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Health Information Coder jobs at Virtua Health - 614 jobs

  • HIM Coder - Remote/Voorhees (Per Diem) CCS Required

    Virtua Memorial Hospital 4.5company rating

    Health information coder job at Virtua Health

    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: Voorhees - 100 Bowman Drive Remote Type: On-Site Employment Type: Employee Employment Classification: Per Diem Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 0 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 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 preferred. Required Education: High School Diploma or GED required. Knowledge of Anatomy & Physiology/ Medical terminology required. Coding education preferred or equivalent in years of experience. 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: $28.63 - $44.54 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.
    $28.6-44.5 hourly Auto-Apply 13d ago
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  • VMG Risk Adjustment Coder - CRC within 6 months! (Remote)

    Virtua 4.5company rating

    Health information coder job at Virtua Health

    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.
    $26.2-40.7 hourly Auto-Apply 9d ago
  • Hospital Outpatient Coder II, FT, Days, - Remote

    Prisma Health 4.6company rating

    Maryville, TN jobs

    Inspire health. Serve with compassion. Be the difference. Codes medical information into the organization billing/abstracting systems for multiple facilities. Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes. Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference. Codes moderate to complex Outpatient Surgery, and Observation records from clinical documentation as well as Emergency department, ancillary and ambulatory clinic records; assigns modifiers as appropriate. Adheres to department standards for productivity and accuracy. Operates under the general supervision of HIM Coding leadership. Reviews work queues daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on on-hold accounts daily for final coding. Responds to and follows up on priority accounts daily and any accounts assigned by Patient Financial services or Coding leader(s) for final coding.Communicates with leader when trending requests volumes impact productivity. Queries physician or clinical area following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy. Applies ICD and CPT codes to the Emergency department, outpatient ambulatory clinic records and ancillary service records based on review of clinical documentation and according to Official coding guidelines; assigns modifiers. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Certification Program, Associate degree or coding certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other approved coding certification program. Experience - Two (2) years of coding experience in an acute care or ambulatory setting. Outpatient coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CCP-H), or Certified Outpatient Coder (COC). Knowledge, Skills and Abilities Demonstrates proficiency in utilizing official coding books as well as the electronic medical record and computer assisted coding/encoding software to facilitate code assignment. Demonstrates continuous learning as evidenced by personally developed reference materials, online publications etc., to stay abreast of new and revised guidelines, practices and terminology, for reference and application. Participates in on site, remote and/or external training workshops and training. Ability to pass internal coding test. Knowledge of electronic medical records and 3M or other Encoder System. Ability to concentrate for extended periods of time; ability to solve problems with close attention to detail and to work and make decisions independently. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Demonstrated competence in coding and correct extrapolation of official coding and select billing guidelines to specific coding situations. Basic computer skills Work Shift Day (United States of America) Location Blount Memorial Hospital Facility 7001 Corporate Department 70017512 HIM-Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
    $31k-39k yearly est. 3d ago
  • HIM Coder - Professional

    Southern Ohio Medical Center 4.7company rating

    Portsmouth, OH jobs

    Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process." Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk), Remote Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned. QUALIFICATIONS Education: * High School Diploma or successful completion of an equivalent High School Exam Required * Successful completion of the HIM Coder - Professional/HCC competency exam within 6 months of hire required * Successful completion of medical terminology course required * Successful completion of an anatomy and physiology course preferred * Successful completion of a formal coding training program preferred Licensure: * Professional Coder certification (CPC, CCS-P, RHIA or RHIT) through AHIMA or AAPC by May 3, 2026 -or- within 1 year of hire required Experience: * Two years of coding and charging experience required, -or- successful completion of an accredited coding course. * HCC/Risk Adjusted Coding experience preferred JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. 1. Confirms, verifies and adds charges as necessary for reimbursable high dollar supplies and ensures that documentation supports the charges captured on professional claims. 2. Determines sequence of diagnoses according to set guidelines for professional coding, including HCC coding guidelines and determines E/M level based on published criteria, accuracy of CPT procedure codes and other services provided in the professional office. 3. Understands the human anatomy, physiology, pharmacology and medical terminology to assure coding and charging accuracy on professional claims. 4. Assigns and abstracts codes from outpatient orders and electronic records to HDM after confirming the validity of the code in the code finder as well as reviewing confirmed test results for the most accurate code assignment. 5. Assists with denial management of professional denial that are coding or charging related. 6. Maintains productivity and quality standards as set per work type comparable to national averages and benchmarks. 7. Maintains a passing score on the annual HIM 'professional' coding competency test at 80% or higher that includes HCC coding rules and guidelines. 8. Assists in Meditech ambulatory registrations. 9. Performs other duties as assigned. Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.
    $51k-63k yearly est. 60d+ ago
  • Remote Coder Certified - HIM Outpatient

