Certified Professional Coder Jobs Near Me

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. 's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas. *Now offering a ***$10,000.00 Commitment Bonus (4 equal installments over 24 months- 6-month increments) The Medical Records Coder II is a certified Coder. Coordinate or review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to ensure specific diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures. Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary and secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions. Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits. Assist with research, development, and presentation of continuing education programs in areas of specialization. Review medical record documentation and accurately code the primary and secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure the DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate and optimal reimbursement for hospital and/or professional charges. Consult with and educate physicians on coding practices and conventions to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Maintain a thorough understanding of medical record practices, standards, and regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care and Finance Administration (HCFA), the Medical Review of North Carolina (MRNC), etc. Assist with special projects as required. Perform other related duties incidental to the work described herein. Minimum QualificationsEducation High school diploma required. Experience RHIA certification: no experience required RHIT certification: no experience required CCS certification: one year of coding experience required CPC or HCS-D certification: two years of coding experience required Degrees, licenses, and certifications Must hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding Registered Health Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

HIM-OUTPATIENT CODER Baltimore, MD SINAI CORPORATE HLTH INFORMATION MNG PRN - As Needed - 8:00am-4:30pm Professional 87195 $21.06-$39.12 Experience based Posted: January 17, 2025 Apply Now // Setting the Saved Jobs link function setsavedjobs(externalidlist) { if(typeof externalidlist !== 'undefined') { var saved_jobs_query = '/jobs/search?'+externalidlist.replace(/\-\-/g,'&external_id[]=')+'&saved_jobs=1'; var saved_jobs_query_sub = saved_jobs_query.replace('/jobs/search?','').replace('&saved_jobs=1',''); if (saved_jobs_query_sub != '') { $('.saved_jobs_link').attr('href',saved_jobs_query); } else { $('.saved_jobs_link').attr('href','/pages/saved-jobs'); } } } var is_job_saved = 'false'; var job_saved_message; function savejob(jobid) { var job_item; if (is_job_saved == 'true') { is_job_saved = 'false'; job_item = ''; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been removed.'); } else { is_job_saved = 'true'; job_item = ''+'--'+jobid; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been saved!'); } document.cookie = "c_jobs="+job_item+';expires=;path=/'; $('.button-saved, .button-save').toggle Class('d-none'); $('.button-saved').append(' '); $('.saved-jobs-alert-wrapper').fade In(); set Timeout(function() { $('.button-saved').html('Saved'); $('.saved-jobs-alert-wrapper').fade Out(); }, 2000); // Setting the Saved Jobs link - function call setsavedjobs(job_item); } Save Job Saved Summary HIM OUTPATIENT CODER FULL-TIME REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 tion: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of facility outpatient records. Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as needed. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnoses/procedures for outpatient records (ER, Infusion, other outpatient) and assigns ICD-10CM/PCS codes or CPT codes to those diagnoses/procedures. Abstracts predetermined information from ER and outpatient records and enters that information on to the medical record abstract. REQUIREMENTS: Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field. 1-3 years of experience. CCS, CPC-H, CO, RHIT or RHIA required. Additional Information As one of the largest health care providers in Maryland, with 13,000 team members, We strive to CARE BRAVELY for over 1 million patients annually. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland. Share: talemetry.share(); Apply Now var jobsmap = null; var jobsmap_id = "gmapwqlnb"; var cslocations = $cs.parse JSON('[{\"id\":\"1959659\",\"title\":\"HIM-OUTPATIENT CODER\",\"permalink\":\"him-outpatient-coder\",\"geography\":{\"lat\":\"39.3527548\",\"lng\":\"-76.6619418\"},\"location_string\":\"2401 W. Belvedere Avenue, Baltimore, MD\"}]'); function tm_map_script_loaded(){ jobsmap = new csns.maps.jobs_map().draw_map(jobsmap_id, cslocations); } function tm_load_map_script(){ csns.maps.script.load( function(){ tm_map_script_loaded(); }); } $(document).ready(function(){ tm_load_map_script(); });

