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Medical Coder jobs at UTHealth - 84 jobs

  • Medical Records Tech II

    Ut Health Science Center at Houston 4.8company rating

    Medical coder job at UTHealth

    We are looking for a Medical Records Technician II to work with our medical records department. This role ensures physical and electronic documentation is organized, legible, properly identified/itemized in the correct patient's chart, and accounted for according to Medicaid/Medicare and organizational guidelines to facilitate payment for services. Maintains confidentiality and privacy as required by UTH and government regulatory compliance agencies. What we do here changes the world. UTHealth Houston is Texas's resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. Once you join us, you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: * 100% paid medical premiums for our full-time employees * Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equate to around 37-38 days per year) * The longer you stay, the more vacation you'll accrue! * Longevity Pay (Monthly payments after two years of service) * Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees' well-being is important to us. We offer work/life services such as... * Free financial and legal counseling * Free mental health counseling services * Gym membership discounts and access to wellness programs * Other employee discounts, including entertainment, car rentals, cell phones, etc. * Resources for child and elder care * Plus many more! Position Key Accountabilities: 1. Locates and retrieves records to accurately audit and verify patient information. 2. Updates client charts in the electronic health record with information in a timely manner. 3. Assist providers or other users with correcting record documentation. 4. Tracks the location of any charts supplemental to the primary electronic health record using appropriate processes. 5. Responds to information requests either in person, by email, within the electronic health record, or by telephone in a timely manner. 6. Maintains compliance with UTH and government privacy rules. 7. Participates in privacy monitoring processes 8. As requested, locate and make ready charts or information from charts in a timely manner. 9. Assists with identifying and correcting inaccuracies, including duplicate accounts within the patient record. 10. Performs other duties as assigned. Certification/Skills: * Familiar with Electronic Health Records software. * Microsoft Office Suite (Outlook, Excel, Word, PowerPoint, Teams, etc.) * Experience with the Epic Health Information Management module preferred. * Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification preferred. Minimum Education: High school diploma Minimum Experience: One (1) year of responsible related experience working within Medical Records. Physical Requirements: Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects. Security Sensitive: This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 Residency Requirement: Employees must permanently reside and work in the State of Texas.
    $28k-33k yearly est. 60d+ ago
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  • Medical Coder

    Gentis Solutions 3.8company rating

    Dallas, TX jobs

    Job Title: Outpatient Coder Work Style: Fully Remote (state residency required) Salary: $30 - $34 per hour (W2) Projected Total Compensation: Approximately $62,400 - $70,720 annually (based on 40 hrs/week) Start: ASAP Duration: 3-month contract-to-hire Interview Process: Not specified About the Role (Summary of project) Gentis Solutions is seeking an experienced Outpatient Coder for a contract-to-hire opportunity. This role supports outpatient coding across a variety of encounter types and requires strong specialty experience in GI, Neurology, and OB/GYN. The ideal candidate demonstrates high accuracy, strong knowledge of ICD-10-CM and CPT guidelines, and the ability to collaborate with multiple departments to ensure accurate billing and reduced denials. What You'll Do (Job Description): Assign ICD-10-CM and CPT codes for outpatient diagnoses, treatments, and procedures. Maintain a coding accuracy rate of 95% or higher through consistent review of clinical documentation. Abstract and validate patient, physician, and encounter data within electronic health record systems. Code outpatient encounters including provider office visits, emergency department, observation, ambulatory surgery, laboratory, therapeutic, and recurring visits. Collaborate with departments such as Admitting, Charging, Patient Financial Services, HIM, and others to resolve charging issues, denials, and documentation clarifications. Follow Official ICD-10-CM and CPT Coding & Reporting Guidelines at all times. Assist with additional departmental responsibilities as requested by leadership. What We're Looking For (Must Haves): Proven outpatient coding experience in GI, Neurology, and OB/GYN. Online coding certification (required for submission). High School Diploma or GED (required). Ability to maintain a 95%+ coding accuracy rate. Strong understanding of ICD-10-CM and CPT coding guidelines. Experience working within electronic medical record (EMR) systems. Strong communication skills and ability to work cross-functionally. Must reside in TX, LA, AR, GA, or NM. Preferred (Nice-to-Have Skills): Prior experience in contract or contract-to-hire coding roles. Experience supporting denial resolution and physician documentation clarification. Familiarity with outpatient hospital-based coding environments.
    $30-34 hourly 1d 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 60d+ 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.
    $68.2k-97.7k yearly 9d 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.
    $68.2k-97.7k yearly 10d ago
  • Coder 1 - Hospital (PRN)