    Kettering Medical Center Network 3.5company rating

    Miamisburg, OH jobs

    Job Details System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements JOB SUMMARY• Responsible for coding and abstracting all outpatient patient records using ICD-10 and CPT/HCPCS codingrules, federal guideline and KHN guidelines. Supports hospital's accounts receivable goals through timelyprocessing of records and physician record completion activities.• Impacts delivery of quality patient care and enhanced clinical decision making process.• Supports clinical outcomes measurement and assessment process for service lines.• Completes assigned duties and other related tasks.• The list is not inclusive, duties may be modified to fulfill departmental needs or goals. JOB REQUIREMENTSMinimum EducationAssociate degree or higher in Health Information Management - Preferred Required Licenses[Ohio, United States] Coder, Health InformationRHIT or RHIA certification and/or CCS certification.Member of AHIMA - preferred RHIT/RHIA eligible will also be considered with coding/abstracting experience preferred (must sit for the examat first available offering after completion of RHIT/RHIT program including passing their certification examwithin one year of the first attempt.) Minimum Work ExperienceTwo years of experience coding in acute outpatient hospital setting Required Skills• Proficient in data entry using Microsoft Office Suite products.• Proficient user of 3M CRS and CAC.• Ability to navigate Epic EMR.• Strong written and verbal communication.• Application of medical terminology successfully translated to codeable language.• Strength in anatomy and physiology associated with disease process.• Knowledge of regulatory and governing body coding and billing guidelines. ORGANIZATIONAL EXPECTATIONSNew Hire/Annual Competencies• Accurate code assignment both ICD-10 CM and CPT.• Accurate abstracting for all required fields.• Meets productivity expectations.• Meets performance in quality assurance with acceptable score.• Accurately processes payer edits to promote clean claims for billing. Preferred Qualifications * Certified Coding Specialist (CCS) credential Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
    $54k-67k yearly est. Auto-Apply 38d ago
  • Remote IP Coder Certified - HIM Inpatient Coding - Remote

    Kettering Medical Center Network 3.5company rating

    Miamisburg, OH jobs

    Job Details System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements Responsibilities: * Strong written and verbal communication skills. * Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes. * Knowledge and experience with 3M and Epic clinical data system preferred. * Consistently follow coding guidelines and uses coding references to accurately select the appropriate principal diagnosis and procedure as well as secondary diagnoses and procedures. * Evaluates the quality of documentation of all accounts to identify incomplete or inconsistent documentation which affects coding, abstracting and charging and handles appropriately. * Identifies and monitors charging errors to reduce loss of revenue and any other issues regarding correct coding and reimbursement. * Coordinates and performs activities associated with processing and correcting rejected accounts. * Demonstrates knowledge of and adherence to department coding policies and compliance plan. * Maintains certification and demonstrates up-to-date job knowledge. Requirements: * Associate or Bachelors' degree in Health Information Management with RHIT or RHIA certification and/or CCS certification. * RHIT/RHIA eligible will also be considered with coding/abstracting experience preferred (must sit for the exam at first available offering after completion of RHIT/RHIT program including passing their certification exam within one year of the first attempt.One to two years coding/abstracting experience in an acute care hospital with RHIT or RHIA certification or three to five years coding/abstracting experience in an acute care hospital with CCS certification.[Ohio, United States] OtherRHIT, RHIA, CCS Hours/Shifts: Full Time: Monday- Friday, 8:00 a.m.-5:00 p.m. Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
    $54k-67k yearly est. Auto-Apply 38d ago
  • HIM Cert Coder/Quality Review Analyst- REMOTE/ 1K Sign on Bonus

