OUTPATIENT SURGERY CODER
Medical coder job at University of Washington
**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.
Coding Specialist 4
Medical coder job at University of Washington
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.
Inpatient Coder, Senior
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 ****************.
Coding Specialist II, General/Multi-Specialty Surgery
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 ****************.
HIM Clinical Documentation Specialist, PRN (Weekends)
Towson, MD jobs
The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you'll enjoy as a member of our team.
Overview
Job Description
Under the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. The CDS is guided by the Association of Clinical Documentation Integrity Specialists (ACDIS) “Code of Ethics” and the American Health Information Management Association's (AHIMA) “Ethical Standards for Clinical Documentation Integrity Professionals” and the Official Guidelines for Coding and Reporting as approved by the Cooperating Parties.
Qualifications
Qualifications
Education
Registered Nurse (RN), Physician (MD), Physician Assistant (PA) , Certified Registered Nurse Practitioner (CRNP), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Experience
Minimum of 2 years of experience reviewing Inpatient medical records as a Clinical Documentation Integrity Specialist, Coder/DRG Analyst with a clinical background, Care Manager, Utilization Review Specialist, or Quality Review Specialist or
Strong Clinical Background
Minimum of 3 years chart abstraction/chart review experience
Licensures/Certifications
Must obtain certification as a Certified Clinical Documentation Specialist (CCDS) via ACDIS or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA within 2 years of hire or eligibility.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Compensation:
Pay Range: $38.67-$58.05
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 ****************.
HIM Specialist
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 ****************.
Coder I, Radiology, Remote
Remote
Primary Location: Work From Home - KY - ULP - AMGAddress: Home Office Remote, KY 40601 Shift: First Shift (United States of America) Summary: TBD: The Coder I is responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers to ensure appropriate reimbursement in accordance with federal state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for less complex coding with oversight.Additional Job Description:
Position Summary and Purpose
The Coder I is responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers to ensure appropriate reimbursement in accordance with federal state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for less complex coding with oversight. Procedures with 0-10 global days, labs, x-rays, injections, administration, and vaccines.
Essential Functions:
Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-10, and HCPCs codes into the appropriate billing systems, ensuring compliance with established guidelines
Reviews and resolves coding denials
Completes charges sessions in the assigned work queues in a timely manner
Completes documentation meeting the current EM Guidelines for providers
Ensures documentation meets the Teaching Physician Rules as mandated by CMS and ULH Policies prior to release of a code for billing
Ensures documentation for Advanced Practice Providers meets the payer-specific rules prior to release of a code for billing
Assist Supervisor in training
Provides comments/suggestion relative to weak areas identified in the coding reviews
Provides trending deficiencies to Senior Manager and Compliance Educator, as appropriate
Other Functions:
Meets or exceeds organizational coding production and quality standards
Participates in special projects and completes other duties as assigned
Maintains daily/weekly communication with office managers, department, and providers.
Ability to work within a team environment and meet monthly goals
Maintain compliance with rules and regulations regarding coding
Responds in a timely manner to questions from manager, providers, department, and representatives
Maintains compliance with all company policies, procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned
Job Requirements
(Education, Experience, Licensure and Certification)
Education:
High school diploma or GED/equivalent (required)
Experience:
One to four (1-4) years physician coding experience (preferred)
Certification:
Certified Professional Coder (CPC) accredited by the American Academy of Professional Coders (AAPC) (required)
Certified Coding Specialist (CCS), Certified Coding Specialist Physician Based (CCS-P) or Certified Coding Assistant (CCA) accredited by the American Health Information Management Association (AHIMA) (required)
Job Competency:
Knowledge, Skills, and Abilities critical to this role:
Understands and applies regulatory changes and stays current with coding updates, including NCCI and MUE edits
Working knowledge of concepts, practices, policies, procedures, standards, systems, and tools applicable to medical records coding, including documentation requirements and medical terminology
Displays a strong work ethic with demonstrated ability to work, both independently and collaboratively as part of a team, with multiple providers and deadline constraints
Language Ability:
Must be able to communicate effectively, demonstration a high level of professionalism in all communications
Proper grammar, spelling, punctuation, and composition expected in correspondence and report preparation
Reasoning Ability:
Ability to solve practical problems and deal with a variety of concrete variable in situations where only limited standardization exists
Ability to interpret a variety of instructions furnished in written, oral, diagram, or scheduled form
Computer Skills:
Must be proficient with Microsoft Office, Google Chrome, Internet Navigation, and database management
Additional Responsibilities:
Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
Maintains confidentiality and protects sensitive data at all times
Adheres to organizational and department specific safety standards and guidelines
Works collaboratively and supports efforts of team members
Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community
UofL Health Core Expectation:
At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by:
Honoring and caring for the dignity of all persons in mind, body, and spirit
Ensuring the highest quality of care for those we serve
Working together as a team to achieve our goals
Improving continuously by listening, and asking for and responding to feedback
Seeking new and better ways to meet the needs of those we serve
Using our resources wisely
Understanding how each of our roles contributes to the success of UofL Health
Auto-ApplyCoder I, Hospitalist, Remote
Remote
Primary Location: Work From Home - KY - ULP - AMGAddress: Home Office Remote, KY 40601 Shift: First Shift (United States of America) Summary: TBD:
WE ARE HIRING!