    Franciscan Missionaries of Our Lady University 4.0company rating

    Baton Rouge, LA jobs

    The Medical Coder 1 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-9 and/or CPT-4 codes to patient records according to established procedures. 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. May work with coding databases and confirms DRG assignments. This position relies on established guidelines to accomplish tasks and works under close supervision. Responsibilities We are seeking experienced Coders for remote opportunities with flexible scheduling. This role is ideal for professionals looking to earn extra income and is a great option for a second job. * Work Location: 100% Remote * Schedule: Flexible hours available - daytime or evening * Proven coding experience required * Ability to work independently with minimal supervision * Strong attention to detail and accuracy * Reliable internet access and time management skills * Flexible schedule that fits around another job * Remote work from anywhere * Opportunity to earn supplemental income * Steady work for qualified, experienced coders * Coding/Abstracting * Correct coding assignment of DRG; Discharge Disposition; Querying Physician and Principal Procedure and Diagnosis. * Determines the appropriate sequencing of diseases, diagnoses, and surgeries. * Quality/Performance * Coding accuracy rate of 97% of INPT, SDS, ER and Outpatient Diagnostics. * Responsible for montoring bill hold on a daily basis. * Bill Hold days should not exceed 4 days. * Fosters an organizational climate that supports and promotes effective performance improvement efforts. * Ensures that appropriate priority is given to provide high quality care by ensuring guidelines are followed for core measures through concurrent chart review and follow-up with appropriate healthcare provider. * The ability to determine if a chart is incomplete versus complete. * Ability to understand what forms need to be maintained in each account (INPT,SDS and AMB). * Notifies approperate persons of admissions and discharges per protocol. * Communicates accurate information with payor and physician to insure coverage for services/care provided. * Immediately notifies physicians and Business Office if potential non-coverage issues evolve. Actively works to maintain or gain coverage for patient. * The ability to continuously provide quality improvement techniques for the electronic medical record system. * Utilizes time to accomplish work in an efficient manner. * Other Duties as Assigned * Adheres to hospital policy on the usage of Paid Time Off and Extended Illness Time. * When requested, adjusts personal schedule to meet department/unit needs. * Reports to work on time, and if necessary, reports tardiness to appropriate person. * Maintains a professional appearance, according to job requirements, at all times. * Employee shall conform to regulatory, customer and organizational requirements. * Attended all required mandatory educational sessions. * Utilizes Personal Protective Equipment (PPE) in the appropriate manner for optimal personal protection. Operates equipment and performs job-related duties in a safe manner. Responds appropriately to fire, safety and disaster situations. * Attended all required mandatory educational sessions.Assumes personal responsibility for ongoing continuing education and professional development. * Adheres to infection control practices. Has completed required TB skin test's. Qualifications Experience - RHIT/RHIA or 1 year of acute care coding experience and/or ER E&M and Drug admin charging experience; CCS substitutes for 1 year of acute care coding experience; Associates or Bachelors degree in Allied Health or Health Information Systems can substitute for minimum years of experience. Education - High School Diploma or equivalent
    $39k-48k yearly est. 3d ago
  • Coder 2 - Hospital (PRN)

