Medical Coder jobs at Wellstar Health System - 1168 jobs

Inpatient Coder - Remote
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA). Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility. Coder Productivity: Meets and/or exceeds Conifer's inpatient coding productivity guidelines Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls. DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures Proficient at writing AHIMA compliant physician queries Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines. Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency Works collaboratively with CDI, Quality and other facility leadership Functional knowledge of facility EMR, encoder, CDI tool and other support software Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. One to three years experience performing inpatient coding in acute care setting required High school graduate or equivalent is required Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements. CERTIFICATES, LICENSES, REGISTRATIONS * Required: AHIMA RHIT or RHIA or AAPC CCS approved credential PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to lift 15-20lbs * Ability to sit and work at a computer for a prolonged period of time. Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments if appropriate WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Hospital Work Environment * Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER * Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation Pay: $27.30-$40.95 per hour. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, and life insurance Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. 401k with up to 6% employer match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. **********
$27.3-41 hourly 8d ago

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Specialist, Community Engagement Medicare (must reside in Wisconsin)
Molina Healthcare 4.4
Appleton, WI jobs
**Candidate must reside in Wisconsin. Remote with field travel required in assigned territory. ** Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability, and retention goals, while following ethical sales practices and adhering to established policies and procedures. Works collaboratively with key departments across the enterprise to improve product and brand awareness. Utilizes market research and analysis as well as current products and services to increase customer and community engagement. KNOWLEDGE/SKILLS/ABILITIES Demonstrate ability in business-to-business (B2B) sales and relationship building Develop sales strategies to procure referrals and other self-generated leads to meet sales and event targets through active participation in community events and targeted community outreach to group associations, community centers, senior centers, senior residences, and other potential marketing sites. Generate leads from referrals and local-tactical research and prospecting. Schedule individual meetings and group presentations from assigned/self-generated leads. Achieve/Exceed monthly enrollment or presentation/event targets. Conduct presentations/events with potential customers, caregivers and/or decision makers on behalf of the beneficiary. Customize sales presentations and develop sales skills to increase effectiveness in establishing rapport, assessing individual needs, and communicating product features and differences. Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment guidelines. Assist the prospect in completion of the enrollment application. Forward completed applications to appropriate administrative contact within 48 hours of sale. Ensure Medicare beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their enrollment application, timing of ID card receipt, etc.) and the service contacts and process. Track all marketing and sales activities, as well as update and maintain sales prospects, leads, and events daily, weekly, and monthly results in SalesForce.com or other tracking systems. Work closely with local health plan leadership and department, as well as Regional Sales Directors to identify and educate potential members, participate in provider promotional activities, and cultivate community partnerships Bachelor's Degree or equivalent work experience High School Diploma/GED/AA Degree REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: 2+ years Medicare, Medicaid, managed care or other health/insurance related sales experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCorp #HTF Pay Range: $41,264 - $80,464.96 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$41.3k-80.5k yearly 2d ago
HOSPITAL INPATIENT CODER SR
Moffitt Cancer Center 4.9
Tampa, FL jobs
The Hospital Inpatient Coder Senior will be expected to apply extensive knowledge in assigning ICD-10- CM diagnosis and ICD-10-PCS procedure codes and Medicare Severity-Diagnosis Related Groupers (MS-DRG) for complex hospital inpatient services. Applies clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation included in an inpatient record. Abstracts data in compliance with national and regional policies. Clarifies physician documentation by utilizing a facility-established query process. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM/ICD-10-PCS Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable. The Hospital Inpatient Coder Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership. Responsibilities: Coding Encounter Key Performance Indicator Requirements Constraints of systems Query Knowledge Team Support Special Projects Perform other duties as assigned Credentials and Experience: High School Diploma/GED Five (5) years in hospital inpatient coding experience with ICD-10 diagnosis, procedure codes and MSDRG. Any (one) of the following certifications is required: CCS) Certified Coding Specialist (CPC) Certified Professional Coder (COC) Certified Outpatient Coding (CCS-P) Certified Coding Specialist - Physician (RHIT) Registered Health Information Technician (RHIA) Registered Health Information Administrator (CIC) Certified Inpatient Coder *Any certification not listed above, but issued from a Governing Body listed below, will be considered by the business AHIMA ************* or AAPC ************ Minimum Skills/Specialized Training Required Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties. Experience in coding hospital inpatient electronic medical records. Excellent communication and interpersonal skills. Experience with automated patient care and coding systems. Competence with MS Office software Extensive knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and ICD-10-PCS coding guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS"). Preferred Experience Preferred qualifications include: • Experience with coding oncology-related services.
