Job Board

Are you interested in posting an opportunity? Click here to complete the online job board submission form.

 

DRG Validation Auditor – w/ sign on bonus

Cloudmed an R1 Company

Introduction:

We are hiring!! Our team is experiencing exciting growth and opportunity and we’re looking for experienced Inpatient Auditors to join our DRG-V team! Candidates must have an inpatient auditing background and need to be AHIMA credentialed with at least one of the following: CCS, RHIA or RHIT. Come join us (or send a friend) and see for yourself what an incredible and exciting company Cloudmed can be! #inpatient #auditing #ahima #cloudmed #remoteopportunity #remote #flexibleworkinghours

Cloudmed is a healthcare technology company focused on Revenue Intelligence™ and data-driven insights. Our market-leading platform utilizes intelligent automation and human expertise to help providers enhance productivity and increase revenue. Cloudmed partners with over 3,100 healthcare providers in the United States and recovers over $1.5 billion of underpaid or unidentified revenue for its clients annually. Cloudmed was awarded 2021 Best In KLAS: Revenue Integrity/Underpayment Services and Robotic Process Automation (Databound). Its solution suites have HFMA Peer Review status and are HITRUST certified.

Job Description:

As DRG Validation Auditor, your primary role will be production auditing inpatient cases using our proprietary application for the purpose of validating the assigned DRG and/or documentation improvement opportunities. Our software, coupled with our robust rules engine, allows the strategic identification of missed revenue opportunity for our clients all while using a completely user-friendly interface experience. Responsibilities include:

  • Audit inpatient cases for DRG validation and/or documentation improvement
  • Review inpatient medical records for validation of DRG assignment
  • Provide detailed rationale and supporting evidence for recommendation and findings
  • Utilize industry-recognized references to support their review findings, such as the ICD-10 Official
    Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics

Required Qualifications:

  • Current AHIMA credentials such as RHIA, RHIT, and/or CCS required with additional Clinical Documentation Improvement (CDI) credentials such as, CDIP and/or CCDS preferred
  • 3+ years of ICD-10 coding and DRG reimbursement experience, with recent acute inpatient coding experience

Preferred Qualifications:

  • Secondary chart review experience is highly desired
  • Strong verbal and written communication skills
  • Experience with multiple EMR Systems such as Epic, Cerner, and Meditech

Compensation/Benefits:

Cloudmed provides an extremely competitive benefits package that includes a 401(k) match, medical/dental/vision insurance and more.

Cloudmed is an Equal Opportunity Employer

Instructions for Resume Submission:

Resume submission and application can be completed using the online link below.

Apply Online: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=73d6b3a3-a2d0-4614-b84c-9b99aee2287e&ccId=19000101_000001&jobId=448082&lang=en_US&source=EN

Medical Coding Specialist, Inpatient

Intellis

Job Description:

Medical Coding Specialist, Inpatient – Remote

Now offering a SIGN-ON BONUS to be paid in the amount of $7,500 for full-time Inpatient Medical Coding Specialist. Bonus will be offered for a limited time, with selected client accounts, be sure to inquire during your first interview.

JOB SUMMARY:

The Medical Coding Specialist, Inpatient is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding, UHDDS guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client’s information system. Assigns Present on Admission (POA) indicators according to AHA POA guidelines. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Assigns appropriate ICD-10-CM/PCS codes to inpatient accounts as per designated workflow
  • Abstracts and enters coded data for hospital statistical and reporting requirements
  • Assigns present on admission indicators and discharge dispositions
  • Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate
  • Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution
  • Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow-up and reconciliation of accounts
  • Maintains required productivity and quality requirements
  • Maintains coding credential requirements

REQUIRED QUALIFICATIONS:

  • Candidate must possess an approved AHIMA or AAPC coding credential
  • Minimum 5 years’ coding experience recommended; 3 years of inpatient coding in an acute care setting required
  • Recommend minimum 3 years of Trauma Level 1 and Academic Teaching facility experience
  • Minimum 2 years of auditing experience preferred
  • Must be proficient at ICD-10-PCS coding

KEY SUCCESS ATTRIBUTES:

  • Demonstrates strong collaboration skills
  • Has strong analytic and problem-solving abilities and techniques
  • Exhibit consistent initiative with strong drive for results and success
  • Demonstrate commitment to a team environment
  • Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
  • Ability to self-motivate and self-direct
  • Possess strong time management and organizational skills
  • Commitment and adherence to company Core Values

CORE COMPETENCIES:

