Clinical Reimbursement Specialist
Knoxville, TN jobs
The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient records and clinical care programs. in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements
Registered nurse with an active state license and MDS and RAI experience.
Specific Job Requirements
Make independent decisions when circumstances warrant such action
Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
Implement and interpret the programs, goals, objectives, policies, and procedures of the department
Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
Maintains professional working relationships with all associates, vendors, etc.
Maintains confidentiality of all proprietary and/or confidential information
Understand and follow company policies including harassment and compliance procedures
Displays integrity and professionalism by adhering to Life Care's
Code of Conduct
and completes mandatory
Code of Conduct
and other appropriate compliance training
Essential Functions
Exhibit excellent customer service and a positive attitude towards patients
Assist in the evacuation of patients
Demonstrate dependable, regular attendance
Concentrate and use reasoning skills and good judgment
Communicate and function productively on an interdisciplinary team
Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
Read, write, speak, and understand the English language
An Equal Opportunity Employer
Coding Specialist II, Remote
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Seeking candidates with surgical Gastroenterology coding experience
Job Summary
Summary
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.
Does this position require Patient Care? No
Essential Functions:
Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
* Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
* Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
* Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
* Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
* Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
* Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
Qualifications
Education
High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferred
Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
Medical Coding Experience 3-5 years required
Knowledge, Skills and Abilities
* In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
* Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
* Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
* Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
* Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
* Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
* /
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplySurgical Coding Specialist II, Remote
Somerville, MA jobs
Site: Mass General Brigham Incorporated
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Seeking candidates with Surgical coding experience.
Job Summary
Summary:
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations
Does this position require Patient Care? No
Essential Functions:
Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
-Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
-Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
-Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
-Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
-Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
-Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
Qualifications
Education
High School Diploma or Equivalent required
Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
Medical Coding Experience 3-5 years required
Knowledge, Skills and Abilities
- In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
- Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
- Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
- Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
- Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
- Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyCoding Specialist II, Remote
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
This position will be coding for Cardiology.
Seeking candidates with EP and Cath lab coding experience
Job Summary
Summary:
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.
Does this position require Patient Carre? No
Essential Functions:
Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
* Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
* Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
* Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
* Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
* Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
* Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
Qualifications
Education
High School Diploma or Equivalent required
Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
Medical Coding Experience 3-5 years required
Knowledge, Skills and Abilities
* In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
* Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
* Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
* Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
* Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
* Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplySurgical Coding Specialist II, Remote
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Seeking candidates with Surgical coding experience.
Job Summary
Summary:
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations
Does this position require Patient Care? No
Essential Functions:
Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
* Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
* Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
* Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
* Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
* Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
* Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
Qualifications
Education
High School Diploma or Equivalent required
Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
Medical Coding Experience 3-5 years required
Knowledge, Skills and Abilities
* In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
* Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
* Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
* Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
* Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
* Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyCoding Specialist II, Remote
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
This position will be coding for Pain Management/ Anesthesia.
Job Summary
Summary:
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations
Does this position require Patient Care? No
Essential Functions
Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
* Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
* Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
* Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
* Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
* Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
* Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
Qualifications
Education
High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferred
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
Medical Coding Experience 3-5 years required
Knowledge, Skills and Abilities
* In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
* Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
* Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
* Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
* Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
* Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplySurgical Coding Specialist II, Remote
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
This position is on the surgical coding team.
This role will work on Ambulatory work queues and E&M leveling.
Job Summary
Summary:
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.
Does this position require Patient Care? No
Essential Functions:
Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
* Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
* Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
* Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
* Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
* Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
* Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
Qualifications
Education
High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferred
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
Medical Coding Experience 3-5 years required
Knowledge, Skills and Abilities
* In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
* Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
* Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
* Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
* Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
* Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyRemote - Clinic/Outpatient Coder III
Remote
Remote - Clinic/Outpatient Coder III
Outpatient Coding
PRN Status
Variable Shift
Pay: $24.74 - $37.11 / hour
Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time.
Expected to be proficient in assigning ICD-10-CM and/or CPT codes for following types of services: Outpatient: Complex Surgeries, Observations (non-obstetric), Interventional radiology, radiation oncology and/or non-complex inpatient coding encounters. Clinic coder: Either proficient in coding for all non-surgery specialty areas, primary care, or complex surgeries.
This position works under the guidance and supervision of the HIM Outpatient APC and Clinic Coding Manager and is employed by Mosaic Health System.
Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards.
Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation.
Communicates with providers, querying providers to ensure the highest level of specificity is provided in documentation.
May assist in training of newly hired coders.
Caregiver may work in conjunction with Patient Financial Services to verify and modify charges and coding to ensure accuracy of supporting documentation, payer rules and correct coding.
Working reports for clean-up, auditing services, edits, and denials.
Ensures data accuracy of State HIDI data by responding to edits received.
Performs other duties as assigned.
Must have coding education, HS Diploma and Medical Terminology and Anatomy and Physiology
Required to obtain CCS - Certified Coding Specialist or RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician or CPC and/or CCSP - Certified Professional Coder within 180 days of employment. Must also obtain COC - Certified Outpatient Coding within 180 days of employment.
Five years experience in a Health Information Services department performing a job that requires detail, and familiarity with patient medical record preferred.
Remote - Inpatient Coder II
Remote
Remote - Inpatient Coder II
Inpatient Coding
PRN Status
Day Shift
Pay: $24.74 - $37.11 / hour
Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time.
This position is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology.
This position works under the supervision of the Manager and is employed by Mosaic Health System.
Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards.
Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation.
Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials.
Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record.
Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding.
Ensures data accuracy by responding to coding edits received.
Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral.
Mentors and assists with training coders.
Completes analysis by utilizing reports, record reviews, etc.
Other duties as assigned.
Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required.
CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required.
Three years experience in coding in an acute care setting required.
Clinical Coder IV/Acute Care - Medical Records
Charlotte, NC jobs
00153661
Employment Type: Full Time
Shift: Day
Shift Details: Monday-Friday 1st shift
Standard Hours: 40.00
Department Name: Medical Records
Location Details: Onboarding at Arrowpoint, after training able to work remote
Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth
Job Summary
To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership.
Essential Functions
Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes.
Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
Reviews charges and Evaluation and Management levels.
Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance.
Abstracts coded data and other pertinent fields in the hospital electronic health record.
Ensures the accuracy of data input.
Meets established quality and productivity standards.
Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management.
Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding.
Physical Requirements
Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment.
Education, Experience and Certifications.
High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the CHS Coding test.
At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.
As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.
Posting Notes: Not Applicable
Carolinas HealthCare System is an EOE/AA Employer
Risk Adjustment Medical Coder
Boone, NC jobs
Job DescriptionDescription:
Full Time, Remote
Exempt / Salary
Organization
High Country Community Health (HCCH) is a federally funded Community and Migrant Health
Center with medical locations in Watauga, Avery, Burke, and Surry Counties. The mission of
HCCH is to provide comprehensive and culturally sensitive primary health care services that
may include dental, mental and substance abuse services to the medically under-served
population of Watauga, Avery, Burke, and Surry Counties and the surrounding rural
communities.
Supervisory Relationship:
Reports to: Deputy CFO
Job Summary and Responsibilities
Provides thorough concurrent, prospective, and retrospective review of ambulatory medical
record clinical documentation to ensure accurate and complete capture of the clinical picture,
severity of illness, and patient complexity of care. Utilizes knowledge of official coding
guidelines, HCC standards, Risk Adjustment Factor (RAF) scoring, and physician query briefs.
Will participate in Provider education on the importance of diagnosis specificity and
documentation guidelines. The Risk Adjustment Coder works to maintain a thorough knowledge
of our current automated eClinicalsWork (eCW) enterprise billing system, through which the
coding and documentation review are functionalized to provide support to HCCH providers and
staffs as necessary. Provides subject matter expertise to others including staff in the Billing
department as necessary. This position requires professional maturity, responsibility, integrity,
and subject matter expertise to complete the work timely; communicate setbacks to deliverables.
and to collaborate with others to meet production and quality standards.
Responsibilities include:
-Review and accurately code medical records and encounters for diagnoses and
procedures related to Risk Adjustment and HCC coding guidelines
-Validate and ensure the completeness, accuracy, and integrity of coded data.
-Concurrently, prospectively, and retrospectively review medical records to identify
unclear, ambiguous, or inconsistent documentation ensuring full capture of severity,
accuracy, and quality.
-Query providers when documentation in the record is inadequate, ambiguous, or
otherwise unclear for medical coding purposes.
