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Inpatient Coder

Franciscan Health

Introduction:

*Now Offering Sign-On Bonus for Inpatient Coders*

WHAT WE NEED

Detail-oriented, data specialists

WHO WE ARE LOOKING FOR

Franciscan Health is looking for full-time Inpatient Coders with a CCS or RHIT/RHIA certification who are able to work remotely from any state within the Central or Eastern time zones.

Good learners. Strong supporters. Accurate reviewers. Our medical coders are an important part of the medical record team. Ensuring diagnoses and procedures are accurately recorded is a big part of the job. The other part? Being able to follow state and federal compliance regulations. It’s no small task. Think you’re up for the job?

Are you timely and accurate? Are you detail-oriented? Do you love knowing that you’re an integral part of the team? We’ve got a great place to put your skills to work.

WHAT YOU WILL DO

  • Accurately review and code patient records in the following clinical areas: Acute, Outpatient, and Ambulatory.

  • Meet defined coding accuracy and production standards and demonstrates a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and payer-specific guidelines.

  • Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines.

  • Identify and enter data elements for abstracting.

  • Participate actively in performance improvement teams, projects, and committees.

WHAT IT TAKES TO SUCCEED

  • Knowledge of ICD10.

  • Knowledge of CPT (Outpatient/Ambulatory).

  • Understanding of types of health information and the rules and regulations surrounding their use.Understanding of payer relationships, requirements and compliant billing practices.

  • Understanding of common medical terminology, anatomy and physiology.

  • Knowledge of pharmaceutical terminology, generic and trade names, and ICD coding and terminology used in diagnosis and classification of illnesses, injuries, and disabilities.

  • Concentrate for long periods.

  • Follow directions as communicated in a variety of ways.

  • Work independently with minimal supervision.

  • Critically evaluate and analyze information in written materials.

  • Effective communicator in multiple forms.

  • Maintain a positive approach, work cooperatively with others, and demonstrate a constructive response to criticism.

  • Prioritize tasks.

  • Proficient in Microsoft Office Applications

Required Qualifications:

Certified Coding Specialist (CCS) or
Certified Coding Specialist – Physician (CCS-P) or
Certified Professional Coder (CPC) or
Certified Professional Coder (CCA) or

Preferred Qualifications:

Registered Health Information Technician (RHIT) within 6 months or
Registered Health Information Administrator (RHIA) within 6 months

Education Qualifications:

High School Diploma/GED required
Associate’s Degree in Health Information Management preferred
Bachelor’s Degree in Health Information Management preferred

Compensation/Benefits:

Pay is commensurate with qualifications and experience.

See our benefits information at our benefits page.

Apply Online: https://jobs.franciscanhealth.org/job/13360119/inpatient-coder-mishawaka-in/

Clinical Documentation Improvement Analyst

Woman’s Hospital

Introduction:

The Clinical Documentation Improvement Analyst is responsible for performing concurrent and retrospective medical record reviews and working with physicians to improve clinical documentation in order to ensure the highest quality of care and educate the clinical staff on appropriate documentation criteria.

Job Summary: 

The Clinical Documentation Improvement Analyst is responsible for performing concurrent and retrospective medical record reviews and working with physicians to improve clinical documentation in order to ensure the highest quality of care and educate the clinical staff on appropriate documentation criteria.

Job Requirements: 

  • 2-year Associate’s degree or four-year Bachelor’s degree in a health-related or equivalent field with experience in Health Information Management, Nursing (Quality, Utilization Management, Chart Review, Auditing, Denials Management), Coding, or related field including practical exposure to the healthcare revenue cycle.
  • Applicable clinical or professional certifications and licenses, such as RHIT, RHIA, CCS, CPC, CCDS, CDIP, RN, LPN
  • Minimum of 2 years related work experience in an acute care setting. Clinical, nursing, Health Information Management, or Clinical Documentation experience preferred.

Job Knowledge: 

Qualified candidates must possess a high-level understanding of medical terminology, anatomy and physiology.  Have excellent knowledge of coding guidelines, along with an understanding of hospital reimbursement practices.  Must have excellent analytical, organizational, verbal and written communication skills.  Must be proficient in Microsoft Office, particularly Excel and Word, along with 3M Coding and Reimbursement system.

Schedule:

Full Time; Days

Pay Range:

$22.91 – $33.22

Required Qualifications:

  • 2-year Associate’s degree or four-year Bachelor’s degree in a health-related or equivalent field with experience in Health Information Management, Nursing (Quality, Utilization Management, Chart Review, Auditing, Denials Management), Coding, or related field including practical exposure to the healthcare revenue cycle.
  • Applicable clinical or professional certifications and licenses, such as RHIT, RHIA, CCS, CPC, CCDS, CDIP, RN, LPN
  • Minimum of 2 years related work experience in an acute care setting. Clinical, nursing, Health Information Management, or Clinical Documentation experience preferred.

