Overview Individual responsible for coding all hospital IP records for purposes of reimbursement, research, and compliance with federal regulations. Applies correct ICD-10CM diagnosis and /ICD-10PCS procedure codes and assigns appropriate DRG. Coder must abstract statistical data from records into hospital abstracting system in accordance with hospital policies and procedures. Individual must have knowledge of DRG’s and federal and state coding guidelines. Responsibilities - Reviews patient’s entire current medical record and assigns appropriate ICD-10-CM diagnosis and ICD-10- PCS procedure codes according to accepted coding guidelines and hospital’s policies and procedures. - Assigns accurate DRG to patient’s record utilizing hospital encoding system. - Accurately abstracts statistical data from records using hospital abstracting system in accordance with hospital policies and procedures. - Attends hospital sponsored educational programs and department coding meetings. - Issues queries or send charts for query to clarify diagnoses in the patient’s medical record in compliance with hospital policies and guidelines. - Participates in and practices lean management principles and processes. DCH Standards: - Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. - Performs compliance requirements as outlined in the Employee Handbook - Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. - Performs essential job functions in a manner that ensures the safety of patients, visitors and employees. - Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees. - Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees. - Requires use of electronic mail, time and attendance software, learning management software and intranet. - Must adhere to all DCH Health System policies and procedures. - All other duties as assigned. Qualifications - Associates or bachelor’s degree in Health Information Technology from an AHIMA/CAHIIM accredited school or graduate of an AHIMA accredited medical coding program. - A minimum of 3 years of experience in an acute care setting. - Must pass DCH’s coding proficiency assessment for inpatient coders. - Some encoder experience preferred. - RHIA, RHIT, CCS preferred. - Experience working remotely preferred. WORKING CONDITIONS WORK CONTEXT - Requires the ability to work 8 hours quietly at a computer screen and keyboard/mouse. - Must be able to meet deadlines as assigned. - Requires the ability to withstand pressures of constant deadlines, audits, educational demands and changing healthcare environment. - Must have ability to accept criticism and to deal calmly and effectively in high stress situations. - Must be able to communicate both verbally and in writing on a daily basis. - Must be able to participate in groups. - Must be able to adapt to changes in work area as assigned. - Displays a willingness to take on responsibilities and challenges. - Ability to maintain confidentiality. PHYSICAL FACTORS - Hearing and vision must be normal or corrected to within normal range. - Able to perform the duties with or without reasonable accommodation. - This job is considered light work. Must be able to exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. - This job involves standing, walking, sitting, stooping, pushing, pulling, and crouching. - Ability to lift up to 20 pounds occasionally and 10 pounds frequently. - Must have good dexterity - Should be able to reach and extend arms in any direction.

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties: - Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations. - Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded. - Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form usingprocedure codes as required. - Using the Encoder software program, determines the codes for all diagnoses and procedures. - Determines their sequencing to legally maximize reimbursement. - Assigns the appropriate DRG. - Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelinesQueries physicians as needed to clarify documentation within the patient’s record to facilitate complete and accurate coding. - Understands and applies internal policy and procedure guidelines regarding how to phrase physician queries. - Assists the Coding Quality and Professional Manager with training of new coding staff related to hospital and professional coding guidelines, encoder and other software systems needed for the coding process, along with reviewing coding guidelines on an annual basis and makes recommendations for change to improve coding and data management. - Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc. - documented within patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines. - Updates and corrects historical file data by completing and submitting claim action reports per the PHC4 quarterly report. - Works in conjunction with other areas within the revenue cycle and external departments and Geisinger to ensure coordinated activities with respect to all revenue cycle needs. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience). Position Details: This posting reflects an opening for Coder I and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role to include Coder II based on their skills, qualifications, and experience. We encourage all qualified individuals to apply. LEVEL II requirement: One relevant certification from AHIMA or AAPC is required upon hire. Acceptable certifications include: AHIMA (American Health Information Management Association): Certified Coding Specialist (CCS) Certified Coding Specialist – Physician-based (CCS-P) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Coding Associate (CCA) – Candidates with only a CCA are required to obtain a CCS, RHIT, or RHIA within 12 months of hire. All certifications are acceptable from AAPC (American Academy of Professional Coders) except: Scribe, Documentation, Instructor, and International