*CHRISTUS Health System offers the HIM Coder Sr position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.* Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding is applicable towards all regional Inpatient encounters. Coder will work collaboratively with various CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG. Extracts and abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system. Validates admit orders and discharge dispositions. Works from assigned coding queue, completing and re-assigning accounts correctly. Manages accounts on ABS Hold or through Epic WQs using account activities, finalizing accounts when corrections have been made, in a timely manner. Meets or exceeds an accuracy rate of 95%. Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Assists in implementing solutions to reduce backend-errors. Identifies and appropriately reports all hospital-acquired conditions (HAC). Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists. Participates in both internal and external audit discussions. Strong written and verbal communication skills. Demonstrated proficiency in use of multiple technologies and comfort level with virtual applications and electronic medical record applications such as Epic, Meditech, 3M/360, OneContent, Microsoft Office, Teams, Outlook, OneNote, etc. Able to work independently in a remote setting, with little supervision. All other work duties as assigned by Manager. Job Requirements: Education/Skills High school Diploma or equivalent years of experience required. Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred. Experience 3-5 years of Inpatient coding experience in an acute care setting preferred. Licenses, Registrations, or Certifications At least one of the following certifications are required: Registered Health Information Administrator (RHIA) (AHIMA) Registered Health Information Technician (RHIT) (AHIMA) Certified Coding Specialist (CCS) (AHIMA) Certified Coding Associate (CCA) (AHIMA) Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time

Workforce Classification: Hybrid Kinwell was founded on the principle of personalized, whole-hearted care for every patient. We believe the best healthcare is a conversation, and one that includes nutrition, fitness, sleep, and behavioral health. Our Clinicians and Clinic Support staff drive real change in their patient's well-being. Along the way, we are setting a new standard for primary care, making it more accessible, impactful, and holistic. We are dedicated to building great places to work. We value all teammates and respect a diversity of thought, ideas, and cultures-all focused on the common goal of nurturing the health of those we serve. Kinwell fosters a culture that promotes employee growth, collaborative innovation, and inspired leadership. We bring agility to work every day and thrive on the opportunity to create something refreshing and new. This is where you come in. If you are looking for a new primary care opportunity, one based on the quality of care, not the quantity of patients, please consider our available positions. The Certified Professional Coder (CPC) is responsible for performing routine and complex encounter form coding for ambulatory professional services. This position will serve as an expert on coding processes, as well as maintaining accuracy and regulatory compliance. The CPC collaborates closely with clinical and administrative teams to optimize revenue cycle outcomes and support organizational goals. While this is a remote position, the Certified Professional Coder will be required to live in Washington state or Texas by time of hire. What you'll do: Review electronic medical records initiated by clinicians. Verify and code diagnoses, evaluation and management (E/M) services, procedures, and other required codes for record accuracy and completeness. Review and verify the component parts of medical records to ensure accuracy in diagnoses, operations, and special therapeutic procedures. Code and review principal diagnoses, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs using ICD-10, CPT, HCPCS (all levels), and other required coding systems. Perform quality control checks on data entered prior to transmittal and corrects errors as indicated. Analyze medical record documentation for consistency and completeness using established criteria and regulations. Ensure all documents in the medical record include authorized signatures and sufficient documentation to support diagnoses, treatments, and outcomes. What you'll bring: Associate's degree or equivalent work experience. Three years of experience as a Certified Professional Coder (CPC or CPC-A). Expertise in ICD-10-CM, HCPCS, CPT, and Category II or E/M coding. Demonstrated proficiency in use of Epic EMR. Extensive knowledge of coding conventions and payment rules as they apply to medical record documentation, coding of medical services, and health care reimbursement systems. Strong analytical, mathematical, interpersonal and relationship skills. Demonstrated organizational and problem-solving ability. Ability to collaborate effectively with all levels of management and staff. One year of work experience in Risk Adjustment (HCC) coding. (Preferred) One year of experience with HEDIS. (Preferred) Working Environment Work is primarily performed in an office setting within a healthcare organization, which may include proximity to patient care areas. The work environment is quiet, but may involve some interruptions, high-paced demands and interactions with various departments. Occasional travel may be . This role will require the ability to navigate within clinical or administrative areas of a healthcare organization. Physical Requirements The following have been identified as essential physical requirements of this job and must be performed with or without an accommodation: This is primarily a sedentary role with prolonged periods of sitting at a desk and working on a computer. Ability to life or carry items weighing up to 25 pounds; occasionally may need to bend, stoop, or reach to retrieve items. Vaccine Requirement: Kinwell currently requires all teammates to provide proof of or complete a written attestation of a religious or medical exemption for influenza, COVID-19, and Hepatitis B vaccines. Healthcare providers may also be subject to CDC recommended vaccines. Kinwell provides equal employment opportunities to all without regard to race, color, religion, sex (including sexual orientation or gender identity), national origin, age, disability, genetic information or other protected status. Applicants with disabilities may be entitled to reasonable accommodations under the terms of the American with Disabilities Act and certain state or local laws. A reasonable accommodation is an adjustment to our standard application and/or interview process which will ensure an equal employment opportunity without imposing undue hardship on Kinwell. Please inform our Talent Acquisition team (****************************) if you are requesting an accommodation to participate in the application process. What we offer: Paid Time Off & Paid Holidays Medical/Vision/Dental Insurance Personal Funding Accounts (HSA, FSA, DCA) 401K Basic Life Insurance Disability-Short Term and Long-Term Supplemental Life and ADD&D Tuition Reimbursement for qualifying programs Employee Assistance The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience. National Plus Salary Range: $58,100.00 - $87,200.00 *National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska .

Energy Code Specialist (NEEP Building Assessor) Performance Systems Development (PSD) is seeking an Energy Code Specialist who is proficient in national model energy codes and has a passion for educating and spreading awareness of the benefits of energy efficiency to building industry stakeholders. The Energy Code Specialist will report to the Manager of energy code services and will be responsible for developing energy code training curricula, delivering presentations, creating compliance and enforcement assistance tools, and providing technical and policy assistance to PSD's clients, which include utilities, nonprofits, and state and federal agencies. According to the U.S. Department of Energy, “building energy codes provide the most cost-effective tool to achieve sustained energy, cost, and GHG emissions savings in the built environment.” The federal government has allocated $225 million over the next five years to support energy code implementation under the Bipartisan Infrastructure Law (BIL). Further, the Inflation Reduction Act directs the U.S. DOE to allocate $1 billion to support energy code adoption and implementation. PSD's Energy Codes Services team provides training, technical support, analysis, and policy direction related to the development, adoption, and implementation of building energy codes. We will continue to deliver high-quality services for clients in our existing footprint, while seeking to utilize new federal funding to help meet national, state, and local decarbonization and equity goals. PSD's energy code support expertise is recognized by high-profile clients such as the Massachusetts Program Administrators (Mass Save), the New York State Energy Research & Development Authority (NYSERDA), and the energy offices of Delaware and Pennsylvania. Who is PSD? PSD is a rapidly growing national leader in the building science and energy efficiency industries. PSD's passionate team of energy efficiency professionals work hard every day to develop and deliver creative and powerful solutions that drive change in the way buildings use energy. PSD provides a whole-systems approach to energy efficiency strategies through our work on advancing energy policies, designing and delivering cost-effective energy efficiency programs, and building software tools to streamline data tracking and reporting. Our core business efforts span three major areas: 1) the delivery of high-impact energy efficiency programs; 2) workforce development and industry training; and 3) the design and development of award-winning energy efficiency software platforms. Day-to-Day Responsibilities: Maintain up-to-date knowledge of the International Energy Conservation Code (IECC), ASHRAE Standard 90.1, state-specific code amendments, and appliance standards. Create technical training curricula and presentations for both live presentations and online on-demand platforms. Develop presentation content using adult education principles and audience engagement strategies. Deliver training programs to code officials, builders, design professionals, and energy professionals. Assist in developing energy code compliance tools and provide energy code technical assistance via phone, emails, and occasional onsite visits. Write newsletter articles, brief technical reports, and progress reports. Attend building industry and code enforcement association events and assist the PSD marketing team in driving utilization of PSD's energy code support services. Need to Have: 1 to 5 years of energy code or related experience Proficiency in building science concepts Demonstrated ability to create engaging presentations Public speaking experience Strong computer skills including fluency with the MS Office Suite Nice to Have: Creating or reviewing building plans and/or performing takeoffs for software inputs Experience in building construction, inspections, audits, or commissioning Familiarity with energy code compliance studies Knowledge of Building Performance Standards (BPS) Certifications from entities such as RESNET, NAHB, BPI, PHIUS, PHI, LEED, ASHRAE, or AEE. Spanish or other language skills, a plus. Who are you? Excellent written and oral communication Able to manage multiple projects at once Thinks critically Self-motivated and requires minimal supervision Works well with a team This position is fully remote with travel up to 20% may be expected. Preference may be given based on geographic proximity to clients or customers. Physical Demands: Frequent use of the computer requiring periods of sitting and close audio-visual concentration. Physical demands are minimal and typical of similar jobs in comparable organizations. Work Environment: Office work is performed in an open and collaborative environment. Salary: Competitive salary commensurate with education, qualifications, and experience. Benefits: Health Insurance, 401K savings plan, Life Insurance, Long Term Disability Insurance, Flexible Spending Accounts, Paid Holidays, and a Paid Benefit Time program Apply To: Candidates interested in staff positions only, no recruiters, 3rd party agencies, or outsourcing firms. Visit us at: **************************** Diversity and Inclusiveness: PSD strives to create a diverse and inclusive workplace. We highly encourage qualified applicants regardless of age, color, creed, disability, ethnicity, gender, gender identity or expression, marital status, national origin, race, religion, sexual orientation, military or veteran status, or any combination of these or related factors, to submit an application for consideration. Performance Systems Development is an Equal Opportunity Employer Salary Description $66,000-$85,000/year

