364 jobs found

  Summary: Codes and abstracts assigned outpatient medical records to meet the reimbursement, indexing and statistical requirements of the hospital.   Consistently maintaining production and accuracy standards at all times Requirements: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Or Certified Coding Specialist (CCS) required. APC/EAPG knowledge required. 2-3 years Acute Care Hospital Coding experience required. 3M Encoder experience preferred. Cerner, Meditech, Optum System experience preferred.     

Position Summary This is the first level of a 4-tier career path. Under the general direction of the Coding Director, this position is responsible for the accurate assignment of ICD-9-CM (ICD-10-CM) and CPT-4 coding of diagnoses and procedures for outpatient medical records including Outpatient Hospital Clinics, ASU, IV Therapy, Emergency Department and other areas as needed; abstracting to determine accuracy and completeness of the outpatient record utilizing 3M Coding Reimbursement and/or Optum, and Epic Systems to compile data.  The Coder I evaluates medical necessity and Correct Coding Initiative edits and resolves them. Data reported is used to meet licensure requirements, statistical purposes and reimbursement purposes. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education:  Associates degree in a science field strongly preferred with completion of an accredited program through AHIMA or AAPC. Certification:  CCA, CCS, RHIT, RHIA and/or Certified Professional Coder (CPC) credential required. Experience:  Completion of the MH Coder I apprenticeship program or 1-2 years' experience coding in an outpatient setting using 3M Coding and/or Optum Reimbursement encoder and CAC products.  Utilization of Epic EMR system is preferred. Proficiencies:  Demonstrated, applied knowledge of ICD-9-CM (ICD-10-CM) and CPT-4 coding guidelines and principles required. Specialized Knowledge:  Ability to apply broad guidelines to specific coding situations, independently, utilizing discretion and a significant level of analytical ability.  Good understanding of Anatomy and Physiology as well as Pharmacology.

Position Summary This is the first level of a 4-tier career path. Under the general direction of the Coding Director, this position is responsible for the accurate assignment of ICD-9-CM (ICD-10-CM) and CPT-4 coding of diagnoses and procedures for outpatient medical records including Outpatient Hospital Clinics, ASU, IV Therapy, Emergency Department and other areas as needed; abstracting to determine accuracy and completeness of the outpatient record utilizing 3M Coding Reimbursement and/or Optum, and Epic Systems to compile data.  The Coder I evaluates medical necessity and Correct Coding Initiative edits and resolves them. Data reported is used to meet licensure requirements, statistical purposes and reimbursement purposes. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education:  Associates degree in a science field strongly preferred with completion of an accredited program through AHIMA or AAPC. Certification:  CCA, CCS, RHIT, RHIA and/or Certified Professional Coder (CPC) credential required. Experience:  Completion of the MH Coder I apprenticeship program or 1-2 years' experience coding in an outpatient setting using 3M Coding and/or Optum Reimbursement encoder and CAC products.  Utilization of Epic EMR system is preferred. Proficiencies:  Demonstrated, applied knowledge of ICD-9-CM (ICD-10-CM) and CPT-4 coding guidelines and principles required. Specialized Knowledge:  Ability to apply broad guidelines to specific coding situations, independently, utilizing discretion and a significant level of analytical ability.  Good understanding of Anatomy and Physiology as well as Pharmacology.

