Medical Coder Jobs in Finneytown, OH

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 24 This position processes medical records by coding, abstracting data, and producing information for third party billing and to provide a complete statistical database. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Reviews inpatient or observation, same day surgery, and interventional procedure records or emergency department or complex ancillary records. Identifies and codes principal and secondary diagnoses and principal and secondary procedures in appropriate sequence so that the accurate DRG/APC will be assigned according to Official Coding Guidelines to provide information for billing purposes. Meets department coding standards for quality and productivity of 96%. (New staff are expected to meet these standards upon completion of the training period). Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards. Abstracts demographic and medical information into computer system following departmental guidelines to provide an accurate data base for statistical reference. Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, coding questions, physician queries, rebills, etc. Completes various reports such as productivity reports, statistical reports and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits updates accordingly. Attends educational programs and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e., Coding Clinic and CPT Assistant). Performs other duties as assigned. Education, Credentials, Licenses: * Associate or Bachelor's degree (or equivalent hospital based coding experience) * CCS, CPC-H, RHIT, or RHIA credentials * Physician coding credentials of CCS-P and CPC are not preferred but recognized for coding other than inpatient. * An apprentice credential is not sufficient. Specialized Knowledge: Medical Terminology, Anatomy and Physiology ICD/CPT experience Prospective Payment Systems, Outpatient Medical Necessity. Use of personal computer Kind and Length of Experience: Two to Four years hospital coding experience DESIRABLE Encoder experience; Clinical Documentation experience; CAC (Computer Assisted Coding) experience. FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

Incentives Sign On Bonus! Up to $5k available for eligible applicants Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Campus Overview Kettering Health Miamisburg * Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years. * Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio. * The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care. * Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning. * 142 bed facility * Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019. * In 2020, KH Miamisburg received an "A" from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States. * Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department. * KH Miamisburg received several awards from Healthgrades: * Outstanding Patient Experience Award (2017-2019) * America's 100 Best Hospitals for Prostate Surgery Award (2020) * Joint Replacement Excellence Award (2020) Responsibilities & Requirements Responsibilities: * Strong written and verbal communication skills. * Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes. * Knowledge and experience with 3M and Epic clinical data system preferred. * Consistently follow coding guidelines and uses coding references to accurately select the appropriate principal diagnosis and procedure as well as secondary diagnoses and procedures. * Evaluates the quality of documentation of all accounts to identify incomplete or inconsistent documentation which affects coding, abstracting and charging and handles appropriately. * Identifies and monitors charging errors to reduce loss of revenue and any other issues regarding correct coding and reimbursement. * Coordinates and performs activities associated with processing and correcting rejected accounts. * Demonstrates knowledge of and adherence to department coding policies and compliance plan. * Maintains certification and demonstrates up-to-date job knowledge. Preferred Qualifications Requirements: * Associate or Bachelors' degree in Health Information Management with RHIT or RHIA certification and/or CCS certification. * RHIT/RHIA eligible will also be considered with coding/abstracting experience preferred (must sit for the exam at first available offering after completion of RHIT/RHIT program including passing their certification exam within one year of the first attempt.One to two years coding/abstracting experience in an acute care hospital with RHIT or RHIA certification or three to five years coding/abstracting experience in an acute care hospital with CCS certification.[Ohio, United States] OtherRHIT, RHIA, CCS

This position abstract codes provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers. Provides coding expertise to department management, coding staff, clinical staff, and billing staff. Meets or exceeds departmental standard related to quality and productivity Job Requirements: Associate's Degree Equivalent experience accepted in lieu of degree CPC, CCS-P, CCM, RHIA, RHIT, CCA Extensive knowledge of ICD-10-CM and CPT coding Methodologies Abstract coding of inpatient and outpatient medical records Extensive knowledge of medical terminology and Anatomy 3-4 years experience in a related field Job Responsibilities: Other job-related information: Current professional coding credential: AAPC (Certified Professional Coder [CPC] Certified Outpatient Coder [COC]) PMI (Certified Medical Coder [CMC]) AHIMA (Certified Coding Specialist-Physician [CCS-P] Certified Coding Specialist [CCS] Registered Health Information Administrator [RHIA] Registered Health Information Technician [RHIT]) Working Conditions: Climbing - Rarely Concentrating - Consistently Continuous Learning - Consistently Hearing: Conversation - Frequently Hearing: Other Sounds - Frequently Interpersonal Communication - Consistently Kneeling - Rarely Lifting Lifting 50+ Lbs - Rarely Lifting 11-50 Lbs - Rarely Pulling - Rarely Pushing - Rarely Reaching - Rarely Reading - Consistently Sitting - Frequently Standing - Occasionally Stooping - Rarely Talking - Frequently Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Frequently Visual Acuity: Far - Frequently Visual Acuity: Near - Frequently Walking - Occasionally TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS… • Welcome everyone by making eye contact, greeting with a smile, and saying "hello" • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist • Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS… • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met • Offer patients and guests priority when waiting (lines, elevators) • Work on improving quality, safety, and service Respect: ALWAYS… • Respect cultural and spiritual differences and honor individual preferences. • Respect everyone's opinion and contribution, regardless of title/role. • Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS… • Value the time of others by striving to be on time, prepared and actively participating. • Pick up trash, ensuring the physical environment is clean and safe. • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS… • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and compassion with customers, team members and the community