    Franciscan Missionaries of Our Lady University 4.0company rating

    Baton Rouge, LA jobs

    Abstracts all Emergency procedures utilizing the International Classification of Disease, Clinical Modifications (ICD-9-CM) system and the Current Procedure Terminology (CPT-4)/HCPCS guidelines for code assignments. Determines and enters charges for ER facility procedures and ER visit levels. Responsibilities We are seeking experienced Coders for remote opportunities with flexible scheduling. This role is ideal for professionals looking to earn extra income and is a great option for a second job. * Work Location: 100% Remote * Schedule: Flexible hours available - daytime or evening * Proven coding experience required * Ability to work independently with minimal supervision * Strong attention to detail and accuracy * Reliable internet access and time management skills * Flexible schedule that fits around another job * Remote work from anywhere * Opportunity to earn supplemental income * Steady work for qualified, experienced coders * Coding and Documentation * Reviews medical record documentation to validate procedure charge indicated by nursing staff and accurately enters charges for procedure selected on chart ticket. * Accurately assigns appropriate procedure codes to emergency room patient records using ICD-9-CM system and CPT-4/HCPCS coding guidelines. Using 3M system, abstracts data elements related to procedures performed in the emergency department. Determines the appropriate sequencing of procedures. * Accurately and completely appends modifiers to CPT/HCPCS codes as required. * Accurately and completely posts charges for Drug Administration services (injections and infusions) in compliance with regulatory drug administration guidelines. Units of service are correctly selected. * Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion. * Quality * Utilizes nurses (Lynx) charge ticket to accurately and efficiently enter charges for evaluation and management (E&M) facility visits. * Consistently places records on pending diagnosis code status to prevent premature bill drop. * Maintains an accuracy rate of not less than 93% based on internal and/or external review and productivity standards, engages in problem identification and resolution, and assists in data gathering and chart auditing as necessary. * Participates in educational programs (including those provided and required by the Health Information Management Department), in-services and training sessions as required. When appropriate, the Coding/Billing Specialist shares his/her own expertise with others in an effort to further the quality of education and personal growth provided to new personnel, volunteers and interning students. * Collaboration and Partnership * Communicates with the appropriate ER staff members when records with missing information are identified. * 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. * Collaborates with Emergency Room nursing personnel and physicians. Provides education and initiates process improvement opportunities to eliminate discrepancies between charge ticket and Medical Record documentation. * Consults with HIM Coding Supervisor and/or HIM Director in matters of uncertainty regarding coding. * Consults with Revenue Management Department staff regarding chargemaster or charging issues. * Other Duties As Assigned * Performs other duties as assigned or requested. Qualifications Experience - RHIT/RHIA plus 2 years of acute care coding experience, or 4 years acute care coding experience; RHIT/RHIA with ICD-10 curriculum substitutes for all experience; CCS substitutes for 1 year of acute care coding experience; Associates or Bachelors degree in Allied Health or Health Information Systems can substitute for minimum years of experience. Education - High School diploma or equivalent
    $39k-48k yearly est. 3d ago
  • Inpatient Coder (REMOTE)

    Franciscan Missionaries of Our Lady University 4.0company rating

    Baton Rouge, LA jobs

    The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Responsibilities * Coding/Abstracting * Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion. * Quality/Performance * Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record. * Maintains an accuracy rate of not less than 93% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary. * Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility. * Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. * DRG Coding Confirm APC Assignment * Determines the appropriate sequencing of diseases, diagnoses, and surgeries. The Coder accurately assigns appropriate codes to patient records using ICD-9-CM system and CPT-4 guidelines. * Other Duties as Assigned * Performs other duties as assigned or requested. Qualifications Experience - RHIT/RHIA plus 5 years of acute care coding experience, or RHIT/RHIA with ICD-10 curriculum plus 3 years of acute care coding experience, or 7 years acute care coding experience; CCS substitutes for 1 year of acute care coding experience Education - High School or equivalent
    $39k-48k yearly est. 11d 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 52d 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.
    $60k-85.8k yearly 9d ago
  • Edits Coder

    University of Washington 4.4company rating

    Seattle, WA jobs

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

    University of Wisconsin Medical Foundation 3.8company rating

    Madison, WI jobs

    Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. Qualifications High School Diploma or equivalent and medical coding education Required or In lieu of a medical coding education, an active coding certification Required Associate's Degree in a healthcare related field Preferred Work Experience 1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Required 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred Licenses & Certifications Certified Professional Coder (CPC) Upon Hire Required or Certified Outpatient Coder (COC) Upon Hire Required or Certified Inpatient Coder (CIC) Upon Hire Required or Certified Coding Specialist (CCS) Upon Hire Required or Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or Certified Coding Associate (CCA) Upon Hire Required or Certified Risk Adjustment Coder (CRC) Upon Hire Required or Registered Health Information Technician (RHIT) Upon Hire Required or Registered Health Information Administrator (RHIA) Upon Hire Required Registered Health Information Technician (RHIT) Preferred or Registered Health Information Administrator (RHIA) Preferred Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Job Description UW Medical Foundation benefits
    $41k-52k yearly est. 3d ago
  • INPATIENT CODER