Founded in 1970 as South Philadelphia Health Action and subsequently incorporated as Greater Philadelphia Health Action, GPHA is a non-profit healthcare organization with a commitment to provide compassionate and affordable healthcare services regardless of an individual's ability to pay. Since 1970, GPHA has expanded to become one of the premier providers of primary and behavioral healthcare in the Greater Philadelphia area. GPHA offers GREAT PAY, Performance BONUSES, Comprehensive Medical, Dental, Vision, Life, and LTD Insurance. We also offer 401k with a very lucrative company match, Employee Assistance and Self-Care, and Professional Activity, Educational, and Tuition Reimbursements, Paid Vacation, Paid Sick, Paid Personal Days, Paid Educational Days, Holiday Pay, Loan Forgiveness, and Free Malpractice Insurance...and many positions have Flexible, Hybrid or REMOTE WORK Schedules. We are presently seeking full-time Family Peer Specialists in our Behavioral Healthcare Division to support Intensive Behavioral Health Services (IBHS). Requirements include Bachelor's degree in Psychology or related field and three (3) years of administrative experience in substance abuse/mental health related social service area with certification in peer specialist support; OR High School Diploma with certification in peer specialist support and knowledge of addiction/recovery and working with persons living with an addiction. General Responsibilities include the ability to share personal recovery experiences and to develop authentic peer-to-peer relationships is essential to effective CIS performance. Consequently, CISs must hold the following beliefs and demonstrate the following qualities: A personal belief in recovery A genuine hope and optimism that their peers will succeed A sincere interest in the welfare of their peers, including the ability to see each person as a unique individual A willingness to share their own recovery experience An ability to flexibly engage people based on their level of receptivity and individual needs, acknowledging that even the same person may need different types of peer-based services at different points in their recovery process. At Greater Philadelphia Health Action, Inc. (GPHA), we respect diversity and promote equity through action, advocacy, and policy through a dedicated team of representatives committed to listening, learning, and enacting systemic change. We create different channels, outlets, and programs to enhance safe spaces within GPHA, creating a shared understanding and language around justice, diversity, equity, and inclusion. GPHA is an Equal Opportunity Employer. GPHA does not and will not discriminate in employment and personnel practices to include hiring, transferring and promotion practices on the basis of race, color, sex, age, handicap, disability, religion, religious creed, ancestry, national origin, or any other basis prohibited by applicable law..

Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you're busy impacting the healthcare industry, we'll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more! Responsibilities ** This is a fully remote position. ** This position is responsible for timely, accurate and comprehensive review of diagnoses and procedure services. This position is also responsible for verifying charges and assigns valid ICD-10 and CPT codes, as appropriate, to ensure optimal reimbursement and regulatory compliance. Responsibilities include: 70% - Analyzes and codes complex cases by reviewing documentation, confirms coding is in compliance with regulatory standards. 30% - Identifies trends/ problems in medical documentation and recommends possible solutions. Assists with billing and documentation in daily interaction with physicians regarding various inquiries relating to CPT and ICD-10 coding. Qualifications Bachelor's degree or equivalent years of experience. One of the following: Certified Procedural Coder (CPC) or CCS--Physician-based (CCS-P). 5 years of CPT and Diagnostic coding experience in a healthcare provider or a third party payer setting. Clinical knowledge preferred. Demonstrated excellent interpersonal and verbal and written communication skills. Strong organizational, analytical, and problem-solving skills. Just as Virginia Mason is dedicated to improving the lives of our patients and our community, we are equally dedicated to your professional and personal success. With a wide range of perks that includes comprehensive compensation and benefits, continuing education and support, and the opportunity to live in one of the most livable cities in the country, you will find that an opportunity with Team Medicine is one worth taking. Virginia Mason Medical Center, was recognized among the Best Hospitals in Washington state by U.S. News & World Report. Located in Seattle, WA, Virginia Mason is an internationally recognized leader in the continuous improvement of health care. With an extensive list of awards and distinctions that includes our recognition as Top Hospital of the Decade by The Leapfrog Group, Virginia Mason offers you the opportunity to partner with exceptionally talented peers at every level. You will contribute to the strength of our Team Medicine approach to collaborative medicine and benefit from the changes enacted through our Virginia Mason Production System, a model that has transformed health care by providing patients with easier access to care, reducing errors, and continuously innovating patient safety and quality that has been adopted by other organizations here and abroad. Join us, and find out how many ways Virginia Mason offers you the chance to focus on what really matters - our patients. We deliver inspired people to do meaningful work. We are an equal opportunity/affirmative action employer.