$56k-69k yearly est. 1d ago
Specialist, Community Engagement Medicare (must reside in Wisconsin)
Molina Healthcare 4.4
Green Bay, WI jobs
**Candidate must reside in Wisconsin. Remote with field travel required in assigned territory. ** Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability, and retention goals, while following ethical sales practices and adhering to established policies and procedures. Works collaboratively with key departments across the enterprise to improve product and brand awareness. Utilizes market research and analysis as well as current products and services to increase customer and community engagement. KNOWLEDGE/SKILLS/ABILITIES Demonstrate ability in business-to-business (B2B) sales and relationship building Develop sales strategies to procure referrals and other self-generated leads to meet sales and event targets through active participation in community events and targeted community outreach to group associations, community centers, senior centers, senior residences, and other potential marketing sites. Generate leads from referrals and local-tactical research and prospecting. Schedule individual meetings and group presentations from assigned/self-generated leads. Achieve/Exceed monthly enrollment or presentation/event targets. Conduct presentations/events with potential customers, caregivers and/or decision makers on behalf of the beneficiary. Customize sales presentations and develop sales skills to increase effectiveness in establishing rapport, assessing individual needs, and communicating product features and differences. Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment guidelines. Assist the prospect in completion of the enrollment application. Forward completed applications to appropriate administrative contact within 48 hours of sale. Ensure Medicare beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their enrollment application, timing of ID card receipt, etc.) and the service contacts and process. Track all marketing and sales activities, as well as update and maintain sales prospects, leads, and events daily, weekly, and monthly results in SalesForce.com or other tracking systems. Work closely with local health plan leadership and department, as well as Regional Sales Directors to identify and educate potential members, participate in provider promotional activities, and cultivate community partnerships Bachelor's Degree or equivalent work experience High School Diploma/GED/AA Degree REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: 2+ years Medicare, Medicaid, managed care or other health/insurance related sales experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCorp #HTF Pay Range: $41,264 - $80,464.96 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$41.3k-80.5k yearly 2d ago
Coder II - Outpatient - Coding & Reimbursement
Lakeland Regional Health-Florida 4.5
Lakeland, FL jobs
Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Flexible Hours and/or Flexible Schedule Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $19.37 Mid $24.22 Position Summary Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work Duties: Coder II - Outpatient Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment. Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement. Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers. Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines. Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames. Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities. Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Competencies & Skills Essential: Computer Experience, especially with computerized encoder products and computer-assisted coding applications. Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision. Knowledge of anatomy and physiology, pharmacology, and medical terminology. Qualifications & Experience Essential: High School or Equivalent Nonessential: Associate Degree Essential: High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college. Other information: Certifications Essential: CCS Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience Essential: 2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.