Position Summary This is the first level of a 4-tier career path. Under the general direction of the Coding Director, this position is responsible for the accurate assignment of ICD-9-CM (ICD-10-CM) and CPT-4 coding of diagnoses and procedures for outpatient medical records including Outpatient Hospital Clinics, ASU, IV Therapy, Emergency Department and other areas as needed; abstracting to determine accuracy and completeness of the outpatient record utilizing 3M Coding Reimbursement and/or Optum, and Epic Systems to compile data.  The Coder I evaluates medical necessity and Correct Coding Initiative edits and resolves them. Data reported is used to meet licensure requirements, statistical purposes and reimbursement purposes. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education:  Associates degree in a science field strongly preferred with completion of an accredited program through AHIMA or AAPC. Certification:  CCA, CCS, RHIT, RHIA and/or Certified Professional Coder (CPC) credential required. Experience:  Completion of the MH Coder I apprenticeship program or 1-2 years' experience coding in an outpatient setting using 3M Coding and/or Optum Reimbursement encoder and CAC products.  Utilization of Epic EMR system is preferred. Proficiencies:  Demonstrated, applied knowledge of ICD-9-CM (ICD-10-CM) and CPT-4 coding guidelines and principles required. Specialized Knowledge:  Ability to apply broad guidelines to specific coding situations, independently, utilizing discretion and a significant level of analytical ability.  Good understanding of Anatomy and Physiology as well as Pharmacology.

Examples of Duties Performed: * Assist in the planning, organizing, directing and coordination of the Food Services Department. * Assists the Food Services Manager in providing food services that comply with current regulations (HS snacks, portion control, etc). * Assists in interviewing (at admission and periodic as needed) patient/family to obtain diet history/assessment, likes and dislikes etc. * Demonstrates knowledge of diet orders, understanding of NPO diet orders and ability to handle diet orders. * Demonstrates proper procedures for cleaning kitchen equipment such as carts, tables, counters, ice machine, buckets, blender, mixer, meat slicer, freezer, refrigerator, stove, oven, steamer, garbage disposal, dish machine coffee/tea maker and steam table. * Inventory and stock pantries and coders. Requirements: To be considered for this opportunity applicants must: * Be a high school graduate or its equivalent. * Have at least one (1) year in healthcare or institutional food service in a supervisory capacity preferred, but not required. * Should have training in cost control, food management, diet therapy, etc. * Should enroll in a Food Safety Certification class within the first six months of employment. * Embrace the standards, values, and beliefs of the organization. * Possess ability to communicate effectively orally and in writing. * Be capable of maintaining effective working relationships with patients, family members, staff, and fellow department heads. EEO / M/ F/ D/ V— Drug Free Workplace

  JOB SUMMARY :   Assisting in all aspects of coding   Primary responsibilities to include but not limited to: ·         ICD-10 & PCS code assignment and DRG assignment ·         Charge entry and charge reconciliation ·         Review of and working the unbilled reports   MINIMUM EDUCATION REQUIRED:   Must meet one or more of the following requirements:  ·         Associate Degree in Health Information Management with RHIT certification, OR ·         Enrollment in RHIT program w/ RHIT certification within 12 months of hire OR ·         Current CPC, CCA, CPC-H, CCS OR CCS-P OR ·         Eligible to sit and obtain CPC, CCA, CPC-H, CCS OR CCS-P certification within 12 months of hire   (The successful candidate will be hired at a level commensurate with registry and/or certification and/or eligibility to obtain certification)   MINIMUM EXPERIENCE REQUIRED :   Ability to work in a multi-disciplinary environment.   MINIMUM EXPERIENCE PRFERRED : Prior inpatient coding experience; ICD-10 and PCS, DRG and Physician Query experience          OTHER SKILLS REQUIRED: Must be familiar with PC's and able to work with multiple technical systems simultaneously.   Must be detail oriented. Ability to perform well in a fast-paced, team environment and to manage time effectively. Reasoning Ability:   Ability to define problems, collect data, establish facts and draw valid conclusions.   Ability to interpret and deal with several abstract and concrete variables.   PHYSICAL REQUIREMENTS :   Individual may be required to sit for long periods of time.   Also required is phone-utilization, visual and auditory acuity, finger-wrist action repetitive motion, and utilization of a computer/keyboard.   Verbal aptitude, written and oral, for communication with Medical Staff and other healthcare professionals.   Extended data input on PC using keyboard.   WORKING ENVIRONMENT: Minimal supervision.   Individual will be working in a crowded environment, well-lighted, central air conditioning, and central heat.   There will be a high noise level due to multiple phones and conversations.    