-Utilizes approved resources to determine the appropriate ICD-10-CM, CPT, and/or
HCPCS and ensures documentation in the medical record follows official coding
guidelines, internal guidelines, and AHIMA physician query brief standards.
-Comply with the Standards of Ethical Coding as set forth by the American Health
Information Management Association and adhere to official coding guidelines.
-Comply with HIPAA laws and regulations.
-Maintain coding quality and productivity standards set forth by HCCH.
-Maintain competency in evolving areas of coding, guidelines, and risk adjustment
reimbursement reporting requirements.
-Assist in internal and external coding audits to ensure the quality and compliance of
coding practices.
-Provide ongoing feedback to physicians and other providers regarding coding guidelines
and requirements, including education and support for improvement in HCC coding, and
RAF scoring.
-Assist with educational in-services for physicians, other providers, and clinic staff
relating to coding and documentation compliance as well as new policies and procedures
relating to clinical documentation compliance related to billing.
-Maintains complete confidentiality of patient information.
-Assists with developing, implementing, and reviewing policies, procedures, and forms
related to areas of responsibility.
-Other duties as assigned by your Supervisor.
Requirements:
Requirements/Skills/Experience
-High-speed internet access
-Strong clinical knowledge related to chronic illness diagnosis, treatment, and
management.
-Knowledge and demonstrated understanding of Risk Adjustment coding and data
validation requirements is highly preferred.
-Personal discipline to work remotely without direct supervision
-Dental coding skills a plus
-Knowledge of HIPAA, recognizing a commitment to privacy, security, and
confidentiality of all medical chart documentation.
Qualifications:
-Bachelor's degree in allied health or any related field required.
-Minimum 2 years of progressive Professional Risk Adjustment Coding experience
required.
-Active Certified Risk Adjustment Coder certification (CRC and/or CPC) required
-Candidates hired with active CPC, but without Certified Risk Adjustment Coder
certification (CRC) must obtain CRC certification within 9 months of hire.
Travel Requirements
None.
Salary
Commensurate with experience, education and certifications
Coder (Local SC Remote)
Greenville, SC jobs
Join OBHG: Join the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation's largest and only dedicated provider of customized obstetric hospitalist programs. Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health. Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24/7 real-time triage and hospital-based obstetric coverage across the United States. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!
Location: SC Upstate area strongly preferred (Remote). Open to exceptional remote candidates in SC, NC, GA (must be located in these states to be eligible).
The Good Stuff We Offer:
Hourly Compensation Range: $21.00 - $24.00 per hour + eligibily for RCM bonus
A mission based company with an amazing company culture.
Paid time off & holidays so you can spend time with the people you love.
Medical, dental, and vision insurance for you and your loved ones.
Health Savings Account (with employer contribution) or Flexible Spending Account options.
Employer Paid Basic Life and AD&D Insurance.
Employer Paid Short- and Long-Term Disability.
Optional Short Term Disability Buy-up plan.
401(k) Savings Plan, with ROTH option.
Legal Plan.
Identity Theft Services.
Mental health support and resources.
Employee Referral program - join our team, bring your friends, and get paid.
Medical Coder Position Summary: The Certified Coder is responsible for the data abstraction, evaluation and auditing of Provider assigned CPT, HCPC codes, ICD-10 CM for obstetrics.
Essential Medical Coder Responsibilities:
Assigns and sequences diagnoses and procedures in accordance ICD-10 CM Official Coding
Guidelines, CPT Assistant, Physician at Teaching Hospital Rules and Evaluation and Management Documentation Guidelines
Experience with billing, collections from insurance companies and patients, insurance follow up, charge entry
Analyze and resolve charge entry coding errors
Familiar with revenue cycle management processes
Ability to work with eBridge, Putty and Lyra software
Report and analyze errors, trends, and findings
Compose reports using Microsoft Excel and Word
Ability to interpret regulatory and payer rules and directives concerning coding
Ability to function in a high volume environment producing quality work
Solid interpersonal and telephone communication skills
Ability to consistently work independently and problem solve
Must be able to multi-task and prioritize job responsibilities
Must be dependable, responsible and team oriented
Strong attention to detail (such as interpretation of clinical data including medical terminology and disease
processes)
Demonstrate a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
Strong working knowledge of HIPAA as it relates to the entire revenue cycle management cycle process
Perform other duties as assigned.