Inpatient Coder II Inpatient Coding PRN Status Day Shift Pay: $23.56 - $35.54 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position I is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology. This position completes analysis and follow-up record reviews and is cross-trained to code at least one type of outpatient facility service. This position works under the supervision of the Manager and is employed by Mosaic Health System. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials. Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record. Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding. Ensures data accuracy by responding to coding edits received. Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral. Mentors and assists with training coders. Completes analysis by utilizing reports, record reviews, etc. Other duties as assigned. Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required. CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required. Three years experience in coding in an acute care setting required.

Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Medical Records **Work Type:** Full Time (Total FTE between 0.9 and 1.0) **Shift:** Shift 1 **Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (***************************************************** **Pay Range:** $29.36 - $47.79 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. **Summary:** Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures. **Other information:** Knowledge, Skills, and Abilities: High School (GED) required RHIA, RHIT, and/or CCS Certification required Minimum 3 years experience in medical record coding required Knowledge of medical terminology and anatomy and physiology required Windows applications, Outlook, WebEx and other apps as needed to perform role Cooperates well with others Competent attention to detail and accuracy Proficient with computer use and software applications Ability to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in private work-from-home space Ability to apply local, state, and federal coding guidelines with attention to detail. **Responsibilities:** - Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail - Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail - Completes UHDDS data abstraction as required - Maintains a log of work performed - Completes other assigned duties as directed by management Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. **Position** HIM Coder-Inpatient **Location** US:IL:Chicago **Req ID** 14153

