Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network. Summary Obtains benefits and authorizations for surgical procedures, diagnostic testing, medications, outgoing referrals, and other services as part of daily operations. Determines the authorization protocols for each health plan and performs billing duties to ensure proper and timely payment is received from insurance carriers and patients. Job Duties - Collaborates with physicians and provider office staff in ascertaining the appropriate authorization based on medical necessity and the treatment plan provided. - Performs a medical necessity check to determine if procedure and diagnosis support medical necessity. - Ensures authorizations are obtained in accordance to network policy (any authorization not falling into policy guidelines is communicated to ordering office, patient, and manager). - Communicates direct/indirect with insurance companies to obtain insurance verification, benefits and precertification for approval. - Verifies additional clinical information and insurance authorizations/referrals. - Reviews and monitors WQs/schedules to ensure that proper and accurate authorization has been received prior to patient’s visit. - Maintains compliance with benchmark data regarding accounts registered versus scheduled procedures. - Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines. Minimum Qualifications - High School Diploma/GED with specialized training in insurance, coding, billing, or similar healthcare certificate programs. - 1 year in a healthcare setting with insurance verification/authorizations. - Familiarity with billing procedures and payer reimbursement. - Knowledge of patient rights and laws relative to those rights, such as HIPAA. - Proficient in utilization management processes, standards, and managed care. - Proficient in standard medical practices and insurance benefit structures. Preferred Qualifications - Associate’s Degree Physical Demands Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR. Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require. Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities. https://youtu.be/GD67a9hIXUY Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes. Work Shift: Day Shift Address: 1200 S Cedar Crest Blvd Primary Location: REMOTE IN PENNSYLVANIA Position Type: Remote Union: Not Applicable Work Schedule: Monday-Friday 8:00a-4:30p Department: 1004-13036 COH-Precertification Dept

Your future role at a glance Location: Remote Department: Clinical Quality Registry Services Schedule: Full time Salary: $27.20 - $37.91 per hour #ADSI #LI-Remote #growth #internalops Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter. Benefits that help you thrive - Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options - Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance - Time to recharge: pro-rated paid time off (PTO) and holidays - Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning - Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources - Family support: parental leave, adoption assistance and family benefits - Other benefits: optional legal and pet insurance, transportation savings and more Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process. How you’ll make an impact in this role Utilize specialty databases to abstract patient data from electronic medical records for the application of medical registries. - Perform primary data abstraction duties for clinical measures and registries while ensuring high levels of abstraction accuracy and ensure alignment with organizational quality standards. - Compile data into reports for analysis by various departments and committees and act as liaison between clinical improvement teams to interpret standards and specifications. - Maintain various quality databases including loading import files, generating and working data status reports in compliance with regulatory requirements and timeframes. - Identify and communicate trends in clinical data to leadership. What minimum requirements you’ll need Education: - High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required. What additional preferences we're seeking - Experience with LAAO and TVT clinical registry abstraction. - Prefer nursing clinical background in cardiovascular. Equal employment opportunity employer Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster. Fraud prevention notice Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. E-Verify statement Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Find your purpose as an Inpatient Coding Specialist at CentraCare. This position is responsible for analyzing and auditing documentation to ensure it meets requirements for assignment of codes from the appropriate classification system. Professional will work closely with provider and clinical documentation integrity staff to consistently and accurately translate medical record documentation and educate as necessary. Assists with performing quality audits, denial management, data collection, monitoring and reporting documentation patterns and trends. This role will help guarantee that CentraCare is reimbursed for the services provided. Safeguards patient privacy and confidentiality. Schedule: - Full-time 80 hours every 2 weeks - Mon-Fri Days - Fully Remote Pay and Benefits: - Staring pay is $25.20 per hour; exact wage determined by years of related experience. - Pay range: $25.20-$37.81 per hour - Full time benefits: medical, dental, PTO, retirement, employee discounts and more! - Tuition reimbursement and college grant programs available Qualifications: - Associate or bachelor’s degree in health information management or Certificate specifically in coding or Associate or bachelor’s degree in health-related field AND coding certificate combined. - AHIMA or AAPC Certifications required. - Minimum of 1 year Inpatient Coding experience required. - Minimum of 1 year experience in a medical office. - Experience in ICD CM/PCS. - Previous experience working with EPIC. - Computer knowledge and keyboard skills. - Strong verbal and written communication skills, especially with clinical staff. - Excellent time management and prioritization skills. - Detail oriented. CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.

Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: - Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. - Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. - Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. - Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. - Assists with efforts to increase physician awareness of documentation requirements. - Prepares case reports and initiates follow-up for billing process. Working Conditions: Job Location/Working Conditions: - Normal office environment. Physical Effort: - Typically sitting at desk or table. Equipment: - Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: A diploma, certification or degree is not required. Certifications/Professional Licenses: The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role. Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Work Experience: No specific work experience is required for this position. Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Required Qualifications: - Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee’s department). Preferred Qualifications: - Previous coding experience or experience equivalent to an associate’s degree in a related field. - Knowledge of ICD-10 and CPT coding. Preferred Qualifications Education: Associate degree - Medical Coding & Billing Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical Terminology Grade C10-H Salary Range $25.30 - $37.94 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal - Up to 22 days of vacation, 10 recognized holidays, and sick time. - Competitive health insurance packages with priority appointments and lower copays/coinsurance. - Take advantage of our free Metro transit U-Pass for eligible employees. - WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness - Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family - We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered. - WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.