Essential Skills/Credentials/Experience/Education
Certified AAPC Coder
Associate or Bachelor's Degree, OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE
Skill in operating a personal computer; must be proficient in Word, Excel, Power Point.
Ability to compose letters, memos, and other correspondence.
Effective interpersonal skills required in interactions with Ob Hospitalists and personnel.
Ability to work with highly confidential materials.
Must possess high ethical standards.
Enhances professional growth and development through in-service meetings, education, programs, conferences, etc.
Physical Demands (per ADA guidelines)
Sitting for long periods of time. Occupation requires this activity more than 66% of the time (5.5+ hrs/day)
HEALTH INFO SPEC
Knoxville, TN jobs
Health Information Specialist, Health Information Administration Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.
Position Summary:
Compiles and maintains statistics for the department and other areas. Maintains integrity of Master Patient Index. Prepares the monthly birth and death reports for the State of Tennessee. Provides support to staff positions during peak workloads and fills in vacations and holidays. Analyzes/monitors reports. Assists with quality improvement activities and special projects. Maintains microfilm in filing cabinets and storage cage. Assists with training of new employees. Serves as a telephone backup in the department. Serves as a resource person to staff members.
Suzie McGuinn:
*****************
Responsibilities
* Compiles and maintains statistics for the department and other areas.
* Serves as a support to clerical and analyst positions within the department.
* Assists in the training of new employees.
* Prepare the monthly birth and mortality reports for the State Department of Vital Records in a timely manner.
* Maintains microfilm.
* Assists with quality improvement activities and special projects.
* Maintains MPI integrity by performing merges, additions, deletions, and revisions.
* Enhances professional growth and development through participation in educational programs, current literature, inservices and workshops.
* Attends meetings and serves on committees or teams as required.
* Performs other related duties as assigned or requested.
* Demonstrates ability to meet or exceed departmental quality and quantity standards.
* Adheres to hospital and departmental policies and procedures, including those related to safety and infection control.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED.
Minimum Experience:
Two (2) years experience in an acute care Medical Record Department preferred. Detail-oriented, good organization skills, ability to work independently, strong interpersonal skills.
Licensure Requirement:
None
Auto-ApplyHEALTH INFO SPEC
Knoxville, TN jobs
Health Information Specialist, Health Information Administration Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.
Position Summary:
Compiles and maintains statistics for the department and other areas. Maintains integrity of Master Patient Index. Prepares the monthly birth and death reports for the State of Tennessee. Provides support to staff positions during peak workloads and fills in vacations and holidays. Analyzes/monitors reports. Assists with quality improvement activities and special projects. Maintains microfilm in filing cabinets and storage cage. Assists with training of new employees. Serves as a telephone backup in the department. Serves as a resource person to staff members.
Recruiter: Suzie Mcguinn || *****************
Responsibilities
* Compiles and maintains statistics for the department and other areas.
* Serves as a support to clerical and analyst positions within the department.
* Assists in the training of new employees.
* Prepare the monthly birth and mortality reports for the State Department of Vital Records in a timely manner.
* Maintains microfilm.
* Assists with quality improvement activities and special projects.
* Maintains MPI integrity by performing merges, additions, deletions, and revisions.
* Enhances professional growth and development through participation in educational programs, current literature, inservices and workshops.
* Attends meetings and serves on committees or teams as required.
* Performs other related duties as assigned or requested.
* Demonstrates ability to meet or exceed departmental quality and quantity standards.
* Adheres to hospital and departmental policies and procedures, including those related to safety and infection control.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED.
Minimum Experience:
Two (2) years experience in an acute care Medical Record Department preferred. Detail-oriented, good organization skills, ability to work independently, strong interpersonal skills.
Licensure Requirement:
None
Auto-ApplyHealth Info Spec
Knoxville, TN jobs
Health Information Specialist, Health Information Administration
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.
Position Summary:
Compiles and maintains statistics for the department and other areas. Maintains integrity of Master Patient Index. Prepares the monthly birth and death reports for the State of Tennessee. Provides support to staff positions during peak workloads and fills in vacations and holidays. Analyzes/monitors reports. Assists with quality improvement activities and special projects. Maintains microfilm in filing cabinets and storage cage. Assists with training of new employees. Serves as a telephone backup in the department. Serves as a resource person to staff members.