San Mateo County Health is seeking a Medical Records Coder III for the San Mateo Medical Center to provide coding of inpatient services. Services provided at San Mateo County Health which require coding include inpatient, outpatient facility, emergency room, long term care, psychiatric, ancillary services, and clinic visits. The Medical Records Coder III is responsible for reviewing medical records and accurately coding encounters within established timeframes, following national, state, and local coding guidelines. This is a remote position; however, work must be performed within the State of California. The incumbent may be required to report on-site occasionally with reasonable notice. As a public employee, the incumbent is designated as a Disaster Service Worker and may be required to respond to emergencies as needed. In such events, they must be prepared to report for duty on short notice. The ideal candidate for the position will be familiar with most or all of the following: ICD-10 diagnosis and procedures, CPT procedures, HCPCS procedures, CCI edits, DRG, APC, MCC/CC, HCC coding, and modifiers; has at least three years' experience in inpatient facility coding; ability to work independently with minimal supervision using sound independent judgement within established guidelines; embraces change; able to organize work, set priorities and meet critical deadlines; can communicate effectively (both verbal and written) and establish and maintain effective working relationships with those contacted in the course of work. Additionally, the ideal candidate has Epic experience, is detail-oriented, enjoys working in a fast-paced environment, and is a team player. The current vacancy is a full-time, regular vacancy. NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies. Examples Of Duties Duties may include, but are not limited to, the following: Assign or verify correct International Classification of Diseases Clinical Modification System and Current Procedural Terminology (ICD10/CPT) codes to outpatient or inpatient medical records. Utilize technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and ICD-10-CM/CPT procedures. Review narrative records of patient treatments and surgical procedures to determine what information is appropriate for coding purposes, and prepares case abstracts. Enter coded medical records data on computer terminal; select diagnosis and operations codes from computer designated abstracting system. Assist in implementing solutions to reduce back-end billing errors. Track weekly and follow up on all accounts that cannot be coded. Contact doctors, nurses, laboratory and other auxiliary personnel for information needed to complete, correct or clarify medical records and to resolve discrepancies. Perform related duties as assigned. Qualifications Note: The level and scope of the knowledge and skills listed below are related to job duties as defined under Distinguishing Characteristics. Licensure/Certification :All Levels Possession of at least one of the following certifications: Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA). Registered Health Information Technician (RHIT) issued by the American Health Information Management Association (AHIMA). Registered Health Information Administrator (RHIA) issued by the American Health Information Management Association (AHIMA). Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders (AAPC). Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC). Knowledge of: ICD10 and CPT classification coding systems. Fundamentals of anatomy, physiology, and the study of diseases. Extensive medical terminology, and hospital accreditation and regulatory standards. ICD10 coding guidelines and Ethical Coding standards. NCCI edits and hospital modifiers (for the journey level Coders) Standard clerical office procedures and equipment including Windows-based software use. If working at the Medical Coder III level, must also have knowledge of: Impact of severity of illness on CC/MCC assignments. MS-DRG assignment and complex comorbidities. Governmental regulations pertaining to billing and coding. Skill/Ability to: Competently select ICD10 to code diagnoses, treatments and procedures for outpatient or inpatient services either by use of coding books or encoder product. Competently code procedure using CPT logic. Abide by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. Maintain Continuing Education for certifications Abstract pertinent information from medical records. Follow oral and written instructions. Operate computer and appropriate coding software and abstract package. Effectively communicate technical information to medical and administrative personnel. Maintain effective working relationships with others. If working at the Medical Coder III level, must also have the skills and ability to: Assign appropriate evaluation/management level for professional services. Analyze and resolve billing edits. Education and Experience :Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is: I Level: Completion of the RHIT/RHIA program or 6 months experience in coding hospital related services. II Level: Three years of experience in coding hospital related services. III Level: Three years of coding inpatient records. Application/Examination Open & Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination. The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in the County of San Mateo, California and applicants must participate at their own expense. IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button. If you are not on the County's website, please go to ************************ to apply. Responses to the supplemental questions must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and/or supplemental questionnaire. Online applications must be received by the Human Resources Department before midnight on the final filing date. TENTATIVE RECRUITMENT TIMELINE Final Filing Date: Tuesday, April 8, 2025, by 11:59 p.m. PST Application Screening: Week of April 8, 2025 Panel Interviews: Week of April 21, 2025 About the County San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities. The County of San Mateo, as an employer, is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work. The County of San Mateo is an equal opportunity employer committed to fostering diversity, equity, and inclusion at all levels. Analyst: Debbie Kong (03242025) (Medical Records Coder II - E306)

Job Details LHSD - SAN DIEGO, CA Fully RemoteDescription Who We Are: Lorian Health is a home health and hospice agency seeking energetic candidates to join our team of skilled professionals. Come join a home health agency that is thoughtful, generous, and family-oriented, placing focus on taking the best care of our patients and our employees! Lorian Health sets the highest quality standards for home health services in existence today. Foremost of these, is our belief in equanimity in regard to the treatment of all our patients. Lorian Health is committed to fostering a socially responsible environment within our organization and community and is determined to provide the highest caliber of health care for our patients and their families What We Offer: We offer a comprehensive employee benefits package that includes, but is not limited to: Health, Dental, Vision, 401K with company match Competitive pay Paid vacation, holidays, and sick leave Full time includes company paid health insurance, dental insurance, vision insurance, paid life insurance, supplemental insurance and 401(k) plan with 4% match, as well as annual accrual of 10 vacation days,10 sick days, 9 holidays. Join our innovative team to help patients empower themselves to improve self-care. Qualifications Requirements: MUST live in the next locations with Pacific Standard Time (PTS): California, Washington, Oregon, Nevada, Idaho. Completion of coding specific coursework Current ICD-10 Coding Certification (HCS-D, BCHH-C, or HCS-H) Minimum of 1 year previous experience with Home Health ICD-10 coding with verified employment/experience are required. Minimum of 1 year previous experience with Hospice ICD-10 coding with verified employment/experience are required. Knowledge of and ability to follow appropriate skilled documentation under Medicare guidelines and conditions of participation. Knowledge of Patient Driven Grouping Models (PDGM) Knowledge of insurance reimbursement procedure. Ability to maintain confidentiality of records and information. Ability to be flexible, follow verbal and written instruction while working in a team oriented environment. Detail oriented with critical thinking and strong clinical judgement and analytical skills. Ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule. Excellent interpersonal relation skills including active listening, conflict resolution, and team building. Communicates effectively with the clinical and office staff involved in any given case in a constructive, goal directed, and professional manner Excellent computer skills to include Microsoft applications (i.e. Word/Excel) and ability to type at least 40 wpm Must be available to work 9am to 6pm Pacific Time Zone. Preferred: OASIS certification (COS-C, HCS-O) Background on OASIS E Graduate of Bachelor is Science in health field Experience with HCHB software

