UofL Hospital Remote jobs

The Department of Psychological & Brain Sciences seeks a part-time lecturer (PTL) to teach distant education courses in support of our nationally recognized online BS in Psychology. The PTL should be prepared to teach both "core" courses in our Bachelor of Science program and topical seminars. Core courses include Introductory Psychology, Brain & Behavior, Lifespan Development, Cognitive Processes, and Psychopathology, with a particular need for Lifespan Development. Seminar topics are negotiable, but past topics include Drugs & Behavior, Forensic Psychology, Personality, Psychology of Diversity, Psychology of Music, Social Psychology, etc. A successful candidate must have a Ph.D. in Psychology and experience teaching online. PTLs may teach between 1 and 4 courses per semester, typically 4 courses per semester in Fall and Spring, with the possibility for some summer teaching. This position may be fully remote. Equal Employment Opportunity The University of Louisville is an Equal Employment Opportunity employer. The University strives to provide equal employment opportunity on the basis of merit and without unlawful discrimination on the basis of race, sex, age, color, national origin, ethnicity, creed, religion, disability, genetic information, sexual orientation, gender, gender identity or expression, veteran status, marital status, or pregnancy. In accordance with the Rehabilitation Act of 1973 and the Vietnam Era Veteran Readjustment Act of 1974, the University prohibits job discrimination of individuals with disabilities, Vietnam era veterans, qualified special disabled veterans, recently separated veterans, and other protected veterans. The University acknowledges its obligations to ensure affirmative steps are taken to ensure equal employment opportunities for all employees and applicants for employment. It is the policy of the University that no employee or applicant for employment be subject to unlawful discrimination in terms of recruitment, hiring, promotion, contract, contract renewal, tenure, compensation, benefits, and/or working conditions. No employee or applicant for employment is required to endorse or condemn a specific ideology, political viewpoint, or social viewpoint to be eligible for hiring, contract renewal, tenure, or promotion. Assistance and Accommodations Computers are available for application submission at the Human Resources Department located at 215 Central Avenue, Ste 205 - Louisville, Kentucky 40208. If you require assistance or accommodation with our online application process, please contact us by email at ************************* or by phone ************.

RAYUS now offers DailyPay! Work today, get paid today! is $20.70 - $29.93 based on direct and relevant experience. RAYUS Radiology is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Denials Specialist you will investigate and determine the reason for a denied or unpaid claim, and take necessary steps to expedite the medical billing and collections of the accounts receivable. At CDI our passion for our patients, customers and purpose requires teamwork and dedication from all of our associates. Working in a team environment, you'll communicate with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner. This is a 100% fully remote full-time position working 8:00am-5:00pm. ESSENTIAL DUTIES AND RESPONSIBILITIES: (90%) Insurance Denial Follow-up * Accurately and efficiently reviews denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for multiple denial types, payers, and/or states * Reviews and obtains appropriate information or documentation from claim re-submission for all denied services, per insurance guidelines and requirements * Communicates with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner to expedite the billing and collection of accounts receivable * Documents all communications with coworkers, patients, and payer sources in the billing system * Contributes to the steady reduction of the days-sales-outstanding (DSO), increases monthly gross collections and increases percentage of collections * Prioritizes work load, concentrating on "priority" work which will enhance bottom line results and achievement of the most important objectives * Contributes to a team environment * Recognizes and communicates trends in workflow to departmental leaders * Meets or exceeds RCM Quality Assurance standards * Ensures timely follow-up and completion of all daily tasks and responsibilities (10%) Performs other duties as assigned * As backup for customer service team, communicates and responds to customer inquiries as needed Required: * High School diploma or equivalent * 2+ years' experience in a medical billing department, prior authorization department or payer claim processing department, or 9+ months experience as Insurance Denials Specialist within the organization * Proficiency with Microsoft Excel, PowerPoint, Word, and Outlook * Proficient with using computer systems and typing Preferred: * Graduate of an accredited medical billing program * Bachelor's degree strongly preferred * Knowledge of ICD-10, CPT and HCPCS codes RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible. We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled. We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all ******************************* DailyPay implementation is contingent upon initial set-up period.

