OUTPATIENT SURGERY CODER
Columbus, OH jobs
**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for an **OUTPATIENT SURGERY CODER.** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote HIGHLIGHTS** This Outpatient Surgery Coding Specialist 3 position provides support to the Enterprise Records and Health Information department for coding highly specialized services. Outpatient Surgery coder should have experience for complex surgical procedures which include but not limited to General Surgery, Integumentary/Plastic, Orthopedics/Podiatry, Respiratory, Cardiovascular, Hemic and Lymphatic, Digestive, Urinary, Reproductive/Genital , Endocrine, Nervous, Ophthalmology, Auditory, and others
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction
ERHI provides advice and resources related to the lifecycle management of all UW Medicine records
ERHI is an integral part of the Enterprise Revenue Cycle and has a unique role in the organization that supports both clinical and operational activities.
**PRIMARY JOB RESPONSIBILITIES**
+ Reviews available electronic and other appropriate documentation within Epic and/or Cerner to identify all billable ambulatory surgery procedures and services requiring facility fee coding be captured through Epic Hospital Billing (HB) and 3M computer assisted coding (CAC)
+ Reviews and resolves coding edits related to procedures and services charged during the ambulatory surgery visit in the operating room at the time of completing coding
+ Consults with physicians and/or clinical department representatives, as appropriate, to verify services were rendered, documented and meets the requirements for coding as an outpatient/ambulatory patient type
+ Maintains three day coding turnaround times for ambulatory surgery accounts based on date of service
+ Identifies and escalates to Coding Leadership impacts to timely coding and charge capture, and avoidable delays for billing and reimbursement
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years of coding experience or equivalent education/experience.
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
+ Equivalent experience/education may be considered
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$68,244.00 annual
**Pay Range Maximum:**
$97,740.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Medical Coder - Inpatient
Jackson, MS jobs
Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: * Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it.
* You must meet all of the job requirements at the time of submitting the application.
* You can only apply one time to a job requisition.
* Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process.
* Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted.
After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we are unable to individually respond to all applicants. You may check the status of your application via your Candidate Profile.
Thank you,
Human Resources
Important Applications Instructions:
Please complete this application in entirety by providing all of your work experience, education and certifications/
license. You will be unable to edit/add/change your application once it is submitted.
Job Requisition ID:
R00044930
Job Category:
Clerical and Customer Service
Organization:
Rev Cycle - HIM and Clinical Doc Ex
Location/s:
Jackson Medical Mall
Job Title:
Medical Coder - Inpatient
Job Summary:
Medical Coder-Inpatient reviews and codes inpatient medical records and clinical documentation for hospital services. This role requires expertise in ICD-10, CPT, and HCPCS coding systems to assign accurate diagnostic and procedural codes, ensuring compliance with healthcare regulations, payer requirements, and industry standards for reimbursement and billing.
Education & Experience
Education and Experience Required:
High school diploma/GED and one (1) year of medical coding experience.
Certifications, Licenses, or Registration Required:
One of the following medical coding certifications from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is required post-hire within one (1) year:
* Registered Health Information Management Technician (RHIT)
* Registered Health Information Administrator (RHIA)
* Certified Coding Associate (CCA)
* Certified Coding Specialist (CCS)
* Certified Coding Specialist- Physician-Based (CCS-P)
* Certified Professional Coder (CPC or CPC-A)
* Any Physician specialty certification from AAPC
Preferred Qualifications:
Associate's degree in health information management or medical coding.
Knowledge, Skills & Abilities
Knowledge, Skills, and Abilities:
Proficient in electronic coding systems and electronic health records. Skilled in using personal computers, Microsoft Office Suite (Excel, PowerPoint, Word, Outlook), and email applications for communication and scheduling. Strong written and verbal communication skills, with the ability to foster team collaboration across departments. Capable of researching and using available resources independently. Experienced in assigning accurate codes using coding guidelines with minimal supervision. Equipped to work remotely, with necessary hardware and high-speed internet for efficient task completion.
Responsibilities:
* Review medical records to identify and code diagnoses and procedures.
* Assign ICD, CPT, and HCPCS codes accurately.
* Ensure coding complies with healthcare regulations (e.g., HIPAA, CMS).
* Collaborate with healthcare providers for accurate documentation.
* Submit codes for billing and resolve discrepancies.
* Stay updated on coding changes and best practices.
* Demonstrative effective communication and response using systems available to both the medical coder and management through telephone and email communication.
* Demonstrate effective use of required EHR software.
* The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive.
Environmental and Physical Demands:
Requires no exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, no handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, frequent activities subject to significant volume changes of a seasonal/clinical nature, constant work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, no lifting/carrying up to 50 pounds, no lifting/carrying up to 75 pounds, no lifting/carrying up to100 pounds, no lifting/carrying 100 pounds or more, occasional climbing, no crawling, occasional crouching/stooping, occasional driving, no kneeling, occasional pushing/pulling, frequent reaching, frequent sitting, frequent standing, occasional twisting, and frequent walking. (Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more).