    Carle Health 4.8company rating

    Champaign, IL jobs

    This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and response to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates in the onboarding process of new coders, which may require intensive audits and reviews until the coder is fully trained and released. Qualifications Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Professional Coder - Payer (CPC-P) - American Academy of Professional Coders (AAPC); Certified Professional Coder - Hospital (CPCH) - American Academy of Professional Coders (AAPC), Education: Highschool diploma or G.E.D Work Experience: Coding Responsibilities Perform accurate and timely quality reviews of internal and vendor coding team members using appropriate code sets and coding guidelines.Develop and perform timely coding education to internal and vendor coding team members on coding systems, coding standards, protocols and Carle coding workflow as required based on quality review outcomes.Perform as a production coder when needed in a manner aligned with current coding productivity and quality standards Shares results of quality reviews to HIM Leadership with recommendations for education and training Works with HIM leadership to determine frequency and scope of coding quality reviews for specific coders and vendors Compile and track statistics related to the review function, completed quality reviews, and follow up from those reviews Identifies coder training needs, system issues, and/or documentation issues and reports them timely to HIM leadership Review and respond to coding denials and coding questions as requested or assigned and performs clinical validation of appeal letters as needed. Assists in editing appeal letters ensuring clinical documentation support and regulatory guidelines are considered.Participates in system and new application testing as needed Review and resolve coding-based denials using EPIC WQs or other software. Provide denial trending data to leadership as requested Works with Manager to analyze denied claims and identify trends for education.Serves as subject matter expert (SME) for coding denials providing guidance and education to coding staff, physicians and other hospital departments.Provides regular reports to management on denial trends, appeal outcomes and overall performance metrics.Identifies work types to be reviewed based on the coding scope and new coder onboarding needs of the HIM department Develops and performs HIM coding team member group education on coding topics identified during quality reviews and denial reviews Assist the HIM coding management in assuring all coding performed by HIM or HIM vendors meets department standards About Us **Find it here.** Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. _We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************._ Compensation and Benefits The compensation range for this position is $24.28per hour - $40.55per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
    $24.3-40.6 hourly Easy Apply 60d+ ago
  • HIM Cert Coder/Quality Review Analyst- REMOTE/ 1K Sign on Bonus

    Carle Foundation Hospital 4.8company rating

    Champaign, IL jobs

    This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and response to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates in the onboarding process of new coders, which may require intensive audits and reviews until the coder is fully trained and released. Qualifications Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Professional Coder - Payer (CPC-P) - American Academy of Professional Coders (AAPC); Certified Professional Coder - Hospital (CPCH) - American Academy of Professional Coders (AAPC), Education: Highschool diploma or G.E.D Work Experience: Coding Responsibilities Perform accurate and timely quality reviews of internal and vendor coding team members using appropriate code sets and coding guidelines.Develop and perform timely coding education to internal and vendor coding team members on coding systems, coding standards, protocols and Carle coding workflow as required based on quality review outcomes.Perform as a production coder when needed in a manner aligned with current coding productivity and quality standards Shares results of quality reviews to HIM Leadership with recommendations for education and training Works with HIM leadership to determine frequency and scope of coding quality reviews for specific coders and vendors Compile and track statistics related to the review function, completed quality reviews, and follow up from those reviews Identifies coder training needs, system issues, and/or documentation issues and reports them timely to HIM leadership Review and respond to coding denials and coding questions as requested or assigned and performs clinical validation of appeal letters as needed. Assists in editing appeal letters ensuring clinical documentation support and regulatory guidelines are considered.Participates in system and new application testing as needed Review and resolve coding-based denials using EPIC WQs or other software. Provide denial trending data to leadership as requested Works with Manager to analyze denied claims and identify trends for education.Serves as subject matter expert (SME) for coding denials providing guidance and education to coding staff, physicians and other hospital departments.Provides regular reports to management on denial trends, appeal outcomes and overall performance metrics.Identifies work types to be reviewed based on the coding scope and new coder onboarding needs of the HIM department Develops and performs HIM coding team member group education on coding topics identified during quality reviews and denial reviews Assist the HIM coding management in assuring all coding performed by HIM or HIM vendors meets department standards About Us Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************. Compensation and Benefits The compensation range for this position is $24.28per hour - $40.55per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
    $24.3-40.6 hourly Auto-Apply 13d ago
  • HIM Cert OP Coder-Experience with ER, Same Day or Radiology coding- REMOTE

