Riverside Health System

Role Description Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. - Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. - Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. - Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation. - Contacts and works with physicians as needed for clarification of details to ensure correct coding. - Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers. - Coding accuracy must be maintained at 90% or better. - Meets productivity per standards set by nationally recognized organization and specialty specific levels. - Complies with standardized coding standards, conventions and regulations, corporate compliance standards, and reimbursement policies. - Participates in specialty specific coding training. - Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers and feedback from Administration. - Works closely with VP/ Medical Director of RMG. - Assists patient financial services with questions on coding and billing edits. - Mentors and assists in training of other coders within the department. - Participates in the development of coding policies and procedures as identified. - Coordinates/mentors the work of designated coding employees to ensure quality and quantity of work performed through regular audits. Qualifications - High School Diploma or GED, Minimum (Required) - 1 year ICD1 Coding (Medical Practice) (Preferred) - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) - Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) Company Description To learn more about being a team member with Riverside Health System visit us at Riverside Health System Careers .

Title: Registered Nurse Transfer Center-Part Time-Evening Shift Location: Riverside Support Services - Denbigh - Newport News, Virginia Job Description: Newport News, Virginia Hiring Range $38.60 - $53.08/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. Part Time Evening Shift Available This is not an a remote position, this position is located on site at the Transfer Center-1300 Old Denbigh Blvd | Newport News, VA 23602. Works in collaboration with RHS Healthcare teams in assisting with transition of critical and non-critical patients 24/7 to Riverside Health System's Acute and Emergency facilities and services. Manages all inbound and outbound calls for critical transfers through the Riverside Transfer Center. Performs critical and non-critical patient symptom triage through the Riverside Nurse Triage line. Consistently coordinates patient symptom based triage, facilitates direct inpatient and emergency department admits, and consults. Coordinates and arranges patient transport based on clinical assessment to ensure efficient patient throughput for both critical and non-critical patients. Coordinates and facilitates appropriate patient bed placement based on collaboration with physician and critical clinical assessment for Riverside Health System Acute Care facilities. What you will do - Demonstrates ability to use clinical knowledge around clinical service lines, disease entities, and epidemiological issues that could affect transport, care, and placement while demonstrating a sense of urgency to facilitate patient throughput to assure patients receive consistent, competent, and ethical care. - Adheres to critical and non-critical protocols, algorithms, policies, and procedures. Accurately completes all required clinical and quality documentation consistently per RHS standards and regulatory requirements. - Performs critical and non-critical symptom-based triage through the Riverside Nurse line providing patient disposition from 911 to home care. Demonstrates understanding of diverse patient care populations and ability to modify education method to ensure patient/family comprehension. - Coordinates and communicates with transfer team members, medical service transport coordinator, physician, bed management, and Transfer Center medical director, throughout the course of transfer or direct admission to ensure positive patient outcomes. - Promotes a network of other Riverside hospitals sending and receiving facilities to facilitate transfers efficiently and timely. Communicates detailed information about patient status and demographic information when arranging critical and non-critical transport. Qualifications Education - Program Graduate, Registered Nurse (Required) - Bachelors Degree, Nursing (Preferred) Experience - 3-4 years RN Experience in Acute Care setting (Required) - 1 year Critical Care or emergency nursing (Preferred) Skills and Abilities - Transfer Center experience preferred - Nurse Triage experience preferred - Computer experience required - Efficient at typing/keyboarding required Licenses and Certifications - Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) (Required) - CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) (Preferred) Other Requirements - Weekend Shifts - Irregular Shifts To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