Time Type:
Full time
FLSA Designation/Job Exempt:
No
Pay Class:
Hourly
FTE %:
100
Work Shift:
Day
Benefits Eligibility:
Grant Funded:
No
Job Posting Date:
12/16/2025
Job Closing Date (open until filled if no date specified):
Auto-ApplyInpatient Coder - Per Diem
Los Angeles, CA jobs
General Information Press space or enter keys to toggle section visibility Onsite or Remote Fully Remote Work Schedule Monday - Friday, 6:00 AM - 3:00 PM PST; weekend availability may be required based on operational needs
Posted Date
12/11/2025
Salary Range: $59.8 - 74.35 Hourly
Employment Type
6 - Staff: Per Diem
Duration
Indefinite
Job #
27798
Primary Duties and Responsibilities
Press space or enter keys to toggle section visibility
Play a key role with a world-class health organization. Help ensure the operational efficiency of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health.
You will be responsible for coding diagnoses and procedures for assigned cases. This will involve using your knowledge of UCLA, AHA - Coding Clinic, and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment, and procedures. You will assign ICD-10-CM/PCS and CPT/HCPCS codes for patients receiving our services while correctly assigning DRGs for all patients to assure accurate reimbursement and the highest quality data possible. You will abstract all coded data in a timely and accurate manner into the abstracting system.
Salary Range: $59.80/hourly - $74.35/hourly
Job Qualifications
Press space or enter keys to toggle section visibility
We're seeking an independent, detail-oriented, self-directed individual with:
* Associate degree in health information science, Bachelor's degree in health information management, or completion of courses in ICD-10-CM/PCS and CPT-4 coding
* CCS certification, required
* RHIA or RHIT, highly desired
* Three or more years of experience with surgical procedural and ambulatory care coding, preferred
* Five or more years of experience as an Inpatient Coder, preferably at an academic medical center
* Proficiency in ICD-10-CM, ICD-10-PCS, CPT-4/HCPCS and modifier usage
* Knowledge of APC payment methodologies, AHA Coding Clinic, and CPT Assistant
* Ability to orient and train new employees and students
* Understanding of all state and national reporting requirements
* Strong communication, interpersonal, and prioritizing skills
* Computer proficiency with Microsoft Office and 3M 360 Encompass software
UCLA Health is a world-renowned health system with four award-winning hospitals and more than 260 community clinics throughout Southern California, as well as the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
Coding Specialist 4
Seattle, WA jobs
UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a **RADIOLOGY CODER** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote HIGHTLIGHTS** Responsible for performing daily activities related to coding and charge submission of abstract Current Procedural Terminology (CPT) professional fee and facility Radiology coding and billing.
Analyzes the medical record to assign International Classification of Diseases (ICD), CPT and/or Healthcare Common Procedure Coding System (HCPCS) codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.
ERHI provides advice and resources related to the lifecycle management of all UW Medicine records
**PRIMARY JOB RESPONSIBILITIES**
+ Reviews available electronic and other appropriate documentation within Radiology Information System (RIS) and PACS to identify all billable Radiology procedures and services requiring facility and professional fee coding, ensuring all necessary codes use the appropriate ICD, CPT and/or HCPCS code(s) and quantities
+ Queries physicians and/or consults with clinical department representatives, as appropriate, to verify services were rendered and documented timely.
+ Provides feedback to the School of Medicine (SOM) Department of Radiology to assist in the understanding of coding and documentation issues and revenue opportunities.
+ Maintains three day turnaround times for Radiology Coding based on the date of service; and understands charge lag impact for facility and professional fee services.
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years' coding experience or equivalent education/experience
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC)
**UW Medicine - Where your Impact Goes Further**
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.
All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$71,052.00 annual
**Pay Range Maximum:**
$101,700.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Edits Coder
Seattle, WA jobs
**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for a **Coding Specialist 1 - Edits Coder** **WORK SCHEDULE** + 100% FTE + Mondays - Fridays + 100% Remote HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information Management department. Under the general supervision of the Manager of Facility Coding, and the direct supervision of the Supervisor of Outpatient Coding, the Edits Coder is responsible for implementing the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. The Edits Coder is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines.
**PRIMARY JOB RESPONSIBILITIES**
+ Validates codes entered at the point of care and/or by other charge sources by reviewing electronic data and making corrections based on a review of all available electronic and other appropriate documentation to support all billable procedures and services.
+ Reviews and resolves coding accounts failed validations, revenue guard, missing modifiers, incorrect modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS procedure codes.
+ Investigates and researches coding issues identified by Revenue Integrity (RI) and Patient Financial Services (PFS) related to inquiries, complaints and/or denials. Makes coding corrections to resolve coding issues; supports RI by reviewing specified procedures for charge accuracy; reroutes accounts to correct coding team for coding resolution based on revenue codes.
+ Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for facility and professional fee services. Identifies potentially avoidable delays to timely billing and help identify systemic issues that contribute to delays in service or inefficient uses of resources to address root cause and prevent ongoing errors.
+ Identifies the need for documentation clarity to support the integrity of the record and for reimbursement compliance; identifies charge error trends and escalate to supervisor.
+ Performs special projects or other duties assigned.
+ May perform the work of lower level classifications of the Coding Specialist series.
**REQUIRED POSITION QUALIFICATIONS**
High school diploma or equivalent
AND
Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
AND
One year coding experience or equivalent education/experience.
Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$59,976.00 annual
**Pay Range Maximum:**
$85,848.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Emergency Department Coder
Chicago, IL jobs
Be a part of a world-class academic health-care system at UChicago Medicine as an Emergency Department Coder in the Medical Records department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area.
In this role, the Emergency Department Coder, under general direction, is responsible for coding and abstracting of diagnoses and charging for procedures from emergency department medical records for optimal and timely reimbursement and quality reporting.
Essential Job Functions
Assigns ICD-10-CM codes, and CPT/HCPCS codes for emergency department medical record accounts, including but not limited to diagnoses, facility level evaluation & management (E/M) charges, infusion/injection charges, and additional bedside procedure charges
Abstracts key data elements required for billing, regulatory agencies, and other databases
Reviews records for clinical pertinence and documentation to support accurate facility-based charges for services performed during the encounter
Communicates with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility evaluation/management (E/M) levels
Reviews and resolves claim edits related to emergency department encounters to ensure compliant billing, including but not limited to medical necessity and NCCI/CCI edits
Assists with resolution of simple visit coding errors related to other outpatient visits as needed
Performs qualitative analysis of records in accordance with regulatory standards and coding requirements using CPT/HCPCS and ICD-10-CM guidelines
Meets the minimum acceptable standards for productivity and quality
Maintains Continuing Education credits in accordance with the American Health Information Management Association's and/or American Academy of Professional Coder's requirements based upon certification(s)
Demonstrates courtesy and professionalism through interaction, appearance, attitude, and written and oral communications with visitors, co-workers, physicians, and other hospital personnel as to represent the Medical Records Services as a high-quality service area of the Hospitals
Maintains patient confidentiality as required by Hospitals/departmental policy and industry/legal standards
Acknowledges and supports Hospitals defined goals and approach to patient care; attends regular training sessions to improve patient and customer communications
Keeps work area neat and clean; properly cares for equipment
Performs other related tasks as may be deemed necessary for the effective and efficient function of the Medical Records areas
Performs other duties assigned
Required Qualifications
Certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Emergency Department Coder (CEDC), Certified Outpatient Coding (COC), Certified Professional Coder (CPC), Certified Coding Specialist Physician Based (CCS-P) or Certified Coding Specialist (CCS)
If incumbent is eligible for certification, it must be achieved within a year of hire date
Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities, and deadlines
Good verbal and written communication skills
Ability to impart knowledge of procedures and techniques
Thorough working knowledge of ICD-10-CM and CPT coding systems, and federal/state regulations regarding reimbursement
Thorough working knowledge of the hospital information system, electronic medical record systems, and encoder
Working knowledge of standards for chart completion
Working knowledge of medical-legal rules and regulations that govern the confidentiality and release of medical information with the ability to interpret and implement the standards
Must maintain total confidentiality of all patient records
PC experience
Position Details
Job Type/FTE: Full-Time
Shift: Days
Work Location: Remote
Unit/Department: Health Information Management
CBA Code: 743 Clerical
Why Join Us
We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at:
UChicago Medicine Career Opportunities
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at
Benefits - UChicago Medicine
.
Auto-ApplyClaims Coding Specialist, Full Time - Days
Chicago, IL jobs
Join a world-class academic healthcare system, UChicago Medicine, as a Claims Coding Specialist (Medical Coder) in our Revenue Cycle - Revenue Integrity department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed to our Hyde Park location. You may be based outside of the greater Chicagoland area. This position will support new clinic services with revenue cycle-related functions including training, education, charge capture, and correct coding edits.
The Claims Coding Specialist (Medical Coder) works under the supervision of the Revenue Integrity. The CCS team works collaboratively with physicians, assigned to his/her team/group in order to provide an optimal revenue cycle environment that is efficient, effective, comprehensive and compliant. The CCS team also works collaboratively with the ambulatory practice managers, billing staff and (at times) insurance payers to support a highly efficient, effective, and compliant revenue cycle program. The typical work includes the resolution to coding edits for all payers, revenue reconciliation, identify and/or organize appropriate education for physicians, and effective communication. The Claims Coding Specialist will also be responsible for the completion of all work assignments in a proficient and accurate manner; meeting productivity and quality standards set by the Revenue Integrity Director. The Claims Coding Specialist reports directly to the Revenue Integrity Manager.