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment. Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Coding quality: * Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG's. * Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation. * Maintains a coding accuracy rating of at least 95% on records assigned. * Queries physicians when necessary to ensure documentation supports the codes assigned. Coding productivity: * Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals. * Completes productivity data correctly and timely. * Billing edits, coding corrections, DRG changes: * Reviews, researches, and resolves claim edits for billing purposes. * Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated. Accountability: * Reviews educational materials thoroughly and takes responsibility for applying this information when coding. * Seeks to clarify information and educational material when necessary. * Listens actively. * Maintains information and resources in an organized manner so that information can be referenced easily. * Reviews emails timely and thoroughly and responds when indicated. * Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance. Minimum Education Required: High School Diploma or GED. Formal education in basic ICD-9CM/CPT coding, Medical Terminology, Anatomy/, pathophysiology and disease processes. Preferred Education: Associates or Bachelors Degree in a Healthcare related field. Minimum Experience Required: 1 - 2 Years equivalent experience - At least 1 year of Acute Care Coding. License and Certifications Required: Certified Coders are required to be certified in one of the following: * Registered Health Information Technician (RHIT) * Registered Health Information Administrator (RHIA) * Certified Coding Specialist (CCS)

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 24 This position processes medical records by coding, abstracting data, and producing information for third party billing and to provide a complete statistical database. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Reviews inpatient or observation, same day surgery, and interventional procedure records or emergency department or complex ancillary records. Identifies and codes principal and secondary diagnoses and principal and secondary procedures in appropriate sequence so that the accurate DRG/APC will be assigned according to Official Coding Guidelines to provide information for billing purposes. Meets department coding standards for quality and productivity of 96%. (New staff are expected to meet these standards upon completion of the training period). Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards. Abstracts demographic and medical information into computer system following departmental guidelines to provide an accurate data base for statistical reference. Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, coding questions, physician queries, rebills, etc. Completes various reports such as productivity reports, statistical reports and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits updates accordingly. Attends educational programs and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e., Coding Clinic and CPT Assistant). Performs other duties as assigned. Education, Credentials, Licenses: Associate or Bachelor's degree (or equivalent hospital based coding experience) CCS, CPC-H, RHIT, or RHIA credentials Physician coding credentials of CCS-P and CPC are not preferred but recognized for coding other than inpatient. An apprentice credential is not sufficient. Specialized Knowledge: Medical Terminology, Anatomy and Physiology ICD/CPT experience Prospective Payment Systems, Outpatient Medical Necessity. Use of personal computer Kind and Length of Experience: Two to Four years hospital coding experience DESIRABLE Encoder experience; Clinical Documentation experience; CAC (Computer Assisted Coding) experience. FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 24 This position processes medical records by coding, abstracting data, and producing information for third party billing and to provide a complete statistical database. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Reviews inpatient or observation, same day surgery, and interventional procedure records or emergency department or complex ancillary records. Identifies and codes principal and secondary diagnoses and principal and secondary procedures in appropriate sequence so that the accurate DRG/APC will be assigned according to Official Coding Guidelines to provide information for billing purposes. Meets department coding standards for quality and productivity of 96%. (New staff are expected to meet these standards upon completion of the training period). Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards. Abstracts demographic and medical information into computer system following departmental guidelines to provide an accurate data base for statistical reference. Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, coding questions, physician queries, rebills, etc. Completes various reports such as productivity reports, statistical reports and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits updates accordingly. Attends educational programs and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e., Coding Clinic and CPT Assistant). Performs other duties as assigned. Education, Credentials, Licenses: Associate or Bachelor's degree (or equivalent hospital based coding experience) CCS, CPC-H, RHIT, or RHIA credentials Physician coding credentials of CCS-P and CPC are not preferred but recognized for coding other than inpatient. An apprentice credential is not sufficient. Specialized Knowledge: Medical Terminology, Anatomy and Physiology ICD/CPT experience Prospective Payment Systems, Outpatient Medical Necessity. Use of personal computer Kind and Length of Experience: Two to Four years hospital coding experience DESIRABLE Encoder experience; Clinical Documentation experience; CAC (Computer Assisted Coding) experience. FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