$43k-53k yearly est. 3d ago
Specialist, Community Engagement Medicare (must reside in Wisconsin)
Molina Healthcare 4.4
Oshkosh, WI jobs
**Candidate must reside in Wisconsin. Remote with field travel required in assigned territory. ** Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability, and retention goals, while following ethical sales practices and adhering to established policies and procedures. Works collaboratively with key departments across the enterprise to improve product and brand awareness. Utilizes market research and analysis as well as current products and services to increase customer and community engagement. KNOWLEDGE/SKILLS/ABILITIES Demonstrate ability in business-to-business (B2B) sales and relationship building Develop sales strategies to procure referrals and other self-generated leads to meet sales and event targets through active participation in community events and targeted community outreach to group associations, community centers, senior centers, senior residences, and other potential marketing sites. Generate leads from referrals and local-tactical research and prospecting. Schedule individual meetings and group presentations from assigned/self-generated leads. Achieve/Exceed monthly enrollment or presentation/event targets. Conduct presentations/events with potential customers, caregivers and/or decision makers on behalf of the beneficiary. Customize sales presentations and develop sales skills to increase effectiveness in establishing rapport, assessing individual needs, and communicating product features and differences. Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment guidelines. Assist the prospect in completion of the enrollment application. Forward completed applications to appropriate administrative contact within 48 hours of sale. Ensure Medicare beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their enrollment application, timing of ID card receipt, etc.) and the service contacts and process. Track all marketing and sales activities, as well as update and maintain sales prospects, leads, and events daily, weekly, and monthly results in SalesForce.com or other tracking systems. Work closely with local health plan leadership and department, as well as Regional Sales Directors to identify and educate potential members, participate in provider promotional activities, and cultivate community partnerships Bachelor's Degree or equivalent work experience High School Diploma/GED/AA Degree REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: 2+ years Medicare, Medicaid, managed care or other health/insurance related sales experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCorp #HTF Pay Range: $41,264 - $80,464.96 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$41.3k-80.5k yearly 2d ago
Surgical Recovery Coordinator - Knoxville
DCI Donor Services 3.6
Knoxville, TN jobs
DCI Donor Services Tennessee Donor Services (TDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on our team that will embrace this important work!! Tennessee Donor Services is seeking a Preservation Coordinator in Knoxville to save and enhance lives through the surgical removal, preservation, packaging, and distribution of organs. COMPANY OVERVIEW AND MISSION For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobili We are committed to diversity, equity, and inclusion. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. Key responsibilities this position will perform include: Assumes primary responsibility for the renal preservation process including pumping and pump transport, in accordance with policies and standards. Performs extensive on-call responsibilities to assist with the activities related to the donor recovery. Coordinates and assists in the surgical recovery, preservation, and packaging of organs and specimens in conjunction with transplant surgeons and/or organ recovery coordinators in accordance with policies and standards. Coordinates and assists with fly outs and fly backs. Coordinates and assists with organ allocation, including kidney and liver placement, distribution, and transportation of organs for transplantation and/or research in accordance with policies and standards. The ideal candidate will have: High school diploma or equivalent. Bachelor's degree in a related field preferred. One to two years OPO or health care experience required, operating room experience preferred. Health-related certification and ISOP Level 1 by completion of the first year. Working knowledge of computers and Microsoft Office applications and basic data entry skills required. We offer a competitive compensation package including: Up to 184 hours of PTO your first year Up to 72 hours of Sick Time your first year Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage 403(b) plan with matching contribution Company provided term life, AD&D, and long-term disability insurance Wellness Program Supplemental insurance benefits such as accident coverage and short-term disability Discounts on home/auto/renter/pet insurance Cell phone discounts through Verizon Meal Per Diems when actively on cases **New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.** You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position. DCIDS is an EOE/AA employer - M/F/Vet/Disability. PI0350dff34043-37***********5
$24k-30k yearly est. 2d ago
Surgical Recovery Coordinator - Nashville
DCI Donor Services 3.6
Nashville, TN jobs