Recruiter: Suzie Mcguinn || *****************
Responsibilities
Compiles and maintains statistics for the department and other areas.
Serves as a support to clerical and analyst positions within the department.
Assists in the training of new employees.
Prepare the monthly birth and mortality reports for the State Department of Vital Records in a timely manner.
Maintains microfilm.
Assists with quality improvement activities and special projects.
Maintains MPI integrity by performing merges, additions, deletions, and revisions.
Enhances professional growth and development through participation in educational programs, current literature, inservices and workshops.
Attends meetings and serves on committees or teams as required.
Performs other related duties as assigned or requested.
Demonstrates ability to meet or exceed departmental quality and quantity standards.
Adheres to hospital and departmental policies and procedures, including those related to safety and infection control.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED.
Minimum Experience:
Two (2) years experience in an acute care Medical Record Department preferred. Detail-oriented, good organization skills, ability to work independently, strong interpersonal skills.
Licensure Requirement:
None
Auto-ApplyHealth Info Spec
Knoxville, TN jobs
Health Information Specialist, Health Information Administration
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.
Position Summary:
Compiles and maintains statistics for the department and other areas. Maintains integrity of Master Patient Index. Prepares the monthly birth and death reports for the State of Tennessee. Provides support to staff positions during peak workloads and fills in vacations and holidays. Analyzes/monitors reports. Assists with quality improvement activities and special projects. Maintains microfilm in filing cabinets and storage cage. Assists with training of new employees. Serves as a telephone backup in the department. Serves as a resource person to staff members.
Suzie McGuinn:
*****************
Responsibilities
Compiles and maintains statistics for the department and other areas.
Serves as a support to clerical and analyst positions within the department.
Assists in the training of new employees.
Prepare the monthly birth and mortality reports for the State Department of Vital Records in a timely manner.
Maintains microfilm.
Assists with quality improvement activities and special projects.
Maintains MPI integrity by performing merges, additions, deletions, and revisions.
Enhances professional growth and development through participation in educational programs, current literature, inservices and workshops.
Attends meetings and serves on committees or teams as required.
Performs other related duties as assigned or requested.
Demonstrates ability to meet or exceed departmental quality and quantity standards.
Adheres to hospital and departmental policies and procedures, including those related to safety and infection control.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED.
Minimum Experience:
Two (2) years experience in an acute care Medical Record Department preferred. Detail-oriented, good organization skills, ability to work independently, strong interpersonal skills.
Licensure Requirement:
None
Auto-ApplyLOP Specialty Certified Coder
Nashville, TN jobs
JOB TITLE: LOP Specialty/ Certified Coder - (Hybrid Role) This is a hybrid position based at our corporate office in Brentwood, TN, with on-site work required Monday through Wednesday. GENERAL SUMMARY OF DUTIES: Reviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner.
SUPERVISION RECEIVED: Billing & Coding Supervisor
EDUCATION/EXPERIENCE:
1. Certified Professional Coding Certificate.
2. Associate's degree preferred or 5 years medical coding experience.
3. Must have functional knowledge of medical terminology, anatomy, and physiology.
4. Prior experience coding with ICD-10-CM.
KNOWLEDGE:
1. Knowledge of clinic policies and procedures.
2. Knowledge of computer systems, programs, and spreadsheet applications.
3. Knowledge of medical terminology.
4. Knowledge of collection practices.
5. Knowledge of governmental, legal, and regulatory provisions related to collection activity.
ESSENTIAL FUNCTIONS:
1. Analyzes accurately outpatient charts, records all deficiencies, and assigns appropriate responsibility for completion.
2. Develops a system for and performs regular quality control reviews for accuracy.
3. Tracks problems, related to record completion, and reports these to the Supervisor.
4. Assures that records are available when requested. Controls record completion for medical staff.
5. Assures coding is completed on all patients within two working days of discharge, and that it is consistent with ICD-9-CM and CPT-4 coding procedures as applicable.
6. Completes data entry, claim, and report generation.
7. Demonstrates a functional knowledge of all departmental operations and relates them to the company's overall objectives.