LCMC Health is a Louisiana-based, not-for-profit healthcare system serving the needs of the people of Louisiana, the Gulf South and beyond. LCMC Health currently manages award-winning hospitals including Children's Hospital New Orleans, Touro, New Orleans East Hospital, West Jefferson Holding, LLC, and University Medical Center New Orleans. LCMC Health supports its outstanding local hospitals as they deliver exceptional, compassionate healthcare to the communities they serve. Please explore our website to learn more about the work we do and our commitment to community-focused healthcare.   The Coding Educator and Auditor will coordinate coding audits and education functions of LCMC system coding services.  This individual will be responsible for managing and working the edit and denial coding work queues for inpatient, outpatient and ambulatory and will provide coding feedback for education opportunities identified to the coding team.  Prepares and presents educational programs related to coding.   Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes, understand current professional coder workflows, reviews principal, secondary diagnoses and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT.    KEY RESPONSIBILITIES:   Reviews cases for accurate coding, monitoring the assignment and sequencing of ICD-10-CM/PCS and CPT codes to facilitate the correct assignment of diagnostic and procedure codes. Sequences diagnoses and procedures accurately according to coding principles. Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed. Works coding edits work queues and provides feedback and coding education to coding staff regarding completeness and accuracy of code assignment. Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtain from the health record. Reviews discrepancies between Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Performs reviews in a timely manner to maintain DNFB within the assigned targeted goals.  Assist in the development and provides ICD-10-CM/PCS, CPT/HCPCS, DRG (MS & APR) and APC auditing, coding and reimbursement training. Monitor and report the coders progress through the orientation and training processes. Establish timelines for training completion specific to level of training necessary. Keeps abreast of new regulatory requirements, annual revisions to the codes, etc. and applies this information appropriately. Works as subject matter expert and provides expertise when applicable. Performs and reports research on topics related to health information management, coding, billing and related compliance issues. Ensures audit findings and trends are investigated and education is prepared and reviewed with coding staff when necessary. Monitors changes in laws regulations, standards as they that affect coding, billing and related compliance. Reads, analyzes and interprets laws, regulations, policies and procedures governing the healthcare revenue cycle. Identifies potential areas of compliance vulnerability and risk, develops and identifies potential corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future. Prepares and distributes audit results/reports for the system coding program to Coding management staff. Works with coding Manager to improve coding services provided by coding staff. Assist system coding leadership with training and/or development of a performance improvement track for coding staff in the disciplinary process related to quality or productivity performance. Performs special coding –related projects as assigned. Other duties as assigned.   The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.   REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: Knowledge as it relates to, but not limited to, electronic health record, health information systems and healthcare applications and their effects on Coding practices today and in the future. High ethical standards. Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines. Experience in ICD-10-CM/PCS, auditing, coding and reimbursement training. Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters. Extensive knowledge of hospital and professional coding including provider based billing. Knowledge of documentation regulations of Joint Commission and CMS. Experience with concurrent coding reviews. Knowledge of medical terminology, classifications systems and vocabularies. Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices. Experience in assisting and identifying learning needs as well as providing education and training designed to support a learning organization. Strong analytical abilities and problem-solving skills. Excellent oral, written and interpersonal communication skills. Ability to organize and set priorities to ensure objectives are met in a timely manner. Ability to adapt to change and handle challenges proactively and with pose. Ability to effectively collaborate with physicians and managerial staff at all levels.   EDUCATION/EXPERIENCE/LICENSURE: Education:  Associate’s degree in health information management or related field or minimum of five years (5) related experience required. Experience:  Minimum five (5) years of physician (professional) and hospital coding experience and two (2) years of coding auditing experience with a strong training background in inpatient, outpatient and ambulatory coding and reimbursement. Certification/Licensure:  Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Certified Professional Coder (CPC) from American Health Information Management Associations (AHIMA) or American Academy of Professional Coders (AAPC) required.  RHIA/ RHIT or healthcare auditing certification preferred. Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.  LCMC is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, disability status, protected veteran status, or any other characteristic protected by law.   

