Altru Health System
1200 S Columbia Rd Grand Forks North Dakota 58206-6002 United States
The Coder is responsible for coding diseases, procedures, and operations for professional and facility services within Altru Health System. This position serves as a resource for staff for documentation and coding issues. The Coder monitors daily activity reports to assure all encounters are being coded, and performs documentation review and audits to validate coding efforts.
Essential Job Functions
Title and Description
Coder Accred - Coding
Utilizes the electronic medical record to code diseases, procedures, and operations with the current diagnosis and procedure classifications for both professional and facility services.
Coder Accred - Resources
Accesses designated resources such as coding initiatives, local medical review policies, HCPCS, Coders Desk Reference, etc. to research appropriate codes for adherence with coding guidelines.
Coder Accred - Partners
Partners with providers for quality, optimum coding by engaging in on-going feedback on updated coding criteria and guidelines.
Coder Accred - Guidelines
Communicates current procedure and diagnosis coding guidelines with providers. Serves as a resource regarding documentation and coding issues.
Coder Accred - Denials
Assists Business Office staff in the resolution of coding related denials guidelines and take corrective action for claim resubmission for reimbursement.
Coder Accred - Daily Activity
Monitors daily activity reports to assure all encounters are being coded and submitted for billing.
Coder Accred - Documentation
Performs documentation review and audits to validate coding. Works with physicians and leaders to interpret coding data reports and trends.
Other Duties
Performs other duties as assigned or needed to meet the needs of the department/organization.
Safety & Compliance
Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.
Demonstrates knowledge and understanding of and compliance with:
All pertinent safety, health and environmental policies, procedures and guidelines.
Working safely, without causing harm or risk to self, others or property.
The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.
The use of all safety equipment and personal protective equipment.
Behavior Standards
Integrity: We will always do the right thing even when no one is watching.
Acknowledge: We will create a welcoming, healing environment.
Meaningful: We will provide an exceptional patient experience.
Accountable: We will accept responsibility for our actions and behaviors.
Listen: We will listen and seek to understand.
Team: We will work together to deliver world-class care.
Respect: We will treat each other with respect.
Understand: We will seek to understand and respond genuinely.
License, Certification & Registration
Title
Credentialing Body
Timeframe When Needed
Verified By
Certified Coding Associate (CCA)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist (CCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist - Physician Based (CCS-P)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Professional Coder-Hospital Outpatient (CPC-H)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Provider Credentialing Specialist (CPCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Registered Health Information Technician (RHIT)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Notes
May be certified in one of the above.
Education & Experience
Degree/Diploma
Program of Study
Required/Preferred
Experience
Experience
Required/Preferred
Knowledge & Skills
Title
Required/Preferred
Demonstrates knowledge of CPT, ICD-10, HCPCS, and revenue codes.
Required
Physical Demands
Activity
Frequency
Sit
Continuously (>67%)
Stand
Frequently (34-66%)
Walk
Occasionally (5-33%)
Stoop/Bend
Occasionally (5-33%)
Reach
Frequently (34-66%)
Climb
Not Applicable
Crawl
Not Applicable
Squat/Crouch/Kneel
Rarely (67%)
See
Continuously (>67%)
Hear
Continuously (>67%)
Weight Demands
Activity
Amount
Lift - Floor to Waist Level
Sedentary (
Functional Assessment
Type
Not Applicable
Feb 15, 2019
Full-time
The Coder is responsible for coding diseases, procedures, and operations for professional and facility services within Altru Health System. This position serves as a resource for staff for documentation and coding issues. The Coder monitors daily activity reports to assure all encounters are being coded, and performs documentation review and audits to validate coding efforts.
Essential Job Functions
Title and Description
Coder Accred - Coding
Utilizes the electronic medical record to code diseases, procedures, and operations with the current diagnosis and procedure classifications for both professional and facility services.
Coder Accred - Resources
Accesses designated resources such as coding initiatives, local medical review policies, HCPCS, Coders Desk Reference, etc. to research appropriate codes for adherence with coding guidelines.
Coder Accred - Partners
Partners with providers for quality, optimum coding by engaging in on-going feedback on updated coding criteria and guidelines.
Coder Accred - Guidelines
Communicates current procedure and diagnosis coding guidelines with providers. Serves as a resource regarding documentation and coding issues.
Coder Accred - Denials
Assists Business Office staff in the resolution of coding related denials guidelines and take corrective action for claim resubmission for reimbursement.
Coder Accred - Daily Activity
Monitors daily activity reports to assure all encounters are being coded and submitted for billing.
Coder Accred - Documentation
Performs documentation review and audits to validate coding. Works with physicians and leaders to interpret coding data reports and trends.
Other Duties
Performs other duties as assigned or needed to meet the needs of the department/organization.
Safety & Compliance
Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.
Demonstrates knowledge and understanding of and compliance with:
All pertinent safety, health and environmental policies, procedures and guidelines.
Working safely, without causing harm or risk to self, others or property.
The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.
The use of all safety equipment and personal protective equipment.
Behavior Standards
Integrity: We will always do the right thing even when no one is watching.
Acknowledge: We will create a welcoming, healing environment.
Meaningful: We will provide an exceptional patient experience.
Accountable: We will accept responsibility for our actions and behaviors.
Listen: We will listen and seek to understand.
Team: We will work together to deliver world-class care.
Respect: We will treat each other with respect.
Understand: We will seek to understand and respond genuinely.
License, Certification & Registration
Title
Credentialing Body
Timeframe When Needed
Verified By
Certified Coding Associate (CCA)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist (CCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist - Physician Based (CCS-P)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Professional Coder-Hospital Outpatient (CPC-H)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Provider Credentialing Specialist (CPCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Registered Health Information Technician (RHIT)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Notes
May be certified in one of the above.
Education & Experience
Degree/Diploma
Program of Study
Required/Preferred
Experience
Experience
Required/Preferred
Knowledge & Skills
Title
Required/Preferred
Demonstrates knowledge of CPT, ICD-10, HCPCS, and revenue codes.
Required
Physical Demands
Activity
Frequency
Sit
Continuously (>67%)
Stand
Frequently (34-66%)
Walk
Occasionally (5-33%)
Stoop/Bend
Occasionally (5-33%)
Reach
Frequently (34-66%)
Climb
Not Applicable
Crawl
Not Applicable
Squat/Crouch/Kneel
Rarely (67%)
See
Continuously (>67%)
Hear
Continuously (>67%)
Weight Demands
Activity
Amount
Lift - Floor to Waist Level
Sedentary (
Functional Assessment
Type
Not Applicable
Gaston Memorial Hospital
CaroMont Medical Group Gastonia North Carolina 28054 US
Job Summary: Facilitate the coordinated scheduling and insurance pre-certification for surgical and medical admissions for the practice. Provides front-office support duties including, but not limited to, obtaining referrals and pre-certifications, collecting co-pays and missing patient data, scheduling appointments, and coding fee slips. Responsible for the capture and appropriate submission of all charge information for the practice. This could entail up to $650,000 in charges per physician. Communicates and models mission and values of CaroMont Health.
Qualifications: High school diploma or equivalent required with at least 3 years medical office experience. Must demonstrate abilities and skills to provide excellent customer service. Must possess excellent communication skills as well as knowledge of medical practice operations. Requires interpersonal skills necessary to function as liaison between physicians, office staff, patients and patient's family members. Requires the ability to read, write, follow oral and written instructions, perform mathematical calculations and communicate effectively with patients, co-workers, and service representatives from the area hospitals and insurance providers. Certified Practice Coder or other coding certification preferred. Prior experience with Managed Care pre-certification and documentation processes required. Must be able to handle a fast-paced environment in a confident professional manner. Must be a self-motivator, possessing a high level of judgment skills an initiative, along with ability to prioritize and coordinate several tasks simultaneously, while retaining a confident, knowledgeable and helpful demeanor. Must have the ability to listen compassionately demonstrating effective problem-solving and critical-thinking techniques to areas of concern to patients and employees without appearing judgmental is essential. Requires understanding of and the ability to maintain strict patient confidentiality.
EOE AA M/F/Vet/Disability
Feb 14, 2019
Other
Job Summary: Facilitate the coordinated scheduling and insurance pre-certification for surgical and medical admissions for the practice. Provides front-office support duties including, but not limited to, obtaining referrals and pre-certifications, collecting co-pays and missing patient data, scheduling appointments, and coding fee slips. Responsible for the capture and appropriate submission of all charge information for the practice. This could entail up to $650,000 in charges per physician. Communicates and models mission and values of CaroMont Health.
Qualifications: High school diploma or equivalent required with at least 3 years medical office experience. Must demonstrate abilities and skills to provide excellent customer service. Must possess excellent communication skills as well as knowledge of medical practice operations. Requires interpersonal skills necessary to function as liaison between physicians, office staff, patients and patient's family members. Requires the ability to read, write, follow oral and written instructions, perform mathematical calculations and communicate effectively with patients, co-workers, and service representatives from the area hospitals and insurance providers. Certified Practice Coder or other coding certification preferred. Prior experience with Managed Care pre-certification and documentation processes required. Must be able to handle a fast-paced environment in a confident professional manner. Must be a self-motivator, possessing a high level of judgment skills an initiative, along with ability to prioritize and coordinate several tasks simultaneously, while retaining a confident, knowledgeable and helpful demeanor. Must have the ability to listen compassionately demonstrating effective problem-solving and critical-thinking techniques to areas of concern to patients and employees without appearing judgmental is essential. Requires understanding of and the ability to maintain strict patient confidentiality.