Compensation/Benefits:

This position offers our comprehensive part-time employee benefits package which includes, but is not limited to:

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Time Off
  • Retirement Savings Plan w/ Employer Contribution

Instructions for Resume Submission:

Please apply online by using the following link: https://recruiting2.ultipro.com/WOM1000WHF/JobBoard/2f4bcf30-0e2d-4c6d-82e3-d7e885e672ea/Opportunity/OpportunityDetail?opportunityId=b2d9f385-dafd-4c4b-bb33-93493493bc94

Resumes may also be submitted to the recruiter directly at josie.graham@womans.org.

Apply Online: https://recruiting2.ultipro.com/WOM1000WHF/JobBoard/2f4bcf30-0e2d-4c6d-82e3-d7e885e672ea/Opportunity/OpportunityDetail?opportunityId=b2d9f385-dafd-4c4b-bb33-93493493bc94

Coding Specialist II – Eligible for remote work

LCMC Health

Introduction:

The Coding Specialist II will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory surgery records across multiple specialties (i.e. cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). The Coding Specialist II may be assigned any of the coding functions of a Coding Specialist I.

KEY RESPONSIBILITIES:

Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution.  Responsible for providing resolution to moderate to complex problems.Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meets or exceeds coding quality and productivity standards established by coding department. Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information. Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. Performs other duties as assigned by leadership. Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

Comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge description master for charging functions.Must possess knowledge of third-party reimbursement regulations and billing practices. Experience utilizing encoding/grouping software.Ability to use standard desktop and windows based computer system, including basic understanding of email, internet, and computer navigation.High ethical standards.Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.Experience in ICD-10-CM/PCS coding and reimbursement training.Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.Knowledge of hospital and professional coding including provider-based billing. Knowledge of documentation regulations of Joint Commission and CMS.Experience with concurrent coding reviews.Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices.Experience in assisting and identifying learning needs as well as providing training to coding staff. Strong analytical abilities and problem-solving skills.Excellent oral, written and interpersonal communication skills.Ability to organize and set priorities to ensure objectives are met in a timely manner.Ability to adapt to change and handle challenges proactively and with pose. Ability to effectively collaborate with physicians and managerial staff at all levels.

EDUCATION/EXPERIENCE/LICENSURE:

Education:  Completion of an American Health Information Management Association (AHIMA) approved coding program or an American Academy of Professional Coders (AAPC) approved coding program, or Associate degree in health information management or related field or an equivalent combination of years of education and experience required.

Experience:  Minimum two (2) years of current complex outpatient and inpatient coding required.

Certification/Licensure:  Certified Coding Associate (CCA) from American Health Information Management Associations (AHIMA) or Certified Inpatient Coder (CIC) and Certified Outpatient Coder (COC) combination from or American Academy of Professional Coders (AAPC) required.  RHIA/ RHIT, Certified Coding Specialist (CCS) certification preferred. Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.

Instructions for Resume Submission:

Apply on company website at:
https://pm.healthcaresource.com/cs/touro/#/job/21856

Apply Online: https://pm.healthcaresource.com/cs/touro/#/job/21856

System Coding Manager

LCMC Health

Introduction:

LCMC Health is a Louisiana-based, not-for-profit healthcare system serving the needs of the people of Louisiana, the Gulf South and beyond. LCMC Health currently manages award-winning hospitals including Children’s Hospital New Orleans, Touro, New Orleans East Hospital, West Jefferson Holding, LLC, and University Medical Center New Orleans. LCMC Health supports its outstanding local hospitals as they deliver exceptional, compassionate healthcare to the communities they serve. Please explore our website to learn more about the work we do and our commitment to community-focused healthcare.

As a leader in the Revenue Cycle, this position contributes to LCMC Health’s financial strength, compliance and overall performance by serving in a manager capacity for Coding and Coding Compliance functions.  The System Coding Manager is a Coding Professional with a high level of clinical proficiency necessary for the oversight of the coding department and is responsible for the overall supervision, management and daily operations and delivery of coding services. This individual must have proven leadership and management skills to promote effective, efficient, and compliant assignment of charge capture, diagnosis and procedure codes which support the patient’s level of care and appropriate assignment of DRG.  This individual is responsible for development of action plans for improvement and must have knowledge and job experience of management and supervision of personnel.