Centralized Billing Office FT / 80 hours per pay The Surgical Coder works to ensure timely, accurate, and compliant coding of physician services for the purpose of maximizing reimbursement within current payer guidelines. This position is part of a centralized billing office and provides both procedural, E/M, and ICD-10 coding services for the multi-specialty practices within Premier Physician Network. Nature and Scope The Surgical Coder is responsible for reviewing chart documentation within the scope defined by CBO leadership, for the purpose of extracting appropriate procedural, E/M, and ICD-10 codes, to best represent provider services performed and documented. This position is specialty based and requires expanded knowledge of various functions within the coding and billing process. The Surgical Coder is expected to interact with PPN providers for the purpose of enhancing physician engagement and confidence by providing feedback and education as requested. Qualifications 1. High School diploma or equivalency certificate. 2. Minimum 2-3 years of previous healthcare coding experience required; AAPC or AHIMA coding certification preferred. 3. Knowledgeable about third party billing regulations and CPT/ICD coding. 4. Proficient computer and data entry skills. 5. Effective problem-solving skills and ability to work independently. 6. Working knowledge of spreadsheet applications. 7. Proven record of dependability. 8. Effective verbal and written communication skills. 9. Detail Oriented and ability to appropriately prioritize work. 10. Effective time-management skills.

Gastro Health is seeking a Full-Time Medical Records Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role offers: A great work/life balance! No weekends or evenings -- Monday thru Friday Paid holidays and paid time off Rapidly growing team with opportunities for advancement Competitive compensation Benefits package Here are some of the duties you will be responsible for: Scans reports Medical records and billing encounter forms in EMR system Opens and distributes mail accordingly throughout the office Manages medical record requests from patients Insurance companies or medical facilities and completes them in a timely manner Handles medical record preparation for standard audits from insurance companies Minimum Requirements: High school diploma or GED equivalent One year experience working in medical practice or similar settings Medical terminology Ability to multi-task Attention to detail Familiar with HIPAA standards Organization Able to work independently and keep up with the workflow Able to multi-task and cross cover at the Front Desk We offer a comprehensive benefits package to our eligible employees:, 401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3% Discretionary Profit-Sharing Contributions of up to 4% Health insurance Employer Contributions to HSA's and HRA's Dental insurance Vision insurance Flexible Spending Accounts Voluntary Life insurance Voluntary Disability insurance Accident Insurance Hospital Indemnity Insurance Critical Illness Insurance Identity Theft Insurance Legal Insurance Paid time off Discounts at local fitness clubs Discounts at AT&T Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more. Interested in learning more? Click here to learn more about the location. Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!

Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions and any other clinical data elements required for appropriate reimbursement. Understands and applies reimbursement processes under federal compliance guidelines. Abstracts demographic and clinical data into hospital health information system(s) such as HDM, Epic, or other currently in use. Performs and responds to data quality checks and payer/claims issues. One may specialize in one or more of the standard functions. Specific assignments will vary from day to day based on the needs of the department. Job Requirements: Currently enrolled in an approved program for specific field of study in Within six months of hire, RHIT/RHIA and/or CCS Continuing education pursued in accord with requirements of the accrediting bodies CPC/CCA may be substituted at the hiring manager's discretion Proficiency in ICD and CPT coding DRG's MSDRG's POA indicators Post-acute transfer rules Disposition status Disease process and treatment Anatomy and medical terminology Clinical documentation requirements AHIMA Experience in a related field Job Responsibilities: Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, POA indicators, discharge dispositions, and other data elements required for appropriate reimbursement, meeting established quality and productivity standards within 3 days of visit/discharge. Meets stated metrics for on-time completion. Collaborates effectively with associate departments as follows, but not limited to: Performs and responds to data quality checks and payer/claims issues with Billing and Denials teams. Works closely with CDMP toward complete documentation for most descriptive coding and DRG , APR-DRG, SOI, and ROM assignment. Obtains final disposition status from Care Coordination. Supports clinical specialty work teams (i.e. OB and Cardiac Surgery) Abstracts demographic and clinical data into hospital health data management systems. Participates in audits, training of new employees, education, project teams, etc. as needed. Other Job-Related Information: Working Conditions: Climbing - Rarely Concentrating - Consistently Continuous Learning - Consistently Hearing: Conversation - Frequently Hearing: Other Sounds - Frequently Interpersonal Communication - Consistently Kneeling - Rarely Lifting Lifting 50+ Lbs. - Rarely Lifting Pulling - Occasionally Pushing - Occasionally Reaching - Occasionally Reading - Consistently Sitting - Occasionally Standing - Frequently Stooping - Occasionally Talking - Frequently Thinking/Reasoning - Consistently Use of Hands - Frequently Color Vision - Frequently Visual Acuity: Far - Frequently Visual Acuity: Near - Consistently Walking - Frequently TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS… • Welcome everyone by making eye contact, greeting with a smile, and saying "hello" • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist • Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS… • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met • Offer patients and guests priority when waiting (lines, elevators) • Work on improving quality, safety, and service Respect: ALWAYS… • Respect cultural and spiritual differences and honor individual preferences. • Respect everyone's opinion and contribution, regardless of title/role. • Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS… • Value the time of others by striving to be on time, prepared and actively participating. • Pick up trash, ensuring the physical environment is clean and safe. • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS… • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and compassion with customers, team members and the community