About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians' academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow's physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient. With more than 13,000 team members - physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. Our Mission As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.
JOB SUMMARY
The team member performs highly technical and specialized functions for the Central Business Office. The team member reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-9-CM (soon to be ICD-10), CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
JOB RESPONSIBILITIES
Essential Functions:
Coding (60% Weight)
Obtain copies of chart notes, reports, electronic medical records, and any other necessary records for purpose of review
Comply and communicate deficiencies that impact the billing process.
Review documentation needed to clarify or complete the information required for compliant coding and billing of services performed.
Abstract patient evaluation and management services, including consultations, and bedside procedures for the purpose of selection of the appropriate HCPCS code(s), ICD-9 code(s), and modifier(s)
Follow production and quality standards for coders as established.
Compliance (20% Weight)
Ensure that documentation meets the Teaching Physician Rules as mandated by CMS and ULP policies prior to release of a code for billing
Ensure that documentation for Advanced Practice Providers meets the payer specific rules prior to release of a code for billing
Communication/Education (10% Weight)
Develop daily/weekly communication with providers.
Provide comments/suggestions relative to weak areas identified in the coding reviews.
Provide trending deficiencies to CBO Manager and Compliance Educator as appropriate.
Responds in a timely manner to questions from providers, department representatives.
Maintain compliance with rules and regulations regarding coding.
Constant reviews of incoming Fee Tickets to ensure compliance standards are met.
Ability to work within a team environment and meet monthly goals.
Other duties as assigned.
Coders will be audited on a quarterly basis by ULP Compliance/Audit Services Department with including discussion and feedback.
Trial Period (internal applicants only):
It is understood that current Employees must complete a trial period of 10 business days during which the established productivity level must be maintained in order to continue participation in this program. Failure to maintain the established productivity requirements may require Employee to return to the Heyburn campus as Employee's primary work site.
Additional Job Description:
MINIMUM EDUCATION & EXPERIENCE
High School education or GED required.
Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
Three years direct coding experience and in depth Coding and HIPAA regulations for physician offices, preferred.
SELECTION/ELIGIBILITY
Application
Current CBO employees must apply to internal remote position in order to be considered
Positions will be selected based in order of the following criteria:
Metrics
Attendance
Disciplinary action
Current employees must meet the following criteria in order to be considered for remote positions within the CBO:
90 days of consistent achievement of/or exceeding metric standards
No attendance or disciplinary actions within previous 6 months
Able to work independently and manage time
KNOWLEDGE, SKILLS, & ABILITIES
Ongoing coding guideline knowledge is required
Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures
Advance knowledge of medical codes involving selections of most accurate and description code using the ICD-9-CM, ICD-10-CM, CPT, HCPCS, and IHS coding conventions.
Advance knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third party resources
Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct ICD-9-CM, ICD-10-CM code
Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
Requires the knowledge of the business use of computer hardware and software to ensure the effectiveness and quality of the processing and presentation of data
Strict compliance with all coding guidelines at all times.
Working in a highly accurate and yet efficient manner.
Strict attention to detail in both coding and EMR entries.
WORKING CONDITIONS
Sedentary Work: Lifting 10lbs. maximum and occasionally lifting and/or carrying items as needed.
Frequent Talking (Expressing or exchanging ideas by means of the spoken word.)
Frequent Hearing (Perceiving the nature of the sounds by the ear.)
Frequent Seeing (Visual acuity, depth perception, field of vision, color vision).
Consistent use of hand movement for keyboarding purposes.
Concentration varies depending on the tasks at hand. High levels of mental concentration are required. Must handle multiple tasks simultaneously and is subject to interruptions. Physical effort requires sitting and reaching with hands and arms. Manual dexterity, visual acuity, and the ability to speak and hear are required
JOB REQUIREMENTS
Candidates upon hire will complete an electronic I-9 verification.