EOE AA M/F/Vet/Disability
Gaston Memorial Hospital
CaroMont Medical Group Specialty Gastonia North Carolina 28054 US
Job Summary: Facilitate the coordinated scheduling and insurance pre-certification for surgical and medical admissions for the practice. Provides front-office support duties including, but not limited to, obtaining referrals and pre-certifications, collecting co-pays and missing patient data, scheduling appointments, and coding fee slips. Responsible for the capture and appropriate submission of all charge information for the practice. This could entail up to $650,000 in charges per physician. Communicates and models mission and values of CaroMont Health.
Qualifications: High school diploma or equivalent required with at least 3 years medical office experience. Must demonstrate abilities and skills to provide excellent customer service. Must possess excellent communication skills as well as knowledge of medical practice operations. Requires interpersonal skills necessary to function as liaison between physicians, office staff, patients and patient's family members. Requires the ability to read, write, follow oral and written instructions, perform mathematical calculations and communicate effectively with patients, co-workers, and service representatives from the area hospitals and insurance providers. Certified Practice Coder or other coding certification preferred. Prior experience with Managed Care pre-certification and documentation processes required. Must be able to handle a fast-paced environment in a confident professional manner. Must be a self-motivator, possessing a high level of judgment skills an initiative, along with ability to prioritize and coordinate several tasks simultaneously, while retaining a confident, knowledgeable and helpful demeanor. Must have the ability to listen compassionately demonstrating effective problem-solving and critical-thinking techniques to areas of concern to patients and employees without appearing judgmental is essential. Requires understanding of and the ability to maintain strict patient confidentiality.
EOE AA M/F/Vet/Disability
Feb 14, 2019
Other
Job Summary: Facilitate the coordinated scheduling and insurance pre-certification for surgical and medical admissions for the practice. Provides front-office support duties including, but not limited to, obtaining referrals and pre-certifications, collecting co-pays and missing patient data, scheduling appointments, and coding fee slips. Responsible for the capture and appropriate submission of all charge information for the practice. This could entail up to $650,000 in charges per physician. Communicates and models mission and values of CaroMont Health.
Qualifications: High school diploma or equivalent required with at least 3 years medical office experience. Must demonstrate abilities and skills to provide excellent customer service. Must possess excellent communication skills as well as knowledge of medical practice operations. Requires interpersonal skills necessary to function as liaison between physicians, office staff, patients and patient's family members. Requires the ability to read, write, follow oral and written instructions, perform mathematical calculations and communicate effectively with patients, co-workers, and service representatives from the area hospitals and insurance providers. Certified Practice Coder or other coding certification preferred. Prior experience with Managed Care pre-certification and documentation processes required. Must be able to handle a fast-paced environment in a confident professional manner. Must be a self-motivator, possessing a high level of judgment skills an initiative, along with ability to prioritize and coordinate several tasks simultaneously, while retaining a confident, knowledgeable and helpful demeanor. Must have the ability to listen compassionately demonstrating effective problem-solving and critical-thinking techniques to areas of concern to patients and employees without appearing judgmental is essential. Requires understanding of and the ability to maintain strict patient confidentiality.
EOE AA M/F/Vet/Disability
Wellmont Bristol Regional Medical Center
Wellmont Health System Corporate Kingsport Tennessee 37660 US
Position responsible for following up on Insurance unpaid claims, as well as claim denials. Maintains daily productivity within Charge, Claim, and Follow-up WQs within EPIC to ensure proper handling of accounts receivable that supports that maintains job duty daily productivity goals. Works as a liaison with the Provider clinic sites to assist with coding/billing education as well as answering patient coverage question, verification of medical necessity. Interacts with patients/customers in a professional manner, responding to customer inquiries and providing information concerning patients accounts. Assists with procedural and diagnostic coding and/or error resolutions. Performs necessary follow up, as outlined in departmental policy and procedures, on patient accounts. Utilize all possible resources to conduct follow up with patients and insurance carriers to resolve final resolution of account. Must possess computer system knowledge based on specific job duties as well as knowledge of insurance and third party billing practices and reconciliation, as well as full understanding of CPT, ICD-9/ICD-10 and HCPCs codes and coding guidelines.. Completes follow up on all work file accounts on a daily basis or as deemed appropriate by department leadership.
HS Graduate. Minimum of two years working in Provider billing environment. CPC (Certified Coder), CPAR (Certified PAR), or CPB (Certified Biller) certificate is preferred, but not required.
CPR is required for any RN, LPN, PCT, Patient Transporter or other direct patient care provider. Emergency Department, Intensive Care Units, PACU, Medical Emergency Team and Anesthesia require ACLS. Pediatrics, SICU, Emergency Department and Medical Emergency Team also require PALS.
Feb 14, 2019
Other
Position responsible for following up on Insurance unpaid claims, as well as claim denials. Maintains daily productivity within Charge, Claim, and Follow-up WQs within EPIC to ensure proper handling of accounts receivable that supports that maintains job duty daily productivity goals. Works as a liaison with the Provider clinic sites to assist with coding/billing education as well as answering patient coverage question, verification of medical necessity. Interacts with patients/customers in a professional manner, responding to customer inquiries and providing information concerning patients accounts. Assists with procedural and diagnostic coding and/or error resolutions. Performs necessary follow up, as outlined in departmental policy and procedures, on patient accounts. Utilize all possible resources to conduct follow up with patients and insurance carriers to resolve final resolution of account. Must possess computer system knowledge based on specific job duties as well as knowledge of insurance and third party billing practices and reconciliation, as well as full understanding of CPT, ICD-9/ICD-10 and HCPCs codes and coding guidelines.. Completes follow up on all work file accounts on a daily basis or as deemed appropriate by department leadership.
HS Graduate. Minimum of two years working in Provider billing environment. CPC (Certified Coder), CPAR (Certified PAR), or CPB (Certified Biller) certificate is preferred, but not required.
CPR is required for any RN, LPN, PCT, Patient Transporter or other direct patient care provider. Emergency Department, Intensive Care Units, PACU, Medical Emergency Team and Anesthesia require ACLS. Pediatrics, SICU, Emergency Department and Medical Emergency Team also require PALS.
Wellmont Bristol Regional Medical Center
Wellmont Health System Corporate Kingsport Tennessee 37660 US
Position responsible for following up on Insurance unpaid claims, as well as claim denials. Maintains daily productivity within Charge, Claim, and Follow-up WQs within EPIC to ensure proper handling of accounts receivable that supports that maintains job duty daily productivity goals. Works as a liaison with the Provider clinic sites to assist with coding/billing education as well as answering patient coverage question, verification of medical necessity. Interacts with patients/customers in a professional manner, responding to customer inquiries and providing information concerning patients accounts. Assists with procedural and diagnostic coding and/or error resolutions. Performs necessary follow up, as outlined in departmental policy and procedures, on patient accounts. Utilize all possible resources to conduct follow up with patients and insurance carriers to resolve final resolution of account. Must possess computer system knowledge based on specific job duties as well as knowledge of insurance and third party billing practices and reconciliation, as well as full understanding of CPT, ICD-9/ICD-10 and HCPCs codes and coding guidelines.. Completes follow up on all work file accounts on a daily basis or as deemed appropriate by department leadership.
HS Graduate. Minimum of two years working in Provider billing environment. CPC (Certified Coder), CPAR (Certified PAR), or CPB (Certified Biller) certificate is preferred, but not required.
CPR is required for any RN, LPN, PCT, Patient Transporter or other direct patient care provider. Emergency Department, Intensive Care Units, PACU, Medical Emergency Team and Anesthesia require ACLS. Pediatrics, SICU, Emergency Department and Medical Emergency Team also require PALS.
Feb 14, 2019
Other
Position responsible for following up on Insurance unpaid claims, as well as claim denials. Maintains daily productivity within Charge, Claim, and Follow-up WQs within EPIC to ensure proper handling of accounts receivable that supports that maintains job duty daily productivity goals. Works as a liaison with the Provider clinic sites to assist with coding/billing education as well as answering patient coverage question, verification of medical necessity. Interacts with patients/customers in a professional manner, responding to customer inquiries and providing information concerning patients accounts. Assists with procedural and diagnostic coding and/or error resolutions. Performs necessary follow up, as outlined in departmental policy and procedures, on patient accounts. Utilize all possible resources to conduct follow up with patients and insurance carriers to resolve final resolution of account. Must possess computer system knowledge based on specific job duties as well as knowledge of insurance and third party billing practices and reconciliation, as well as full understanding of CPT, ICD-9/ICD-10 and HCPCs codes and coding guidelines.. Completes follow up on all work file accounts on a daily basis or as deemed appropriate by department leadership.
HS Graduate. Minimum of two years working in Provider billing environment. CPC (Certified Coder), CPAR (Certified PAR), or CPB (Certified Biller) certificate is preferred, but not required.