Interprets clinical documentation/records of complex outpatient and/or basic inpatient cases to ensure all diagnoses and procedures are documented and coded. KNOWLEDGE AND SKILLS: EDUCATION: Associate or Bachelor Degree in HIM or related field preferred. Or 7+ years of hospital coding experience. Holds more than one credential including RHIA or RHIT with CCS, or one credential with 3 years' experience. Skills assessment required determining competency level of coding skills. Outcome determines placement in intermediate to advance level. YEARS OF EXPERIENCE: 3 or more years of experience. REQUIRED SKILLS AND KNOWLEDGE: KNOWLEDGE AND SKILLS: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position. EDUCATION: non credentialed coder or CCA or CPC with some coding experience strongly preferred. Skills assessment required determining competency level of coding skills and outcome determines placement in intermediate to advance level. YEARS OF EXPERIENCE: See below. REQUIRED SKILLS AND KNOWLEDGE: Criteria: Skills*: Coder Level I: Basic outpatient cases one type with simple diagnoses and procedures. outpatient diagnostic testing Coder Level II: Can code 2 types of basic outpatient cases such as OP and ED or OP and Ambulatory with outpatient procedures/or inpatient cases. Contributes to team objectives. Moderate skills with high level of proficiency. Coder Level III: Complex outpatient cases and/or inpatient cases. Same day surgeries Endoscopy Cardiac Cath Interventional Radiology Proactive to contribute to meeting team objectives. Complex skills with high level of proficiency. Coder Level IV: Complex skills with high level of proficiency in ALL facility coding cases. Proactive to contribute to meeting team objectives, including training other coders. Education: Coder Level I: Successful completion of some coursework or formal education in: ICD-10-CM/PCS & CPT Disease process Medical terminology Coder Level II: Successful completion of coursework or formal education in: ICD-10-CM/PCS & CPT Disease process Medical terminology Coder Level III: Successful completion of advanced coursework or formal education in: ICD-10-CM/PCS & CPT Disease process Medical terminology Coder Level IV: Successful completion of advanced coursework or formal education in: ICD-10-CM/PCS & CPT Disease process Medical terminology *Each increase in levels assumes the ability to code at the previous skill level. LICENSES REGISTRATIONS &/or CERTIFICATIONS : RHIA or RHIT with CCS ; or 1 credential with 3 years of experience. Other Credentials Required or Preferred: NONE • Interprets clinical documentation/records to ensure all diagnosis and procedure documentation is coded. • Applies regulatory and facility guidelines while coding. • Code clinical documentation with an accuracy rate consistent with the hospital quality program. • Minimal supervision with wide latitude for independent judgment. Advanced problem-solving responsibilities while working under defined guidelines. Abstract clinical information from the medical record into the clinical information system with an accuracy rate consistent with the hospital abstracting quality program. The inpatient and outpatient abstracting policy should be referenced for specific on TCH abstracting practices. • Facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation. • Concurrently reviews clinical information in medical records and obtains appropriate clinical documentation by interacting with physicians and patient care services. This is necessary to ensure that the clinical documentation reflects the level of service rendered and the patient's severity and acuity of care is reflected. • Interacts with physicians by written queries. • Conducts follow-up reviews of clinical documentation to ensure issues discussed and clarified with the physician have been documented in the medical record. • Escalates unresolved queries to coding management. • Interprets health record content to ensure that all diagnoses and procedures assigned are supported by physician documentation. Coder will code and abstract medical records at a productivity rate that is consistent with the hospital productivity program. Participates in continued quality improvement opportunities Other duties as assigned