Only those candidates whose experience best meets our requirements will be contacted.
University of Louisville Physicians is an Equal Opportunity Employer.
Current UofL Physicians employees must follow the UofL Physicians Internal Transfer Policy.
Auto-ApplyCertified Coder Appeals, Remote
Remote
Remote, KY 40601
Shift: First Shift (United States of America) Summary: : The job summary for this position is not currently on file electronically. Please see your supervisorr or Human Resources Representative for a hard copy before you complete your acknowledgment.Additional Job Description:
Auto-ApplyCertified Coder (Remote) - Neurology Appeals
Missouri jobs
Scheduled Hours40Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections.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-10 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.
Performs other duties as assigned.
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.
Auto-ApplyInpatient Coding Review Specialist (H)
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
Inpatient Coding Review Specialist (H)
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
Auto-ApplyCoding Specialist
Minneapolis, MN jobs
Why M Physicians? The Coding Specialist is responsible for the accurate and timely coding of complex services. This role is responsible for ensuring accurate diagnoses, procedure codes and other specified data to ensure appropriate/efficient reimbursement for facility charges applying information from medical records and following established methods and procedures!
What you will do as a Coding Specialist:
Codes intermediate to complex diagnostic, evaluation and management, surgical and procedural coding services (may include inpatient coding)
Performs coding quality reviews on a monthly basis; shares findings with staff
Ensures that all charges are brought together by applying reports or processes daily and following up accordingly
Communicates with Providers, Billing Operation Managers and clinic staff regarding documentation, coding issues or to provide ongoing education
Assists in research and resolves issues in a timely manner and provide feedback to management and/or providers
Partners with patient/care-giver/management in care/decision making
What you will need:
HS grad or equivalent coupled with CCS, CCS-P, CPC, CPC-A, CCA, RHIT, and/or RHIA certification
Minimum 2 years experience coding; proficient in basic coding and successfully able to handle more sophisticated coding assignments
Proficient in CPT and ICD-10-CM coding or professional and medical facility coding
Ability to use medical billing systems
Good analytical skills; ability to identify problems or issues and provide positive solutions or outcomes
Good attention to detail and highly organized
Location: At this time, the position will be working remote.
Hours: 1.0 FTE (Monday-Friday)
Benefits: This is a fully benefit eligible position: Competitive wages, Healthcare (including vision & dental), 401K, parking & tuition assistance and more!
Compensation:
22.47 - 32.58 USD Hourly
At M Physicians we believe in pay transparency and equity. The compensation for each position is based on experience, skills, qualifications, and other role-specific considerations. Our total compensation is designed to support your well-being, career growth, and work-life balance.
University of Minnesota Physicians (M Physicians), a non-profit organization headquartered in Minneapolis, seeks motivated individuals for both clinical and non-clinical roles to drive innovation in health and medicine. Our inclusive culture offers competitive salaries, excellent benefits, and the opportunity for career development in the exciting field of health care to over 1,200 physicians, 300 advanced practice providers, and 2,200 health professionals and staff across Minnesota and beyond.
Join us on a mission to advance medicine.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Auto-ApplyMedical Coding Specialist II - Inpatient
Rockford, IL jobs
Work Schedule:
100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote.
At UW Health in northern Illinois, you will have:
• Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance
• Annual wellness reimbursement
• Opportunity for on-site day care through UW Health Kids
• Tuition reimbursement for career advancement--ask about our fully funded programs!
• Abundant career growth opportunities to nurture professional development
• Strong shared governance structure
• Commitment to employee voice
Qualifications
High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required
Graduate of a Health Information Technology program. Preferred
Work Experience
2 years Two years of progressive inpatient facility coding experience. Required
2 years Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center. Preferred
Licensure and Certifications
Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC). Required
Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) AND Registered Health Information Technician (RH
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Health in northern Illinois benefits
Auto-ApplyCoding Specialist II
Baltimore, MD jobs
We are seeking a Coding Specialist II is responsible for understanding all aspects of coding, quality assurance, and compliance with Federal payer documentation guidelines. Works closely with departmental management and coordinates with the Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation.
Specific Duties & Responsibilities
Procedural Knowledge
* Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines.
* Works closely with Office of Compliance for Professional Fee Services to include review of documentation.
* Serves as departmental expert on coding questions.
* Exercises independent judgment and decision making on a regular basis with respect to code selection.
* Holds bills and seeks corrective action for services not meeting documentation requirements in accordance with Department policies.