Job Summary: The Clinical Documentation Specialist (CDS) is responsible for improving the overall quality and completeness of clinical documentation in the medical records to reflect the severity of illness, clinical treatment, decisions and diagnoses of patients. This position involves concurrent medical record review as well as education and interaction with physicians, HIM Coders and others involved in the care of the patient. Minimum Requirements: Registered Nurse with current Pennsylvania Licensure or Certified Health Information Management professional. Minimum of five years of recent advanced clinical experience and extensive knowledge of complex disease processes in an acute care hospital setting. Must have strong communication, teaching, and presentation skills; must be detailed oriented, possess good problem solving skills. Demonstrated knowledge of medical terminology, anatomy and physiology. Ability to establish and maintain strong verbal and written communication with providers and other clinicians. Essential technical/motor skills: requires excellent observation skills, analytical thinking, problem solving, and excellent verbal and written communication. Preferred Qualifications: CCDS or CDIP, CPC, CCS-P, and/or RHIT preferred At least 1-2 years experience in an acute hospital setting functioning in a clinical documentation role or coding role. Experience assigning Working DRGs based on coding guidelines/ regulations issued by AHA, AHIMA, and CMS. Licensure and Certifications: CCDS or CDIP certification preferred upon hire; mandatory within 1-2 years of employment. PA RN Licensure;Ability to work independently;License in related field required;Strong communication skills CPC CCS-P and/or RHIT preferred;CCDS or CDIP   #LI-ML1 HTFSJ

