Concord Hospital Health System

Role Description Weekend Triage RN Per diem coverage of our weekend triage calls. Saturday & Sunday 8-5pm typical hours but also we can be flexible with the times on the weekends - half days. Join our team as a Clinical Practice Nurse 1, where you'll work under the direction of our Practice Manager for Primary Care Weekend Access and alongside our dedicated providers to deliver top-notch patient care. Utilizing your expertise in growth and development principles, you'll: - Assess clinical data - Identify patient needs - Foster compassionate relationships with patients, families, and caregivers As part of our family medicine healthcare team, you'll engage in a diverse range of services, from newborn care to various medical subspecialties, collaborating with: - Hospitalist programs - Nursing homes - Behavioral health specialists If you're passionate about delivering high-quality care and making a difference in patients' lives, we invite you to apply and become an integral part of our team. Remote work option available following training and onboarding. Qualifications - Minimum requirements: Associate Degree or Diploma in Nursing from an accredited School of Nursing. - Licensure required: New Hampshire Board of Nursing license - Certification required: Current American Heart Association Basic Life Support for Healthcare Providers certification or Red Cross CPR/AED for Professional Rescuers and Health Care Providers Requirements - Demonstrated ability to effectively and positively interact with a multi-disciplinary staff, patients, and others. Responsibilities - Establishes priorities in organizing daily activities and maintains efficient patient flow. - Triages patient phone calls following established guidelines and prescribed format for identifying patient's health problems or concerns, and providing quality patient care. - Administers prescribed medications. - Provides education to patients in response to identified patient needs. - Documents health information, interventions, and outcomes into the patient electronic medical record. - Delegates patient care activities using the five rights: right task, person, direction, circumstance, and supervision (ensuring the task has been completed satisfactorily and documentation is complete) and providing feedback to delegatee and manager. - Applies principles of purposeful, organized thinking based on the nursing process to make sound clinical judgment and decisions. - Completes practice specific clinical skill competencies on an annual basis. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - The Dictionary of Occupational Titles Material Handling Classification is LIGHT. - The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds. - While performing the duties of this Job, the employee is regularly required to do repetitive motion, hear, and speak. - The employee is frequently required to bend, do fine motor, reach, sit, stand, and walk. - The employee is occasionally required to climb, kneel, smell, and squat. - Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. - The employee is frequently exposed to bloodborne pathogens, bodily fluids. - The employee is occasionally exposed to airborne pathogens, electrical hazards - shock, toxic or caustic chemicals. - The noise level in the work environment is usually quiet.

Role Description Responsible for reviewing demographic and clinical medical records, assigns appropriate ICD-10-CM/PCS and CPT/HCPC codes based on provider documentation and current coding guidelines. Enters this information into the electronic system for the purpose of maintaining a complete and accurate clinical data base. Works across multiple encounter types, including Observation/Outpatient in a Bed, Emergency Department, Urgent Care, Ambulatory Surgery, and Ancillary. Utilizes both manual and AI-assisted coding platforms to optimize accuracy, compliance, and throughput. Ensures data integrity for quality reporting, population health, and financial reimbursement purposes. Qualifications - Minimum: High school diploma or equivalent required. - Preferred: Associate degree in Health Information Technology or related field. - Required: Certified Coding Specialist (CCS), Certified Coding Specialist Physician (CCS-P), Certified Inpatient Coder (CIC), or Certified Outpatient Coder (COC) (AHIMA or AAPC). - Preferred: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT). - CPC credentialed coders with hospital-based experience may be considered. Requirements - Minimum of 1 year coding experience in a health care setting. Responsibilities - Analyze electronic medical record to identify all episodes of care, extracts demographic and clinical documentation and applies accurate codes based on ICD-10-CM/AMA guidelines, Concord Hospital policies, and CMS local/national coding rules. - Processes work to meet or exceed departmental productivity and quality targets, consistent with industry standards. - Demonstrates competency to perform role by completing yearly competency testing related to a combination of organizational compliance education, departmental operations and regulatory coding standards. - Uses encoder (3M) with Coders Desk Reference, CPT Assistant, and AHA Coding Clinics reference tools to enhance standardization, quality and consistency. - Queries physicians when documentation is incomplete, unclear, or inconsistent, following CDI and query compliance guidelines. - Prioritizes and manages daily work queues to support DNFB reduction and timely billing. - Protects patient privacy and ensures data integrity in compliance with HIPAA and facility policies. - Participates in internal/external audits and responds to coding denials or compliance reviews with appropriate documentation to support code assignment. - Maintains continuing education and credentials by completing required CEU education focused on current knowledge of coding updates, regulatory guidance (CMS, AMA), and Coding Clinic releases. - Review claim edits and front-end billing rejections in real-time to resolve coding issues and minimize delays in billing. - Attend and contribute to coder education huddles, team meetings, coding update reviews, and training sessions via online platforms. - Present a professional image in all virtual communications, meet deadlines, and maintain availability during scheduled working hours. - Ensure workstations and remote systems function properly for virtual meetings, screen sharing, and communication platforms (e.g., Teams, Zoom, Outlook) to maintain active engagement with leads, peers, and auditors. Promptly follow established IT protocols to report and resolve any technical issues or software malfunctions. - Demonstrate flexibility by coding in multiple outpatient areas (e.g., ED, ASC, radiology, recurring therapies) based on department needs. - Collaborates with Management, Coding Resource team, and IT to resolve coding/documentation-related workflow issues or barriers to work completion. - Demonstrates a commitment to ethical coding practices, teamwork, and continuous improvement. Knowledge and Skills - Solid understanding of official coding guidelines, including CPT, HCPCS, and ICD-10-CM, and how they apply to outpatient coding workflows. - Strong grasp of medical terminology, human anatomy, disease processes, pharmacology, and the interpretation of clinical test results. - Ability to adapt quickly and master complex coding scenarios often encountered in academic or multispecialty healthcare settings. - Familiarity with outpatient reimbursement methodologies, including the Outpatient Prospective Payment System (OPPS) and associated regulations. - Comfortable using modern coding tools, such as encoder software, AI-assisted coding platforms, and coding reference applications. - Skilled in written and verbal communication, with the ability to collaborate across teams in a virtual, hybrid, or remote environment. - Highly organized and detail-oriented, with strong critical thinking and analytical abilities for interpreting provider documentation accurately. - Proficient in Microsoft Office tools like Outlook, Word, and Excel, particularly for documentation, data tracking, and team collaboration. - Able to work independently with minimal supervision, maintaining high performance and productivity standards in a remote setting. - Willing to work flexible hours, including weekends or evenings if needed, to support business needs and workflow turnaround times. Physical and Work Requirements The physical demands and characteristics of the remote or hybrid work environment described here are representative of those that may be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. - This position is classified as SEDENTARY per the Dictionary of Occupational Titles. It primarily involves prolonged periods of sitting while using a computer and engaging in virtual communication platforms. - The employee may occasionally be required to lift or carry items weighing up to 10 pounds, such as reference materials or office equipment. - While performing the duties of this job, the employee is regularly required to: - Sit at a desk or workstation for extended periods. - Perform repetitive tasks involving keyboarding and data entry. - Use auditory and visual perception to interpret documentation, communicate via headset or video calls, and navigate electronic systems. - Occasional physical movements may include reaching, bending, or standing briefly. - Specific vision abilities required include close vision, peripheral vision, depth perception, and the ability to adjust focus to digital screens. - The noise level in a remote setting is typically quiet. Employees are expected to provide a work environment conducive to focused, uninterrupted tasks, with minimal background distractions when participating in meetings or collaborative virtual sessions.