CPR is required for any RN, LPN, PCT, Patient Transporter or other direct patient care provider. Emergency Department, Intensive Care Units, PACU, Medical Emergency Team and Anesthesia require ACLS. Pediatrics, SICU, Emergency Department and Medical Emergency Team also require PALS.
Wellmont Bristol Regional Medical Center
Wellmont Health System Corporate Kingsport Tennessee 37660 US
Position responsible for following up on Insurance unpaid claims, as well as claim denials. Maintains daily productivity within Charge, Claim, and Follow-up WQs within EPIC to ensure proper handling of accounts receivable that supports that maintains job duty daily productivity goals. Works as a liaison with the Provider clinic sites to assist with coding/billing education as well as answering patient coverage question, verification of medical necessity. Interacts with patients/customers in a professional manner, responding to customer inquiries and providing information concerning patients accounts. Assists with procedural and diagnostic coding and/or error resolutions. Performs necessary follow up, as outlined in departmental policy and procedures, on patient accounts. Utilize all possible resources to conduct follow up with patients and insurance carriers to resolve final resolution of account. Must possess computer system knowledge based on specific job duties as well as knowledge of insurance and third party billing practices and reconciliation, as well as full understanding of CPT, ICD-9/ICD-10 and HCPCs codes and coding guidelines.. Completes follow up on all work file accounts on a daily basis or as deemed appropriate by department leadership.
HS Graduate. Minimum of two years working in Provider billing environment. CPC (Certified Coder), CPAR (Certified PAR), or CPB (Certified Biller) certificate is preferred, but not required.
CPR is required for any RN, LPN, PCT, Patient Transporter or other direct patient care provider. Emergency Department, Intensive Care Units, PACU, Medical Emergency Team and Anesthesia require ACLS. Pediatrics, SICU, Emergency Department and Medical Emergency Team also require PALS.
Feb 14, 2019
Other
Position responsible for following up on Insurance unpaid claims, as well as claim denials. Maintains daily productivity within Charge, Claim, and Follow-up WQs within EPIC to ensure proper handling of accounts receivable that supports that maintains job duty daily productivity goals. Works as a liaison with the Provider clinic sites to assist with coding/billing education as well as answering patient coverage question, verification of medical necessity. Interacts with patients/customers in a professional manner, responding to customer inquiries and providing information concerning patients accounts. Assists with procedural and diagnostic coding and/or error resolutions. Performs necessary follow up, as outlined in departmental policy and procedures, on patient accounts. Utilize all possible resources to conduct follow up with patients and insurance carriers to resolve final resolution of account. Must possess computer system knowledge based on specific job duties as well as knowledge of insurance and third party billing practices and reconciliation, as well as full understanding of CPT, ICD-9/ICD-10 and HCPCs codes and coding guidelines.. Completes follow up on all work file accounts on a daily basis or as deemed appropriate by department leadership.
HS Graduate. Minimum of two years working in Provider billing environment. CPC (Certified Coder), CPAR (Certified PAR), or CPB (Certified Biller) certificate is preferred, but not required.
CPR is required for any RN, LPN, PCT, Patient Transporter or other direct patient care provider. Emergency Department, Intensive Care Units, PACU, Medical Emergency Team and Anesthesia require ACLS. Pediatrics, SICU, Emergency Department and Medical Emergency Team also require PALS.
Altru Health System
1200 S Columbia Rd Grand Forks North Dakota 58206-6002 United States
The Coder is responsible for coding diseases, procedures, and operations for professional and facility services within Altru Health System. This position serves as a resource for staff for documentation and coding issues. The Coder monitors daily activity reports to assure all encounters are being coded, and performs documentation review and audits to validate coding efforts.
Essential Job Functions
Title and Description
Coder Accred - Coding
Utilizes the electronic medical record to code diseases, procedures, and operations with the current diagnosis and procedure classifications for both professional and facility services.
Coder Accred - Resources
Accesses designated resources such as coding initiatives, local medical review policies, HCPCS, Coders Desk Reference, etc. to research appropriate codes for adherence with coding guidelines.
Coder Accred - Partners
Partners with providers for quality, optimum coding by engaging in on-going feedback on updated coding criteria and guidelines.
Coder Accred - Guidelines
Communicates current procedure and diagnosis coding guidelines with providers. Serves as a resource regarding documentation and coding issues.
Coder Accred - Denials
Assists Business Office staff in the resolution of coding related denials guidelines and take corrective action for claim resubmission for reimbursement.
Coder Accred - Daily Activity
Monitors daily activity reports to assure all encounters are being coded and submitted for billing.
Coder Accred - Documentation
Performs documentation review and audits to validate coding. Works with physicians and leaders to interpret coding data reports and trends.
Other Duties
Performs other duties as assigned or needed to meet the needs of the department/organization.
Safety & Compliance
Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.
Demonstrates knowledge and understanding of and compliance with:
All pertinent safety, health and environmental policies, procedures and guidelines.
Working safely, without causing harm or risk to self, others or property.
The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.
The use of all safety equipment and personal protective equipment.
Behavior Standards
Integrity: We will always do the right thing even when no one is watching.
Acknowledge: We will create a welcoming, healing environment.
Meaningful: We will provide an exceptional patient experience.
Accountable: We will accept responsibility for our actions and behaviors.
Listen: We will listen and seek to understand.
Team: We will work together to deliver world-class care.
Respect: We will treat each other with respect.
Understand: We will seek to understand and respond genuinely.
License, Certification & Registration
Title
Credentialing Body
Timeframe When Needed
Verified By
Certified Coding Associate (CCA)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist (CCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist - Physician Based (CCS-P)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Professional Coder-Hospital Outpatient (CPC-H)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Provider Credentialing Specialist (CPCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Registered Health Information Technician (RHIT)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Notes
May be certified in one of the above.
Education & Experience
Degree/Diploma
Program of Study
Required/Preferred
Experience
Experience
Required/Preferred
Knowledge & Skills
Title
Required/Preferred
Demonstrates knowledge of CPT, ICD-10, HCPCS, and revenue codes.
Required
Physical Demands
Activity
Frequency
Sit
Continuously (>67%)
Stand
Frequently (34-66%)
Walk
Occasionally (5-33%)
Stoop/Bend
Occasionally (5-33%)
Reach
Frequently (34-66%)
Climb
Not Applicable
Crawl
Not Applicable
Squat/Crouch/Kneel
Rarely (67%)
See
Continuously (>67%)
Hear
Continuously (>67%)
Weight Demands
Activity
Amount
Lift - Floor to Waist Level
Sedentary (
Functional Assessment
Type
Not Applicable
Feb 14, 2019
Full-time
The Coder is responsible for coding diseases, procedures, and operations for professional and facility services within Altru Health System. This position serves as a resource for staff for documentation and coding issues. The Coder monitors daily activity reports to assure all encounters are being coded, and performs documentation review and audits to validate coding efforts.
Essential Job Functions
Title and Description
Coder Accred - Coding
Utilizes the electronic medical record to code diseases, procedures, and operations with the current diagnosis and procedure classifications for both professional and facility services.
Coder Accred - Resources
Accesses designated resources such as coding initiatives, local medical review policies, HCPCS, Coders Desk Reference, etc. to research appropriate codes for adherence with coding guidelines.
Coder Accred - Partners
Partners with providers for quality, optimum coding by engaging in on-going feedback on updated coding criteria and guidelines.
Coder Accred - Guidelines
Communicates current procedure and diagnosis coding guidelines with providers. Serves as a resource regarding documentation and coding issues.
Coder Accred - Denials
Assists Business Office staff in the resolution of coding related denials guidelines and take corrective action for claim resubmission for reimbursement.
Coder Accred - Daily Activity
Monitors daily activity reports to assure all encounters are being coded and submitted for billing.
Coder Accred - Documentation
Performs documentation review and audits to validate coding. Works with physicians and leaders to interpret coding data reports and trends.
Other Duties
Performs other duties as assigned or needed to meet the needs of the department/organization.
Safety & Compliance
Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.
Demonstrates knowledge and understanding of and compliance with:
All pertinent safety, health and environmental policies, procedures and guidelines.
Working safely, without causing harm or risk to self, others or property.
The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.
The use of all safety equipment and personal protective equipment.
Behavior Standards
Integrity: We will always do the right thing even when no one is watching.
Acknowledge: We will create a welcoming, healing environment.
Meaningful: We will provide an exceptional patient experience.
Accountable: We will accept responsibility for our actions and behaviors.
Listen: We will listen and seek to understand.
Team: We will work together to deliver world-class care.
Respect: We will treat each other with respect.
Understand: We will seek to understand and respond genuinely.
License, Certification & Registration
Title
Credentialing Body
Timeframe When Needed
Verified By
Certified Coding Associate (CCA)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist (CCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist - Physician Based (CCS-P)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Professional Coder-Hospital Outpatient (CPC-H)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Provider Credentialing Specialist (CPCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Registered Health Information Technician (RHIT)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Notes
May be certified in one of the above.
Education & Experience
Degree/Diploma
Program of Study
Required/Preferred
Experience
Experience
Required/Preferred
Knowledge & Skills
Title
Required/Preferred
Demonstrates knowledge of CPT, ICD-10, HCPCS, and revenue codes.