Essential Job Functions
Works directly with the hospital departments and ambulatory clinics to resolve coding and charging issues for all payers (NCCI, OCE, MUE, LCD, payer custom edits), including but not limited to denials and disputes
Review medical documentation for assigning billing modifiers to insurance claims where appropriate and applicable
Works assigned work ques daily with the goal to complete all assigned tasks
Serves as a primary resource supporting in-clinic physicians/providers. As such, organizes appropriate education for physicians and communicates regularly with physicians/providers to improve the overall claims, revenue cycle, and business functions of the practice. utinely communicates with medical staff, practice administrators, billing staff and payers as needed to discuss clinical questions with respect to coding assignment or resolution in a courteous and professional manner
Meets regularly with the practice manager and medical director to review in-clinic revenue cycle performance and to identify appropriate solutions for advancing an efficient, effective, and compliant revenue cycle program
Perform charge reconciliation and work with the physicians/providers and/or practice managers in instances of missing revenue
Assist with identifying trends and opportunities to address root causes, updates systems and/or provider feedback/education/training
Maintains current knowledge of all billing and compliance policies, procedures and regulations and attends appropriate training sessions as required
Assist with orientation of newly hired Claims Coding Specialists
Attends and participates in team meetings to discuss coding/charging issues and serves on task forces as needed
Meets all productivity and quality expectations and participates in all scheduled audits
Performs other duties as requested by management
Required Qualifications
Health Information Management or Coding certification required within three months of hire:
RHIA (Registered Health Information Administrator)
RHIT (Registered Health Information Technician)
CPC (Certified Professional Coder)
COC (Certified Outpatient Coder)
CCS (Certified Coding Specialist)
CCS-P (Certified Coding Specialist Physician)
CCA (Certified Coding Associate)
High school diploma
Ability to identify trends and recommend solutions to billing and revenue cycle processes and problems
Proven working knowledge of CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) coding systems
Knowledge of Federal billing regulations governing Medicare and Medicaid programs, and working knowledge of other managed care and indemnity (third party) payor requirements
Must possess a working knowledge of Local and National Coverage Determination policies (LCD's and NCD's), Ambulatory Payment Classification (APC) related edits such as the National Correct Coding Initiative (NCCI) and Outpatient Code Editor (OCE)
Must be proficient in Microsoft Excel and Word
Must be highly analytical, and have excellent written and verbal communication skills
Must possess excellent organizational, time management and multi-tasking skills, along with demonstration of excellent interpersonal skills
Preferred Qualifications
Two (2) or more years' experience coding
Epic, IDX and Centricity experience
Associate or Bachelor's degree in a health-care information or health care finance related field
Position Details:
Job Type/FTE: Full Time (1.0 FTE)
Shift: Days
Work Location: Flexible Remote - occasional travel to the Hyde Park campus
Unit/Department: Revenue Cycle - Revenue Integrity
CBA Code: Non-Union
Why Join Us
We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at:
UChicago Medicine Career Opportunities
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at
Benefits - UChicago Medicine
.
Auto-ApplyOutpatient Medical Coder 3
Remote
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact ********************************. If you have questions while submitting an application, please review these frequently asked questions.
Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.
Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:
Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.
Job Title:Outpatient Medical Coder 3Department:Health System Shared Services | Revenue Management
Scope of Position
Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System.
ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process.
Position Summary
The position is responsible for coding medical records and other documents at the conclusion of the patient's visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians.
Codes are selected in the Computer Assisted Coding/Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement.
This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.
Minimum Qualifications
Associate's Degree in Health Information Management. Credentialed as a Registered Health Information Technician, Registered Health Information Administrator, Certified Coding Specialist by the American Health Information Management Association, or Certified Outpatient Coder by AAPC if managing hospital coding; ROCC if only coding Radiation Oncology; RHIA, CCS, COC or CPC by AAPC if managing professional coding. 2 years of relevant experience required. 4-6 years of relevant experience preferred.
Minimum completion of a CAHIIM approved coding certificate program or HIMT program or equivalent education & experience.
Demonstrated coding proficiency through the completion of OSUWMC's coding test.
Familiarity or experience with computer assisted coding and/or automated encoder.
Additional Information:Location:Remote LocationPosition Type:RegularScheduled Hours:40Shift:First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner 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. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.
As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
Auto-ApplyInpatient Medical Coder 3
Remote
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact ********************************. If you have questions while submitting an application, please review these frequently asked questions.
Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.
Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:
Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.
Job Title:Inpatient Medical Coder 3Department:Health System Shared Services | MIM CDI and Coding
Scope of Position
Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System.
ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process.
Position Summary
The position is responsible for coding medical records and other documents at the conclusion of the patients visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians.
Codes are selected in the Computer Assisted Coding/Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement.
This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.
Required Qualifications
Minimum completion of a CAHIIM approved coding certificate program or HIMT program or equivalent education & experience.
Demonstrated coding proficiency through the completion of OSUWMs coding test.