8. Communicates with the Billing & Coding Supervisor and peers regarding input into more effective and efficient departmental operations and explores, suggests, and pursues professional enhancement opportunities for self.
9. Maintains a professional work atmosphere by interacting and communicating in a positive manner with customers, patients, families, payors, physicians, and their office personnel, co-workers, and supervisors.
10. Performs other related duties as required necessary for this position, or as may be required to meet emergency situations.
11. Assures CPC certification is current.
12. Stays abreast of any changes in guidelines.
13. All other duties as assigned.
SKILLS:
1. Skills in gathering and reporting claim information.
2. Skills in solving utilization problems.
3. Skills in written and verbal communication, as well as customer relations.
4. Skills in working with Windows based software systems.
PERFORMANCE EXPECTATIONS:
1. Ability to code medical records with ICD-10-CM.
2. Well developed organizational and communication skills (both written and verbal).
3. Highly professional, confident, conscientious, and cooperative attitude.
4. Must be able to recognize and apply priorities, as well as exhibit attention to detail.
5. Excellent communication skills with various internal and external entities.
PHYSICAL/MENTAL DEMANDS: Requires sitting and standing associated with a
normal office environment.
ENVIRONMENTAL/WORKING CONDITIONS: Normal, busy office environment with much telephone work and occasional evening or weekend work. This description is intended to provide only basic guidelines for meeting job
requirements. Responsibilities, knowledge, skills, abilities, and working conditions may
change as needs evolve
Benefits:
* Comprehensive health, dental, and vision insurance
* Health Savings Account with an employer contribution
* Life Insurance
* PTO
* 401(k) retirement plan with a company match
* And more!
ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
* If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.
* No Recruiters Please
Health Information Management -HIM - Coder - Inpatient -REMOTE
Rome, NY jobs
Health Information Management - HIM - Coder - Inpatient
The Inpatient Coder is responsible for coding discharged inpatient encounters. May work in collaboration with Clinical Documentation Improvement nurses. Utilizes Clintegrity encoder for DRG assignment. Submits coding queries as necessary for appropriate provider clarification. Maintains coding knowledge and certifications. Maintains working knowledge of Medicare rules and regulations.
Understands importance coding plays in the revenue cycle process
Meets or exceeds coding productivity and quality standards
Assists with DRG appeals as necessary
Assists Coding Manager with identifying problems or trends that need immediate attention
Adheres to all department and hospital policies and procedures
High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC) required.
KNOWLEDGE AND SKILLS REQUIRED:
Must possess critical thinking and analytical skills. Knowledgeable in medical terminology, anatomy and physiology, ICD-10 and PCS coding guidelines, CPT, HCPCS, and basic coding principles according to whether assigned to inpatient or outpatient duties.
About Rome Health
Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College.
The best care out there. Here.
Health Information Management (HIM) Coder - Outpatient - PER DIEM
Rome, NY jobs
Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO.
•Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred
•Experience with Clintegrity, Paragon, One Content helpful
•Fully remote after training
Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required.
Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems.
Excellent oral and written communication skills. Must have a positive, respectful attitude.
About Rome Health
Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
Health Information Management - HIM - Coder - Inpatient - REMOTE
Rome, NY jobs
Job Description
Health Information Management - HIM - Coder - Inpatient
The Inpatient Coder is responsible for coding discharged inpatient encounters. May work in collaboration with Clinical Documentation Improvement nurses. Utilizes Clintegrity encoder for DRG assignment. Submits coding queries as necessary for appropriate provider clarification. Maintains coding knowledge and certifications. Maintains working knowledge of Medicare rules and regulations.
•Understands importance coding plays in the revenue cycle process
•Meets or exceeds coding productivity and quality standards
•Assists with DRG appeals as necessary
•Assists Coding Manager with identifying problems or trends that need immediate attention
•Adheres to all department and hospital policies and procedures
High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC) required.
KNOWLEDGE AND SKILLS REQUIRED:
Must possess critical thinking and analytical skills. Knowledgeable in medical terminology, anatomy and physiology, ICD-10 and PCS coding guidelines, CPT, HCPCS, and basic coding principles according to whether assigned to inpatient or outpatient duties.
About Rome Health
Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College.
The best care out there. Here.