Required
Physical Demands
Activity
Frequency
Sit
Continuously (>67%)
Stand
Frequently (34-66%)
Walk
Occasionally (5-33%)
Stoop/Bend
Occasionally (5-33%)
Reach
Frequently (34-66%)
Climb
Not Applicable
Crawl
Not Applicable
Squat/Crouch/Kneel
Rarely (67%)
See
Continuously (>67%)
Hear
Continuously (>67%)
Weight Demands
Activity
Amount
Lift - Floor to Waist Level
Sedentary (
Functional Assessment
Type
Not Applicable
Upper Chesapeake Health
Upper Chesapeake Medical Center Bel Air Maryland 21014 US
Reviews medical records to code and abstract clinical data from outpatient visits. Complies with HSCRC reporting requirements.
Education & Training: Accredited college courses in medical terminology, anatomy and physiology, ICD-10 CM and CPT coding. Approved coding credentials from the American Academy of Professional coders (AAPC) or the American Health Information Management Association (AHIMA) are required. CPC, CPC-H, COC, CCS, CCS-P credential. Work Orientation & Experience: The incumbent may require up to three months of detailed job orientation and training to gain specific capabilities to perform essential job functions. A coding exercise is required prior to employment to determine competency level. Skills & Abilities: ICD-10 CM and CPT competency. Proficiency with Microsoft Windows., Ability to prioritize work assignments and complete duties within prescribed time frames. Strong interpersonal skills to work effectively with allied health practitioners and medical staff.
Feb 13, 2019
Other
Reviews medical records to code and abstract clinical data from outpatient visits. Complies with HSCRC reporting requirements.
Education & Training: Accredited college courses in medical terminology, anatomy and physiology, ICD-10 CM and CPT coding. Approved coding credentials from the American Academy of Professional coders (AAPC) or the American Health Information Management Association (AHIMA) are required. CPC, CPC-H, COC, CCS, CCS-P credential. Work Orientation & Experience: The incumbent may require up to three months of detailed job orientation and training to gain specific capabilities to perform essential job functions. A coding exercise is required prior to employment to determine competency level. Skills & Abilities: ICD-10 CM and CPT competency. Proficiency with Microsoft Windows., Ability to prioritize work assignments and complete duties within prescribed time frames. Strong interpersonal skills to work effectively with allied health practitioners and medical staff.
The Regional Medical Center of Memphis
Adams Building US
JOB REQUIREMENTS:
EDUCATION: Bachelor's degree or equivalent experience in nursing, health
information management, or related field (i.e., healthcare administration,
operations management, etc.).
EXPERIENCE: Twenty-four (24) months healthcare,
(clinical/medical/trauma) experience with a comprehensive knowledge of quality
assessment. An ability and willingness
to apply clinical knowledge and skills and maintain clinical competency required
as a Registry Analyst. Excellent writing
and verbal skills to communicate in a positive, consistent, and open manner effectively
with medical/hospital staff and external data sources as required. Demonstrative analytical and organizational
skills required to plan and meet required productivity standards. Demonstrated ability to utilize computer
system to enter and retrieve patient information data, generate statistics,
computations, tables, charts and graphs.
LICENSE OR CERTIFICATION: License or
certification applicable to clinical program (RN) Registered Nurse, (RHIA) Registered
Health Information Administrator, (RHIT) Registered Health Information
Technician, (CPC) Certified Professional Coder, (CPC-H) Certified Professional
Coder-Hospital (CCS) Certified Coding Specialist, (CCRS) Certified Cancer
Registry Specialist, (CSTR) or Certified Specialist Trauma Registry, required.
PHYSICAL DEMANDS: Walking
from office to nursing unit, medical records, etc., sitting for periods during
telephone transactions and record reviews; bending and squatting for filing
activities; work related repetitive stress (ergonomics). Ability to transport large volumes of records
from HIM to work area.
Feb 13, 2019
Other
JOB REQUIREMENTS:
EDUCATION: Bachelor's degree or equivalent experience in nursing, health
information management, or related field (i.e., healthcare administration,
operations management, etc.).
EXPERIENCE: Twenty-four (24) months healthcare,
(clinical/medical/trauma) experience with a comprehensive knowledge of quality
assessment. An ability and willingness
to apply clinical knowledge and skills and maintain clinical competency required
as a Registry Analyst. Excellent writing
and verbal skills to communicate in a positive, consistent, and open manner effectively
with medical/hospital staff and external data sources as required. Demonstrative analytical and organizational
skills required to plan and meet required productivity standards. Demonstrated ability to utilize computer
system to enter and retrieve patient information data, generate statistics,
computations, tables, charts and graphs.
LICENSE OR CERTIFICATION: License or
certification applicable to clinical program (RN) Registered Nurse, (RHIA) Registered
Health Information Administrator, (RHIT) Registered Health Information
Technician, (CPC) Certified Professional Coder, (CPC-H) Certified Professional
Coder-Hospital (CCS) Certified Coding Specialist, (CCRS) Certified Cancer
Registry Specialist, (CSTR) or Certified Specialist Trauma Registry, required.
PHYSICAL DEMANDS: Walking
from office to nursing unit, medical records, etc., sitting for periods during
telephone transactions and record reviews; bending and squatting for filing
activities; work related repetitive stress (ergonomics). Ability to transport large volumes of records
from HIM to work area.
Confluence Health
820 North Chelan Avenue Wenatchee Washington 98801 United States
Position Summary:
To review and edit charge sessions and tickets, ensuring proper use of diagnosis and procedure codes for accurate billing and maximum reimbursement. Completes charge sessions and tickets by applying modifiers, CCI edits, etc., and batches according to department policy.
Position Reports To:
Business Office Manager
Essential Functions:
Essential Functions:
Reviews electronic coding workqueues for charges presented for proper use of diagnosis and procedure codes.
Receives paper charge tickets and appropriately prepares for charge entry.
Confirms accurate patient demographics on each ticket including MSN #, patient #, insurance information, etc. according to department policy.
Verifies service provider and billing provider number fields are populated.
Verifies referring provider number field is populated, if appropriate.
Applies knowledge of coding rules, verifies the proper use of the following items, and makes appropriate corrections:
Payor specific billing guidelines
ICD10 diagnosis codes
CPT4 E&M and procedure codes
HCPCS codes
CCI edits
Modifiers
Multiple surgery guidelines
DMERC guidelines
Rural Health guidelines
Effectively uses software and/or coding books to verify coding accuracy.
Reviews charge sessions for proper coding for special departments (e.g., Charity care, special accounts, MVA, L&I, etc.) and transfers session to the appropriate specialist for completion.
Responsible to stay current with billing guidelines and reimbursement rules and regulations.
Provides feedback to providers regarding incorrect coding using authorized methods as dictated by department policy.
Works with clinical staff to resolve coding issues and related problems.
Participates in educational activities as requested (i.e., attending meetings with clinical staff).
Employee will remain or exceed the productivity levels in accordance to their standards or acceptable standards based on job type
May be requested to perform job tasks not specifically related to primary assignments for the success of the organization as requested by management.
Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Qualifications:
Required :
High School graduate or equivalent.
Proficient in the performance of basic math functions.
Possesses basic computer (e.g., spreadsheets, word processing) skills.
Desired :
Knowledge of ICD-10, CPT coding, medical terminology, and insurance billing.
Physical/Sensory Demands:
O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.
F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.
C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.
Physical/Sensory Demands For This Position:
Walking - O
Sitting/Standing - C
Reaching: Shoulder Height - F
Reaching: Above shoulder height - F
Reaching: Below shoulder height - F
Climbing - Not specified
Pulling/Pushing: 25 pounds or less - O
Pulling/Pushing: 25 pounds to 50 pounds - O
Pulling/Pushing: Over 50 pounds - O
Lifting: 25 pounds or less - O
Lifting: 25 pounds to 50 pounds - O
Carrying: 25 pounds or less - O
Carrying: 25 pounds to 50 pounds - O
Carrying: Over 50 pounds - O
Crawling/Kneeling - O
Bending/Stooping/Crouching - F
Twisting/Turning - F
Repetitive Movement - F
Working Conditions:
Normal office environment.
Job Classification:
FLSA:
Non-Exempt
Hourly/Salary:
Hourly
Physical Exposures:
Physical Exposures For This Position:
Unprotected Heights - No
Heat - No
Cold - No
Mechanical Hazards - No
Hazardous Substances - No
Blood Borne Pathogens Exposure Potential - No
Lighting - No
Noise - No
Ionizing/Non-Ionizing Radiation - No
Infectious Diseases - No
Feb 13, 2019
Full-time
Position Summary:
To review and edit charge sessions and tickets, ensuring proper use of diagnosis and procedure codes for accurate billing and maximum reimbursement. Completes charge sessions and tickets by applying modifiers, CCI edits, etc., and batches according to department policy.
Position Reports To:
Business Office Manager
Essential Functions:
Essential Functions:
Reviews electronic coding workqueues for charges presented for proper use of diagnosis and procedure codes.
Receives paper charge tickets and appropriately prepares for charge entry.