    University of Washington 4.4company rating

    Olympia, WA jobs

    **UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for an **INPATIENT CODER** . Experience in a Level 1 Trauma center or teaching facility is preferred. **WORK SCHEDULE** + 100% FTE, Days + Mondays - Fridays + 100% Remote **POSITION HIGHLIGHTS** + Implements the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. + Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing + Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines **DEPARTMENT DESCRIPTION** Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction. **PRIMARY JOB RESPONSIBILITIES** + Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement + Reviews patient records upon admission and at discharge to the inpatient Rehabilitation Unit; assigns codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients + Abstracts and/or reviews necessary patient data within 3M CAC and Cerner to ensure data integrity, accurate reimbursement, proper case mix and hospital decision support. + Identifies the need for documentation clarity and works with the Clinical Documentation Improvement (CDI) department to review clinical documentation and/or request provider documentation clarification + Maintains four day turnaround times for inpatient coding based on the discharge date and understand charge lag impacts, especially for high dollar accounts and long length of stays (LOS). **REQUIRED POSITION QUALIFICATIONS** + High school diploma or equivalent and three years of coding experience or equivalent education/experience. + Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). **_UW Medicine - Where your Impact Goes Further_** UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. **Compensation, Benefits and Position Details** **Pay Range Minimum:** $71,052.00 annual **Pay Range Maximum:** $101,700.00 annual **Other Compensation:** - **Benefits:** For information about benefits for this position, visit ****************************************************** **Shift:** First Shift (United States of America) **Temporary or Regular?** This is a regular position **FTE (Full-Time Equivalent):** 100.00% **Union/Bargaining Unit:** SEIU Local 925 Nonsupervisory **About the UW** Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. **Our Commitment** The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** . To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** . Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* . 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
  • 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 HIGHLIGHTS * Implements the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. * Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing * Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction. PRIMARY JOB RESPONSIBILITIES * Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement * Reviews patient records upon admission and at discharge to the inpatient Rehabilitation Unit; assigns codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients * Abstracts and/or reviews necessary patient data within 3M CAC and Cerner to ensure data integrity, accurate reimbursement, proper case mix and hospital decision support. * Identifies the need for documentation clarity and works with the Clinical Documentation Improvement (CDI) department to review clinical documentation and/or request provider documentation clarification * Maintains four day turnaround times for inpatient coding based on the discharge date and understand charge lag impacts, especially for high dollar accounts and long length of stays (LOS). REQUIRED POSITION QUALIFICATIONS * High school diploma or equivalent and three years of coding experience or equivalent education/experience. * Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). UW Medicine - Where your Impact Goes Further UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Compensation, Benefits and Position Details Pay Range Minimum: $71,052.00 annual Pay Range Maximum: $101,700.00 annual Other Compensation: * Benefits: For information about benefits for this position, visit ****************************************************** Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
    $71.1k-101.7k yearly 9d ago
  • Inpatient Coder

    University of Washington 4.4company rating

    Olympia, WA jobs

    UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODER. Experience in a Level 1 Trauma center or teaching facility is preferred. WORK SCHEDULE 100% FTE, Days Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Implements the mission and goals of Enterprise Records and Health Information, and incorporating a “patients are first” service culture. Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction. PRIMARY JOB RESPONSIBILITIES Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement Reviews patient records upon admission and at discharge to the inpatient Rehabilitation Unit; assigns codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients Abstracts and/or reviews necessary patient data within 3M CAC and Cerner to ensure data integrity, accurate reimbursement, proper case mix and hospital decision support. Identifies the need for documentation clarity and works with the Clinical Documentation Improvement (CDI) department to review clinical documentation and/or request provider documentation clarification Maintains four day turnaround times for inpatient coding based on the discharge date and understand charge lag impacts, especially for high dollar accounts and long length of stays (LOS). REQUIRED POSITION QUALIFICATIONS High school diploma or equivalent and three years of coding experience or equivalent education/experience. Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). UW Medicine - Where your Impact Goes Further UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Compensation, Benefits and Position Details Pay Range Minimum: $71,052.00 annual Pay Range Maximum: $101,700.00 annual Other Compensation: - Benefits: For information about benefits for this position, visit ****************************************************** Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
    $71.1k-101.7k yearly 11d ago
  • Inpatient Coding Review Specialist (H)