* Researches and answers billing and documentation questions or problems submitted by faculty, department, billing staff, and others to ensure compliance with specific payer regulations and CPA policies and procedures.
* Supports department compliance efforts through participation in department training and education programs relative to specific product lines in accordance with established policies.
* Conducts feedback/training sessions for physicians to present the results of medical record documentation as warranted.
* Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
* Maintains a system of billing accuracy through encounter verification i.e., clinic schedules, encounter forms, I/P consults, medical records.
* Review and resolve Epic Charge Review edits daily.
* Pro Fee Tracking Database- May fill out missing information form and forward to the appropriate contact person.
Professional & Personal Development
* Participate in on-going educational activities.
* Keep current of industry changes by reading assigned material on work related topics.
* Complete three days of training annually.
Service Excellence
* Must adhere to Service Excellence Standards.
* Customer Relations
* Self-Management
* Teamwork
* Communications
* Ownership/Accountability
* Continuous Performance Improvement
Minimum Qualifications
* High school diploma or graduation equivalent.
* Medical Terminology, Anatomy and Physiology courses or demonstrated appropriate knowledge.
* CPC Certification (or department approved certification).
* Three years coding experience with demonstrated analytical skills.
* Experience with Medicare regulations.
* Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula.
Preferred Qualifications
* Epic experience.
* Understanding of third party payer issues.
Classified Title: Coding Specialist II
Role/Level/Range: ATO 40/E/02/OF
Starting Salary Range: $21.25 - $36.90 HRLY ($26.47/hour targeted; Commensurate w/exp.)
Employee group: Full Time
Schedule: Monday-Friday (8 hours)
FLSA Status: Non-Exempt
Location: Remote
Department name: SOM Ane Production Unit Billing
Personnel area: School of Medicine
Coding Specialist II - #Staff
Baltimore, MD jobs
We are seeking a _Coding Specialist II_ is responsible for understanding all aspects of coding, quality assurance, and compliance with Federal payer documentation guidelines. Works closely with departmental management and coordinates with the Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation.
**Specific Duties & Responsibilities**
_Procedural Knowledge_
+ Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines.
+ Works closely with Office of Compliance for Professional Fee Services to include review of documentation.
+ Serves as departmental expert on coding questions.
+ Exercises independent judgment and decision making on a regular basis with respect to code selection.
+ Holds bills and seeks corrective action for services not meeting documentation requirements in accordance with Department policies.
+ Researches and answers billing and documentation questions or problems submitted by faculty, department, billing staff, and others to ensure compliance with specific payer regulations and CPA policies and procedures.
+ Supports department compliance efforts through participation in department training and education programs relative to specific product lines in accordance with established policies.
+ Conducts feedback/training sessions for physicians to present the results of medical record documentation as warranted.
+ Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
+ Maintains a system of billing accuracy through encounter verification i.e., clinic schedules, encounter forms, I/P consults, medical records.
+ Review and resolve Epic Charge Review edits daily.
+ Pro Fee Tracking Database- May fill out missing information form and forward to the appropriate contact person.
_Professional & Personal Development_
+ Participate in on-going educational activities.
+ Keep current of industry changes by reading assigned material on work related topics.
+ Complete three days of training annually.
_Service Excellence_
+ _Must adhere to Service Excellence Standards._
+ Customer Relations
+ Self-Management
+ Teamwork
+ Communications
+ Ownership/Accountability
+ Continuous Performance Improvement
**Minimum Qualifications**
+ High school diploma or graduation equivalent.
+ Medical Terminology, Anatomy and Physiology courses or demonstrated appropriate knowledge.
+ CPC Certification (or department approved certification).
+ Three years coding experience with demonstrated analytical skills.
+ Experience with Medicare regulations.
+ Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula.
**Preferred Qualifications**
+ Epic experience.
+ Understanding of third party payer issues.
Classified Title: Coding Specialist II
Role/Level/Range: ATO 40/E/02/OF
Starting Salary Range: $21.25 - $36.90 HRLY ($26.47/hour targeted; Commensurate w/exp.)
Employee group: Full Time
Schedule: Monday-Friday (8 hours)
FLSA Status: Non-Exempt
Location: Remote
Department name: SOM Ane Production Unit Billing
Personnel area: School of Medicine
Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Inpatient Coder, Senior
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 ****************.
Inpatient Coder, Senior
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].
Certified Coder - Neurosurgery
Washington jobs
Scheduled Hours40Reviews 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-10 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.
Performs other duties as assigned.
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.
Auto-ApplyOutpatient Coder
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 [email protected].