Confirms accurate patient demographics on each ticket including MSN #, patient #, insurance information, etc. according to department policy.
Verifies service provider and billing provider number fields are populated.
Verifies referring provider number field is populated, if appropriate.
Applies knowledge of coding rules, verifies the proper use of the following items, and makes appropriate corrections:
Payor specific billing guidelines
ICD10 diagnosis codes
CPT4 E&M and procedure codes
HCPCS codes
CCI edits
Modifiers
Multiple surgery guidelines
DMERC guidelines
Rural Health guidelines
Effectively uses software and/or coding books to verify coding accuracy.
Reviews charge sessions for proper coding for special departments (e.g., Charity care, special accounts, MVA, L&I, etc.) and transfers session to the appropriate specialist for completion.
Responsible to stay current with billing guidelines and reimbursement rules and regulations.
Provides feedback to providers regarding incorrect coding using authorized methods as dictated by department policy.
Works with clinical staff to resolve coding issues and related problems.
Participates in educational activities as requested (i.e., attending meetings with clinical staff).
Employee will remain or exceed the productivity levels in accordance to their standards or acceptable standards based on job type
May be requested to perform job tasks not specifically related to primary assignments for the success of the organization as requested by management.
Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Qualifications:
Required :
High School graduate or equivalent.
Proficient in the performance of basic math functions.
Possesses basic computer (e.g., spreadsheets, word processing) skills.
Desired :
Knowledge of ICD-10, CPT coding, medical terminology, and insurance billing.
Physical/Sensory Demands:
O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.
F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.
C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.
Physical/Sensory Demands For This Position:
Walking - O
Sitting/Standing - C
Reaching: Shoulder Height - F
Reaching: Above shoulder height - F
Reaching: Below shoulder height - F
Climbing - Not specified
Pulling/Pushing: 25 pounds or less - O
Pulling/Pushing: 25 pounds to 50 pounds - O
Pulling/Pushing: Over 50 pounds - O
Lifting: 25 pounds or less - O
Lifting: 25 pounds to 50 pounds - O
Carrying: 25 pounds or less - O
Carrying: 25 pounds to 50 pounds - O
Carrying: Over 50 pounds - O
Crawling/Kneeling - O
Bending/Stooping/Crouching - F
Twisting/Turning - F
Repetitive Movement - F
Working Conditions:
Normal office environment.
Job Classification:
FLSA:
Non-Exempt
Hourly/Salary:
Hourly
Physical Exposures:
Physical Exposures For This Position:
Unprotected Heights - No
Heat - No
Cold - No
Mechanical Hazards - No
Hazardous Substances - No
Blood Borne Pathogens Exposure Potential - No
Lighting - No
Noise - No
Ionizing/Non-Ionizing Radiation - No
Infectious Diseases - No
LCMC Health
200 Henry Clay Ave New Orleans Louisiana 70118 United States
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 Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider based clinics. KEY RESPONSIBILITIES:
Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and all required modifiers.
Validates charges by comparing charges with health record documentation as necessary.
Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding.
Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems.
Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion.
Consistently meets coding quality and productivity standards established by coding department.
Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information.
Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
Performs other duties as assigned by leadership.
Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
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:
Working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge description master for charging functions.
Must possess knowledge of third party reimbursement regulations and billing practices.
Experience utilizing encoding/grouping software.
Ability to use standard desktop and windows based computer system, including basic understanding of email, internet, and computer navigation.
High ethical standards.
Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.
Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.
Knowledge of hospital and professional coding including provider based billing.
Knowledge of documentation regulations of Joint Commission and CMS.
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 training to coding staff.
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: Completion of an American Health Information Management Association (AHIMA) approved coding program or an American Academy of Professional Coders (AAPC) approved coding program, or Associate degree in health information management or related field or an equivalent combination of years of education and experience required.
Experience: Minimum one (1) year of current ambulatory/ provider based-clinics and outpatient/ancillary coding required. Minimum two (2) years of current ambulatory/ provider based-clinics, outpatient and/or inpatient coding required.
Certification/Licensure:
Ambulatory/ Provider Based Clinics Coding Certification Required: CPC, COC, CIC, CPC-P, CRC or CCA from an approved certified coding program (AAPC and/or AHIMA).Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.
Outpatient/Inpatient Facilities Coding Certification Required: RHIT, COC, CIC or CCA from an approved certified coding program (AAPC and/or AHIMA). Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.
CCS preferred.
New incumbents to LCMC Health system required to have coding certification (i.e. CPC, COC, CIC, CPC-P, CRC, Specialty, or CCA).
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.
Feb 13, 2019
Full-time
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 Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider based clinics. KEY RESPONSIBILITIES:
Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and all required modifiers.
Validates charges by comparing charges with health record documentation as necessary.
Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding.
Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems.
Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion.
Consistently meets coding quality and productivity standards established by coding department.
Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information.
Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
Performs other duties as assigned by leadership.
Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
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:
Working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge description master for charging functions.
Must possess knowledge of third party reimbursement regulations and billing practices.
Experience utilizing encoding/grouping software.
Ability to use standard desktop and windows based computer system, including basic understanding of email, internet, and computer navigation.
High ethical standards.
Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.
Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.
Knowledge of hospital and professional coding including provider based billing.
Knowledge of documentation regulations of Joint Commission and CMS.
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 training to coding staff.
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: Completion of an American Health Information Management Association (AHIMA) approved coding program or an American Academy of Professional Coders (AAPC) approved coding program, or Associate degree in health information management or related field or an equivalent combination of years of education and experience required.
Experience: Minimum one (1) year of current ambulatory/ provider based-clinics and outpatient/ancillary coding required. Minimum two (2) years of current ambulatory/ provider based-clinics, outpatient and/or inpatient coding required.
Certification/Licensure:
Ambulatory/ Provider Based Clinics Coding Certification Required: CPC, COC, CIC, CPC-P, CRC or CCA from an approved certified coding program (AAPC and/or AHIMA).Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.
Outpatient/Inpatient Facilities Coding Certification Required: RHIT, COC, CIC or CCA from an approved certified coding program (AAPC and/or AHIMA). Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.
CCS preferred.
New incumbents to LCMC Health system required to have coding certification (i.e. CPC, COC, CIC, CPC-P, CRC, Specialty, or CCA).
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.
South Central Regional Medical Center
1220 Jefferson Street Laurel Mississippi 39440 United States
AAPC or AHIMA Certified Coder, CPC preferred, with one (1) year of professional services coding experience or three (3) years of verifiable professional coding experience. Good understanding of medical terminology & capability of applying governing regulations of coding. Must be able to type 45 wpm.
Skills are measured by: Observation and verbal feedback from peer employees, supervisor(s), and Director. Reviews of documentation including time and attendance and other payroll records.
Feb 13, 2019
Full-time
AAPC or AHIMA Certified Coder, CPC preferred, with one (1) year of professional services coding experience or three (3) years of verifiable professional coding experience. Good understanding of medical terminology & capability of applying governing regulations of coding. Must be able to type 45 wpm.
Skills are measured by: Observation and verbal feedback from peer employees, supervisor(s), and Director. Reviews of documentation including time and attendance and other payroll records.
Erie County Medical Center
Erie County Medical Center Corporation Buffalo New York 14215 US
The work involves managing the processes related to ensuring proper documentation for charge capture activities for Ambulatory Care Clinics and outpatient departments of the Erie County Medical Center Corporation. The incumbent performs a variety of activities related to revenue integrity including, but not limited to, conducting internal reviews of billing documents, ensuring charges are captured and providing related educational materials. The work is performed under the general supervision of the Revenue Integrity Manager. Supervision is not a function of this position. Does related work as required.
TYPICAL WORK ACTIVITIES:
Compiles regulatory guidelines, records and reports necessary to perform internal reviews;
Develops and performs internal reviews to ensure provider documentation verifies those services rendered and billed; ensures charges are compliant with applicable laws, regulations and corporate policies;
Develops and publishes internal review findings and recommendations for pimproving internal controls;
Assists with reviewing and maintaining charge master for ambulatory care clinics and outpatient departments;
Maintains and reviews clinic charge sheets to ensure capture of appropriate charges for outpatient services;
Collaborates with Ambulatory Care Department to ensure timely completion of charge sheets for outpatient clinic visits;
Collaborates with Health Information Management to ensure timely entry of appropriate ICD-9/ICD-10 Diagnosis/codes and CPT/HCPCS codes for all outpatient clinics/services;
Develops and publishes educational materials related to charge capture functions, documentation processes and compliance policies; assists in educating clinical staff;
Assists the Revenue Integrity Team in performing internal reviews related to charging, coding and billing.
FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Thorough knowledge of outpatient hospital and physician charge master description maintenance, billing and coding; good knowledge of current Medicare and other regulatory billing guidelines; good knowledge of ICD-9/10, CPT-4 and HCPCS codes; working knowledge of patient accounting; working knowledge of financial and operational measures currently utilized in the healthcare industry; ability to use computer and billing system applications; ability to manage multiple priorities and projects; ability to analyze and prepare reports; ability to train others; ability to communicate effectively, both orally and in writing; ability to establish and maintain effective working relationships with a wide range of professional, administrative, technical and clerical staff; ability to use Microsoft applications; tact; initiative; patience; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation.