JOB SUMMARY:                                                      SUPERVISES THE DAILY OPERATIONS OF THE FACILITY TO ENSURE SMOOTH, EFFICIENT OPERATIONS.   WORKS CLOSELY WITH PHYSICIANS TO ENSURE THAT QUALITY PATIENT CARE IS MAINTAINED.     DUTIES AND RESPONSIBILITIES (THIS LIST MAY NOT INCLUDE ALL OF THE DUTIES ASSIGNED.)   1.                   Maintains strictest confidentiality. 2.                   Coordinates physician office operations.   In conjunction with the physicians and practice management administrator, hires, supervises and evaluates staff per policy.   Orients and trains new staff.   Maintains all personnel records for the facility in cooperation with Human Resources.   Prepares work schedules and ensures adequate staff coverage, monitors time off requests and resolves workload distribution issues.   Totals all employee hours for submission to Human Resources, in a timely and accurate manner.   3.                   Facilitates communications to address operational issues on a timely basis.   Conducts regular periodic staff meetings to inform staff of changes in policies, discuss areas of concern, and to provide necessary inservice training.   Records results of meetings.   Identifies areas of conflict to physicians and/or Administrator and suggests resolutions.   4.                   Implements and monitors compliance with office policies and procedures.   Ensures OSHA and/or CLIA environmental control plan is maintained in the office; trains employees on the standards.   Ensures all equipment is maintained per appropriate regulations.   5.                   Assesses outside service and equipment needs with involved staff and physician; makes recommendations to Administrator.   Responsible for ensuring all necessary office and medical supplies are maintained at a level adequate for efficient operations.   Maintains inventory maintenance procedures and ensures orders are prepared as appropriate.   Reviews monthly supply expenditures against budget and reports to Administrator.   6.                   In cooperation with the Administrator, implements financial policies and monitors cash collections to ensure adherence to policy.   Maintains strict cash control.   Ensures there is daily reconciliation of cash.   Ensures bank deposit is made.   Ensures timely and accurate charge entry and payment posting for claim processing and reporting purposes.   Completes daily activity report.   7.                   In cooperation with the Administrator, assists in preparing annual operating budget.   Monitors performance to ensure the office is operating within the budget guidelines.   Reviews all invoices, researches discrepancies.   Researches variances and reports to physicians and Administrator on a monthly basis.   8.                   Regularly reviews Explanation of Benefits (EOB) comparing billed charges to reimbursement to monitor pricing/coding activity.   Notifies Administrator of significant problems.   Regularly reviews fee schedule and recommends pricing changes to Administrator and physicians.     9.                   Prepares required reports within requested time frame.   Ensures that daily, monthly and year-end reports are generated by the computer system no later than the time line designated for completion.   10.               Develops and implements plans to continually improve patient satisfaction ratings.   Resolves work problems to ensure quality patient care.   Implements and supervises patient recall system.   Works closely with physicians to ensure highest quality clinical care.   11.               Ensures all information is accurately filed in chart within a reasonable time and all charts are accurately filed and/or pulled by the end of the day.   Monitors policies and procedures regarding release of medical records, and ensures record requests are completed within 5 days.   12.               Ensures patient's insurance benefits are verified to determine of coverage meets the standards as stated in the organization policy.   Establishes payment arrangement procedures, per facility policy.   Establishes payment arrangement procedures, per facility policy, when required by patient financial circumstances.   13.               Ensures patient requests or problems are resolved per policy on a timely basis, within the scope of authority.   Identifies problems to Administrator and suggests resolution.   14.               Prepares, completes, and submits all managed care applications, hospital staffing applications, licensures, etc., in an accurate and efficient manner.   Serves as liaison between physician group and external agencies (managed care companies, malpractice insurance companies, etc.).   15.               Participates in continuing education programs and other experiences to improve professional competence.     PERFORMANCE REQUIREMENTS   KNOWLEDGE, SKILLS, AND ABILITIES   Knowledge of organization policies and procedures.   Knowledge of fiscal management and human resource management principles.   Knowledge of office management techniques and practices.   Knowledge of computer systems and applications.   Skill in gathering, analyzing, and evaluating data. Skill in written and verbal communication.   Ability to read, interpret, and apply clinic policies and procedures.   Ability to identify problems and recommend solutions.   Ability to establish priorities and coordinate work activities.     EDUCATION/EXPERIENCE   Affiliation with American Association of Professional Coders and completion of Professional Association Healthcare Office Manager training preferred.   Associates degree in health or business administration or at least 5 years experience in a similar position within a physician's office, hospital, clinic or other healthcare facility preferred.   Strong positive interpersonal skills; high degree of initiative, sense of organization and ability to identify and resolve problems. Position requires an individual with diverse skills.     Individual must be able to work on discrete tasks in a high volume, high-pressured environment.   Good judgement and professional demeanor a must.           TYPICAL PHYSICAL DEMANDS   Requires   prolonged sitting, some bending, stooping and stretching.   Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard photocopier, telephone, calculator and other office equipment.   Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports.   TYPICAL WORKING CONDITIONS   Normal office environment. Occasional evening or weekend work.   code: Methodist Medical Group

VCU Health System's Business Office_Coding Services  is seeking a full time Medical Coder I to translate provider documentation and/or reports and makes the determination as to the appropriate CPT and/or ICD-9/10 codes for billing of services rendered by physicians. Ensure compliance with all insurance guidelines and state and federal regulations regarding physicians' documentation of services. Enter charges into TES/PARS assuring that all services are coded and billed accurately, timely and ensure maximum reimbursement. Assists reimbursement personnel by providing information regarding resolution of payment denials Responsibilities: Utilizes knowledge of CPT, ICD-9/10 coding systems, current insurance and regulatory guidelines to analyze and interpret patient medical records, encounter sheets and/or operative reports in order to assign or verify and/or sequence appropriate diagnostic/procedure billing codes for clinical, both outpatient and inpatient services, diagnoses, treatment, etc. for all professional provider services. Performs necessary coding tasks within Facility/Department established benchmarks. Quality Control Reporting (Pathology Only). Reviews and verifies billing data for completeness and submits additional supporting documentation when indicated by payer guidelines. May investigate missing charges to ensure the proper capture of clinical charges. Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and the Department. Qualifications: Required High School Diploma or the equivalent One of the following certifications is required: Certified Procedural Coder (CPC) by the American Academy of Procedural Coders; or Certified Coding Specialist Physician-based (CCS-P) by the American Health Information Management Association; or Equivalent/comparable coding certification Minimum of two (2) years of third party medical billing and coding experience from Evaluation and Management documentation Previous work experience using a personal computer and various billing/coding software applications, Microsoft Office (Excel, Word), e-mail, etc. Preferred Previous work experience in reimbursement practices and procedures