250 E Liberty St Address: 250 East Liberty St. Louisville, KY 40202 Shift: First Shift (United States of America) : The Insurance Reimbursement Auditor is primarily responsible for the review on paid insurance claims (including $0.00 pay) and payor recoupments to successfully determine if reimbursement is accurate according to current contracted rates. This employee follows up with government, managed care, commercial, and third party payers on outstanding monies due for services rendered to a patient. This employee will provide "root cause" analysis and trend identification of revenue opportunities to ensure appropriate reimbursement for UofL Health facilities. Additional Job Description: * Perform thorough research of paid claims (including $0.00 pay) for appropriate follow up with payer. * Provide detailed analysis of findings and payer trends. * Review claim remittances to determine reimbursement rates and methodologies used by the payer when processing the claim. * Identify opportunities with underpayment or contract language that is determinant to reimbursement and report findings to leadership. * Perform extensive review of high dollar accounts that are subject to alternative reimbursement terms to validate payments are in accordance with contracted rates. * Responsible for reviewing and understanding explanation of benefits/remittance advice from third-party payers. * Process and review incoming correspondence from payers related to underpayment or high dollar/outlier payment discrepancies. * Audit, research accounts, payment posting, and contractuals to confirm the accuracy of the balance, financial class, and follow up schedule on the account. * Phone contact with patient, physician office, attorney, etc. for additional information to provide payer in order to process claim in accordance with contracted rates. * Communicate payment discrepancies to payer specific provider representatives via email, phone, or scheduled in-person meetings. * Work with reimbursement and contract modeling team members to verify contracted rates are properly calculated with contract modeling system. * Maintain regular contact with Managed Care & Contracting management team to ensure all new contract agreements/updated rates are received timely and effective dates for new rates are communicated to the appropriate Revenue Cycle teams. * Prepare and submit letters, emails, faxes, online inquiries, appeals, and adjustments. * Document all follow up efforts in a clear and concise manner into the AR system. * Work assigned accounts as directed while reaching daily productivity goals. * Complete tasks by deadline provided by leadership. * Participate in system testing and training. * Attend seminars as requested. * Other duties as assigned. Minimum Education and Experience * High School Diploma or GED * 2-3 years of billing, insurance follow-up or insurance payor experience * Experience performing account resolution with third-party payors is preferred * Experience in working with ICD-10, revenue codes, CPT-4 and HCPCS * Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook Knowledge, Skills, and Abilities * Ability to read and interpret documents, i.e. contracts, claims, instructions, policies and procedures in written (in English) form. * Ability to calculate rates using mathematical skills. * Ability to define problems, collect data, and establish facts to execute sound financial decisions in regard to patient account(s). * Must have detailed knowledge of the uniform bill guidelines. * Ability to be persistent in the follow up of underpaid or partially paid claims in a timely manner. * Ability to review, comprehend, and discuss HCFA billing with Insurance or Government agencies. * Knowledge of general insurance requirements. * Experience working directly with EOBs, contractual adjustments, and payer contracts. * General computer knowledge and working with electronic filing systems. * Ability to communicate verbally and in writing with professionalism. * Organizational and documentation skills to ensure timely follow-up and accurate record keeping. * Ability to meet productivity expectations. * Strong team player. * Strong self-motivation to achieve goals.

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only. Remote Type: Hybrid Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: Job Information: Local candidates strongly preferred - must be able to go onsite in the South Jersey area as needed. Summary: Serves as a high level enterprise wide technical and analytic consultant to define business questions and transform data into meaningful and actionable information for a variety of customer segments and bridging the needs of the business units with the use of information technology.Collaborate on the ongoing development and operations of an operational data store and enterprise data warehouse that enables fact-based decision making and ad hoc analysis. Drive business analysis, data analysis and translate business rules and requirements into functional specifications, validate functional designs with subject matter experts and manage the development and implementation of Business Intelligence solutions. Position Responsibilities: • Conducts data requirements analysis including the development of the logical data model based on data definitions and business rules as well as the high level design of system work flow. • Provides strategic guidance and technical assistance to improve data collection, data mining, analysis capabilities, and the interpretation of related data. • Develops and conducts complex data validation and reconciliation to ensure data integrity, accuracy and completeness for operational purposes. • Provides functional specifications to IT for physical implementation for the purpose of creating high level reports of clinical, operational, financial and performance results. • Design data visualization techniques for delivering information more effectively to end users. • Identify and validate metrics, how they are to be measured, and the method in which data is tracked, stored and reported. Position Qualifications Required / Experience Required: Minimum of 5 years of progressive business experience in a healthcare environment and/or minimum of 5 years experience managing the delivery of large scale business intelligence and data warehousing projects. Advanced PC skills in Microsoft software, including expert Excel and Access. Advanced PC skills and proficiency in reporting software packages such as Business Objects and Crystal. Knowledge of data bases and query reporting. Proficiency in data visualization tools. Strong research and analytical skills. Critical thinking skills. Required Education: BS in a Business, Healthcare or Analytic discipline. Advanced degree (preferred). Training/Certifications/Licensure: Certification in Business Intelligence tools. PMI Certification (preferred). Annual Salary: $90,431 - $148,994 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.