MINIMUM QUALIFICATIONS:
(A) Graduation from a regionally accredited or New York State registered college or university with an Associate's Degree in Health Information Technology, Medical Record Science or closely related field and three (3) years of experience in outpatient or healthcare revenue or billing functions; or:
(B) Possession of a Certified Professional Coder (CPC) Certification as issued by the American Academy of Professional Coders (AAPC) and three (3) years of experience in outpatient or healthcare revenue or billing functions.
NOTE: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting the full-time experience requirements.
Feb 12, 2019
Other
The work involves managing the processes related to ensuring proper documentation for charge capture activities for Ambulatory Care Clinics and outpatient departments of the Erie County Medical Center Corporation. The incumbent performs a variety of activities related to revenue integrity including, but not limited to, conducting internal reviews of billing documents, ensuring charges are captured and providing related educational materials. The work is performed under the general supervision of the Revenue Integrity Manager. Supervision is not a function of this position. Does related work as required.
TYPICAL WORK ACTIVITIES:
Compiles regulatory guidelines, records and reports necessary to perform internal reviews;
Develops and performs internal reviews to ensure provider documentation verifies those services rendered and billed; ensures charges are compliant with applicable laws, regulations and corporate policies;
Develops and publishes internal review findings and recommendations for pimproving internal controls;
Assists with reviewing and maintaining charge master for ambulatory care clinics and outpatient departments;
Maintains and reviews clinic charge sheets to ensure capture of appropriate charges for outpatient services;
Collaborates with Ambulatory Care Department to ensure timely completion of charge sheets for outpatient clinic visits;
Collaborates with Health Information Management to ensure timely entry of appropriate ICD-9/ICD-10 Diagnosis/codes and CPT/HCPCS codes for all outpatient clinics/services;
Develops and publishes educational materials related to charge capture functions, documentation processes and compliance policies; assists in educating clinical staff;
Assists the Revenue Integrity Team in performing internal reviews related to charging, coding and billing.
FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Thorough knowledge of outpatient hospital and physician charge master description maintenance, billing and coding; good knowledge of current Medicare and other regulatory billing guidelines; good knowledge of ICD-9/10, CPT-4 and HCPCS codes; working knowledge of patient accounting; working knowledge of financial and operational measures currently utilized in the healthcare industry; ability to use computer and billing system applications; ability to manage multiple priorities and projects; ability to analyze and prepare reports; ability to train others; ability to communicate effectively, both orally and in writing; ability to establish and maintain effective working relationships with a wide range of professional, administrative, technical and clerical staff; ability to use Microsoft applications; tact; initiative; patience; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation.
MINIMUM QUALIFICATIONS:
(A) Graduation from a regionally accredited or New York State registered college or university with an Associate's Degree in Health Information Technology, Medical Record Science or closely related field and three (3) years of experience in outpatient or healthcare revenue or billing functions; or:
(B) Possession of a Certified Professional Coder (CPC) Certification as issued by the American Academy of Professional Coders (AAPC) and three (3) years of experience in outpatient or healthcare revenue or billing functions.
NOTE: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting the full-time experience requirements.
Central Maine Medical Center
Central Maine Medical Center Lewiston Maine 04240 US
Job Summary: The Clinical Documentation Improvement Specialist (CDIS) facilitates modifications to clinical documentation through concurrent (pre-bill) interactions with providers, and other members of the healthcare system. He/she will p rovide oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the patient medical record. Promote a partnership between the CDI specialists, coders, and providers to improve documentation and coding. Facilitates clarification and specificity to clinical documentation through appropriate interaction with providers and as needed with the provider champion. Supports the accuracy and completeness of the clinical information used for measuring and reporting provider and hospital outcomes to reflect the patient's true severity of illness, intensity of care, and risk of mortality. Educates all members of the health care team on an ongoing basis.
Requirements: Clinical expertise with five+ years of inpatient/acute care experience. Current Licensure from the Maine State Board of Nursing. Preferred Bachelor's Degree in Nursing or equivalent. Knowledge of familiarity with healthcare payer requirements, including ICD coding and DRGs. Ability to work independently. Excellent verbal and written communication skills, analytical thinking and problem solving with strong attention to detail.
Skills: Proficient in computer use, including database and spreadsheet analysis, presentation programs, word processing and internet searching. Demonstrates interpersonal relationships in a manner that enhances communication, promotes conflict resolution and facilitates staff development.
Feb 12, 2019
Other
Job Summary: The Clinical Documentation Improvement Specialist (CDIS) facilitates modifications to clinical documentation through concurrent (pre-bill) interactions with providers, and other members of the healthcare system. He/she will p rovide oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the patient medical record. Promote a partnership between the CDI specialists, coders, and providers to improve documentation and coding. Facilitates clarification and specificity to clinical documentation through appropriate interaction with providers and as needed with the provider champion. Supports the accuracy and completeness of the clinical information used for measuring and reporting provider and hospital outcomes to reflect the patient's true severity of illness, intensity of care, and risk of mortality. Educates all members of the health care team on an ongoing basis.
Requirements: Clinical expertise with five+ years of inpatient/acute care experience. Current Licensure from the Maine State Board of Nursing. Preferred Bachelor's Degree in Nursing or equivalent. Knowledge of familiarity with healthcare payer requirements, including ICD coding and DRGs. Ability to work independently. Excellent verbal and written communication skills, analytical thinking and problem solving with strong attention to detail.
Skills: Proficient in computer use, including database and spreadsheet analysis, presentation programs, word processing and internet searching. Demonstrates interpersonal relationships in a manner that enhances communication, promotes conflict resolution and facilitates staff development.
Inspira Medical Centers
MEDICAL CENTER ELMER ELMER New Jersey 08318 US
High School Diploma or equivalent
· Successful completion of a Medical Coding/ Billing program or an Acute Care Medical Coding program
B. Experience:
Knowledge of :
ICD & CPT coding schemes
Medical terminology, anatomy and physiology
Health information management functions and computer operations Minimum 1-3 years of experience in health care working with charge entry, charge description master (CDM), and/or health care billing is preferred.
Experience related to charging for Infusion and Injection medications and ED Leveling is preferred.
Ability to maintain confidentiality of sensitive information. Certification/Licensure:
Certified eligible or certified for one of the following:
Certified Professional Coder (CPC)
Certified Coding Associate (CCA) or Certified Coding Specialist (CCS); or Certified Outpatient Coder (COC); or
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)
Able to communicate effectively in English
Must be detailed oriented as this job requires attention to the details.
Feb 12, 2019
Other
High School Diploma or equivalent
· Successful completion of a Medical Coding/ Billing program or an Acute Care Medical Coding program
B. Experience:
Knowledge of :
ICD & CPT coding schemes
Medical terminology, anatomy and physiology
Health information management functions and computer operations Minimum 1-3 years of experience in health care working with charge entry, charge description master (CDM), and/or health care billing is preferred.
Experience related to charging for Infusion and Injection medications and ED Leveling is preferred.
Ability to maintain confidentiality of sensitive information. Certification/Licensure:
Certified eligible or certified for one of the following:
Certified Professional Coder (CPC)
Certified Coding Associate (CCA) or Certified Coding Specialist (CCS); or Certified Outpatient Coder (COC); or
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)
Able to communicate effectively in English
Must be detailed oriented as this job requires attention to the details.
Inspira Medical Centers
MEDICAL CENTER ELMER ELMER New Jersey 08318 US
· High School Diploma or equivalent
· Successful completion of a Medical Coding/ Billing program or an Acute Care Medical Coding program
B. Experience:
Knowledge of :
ICD & CPT coding schemes
Medical terminology, anatomy and physiology
Health information management functions and computer operations Minimum 1-3 years of experience in health care working with charge entry, charge description master (CDM), and/or health care billing is preferred.
Experience related to charging for Infusion and Injection medications an Certification/Licensure:
Certified eligible or certified for one of the following:
Certified Professional Coder (CPC)
Certified Coding Associate (CCA) or Certified Coding Specialist (CCS); or Certified Outpatient Coder (COC); or
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) d ED Leveling is preferred.
Ability to maintain confidentiality of sensitive information.
Able to communicate effectively in English
Must be detailed oriented as this job requires attention to the details.
Feb 12, 2019
Other
· High School Diploma or equivalent
· Successful completion of a Medical Coding/ Billing program or an Acute Care Medical Coding program
B. Experience:
Knowledge of :
ICD & CPT coding schemes
Medical terminology, anatomy and physiology
Health information management functions and computer operations Minimum 1-3 years of experience in health care working with charge entry, charge description master (CDM), and/or health care billing is preferred.
Experience related to charging for Infusion and Injection medications an Certification/Licensure:
Certified eligible or certified for one of the following:
Certified Professional Coder (CPC)
Certified Coding Associate (CCA) or Certified Coding Specialist (CCS); or Certified Outpatient Coder (COC); or
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) d ED Leveling is preferred.
Ability to maintain confidentiality of sensitive information.
Able to communicate effectively in English
Must be detailed oriented as this job requires attention to the details.