Familiarity or experience with computer assisted coding and/or automated encoder.
Associates Degree in Health Information Management, and a minimum of 1 year academic medical center inpatient coding experience that include the following service lines: cancer, transplant, obstetrics, rehabilitation and cardiology.
For promotion: ability to code at least 3 of the 5 inpatient service locations: University Hospital, University Hospital East, James Cancer Hospital, Ross Heart Hospital and Dodd Rehabilitation Hospital.
OR
Required: 3 years acute care academic medical center inpatient coding experience within an academic Health Information Management department (service lines must include cancer, transplant, obstetrics, rehabilitation and cardiology).
For promotion: ability to code at least 3 of the 5 inpatient service locations: University Hospital, University Hospital East, James Cancer Hospital, Ross Heart Hospital and Dodd Rehabilitation Hospital.
AND
Required: Credentialed as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) by the American Health Information Management Association.
Additional Information:Location:Remote LocationPosition Type:RegularScheduled Hours:40Shift:First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner 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. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.
As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
Auto-ApplyInpatient Medical Coder 2
Remote
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact ********************************. If you have questions while submitting an application, please review these frequently asked questions.
Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.
Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:
Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.
Job Title:Inpatient Medical Coder 2Department:Health System Shared Services | MIM CDI and Coding
Scope of Position
This area codes inpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Medical Center and The James Cancer Hospital. ICD-10-CM/PCS codes are assigned for the diagnoses and procedures for all inpatients treated within the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients treated within the OSU Health System. Medical record abstract data is reviewed for accuracy in EPIC/IHIS before completing the chart. This position is responsible for coding some or all the following types of records: inpatient record types.
Position Summary
The position is primarily responsible for coding medical records and other documents at the conclusion of the patient's visit. This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, and sequencing diagnoses and procedures. Codes flow from the Encoder Software to EPIC/IHIS Resolute Billing system. This staff member is responsible for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement, research, and planning, in accordance with productivity standards set for the department, in accordance with productivity standards set for the department, and maintaining approved work schedule.
Minimum Qualifications
For Hire:
Minimum completion of a CAHIIM approved coding certificate program or HIMT program or equivalent education & experience
Demonstrated coding proficiency through satisfactory completion of OSUWMC's coding test.
Familiarity or experience with Computer Assisted Coding and/or automated encoder.
Required:
Inpatient Required Credential: Credentialed as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) by the American Health Information Management Association, Exception Coding Apprenticeship.
Exception: Candidates hired from the Coding Apprenticeship Program. Must obtain one of the approved credentials within six months of hire.
Candidates hired without a credential will not receive credit in their initial salary quote for the credential.
When an approved credential is obtained, then the candidate will receive a 2.5% pay increase. It is the candidate's responsibility to notify the manager once the credential is obtained.
Failure to obtain the required credential within six months will result in termination.
Each candidate is required to maintain that credential by completing and reporting required continuing education activities. Failure to maintain the credential once obtained will result in corrective action up to and including termination.
Preferred:
Minimum of two years' academic medicine inpatient coding experience.
Competency expectations:
Each candidate is required to maintain that credential by completing and reporting required continuing education activities. Failure to maintain the credential once obtained will result in corrective action up to and including termination. The medical records coding specialist attends coding meetings and education sessions for updates on coding guidelines and related issues while maintaining a minimum score of 90% on quarterly coding assessments.
Additional Information:Location:Remote LocationPosition Type:RegularScheduled Hours:40Shift:First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner 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. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.
As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
Auto-ApplyINPATIENT CODER
Olympia, WA jobs
**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for an **INPATIENT CODER** . Experience in a Level 1 Trauma center or teaching facility is preferred. **WORK SCHEDULE** + 100% FTE, Days + Mondays - Fridays + 100% Remote
**POSITION HIGHLIGHTS**
+ Implements the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture.
+ Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing
+ Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.
**PRIMARY JOB RESPONSIBILITIES**
+ Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement
+ Reviews patient records upon admission and at discharge to the inpatient Rehabilitation Unit; assigns codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients
+ Abstracts and/or reviews necessary patient data within 3M CAC and Cerner to ensure data integrity, accurate reimbursement, proper case mix and hospital decision support.
+ Identifies the need for documentation clarity and works with the Clinical Documentation Improvement (CDI) department to review clinical documentation and/or request provider documentation clarification
+ Maintains four day turnaround times for inpatient coding based on the discharge date and understand charge lag impacts, especially for high dollar accounts and long length of stays (LOS).
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years of coding experience or equivalent education/experience.
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
**_UW Medicine - Where your Impact Goes Further_**
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.