Position Overview Apply the appropriate diagnosis and/or procedure codes to individual patient health information for data retrieval, analysis, and claim processing for hospital outpatient accounts, emergency department records, Emergency Department facility-based procedural coding and physician practice specialty/surgical coding. Code assignment should be done in accordance to coding and reimbursement guidelines with minimal errors. Position Requirements Education/Experience Minimum Required: RHIT certification with an Associate’s Degree in HIT; or CPC, CCA, CCS-P, or CCS certification with an Associate’s Degree or High School Diploma or equivalent; or a High School Diploma and one year of coding experience. If applicant does not possess above noted credentials, must obtain their credentials within 6 months of start date. Preferred: RHIA certification with a Bachelor’s Degree in HIT. Two years of experience with outpatient coding or professional coding. Two years of experience with encoding systems. Two years of experience with operative report coding. License/Certification Minimum Required: See information above; level of education/experience is tied to certification. Preferred: See information above; level of education/experience is tied to certification.

POSITION SUMMARY/RESPONSIBILITIES Works under the direct supervision of the Outpatient Coding and Reimbursement Manager, Health Information Management as an entry level coder.  Assigns ICD-10-CM and CPT diagnosis for basic ancillary services only.  Promotes the UHS guest relation’s policy. EDUCATION/EXPERIENCE High school diploma or equivalent required.  One year of experience in general office clerical work is preferred.  Completion of a coding program and/or a minimum of one year coding experience preferred.  Valid certification offered by one of the following credentialing bodies is required within 18 months from the start of employment:  AAPC, AHIMA or NCCT.  Knowledge of regulatory requirements preferred.  Knowledge of Microsoft Office Products as well as 3M Encoding and Grouping software preferred.   LICENSURE/CERTIFICATION Must maintain a valid credential offered by one of the following credentialing bodies: AAPC, AHIMA or NCCT. Will allow 18 months after the start of employment to obtain credential. (An additional 18 month extension may be granted to an employee to retake the examination if he/she is maintaining the departments productivity and quality standards.)  

Olathe Health is looking for dedicated and caring professionals to join our system!  If you enjoy an environment of team oriented patient care and an excellent staff of co-workers, you have found the right place!  Olathe Medical Center, Inc, a 300-bed general acute care facility is currently looking for a Home Health Coder professional to join our team. If you are committed to helping improve the health of our communities in an environment of trust and collaboration, you are welcome to apply online:  www.olathehealth.org/Careers EOE-M/F/Disabled/Vet Position Description: Codes patient diagnosis, operations and procedures, utilizing the ICD-9 and other classification systems,  as appropriate, for the purpose of internal clinical databases and reimbursement.  Position Requirements: Education:  High School or GED required  Associate Degree in Health Information Technology or Bachelors Degree in Health Information Management preferred Experience: 1 - 3 Years preferred Knowledge, Skills: Analytical, organizational and verbal communication skills required License, Registration and/or Certification: HCF-D or HDC-H Certificate preferred