Credentials Certified Professional Biller (CPB) Revenue Cycle Management Specialist (RCMS) Certified Value-Based Administrator (CVBA) Certified Physician Practice Manager (CPPM) Certified Professional Compliance Officer (CPCO) Education: High School Diploma or Equivalent (GED)- (Required), Graduate from Specialty Training Program- (Preferred) Experience: Minimum of 1 year-Related work experience (Required) Certification(s) and License(s): Skills: Communication, Computer Literacy, Medical Records Management, Medical Records Systems, Teamwork, Working Independently OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. - KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. - EXCELLENCE: We treasure colleagues who humbly strive for excellence. - LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. - INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. - SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Responsible for timely and accurate client record maintenance. Supports client billing and remittance. Researches and resolves questions, complaints and grievances and ensures information in all databases is accurate and properly configured to support operations and properly record revenue. Support Management by communicating report results through meetings/e-mails to help mitigate revenue risks. Records all contracting information regarding billing and adheres to Sarbanes Oxley policies. - Researches and resolves client account issues and ensures billing system and reconciliations are updated timely, appropriately and accurately to support accurate client remittance and proper revenue recognition for assigned clients. - Ensures timely deliver of billing cycled invoices to Clients. - Prepares quarterly and monthly reconciliations as required. - Depending on the SBU supported, may be responsible for preparing 5500 Schedules and maintaining annual audit spreadsheets. - Utilizes billing history to initiate schedules proactively. - Maintains documentation with processed information for audits. - Researches and responds in a professional and timely manner to inquiries from both internal and external clients. - Researches information regarding complex inquiries, develops solutions, and communicates professionally the outcome by telephone and/or in writing. - Ensures data is gathered in a timely manner by regularly communicating with key stakeholders. - Responds to client/account management requests to update/change client information and ensures that all changes are made within operational guidelines and accurately supports all other system related functions. - Follows through on additional requests/projects as requested by leadership. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description. Other Job Requirements Responsibilities Proficient in Microsoft Office Suite, specifically Excel. 5+ years in an accounting or finance related role. General Job Information Title Senior Billing Specialist - Remote Position (Federal Contracting Experience Required. This is not a medical billing role) Grade 21 Work Experience - Required Billing Work Experience - Preferred Education - Required GED, High School Education - Preferred Associate - Finance License and Certifications - Required License and Certifications - Preferred Salary Range Salary Minimum: $45,655Salary Maximum: $68,485 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Title: Coder Associate/UKHC Location: Lexington United States Job Description: Requisition NumberRE53858 Working TitleCoder Associate Department NameH4021: Revenue Management - Coding & Documentation Work LocationLexington, KY Grade Level07 Salary Range$17.50-27.31/hour Type of PositionStaff Position Time StatusFull-Time Required Education Click here for more information about equivalencies:https://hr.uky.edu/employment/working-uk/equivalencies Required Related Experience 1 yr Required License/Registration/Certification Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder – Apprentice (CPC-A), Certified Coding Specialist (CCS) or Certified Coding Associate (CCA) Physical Requirements This position requires regularly sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); and occasionally standing or walking with objects weighing up to 10 pounds. Some job-related travel may also be involved (less than 10% of time). Shift Monday through Friday, 8:00 a.m. – 5:00 p.m. Other days/times as needed by department. This is a remote work position. Job Summary The Professional Coding team is currently seeking a Coder Associate to provide standardization, quality, expertise and customer service focus to the UK Healthcare system. The Coder Associate will have frequent contact with customers/patients, faculty, physicians, vendors, and University personnel. Primary responsibilities will include performing highly technical professional billing and coding, correlating multispecialty coding, and ensuring adherence to all regulatory billing and coding guidelines. This position will also be required to maintain an excellent working relationship with customers and provide cross-coverage as needed. The Coding Associate must also manage CEUs (continuing education credits) to maintain required credentials. This position will require the ability to sit at a computer for extended periods of time and work in a fast-paced environment. The qualified individual must be able to communicate with all patients and customers. This is a remote work position. Skills / Knowledge / Abilities Attention to detail; accuracy; knowledge of CPT and ICD-10, coding and billing software, HIPAA, and regulatory compliance; and time management skills. Does this position have supervisory responsibilities?No Preferred Education/Experience Associate degree and at least one year of paid, full-time medical coding experience. Deadline to Apply04/07/2026 Our University Community We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.