. * Creates reports to establish trends and benchmarking for coding standards by provider and or specialty in alignment with leadership and departmental needs. * Other Duties as Assigned * Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. * Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility. * Performs other duties as assigned or requested. Qualifications Experience: 5 years coding experience Education: High School or equivalent Special Skills: Solid oral and written communication skills, attention to detail, professional demeanor and appearance.
    $39k-48k yearly est. 35d ago
  • Outpatient Coder

    University of Maryland Medical Center Baltimore Washington 4.3company rating

    Baltimore, MD jobs

    Under direct supervision, codes hospital Emergency Department and ancillary visit records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnostic coding and CPT-4 procedure coding classification systems. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. * Identifies and assigns ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient visits including ED, clinic, recurring rehabilitation, recurring psychiatry and other recurring visit locations for the purpose of reimbursement, research and compliance with federal and state regulations. * Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type. * Maintains coding quality accuracy rate of 90%. * Maintains productivity rate of 95%. * Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details. * Complies with AHIMA standards of ethical coding and coding compliance guidelines. * Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager. Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Qualifications Education and Experience * High School graduate or equivalent. Formal ICD-10-CM and CPT training required. Associates or Bachelor's degree preferred. * 6 months - 1 year outpatient coding experience in a health care setting. 1-2 Years coding experience in an acute health care setting preferred. * One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC). Knowledge, Skills and Abilities Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $25.24-$36.59 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $25.2-36.6 hourly 12d ago
  • OUTPATIENT CODER

    University of Maryland Medical Center Baltimore Washington 4.3company rating

    Baltimore, MD jobs

    Under direct supervision, codes hospital Emergency Department and ancillary visit records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnostic coding and CPT-4 procedure coding classification systems. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. * Identifies and assigns ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient visits including ED, clinic, recurring rehabilitation, recurring psychiatry and other recurring visit locations for the purpose of reimbursement, research and compliance with federal and state regulations. * Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type. * Maintains coding quality accuracy rate of 90%. * Maintains productivity rate of 95%. * Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details. * Complies with AHIMA standards of ethical coding and coding compliance guidelines. * Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager. Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Qualifications Education and Experience * High School graduate or equivalent. Formal ICD-10-CM and CPT training required. Associates or Bachelor's degree preferred. * 6 months - 1 year outpatient coding experience in a health care setting. 1-2 Years coding experience in an acute health care setting preferred. * One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC). Knowledge, Skills and Abilities Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $25.24-$36.59 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $25.2-36.6 hourly 14d ago
  • OUTPATIENT CODER

    University of Maryland Medical System 4.3company rating

    Baltimore, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description General Summary Under direct supervision, codes hospital Emergency Department and ancillary visit records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnostic coding and CPT-4 procedure coding classification systems. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Identifies and assigns ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient visits including ED, clinic, recurring rehabilitation, recurring psychiatry and other recurring visit locations for the purpose of reimbursement, research and compliance with federal and state regulations. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type. Maintains coding quality accuracy rate of 90%. Maintains productivity rate of 95%. Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details. Complies with AHIMA standards of ethical coding and coding compliance guidelines. Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager. Qualifications Education and Experience High School graduate or equivalent. Formal ICD-10-CM and CPT training required. Associates or Bachelor's degree preferred. 6 months - 1 year outpatient coding experience in a health care setting. 1-2 Years coding experience in an acute health care setting preferred. One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC). Knowledge, Skills and Abilities Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $25.24-$36.59 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $25.2-36.6 hourly 15d ago
  • Outpatient Coder

    University of Maryland Medical System 4.3company rating

    Baltimore, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description General Summary Under direct supervision, codes hospital Emergency Department and ancillary visit records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnostic coding and CPT-4 procedure coding classification systems. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Identifies and assigns ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient visits including ED, clinic, recurring rehabilitation, recurring psychiatry and other recurring visit locations for the purpose of reimbursement, research and compliance with federal and state regulations. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type. Maintains coding quality accuracy rate of 90%. Maintains productivity rate of 95%. Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details. Complies with AHIMA standards of ethical coding and coding compliance guidelines. Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager. Qualifications Education and Experience High School graduate or equivalent. Formal ICD-10-CM and CPT training required. Associates or Bachelor's degree preferred. 6 months - 1 year outpatient coding experience in a health care setting. 1-2 Years coding experience in an acute health care setting preferred. One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC). Knowledge, Skills and Abilities Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $25.24-$36.59 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $25.2-36.6 hourly 29d ago
  • Coding Specialist II, General/Multi-Specialty Surgery

    University of Maryland Medical System 4.3company rating

    Linthicum, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions Assigns specified codes to medical diagnoses with some coding of specific clinical procedures. Qualifications High School Diploma or equivalent (GED) is required Certification as a CPC or CCS-P required. Three (3) years' experience in production coding in a surgical setting or in a physician practice environment required. Outpatient professional fee revenue cycle management experience preferred Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $24.89-$34.84 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].
    $24.9-34.8 hourly 37d ago
  • Coding Specialist II, OB/GYN

    University of Maryland Medical System 4.3company rating

    Linthicum, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions Assigns specified codes to medical diagnoses with some coding of specific clinical procedures. Qualifications High School Diploma or equivalent (GED) is required Certification as a CPC or CCS-P required. Three (3) years' experience in production coding in Outpatient and Inpatient OB/GYN environment required. Outpatient professional fee revenue cycle management experience preferred Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $24.89-$34.84 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].
    $24.9-34.8 hourly 37d ago

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