Nebraska Methodist Health System
Physicians Clinic Inc Omaha Nebraska 68114 US
Purpose of Job To assist with oversight of Compliance with Meaningful Use requirements as well as other federal programs, i.e., Physician Quality Reporting System (PQRS) and to provide supervision of Application Support Specialist II staff. Job Requirements Education Prefer associates degree in administration or related field plus certification as a Registered Health Information Technologist (RHIT). Experience 12 months previous medical records or office preferred. Experience with EMR preferred. License/Certifications Current certification as a Certified Professional Coder (CPC) is required. Skills/Knowledge/Abilities Knowledge of health care delivery systems, compliance, revenue cycle and privacy required. Knowledge of Meaningful Use criteria and process required. Physical Requirements Weight Demands Sedentary Work - Exerting up to 10 pounds of force. Sitting most of the time. Walking and Standing are required only occasionally. Physical Activity Not necessary for the position (0%): Crawling Crouching Occasionally Performed (1%-33%): Balancing Climbing Carrying Distinguish colors Kneeling Lifting Pulling/Pushing Standing Stooping/bending Twisting Frequently Performed (34%-66%): Sitting Walking Constantly Performed (67%-100%): Fingering/Touching Grasping Hearing Keyboarding/typing Reaching Repetitive Motions Seeing/Visual Speaking/talking Job Hazards Not Related: Chemical agents (Toxic, Corrosive, Flammable, Latex) Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) Blood or Body Fluid (BBF) Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment) Equipment/Machinery/Tools Explosives (pressurized gas) Electrical Shock/Static Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc) Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) Mechanical moving parts/vibrations Note: Safety Officer can assist with identification of job hazards Essential Job Functions Leading - Motivating and influencing, managing vision and purpose. Develops enthusiasm for day-to-day tasks. Sets an example with personal behavior/commitment to high standards. Encourages calculated risks to achieve important objectives. Recognizes special contributions/rewards excellence. Maintains good working relationships outside own area of responsibility. Translates the vision into the actions required. Takes a longer-term perspective on problems/opportunities. Standards & Accountability - Clinical quality management and service orientation, accountability. Defined in Section 6. Takes responsibility for difficult, unpopular decisions. Acknowledges decision/plan not working. Keeps promises/honors commitments. Planning & Decision Making - Planning, prioritizing and time management, problem solving and innovation, initiative, financial savvy. Develops detailed project/task plans. Determines priorities/appropriately allocates resources. Procures resources needed to work effectively. Delegates authority when appropriate. Identifies potential problems. Analyzes root causes of problems. Considers relevant issues before action, including effect on all parts of the organization. Proposes new/innovative approaches. Seizes opportunities to improve unit performance. Acts promptly and decisively. Demonstrates in-depth knowledge of revenue drivers. Communication - Communicate clearly, active listening. Clearly articulates and implements hospital and unit policies. Articulates information in a clear and timely manner. Provides clear performance expectations even with difficult messages. Follows through on ideas/concerns. Consults with supervisor and other affected parties before making major changes. Listens to concerns without getting defensive. Creates a comfortable environment for giving and receiving constructive feedback. Understands both content and intent of what is said. Aware of how my decision making affects other areas in the organization. Developing People - Identifying and recruiting top talent, developing and retaining top talent. Does not compromise organization criteria for job selection. Identifies/leverages others' unique strengths when assigning tasks. Provides opportunities to develop skills. Personally provides extra instruction or coaching. Prevents high-impact staff departures when possible. Building Relationships - Conflict prevention and management, teambuilding, showing support. Proactively identifies and resolves conflict. Is fair in negotiating solutions to conflict. Facilitates open communication and joint decision making. Effectively develops unit identity, pride in unit achievements. Is sympathetic/supportive. Uses tact and sensitivity. Aware of how my area of responsibility affects others. Supervises coding and data entry staff to ensure effective flow by conducting performance appraisals, approving merit/salary increases, completing staff update forms, planning/directing employee work, training, coaching, counseling, and hiring/terminating. Staff performs competently 95% of the time. Staff who do not perform competently are handled under the corrective action/performance improvement guidelines 100% of the time. Administrator satisfaction rating of 95% or higher. Coordinates staff schedules to ensure adequate coverage by reviewing request/rotation sheets and vacation time scheduling and assigning work accordingly. Maintains adequate staffing levels 90% of the time. Conducts staff meetings to provide information by preparing agenda, updating/relaying information and answering employee questions. Staff meetings held a minimum of 6 times per year. Agenda and meeting minutes prepared and distributed for every meeting. Maintains time sheets to ensure accurate compensation by reviewing time cards, adjusting/correcting errors and sending to payroll. Reviews and corrects time sheets weekly with 98% accuracy. Establish and maintain effective communication with providers and ancillary staff at each site to provide accurate and timely information related to coding, compliance and documentation requirements. Attend provider and/or staff meetings regularly. Communicate via written memorandum, CARES newsletters etc. as appropriate. Demonstrates the ability to effectively communicate clinic coding/compliance requirements to physicians and ancillary staff. Review and analyze documentation by performing scheduled reviews of patient medical records and charge tickets to ensure accuracy an completeness. Department audits are completed according to provider audit and orientation schedule. New provider audits are completed at three and six months according to provider audit and orientation schedule. New provider orientation is completed within 2 weeks of start for providers joining assigned clinics/specialties. Review and analyze reports to track physician billing trends. Review Evaluation and Management (E/M) utilization quarterly. Plan of action is outlined and executed for those providers identified as needing follow-up. Recourses reviewed regularly to identify potential billing/compliance issues. Medicode reports reviewed with appropriate education provided to coding staff, physicians and clinic personnel. Performs other duties as assigned by management.
Feb 12, 2019
Other
Purpose of Job To assist with oversight of Compliance with Meaningful Use requirements as well as other federal programs, i.e., Physician Quality Reporting System (PQRS) and to provide supervision of Application Support Specialist II staff. Job Requirements Education Prefer associates degree in administration or related field plus certification as a Registered Health Information Technologist (RHIT). Experience 12 months previous medical records or office preferred. Experience with EMR preferred. License/Certifications Current certification as a Certified Professional Coder (CPC) is required. Skills/Knowledge/Abilities Knowledge of health care delivery systems, compliance, revenue cycle and privacy required. Knowledge of Meaningful Use criteria and process required. Physical Requirements Weight Demands Sedentary Work - Exerting up to 10 pounds of force. Sitting most of the time. Walking and Standing are required only occasionally. Physical Activity Not necessary for the position (0%): Crawling Crouching Occasionally Performed (1%-33%): Balancing Climbing Carrying Distinguish colors Kneeling Lifting Pulling/Pushing Standing Stooping/bending Twisting Frequently Performed (34%-66%): Sitting Walking Constantly Performed (67%-100%): Fingering/Touching Grasping Hearing Keyboarding/typing Reaching Repetitive Motions Seeing/Visual Speaking/talking Job Hazards Not Related: Chemical agents (Toxic, Corrosive, Flammable, Latex) Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) Blood or Body Fluid (BBF) Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment) Equipment/Machinery/Tools Explosives (pressurized gas) Electrical Shock/Static Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc) Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) Mechanical moving parts/vibrations Note: Safety Officer can assist with identification of job hazards Essential Job Functions Leading - Motivating and influencing, managing vision and purpose. Develops enthusiasm for day-to-day tasks. Sets an example with personal behavior/commitment to high standards. Encourages calculated risks to achieve important objectives. Recognizes special contributions/rewards excellence. Maintains good working relationships outside own area of responsibility. Translates the vision into the actions required. Takes a longer-term perspective on problems/opportunities. Standards & Accountability - Clinical quality management and service orientation, accountability. Defined in Section 6. Takes responsibility for difficult, unpopular decisions. Acknowledges decision/plan not working. Keeps promises/honors commitments. Planning & Decision Making - Planning, prioritizing and time management, problem solving and innovation, initiative, financial savvy. Develops detailed project/task plans. Determines priorities/appropriately allocates resources. Procures resources needed to work effectively. Delegates authority when appropriate. Identifies potential problems. Analyzes root causes of problems. Considers relevant issues before action, including effect on all parts of the organization. Proposes new/innovative approaches. Seizes opportunities to improve unit performance. Acts promptly and decisively. Demonstrates in-depth knowledge of revenue drivers. Communication - Communicate clearly, active listening. Clearly articulates and implements hospital and unit policies. Articulates information in a clear and timely manner. Provides clear performance expectations even with difficult messages. Follows through on ideas/concerns. Consults with supervisor and other affected parties before making major changes. Listens to concerns without getting defensive. Creates a comfortable environment for giving and receiving constructive feedback. Understands both content and intent of what is said. Aware of how my decision making affects other areas in the organization. Developing People - Identifying and recruiting top talent, developing and retaining top talent. Does not compromise organization criteria for job selection. Identifies/leverages others' unique strengths when assigning tasks. Provides opportunities to develop skills. Personally provides extra instruction or coaching. Prevents high-impact staff departures when possible. Building Relationships - Conflict prevention and management, teambuilding, showing support. Proactively identifies and resolves conflict. Is fair in negotiating solutions to conflict. Facilitates open communication and joint decision making. Effectively develops unit identity, pride in unit achievements. Is sympathetic/supportive. Uses tact and sensitivity. Aware of how my area of responsibility affects others. Supervises coding and data entry staff to ensure effective flow by conducting performance appraisals, approving merit/salary increases, completing staff update forms, planning/directing employee work, training, coaching, counseling, and hiring/terminating. Staff performs competently 95% of the time. Staff who do not perform competently are handled under the corrective action/performance improvement guidelines 100% of the time. Administrator satisfaction rating of 95% or higher. Coordinates staff schedules to ensure adequate coverage by reviewing request/rotation sheets and vacation time scheduling and assigning work accordingly. Maintains adequate staffing levels 90% of the time. Conducts staff meetings to provide information by preparing agenda, updating/relaying information and answering employee questions. Staff meetings held a minimum of 6 times per year. Agenda and meeting minutes prepared and distributed for every meeting. Maintains time sheets to ensure accurate compensation by reviewing time cards, adjusting/correcting errors and sending to payroll. Reviews and corrects time sheets weekly with 98% accuracy. Establish and maintain effective communication with providers and ancillary staff at each site to provide accurate and timely information related to coding, compliance and documentation requirements. Attend provider and/or staff meetings regularly. Communicate via written memorandum, CARES newsletters etc. as appropriate. Demonstrates the ability to effectively communicate clinic coding/compliance requirements to physicians and ancillary staff. Review and analyze documentation by performing scheduled reviews of patient medical records and charge tickets to ensure accuracy an completeness. Department audits are completed according to provider audit and orientation schedule. New provider audits are completed at three and six months according to provider audit and orientation schedule. New provider orientation is completed within 2 weeks of start for providers joining assigned clinics/specialties. Review and analyze reports to track physician billing trends. Review Evaluation and Management (E/M) utilization quarterly. Plan of action is outlined and executed for those providers identified as needing follow-up. Recourses reviewed regularly to identify potential billing/compliance issues. Medicode reports reviewed with appropriate education provided to coding staff, physicians and clinic personnel. Performs other duties as assigned by management.