Full-time Description 100% Remote Biller should have a broad knowledge of healthcare insurance billing including CPT and ICD10 codes, preparing and submitting clean claims to insurance companies, posting both patient and insurance payments, recognizing correct insurance adjustments, following up on insurance claim denials and appeals, and acquiring insurance authorizations. This position requires the ability to work independently, accomplish goals, excellent customer service and communication skills, creativity, patience, and flexibility. * All remote billers must live 100 miles outside of Artesia General Hospital. ESSENTIAL FUNCTIONS: To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. · The Medical Billing and Coding Specialist position needs to have a broad knowledge of healthcare insurance billing including CPT and ICD10 codes, preparing and submitting clean claims to insurance companies, posting both patient and insurance payments, recognizing correct insurance adjustments, following up on insurance claim denials and appeals, and acquiring insurance authorizations. · This position requires the ability to work independently, accomplish goals, excellent customer service and communication skills, creativity, patience, and flexibility · Works as part of a team to develop dashboards and performance tools, productivity for ongoing reporting to Revenue Cycle Director · Works closely with Medical Records for billing codes for all payers. · Research, resolve, and document patient inbound and outbound calls involving a wide range of issues utilizing multiple information systems. This includes communications with internal business centers and external customers. Assures customer agreement by summarizing and closing each call appropriately. · Investigates payment status and determines ultimate patient financial responsibility. · Collect outstanding balance, offer patient assistance with financial responsibility through various financial options. · Maintains patient confidentiality and data integrity in accordance with Health Information Portability Accountability Act (HIPAA), and company policies and procedures. · Exercises good judgment, interpret data, and remains knowledgeable in details of all related CPSI & Rycan contracts, policies and procedures. · Participates in process improvement initiatives; maintains teamwork, customer service production and quality standards to assure timely, efficient and accurate call resolution. · Minimize patient dissatisfaction with active listening, maintaining a professional tone, and acknowledging their concerns. Competencies: · Accuracy - Ability to perform work accurately and thoroughly · Communication - Ability to communicate effectively, verbally and in writing · Computer Skills - Proficient ability to use a computer and electronic medical record. ADDITIONAL RESPONSIBILITIES: · Perform other functions as required. KNOWLEDGE/SKILL/ABILITIES: Responsible for charge and payment entry within Electronic Health Record Ability to prepare and submit clean claims to various insurance companies either electronically or by paper. Answer questions from doctors, patients, staff, and insurance companies. Prepare, review and send patient statements Responsible for correcting, completing, and processing claims for all payer codes Perform various collection actions including contacting patients by phone. Correcting and resubmitting claims to third party payers Basic medical terminology Good typing skills Confidentiality - Maintain patient, team member and employer confidentiality. Comply with all HIPAA regulations. Customer Service Oriented - Friendly, cheerful and helpful to patients and others. Ability to Positivity - Display a positive attitude and is a positive agent for change. Teamwork - Work as part of a team and collaborate with co-workers. Working Under Pressure - Ability to complete assigned tasks under stressful situations. AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills (cognitive, technical and interpersonal) necessary to identify age-specific patient needs appropriate for all age groups. Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security. Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations. MINIMUM POSITION QUALIFICATIONS: Education · Associates preferred or years of experience · High School Diploma or GED · Insurance and Financial Counseling and authorization experience preferred · 2 years' experience in a medical related field required · HCPC and CPT experience. Work Experience - Customer service experience preferred, good communication skills required, bi-lingual capabilities preferred. ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids. Salary Description $17.00 - $26.00 HR DOE

UofL Hospital Address: 530 S Jackson St Louisville, KY 40202 Shift: UofL Health is a fully integrated regional academic health system with eight hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. 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. : Job Requirements (Education, Experience, Licensure and Certification) Education / Accreditation / Licensure (required & preferred): * Graduate of approved program in Radiologic Technology. * Registered with ARRT required. * KY Radiation Operator's certification required * BLS required * IR Registry required within 2 years of employment Experience (required and preferred): * Prefer 2 years of recent experience as a general radiographer. Job Competency: Knowledge, Skills, and Abilities critical to this role: * Strong customer service skills- able to demonstrate patience and understanding, ensure customer satisfaction, and resolve customer complaints. * Superior organization skills- manages time effectively, keeps tasks appropriately prioritized, able to pay extreme attention to detail for long periods of time. * Strong interpersonal and communication skills- responsive, informs constituents of process, pleasant to work with, educates and provides timely, accurate information; can build effective, strong working relationships others through trust, communication, and credibility. * Skilled at remaining calm during periods of stress. Language Ability: * Must be able to communicate effectively in both verbal and written formats. * Adequate conversational English is required in order that the individual be able to take direction from management, understand how to complete job tasks, communicate adequately with patients and co-workers as necessary, understand and follow safety guidelines, and organizational policies. * Must be able to communicate effectively in both verbal and written formats. Reasoning Ability: * Able to critically think through complex situations, process improvements, and evidence-based practice. * Able to assist others in developing good reasoning skills. * Able to work independently and within a team setting. Computer Skills: * Basic computer skills * Proficient in Microsoft Word, Microsoft Excel. * Additional Responsibilities: * Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor always. * Maintains confidentiality and always protects sensitive data. * 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 Additional Job Description: Education / Accreditation / Licensure (required & preferred): * Graduate of approved program in Radiologic Technology. * Registered with ARRT required. * KY Radiation Operator's certification required * BLS required * IR Registry required within 2 years of employment Experience (required and preferred): * Prefer 2 years of recent experience as a general radiographer.

