Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Essential Duties and Responsibilities - Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. - Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines. - Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. - Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. - Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. - Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim. - Comply with comprehensive internal coding policies and procedures that are consistent with requirements. - Attends coding meetings and roundtable sessions. - Participates in daily huddles and LEAN problem-solving activities. - Focused with no distractions while working and participating in meetings. - Ensures camera on while attending Teams calls. - Assists with organizing the shared drive for the medical coding department. - Other duties as assigned by manager. Qualifications - High School Diploma/G.E.D. - required - Prior experience in hospital medical coding - preferred - Prior experience with 3M 360 and EPIC system - preferred - Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency) - Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency) - Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency) - Excellent written and verbal communication skills. (High proficiency) - Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency) - Detail-oriented and efficient while maintaining productivity. - Coding certification / credential through AHIMA or AAPC and be in good standing. - required Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands - Standing - Occasionally - Walking - Occasionally - Sitting - Constantly - Lifting - Rarely - Carrying - Rarely - Pushing - Rarely - Pulling - Rarely - Climbing - Rarely - Balancing - Rarely - Stooping - Rarely - Kneeling - Rarely - Crouching - Rarely - Crawling - Rarely - Reaching - Rarely - Handling - Occasionally - Grasping - Occasionally - Feeling - Rarely - Talking - Frequently - Hearing - Frequently - Repetitive Motions - Frequently - Eye/Hand/Foot Coordination - Frequently Working Conditions - Extreme cold - Rarely - Extreme heat - Rarely - Humidity - Rarely - Wet - Rarely - Noise - Occasionally - Hazards - Rarely - Temperature Change - Rarely - Atmospheric Conditions - Rarely - Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Med Health System!​ Albany Med Health System is an equal opportunity employer. This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

JOB SUMMARY The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. ESSENTIAL DUTIES AND RESPONSIBILITIES - Assign ICD-10, CPT, HCPCS and modifiers codes from documentation - Review and appropriately resolve pre-bill edits - Review and appropriately resolve coding denials - Meet or exceed productivity standards - Meet or exceed accuracy rate of 95.5% in monthly internal audits - Effectively present coding issues to internal team members, internal clients, or external clients - Deliver information in a one-on-one or small group format to peers - Meet deadlines and complete assignments before monthly closing dates - Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines - Other duties as assigned Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE - Vocational or technical education beyond high school - Minimum of 3-5 years coding experience - CPC or CCS-P or equivalent certification Multi-specialty Evaluation and Management coding - Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations - Must possess knowledge of third-party reimbursement regulations and billing practices - Ability to examine documents for accuracy and completeness - Detail oriented with the ability to identify and resolve problems - Must possess knowledge of CCI, LCD, NCD and other applicable coding rules and regulations - Detail oriented with the ability to identify and resolve problems - Ability to communicate clearly and work effectively with co-workers - Ability to work as a team member in all activities - Conduct self in an ethical, honest, and professional manner - Demonstrate continued willingness to learn and grow - Proficient in Microsoft Word, Excel POSITION COMPETENCIES: - Builds Team Relationships - Invites others to share opinions. Partners with employees in other departments. Actively seeks ways to help team members. - Communicates Effectively – Expresses ideas clearly and succinctly with small or large audiences. Listens attentively to speaker’s message without interruption. Tailors writing to audience using correct grammar and spelling. - Compliance with Laws, Policies and Procedures - Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines. - Develops Self - Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development. - Displays Adaptability – Performs well in high pressure or stressful situations. Works effectively when direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles. - Drives for Results - Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Response appropriately to urgent situations. - Focus on the Customer/Client – Ensures that clients have a positive experience. Responds to clients in a timely manner. Demonstrates tact and empathy when responding to clients. - Respects Others - Displays sensitivity to the needs and concerns of others. Interacts with others in an open, non-threatening manner. - Shows Reliability – Takes personal responsibility for actions and decisions. Consistently works assigned schedule. Acts responsibly and can be counted on to accomplish goals successfully. Compensation and Benefit Information Compensation Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. - Position may be eligible for a signing bonus for qualified new hires, subject to employment status. - Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: - Medical, dental, vision, disability, and life insurance - Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. - 401k with up to 6% employer match - 10 paid holidays per year - Health savings accounts, healthcare & dependent flexible spending accounts - Employee Assistance program, Employee discount program - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. - For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