The Medical Records Coordinator II is responsible for all forms and aspects of retrospective medical record retrieval including, but not limited to, claims data analysis, outreach data research, direct EMR retrieval, Requests of Information (ROI) deployment, pend-record resolution, medical record audits, attestation capture, and report documentation. This position is remote and there will be travel within the state of WI for records retrieval. Essential Functions: Execute the request, retrieval, and pend resolution of medical records through various channels Utilize custom and SFTP portals to facilitate PHI data transfer When needed provide personal information necessary to gain access to health network systems Collaborate with health systems and provider offices to execute, and document their process for release of information requests Update operational databases, and provide context by documenting commentary Navigate and properly escalate obstacles to medical record retrieval Support and implement process improvements with external and internal partners Utilize the MS Office Suite including, but not limited to MS Teams, Office, Excel, Outlook, and Word to facilitate record retrieval and execute mail merges Verify retrieved medical records' accuracy Partner across CareSource's department matrix to address operational needs Support and maintain medical record repository Manage provider practice and health network relations to minimize provider abrasion Populate chase specific reports to drive and reflect the execution of risk adjustment programs Support and refine implementation of risk adjustment processes across all lines of business Research claims data to produce information optimized for chart retrieval Reconcile retrieval related invoices Perform any other job duties as requested Education and Experience: High School Diploma or equivalent required Minimum one (1) year healthcare experience preferred Minimum one (1) year medical records experience preferred Competencies, Knowledge and Skills: Intermediate proficiency in the Microsoft Office Suite Verbal and written communication skills Ability to work independently and within a team environment Attention to detail Critical listening and thinking skills Time management skills Proper phone etiquette Data analysis Business analysis Project management Customer service oriented Brand ambassadorship Decision making/problem solving skills Takes initiative to research and resolve obstacles Must be able to self-direct work when given a goal/task Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time May be required to travel Compensation Range: $35,200.00 - $56,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Hourly Organization Level Competencies Create an Inclusive Environment Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. Datavant is a data platform company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners. By joining Datavant today, you're stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. _At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be_ _anonymous and_ _used to help us identify areas of improvement in our recruitment process._ _(_ _We can only see aggregate responses, not individual responses. In fact, we aren't even able to see if you've responded or not_ _.)_ _Responding is your choice and it will not be used in any way in our hiring process_ _._ To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please contact us at *********************** . We will review your request for reasonable accommodation on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

General Purpose The primary purpose of your job position is to maintain resident medical records and health information systems in accordance with current federal and state guidelines as well as in accordance with our facility's established privacy policies and procedures. Essential Duties Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures. Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures. Assist the Medical Records/Health Information Consultant as required. Maintain minutes of meetings. File as necessary. Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained. Assist in recording all incidents/accidents. File in accordance with established policies and procedures. Retrieve resident records (manually/electronically). Deliver as necessary. Files information such as nurses' notes, resident assessments, progress notes, laboratory reports, x-ray results, correspondence, etc., into resident charts. Collect, assemble, check and file resident charts as required. Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines. Ensure incomplete records/charts are returned to appropriate departments or personnel for correction. Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc., before filing. Establish a procedure to ensure resident charts/records do not leave the medical records room except as authorized in our policies and procedures. Maintain a record of authorized information released from charts/records, i.e., type information, name of recipient, date, department, etc Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc. in accordance with current Privacy Rules. Index medical records as directed by the medical records/health information consultant. Maintain various registries as directed including register for admission and discharge of residents. Transcribe and type reports for physicians as necessary. Collect charts, assemble them in proper order, and inspect them for completion. Pick up and deliver resident medical records from wards, nurses' stations, and other designated areas as necessary. Batch resident information into the computer and retrieve resident demographic information as appropriate or as instructed. Answer telephone inquiries concerning medical records functions. Prepare written correspondence as necessary. Retrieve medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.) Assure that medical records taken from the department are signed out and signed in upon return to the department. File active and inactive records in accordance with established policies. Index medical records as directed. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position. Committee Functions Perform secretarial duties for committees of the facility as directed. Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed. Personnel Functions Report known or suspected incidents of fraud to the Administrator Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Staff Development Attend and participate in mandatory facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.). Attend and participate in workshops, seminars, etc., as approved. Safety and Sanitation Report all unsafe/hazardous conditions, defective equipment, etc., to your supervisor immediately. Equipment and Supply Functions Report equipment malfunctions or breakdowns to your supervisor as soon as possible. Ensure supplies have been replenished in work areas as necessary. Assure that work/assignment areas are clean and records, files, etc., are properly stored before leaving such areas on breaks, end of workday, etc. Budget and Planning Functions Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.

Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures. Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures. Assist the Medical Records/Health Information Consultant as required. Maintain minutes of meetings. File as necessary. Develop and maintain a good working rapport with inter department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained. Assist in recording all incidents/accidents. File in accordance with established policies and procedures. Retrieve resident records (manually/electronically). Deliver as necessary. Files information such as nurses' notes, resident assessments, progress notes, laboratory reports, x ray results, correspondence, etc. , into resident charts. Collect, assemble, check and file resident charts as required. Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines. Ensure incomplete records/charts are returned to appropriate departments or personnel for correction. Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc. , before filing. Establish a procedure to ensure resident charts/records do not leave the medical records room except as authorized in our policies and procedures. Maintain a record of authorized information released from charts/records, i. e. , type information, name of recipient, date, department, etc. Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc. in accordance with current Privacy Rules. Index medical records as directed by the medical records/health information consultant. Maintain various registries as directed including register for admission and discharge of residents. Transcribe and type reports for physicians as necessary. Collect charts, assemble them in proper order, and inspect them for completion. Pick up and deliver resident medical records from wards, nurses' stations, and other designated areas as necessary. Batch resident information into the computer and retrieve resident demographic information as appropriate or as instructed. Answer telephone inquiries concerning medical records functions. Prepare written correspondence as necessary. Retrieve medical records when requested by authorized personnel (i. e. , physicians, nurses, government agencies and personnel, etc. ) Assure that medical records taken from the department are signed out and signed in upon return to the department. File active and inactive records in accordance with established policies. Index medical records as directed. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. • Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position. Committee Functions Perform secretarial duties for committees of the facility as directed. Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed. Personnel Functions Report known or suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver activates within established facility policy guidelines. Staff Development Attend and participate in mandatory facility in service training programs as scheduled (e. g. , OSHA, TB, HIPAA, Abuse Prevention, etc. ). Attend and participate in workshops, seminars, etc. , as approved. Safety and Sanitation Report all unsafe/hazardous conditions, defective equipment, etc. , to your supervisor immediately. Equipment and Supply Functions Report equipment malfunctions or breakdowns to your supervisor as soon as possible. Ensure supplies have been replenished in work areas as necessary. Assure that work/assignment areas are clean and records, files, etc. , are properly stored before leaving such areas on breaks, end of workday, etc. Budget and Planning Functions Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Other duties as assigned Supervisory Requirements ou are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a high school diploma or GED. Must be able to type a minimum of 45 words per minute and use dictation equipment. A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc. , preferred but not required. On the job training provided in medical record and health information system procedures. Must be knowledgeable of medical terminology. Be knowledgeable in computers, data retrieval, input and output functions, etc. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, visitors and the general public. Must possess the ability to work harmoniously with other personnel. Must possess the ability to minimize waste of supplies, misuse of equipment, etc. Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices. Be able to follow written and oral instructions. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must function independently, have personal integrity, have flexibility, and the ability to work effectively with other personnel. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office areas as well as throughout the facility. Moves intermittently during working hours. Is subject to frequent interruptions. Works beyond normal working hours, weekends and holidays and on other shifts/positions as necessary. Is subject to call back during emergency conditions (e. g. , severe weather, evacuation, post disaster, etc. ). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc. , throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc. , including TB and the AIDS and Hepatitis B viruses. Communicates with nursing personnel, and other department personnel. Is subject to hostile and emotionally upset residents, family members, personnel, visitors, etc. Is involved with residents, family members, personnel, visitors, government agencies and personnel, etc. , under all conditions and circumstances. May be subject to the handling of and exposure to hazardous chemicals. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

The job duties of medical billing and coder include: Enter patient information into computer files, and possibly also in paper records Organize, manage, and sort paperwork (including patients' charts) Continue to enter data as patients are subjected to diagnostic tests and receive treatments Translate the information into alphanumeric medical code Prepare and mail billing statements Submit claims to insurance companies and other third-party payers Process payments from insurance companies Post transactions and reconcile payments to patient ledgers Collect and manage patient account payments Identify past-due bills and recommended collection actions Ensure that the facility is reimbursed for all services provided Resolve conflicts regarding payments and reimbursements Write reports and provide information to government agencies Respond in writing and on the telephone to patients' questions about billing Investigate and report instances of insurance fraud Provide information and prepare documents for legal inquiries and litigation Ensure the confidentiality of patients' personal information Perform clerical duties that may include answering the telephone, greeting patients, and sorting mail

Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures. Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures. Assist the Medical Records/Health Information Consultant as required. Maintain minutes of meetings. File as necessary. Develop and maintain a good working rapport with inter department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained. Assist in recording all incidents/accidents. File in accordance with established policies and procedures. Retrieve resident records (manually/electronically). Deliver as necessary. Files information such as nurses' notes, resident assessments, progress notes, laboratory reports, x ray results, correspondence, etc. , into resident charts. Collect, assemble, check and file resident charts as required. Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines. Ensure incomplete records/charts are returned to appropriate departments or personnel for correction. Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc. , before filing. Establish a procedure to ensure resident charts/records do not leave the medical records room except as authorized in our policies and procedures. Maintain a record of authorized information released from charts/records, i. e. , type information, name of recipient, date, department, etc. Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc. in accordance with current Privacy Rules. Index medical records as directed by the medical records/health information consultant. Maintain various registries as directed including register for admission and discharge of residents. Transcribe and type reports for physicians as necessary. Collect charts, assemble them in proper order, and inspect them for completion. Pick up and deliver resident medical records from wards, nurses' stations, and other designated areas as necessary. Batch resident information into the computer and retrieve resident demographic information as appropriate or as instructed. Answer telephone inquiries concerning medical records functions. Prepare written correspondence as necessary. Retrieve medical records when requested by authorized personnel (i. e. , physicians, nurses, government agencies and personnel, etc. ) Assure that medical records taken from the department are signed out and signed in upon return to the department. File active and inactive records in accordance with established policies. Index medical records as directed. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. • Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position. Committee Functions Perform secretarial duties for committees of the facility as directed. Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed. Personnel Functions Report known or suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver activates within established facility policy guidelines. Staff Development Attend and participate in mandatory facility in service training programs as scheduled (e. g. , OSHA, TB, HIPAA, Abuse Prevention, etc. ). Attend and participate in workshops, seminars, etc. , as approved. Safety and Sanitation Report all unsafe/hazardous conditions, defective equipment, etc. , to your supervisor immediately. Equipment and Supply Functions Report equipment malfunctions or breakdowns to your supervisor as soon as possible. Ensure supplies have been replenished in work areas as necessary. Assure that work/assignment areas are clean and records, files, etc. , are properly stored before leaving such areas on breaks, end of workday, etc. Budget and Planning Functions Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Other duties as assigned Supervisory Requirements ou are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a high school diploma or GED. Must be able to type a minimum of 45 words per minute and use dictation equipment. A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc. , preferred but not required. On the job training provided in medical record and health information system procedures. Must be knowledgeable of medical terminology. Be knowledgeable in computers, data retrieval, input and output functions, etc. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, visitors and the general public. Must possess the ability to work harmoniously with other personnel. Must possess the ability to minimize waste of supplies, misuse of equipment, etc. Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices. Be able to follow written and oral instructions. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must function independently, have personal integrity, have flexibility, and the ability to work effectively with other personnel. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office areas as well as throughout the facility. Moves intermittently during working hours. Is subject to frequent interruptions. Works beyond normal working hours, weekends and holidays and on other shifts/positions as necessary. Is subject to call back during emergency conditions (e. g. , severe weather, evacuation, post disaster, etc. ). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc. , throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc. , including TB and the AIDS and Hepatitis B viruses. Communicates with nursing personnel, and other department personnel. Is subject to hostile and emotionally upset residents, family members, personnel, visitors, etc. Is involved with residents, family members, personnel, visitors, government agencies and personnel, etc. , under all conditions and circumstances. May be subject to the handling of and exposure to hazardous chemicals. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment. Using established policies and procedures; the Non-certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Non-certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Coding quality: Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG's. * Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation. * Maintains an acceptable coding accuracy rating on records assigned. * Queries physicians when necessary to ensure documentation supports the codes assigned. Coding productivity: * Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals. * Completes productivity data correctly and timely. Billing edits, coding corrections, DRG changes: * Reviews, researches, and resolves claim edits for billing purposes. * Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated. Accountability: * Reviews educational materials thoroughly and takes responsibility for applying this information when coding. * Seeks to clarify information and educational material when necessary. * Listens actively. * Maintains information and resources in an organized manner so that information can be referenced easily. * Reviews emails timely and thoroughly and responds when indicated. * Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance. Minimum Required: High School Diploma or GED. Formal education in basic ICD-9CM/CPT coding, Medical Terminology, Anatomy/, pathophysiology and disease processes. Preferred: Associate's OR Bachelor's Degree in healthcare related field. | Preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). | Minimum Required: 1 year of Acute Care Coding.