All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$71,052.00 annual
**Pay Range Maximum:**
$101,700.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
HIM Outpatient Coder, Remote
Remote
Remote, KY 40601
Shift: First Shift (United States of America) Summary: : The outpatient coder is responsible for thorough review of clinical documentation and diagnostic results applicable to abstract data and appropriately assign ICD-10-CM and CPT/HCPCS codes and modifiers for billing and reimbursement, internal and external reporting, research, and regulatory compliance. This position commits to accurate medical coding for account types and/or service rendered to patients in the emergency department (ED), Same Day Surgeries (SDS), Ancillary (ANC), Oncology (ONC), Outpatient Rehab, Outpatient Psychiatric, and Interventional Radiology (IVR).Additional Job Description:
Auto-ApplyCertified Specialty Coder- Three Rivers Orthopedics
Pittsburgh, PA jobs
Three Rivers Orthopedics is seeking a Certified Specialty Coder to support 11 orthopedic surgeons specializing in areas including spine and foot/ankle at 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215. This full-time position runs Monday-Friday, 8:00 AM-4:30 PM, with the potential for work-from-home flexibility after training
Responsibilities:
* Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements.
* Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation.
* Perform all coding functions, based on staffing needs and/or department requirements.
* Refer problem accounts to appropriate coding or management personnel for resolution.
* Maintain daily productivity statistics and submits a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks. Balance daily charges to data entry, forwarding results to departmental designee.
* Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed.
* Assess current CPT guidelines as well as other applicable payer coding policy changes.
* Lead, participate in and/or assist with departmental coding audits.
* Identify incomplete documentation in the medical record and formulates a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process.
* Incorporate into departmental procedures and communicates changes to coders and providers.
* Adhere to internal department policies and procedures to ensure efficient work processes.
* Maintain required CPC or CSS-P certification and continuing education by attending seminars, reviewing updated CPT Assistant guidelines and updated coding clinics.
* Adhere to department time goal for final coding entry to prevent charge lags.
* If applicable, abstract required medical and demographic information from the medical record and enters the data into the appropriate information system to ensure accuracy of the database. Responsible for correcting any data to be in error after reviewing the medical record and comparing with system entries.
* Progress within the training period toward meeting departmental coding accuracy standards within the first year of employment by assigning correct principal diagnosis/procedure, complications and co-morbidities, and secondary diagnoses as reviewed by the designated trainer and/or the DRG Specialist. Coder should meet appropriate coding productivity standards within the time frame established by management staff.
* Advise and instruct providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification.
* Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions.
* Demonstrate proficiency on billing system functionality as related to claim edit/charge review queues, as well as reimbursement denials.
* Complete work assignments in a timely manner and understands the workflow of the department.
* Train all new Coders to observe established coding guidelines and to utilize the appropriate billing system.
* Investigate and resolve reimbursement issues, including denials, in a timely manner per department standards.
* Analyze and interpret patient medical records within an area of medical/clinical specialty in order to determine amount and nature of billable services.
* Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems (Medipac/SMS/Meditech), encoders and electronic medical record repositories.
* Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements.
Qualifications:
* High school diploma or GED is required.
* Graduation from an approved Health Record Administration or Accredited Medical Record Technician program (RHIA/RHIT or eligible) or a certified coding program preferred.
* 3 years of coding experience in the applicable medical specialty is required.
* Advanced knowledge of medical coding and billing systems and regulatory requirements is required.
* Ability to provide training, guidance, and operational support to lower level staff within area of specialty is required.
* Experience and knowledge of accurate DRG and APC assignment is essential.
* A
bility to problem solve and be knowledgeable in advanced medical terminology, human anatomy/physiology, pharmacology, pathology and the principles of ICD-9-CM and CPT Classification Systems and DSM IV, if applicable.
* Proficient computer skills, including working knowledge of MS Excel and MS Access, is preferred.
Licensure, Certifications, and Clearances:
* Certified Professional Coder (CPC)
* Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
Inpatient Coding Review Specialist (H)
Medley, FL jobs
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The University of Miami/UHealth -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely.
The Inpatient Coding Review Specialist (H) under the general direction of the Inpatient Coding Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality Management Analysts to ensure accurate and compliant coding on all Mortality cases prior to billing. The Inpatient Coding Review Specialist also performs quality reviews that specifically focus on the identification and validation of Hospital Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Present on Admission status, complications, and comorbidities that impact USNWR rankings and Vizient quality measures.
CORE JOB FUNCTIONS
* Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify missed coding opportunities supported by documentation, enhancing severity of illness and risk of mortality indicators through the provider query process.
* Validates the assigned principal diagnosis, significant secondary ICD-10-CM diagnosis codes, Present On Admission (POA) indicators, and ICD-10-PCS procedure codes to ensure compliance with ICD-10-CM/PCS Official Coding Guidelines, UHDDS, and regulatory requirements for accurate MS-DRG assignment.
* Ensures accurate capture of Severity of Illness (SOI) and Risk of Mortality (ROM) indicators.
* Applies knowledge of the Elixhauser Comorbidity Index and Vizient quality measure logic, focusing on specialty-specific conditions that impact MCC/CC capture and quality data reporting.