Role Description This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. - This is a Remote Role - Full Time: Temporary-Full-time hours - Ability to work in a high-volume environment - Call support - Processing medical records - Digital authorization review - Documenting information in multiple platforms using two computer monitors - Proficient in Microsoft Office (including Word and Excel) Qualifications - High School Diploma or GED - Ability to commute between locations as needed - Able to work overtime during peak seasons when required - Basic computer proficiency - Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis - Professional verbal and written communication skills in the English language - Detail and quality oriented as it relates to accurate and compliant information for medical records - Strong data entry skills - Must be able to work with minimum supervision responding to changing priorities and role needs - Ability to organize and manage multiple tasks - Able to respond to requests in a fast-paced environment Requirements - Knowledge of HIPAA and medical terminology - Familiar with different EHR and Billing Systems - Experience working with subpoenas Benefits - Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor - Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) - Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance What you will bring to the table - Receive and process requests for patient health information in accordance with Company and Facility policies and procedures - Maintain confidentiality and security with all privileged information - Maintain working knowledge of Company and facility software - Adhere to the Company's and Customer facilities Code of Conduct and policies - Inform manager of work, site difficulties, and/or fluctuating volumes - Assist with additional work duties or responsibilities as evident or required - Consistent application of medical privacy regulations to guard against unauthorized disclosure - Responsible for managing patient health records - Responsible for safeguarding patient records and ensuring compliance with HIPAA standards - Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record - Ensures medical records are assembled in standard order and are accurate and complete - Creates digital images of paperwork to be stored in the electronic medical record - Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately - Answering of inbound/outbound calls - May assist with patient walk-ins - May assist with administrative duties such as handling faxes, opening mail, and data entry - Must meet productivity expectations as outlined at specific site - May schedule pick-ups - Other duties as assigned Bonus points if - Experience in a healthcare environment - Previous production/metric-based work experience - In-person customer service experience - Ability to build relationships with on-site clients and customers - Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders

Role Description The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. The Rep III supports patient-centered care and Customer Service by serving as a patient advocate during the life cycle of the account. The Rep III is expected to maintain productivity above the average standard identified by the Revenue Cycle Department. Quality and accuracy of work performed by the Rep III is expected to be consistently above 90% when audited. Rep III performance will be measured according to the Piedmont Healthcare values of Compassion, Commitment, Service, Excellence and Balance and expected to be tiered in the top 1/3 in the department. - Core Functions: - Billing - Claims Filing - Data Entry - Charge Entry - Insurance Follow-Up - Self-Pay Follow-Up - Denial Management - Payment Posting - Refund Management - Credit Balance Management - Account Correction and Adjustment - Response to Patient Account Inquiries - Customer Service Advocacy - Self-Pay Collections - Unapplied Cash - Advanced Functions: - File Maintenance - System Support - Claims Edit Management - Claims Rejection Management - Front End Management - Payment Variance Management The Rep III Employee will be proficient in one or more advanced Revenue Cycle responsibilities or functions. Advanced Revenue Cycle responsibilities and functions are those above and beyond that of Core Revenue Cycle functions and are defined by the requirements outlined below: - Highly specialized and skilled Revenue Cycle employees. - Possesses advanced problem-solving abilities. - Supports all departments in the Revenue Cycle. - Demonstrates advanced knowledge requiring little training in the core functions and responsibilities of the physician billing Revenue Cycle. - Ability to analyze and assess Revenue Cycle reports, workflows, and processes. - Assists and participates in creation of training manuals and job aids for their respective area(s) of expertise. - Ability to function as a trainer. - Ability to function as a lead. - Ability to act as a resource to less experienced staff. - Maybe asked to support quality assurance audits. - Maybe assigned to special projects, tasks, or duties. Qualifications - Education: H.S. Diploma or General Education Degree (GED) Required - Work Experience: 5 years of experience exhibiting advanced performance in a physician billing revenue cycle or Central Business Office Required - Licenses and Certifications: None Required Company Description Business Unit: Company Name - Piedmont Healthcare Corporate