    Carle Health 4.8company rating

    Champaign, IL jobs

    The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Education: High School Diploma or G.E.D Certifications: Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Work Experience: Knowledge of ICD10, CPT and HCPCs coding rules as applicable to the position. Ability to work with others collaboratively, both orally and in writing. Knowledge of medical science, anatomy and physiology required. Ability to perform computer data entry. Experience with encoders and other coding software preferred **.** Responsibilities Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient. Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. Develops methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.). Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties. Serve as liaison for coding and billing staff to ensure accurate charge capture. Reports any documentation and coding improvement needs based upon review findings. Responsible for maintaining coding certification, knowledge and skills to successfully perform job duties Performs provider and peer coding audits as requested Assist with monitoring of internal controls for coding and billing. Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel. About Us **Find it here.** Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. _We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************._ Compensation and Benefits The compensation range for this position is $23.58per hour - $39.38per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
    $23.6-39.4 hourly Easy Apply 21d ago
  • Physician Coder II Behavioral Health

    Advocate Health and Hospitals Corporation 4.6company rating

    Virginia jobs

    Department: 13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical and Complex Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Remote Position. This position will perform coding for NC/GA Division. Pay Range $26.55 - $39.85 Major Responsibilities: Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software. Adheres to the organization and departmental guidelines, policies and protocols. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes. Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer. Meets then exceeds departmental quality and productivity standards. Recommend modifications to current policies and procedures as needed to coincide with government regulations. Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable Licensure, Registration, and/or Certification Required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA) Education Required: Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge) Experience Required: Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows. Knowledge, Skills & Abilities Required: Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. Intermediate computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications. Advanced communication (oral and written) and interpersonal skills. Advanced organization, prioritization, and reading comprehension skills. Advanced analytical skills, with a high attention to detail. Ability to work independently and exercise independent judgment and decision making. Ability to meet deadlines while working in a fast-paced environment. Ability to take initiative and work collaboratively with others. Physical Requirements and Working Conditions: Exposed to a normal office environment. Must be able to sit for extended periods of time. Must be able to continuously concentrate. Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #Remote #Li-Remote Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $26.6-39.9 hourly Auto-Apply 30d ago
  • HIM Coder - OP

    Atlantic Health System 4.1company rating

    Remote

    Codes patient records capturing all diagnosis and procedures to accurately reflect the patient's encounter. Assignments are either Inpatient; Emergency room or Observation records (which includes charging; outpatient cardiac catheterizations, surgical, or minor procedure records. ER productivity average = 60-65/day Observation productivity average= 21/day Surgical and Cardiac Cath productivity average = 30/day Minor procedure productivity average = 50-60/ day Charges the ER admission cases via the Charge Capture ER WQ. Avg production = 85/day Monitors the Coding Priority DAILY and ER Charge Capture Priority WQs throughout the day as to clear cases each day. Utilizes the Interact Query process for any provider clarifications needed. Meets 95% or greater in all coding and charging accuracy. No case shall remain on these WQs for >3 days. Required: High School Diploma or equivalent. AHIMA coding certification, CPC, CCS or CCA Minimum 1 year of coding experience in an acute care setting or relevant. Proficiency in medical terminology, anatomy/physiology, disease processes. Proficiency in CPT4, E/M, ICD-10 coding. Preferred: Prior admin or assistant experience. #LI-AW1
    $46k-56k yearly est. Auto-Apply 13d ago
  • Health Information Management Inpatient Coder, FT, Days, - Remote

    Prisma Health-Midlands 4.6company rating

    Columbia, SC jobs

    Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership. Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding. Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred. In Lieu Of In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered. Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. Knowledge of electronic medical records and 3M or Encoder System. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Knowledge of MS DRG prospective payment system and severity systems. Ability to concentrate for extended periods of time. Ability to work and make decisions independently. Work Shift Day (United States of America) Location 5 Medical Park Rd Richland Facility 7001 Corporate Department 70017512 HIM-Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
    $30k-40k yearly est. Auto-Apply 60d+ ago
  • Health Information Management (HIM) Coder - Outpatient - PER DIEM