  • Communication
  • High level of integrity & ethical judgement
  • Consistency and Reliability
  • Meeting Standards

BENEFITS:

We offer an excellent salary, full benefits package including 401(k) with company match and discretionary profit sharing, group medical, dental, vision, life, & short-term disability insurance, and PTO policy

PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:

Sitting, talking, hearing and near vision are required over 90% of the time, while walking is required frequently throughout the day. Standing is required over 10% of the time. Feeling is required 90% of the time and reaching is required about 50% of the time. Bending, twisting and climbing are required, as in far vision, but only for 10% or less of the time. Low levels of lifting (10 pounds of less) is required about 25% of the time, while medium levels (20 to 40 pounds) of lifting and carrying are required less than 5% of the time. Ability to travel to field sites may be required up to 15% of the time.

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:

Over 90% of the time is spent indoors, with protection from weather conditions. Exposure to noise levels that may be distracting or uncomfortable is present in only unusual situations.

Intellis is an equal opportunity E-Verify employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Compensation/Benefits:

Intellis offers the following benefits to our Full-Time employees after the 60/90-day probationary period:

  • Medical, Dental and Vision insurance offered, including prescription drug coverage (see attached PDF)
  • Life/STD/LTD insurances
  • 401K Plan with an excellent company match of up to 4%
  • 120 hours of PTO per year (prorated based on your start date)
  • 6 paid holidays
  • 8 hours of paid education time
  • Professional development support, both educational and financial
  • Free CEUs available through Elsevier

Instructions for Resume Submission:

Only resumes / CVs that reflect the requirements of this job will be considered.

To submit a general application, please use this link: www.intellisiq.com/careers
To apply directly, please email resume to acothern@intellisiq.com.

Apply Online: http://www.intellisiq.com/careers

Health Information Management Technician

CareSouth Medical and Dental

Introduction:

CareSouth is a private non-profit Federally Qualified Health Center that provides a comprehensive range of community-based medical, dental and behavioral health services. Our health center is guided by a consumer-majority volunteer board of directors whose mission is to provide comprehensive, affordable, high-quality health care with compassion and respect for all.

Our experienced team provides a broad range of medical, dental, and behavioral health services at our main location in Baton Rouge and in satellite clinics located in Donaldsonville, Plaquemine, and Zachary, Louisiana. CareSouth also provides onsite behavioral services in two Charter USA Foundation schools.

CareSouth is recognized by the National Committee for Quality Assurance (NCQA) as a Level 2 Patient-Centered Medical Home. CareSouth originally launched in 1997 as Capitol City Family Health Center (CCFHC), which it operated under until changing its name in April 2016 to be more inclusive of the communities we serve.

Job Description:

PRIMARY RESPONSIBILITIES: 

  • Serves as the custodian of records and HIPAA Privacy Contact Person.
  • Maintains a working knowledge of HIPAA rules and regulations; disseminate information as appropriate and be able to apply them to day-to-day operations.
  • Maintains working knowledge of LA Medical Records laws.
  • Oversees, manages, and ensures the maintenance and organization of medical records per organizational policies and procedures.
  • Observes confidentiality and safeguards all patient-related information.
  • Responsible for coordinating, processing and managing the release of medical information to patients, insurance companies, lawyers, state, federal agencies., etc.
  • Responsible for processing of subpoenas and court orders.
  • Responsible for coordinating, processing and managing patient form (i.e., disability, home health, etc.) completion requests and payment.
  • Ensures that all requests for records are stamped with date received and logged.
  • Handles record requests via phone, fax and mail and responds to requests for medical records, providing copies according to organizational policy and procedure.
  • Audits clinical records of active patients as directed by the Quality Department for compliance with accepted professional and legal standards.
  • Maintains Correspondence and Medical Records Tracking Log
  • Prepares and provides monthly reports (i.e., dashboard) of medical records activities and performance.
  • Fosters positive interpersonal relationships with other staff members.
  • Practices effective teamwork.
  • Orients staff on medical records processes, policies and procedures as needed.
  • Maintains adequate coverage of service.
  • Follows federal, state, and local policies, procedures and programs relating to health and safety in the workplace.
  • Ensures compliance with the Quality Assurance/Improvement Plan.
  • Maintains confidentiality of workplace information according to the policies and procedures of the center.
  • Provides excellent customer service.
  • Monitors medical Records fax drive for incoming faxes and distributes to appropriate department.
  • Assists with scanning forms completed by the provider into patients’ charts.
  • Able to work independently and self-direct work tasks
  • Performs other duties as assigned.