DCI Donor Services Tennessee Donor Services (TDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on our team that will embrace this important work!! Tennessee Donor Services is seeking a Preservation Coordinator in Nashville to save and enhance lives through the surgical removal, preservation, packaging, and distribution of organs. COMPANY OVERVIEW AND MISSION For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobili We are committed to diversity, equity, and inclusion. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. Key responsibilities this position will perform include: Assumes primary responsibility for the renal preservation process including pumping and pump transport, in accordance with policies and standards. Performs extensive on-call responsibilities to assist with the activities related to the donor recovery. Coordinates and assists in the surgical recovery, preservation, and packaging of organs and specimens in conjunction with transplant surgeons and/or organ recovery coordinators in accordance with policies and standards. Coordinates and assists with fly outs and fly backs. Coordinates and assists with organ allocation, including kidney and liver placement, distribution, and transportation of organs for transplantation and/or research in accordance with policies and standards. The ideal candidate will have: High school diploma or equivalent. Bachelor's degree in a related field preferred. One to two years OPO or health care experience required, operating room experience preferred. Health-related certification and ISOP Level 1 by completion of the first year. Working knowledge of computers and Microsoft Office applications and basic data entry skills required. We offer a competitive compensation package including: Up to 184 hours of PTO your first year Up to 72 hours of Sick Time your first year Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage 403(b) plan with matching contribution Company provided term life, AD&D, and long-term disability insurance Wellness Program Supplemental insurance benefits such as accident coverage and short-term disability Discounts on home/auto/renter/pet insurance Cell phone discounts through Verizon Meal Per Diems when actively on cases **New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.** You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position. DCIDS is an EOE/AA employer - M/F/Vet/Disability. PIc5a1b123cdcb-37***********3
$24k-30k yearly est. 2d ago
Clinical Reimbursement Specialist CRS
Laurel Health Care Company Careers 4.7
Westerville, OH jobs
Are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Healthcare as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our Columbus, Ohio and surrounding facilities. If you love teaching and communicating with other nurses, this is a great role for you! The successful applicant will have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations. Benefits: Competitive pay. Medical, dental, and vision insurance. 401K with matching funds. Life Insurance. Employee discounts. Tuition Reimbursement. Student Loan Reimbursement. Responsibilities: Ensure the RAI process is complete and assessments are complete. Audit Completion of MDS, CAA's and care plans within regulated time frames. Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review. Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff. Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Requirements: Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required. Knowledge of regulatory standards and compliance requirements. Registered Nurse RN in the state. 50% travel with some overnight stays possible. Ciena Healthcare: We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way. IND123
$33k-41k yearly est. 1d ago
Reimbursement Specialist - Hospice
Medical Services of America 3.7
Lexington, SC jobs
Hospice Reimbursement Group, a division of Medical Services of America Inc., is currently seeking experienced Full-Time Hospice Reimbursement Specialist for our corporate office in Lexington, SC. MSA offers competitive pay and excellent benefits 40 hours paid time off during the first year of employment Medical, Vision & Dental Insurance Company paid life insurance 401(k) retirement with a generous company match Opportunities for advancement Other great benefits This person will be responsible for submitting and re-billing claims Submits claims for all pay sources and locations as assigned. Tracks reasons for unpaid claims and re-bills claims as necessary. Files electronic and/or written appeal requests in a timely manner. Works with locations to resolve any issues that may affect billing. Job Requirements High School Diploma or General Education Degree (GED) required. Previous hospice reimbursement experience preferred. Previous medical office billing/collection experience preferred. MSA is an Equal Opportunity Employer
$32k-44k yearly est. 5d ago
Medical Coder
Graystone Ophthalmology Associates Pa 3.6
Hickory, NC jobs
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: The Medical Coder is responsible for accurately assigning CPT, ICD-10, and HCPCS codes to patient encounters to ensure proper billing and compliance with regulatory requirements. This role supports revenue cycle efficiency by ensuring claims are coded correctly, reducing denials, and assisting providers with documentation improvement. Other duties may be assigned. FINANCIAL OPERATIONS & REPORTING Review medical documentation for accuracy and completeness. Assign appropriate CPT, ICD-10, and HCPCS codes according to established guidelines. Ensure coding compliance with federal, state, and payer-specific requirements. Collaborate with physicians and clinical staff to clarify diagnoses and procedures when necessary. Work with billing team to resolve coding-related claim rejections or denials. Maintain up-to-date knowledge of coding regulations, payer requirements, and ophthalmology-specific coding changes. Assist with audits and provide feedback to improve documentation and compliance. Support process improvements to strengthen revenue cycle performance.
$59k-71k yearly est. 17d ago
Physician Coder II Behavioral Health
Advocate Health and Hospitals Corporation 4.6
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 37d ago
HIM Coder
Troy Regional Medical Center 3.6
Troy, AL jobs
Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology. Experience with APC Claims, knowledge of HIPAA regulations, and release of information required. Must be proficient in Excel and other documents.