    Rome Health 4.4company rating

    Rome, NY jobs

    Job Description 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.
    $40k-52k yearly est. 7d ago
  • Health Plan Request Bench Release of Information Specialist II - Remote

    Verisma Systems Inc. 3.9company rating

    Remote

    Health Plan Request Bench Release of Information Specialist II The Health Plan Request (HPR) Bench Release of Information Specialist (ROIS) II processes release of information (ROI) requests related to health plan audits with accuracy, efficiency, and compliance across multiple client accounts. This role requires a high level of proficiency in various electronic medical record (EMR) systems, adherence to HIPAA regulations and uphold strict confidentiality standards. The HPR Bench ROIS III independently prioritizes tasks, troubleshoots requests, and collaborates effectively with internal teams while adapting to evolving workflows and compliance requirements, as well as ensuring they can fulfill all client-specific onboarding and access requirements. Duties & Responsibilities: Process medical ROI requests related to health plan audits quickly and accurately, ensuring compliance with HIPAA and client requirements Utilize Verisma software applications to input, manage, and track medical records Organize and retrieve records within multiple EMR systems, ensuring all documentation is properly structured and complete Interpret medical records, forms, and authorizations to correspond to specific audit measures Maintain high standards of production, efficiency, and accuracy meeting company standards and performance metrics Prioritize workload effectively and work independently while meeting productivity goals Communicate effectively within the HPR team and in a cross-functional manner, as necessary Attain a solid understanding of client-specific expectations across multiple accounts while ensuring compliance with HIPAA, HITECH, state regulations, and company policies Utilize Verisma's reference materials and compliance guidelines to maintain confidentiality and accuracy in all tasks Assist with training and mentoring new associates, as needed, ensuring knowledge transfer and consistency in processes Attend and actively participate in training sessions, workflow updates and team meetings, as required Maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench Perform other related duties, as assigned, to support the effective operation of the department and the company Live by and promote Verisma Core Values Minimum Qualifications: High school diploma or equivalent required; some college preferred RHIT certification preferred 3+ years of experience in medical records, Release of Information (ROI), or Health Information Management (HIM), with expertise in supporting multiple clients and processing audit requests Knowledge of HIPAA and state regulations related to the release of protected health information Must be able to maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench Clerical or office experience with data entry, document management and proficiency in using general office equipment Proficient in Microsoft Office Suite and multiple EMR systems, with the ability to troubleshoot and adapt to new technologies Strong problem-solving, organizational and time management skills with keen attention to detail Strong ability to work independently while meeting high productivity expectations Ability to effectively multi-task or change projects, as needed Prior remote experience, preferred
    $34k-53k yearly est. 7d ago
  • Behavioral Health Coder