Sturdy Memorial Hospital
Sturdy Memorial Hospital Attleboro Massachusetts 02703-0963 US
$1,000 sign on bonus available for commiting to four shifts per month. Position Summary: Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement, facilitate management statistical reporting, and provide hospital-wide quality assurance monitoring. Applies knowledge of specialized information specific to coding, medical terminology according to all coding guidelines. Essential Qualifications: Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology. Experienced in ICD-10 CM and ICD-10-PCS coding systems, guidelines, and conventions, UHDDS definitions and Coding Clinics. Educational Requirements: Associate or Bachelor's degree. Training: Minimum 4 years coding experience in an acute care hospital setting. License/Certification: RHIA, RHIT, or CCS.
Feb 12, 2019
Other
$1,000 sign on bonus available for commiting to four shifts per month. Position Summary: Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement, facilitate management statistical reporting, and provide hospital-wide quality assurance monitoring. Applies knowledge of specialized information specific to coding, medical terminology according to all coding guidelines. Essential Qualifications: Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology. Experienced in ICD-10 CM and ICD-10-PCS coding systems, guidelines, and conventions, UHDDS definitions and Coding Clinics. Educational Requirements: Associate or Bachelor's degree. Training: Minimum 4 years coding experience in an acute care hospital setting. License/Certification: RHIA, RHIT, or CCS.
Trinity Health
1 Burdick Expressway West Minot North Dakota 58702 United States
POSITION SUMMARY
The Coder II position is a senior level coding position. The Coder II is a mentoring position for Coder I when requested. The Coder II position is for credentialed coding professionals, either through the American Health Information Management Association (AHIMA) or the American Association of Professional Coders (AAPC). This position requires good organizational skills and the ability to accurately and timely code. All reference material such as the on line encoder references along with Coding Clinic Guidelines, Trinity Specific Coding Guidelines, reference books and publications shall be used. Records will be abstracted on line as part of the coding process when applicable. Knowledge of the DRG payment methodology and/or APC payment methodology preferred. Knowledge of the AR reports is also preferred. Willfully coding incorrectly for reimbursement purposes may result in disciplinary action including termination.
MINIMUM QUALIFICATIONS AND REQUIREMENTS
Licenses and Certifications Required
CIC, COC, CPC, CCS-P, CCS, RHIT, or RHIA required.
Educational Requirements
High school diploma, GED, Associates Degree, AHIMA or AAPC certification required.
Experience Requirements
Minimum of 6 months experience as a Coder I unless has one year of exact coding experience at previous facility.
Special Skills or Training Requirements
Minimum typing skills of 35 characters per minute.
Medical terminology and coding knowledge, required.
Organizational skills required.
Computer skills with billing knowledge preferred.
Feb 12, 2019
Full-time
POSITION SUMMARY
The Coder II position is a senior level coding position. The Coder II is a mentoring position for Coder I when requested. The Coder II position is for credentialed coding professionals, either through the American Health Information Management Association (AHIMA) or the American Association of Professional Coders (AAPC). This position requires good organizational skills and the ability to accurately and timely code. All reference material such as the on line encoder references along with Coding Clinic Guidelines, Trinity Specific Coding Guidelines, reference books and publications shall be used. Records will be abstracted on line as part of the coding process when applicable. Knowledge of the DRG payment methodology and/or APC payment methodology preferred. Knowledge of the AR reports is also preferred. Willfully coding incorrectly for reimbursement purposes may result in disciplinary action including termination.
MINIMUM QUALIFICATIONS AND REQUIREMENTS
Licenses and Certifications Required
CIC, COC, CPC, CCS-P, CCS, RHIT, or RHIA required.
Educational Requirements
High school diploma, GED, Associates Degree, AHIMA or AAPC certification required.
Experience Requirements
Minimum of 6 months experience as a Coder I unless has one year of exact coding experience at previous facility.
Special Skills or Training Requirements
Minimum typing skills of 35 characters per minute.
Medical terminology and coding knowledge, required.
Organizational skills required.
Computer skills with billing knowledge preferred.
Baptist Health Arkansas
. Little Rock Arkansas 72211 United States
Job Summary:
Review clinical documentation and apply appropriate billing and diagnostic codes using acceptable guidelines. Develop and implement tracking mechanisms for coding trends and patterns. Consult with Medical Director and Regional Practice Administrators regarding regulatory compliance issues related to coding. Certified Coder is responsible for physician consultation, auditing, training, planning and other coding services covering most specialties, including but not limited to, Family Practice, Internal Medicine, Pediatrics, OB/GYN, Surgery, GI, Emergency Medicine, Sleep, Neurology, Neurosurgery, Anesthesia, Ophthalmology, Oncology, ENT, Epilepsy, Orthopedics, etc.
Expanded Description: responsible for physician coding reviews/audits, developing training tools, training staff members on any changes in coding regulations, serving as consultant to clinics and managers for coding questions, assisting with creation of templates, fee tickets, and other forms as necessary, participation in coding workshops/in-services/seminars and other duties as requested. High degree of verbal and written communication and professionalism required. Desired candidate works well alongside existing QI team under direction of medical director.
Requirements:
Bachelor Degree preferred.
CPC and/or CCS Certification required.
Clinical background a plus.
Extensive knowledge of medical terminology, ICD-10 and CPT coding principles, Medicare, Medicaid, and other insurance procedures, state and local governing organizations.
Fundamental knowledge of current standard billing practices as defined by AMA, as well as, the ability to interpret clinical data.
Knowledge of Continuous Quality Improvement principles in a healthcare setting.
Outstanding written and oral communication skills.
Minimum 3 years’ experience.
Computer skills required; Epic experience a plus
Feb 11, 2019
Full-time
Job Summary:
Review clinical documentation and apply appropriate billing and diagnostic codes using acceptable guidelines. Develop and implement tracking mechanisms for coding trends and patterns. Consult with Medical Director and Regional Practice Administrators regarding regulatory compliance issues related to coding. Certified Coder is responsible for physician consultation, auditing, training, planning and other coding services covering most specialties, including but not limited to, Family Practice, Internal Medicine, Pediatrics, OB/GYN, Surgery, GI, Emergency Medicine, Sleep, Neurology, Neurosurgery, Anesthesia, Ophthalmology, Oncology, ENT, Epilepsy, Orthopedics, etc.
Expanded Description: responsible for physician coding reviews/audits, developing training tools, training staff members on any changes in coding regulations, serving as consultant to clinics and managers for coding questions, assisting with creation of templates, fee tickets, and other forms as necessary, participation in coding workshops/in-services/seminars and other duties as requested. High degree of verbal and written communication and professionalism required. Desired candidate works well alongside existing QI team under direction of medical director.
Requirements:
Bachelor Degree preferred.
CPC and/or CCS Certification required.
Clinical background a plus.
Extensive knowledge of medical terminology, ICD-10 and CPT coding principles, Medicare, Medicaid, and other insurance procedures, state and local governing organizations.
Fundamental knowledge of current standard billing practices as defined by AMA, as well as, the ability to interpret clinical data.
Knowledge of Continuous Quality Improvement principles in a healthcare setting.
Outstanding written and oral communication skills.
Minimum 3 years’ experience.
Computer skills required; Epic experience a plus