    University of Miami 4.3company rating

    Medley, FL jobs

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The University of Miami/UHealth -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient Coding Review Specialist (H) under the general direction of the Inpatient Coding Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality Management Analysts to ensure accurate and compliant coding on all Mortality cases prior to billing. The Inpatient Coding Review Specialist also performs quality reviews that specifically focus on the identification and validation of Hospital Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Present on Admission status, complications, and comorbidities that impact USNWR rankings and Vizient quality measures. CORE JOB FUNCTIONS * Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify missed coding opportunities supported by documentation, enhancing severity of illness and risk of mortality indicators through the provider query process. * Validates the assigned principal diagnosis, significant secondary ICD-10-CM diagnosis codes, Present On Admission (POA) indicators, and ICD-10-PCS procedure codes to ensure compliance with ICD-10-CM/PCS Official Coding Guidelines, UHDDS, and regulatory requirements for accurate MS-DRG assignment. * Ensures accurate capture of Severity of Illness (SOI) and Risk of Mortality (ROM) indicators. * Applies knowledge of the Elixhauser Comorbidity Index and Vizient quality measure logic, focusing on specialty-specific conditions that impact MCC/CC capture and quality data reporting. * Collaborates with CDI, quality teams, and physicians to clarify ambiguous or incomplete documentation through the provider query process, initiates queries when necessary. * Participates in meetings with CDI, providers, and colleagues to discuss coding findings, share expertise, and defend coding decisions using documentation and official guidelines. * Conducts POA reviews for cases marked "No" and provides feedback to leadership for coder education and improvement. * Reviews denial cases and provides detailed feedback to the Revenue Cycle Director and Audit Specialists. * Assists in resolving claim edits across all accounts, regardless of the initial coder assignment. * Performs initial inpatient coding when primary responsibilities are complete or additional hours are approved. * Meets or exceeds established quality and productivity benchmarks set by leadership. * Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS * High School diploma or equivalent * Refer to department description for applicable certification requirements * Minimum 5 years of relevant experience * Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands. * Teamwork: Ability to work collaboratively with others and contribute to a team environment. * Technical Proficiency: Skilled in using office software, technology, and relevant computer applications. * Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders. Any relevant education, certifications and/or work experience may be considered. #LI-NN1 The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H11
    $48k-57k yearly est. Auto-Apply 49d ago
  • Medical Coding Specialist II - Profee ED/Multispecialty

    University of Wisconsin Hospitals and Clinics Authority 3.6company rating

    Middleton, WI jobs

    Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist II - Profee ED/Multispecialty to: * Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. * Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have: * An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. * Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. * Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. * Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. Qualifications * High School Diploma or equivalent and medical coding education Required or * In lieu of a medical coding education, an active coding certification Required * Associate's Degree in a healthcare related field Preferred Work Experience * 1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Required * 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified Inpatient Coder (CIC) Upon Hire Required or * Certified Coding Specialist (CCS) Upon Hire Required or * Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or * Certified Coding Associate (CCA) Upon Hire Required or * Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health Information Technician (RHIT) Upon Hire Required or * Registered Health Information Administrator (RHIA) Upon Hire Required * Registered Health Information Technician (RHIT) Preferred or * Registered Health Information Administrator (RHIA) Preferred Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. View FullJob Description UW Medical Foundation benefits
    $51k-62k yearly est. 9d ago
  • Medical Coder I/II