$53k-66k yearly est. Auto-Apply 60d+ ago
Inpatient HIM Coder Analyst III-Remote within the state of Texas
Cook Children's Medical Center 4.4
Fort Worth, TX jobs
Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 40 The HIM Coder Analyst III requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records. Validates the coded data to one or more Diagnosis Related Groupers (DRG) validates the Present on Admission (POA) indicators for accuracy. Primarily codes more complex and difficult inpatient medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Performs extended length of stay coding for interim cycle billing. During inhouse interim coding, reviews for documentation opportunities and queries with CDIS to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Assists with coding outpatient surgery, observation outpatient ancillary clinic, specialty clinic and emergency room record visits as necessary. Minimum expected accuracy rate for all coding & DRG assignments is 95% or above. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists or Quality Auditors on patient cases regarding documentation needs and requirements, and coding and DRG assignment accuracy. Maintains current knowledge of coding, DRG and documentation changes, rules and guidelines. Education & Experience: RHIA, RHIT required, with CCS highly desired, or CCS with two (2) year minimum full-time current and continuous ICD-10-CM/PCS hospital inpatient medical record coding and prospective payment system, experience with DRG assignment. Outpatient observation and ambulatory surgery with CPT-4 coding and abstracting experience preferred. Pediatric coding experience highly desired. Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required. Experience using Microsoft Office Excel and Word highly desired. Ability to work well independently and productively with minimal guidance and without direct supervision. Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills. Ability to maintain confidentiality. Goal oriented, flexible and energetic. Demonstrates superior coding skills, and critical thinking skills. Ability to solve problems appropriately using job knowledge and current policies and procedures. Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% accuracy prior to hire. Certification/Licensure: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. Required to provide current American Health Information Management Association (AHIMA) continuing education certification records. About Us: Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
$50k-61k yearly est. Auto-Apply 60d+ ago
Coding Specialist
Hopehealth Inc. 3.9
Florence, SC jobs
Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: • High School Diploma or GED required. Associate degree preferred. • Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services. • Knowledge of insurance industry and medical terminology/anatomy required. Required Skills / Abilities: • Good oral and written skills. • Detailed oriented with strong organizational skills. • Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. • Demonstrates the ability to work in a high pressure environment • Strong active listening skills, attention to detail, and decision-making skills are required • Pleasant, friendly attitude with the ability to adapt to change is essential • Superior problem- solving abilities is required • Ability to collaborate with all departments • Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. • Possess excellent customer service skills and be well organized. • Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently • Must be comfortable taking direction from Leadership Supervisory Responsibilities: • None Essential Job Functions: These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers. • Review assigned charts for correct ICD10 and CPT coding. • Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. • Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. • Must maintain coding credentials thru AAPC. • Ability to research coding questions in order to remain compliant with third party and regulatory guidelines. • Perform other assigned duties. Position Category: Certified Coding Specialist I • Candidate has no previous medical billing or insurance industry experience • Candidate has no previous coding experience Certified Coding Specialist II • Candidate has less than 5 years of medical billing or insurance industry experience and/or • Candidate has less than 5 years of medical coding experience Certified Coding Specialist III • Candidate has more than 5 years of medical billing or insurance industry experience and/or • Candidate has more than 5 years of medical coding experience Physical Requirements: Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
$36k-44k yearly est. Auto-Apply 44d ago
Coding Specialist
Hopehealth, Inc. 3.9
Florence, SC jobs
Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: * High School Diploma or GED required. Associate degree preferred. * Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services. * Knowledge of insurance industry and medical terminology/anatomy required. Required Skills / Abilities: * Good oral and written skills. * Detailed oriented with strong organizational skills. * Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. * Demonstrates the ability to work in a high pressure environment * Strong active listening skills, attention to detail, and decision-making skills are required * Pleasant, friendly attitude with the ability to adapt to change is essential * Superior problem- solving abilities is required * Ability to collaborate with all departments * Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. * Possess excellent customer service skills and be well organized. * Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently * Must be comfortable taking direction from Leadership Supervisory Responsibilities: * None Essential Job Functions: These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers. * Review assigned charts for correct ICD10 and CPT coding. * Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. * Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. * Must maintain coding credentials thru AAPC. * Ability to research coding questions in order to remain compliant with third party and regulatory guidelines. * Perform other assigned duties. Position Category: Certified Coding Specialist I * Candidate has no previous medical billing or insurance industry experience * Candidate has no previous coding experience Certified Coding Specialist II * Candidate has less than 5 years of medical billing or insurance industry experience and/or * Candidate has less than 5 years of medical coding experience Certified Coding Specialist III * Candidate has more than 5 years of medical billing or insurance industry experience and/or * Candidate has more than 5 years of medical coding experience Physical Requirements: Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
$36k-44k yearly est. 4d ago
Mobile Health AEMT
Global Medical Response 4.6
Topeka, KS jobs
Mobile Health Advanced-EMT (AEMT) Starting at $19.95 / hour with credit given for experience The primary responsibility for the Mobile Health Advanced EMT (AEMT) is the care and management of the clients enrolled in the Mobile Health Program as such will be responsible for assessment, interaction, and treatment of those patients enrolled in the Mobile Health Program, including facilitating continuity of care by interacting with their Physician and alternative healthcare facilities. This role will also be responsible for participating in advanced medical research and treatment modalities as directed by the Medical Director and Clinical Programs Manager and other operational support functions as assigned. This role will assist with continuing education of filed crews as well as education and training of future Mobile Health Practitioners. Additional duties include leadership roles and mentoring as assigned. Responsibilities: * Must be able to function as a field Advanced EMT performing direct ALS care activities. * Team oriented and able to communicate and work effectively and efficiently with others. * Function in non-traditional settings and provide non-emergency care with a long-term focus. * Participates in data collection and research in conjunction with the medical director. * Communicate with multiple agencies to facilitate continuity of care objectives. * Familiarity with computers and documentation software including applicable paperwork. * Drive an AMR vehicle and have a driving record in compliance with AMR policy regarding insurability. * Participates in activities that promote the Clinical Department and the AMR organization * Must assist in development of processes and education materials pertaining to Mobile Integrated Healthcare. * Must act as a facilitator and educator for any clinical course provided by AMR. * Multi-task and make sound decisions in critical situations. * Performs other duties as assigned by the Clinical Programs Manager and the AMR organization. Minimum Required Qualifications: * High school diploma or GED equivalent. * 2 years of Experience as an AEMT in a 911 system. * Current CPR and ACLS is required. PHTLS or ITLS, AMLS, preferred. * Maintain certification at the level of AEMT with the Kansas Board of EMS. * Strong and effective verbal, written, and interpersonal communication skills. * Demonstrate ability to provide effective coaching and leadership. * Demonstrated teaching and educational facilitation skills. * Have an understanding of quality assurance and improvement processes. * Ability to adhere to established standards for educational quality. * Be familiar with basic computer applications and functions. Preferred Requirements: * Associate's degree in emergency medical services management, business administration, or other related degree, or equivalent experience. * More than five years or more experience as an AEMT in a high-performance 911 system. * Instructor Certifications in PEPP or related Pediatric course, ITLS or PHTLS, AMLS, CPR. * Previous trainer or instructor experience. Why Choose AMR? AMR is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at ************************* Learn how our values are at the core of our services and vital to how we approach care, and check out our comprehensive benefit options at GlobalMedicalResponse.com/Careers. EEO Statement Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability. Check out our careers site benefits page to learn more about our benefit options. R0049630
$20 hourly Auto-Apply 20d ago
Digital Health Systems Co-op Student
Uc Health 4.6
Cincinnati, OH jobs
UC Health is hiring a Full Time Digital Health Systems Co-Op Student Co-Op students participate in an organized co-op program sponsored by a university. The Co-op student will provide a variety of support tasks while participating in a mentoring and learning environment. The student may work in different functional areas within IS&T. About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. Minimum Required: High School Diploma or GED 0 - 6 Months equivalent experience The Co-Op is a current student in a University Sponsored program pursuing a degree. Typically, the co-op student has completed 1 year of college training before assuming a co-op work assignment REQUIRED SKILLS AND KNOWLEDGE: Gather and assess information pertaining to its reliability, reasonability and completeness; Prepare summaries of that information using standard Microsoft Office tools (MS Excel, MS Word, etc.); Have good writing skills, such that they are able to summarize their analyses and assessments; Work with UC Health associates from all areas of the campus; Have good inter-personnel skills. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer. System Development and Support Assist in the development, implementation, and evaluation of digital health solutions that address specific patient needs, community health goals, or organizational objectives Ensure all programs comply with healthcare regulations, security and quality standards Project Support and Stakeholder Collaboration Support UCH teams with user testing, troubleshooting, & refinement of digital health tools Collaborate with clinicians, IT, & administrative staff to improve digital health experience Data Collection and Reporting Collect, review, analyze, interpret and communicate program data to track performance metrics and outcomes Present regular reports for UCH DHS, and other stakeholders as assigned Use data to identify areas for improvement and make evidence-based decisions to optimize program delivery Compliance and Risk Management Assist with ensuring programs adhere to healthcare laws, regulations, and accreditation standards Identify potential risks and barriers related to program implementation and delivery, taking corrective actions when needed Training and Development Help create training materials and provide support to contribute to documentation of processes, workflows, and lessons learned Other duties as assigned
$43k-51k yearly est. Auto-Apply 36d ago
Health Information Coder (ICD-10CM)
Lindengrove Communities 3.9
Fitchburg, WI jobs
Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities * Maintains and actively promotes effective communication with all individuals. * Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. * Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. * Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes. * Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate. * Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines. * Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies. * Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. * Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary. * Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency. * Maintains confidentiality, privacy and security in all matters pertaining to this position. * Performs other duties, as assigned. Requirements * High School education or equivalent. * Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date. * One (1) year of coding experience preferred. * Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology. * Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA). * Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred. * Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications. * Strong organizational, analytical, and problem-solving skills, and attention to detail. * Strong Keyboarding and filing abilities. * Ability to exhibit professionalism, flexibility, dependability, and a desire to learn. * Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms. * Commitment to quality outcomes and services for all individuals. * Ability to relate well to all individuals. * Ability to maintain and protect the confidentiality of information. * Ability to exercise independent judgment and make sound decisions. * Ability to adapt to change. Benefits * Employee Referral Bonus Program. * Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution) * Paid Time Off and Holidays acquired from day one of hire. * Health (low to no cost), Dental, & Vision Insurance * Flexible Spending Account (Medical and Dependent Care) * 401(k) with Company Match * Financial and Retirement Planning at No Charge * Basic Life Insurance & AD&D - Company Paid * Short Term Disability - Company Paid * Voluntary Ancillary Coverage * Employee Assistance Program * Benefits vary by full-time, part-time, and PRN status. If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you! Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting. The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all. #IlluminusHQ Salary Description $22 - $25 per hour depending on experience
$22-25 hourly 60d ago
Health Information Spec II
Sarasota Memorial Health Care System 4.5
Sarasota, FL jobs
Department Health Information Management Responsible for the day to day tasks related to the processing of health information to include but not limited to the following: chart pick-up, general HIM reception and transcription, release of information, indexing and quality assurance of medical records, analysis, amendments, audits, and birth certificate processing, emergency assistance program processing, and chart completion. Required Qualifications * Require a minimum of two (2) years of previous experience in Health Information Management. Preferred Qualifications * Prefer the ability to work independently, shift priorities, and demonstrate decision making ability. * Prefer the ability to cross train on all processes involved in scanning paper records and training staff on these processes. * Prefer advanced knowledge of word processing and spreadsheet applications. * Prefer knowledge of Joint Commission and CMS Conditions of Participation. * Prefer demonstrated strong interpersonal, communication and organization skills. * Prefer the ability to perform clerical duties, repetitive and detailed tasks. * Prefer the ability to interact with ancillary departments. Mandatory Education HS EQ: High School Diploma, GED or Certificate Preferred Education Required License and Certs Preferred License and Certs Tuesday through Saturday 10:00AM-6:30PM Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. *********************************
$51k-63k yearly est. 49d ago