Job Summary: The ACDS is responsible for improving the overall quality and completeness of ambulatory clinical documentation in the medical records to reflect the activity of illness, clinical treatment, decisions and diagnoses of patients. This position will optimize and influence all people, processes, and technologies associated with ambulatory coding and documentation practices--including performance reporting and analyses, prospective and concurrent medical record review as well as education and interaction with physicians, coders, and other stakeholders across the LVHN continuum involved in the care of the patient. Minimum Requirements: Registered Nurse with current Pennsylvania Licensure or Certified Health Information Management professional. Certified Risk Adjustment Coder (CRC) Certification through AAPC required. Minimum of five years of recent advanced clinical experience and extensive knowledge of complex disease processes in outpatient clinical settings. Ability to establish and maintain strong verbal and written communication with providers and other clinicians. Essential technical/motor skills: requires excellent observation skills, analytical thinking, problem solving, and excellent verbal and written communication. Must have strong communication, teaching and presentation skills; must be detailed oriented, possess good problem solving skills. Demonstrated knowledge of medical terminology, anatomy, and physiology. Preferred Qualifications: Professional certification in clinical documentation (CCDS) recommended within 2 years. At least 1-2 years experience in an ambulatory practice setting functioning in a clinical documentation role or coding role. Experience with end-to-end coding processes in the outpatient clinical setting. Licensure and Certifications: Registered nurse with current Pennsylvania Licensure or Certified Health Information Management professional. Certified Risk Adjustment Coder (CRC) Certification through AAPC. CCDS recommended within 2 years of employment.  

Who We Are: Central Florida Health (CFH) is a locally owned and governed not-for-profit healthcare system and the largest, most comprehensive provider of healthcare services in the region. CFH provides services to Lake, Sumter, and Marion counties through inpatient acute hospital services at The Villages® Regional Hospital (TVRH) and Leesburg Regional Medical Center (LRMC), inpatient rehabilitation services at TVRH Rehabilitation Hospital, geriatric-psychiatry services at the LRMC Senior Behavioral Health Center and diagnostic laboratory services at several locations. As a premier healthcare provider, CFH takes pride in providing progressive, innovative technology, along with building strong relationships with patients, families, physicians and residents of the communities we serve. To learn more, visit www.CentralFloridaHealth.org .  Position Title: Coder 3 Essential Functions: The Coder III is responsible for evaluating and assigning the appropriate ICD-9, CPT-4, and HCPCS codes, as well as abstract pertinent clinical information for bill preparation for the following patient types: Inpatient, Rehabilitation, Observation, Ambulatory Surgery, Obstetrics Observation, Emergency Room, Outpatient Testing, and Series accounts (which include infusions, injections, transfusions, chemotherapy, and outpatient rehab) as outlined in the coding policy and procedure manual. This position is also responsible for researching and resolving coding/billing issues, and analyzing the medical record for completeness, consistency, and compliance with all regulatory requirements.

Purpose: Facilitates all aspects of the surgical patient's pre-operative preparation process, including pre-operative testing according to medically necessary criteria, interaction with Medicare coders to obtain coding of preoperative testing, result retrieval, and the preoperative anesthesia prescreening interview process. Provides preoperative instructions and acts as resource for patients receiving general, regional and monitored anesthesia care. Provides preoperative patient and family education to the cardiovascular, joint replacement, and vascular surgery patient. Education/Experience: ·          Registered Nurse with minimum of 7-10 years of nursing experience, preferred Critical Care experience. Participates in educational programs and in-service meetings as required by department standards.    Additional example: Maintains professional growth and development through continuing education programs. Seminars, workshops, and professional affiliations, including self studies to keep abreast of the latest trends in field of experience. ·          Current license to practice Nursing in the State of Indiana ·          Basic computer skills, including Microsoft Office, AS400. ·          Self-motivated, people oriented person with excellent communication skills, and a close attention to detail and accuracy. Ability to multitask, coordinate, and accomplish various tasks simultaneously in an office setting.