    Mercer University 4.4company rating

    Macon, GA jobs

    Application Instructions: External Applicants: Please upload your resume on the Apply screen. Your application will automatically populate your resume details, and you may verify and update data on the My Information page. IMPORTANT: Please review the job posting and load ALL documents required in the job posting to the Resume/CV document upload section at the bottom of the My Experience application page. Use the Select Files button to add multiple documents including your Resume/CV, references, cover letter, and any other supporting documents required in the job posting. The "My Experience" page is the only opportunity to add your required supporting document attachments. You will not be able to modify your application after you submit it . Current Mercer University Employees: Apply from your existing Workday account. Do not apply from the external careers website. Log in to Workday and type Jobs Hub in the search bar. Locate the position and click Apply. Job Title:Medical Coder I/II Department:Mercer Medicine College/Division:School Of Medicine Primary Job Posting Location: Macon, GA 31207 Additional Job Posting Locations: (Other locations that this position could be based) Job Details:Mercer Medicine is searching for a Medical Coder for the Macon, Georgia clinic. Responsibilities: The Medical Coder I/II will evaluate medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the patient encounters. Provide technical guidance to physicians and other department staff in identifying and resolving issues or errors. This coder will work under minimal supervision. Qualifications: High school diploma/GED. Coder I: At least one year of coding experience or 6 months of coding experience with an accompanying certificate from an accredited facility/institution. Coder II: AHIMA or AAPC certification is required along with 1 year of experience using ICD and CPT in a physician practice, hospital, or clinic. Knowledge/Skills/Abilities: Know and understand the relationship between CPT and ICD and the assignment of codes in order to accurately bill for physician services. Ability to effectively communicate with all levels of health care providers in order to query for specific coding information. Resolves any questions concerning diagnoses, procedures, clinical content of record or code selection through research and communication to bill at correct level of reimbursement. Knowledge of Medicare and Medicaid [CMS] regulations for reimbursement and timeliness of claims submission. Maintain confidentiality of patient information, employee information and other information covered by regulations and professional ethics. Understanding of billing cycle and its effect on revenue. Understanding of commercial insurance contractual adjustments and balance billing. Background Check Contingencies: - Criminal History Document Attachments: - Resume - Cover letter - List of three professional references with contact information Why Work at Mercer University Mercer University offers a variety of benefits for eligible employees including comprehensive health insurance (for self and dependents), generous retirement contributions, tuition waivers, paid vacation and sick leave, technology discounts, schedules that allow for work-life balance, and so much more! At Mercer University, a Bear is more than a mascot: it's a frame of mind that begins with a strong desire to make the most out of your career. Mercer Bears do not settle for mediocrity or the status quo. If you're seeking an environment where your passion and determination are embraced, then you want to work at Mercer University. For more information, please visit: ********************************** Scheduled Weekly Hours:40 Job Family:Staff Clinical Services Non-exempt EEO Statement: EEO/Veteran/Disability
    $38k-47k yearly est. Auto-Apply 60d+ ago
  • In Patient Coder (Remote) | Health Information & Record Management | Full Time

    University of Florida Health 4.5company rating

    Leesburg, FL jobs

    FTE: 1.0 Work Schedule: Monday - Friday, 8:00 AM to 5:00 PM Additional Details: * The new hire will be required to attend in-person onboarding and hospital orientation. Responsibilities Summary: The Coder III is responsible for evaluating and assigning the appropriate ICD-9, ICD-10, CPT-4, and HCPCS codes, as well as abstracting pertinent clinical information for bill preparation for the following patient types: Inpatient, Rehabilitation, and performing select Coder II functions as outlined in the coding policy and procedure manual. This role is also responsible for: * Researching and resolving coding/billing issues. * Analyzing medical records for completeness, consistency, and compliance with all regulatory requirements. Qualifications Education: * Post-High School Special Training Licensure/Certification/Registration: * AAPC or AHIMA Medical Coding Certification Experience Requirements: * Minimum of 6 months inpatient coding experience (requirement consistent across all facilities) * Minimum of 1 year experience in acute care coding, including Medicare, MS-DRGs, and APR-DRGs Special Skills/Qualifications/Additional Training: * Knowledge of basic and advanced ICD-9-CM and CPT-4 coding instructions * Understanding of medical terminology, anatomy, and physiology * Verifiable training in coding systems, advanced medical and anatomical terminology, clinical theory, and reimbursement principles through college courses, hospital in-service, and/or approved seminars * Must be able to read, write, speak, and understand English
    $50k-62k yearly est. 5d ago
  • Medical Billing & Records Auditor