* Collaborates with CDI, quality teams, and physicians to clarify ambiguous or incomplete documentation through the provider query process, initiates queries when necessary.
* Participates in meetings with CDI, providers, and colleagues to discuss coding findings, share expertise, and defend coding decisions using documentation and official guidelines.
* Conducts POA reviews for cases marked "No" and provides feedback to leadership for coder education and improvement.
* Reviews denial cases and provides detailed feedback to the Revenue Cycle Director and Audit Specialists.
* Assists in resolving claim edits across all accounts, regardless of the initial coder assignment.
* Performs initial inpatient coding when primary responsibilities are complete or additional hours are approved.
* Meets or exceeds established quality and productivity benchmarks set by leadership.
* Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
* High School diploma or equivalent
* Refer to department description for applicable certification requirements
* Minimum 5 years of relevant experience
* Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
* Teamwork: Ability to work collaboratively with others and contribute to a team environment.
* Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
* Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.
Any relevant education, certifications and/or work experience may be considered.
#LI-NN1
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full time
Employee Type:
Staff
Pay Grade:
H11
Auto-ApplyCoding Specialist
Minneapolis, MN jobs
Why M Physicians? The Coding Specialist is responsible for the accurate and timely coding of complex services. This role is responsible for ensuring accurate diagnoses, procedure codes and other specified data to ensure appropriate/efficient reimbursement for facility charges applying information from medical records and following established methods and procedures!
What you will do as a Coding Specialist:
Codes intermediate to complex diagnostic, evaluation and management, surgical and procedural coding services (may include inpatient coding)
Performs coding quality reviews on a monthly basis; shares findings with staff
Ensures that all charges are brought together by applying reports or processes daily and following up accordingly
Communicates with Providers, Billing Operation Managers and clinic staff regarding documentation, coding issues or to provide ongoing education
Assists in research and resolves issues in a timely manner and provide feedback to management and/or providers
Partners with patient/care-giver/management in care/decision making
What you will need:
HS grad or equivalent coupled with CCS, CCS-P, CPC, CPC-A, CCA, RHIT, and/or RHIA certification
Minimum 2 years experience coding; proficient in basic coding and successfully able to handle more sophisticated coding assignments
Proficient in CPT and ICD-10-CM coding or professional and medical facility coding
Ability to use medical billing systems
Good analytical skills; ability to identify problems or issues and provide positive solutions or outcomes
Good attention to detail and highly organized
Location: At this time, the position will be working remote.
Hours: 1.0 FTE (Monday-Friday)
Benefits: This is a fully benefit eligible position: Competitive wages, Healthcare (including vision & dental), 401K, parking & tuition assistance and more!
Compensation:
22.47 - 32.58 USD Hourly
At M Physicians we believe in pay transparency and equity. The compensation for each position is based on experience, skills, qualifications, and other role-specific considerations. Our total compensation is designed to support your well-being, career growth, and work-life balance.
University of Minnesota Physicians (M Physicians), a non-profit organization headquartered in Minneapolis, seeks motivated individuals for both clinical and non-clinical roles to drive innovation in health and medicine. Our inclusive culture offers competitive salaries, excellent benefits, and the opportunity for career development in the exciting field of health care to over 1,200 physicians, 300 advanced practice providers, and 2,200 health professionals and staff across Minnesota and beyond.
Join us on a mission to advance medicine.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Auto-ApplyCertified Coder Appeals, Remote
Remote
Primary Location: Work From Home - KY - ULP - AMGAddress: Home Office Remote, KY 40601 Shift: First Shift (United States of America) Summary: :
WE ARE HIRING!
About Us
UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians' academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow's physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient.
With more than 13,000 team members - physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.
Our Mission
As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.
JOB SUMMARY
This position is responsible for managing the appeal of unpaid claims in the Central Business Office. This position will also work closely with insurance carriers in resolving unpaid claims
Review and appeal unpaid claims daily.
Completes follow-up work on appealed claims.
Works with insurance carriers on appeal issues.
Provides feedback to the coding department with coding errors or updates.
Reviews remit to ensure accurate payment was received.
Reviews denials for accuracy.
Obtains all necessary information to expedite the appeal process.
Closes and prints daily batch proof.
Makes charge corrections as needed in the practice management system.
Attends continue education programs for coding.
Other duties as assigned.
Additional Job Description:
MINIMUM EDUCATION & EXPERIENCE
High School education or GED required.
Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
3 years of prior coding experience, preferred.
Prior experience working with medical insurance.
KNOWLEDGE, SKILLS, & ABILITIES
Knowledge of medical terminology.
Strong oral and written communication skills.
Basic Microsoft Office knowledge.
Ability to foresee projects from start to finish.
WORKING CONDITIONS
Sedentary Work: Lifting 10lbs. maximum and occasionally lifting and/or carrying items as needed.
Frequent Talking (Expressing or exchanging ideas by means of the spoken word.)
Frequent Hearing (Perceiving the nature of the sounds by the ear.)