PHYSICAL:

  • Visual acuity – always.
  • Hand-eye coordination – always.
  • Work is primarily sedentary.  Large amounts of time may be spent using a PC and MIS application.
  • Lifting approximately 10-15 lbs, Pushing, Pulling – sometimes.
  • Stooping, Bending, Sitting, Standing – sometimes.
  • Walking- frequent; short distances.
  • Must be capable of standing on a step stool and reaching above head and shoulder area.

 WORK  ENVIRONMENT:

  • Indoor, environmentally controlled.
  • Exposure to disease or infections.
  • Exposure to artificial and/or natural light.

Required Qualifications:

  • Experience in Medical Records management, operations and request processing experience preferred.
  • Experience utilizing Word, PowerPoint and Excel and an electronic medical records system.
  • Knowledge of medical records procedures and laws.  Intermediate knowledge of HIPAA privacy rule and medical terminology.
  • Strong team-based, results-oriented, analytical and problem-solving skills s must.
  • Knowledge of healthcare laws, regulations, and standards.
  • Must have excellent written and oral communication skills.
  • Able to organize, prioritize and work independently as well as schedule and produce work in a timely manner.
  • Able to travel amongst CareSouth sites, if needed.

Education Qualifications:

Applicant is required to have a high school diploma.  Associate degree and/or certification (i.e. RHIA, RHIT) preferred.

Apply Online: https://caresouth.isolvedhire.com/jobs/628808.html

Inpatient Coder

Claiborne Memorial Medical Center

Introduction:

The coder is responsible for concurrently coding inpatient records.

Job Description:

  1. Inpatient Coding – Codes inpatient records according to ICD-10-CM Coding Classification Standards to assure accurate DRG assignment.
  2. Facilities clinical documentation improvement through the identification of documentation issues: has extensive day-to-day interaction with providers, coding staff, and case management.
  3. Reviews the quality of documentation in the patient medical record to enhance quality of care, ensure accurate data reporting to regulatory agencies and appropriate reimbursement.
  4. Pending Lists – Maintains weekly pending lists to assure all complete charts are coded in a timely manner.
  5. Performance Improvement – Performs coding performance improvement reviews according to the HIM Department’s Performance Improvement Plan.
  6. Assumes additional duties as assigned by the Department Manager.

Required Qualifications:

  1. Has successfully completed a 2-year RHIT program or a 4-year RHIA program or CCS credentialed.
  2. One (1) year of coding experience preferred.
  3. Familiar with DRGs and coding guidelines and how documentation impacts DRG assignment.

Apply Online: https://claibornemedical.com/careers/

HIM Director

Claiborne Memorial Medical Center

Introduction:

The Health Information Manager is responsible for planning, organizing, and directing the operations of the facility’s Revenue Cycle and Health Information Management (HIM). The HIM Director is responsible for providing direct leadership support to the Chief Executive Officer, Chief Financial Officer and Chief Nursing Officer with particular emphasis on achieving business efficiencies while improving productivity within all aspects of operations, both financial and clinical performance.

Job Description:

  1. Working as a line manager, directs the health information management functions of the healthcare system.
  2. Monitors health information management systems and sets the healthcare system’s standards for data quality and ethical practice.
  3. Participates in the development of health information management policies and procedures on release of information, confidentiality, information security, information storage and retrieval, and record retention.
  4. Documents and enforces the healthcare system’s health information management policies and procedures.
  5. Provides education and training to the hospital’s employees in areas relevant to health information management policies and procedures.
  6. Monitors changes in legislation and accreditation standards that affect health information management.
  7. Serves as an internal consultant on health information management issues including release of information, confidentiality, information security, information storage and retrieval, and record retention as well as the authorship and authentication of health record documentation, standardization of medical vocabularies, and use of classification systems.
  8. Performs and reports research on topics related to revenue cycle management.
  9. Develops and implements the organization’s performance improvement plan in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards.
  10. Develops and implements systems, policies, and procedures for the identification, collection, and analysis of performance measurement data.

Required Qualifications:

  • Bachelor of Science degree in Health Information Management is required.
  • Certification as an RHIA, required.
  • Minimum of two years supervisory experience preferred.
  • Knowledge of medical reimbursement, billing, coding and compliance regulations is required.
  • Knowledge of out-of-network and managed care reimbursement techniques.
  • Excellent interpersonal communication, critical thinking and problem-solving skills are necessary.
  • Proven ability to work well with and influence peers, sales teams, and management.
  • Experience presenting to and working directly with C-level executives and work team.

Apply Online: https://claibornemedical.com/careers/