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri. No matter where you start with us, we're committed to taking our team to the top. If you're ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family. General Summary The coder is responsible for ensuring appropriate levels of service being billed according to the American Medical Association (AMA) and Center for Medicare and Medicaid Services (CMS) guidelines, insurance credentialing, and provider/staff education in relation to coding and billing guidelines. Maintain routine chart audits for providers. Essential Duties and Responsibilities Assigns ICD-10-CM, CPT, and HCPCS Level II codes to completed and signed medical documentation creating an appropriate assigned medical claim. Abstracts specified data and information from patient records in order to determine appropriate modifiers for claim submission. Queries providers for clarification of documentation when unclear or inadequate in order to code accurately. Requests providers to complete addendums as necessary. Stays up-to-date with ICD-10-CM, CPT, HCPCS Level II, AMA, CMS and other federal, state, local, and Phelps Health-specific coding guidelines, rules, and regulations and applies those guidelines to all types of patient accounts. Abides by AAPC's “Standards of Ethical Coding” and Phelps Health's Corporate Compliance coding guidelines. Monitors providers documentation for timely completion. Notifies Coding Manager of any providers who fall outside the designated 73-hour turnaround time frame. Maintains the designated 3 business day time frame for coding completed records and provides weekly report summaries to Coding Manager. Maintain productivity standards as set forth by Phelps Health productivity matrix. Maintain annual certification through AAPC or AHIMA and completes required CEUs for certification maintenance. Education High school diploma or equivalent required. Work Experience Minimum 1-year medical coding experience is preferred. Certification/License Certification as a medical coder through AAPC (A's are accepted). AHIMA certification is accepted as well. Mental/Physical Requirements Considerable mental concentration for sustained periods of time with attention to detail of paramount importance. Pressures of time, accuracy, and interruptions. Must handle confidential material. Long periods of sitting is required. Standing, walking, reaching, bending, and stooping. Vision must be good. Must have finger dexterity and complete use of hands and arms. Approximately 80% of working time is spent at a computer. Must have great customer service skills and the patience to deal with difficult situations. Working Conditions Remote office conditions; home office needs to be in a private location due to HIPPA. Computer screens should not be visible to others walking by. Equipment is provided by Phelps. At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself! Apply now to join us on our mission in health care.

RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Activities * Answers phones and handles calls in a professional and timely manner * Maintains positive interactions at all times with patients, referring offices and team members * Schedules patient examinations according to existing company policy * Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately * Ensures all patient data is entered into information systems completely and accurately * Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment * Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction * Maintains an up-to-date and accurate database on all current and potential referring physicians * Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices * Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave) * Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only (10%) Insurance Activities * Pre-certifies all exams with patient's insurance company as required * Verifies insurance for same day add-ons * Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Other Tasks and Projects as Assigned Required: * High school diploma, or equivalent * Microsoft Office Suite experience * Proficient with using computer systems and typing * Able to handle multi-level phone system with a high volume of calls at one time Preferred: * One (1) year customer service experience * Medical terminology and previous clinical business office experience * Bilingual RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible. We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled. We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all ******************************* DailyPay implementation is contingent upon initial set-up period.

Short Description Reporting to the Supervisor of the Clinical Documentation Team the Clinical Documentation Educator, through diverse assignments, supports and participates in educational activities to improve of the quality, completeness and accuracy of clinical documentation for Cooper University Physicians (CUP.) Experience Required Physician coding and compliance experience with significant emphasis on/strong background in procedural, surgical and/or Evaluation and Management services. Training and presentation experience with physicians and other clinicians both individually and in groups. Accomplished in the preparation of PowerPoint presentations and other supplemental training materials. Previous work experience in the auditing and coding of professional clinical documentation; both handwritten and electronic medical records. Education Requirements High School Diploma required Some college or bachelor's degree preferred; Associate degree in nursing or other relevant associate degree also considered. License/Certification Requirements CPC and/or CCS-P; CRC or intent to sit/pass exam within 1 year of hire. Nursing certification and/or Compliance certification a plus Valid Driver's License (will need to travel to CUH satellite locations as necessary) Salary Min ($) USD $33.00 Salary Max ($) USD $53.00

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only. Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: Job Information: Position Responsibilities: • Abstract billing for outpatient evaluation and management codes, minor surgical procedure(s) and HCPCS (supplies and pharmaceuticals) codes from provider documentation to include; assignment of CPT-4, ICD-10-CM codes and modifiers. • Research simple coding/billing issues for the physicians to identify and recommend the most appropriate method of coding/billing. Research may involve interaction with such organizations as American Medical Association, specialty societies, or other coding consultants. • Analysis of the medical record to determine the appropriateness of coding and potential patterns of abuse. Including working with the Coding/Charge/Audit Analyst(s) to resolve the issue(s). Position Qualifications Required / Experience Required: Minimum of two years records coding experience and/or equivalent education (completion of AAPC course or completion of Coding program at trade school). Ability to perform functions in a Microsoft Windows environment. Ability to be detailed oriented and perform tasks at a high level of accuracy. Ability to make sound decisions. Demonstrate good communication and team work skills. Previous experience with an electronic legal health record system preferred. Knowledge of Anatomy & Physiology/ Medical terminology required. Required Education: High School Diploma or GED required. Knowledge of Anatomy & Physiology/ Medical terminology required CPC (Certified Professional Coder) Certified required or must obtain within six months of hire. Hourly Rate: $25.24 - $37.86 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.