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas. *Now offering a ***$10,000.00 Commitment Bonus (4 equal installments over 24 months- 6-month increments) The Medical Records Coder II is a certified Coder. Coordinate or review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to ensure specific diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures. Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary and secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions. Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits. Assist with research, development, and presentation of continuing education programs in areas of specialization. Review medical record documentation and accurately code the primary and secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure the DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate and optimal reimbursement for hospital and/or professional charges. Consult with and educate physicians on coding practices and conventions to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Maintain a thorough understanding of medical record practices, standards, and regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care and Finance Administration (HCFA), the Medical Review of North Carolina (MRNC), etc. Assist with special projects as required. Perform other related duties incidental to the work described herein. Minimum Qualifications Education High school diploma required. Experience RHIA certification: no experience required RHIT certification: no experience required CCS certification: one year of coding experience required CPC or HCS-D certification: two years of coding experience required Degrees, licenses, and certifications Must hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding Registered Health Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Under the supervision of the Lead Coder, the Medical Records Coder analyzes, codes abstracts and assigns DRG's to hospital records for the purpose of reimbursement, research and compliance with regulatory agencies, using the ICD-10-CM/PCS classification system and CPT-4 procedural coding. Opportunity for remote work upon completion of training period. Minimum Qualifications: RHIT/RHIA or eligible required. Will also consider candidates enrolled in an accredited Health Information Management (HIM) program who have successfully completed anatomy, physiology and required coding courses as evidenced by an official transcript. RHIT/RHIA eligible candidates will be required to obtain certification within two years of hire date. Preferred Qualifications: Two or more years of coding experience preferred. Work Days: Monday - Friday Message to Applicants: This position does not require a Civil Service Exam. Recruitment Office: Human Resources Executive Order: Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at ************** or via email at ****************.

JOB TITLE: HIM Medical Coder - Certified Reviews medical records, codes patients, charges, updates late charges and processes in a timely manner, and assists various facility staff and physicians. EDUCATION/EXPERIENCE: * Certification can include one or all of the following: CPC, CCS, RHIA, RHIT * Prefer 2-5 years medical coding experience * Prior experience coding with ICD-10-CM and CPT. QUALIFICATIONS: * Must have functional knowledge of medical terminology, anatomy and physiology