Role Description Primary responsibility is to independently perform clinical chart reviews, risk adjustment audits, payor audits, coding analysis, charge/reimbursement analysis, medical records reviews, and educate provider personnel on coding methodologies that will result in improved accuracy by following RMG compliance standards for commercial and government payors. This position serves as subject matter expert to coordinate review and root cause analysis of coding follow-up/denial and audit work queues, coding denial volumes, and coding trends. Responsible for identifying and reporting obstacles, patterns, and variations as well as resolutions in a timely, clear and concise manner. Serves as an expert for all coding-related questions and is responsible for providing educational materials to answer questions from clinical/office managers, providers and other administrative personnel. What you will do - Independently conducts Medical Record audits following official coding guidelines and interprets and applies Federal and State regulations, coding and billing requirements for Baseline, Annual, Post Education and Focused provider chart reviews. - Analyzes provider coding and documentation to evaluate risks relating to future payor recovery audits. - Uses expertise and discretion to apply necessary corrections to ensure compliance with payor rules and regulations with appropriate databases. - Demonstrates expertise and ensures that all Third Party Payor reviews are completed timely with all requested supporting documentation (e.g. Medical records). - Researches payor rules (e.g. manuals, policies and other sources) for support and guidance. - Pre-reviews files and materials and provides summary of findings so that issues can be shared with the department director. - Works in alliance with RHS Internal Auditing. - Reports and tracks necessary corrections to ensure compliance with payor rules and regulations with appropriate databases. - Analyzes coding related to: - Ensuring work queues are worked timely and accurately and reporting concerns to department managers, and/or Director. - Identifying trends. - Conducting root cause analysis of trends. - Developing action plans for corrective action. - Makes recommendations to Manager and practices/departments, including Patient Accounting (CBO), Physicians and Contracting to resolve the denied claims and provide education to reduce future denials. - Audits both aggregate coded data and individual encounter data to independently determine opportunities for education, training and documentation improvement for both individual providers and RMG Coding team. - Provides feedback and suggestions to providers/coders regarding coding accuracy. - Identifies trends and opportunities for improvement in clinical documentation and reports this information to the Director. - Works with newly hired team members’ orientation program to ensure understanding of office based payor regulations (ABN, HIPAA, Incident to/shared visits). - Oversees the department’s new team member and reports on evaluation results with any recommendations as needed. - Assists with and/or provides suggestions for continuing education topics and issues for coding staff. - Interacts with and educates coding staff in specialty topics. - Develops and maintains all presentations and tracking logs. - Works collaboratively with both internal and other departments with assistance and guidance. - Answers questions and solves complex coding problems which includes performing preliminary research on topics such as coverage determinations, coding guidelines or standards of care with an emphasis on improving efficiency. Qualifications - High School Diploma or GED (Required) - 3-4 years Commercial and Government Billing/Coding/Collections (Required) - 1 year Medical Record Reviews (Required) - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) (Required) or Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) (Required) - Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC) or another AAPC recognized credential, or billing within 1 Year (Required) Company Description To learn more about being a team member with Riverside Health System visit us at Riverside Health System Careers .

Role Description Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. - Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. - Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. - Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation. - Contacts and works with physicians as needed for clarification of details to ensure correct coding. - Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers. Coding accuracy must be maintained at 90% or better. - Meets productivity per standards set by nationally recognized organization and specialty specific levels. - Complies with standardized coding standards, conventions and regulations, corporate compliance standards, and reimbursement policies. Participates in specialty specific coding training. - Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers and feedback from Administration. - Works closely with VP/ Medical Director of RMG. - Assists patient financial services with questions on coding and billing edits. - Mentors and assists in training of other coders within the department. - Participates in the development of coding policies and procedures as identified. - Coordinates/mentors the work of designated coding employees to ensure quality and quantity of work performed through regular audits. Qualifications - High School Diploma or GED, Minimum (Required) - 1 year ICD1 Coding (Medical Practice) (Preferred) - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) - Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) Company Description To learn more about being a team member with Riverside Health System visit us at Riverside Health System Careers .

• Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. • Assigns diagnostic and procedure codes to simple record types up to highly complex record types. • Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. • Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. • Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation. • Contacts and works with physicians as needed for clarification of details to ensure correct coding. • Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers.

Role Description This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. - Ensures high quality documentation that is thorough, accurate, and complete to ensure correct reimbursement capture. - Assigns diagnostic and procedure codes to simple record types up to highly complex record types. - Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules, and regulations. What you will do: - Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. - Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. - Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete, or conflicting information and obtain any needed additional documentation. - Contacts and works with physicians as needed for clarification of details to ensure correct coding. - Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural, and complication codes to all claims while meeting billing requirements of various payers. - Coding accuracy must be maintained at 90% or better. - Meets productivity per standards set by nationally recognized organization and specialty specific levels. - Complies with standardized coding standards, conventions and regulations, corporate compliance standards, and reimbursement policies. - Participates in specialty specific coding training. - Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers, and feedback from Administration. - Works closely with VP/ Medical Director of RMG. - Assists patient financial services with questions on coding and billing edits. - Mentors and assists in training of other coders within the department. - Participates in the development of coding policies and procedures as identified. - Coordinates/mentors the work of designated coding employees to ensure quality and quantity of work performed through regular audits. Qualifications - High School Diploma or GED, Minimum (Required) - 1 year ICD1 Coding (Medical Practice) (Preferred) - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) - Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) Company Description To learn more about being a team member with Riverside Health System visit us at Riverside Health System Careers .