    Auburn University 3.9company rating

    Auburn, AL jobs

    Details** Information **Requisition Number** S5028P **Home Org Name** Clinical Sciences **Division Name** College of Veterinary Medicine Title** Medical Billing & Records Auditor **Job Class Code** IB11 **Appointment Status** Full-time **Part-time FTE** **Limited Term** No **Limited Term Length** **Job Summary** Do you need a change of pace? Want to challenge yourself and reach new heights in your career? We have the perfect opportunity for you to showcase your skills and put your education and experience to use! **Auburn University College of Veterinary Medicine** is seeking applicants for a **Medical Billing and Records Auditor** at our **Bailey Small Animal Teaching Hospital** . This individual will be responsible for the daily review, accuracy, and oversight of hospital patient billing and medical data. Duties include a variety of financial tasks such as examining, entering and processing forms, letters, vouchers, documents, and reports in a college, school, or department. Learn more about VET MED and check out our facilities here: ********************************* **Essential Functions** + Reviews billing details on patient cases ensuring that all charges are entered and any duplications are corrected. Completes audits, in conjunction with doctors and technicians, on financial records and contracts, grants, and research accounts ensuring charges are correct for services provided. + Approves bill order audits prior to discharge. + Reviews and updates the daily census and census reports ensuring that all hospitalized patients are included and those discharged are removed. Provides support for end of day financial reconciliation. + Originates, receives, prepares, and/or approves vouchers, forms, letters, papers, schedules, reports and other documents and resolves inconsistencies and errors with appropriate persons. + Ensures the confidentiality of all patient records by following all confidentiality guidelines for patient privacy. + Communicates frequently with faculty and house officers regarding medical and financial deficiencies in patient and client accounts. + Maintains hospital database to include verifying information and maintaining cross-referencing system; ensures that outgoing data is transmitted effectively and efficiently; ensures that external documents are linked to the appropriate patient account; standardizes diagnosis terminology. + Enters, identifies errors, and makes corrections to diagnostic data on database. + Assists clients and veterinarians with data inquiries following prescribed procedures and refers irregular requests to appropriate clinician or supervisor; ensures the accuracy of data for research purposes. + Prepares patient and client data for medical and legal review. **Why Work at Auburn?** + **Life-Changing Impact** : Our work changes lives through research, instruction, and outreach, making a lasting impact on our students, our communities, and the world. + **Culture of Excellence** : We are committed to leveraging our strengths, resources, collaboration, and innovation as a top employer in higher education. + **We're Here for You** : Auburn offers generous benefits, educational opportunities, and a culture of support and work/life balance. + **Sweet Home Alabama** : The Auburn/Opelika area offers southern charm, vibrant downtown scenes, top-ranked schools, and easy access to Atlanta, Birmingham, and the Gulf of Mexico beaches. + **A Place for Everyone** : Auburn is committed to fostering an environment where all faculty, staff, and students are welcomed, valued, respected, and engaged. Ready to lead and shape the future of higher education? Apply today! War Eagle! Minimum Qualifications **Minimum Qualifications** **Education and Experience:** High school diploma or equivalent plus 2 years of experience in administrative support and financial management services in a hospital or veterinary services setting. **Substitutions allowed for Education:** Indicated education is required; no substitutions allowed. **Substitutions allowed for Experience:** Degrees can me used in lieu of experience. Minimum Skills, License, and Certifications **Minimum Skills and Abilities** Familiarity with Microsoft Office and Google Drive, basic math knowledge, and basic medical terminology. **Minimum Technology Skills** **Minimum License and Certifications** Desired Qualifications **Desired Qualifications** Posting Detail Information **Salary Range** $36,770-$55,160 **Job Category** Administrative **Working Hours if Non-Traditional** **City position is located in:** Auburn **State position is located:** AL **List any hazardous conditions or physical demands required by this position** **Posting Date** 01/23/2026 **Closing Date** **Equal Opportunity Compliance Statement** It is our policy to provide equal employment and education opportunities for all individuals without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, gender expression, pregnancy, age, disability, protected veteran status, genetic information, or any other classification protected by applicable law. Please visit theirwebsite (*************************************** to learn more. **Special Instructions to Applicants** **Quick Link for Internal Postings** ******************************************* **Documents Needed to Apply** **Required Documents** 1. Resume **Optional Documents** 1. Cover Letter 2. Other 3. Other Documentation 4. Other Documentation (2)
    $36.8k-55.2k yearly 3d ago

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