Role Description This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services. It will require maintaining hourly productivity standards and quality standards as set by Vee Healthtek, Inc. and Industry Standards. This position requires attendance at department meetings via conference call and Microsoft Teams. Coding Work Queue assignment will vary based on business needs or management assignment. - Analyzes medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD-10-CM and/or CPT, HCPCS. - Review patient encounters for accurate code assignment of all relevant diagnoses and procedures and/or modifiers. - Review and check for CCI bundling edits as well as NCD/LCD edits. - Enter appropriate codes into the client’s coding program for the transfer of data to billing files for reimbursement. - Queries manager when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Qualifications - 3-5 Years Diagnostic Radiology Coding experience - 3M experience a plus - Audit scored at 95% or better - Maintain a production rate of 90% or higher - Maintain strict confidentiality/follow HIPAA rules - RCC, CPC or CCS-P or equivalent certification - Possess moderate knowledge of level 1&2 modifiers - Radiology coders must be able to code the following modalities: Level I, Duplex and Doppler ultrasounds, CT’s/CTA’s, MRI’s and Nuclear medicine at a minimum Requirements - Ability to examine documents for accuracy and completeness - Ability to understand and follow compliance issues of moderate complexity - Detail-oriented with the ability to identify and resolve problems - Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations - Ability to communicate clearly and work effectively with co-workers - Conduct self in an ethical, honest, and professional manner Benefits - Salary: $25.00 - $28.00/hour depending on experience - Eligible for full health insurance including medical/dental/vision - PTO - 401k match Company Description Vee Healthtek, Inc. delivers cutting-edge solutions that transform healthcare organizations. We offer a comprehensive suite of services that leverage our industry expertise to provide the best value to our clients. Through close collaboration and a deep understanding of market trends, we create customized strategies that deliver tangible outcomes. Our technology-driven services empower organizations to thrive in the evolving healthcare landscape, resulting in improved workflows, increased cost efficiency, and streamlined business processes. Learn more at www.veehealthtek.com.

Transmit and print insurance claims, correct billing errors, and research rejections. Safeguard information confidentiality and escalate issues to supervisors. Ensure compliance with policies while maintaining effective communication with stakeholders.

Title: Registered Nurse - Cardiac Surgery Ambulatory & Outpatient HYBRID position (remote and on site) Location: Winston Salem United States, Atrium Health Wake Forest Baptist - Medical Center Blvd, Winston Salem, NC Remote Full time job requisition id R213307 Job Description: Department: 05700 GCMG SHVI: Kenilworth - Virtual Health Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday - Friday 8 AM - 5 PM RN will support the Perfect Care team in the Wake market Pay Range $35.50 - $53.25 This position is hybrid, so on site and remote as well. 5 years experience in nursing with Cardiac experience required In order to critically assess patience remotely. On-site, in-person training until getting to know medications, flow, and more- Flexibility offered upon training to more remote. Major Responsibilities: - Engages in unit councils, professional governance, and quality initiatives to improve care processes and apply evidence-based practices. - Utilizes the nursing process to assess, plan, diagnose, implement, and evaluate nursing care, engaging patients and families through the continuum of care. - Monitors patient conditions, adjusts care plans, mobilizes resources, and collaborates with the care team to influence care outcomes. - Upholds and promotes a culture of safety. - Continuously evaluates patient, team, and unit outcomes, taking action as needed. - May administer medications, treatments, and therapies safely and according to clinical protocols and procedures. - Demonstrates effective communication, feedback, and conflict resolution, fostering team collaboration and appropriate delegation. - Pursues professional development, completes required education, and maintains certifications. - Adhere to the ANA Code of Ethics and practices ethical decision-making, respects interdisciplinary roles, and contributes to integrated, unbiased patient care. - Appropriate delegation to other Registered Nurses, Licensed Practical Nurses, and unlicensed assistive personnel (i.e., nurse aides, credentialed medical assistants, etc.). - Maintains accurate, timely EHR documentation. - May be required to float to other units, departments, care areas, or facilities within the designated service area to meet patient care needs. - Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Minimum Job Requirements Education Graduate of a Board of Nursing approved nursing education program. Certification / Registration / License - Basic Life Support (BLS). Additional education, training, certifications, or experience may be required based on specialty. - Active, unrestricted registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services Note: Licensed nurses practicing via telehealth/telenursing/virtual modalities are required to be licensed or hold the privilege to practice in the state(s) where the client(s) is/are located. Licensed nurses are responsible and accountable for knowing, understanding, and practicing in compliance with the laws, rules, regulations, and standards of practice of the state(s) where the client(s) is/are located. Experience Typically requires 1 year of experience in clinical nursing. Knowledge / Skills / Abilities - Strong clinical judgment and critical thinking. - Time management, prioritization and problem-solving skills. - Excellent communication and interpersonal skills. - Ability to work in a fast-paced, dynamic environment. - Proficiency in operating computer functions (e.g., E-mail, electronic records, digital platforms etc.) clinical, aviation, maintenance, communications, and administrative departments. Physical Requirements and Working Conditions - Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently throughout the workday. - Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. - Must be able to: push/pull with 30 lbs. of force and perform a sliding transfer of 150 lbs. with a second person present. - Must have functional speech, vision, hearing, and touch with ability to use fine hand manipulation skills for IV insertion and other procedures/functions. - Maneuver foot pedals on carts or machines. - Perform physical safety interventions such as patient restraint and verbal de-escalation, if needed. - May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary. - Must be able to respond quickly to changes in patient and/or unit conditions. - Physical Abilities Testing may be required. - Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader. Preferred Job Requirements Education Bachelor of Science degree in Nursing (BSN) This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Primary Purpose The Primary Purpose of the Virtual Lead Coding Specialist is to improve internal and external quality audit scores for coders and the coding department by Conducting ad hoc coding quality reviews to proactively identify coder improvement opportunities, create and facilitate education and training action plans, and collaborate with Coding Integrity Quality and Compliance teams to reduce audit and denial risk to the organization from coding and billing. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity, established coding guidelines and Parkland's policies to ensure accuracy of recorded patient medical information and appropriate reimbursement for services rendered. Minimum Specifications Education - High school diploma required. - Must have successfully completed an approved coding program; - OR Must be a graduate of a Health Information Management program. Experience - Must have four (4) years of coding experience in a combination of acute care hospital and clinic professional environment. Equivalent Education and/or Experience - May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above. Certification/Registration/Licensure - Because of the lag in SCCE, HCCA, NCRA, and AHIMA updating the status of certifications, current employees whose certification is granted through one of these associations are allowed up to seven (7) calendar days, after expiration, to provide proof of renewal. Although an additional seven (7) calendar days is allowed to provide proof of renewal, there cannot be a lapse in the certification's 'active' status. - Must be certified through the American Health Information Management Association as one of the following: - Registered Health Information Management Technician (RHIT) - Registered Health Information Management Administrator (RHIA) - Certified Coding Specialist (CCS) - Certified Coding Specialist 'Physician Based (CCS-P) - OR Must be certified through the American Association of Procedural Coders (AAPC) as one of the following: - Certified Professional Coder (CPC) - Certified Inpatient Coder (CIC) Required Tests for Placement - Must score a minimum of 85% on a pre-employment coding test. Contract coders with a proven coding accuracy rate of 95% at Parkland Health and Hospital System are exempt from this requirement. Skills or Special Abilities - Must be able to demonstrate advanced knowledge of ICD-9/ICD-10-CM/PCS coding and abstracting, MS-DRG classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage. - Must be able to demonstrate knowledge of reimbursement (Medicare and Medicaid) principles. - Must have knowledge of medical terminology, the human disease process, anatomy, and physiology. - Must be able to demonstrate good organizational and leadership skills. - Must be able to effectively communicate, both orally and in writing. - Must be able to demonstrate knowledge of computer software applications including MS Office and Computer Assisted Coding (CAC). Responsibilities - Conducts ad hoc coding quality reviews to ensure coding quality of the department. - Identifies coder trend opportunities from internal and external audits and advise coding manager of identified trends/patterns and facilitates action plan for improvement. - Coaches other coders by training, educating and advising on coding and abstracting according to ICD-10-CM/PCS conventions and guidelines, responding to coding inquiries, reviewing and noting coded charts, providing feedback and monitoring chart corrections to ensure that noted changes have been made to facilitate coding consistency, accuracy, efficiency and appropriate billing and reimbursement. - Contributes with workflow, priorities for work completion, and communicating workflow issues to the supervisor. Identifies ways to improve work processes and improve customer satisfaction. - Assigns appropriate principle and secondary diagnosis and procedures codes for all episodes of care on inpatient encounters ensuring appropriate DRG assignment according to ICD-10-CM/PCS conventions, guidelines, and hospital policy. - Achieve and maintain 95% accuracy on quality reviews and meet assigned productivity standards. - Abstracts statistical data from the medical record and enter information according to Parkland's guidelines, policies, and procedures. - Demonstrates knowledge of billing and coding requirements for governmental guidelines and private insurance payers. May verify, edit and/or enter charges based on documentation or insurance requirements reporting any discrepancies in a timely manner. - Verifies, edits and/or enters charges based on documentation or insurance requirements reporting any discrepancies in a timely manner. - Collaborates with physicians and nurses by telephone or in writing to clarify or complete records by obtaining missing diagnoses, procedures, or information, resolving ambiguous coding episodes to ensure that missing information is corrected and resubmitted for payment. - Routine Screenings/Proof of Immunizations Exclusions: Virtual workforce employees as defined by Parkland's Virtual Work procedure, and as specified in their job descriptions, are not required to undergo routine screening for communicable diseases including TB, the flu vaccination, or the COVID-19 vaccination. Job Accountabilities - Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland. - Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. - Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.