    Bestcare Treatment Services 3.5company rating

    Redmond, OR jobs

    Full-time Description JOB SUMMARY: The Behavioral Health Coder serves as an important member of the Billing Team. Primarily responsible for the coding and abstracting of client services. Standardized coding and classification systems, minimum data sets, data definitions and terminology will be utilized to ensure data is uniformly defined, collected, and verified. Ensure all coding and billing guidelines are adhered to for compliance with BestCare policies and practices, and ICD-10-CM and Medicare guidelines. ESSENTIAL FUNCTIONS: Serves as a coding subject-matter expert for the Billing staff to identify and help resolve issues to support quick and accurate billing, Is available as a resource for all BestCare sites on coding requirements and best practices; Maintains coding credentials as required by credentialing agency; Takes initiative to establish priorities, coordinates work activities and performs multiple and complex tasks while working independently and with minimal supervision in a remote setting; Completes special projects as assigned; Other related duties as assigned. ORGANIZATIONAL RESPONSIBILITIES: Performs work in alignment with BestCare's mission, vision, values; Supports the organization's commitment to fostering a culture of inclusivity, open-mindedness, equity, cultural awareness, compassion, and respect for all individuals; Strives to meet annual Program/Department goals and supports the organization's strategic goals; Adheres to the organization's Code of Conduct, Business Ethics, Employee Handbook, and all other policies, procedures, and relevant compliance standards; Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes; Attends and participates in required program/staff meetings (remotely with some in-person), and completes assigned training timely and satisfactorily; Ensures that any required certifications and/or licenses are kept current and renewed timely; Works independently as well as participates as a positive, collaborative team member; Performs other organizational duties as needed. REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period: Proficient in ICD-10 CM codes on patient medical records for medical coding purposes; Proficient with CMS billing rules and associated coding and billing requirements; Understanding of and proficiency in using Epic Software Systems; High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software; Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.), Strong interpersonal and customer service skills; Strong communication skills (oral and written); Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through; Excellent time management skills with a proven ability to meet deadlines; Critical thinking skills Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes; Ability to build and maintain positive relationships; Ability to function well and use good judgment in a high-paced and at times stressful environment; Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively; Ability to work effectively and respectfully in a diverse, multi-cultural environment; Ability to work independently as well as participate as a positive, collaborative team member. Requirements QUALIFICATIONS: EDUCATION AND/OR EXPERIENCE: Associate's degree in related field or combined equivalent in related education and experience Minimum 6 years of experience with Epic software systems Minimum 6 years of experience with revenue cycle billing Minimum 8 years of coding experience preferably Behavioral Health LICENSES AND CERTIFICATIONS: CPC, CRC, CCS Coding certification through AHIMA or AAPC required, or a more advanced certification (RHIT: Registered Health Information Technician, RHIA: Registered Health Information Associate) is required upon start Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization's auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations) Must be currently certified through AAPC or AHIMA PREFERRED: Bilingual in English/Spanish a plus COC Coding certification Salary Description $32.50-$42.64
    $47k-54k yearly est. 60d+ ago
  • Health Information Coder Inpatient

    Hunterdon Healthcare 3.4company rating

    Flemington, NJ jobs

    Position#Summary Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff. Primary Position Responsibilities Codes and abstracts inpatient/outpatient records using ICD-10 Queries medical/clinical staff for clarification of documentation Uses 3M360 computer assisted coding program for coding and tracking queries Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded) Maintains current CCS certification and/ or RHIT Qualifications Minimum Education: Required: High School Diploma or Equivalent Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: Associate#s Degree Minimum Years of Experience (Amount, Type and Variation): Required: Minimum 2-3 years coding experience Preferred: Minimum 2-3 years of hospital coding experience License, Registry or Certification: Required: Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: None Knowledge, Skills and/or Abilities: Required: Proficient in ICD-9 and ICD-10, DRG Assignment, CPT-4 coding. Excellent verbal/written communication skills. Preferred: Previous use of 3M Assisted Coding System. # Hunterdon Health is committed to providing a competitive benefit package to our employees.# Benefit#offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings. # The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant#s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty). Position Summary * Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff. Primary Position Responsibilities * Codes and abstracts inpatient/outpatient records using ICD-10 * Queries medical/clinical staff for clarification of documentation * Uses 3M360 computer assisted coding program for coding and tracking queries * Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded) * Maintains current CCS certification and/ or RHIT Qualifications * Minimum Education: * Required: * High School Diploma or Equivalent * Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) * Preferred: * Associate's Degree * Minimum Years of Experience (Amount, Type and Variation): * Required: * Minimum 2-3 years coding experience * Preferred: * Minimum 2-3 years of hospital coding experience * License, Registry or Certification: * Required: * Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) * Preferred: * None * Knowledge, Skills and/or Abilities: * Required: * Proficient in ICD-9 and ICD-10, DRG Assignment, CPT-4 coding. * Excellent verbal/written communication skills. * Preferred: * Previous use of 3M Assisted Coding System. Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings. The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant's hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).
    $52k-74k yearly est. 40d ago
  • HIM Coder - OP