Job Description:

  • Responsible for the day-to-day department administrative operations. Includes planning, directing and controlling employee workload and schedules.
  • Oversight of coding functions associated with billing and coding.
  • Provides ongoing instruction and information for coding staff and others as appropriate on ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRGs, APR-DRGs and E/M assignment.
  • Manages and works edits and denial work queues.
  • Monitor and manage coding workflow, work queues for DNFB and charge capture to ensure accounts are coded and processed in a timely manner.
  • Implements and monitors adherence to standardized workflows, productivity and quality standards for LCMC coding.
  • Plan and implements new procedures, maintains appropriate staffing levels, makes budgetary recommendations, and leads coding related projects.
  • Provides analysis to monitor correct coding by the coding staff, and monitor coding related denials to identify trends and maximize facility reimbursement.
  • Responds to external and internal audits for government and private payers.
  • Accountable for attainment of goals and revenue cycle key performance indicators.
  • Maintains communication with Director and AVP on backlogs and keeps abreast of necessary situations and circumstances that arise in the department as it relates to employees, patients, physicians and any other customer
  • Maintains working knowledge of IC-10-CM, ICD-10PCS, CPT/HCPS, MS-DRs and APR DRG coding principles, governmental regulations, protocols and third-party payor requirements pertaining to billing and documentation.
  • Reviews and approves personnel matters pertaining to interviews, hires, evaluations, counseling, training and makes recommendations for termination for staff as appropriate.  Review provisions for staff development, training, and orientations as prescribed by LCMC and departmental standards.
  • Collaborates with other system leaders (Revenue Integrity, Case Management, Central Business Office, Patient Access, Medical Staff etc.) to establish accountability and coordination between Coding and LCMC Health’s other clinical and administrative departments.
  • Other duties as assigned.

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

  • Knowledge as it relates to, but not limited to, electronic health record, health information systems and healthcare applications and their effects on Coding practices today and in the future.
  • High ethical standards.
  • Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPS, MS-DRG, APR-DRG and APC coding guidelines.
  • Extensive knowledge of hospital and professional coding including provider-based billing.
  • Experience with concurrent coding reviews.
  • Knowledge of medical terminology, classifications systems and vocabularies.
  • Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices.
  • Experience in assisting and identifying learning needs as well as providing education and training designed to support a learning organization.
  • Strong analytical abilities and problem-solving skills.
  • Excellent oral, written and interpersonal communication skills.
  • Ability to organize and set priorities to ensure objectives are met in a timely manner.
  • Ability to adapt to change and handle challenges proactively and with pose.
  • Ability to effectively collaborate with physicians and managerial staff at all levels.

EDUCATION/EXPERIENCE/LICENSURE:

  1. Education:  Bachelor’s or Associate’s degree in health information management, medical records administration, health services administration or health sciences, or other related field required.
  2. Experience:  Five (5) years of acute care coding experience required.  Minimum of three (3) experience in management required.
  3. Certification/Licensure:  RHIT, RHIA or CCS required. Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.

Instructions for Resume Submission:

Apply on LCMC Health careers sight at:
https://pm.healthcaresource.com/cs/touro/#/job/23108

Remote DRG Validator

QualCode, Inc.

Introduction:

QUALCODE INC. IS LOOKING FOR FULL-TIME REMOTE DRG VALIDATORS!!

SIGN-ON BONUS OF $1000!!!

We are looking for individuals that have extensive experience and knowledge in DRG Validation and IPPS (MS-DRG & APR-DRG).

Job Description:

  • Performs DRG and data quality reviews on inpatient records to validate the ICD-10-CM/PCS codes, DRG group appropriateness, missed secondary diagnoses and procedures.
  • Ensures compliance with all DRG mandates and reporting requirements.
  • Evaluates the quality of clinical documentation to spot incomplete or inconsistent documentation for inpatient encounters that impact the code selection.
  • Queries physicians when documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
  • Demonstrates competency in the use of computer applications and DRG Grouper Software, Medicare edits and all coding and abstracting software.
  • Uphold productivity standards/daily quota set by management
  • Maintain accuracy rate of 95% in monthly internal audits

Required Qualifications:

  • Credentialed by AAPC or AHIMA
  • 5 + years doing DRG Validation work
  • Strong and in-depth knowledge of  MS-DRG & APR DRGs
  • Attention to detail
  • Ability to clearly communicate verbally and in writing
  • Experience working academic teaching facilities and Level I and II Trauma Centers preferred

Compensation/Benefits:

  • Free dental, vision, and life insurance
  • Medical insurance
  • 401K retirement plan
  • Profit-sharing plan
  • PTO
  • Paid holidays
  • Competitive salary

PERK – You sign on, do your work for the day and then sign off.  It’s just as simple as that.  Please note, you are not required to be on the phone with clients or physicians at any time during employment with QualCode.

Instructions for Resume Submission:

Qualified candidates should email their resumes to the contact below for immediate consideration:
Mrs. Ivore Cross
Operations Manager
icross@qualcodeinc.com