The Clinic Coder is responsible for assigning accurate CPT and ICD-10 codes to the patient encounter form from dictation.   After codes are assigned, these charges are entered into the computer.   This position is also responsible for auditing providers' dictation as needed for correct coding and compliance. Position Highlights: Discover a Career of Faith and Healing: For over 60 years, Sioux Center Health has served patients with Jesus' healing ministry. With eight locations located in Sioux Center, Iowa and surrounding communities, we take great pride in providing superior care in our state-of-the-art facilities. There's a reason we are a nationally-recognized healthcare leader. A Career that You Will Love: There's no other way to say it: You will love working here. Between our strong mission and our great people, we have nurtured a pretty exceptional culture at Sioux Center Health. A Chance to Make a Difference: Working with us means making a real difference in the lives of our community members. Your talents and your passions are truly appreciated here. In addition to the service we provide, Sioux Center Health also supports our community with sponsored programs and events, and other volunteer work.   If this is your passion, you need to consider joining our team driven to provide quality care and services within a caring Christian culture.

Job Summary:  To perform diversified coding and auditing of coded medical records related to ICD-10-CM, PCS and CPT coding including infusion and injection charging.   Train new coding staff on department specific procedures and coordinate education of ICD-10.   Promotes teamwork and acts as a liaison with coders and CDI specialists through JATA team and education.  D evelopment of new procedures related to coding and implementation of systems that impact coding.   Research coding guidelines that help with understanding claim edits and denials by RAC or other payers for coding reasons.   Serve as a backup for coding and abstracting of all types of records as needed.   Qualifications:   Bachelor degree in Health Information Management or Associate degree in Health Information Technology required.      Applicant must be certified as an RHIA, RHIT,or CSS   (or obtain within 2 years) and have at least 5 years of experience in a health information/medical records environment related to coding. Training in ICD-10-CM/PCS and CPT coding conventions.   EPIC experience preferred.    Familiarity with hospital medical records and regulatory requirement for content a plus for this job.   Excellent written and oral communication skills and excellent organizational skills.     Ability to adapt to change and handle multiple tasks in a complex environment. Computer skills and working knowledge of Microsoft Office applications to create/maintain spreadsheets, databases, and word processing functions.   EOE AA M/F/Vet/Disability

Job Summary: Responsible for performing in-depth reviews of hospital inpatient medical records to ensure the assigned diagnosis and procedure codes, as well as Diagnosis Related Group (DRG) assignment is supported by the clinical documentation.  To utilize  Auditing Software and documents findings in this application. To stay current on changes to coding and documentation regulations and guidelines. All team members are responsible for bringing life to our Purpose Statement – Inspire health. Serve with compassion. Be the difference – through every action and every interaction at work.  Responsibilities: Conducts review of discharged inpatient records and validate the coding/DRG assignment according to official coding guidelines as supported by the clinical documentation in the record. Documents all updates in the Auditing software as well as recommended changes. If necessary, submits corrected claim to Patient Financial Services for rebilling. Generates weekly or monthly audit reports as designated by Department Manager. Assists with educational programs for coding staff, clinical documentation staff and medical staff to include yearly Coding/DRG updates. Codes inpatient visits periodically based on review of clinical documentation. Queries physician following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy.  Maintains working knowledge of Centers for Medicare & Medicaid Services (CMS) regulations and applicable carrier local medical review policies. Abides by the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines. Serves as super user for Health Information Management (HIM) applications and system testing.  Requirements: Education: Associate's degree or Coding Certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other coding certification program. Work experience may NOT substitute for education requirement.  Experience: F our (4) years experience in inpatient coding and abstracting with healthcare billing process experience in acute care setting. License, Registry, or Certification Required: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified Professional Coder (CCP), Certified Professional Coder - Hospital (CPC-H), Certified Outpatient Coder (COC), or Certified Inpatient Coder (CIC) or other approved coding credential. Special Training: Strong knowledge of International Classification of Diseases-10 (ICD-10).Knowledge of Clinical Documentation Improvement principles, Quality Indicators, formal and informal coding audit processes. Ability to collect, maintain, analyze, and report statistical and other data. Ability to work effectively, independently, and manage multiple demands consistently. Ability to operate multiple Windows based software applications and experience with office software such as Excel and Word. EEO/AA