Frequent Seeing (Visual acuity, depth perception, field of vision, color vision).
Consistent use of hand movement for keyboarding purposes.
HOW TO APPLY
Please follow the URL link to submit your resume:
Only those candidates whose experience best meets our requirements will be contacted.
University of Louisville Physicians is an Equal Opportunity Employer.
Current UofL Physicians employees must follow the UofL Physicians Internal Transfer Policy.
Auto-ApplyMedical Coding Specialist II - Inpatient
Rockford, IL jobs
Work Schedule:
100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote.
At UW Health in northern Illinois, you will have:
• Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance
• Annual wellness reimbursement
• Opportunity for on-site day care through UW Health Kids
• Tuition reimbursement for career advancement--ask about our fully funded programs!
• Abundant career growth opportunities to nurture professional development
• Strong shared governance structure
• Commitment to employee voice
Qualifications
High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required
Graduate of a Health Information Technology program. Preferred
Work Experience
2 years Two years of progressive inpatient facility coding experience. Required
2 years Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center. Preferred
Licensure and Certifications
Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC). Required
Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) AND Registered Health Information Technician (RH
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Health in northern Illinois benefits
Auto-ApplyMedical Coding Specialist II - Inpatient
Rockford, IL jobs
Work Schedule: 100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote. At UW Health in northern Illinois, you will have: * Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance
* Annual wellness reimbursement
* Opportunity for on-site day care through UW Health Kids
* Tuition reimbursement for career advancement--ask about our fully funded programs!
* Abundant career growth opportunities to nurture professional development
* Strong shared governance structure
* Commitment to employee voice
Qualifications
High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required
Graduate of a Health Information Technology program. Preferred
Work Experience
* 2 years Two years of progressive inpatient facility coding experience. Required
* 2 years Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center. Preferred
Licensure and Certifications
* Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC). Required
* Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) AND Registered Health Information Technician (RH
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Health in northern Illinois benefits
Coder Certified (Remote) - Surgery
Remote
Scheduled Hours40Position reviews medical record documentation to determine appropriate billing codes and necessary documentation.Job Description
Primary Duties & Responsibilities:
Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.
Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code.
Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.
Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.
Assists with efforts to increase physician awareness of documentation requirements.
Prepares case reports and initiates follow-up for billing process.
Working Conditions:
Job Location/Working Conditions:
Normal office environment.
Physical Effort:
Typically sitting at desk or table.
Equipment:
Office equipment.
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.Required Qualifications
Education:
A diploma, certification or degree is not required.
Certifications:
The list below may include all acceptable certifications and issuers. More than one credential or certification may be required depending on the role.Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
Work Experience:
No specific work experience is required for this position.
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.More About This JobRequired Qualifications:
Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee's department).
Preferred Qualifications:
Previous coding experience or experience equivalent to an associate's degree in a related field.
Knowledge of ICD-10 and CPT coding.
Preferred Qualifications
Education:
Associate degree - Medical Coding & Billing
Certifications:
No additional certification unless stated elsewhere in the job posting.
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical TerminologyGradeC10-HSalary Range$25.30 - $37.94 / HourlyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.Pre-Employment ScreeningAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement
Personal
Up to 22 days of vacation, 10 recognized holidays, and sick time.
Competitive health insurance packages with priority appointments and lower copays/coinsurance.
Take advantage of our free Metro transit U-Pass for eligible employees.
WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.
WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: ******************************
EEO StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
Auto-ApplyIn Patient Coder (Remote) | Health Information & Record Management | Full Time
Leesburg, FL jobs
FTE: 1.0 Work Schedule: Monday - Friday, 8:00 AM to 5:00 PM Additional Details: * The new hire will be required to attend in-person onboarding and hospital orientation.
Responsibilities
Summary:
The Coder III is responsible for evaluating and assigning the appropriate ICD-9, ICD-10, CPT-4, and HCPCS codes, as well as abstracting pertinent clinical information for bill preparation for the following patient types: Inpatient, Rehabilitation, and performing select Coder II functions as outlined in the coding policy and procedure manual.
This role is also responsible for:
* Researching and resolving coding/billing issues.
* Analyzing medical records for completeness, consistency, and compliance with all regulatory requirements.
Qualifications
Education:
* Post-High School Special Training
Licensure/Certification/Registration:
* AAPC or AHIMA Medical Coding Certification
Experience Requirements:
* Minimum of 6 months inpatient coding experience (requirement consistent across all facilities)
* Minimum of 1 year experience in acute care coding, including Medicare, MS-DRGs, and APR-DRGs
Special Skills/Qualifications/Additional Training:
* Knowledge of basic and advanced ICD-9-CM and CPT-4 coding instructions
* Understanding of medical terminology, anatomy, and physiology
* Verifiable training in coding systems, advanced medical and anatomical terminology, clinical theory, and reimbursement principles through college courses, hospital in-service, and/or approved seminars
* Must be able to read, write, speak, and understand English