250 E Liberty St Address: 250 East Liberty St. Louisville, KY 40202 Shift: First Shift (United States of America) : WE ARE HIRING! Shift: First Shift About Us UofL Health is a fully integrated regional academic health system with seven hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and the Brown Cancer Center. With more than 12,000 team members-physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals-UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Our Mission As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care. Primarily responsible for the review and follow up on paid insurance claims (including $0.00 pay) and payor recoupments to successfully determine if reimbursement is accurate according to current contracted rates and follow up with payers on outstanding monies due for services rendered to a patient. This position will provide "root cause" analysis and reporting of revenue opportunities to ensure appropriate reimbursement. * Perform thorough research of paid claims (including $0.00 pay) for appropriate follow up with payer. * Provide detailed analysis of findings and payer trends. * Review claim remittances to determine reimbursement rates and methodologies used by the payer when processing the claim. * Identify opportunities with underpayment or contract language that is determinant to reimbursement and report findings to leadership. * Perform extensive review of high dollar accounts that are subject to alternative reimbursement terms to validate payments are in accordance with contracted rates. * Responsible for reviewing and understanding explanation of benefits/remittance advice from third-party payers. * Process and review incoming correspondence from payers related to underpayment or high dollar/outlier payment discrepancies. * Audit, research accounts, payment posting, and contractuals to confirm the accuracy of the balance, financial class, and follow up schedule on the account. * Phone contact with patient, physician office, attorney, etc. for additional information to provide payer in order to process claim in accordance with contracted rates. * Communicate payment discrepancies to payer specific provider representatives via email, phone, or scheduled in-person meetings. * Work with reimbursement and contract modeling team members to verify contracted rates are properly calculated with contract modeling system. * Maintain regular contact with Managed Care & Contracting management team to ensure all new contract agreements/updated rates are received timely and effective dates for new rates are communicated to the appropriate Revenue Cycle teams. * Prepare and submit letters, emails, faxes, online inquiries, appeals, and adjustments. * Document all follow up efforts in a clear and concise manner into the AR system. * Work assigned accounts as directed while reaching daily productivity goals. * Complete tasks by deadline provided by leadership. * Participate in system testing and training. * Attend seminars as requested. * Other duties as assigned. Additional Job Description: Minimum Education and Experience * High School Diploma or GED * 2-3 years of billing, insurance follow-up or insurance payor experience * Experience performing account resolution with third-party payors is preferred * Experience in working with ICD-10, revenue codes, CPT-4 and HCPCS * Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook Knowledge, Skills, and Abilities * Ability to read and interpret documents, i.e. contracts, claims, instructions, policies and procedures in written (in English) form. * Ability to calculate rates using mathematical skills. * Ability to define problems, collect data, and establish facts to execute sound financial decisions in regard to patient account(s). * Must have detailed knowledge of the uniform bill guidelines. * Ability to be persistent in the follow up of underpaid or partially paid claims in a timely manner. * Ability to review, comprehend, and discuss HCFA billing with Insurance or Government agencies. * Knowledge of general insurance requirements. * Experience working directly with EOBs, contractual adjustments, and payer contracts. * General computer knowledge and working with electronic filing systems. * Ability to communicate verbally and in writing with professionalism. * Organizational and documentation skills to ensure timely follow-up and accurate record keeping. * Ability to meet productivity expectations. * Strong team player. * Strong self-motivation to achieve goals.