Job Overview: This position abstract codes provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers. Provides coding expertise to department management, coding staff, clinical staff, and billing staff. Meets or exceeds departmental standard related to quality and productivity Job Requirements: Associate's Degree Equivalent experience accepted in lieu of degree CPC, CCS-P, CCM, RHIA, RHIT, CCA Extensive knowledge of ICD-10-CM and CPT coding Methodologies Abstract coding of inpatient and outpatient medical records Extensive knowledge of medical terminology and Anatomy 3-4 years experience in a related field Job Responsibilities: Other job-related information: Current professional coding credential: AAPC (Certified Professional Coder [CPC] Certified Outpatient Coder [COC]) PMI (Certified Medical Coder [CMC]) AHIMA (Certified Coding Specialist-Physician [CCS-P] Certified Coding Specialist [CCS] Registered Health Information Administrator [RHIA] Registered Health Information Technician [RHIT]) Working Conditions: Climbing - Rarely Concentrating - Consistently Continuous Learning - Consistently Hearing: Conversation - Frequently Hearing: Other Sounds - Frequently Interpersonal Communication - Consistently Kneeling - Rarely Lifting Lifting 50+ Lbs - Rarely Lifting 11-50 Lbs - Rarely Pulling - Rarely Pushing - Rarely Reaching - Rarely Reading - Consistently Sitting - Frequently Standing - Occasionally Stooping - Rarely Talking - Frequently Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Frequently Visual Acuity: Far - Frequently Visual Acuity: Near - Frequently Walking - Occasionally TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS… * Welcome everyone by making eye contact, greeting with a smile, and saying "hello" * Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist * Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS… * Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met * Offer patients and guests priority when waiting (lines, elevators) * Work on improving quality, safety, and service Respect: ALWAYS… * Respect cultural and spiritual differences and honor individual preferences. * Respect everyone's opinion and contribution, regardless of title/role. * Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS… * Value the time of others by striving to be on time, prepared and actively participating. * Pick up trash, ensuring the physical environment is clean and safe. * Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS… * Acknowledge wins and frequently thank team members and others for contributions. * Show courtesy and compassion with customers, team members and the community

Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions and any other clinical data elements required for appropriate reimbursement. Understands and applies reimbursement processes under federal compliance guidelines. Abstracts demographic and clinical data into hospital health information system(s) such as HDM, Epic, or other currently in use. Performs and responds to data quality checks and payer/claims issues. One may specialize in one or more of the standard functions. Specific assignments will vary from day to day based on the needs of the department. Job Requirements: Currently enrolled in an approved program for specific field of study in Within six months of hire, RHIT/RHIA and/or CCS Continuing education pursued in accord with requirements of the accrediting bodies CPC/CCA may be substituted at the hiring manager's discretion Proficiency in ICD and CPT coding DRG's MSDRG's POA indicators Post-acute transfer rules Disposition status Disease process and treatment Anatomy and medical terminology Clinical documentation requirements AHIMA Experience in a related field Job Responsibilities: Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, POA indicators, discharge dispositions, and other data elements required for appropriate reimbursement, meeting established quality and productivity standards within 3 days of visit/discharge. Meets stated metrics for on-time completion. Collaborates effectively with associate departments as follows, but not limited to: Performs and responds to data quality checks and payer/claims issues with Billing and Denials teams. Works closely with CDMP toward complete documentation for most descriptive coding and DRG , APR-DRG, SOI, and ROM assignment. Obtains final disposition status from Care Coordination. Supports clinical specialty work teams (i.e. OB and Cardiac Surgery) Abstracts demographic and clinical data into hospital health data management systems. Participates in audits, training of new employees, education, project teams, etc. as needed. Other Job-Related Information: Working Conditions: Climbing - Rarely Concentrating - Consistently Continuous Learning - Consistently Hearing: Conversation - Frequently Hearing: Other Sounds - Frequently Interpersonal Communication - Consistently Kneeling - Rarely Lifting Lifting 50+ Lbs. - Rarely Lifting Pulling - Occasionally Pushing - Occasionally Reaching - Occasionally Reading - Consistently Sitting - Occasionally Standing - Frequently Stooping - Occasionally Talking - Frequently Thinking/Reasoning - Consistently Use of Hands - Frequently Color Vision - Frequently Visual Acuity: Far - Frequently Visual Acuity: Near - Consistently Walking - Frequently TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS… • Welcome everyone by making eye contact, greeting with a smile, and saying "hello" • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist • Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS… • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met • Offer patients and guests priority when waiting (lines, elevators) • Work on improving quality, safety, and service Respect: ALWAYS… • Respect cultural and spiritual differences and honor individual preferences. • Respect everyone's opinion and contribution, regardless of title/role. • Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS… • Value the time of others by striving to be on time, prepared and actively participating. • Pick up trash, ensuring the physical environment is clean and safe. • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS… • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and compassion with customers, team members and the community