Role Description Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated. - Ensures coding compliance. - Applies all coding guidelines and principles as defined in the Coding Clinic and leading authorities. - Complies with standardized coding standards, conventions and regulations, corporate compliance standards and reimbursement policies. - Identifies training needs and provides education to team members. - May teach or coordinate coding huddles. - Coaches and mentors staff. - Performs focused reviews and quality audits. - Prepares audit reports for leadership. - Assists coding leadership with reviewing and responding to internal and external coding audits. - Works with coding leadership in settlement of audit findings as needed. - Monitors and evaluates the coding functions to ensure effective and efficient coding operations and compliance with established standards, rules and regulations. - Audits for documentation opportunities to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation if needed. - Assists patient financial services and clinical documentation improvement team members with questions on coding and billing edits. - Serves as a clinical coding liaison. - Analyzes and evaluates documentation issues with consultation from the medical staff, clinical staff, CDI team and other departments as needed. - Assists leadership with coordination of iCare initiatives related to the hospital coding department. - Assists with DRG and certain CPT denials from payers as needed and writes appeals as indicated, documenting the denial/audit in denial management tool for tracking and reports. Qualifications - High School Diploma or GED (Required) - Associates Degree, Healthcare or Related (Preferred) - 5-6 years Acute Care Inpatient (IP) and Outpatient (OP) Coding (Required) - 2 years Auditing - Acute Care IP and OP (Required) - 1 year Clinical Documentation Integrity (Preferred) - Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA) Upon Hire (Required) - Registered Health Information Administrator (RHIA) - The American Health Information Management Association (AHIMA) Upon Hire (Preferred) - Registered Health Information Technician (RHIT) - The American Health Information Management Association (AHIMA) Upon Hire (Preferred) - Certified Cardiac Device Specialist (CCDS) - International Board of Heart Rhythm Examiners CCDS or CDIP Clinical Documentation Improvement Professional Upon Hire (Preferred) - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire (Preferred) Company Description To learn more about being a team member with Riverside Health System visit us at Riverside Health System Careers .

Role Description The Sr. Sitecore Developer serves as a member of the Web team and provides technical leadership in expanding and maintaining the Sitecore implementation. Also serves as a Subject Matter Expert for supported systems. Utilizes knowledge of Sitecore to create templates and components, while building in-house development capabilities. Assists Web Services Manager with standard practices for Agile development, code reviews, coding standards, DevOps, change management, test-driven deployment, and troubleshooting. Communicates complex technical concepts to other developers, managers, and stakeholders. - Lead code reviews and mentor/coach other developers. - Communicate complex technical concepts to other developers, managers, and stakeholders. - Write, unit test, document, and deploy quality code. - Manage time efficiently to multi-task across assignments while paying attention to details. - Provide technical expertise in programming methodology and web infrastructure. - Demonstrate a strong work ethic and resourcefully make use of time. - Work independently with minimal oversight and direction. - Define the problem, generate and select alternatives, and implement solutions efficiently. - Strong aptitude for debugging and troubleshooting application errors. - Dutifully adhere to general policies, coding standards, Agile practices, and best practices for the software development life cycle. - Faithfully meet deadlines and commitments for assigned work or tasks. - Consistently demonstrate punctuality. - Possess strong cooperation and collaboration with fellow teammates, developers, managers, stakeholders, contractors, and agencies. - Actively cultivate trusting and respectful relationships with others. - Perform technical onboarding of new employees and/or agencies on the supported systems. Qualifications - Bachelors Degree, Computer Science or related discipline (Required) - 2 years experience as a team lead (Required) - 7-10 years experience in project analysis and hands-on application development (Required) - 5-6 years technical proficiency with .NET, Sitecore 9.x or higher, C#, SQL, MVC, JSON, and AJAX (Required) - 5-6 years hands-on experience implementing new templates, components, and responsive web pages/sites for Sitecore (Required) - Proficiency in Next.js and modern front-end development, with a solid understanding of HTML, CSS, JavaScript, and responsive design principles (Required) - Development experience using Sitecore JSS for headless CMS implementation (Required) - 5-6 years extensive experience with requirements gathering, prototyping, designing, coding, testing, deploying, and supporting enterprise applications on a day-to-day operations of production systems (Required) - Database experience with SQL Server, creating SQL database objects such as stored procedures, queries, views, and functions (Required) - Coding experience with the creation and consumption of REST based services (Required) - Knowledge of Microsoft DevOps CI/CD (Preferred) - Cloud infrastructure experience with Azure/AWS as IaaS/PaaS (Preferred) - Practical experience working in an Agile development environment using SCRUM or Kanban (Preferred) - Work experience using project management tools such as JIRA and incident management tools such as ServiceNow (Preferred) Skills and Abilities - Proven ability to identify and define patterns and craft object-oriented solutions based on best web engineering practices and security. - Highly organized with ability to multi-task. - Excellent organization, time management, and communication skills. Licenses and Certifications - Sitecore Experience Solution Developer Certification - Sitecore (Sitecore 10.x or higher certification) (Required) Company Description To learn more about being a team member with Riverside Health System visit us at Riverside Health System Careers .

• Ensures high quality documentation that is thorough, accurate and complete • Organizes and prioritizes assigned work • Reviews charts and medical records, assigning ICD and CPT code combinations • Audits for documentation opportunities, queries clinical staff • Contacts physicians for clarification of details • Utilizes ICD-10-CM classification system and CPT classification system • Maintains coding accuracy at 90% or better • Complies with standardized coding standards and regulations • Participates in specialty specific coding training

• Assesses clinical documentation through extensive review of the medical record • Interacts with providers, nursing staff, and coding staff to ensure appropriate reimbursement • Conducts post discharge reconciliation for comparative analysis of CDI specialist and final coding • Formulates appropriate clinical documentation clarifications • Works with providers and Advanced Practitioners to improve documentation • Participates in departmental education, training, and orientation sessions • Assists in overall quality and completeness of the health record