    Atlantic Health System 4.1company rating

    Hackettstown, NJ jobs

    Codes patient records capturing all diagnosis and procedures to accurately reflect the patient's encounter. Assignments are either Inpatient; Emergency room or Observation records (which includes charging; outpatient cardiac catheterizations, surgical, or minor procedure records. ER productivity average = 60-65/day Observation productivity average= 21/day Surgical and Cardiac Cath productivity average = 30/day Minor procedure productivity average = 50-60/ day Charges the ER admission cases via the Charge Capture ER WQ. Avg production = 85/day Monitors the Coding Priority DAILY and ER Charge Capture Priority WQs throughout the day as to clear cases each day. Utilizes the Interact Query process for any provider clarifications needed. Meets 95% or greater in all coding and charging accuracy. No case shall remain on these WQs for >3 days. Required: High School Diploma or equivalent. AHIMA coding certification, CPC, CCS or CCA Minimum 1 year of coding experience in an acute care setting or relevant. Proficiency in medical terminology, anatomy/physiology, disease processes. Proficiency in CPT4, E/M, ICD-10 coding. Preferred: Prior admin or assistant experience. #LI-AW1
    $47k-59k yearly est. Auto-Apply 13d ago
  • Onsite Release of Information Specialist - Johnstown, PA

    Verisma Systems Inc. 3.9company rating

    Johnstown, PA jobs

    The Release of Information Specialist (ROIS) initiates the medical record release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based out of a Verisma client site, in Johnstown, PA. The primary supervisor is Manager of Operations, Release of Information. Duties & Responsibilities: Process medical ROI requests in a timely and efficient manner Process requests utilizing Verisma software applications Support the resolution of HIPAA-related release issues Organize records and documents to complete the ROI process Read and interpret medical records, forms, and authorizations Provide exemplary customer service in person, on the phone and via email, depending on location requirements Interact with customers and co-workers in a professional and friendly manner Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained Attend training sessions, as required Live by and promote Verisma company values Perform other related duties, as assigned, to ensure effective operation of the department and the Company Minimum Qualifications: HS Diploma or equivalent, some college preferred 2+ years of medical record experience 2+ years of experience completing clerical or office work Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks Experience in a healthcare setting, preferred Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred Must be able to work independently Must be detail oriented
    $35k-55k yearly est. 7d ago
  • Release of Information Specialist II

    Verisma Systems Inc. 3.9company rating

    Pittsburgh, PA jobs

    Release of Information Specialist II (ROIS II) The Release of Information Specialist II (ROIS II) initiates the medical record release process by inputting data into Verisma Software. The ROIS II works quickly and carefully to ensure documentation is processed accurately and efficiently. This position could be based out of a Verisma facility, at a client site, or in some instances may be done remotely. The primary supervisor is Manager of Operations, Release of Information. Duties & Responsibilities: Process medical ROI requests in a timely and efficient manner Process requests utilizing Verisma software applications Support the resolution of HIPAA-related release issues Organize records and documents to complete the ROI process Read and interpret medical records, forms, and authorizations Provide exemplary customer service in person, on the phone and via email, depending on location requirements Interact with customers and co-workers in a professional and friendly manner Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained Attend training sessions, as required Live by and promote Verisma company values Perform other related duties, as assigned, to ensure effective operation of the department and the Company Minimum Qualifications: HS Diploma or equivalent, some college preferred RHIT certification, preferred 2+ years of medical record experience 2+ years of experience completing clerical or office work Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks Experience in a healthcare setting, preferred Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred Must be able to work independently Must be detail oriented
    $34k-54k yearly est. 1d ago
  • Onsite Release of Information Specialist - Clyde, NC

    Verisma Systems Inc. 3.9company rating

    Clyde, NC jobs

    The Release of Information Specialist (ROIS) initiates the medical record release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based out of a Verisma client site, in Clyde, NC. The primary supervisor is Manager of Operations, Release of Information. Duties & Responsibilities: Process medical ROI requests in a timely and efficient manner Process requests utilizing Verisma software applications Support the resolution of HIPAA-related release issues Organize records and documents to complete the ROI process Read and interpret medical records, forms, and authorizations Provide exemplary customer service in person, on the phone and via email, depending on location requirements Interact with customers and co-workers in a professional and friendly manner Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained Attend training sessions, as required Live by and promote Verisma company values Perform other related duties, as assigned, to ensure effective operation of the department and the Company Minimum Qualifications: HS Diploma or equivalent, some college preferred 2+ years of medical record experience 2+ years of experience completing clerical or office work Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks Experience in a healthcare setting, preferred Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred Must be able to work independently Must be detail oriented
    $29k-44k yearly est. 27d ago

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