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated. Position Summary Codes accurately and productively with abstraction to assigned outpatient medical records to meet the reimbursement, indexing and statistical requirements of the hospital. Consistently maintaining production and accuracy standards at all times. Essential Duties and Responsibilities: Accurately codes and sequences all diagnoses and procedures documented in the medical record according to established official coding guidelines, principles and appropriate reimbursement standards Utilizes Computer Assisted Coding software program following assigned workflows Accurately abstracts required data entering into Computer Assisted Coding system Issues accurate coding queries following AHIMA compliant coding query guidelines and assisting medical staff member documentation clarification Assists with special projects and reports as requested Remote position only following training and production/quality standards are met Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers and the hospital by abiding by the Standards of Conduct Required Qualifications: Education and Training: Associate Degree in Registered Health Information Technician (RHIT) or Bachelor Degree in Registered Health Information Administrator (RHIA) required. APC/EAPG knowledge required, 2-3 Years Acute Care Hospital Outpatient Coding experience required 3M Encoder experience preferred, Cerner, Meditech, Optum System experience preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Or Certified Coding Specialist (CCS) required. Work Shift Details: Days, Days Department: MEDICAL RECORDSBenefits for You At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members. Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes: · Medical, Dental and Vision plans · Life Insurance · Flexible Spending Account · Other voluntary benefit plans · PTO and Sick time · 401(k) plan with a match · Wellness program · Tuition Reimbursement Silver Cross Management Services Org. - Premier Suburban Medical Group benefits offered to Full-time and Part-time employees include: · Medical, Dental and Vision plans · Life Insurance · Health Savings Account · Flexible Spending Account · Other Voluntary benefit plans · PTO bank · 401(k) plan with a match · Wellness program · Tuition Reimbursement Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits. The expected pay for this position is listed below: $23.71 - $29.64 The final offered salary will take several factors into consideration, including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Certified Outpatient Coding Specialist codes and abstracts all pertinent patient medical information according to AHA ICD-10-CM/PCS and AMA CPT-4 Coding conventions, UHDDS guidelines and CMS directives. Completes data entry of abstracted inpatient/outpatient diagnosis and/or procedure codes to Network's health information system. Collaborates with the Health Information/Medical Records, Admissions and Finance departments to ensure appropriate flow of information. JOB DUTIES AND RESPONSIBILITIES: Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations Utilizes the 3M Encoder to verify and assign AHA ICD-10-CM/PCS and AMA CPT-4 codes, and MS-DRG/APR-DRG assignment Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews Maintains daily productivity and turnaround times as outlined in Department's Performance Improvement plan Responsible for remaining up-to-date with knowledge of AHA ICD-9-CM/ICD-10-CM/PCS and AMA CPT-4 coding conventions, MS-DRG and APR-DRG principles and guidelines Maintains a working knowledge of prospective payment systems as it relates directly to coding process Participation in department and sectional meetings, education sessional sessions and workshops as scheduled Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists PHYSICIAL AND SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Extended periods of vision use for reviewing computerized patient records, abstracting of patient information, approximately 7 hours per day, 3 hours at a time. Hearing as it relates to normal conversation. EDUCATION: RHIA, RHIT CCS, and/or CPC from an accredited Health Information Technology or Management program. Will consider candidate with greater than 3 years experience in the coding field without coding credentials. If candidate is RHIA, RHIT, CCS and/or CPC -eligible or possess no credentials, then candidate will be expected to obtain their AHIMA/AAPC credential within three years of hire date to retain position with St. Luke's University Health Network. TRAINING AND EXPERIENCE: Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting. Knowledge of anatomy and physiology, pathophysiology, and medical terminology required. Previous experience with EPIC health information computerized patient record and 3M encoding system preferred. WORK SCHEDULE: Day shift but may require other hours as necessary. Weekend rotations. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)

Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 40 The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary. Minimum expected accuracy rate for all coding assignments is 95%. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy. Maintains current knowledge of coding and documentation changes, rules and guidelines. Education & Experience: * High School Diploma or Equivalent required. * RHIA, RHIT or CCS with one (1) year minimum current and continuous full-time ICD-10-CM& CPT-4 ambulatory surgery, observation and/or inpatient coding and abstracting experience required. * Pediatric coding experience highly desired. * Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required. * Experience using Microsoft Office Excel and Word highly desired. Ability to work well independently and productively with minimal guidance and without direct supervision. * Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills. * Ability to maintain confidentiality. * Goal oriented, flexible and energetic. * Demonstrates coding skills, and critical thinking skills. * Ability to solve problems appropriately using job knowledge and current policies and procedures. * Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% prior to hire. Certification/Licensure: * Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. * Required to provide current American Health Information Management Association (AHIMA) continuing education certification records. About Us: Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

Blue Cross and Blue Shield of Vermont is looking for a Medical Coding Specialist to join our Payment Integrity team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced, flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development. LOCATION: Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. Coding Specialist Responsibilities: Oversee maintenance of medical coding changes in our Payment Integrity programs Research requests using multiple systems (including: Sales Force, Jira, NPS) to provide all available details to reviewer Use SalesForce, Jira, and NASCO claim systems, to perform functions such as initial claim review, outcome reporting, and distribution based on triage Correspond with providers regarding decisions about requested services and obtain medical records when necessary Review and respond to issues and questions from internal and external customers, both verbally and in writing Work collaboratively with other departments to obtain additional information to resolve inquiries Coding Specialist Qualifications: Bachelor's degree, or equivalent combination of education and experience, with a minimum of 3 years' experience in medical coding; In-depth knowledge of CPT, ICD-9, ICD-10, HCPCS, DRG diagnosis and procedure coding Formal coding certification (eg: CPC, AAPC) is a must Experience with both professional and facility claims coding and in APC, HIPPS, or RUG coding and validation Coding Specialist Benefits: Health insurance (including vision) Dental coverage (free to employees) Wellness Program 401(k) with employer match + automatic employer contribution Life Insurance Disability Insurance Combined time off (CTO) - 20 days per year + 10 paid holidays Tuition Reimbursement Student Loan Repayment Dependent Caregiver Benefits *Full job description attached to ADP job posting.