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only. Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: Job Information: Schedule: Monday through Friday, 8:00am-4:30pm No weekends or holidays. Local onsite meeting requirements, to include outside of regularly scheduled hours. Summary: Acts as a lead and resource to the Bariatric Navigation staff as directed. Serves as a point of contact for the Bariatric Care Continuum, outside departments, patients and caregivers to provide resources and assistance with accessing clinical and supportive care services offered within Virtua and in the community. Supports the optimal team efficiency by assisting with scheduling, workflow management and quality assurance. Acts as a customer liaison, providing excellent service to all callers and projecting a professional, positive image of self and Virtua. Position Responsibilities: Assists with managing daily operations and productivity. Evaluates data to manage departmental workflow and service levels so the staffing is optimal to meet performance requirements. Make suggestions for process improvement. Assist in training new clinical staff and mentor less experienced co-workers. Daily quality assurance monitoring of clinical staff and providing manager with weekly reports of staff effectiveness along with conducting team meetings. Hold coaching sessions with clinical staff to ensure ultimate productivity and customer satisfaction. Increase Virtua's business and patient satisfaction by using excellent customer service skills to navigate patients within Virtua and coordinate all appointments, register for classes and Virtua programs. Coordinates multidisciplinary planning conferences, develops concise patient summaries for use by the care team, and documents recommendations made utilizing standardized care protocols in accordance with nationally recognized care guidelines. Responsible for outreach efforts to establish and maintain positive working relationships with key customers (physicians, office staff, diagnostic staff, nurses, radiology staff, social services staff, and radiation oncology staff, etc.) Make daily outbound calls to ensure timely patient access through Virtua's system along with protecting confidentiality of patient. Perform data entry and complete all data records with concise patient information and appropriate coding to ensure proper tracking of leads. Understanding of all databases used such as IBEX, Sorian Scheduling, Sorian clinicals and TFB/NEC phone system. Position Qualifications Required / Experience Required: Required Experience: Minimum 2 years' experience in clinical navigation/Bariatric Nursing. Requires problem solving, decision making & critical thinking; requires excellent leadership, organizational, written & verbal communication & excellent interpersonal skills; must be able to work in a self-directed environment, with an ability to work with and lead teams; Excellent presentation skills; ability to implement professional and community-based education programs. Computer literate, Microsoft Office competency required. Ability to work quickly while making accurate decisions. Must be able to use general office equipment including a multi-line telephone system. Required Education: RN, BSN preferred Training / Certification / Licensure: Active NJ Licensed RN BSN and OCN preferred Annual Salary: $82,033 - $130,988 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.

Job DescriptionDescription: 100% Remote Biller should have a broad knowledge of healthcare insurance billing including CPT and ICD10 codes, preparing and submitting clean claims to insurance companies, posting both patient and insurance payments, recognizing correct insurance adjustments, following up on insurance claim denials and appeals, and acquiring insurance authorizations. This position requires the ability to work independently, accomplish goals, excellent customer service and communication skills, creativity, patience, and flexibility. * All remote billers must live 100 miles outside of Artesia General Hospital. ESSENTIAL FUNCTIONS: To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. · The Medical Billing and Coding Specialist position needs to have a broad knowledge of healthcare insurance billing including CPT and ICD10 codes, preparing and submitting clean claims to insurance companies, posting both patient and insurance payments, recognizing correct insurance adjustments, following up on insurance claim denials and appeals, and acquiring insurance authorizations. · This position requires the ability to work independently, accomplish goals, excellent customer service and communication skills, creativity, patience, and flexibility · Works as part of a team to develop dashboards and performance tools, productivity for ongoing reporting to Revenue Cycle Director · Works closely with Medical Records for billing codes for all payers. · Research, resolve, and document patient inbound and outbound calls involving a wide range of issues utilizing multiple information systems. This includes communications with internal business centers and external customers. Assures customer agreement by summarizing and closing each call appropriately. · Investigates payment status and determines ultimate patient financial responsibility. · Collect outstanding balance, offer patient assistance with financial responsibility through various financial options. · Maintains patient confidentiality and data integrity in accordance with Health Information Portability Accountability Act (HIPAA), and company policies and procedures. · Exercises good judgment, interpret data, and remains knowledgeable in details of all related CPSI & Rycan contracts, policies and procedures. · Participates in process improvement initiatives; maintains teamwork, customer service production and quality standards to assure timely, efficient and accurate call resolution. · Minimize patient dissatisfaction with active listening, maintaining a professional tone, and acknowledging their concerns. Competencies: · Accuracy - Ability to perform work accurately and thoroughly · Communication - Ability to communicate effectively, verbally and in writing · Computer Skills - Proficient ability to use a computer and electronic medical record. ADDITIONAL RESPONSIBILITIES: · Perform other functions as required. KNOWLEDGE/SKILL/ABILITIES: Responsible for charge and payment entry within Electronic Health Record Ability to prepare and submit clean claims to various insurance companies either electronically or by paper. Answer questions from doctors, patients, staff, and insurance companies. Prepare, review and send patient statements Responsible for correcting, completing, and processing claims for all payer codes Perform various collection actions including contacting patients by phone. Correcting and resubmitting claims to third party payers Basic medical terminology Good typing skills Confidentiality - Maintain patient, team member and employer confidentiality. Comply with all HIPAA regulations. Customer Service Oriented - Friendly, cheerful and helpful to patients and others. Ability to Positivity - Display a positive attitude and is a positive agent for change. Teamwork - Work as part of a team and collaborate with co-workers. Working Under Pressure - Ability to complete assigned tasks under stressful situations. AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills (cognitive, technical and interpersonal) necessary to identify age-specific patient needs appropriate for all age groups. Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security. Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations. MINIMUM POSITION QUALIFICATIONS: Education · Associates preferred or years of experience · High School Diploma or GED · Insurance and Financial Counseling and authorization experience preferred · 2 years' experience in a medical related field required · HCPC and CPT experience. Work Experience - Customer service experience preferred, good communication skills required, bi-lingual capabilities preferred. ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids. Requirements:

About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Responsible for ensuring the overall quality and completeness of medical record documentation. Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregiver and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients. Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes. Educates all members of the patient care team on an ongoing basis. Professional team player, able to communicate well with others on all levels. Regular significant contacts with other personnel throughout and outside the hospital. Contacts may be in person, by telephone or-through correspondence. Flexible with a working knowledge of all areas of adult medicine. Occasional lifting/carrying up to fifteen pounds, as well as reaching, stretching, stooping, bending, kneeling, crouching, standing, walking and pushing/pulling to move and file medical records alone or in carts. Ability to sit for long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment. Adequate to perform essential functions of the job with the type of judgments and potential consequences outlined above. Experience Required Knowledge of medical record documentation requirements coding guidelines. Related Computer knowledge of Epic a plus. Education Requirements RN preferred or CCS, CPC or RHIT preferred. License/Certification Requirements NJ-RN License (Registered Nurse) preferred CCS, CPE or RHIT preferred. Special Requirements Essential mental abilities: good critical thinking skills, able to assess, evaluate and teach. Requires excellent observation skills, analytical thinking, problem solving, computer skills, good verbal and written communication. Salary Min ($) USD $33.00 Salary Max ($) USD $53.00

RAYUS now offers DailyPay! Work today, get paid today! is $20.70 - $29.93 based on direct and relevant experience. RAYUS Radiology is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Denials Specialist you will investigate and determine the reason for a denied or unpaid claim, and take necessary steps to expedite the medical billing and collections of the accounts receivable. At CDI our passion for our patients, customers and purpose requires teamwork and dedication from all of our associates. Working in a team environment, you'll communicate with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner.This is a 100% remote full-time position working 40 hours per week. Shifts are from 8:00 AM - 4:30 PM. ESSENTIAL DUTIES AND RESPONSIBILITIES: (90%) Insurance Denial Follow-up * Accurately and efficiently reviews denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for multiple denial types, payers, and/or states * Reviews and obtains appropriate information or documentation from claim re-submission for all denied services, per insurance guidelines and requirements * Communicates with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner to expedite the billing and collection of accounts receivable * Documents all communications with coworkers, patients, and payer sources in the billing system * Contributes to the steady reduction of the days-sales-outstanding (DSO), increases monthly gross collections and increases percentage of collections * Prioritizes work load, concentrating on "priority" work which will enhance bottom line results and achievement of the most important objectives * Contributes to a team environment * Recognizes and communicates trends in workflow to departmental leaders * Meets or exceeds RCM Quality Assurance standards * Ensures timely follow-up and completion of all daily tasks and responsibilities (10%) Performs other duties as assigned * As backup for customer service team, communicates and responds to customer inquiries as needed Required: * High School diploma or equivalent * 2+ years' experience in a medical billing department, prior authorization department or payer claim processing department, or 9+ months experience as Insurance Denials Specialist within the organization * Proficiency with Microsoft Excel, PowerPoint, Word, and Outlook * Proficient with using computer systems and typing Preferred: * Graduate of an accredited medical billing program * Bachelor's degree strongly preferred * Knowledge of ICD-10, CPT and HCPCS codes RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible. We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled. We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all ******************************* DailyPay implementation is contingent upon initial set-up period.

About Us Cooper University Health Care is an integrated healthcare delivery system serving residents and visitors throughout Cape May County. The system includes Cooper University Hospital Cape Regional; three urgent care facilities; nearly 30 primary care and specialty care offices in multiple locations throughout Cape May County; The Cancer Center at Cooper University Hospital Cape Regional; the Claire C. Brodesser Surgery Center; AMI at Cooper, Miracles Fitness and numerous freestanding outpatient facilities providing wound care, lab, and physical therapy services. We have a commitment to our employees by providing competitive rates and compensation programs. Cooper offers full and part time employees a comprehensive employee benefits program, including health, dental, vision, life, disability, retirement, on-site Early Education Center (employee discount), attractive working conditions, and the chance to build and explore a career opportunity by offering professional development. #LI-CU1 Experience Required Identify and coordinate patient care needs in anticipation of the next site of care after hospitalization. Provide guidance for clinical coordination and collaboration among multidisciplinary caregivers. Complete comprehensive psychosocial assessment and review the clinical needs of patients as they transition to the next level of care. Collaborate with physicians, nurses, and the care team to foster a coordinated approach to discharge planning. Utilize clinical knowledge to participate in treatment plan discussions with clinical teams. Identify and connect patients to services and resources available to them. Coordinates appropriate referrals to home care agencies, skilled nursing and rehabilitation centers, and community-based programs. Coordinates care authorization process with insurers. Communicate with Utilization Review staff on any denials, issues, or barriers to discharge. Education Requirements RN or BSW License/Certification Requirements Licensed in the State of NJ RN or BSW Active American Heart Association Basic Life Support (BLS) certification Special Requirements Prior case management /discharge planning experience preferred Prior experience with EPCI EMR and AllScripts is preferred. Working knowledge of federal, state, and local laws that govern health care and case management. Salary Min ($) USD $55,330.00 Salary Max ($) USD $69,163.00

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only. Remote Type: Hybrid Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: Job Information: CPC Required.CRC Required or must be obtained within 6 months of hire.HCC experience strongly preferred .Local candidates preferred due to occasional onsite requirements. Job Summary: Evaluates and analyzes medical records for proper documentation and the correct diagnosis (ICD-10-CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., hierarchical condition categories (HCCs), Chronic Illness & Disability Payment System (CDPS), and U.S. Department of Health and Human Services (HHS) risk adjustment). CRCs review provider documentation and communicates coding opportunities for HCC coding so that disease processes are coded accurately to follow risk adjustment models. Position Responsibilities: Evaluates and analyzes medical records for proper documentation. Identifies and communicates coding deficiencies to clinicians in order to improve documentation for accurate risk adjustment coding. Provides on-going training and education to the clinicians and physicians during 1:1, physician group, performance improvement and ad hoc meetings. Manages and trends data collection for HCC and other risk coding. Performs data mining from data captured through risk adjustment coding. Works with Manager and Director of VMG Quality Department to strategize and prioritize chart reviews and education. Assists with the development of action plans to improve documentation. Completes chart reviews for various Values Based Programs focusing on annual review of suspect chronic conditions; utilizes payer portals as necessary to complete annual coding reviews. Position Qualifications Required: Required Experience: Minimum of two years records coding experience or equivalent Ability to perform functions in a Microsoft Windows environment Ability to be detailed oriented and perform tasks at a high level of accuracy Ability to make sound decisions Demonstrate good communication and team work skills Previous experience with an electronic legal health record system. Understand the anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses Understands medical coding guidelines and regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models Required Education: High School Diploma or GED required Knowledge of Anatomy & Physiology/ Medical terminology required Training / Certification / Licensure: CPC required Risk Adjustment Coder Certification (CRC) required or must obtain within six months of hire. Hourly Rate: $26.22 - $40.65 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only. Remote Type: 100% Remote Employment Type: Employee Employment Classification: Regular Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 17 Additional Locations: Job Information: Please note all candidates must complete onsite testing in Marlton, NJ. Summary: Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Position Responsibilities: Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA), Uniform Hospital Discharge Data Set (UHDDS) hospital specific guidelines and rules/conventions. Records coded include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Sequences principal (or first-listed) diagnosis and principal procedures according to documentation found in the medical records and UHDDS definitions. Utilizes ongoing knowledge and reference material regarding DRGs to validate DRG assignments. Accurately utilizes written federal and state regulations and written guidelines regarding definitions and prioritizing of abstract data elements to assure uniformity of database. Records abstracted include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Verifies and/or abstracts required data into computer system according to procedure. Utilizes equipment and processes appropriately, to ensure efficient coding and abstracting; utilizes the established downtime procedures as needed. Participates in maintaining DNB and accounts receivable goal. Maintains department level competencies. Participates in performance improvement activities. Position Qualifications Required / Experience Required: Minimum of two years inpatient records coding experience Ability to perform functions in a Microsoft Windows environment Ability to be detailed oriented and perform tasks at a high level of accuracy Ability to make sound decisions Demonstrate good communication and teamwork skills Previous experience with an electronic legal health record system Required Education: High School Diploma or GED required Knowledge of Anatomy & Physiology/ Medical terminology required Coding education Training/Certifications/Licensure: AHIMA Certification: Certified Coding Specialist (CCS) required for all employees hired after 10/1/2025. Non-CCS-Certified Hourly Rate: $26.22 - $40.65 Hourly Rate: $27.80 - $43.12 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.

About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Code all diagnoses and procedures documented in the medical record for the current encounter. Enter all code information in the HealthQuest system for facility coding in a timely manner. Adhere to compliance regulations set by government, state, & the Cooper Health System to ensure guidelines are met. Experience Required 0-2 required 3-5 preferred Applicant must have demonstrated proficiency in coding multiple outpatient services including, but not limited to: Observation, Multi-specialty Oncology, Same Day Surgery, Endoscopy, Emergency Department, etc. Knowledge of NCCI, OCE and LCDs mandatory Education Requirements HS diploma or equivalent Health Information Management / Coding / Billing License/Certification Requirements One or more of the following: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA Special Requirements Communication - Ability to communicate with patients, visitors and coworkers Sound knowledge of anatomy, physiology and medical terminology Demonstrated competency of the use of computer applications, hospital information systems, encoder and Microsoft Office applications. Salary Min ($) USD $28.00 Salary Max ($) USD $46.00