Role Description We are seeking detail-oriented, compassionate, and client-focused professionals to assist seniors and eligible individuals in navigating the complex Medicare system. We are looking for an efficient medical billing clerk to prepare invoices and manage patient accounts. - Managing patient accounts and preparing invoices. - Inputting patient information and maintaining up-to-date records of patient data using computer software. - Ensuring that the patients receive the accounts. - Performing administrative tasks such as answering phone calls and responding to emails. - Acquiring and recording medical aid details from patients and liaising with the medical aid company to obtain authorization on payments owed by patients. - Following up with patients on accounts that are late as well as those which are seriously overdue. - Following work procedures methodically while ensuring compliance with the rules and regulations of the hospital or clinic as well as state and federal laws. - Improving job knowledge and skills by networking and staying abreast of medical service rates in order to ensure up-to-date billing. - Ensuring that patient records, accounts, and payments are meticulously handled. - Keeping all patient records confidential. Qualifications - A high school diploma or GED. - At least 2 years of administrative experience in a medical or healthcare setting. - Associate's degree in accounting, business, or economics may be preferred. - Basic mathematical skills. - Excellent communication skills to deal with medical insurance companies and to explain financial matters to patients and staff. - Above-average organizational skills to be able to locate files or patient records speedily. - Attention to detail to maintain patient records proficiently and to check that the accounts have been entered accurately. - The ability to process cash or credit card payments. - Proficiency in account data input to prepare statements for patients. - Knowledge of medical coding procedures.

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: Coding-Professional and Outpatient facility Coding Job Summary: JOB SUMMARY Reviews, accurately assigns, and abstracts diagnostic and procedural codes to encounters using designated coding classification independently. Supports on-going training and development of staff. . KEY RESPONSIBILITIES • Organizes and prioritizes complex coding work to ensure compliance with regulatory requirements and hospital targets. • Assigns the most appropriate diagnosis and procedures to reflect the utilization of resources during the patient encounter. • Recognizes documentation clarification opportunities to ensure it supports all codes and designation assignments. Initiates coding queries or tasks. • Serves as a clinical coding subject matter expert. • The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES • Medical Coding (Advanced): The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. • Critical Thinking (Advanced): The objective analysis and evaluation of an issue in order to form a judgment. • Medical Terminology & Documentation (Advanced): The ability to comprehend medical terminology and documentation in an office, or surgical setting. • Compliance (Advanced): Understanding the rules, regulations, sanctions and other statutory requirements, guidelines and instructions relating to governing bodies and organizations, both internally and externally. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities: Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams. Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution. Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas. Team Interaction: Acts as a "go-to" resource for colleagues with less experience; may lead small project teams. Core Capabilities : Supporting Colleagues: - Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas. - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships. - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services: - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them. - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions. - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly. - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure. - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area. - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation: - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches. - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges. - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: LIC-Licensed Discipline Specific - Licensure-Others Work Experience: Relevant Work Experience Experience Level: 4 years Education: High School Diploma or GED Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

Role Description As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. - Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Inpatient admissions. - Can also code ancillary, emergency department, same day surgery, and observation charts, if needed. - Review provider documentation to determine principal diagnosis, co-morbidities and complications, and secondary conditions and surgical procedures following official coding guidelines. - Utilize technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, ICD-10-PCS, as appropriate, and CPT-4 for procedures. - Understand ICD-10 Coding in relation to DRGs. - Abstract additional data elements during the chart review process when coding, as needed. - Utilize technical coding principles and MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and ICD-10-PCS procedures. Qualifications - High School Graduate/GED - Must have ICD-10 coding & DRG coding experience. - Three years of relevant coding and abstracting experience or equivalent combination of education and experience required in an acute care hospital setting. - Minimum of 3 years of Inpatient medical coding experience (hospital, facility, etc.). - Registered Health Information Administrator, or - Registered Health Information Technician, or - Certified Coding Specialist, or - Certified Coding Specialist - Physician Based, or - Certified Professional Coder, or - Certified Professional Coder Hospital, or - Certified Professional Coder Hospital Apprentice, or - Certified Professional Coder Apprentice, or - Certified Billing and Coding Certification. Requirements - Intermediate level of Microsoft Excel.

Company : Allegheny Health NetworkJob Description : GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all actions as a licensed nurse and is accountable to patients for the quality of care delivered. ESSENTIAL RESPONSIBILITIES: - Assures safe delivery of nursing services in alternative care settings. - Active participation in on-going interdisciplinary communication specific to each patient with review of patient status and plan of care. - Directing and organizing ancillary care as appropriate. - Adherence to Allegheny Health Network policies and procedures regarding medical record documentation and Performance Improvement activity. - Home Infusion visits to administer Infusion Therapy in the home setting. - Implements current nursing practices. - Patients’ clinical assessments are completed as appropriate and communicated to other team members. - Nursing interventions are implemented to meet patient’s needs and in accordance with physician orders. - Physician orders are accurately received, implemented, and evaluated for patient outcome in a timely manner. - Patients are appropriately referred to other health care support systems or community resources based on identified needs. - Referral information is documented accurately in a timely manner and shared with other team members. - Skilled nursing care is implemented and monitored per the Allegheny Health Network Home Infusion policies and procedures. - Patient’s status and on-going needs at time of discharge are communicated to the appropriate individuals. - Assumes responsibility for nursing services on weekends, holidays, and after-hours on-call as assigned. - Allegheny Health Network Home Infusion is on-call for emergencies and after-hours visits as necessary. - Promotes effective written and verbal communication. - Positive work environment is promoted for other staff members. - Timely communication regarding changes in plans of care to other team members is demonstrated. - Consistent and appropriate lines of authority are maintained. - Participates in special committee meetings as required. - Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny Health Network philosophies and objectives. - Gives accurate information to patients, caregivers, and other health care providers the Allegheny Health Network Home Infusion services and associated costs. - Knowledge of the Allegheny Health Network Home Infusion policies and procedures and regulations regarding reimbursement for nursing and pharmacy services demonstrated. - Consultation with Patient Account Representative regarding initial and on-going reimbursement status of patients. - Uses equipment and supplies effectively and efficiently. - Direct patient/caregiver teaching/care as appropriate for Pharmacy Services patients. - Direct physician contact (i.e., patient care communications, marketing). - Coordinate medication and supply deliveries to patients. - Provide information regarding drugs and their safe and appropriate use to other health care providers involved in patient’s/client’s care. - Actively participate in ongoing interdisciplinary communication specific to each patient. - Participate in the Performance Improvement program. - Participate in in-service programs for other health care professionals and for the community. - Attend seminars/CEU opportunities on an ongoing basis to promote growth and effective performance. - Thorough knowledge of and strict adherence to Allegheny Health Network Home Infusion’s Mission, Vision, and Core Values. - Performs other tasks as assigned. QUALIFICATIONS: Minimum - Graduate of an accredited School of Nursing. - Licensed and in good standing with the State Board of Nursing in state of practice. - 1 year acute care/IV experience - Act 34 Criminal Background Clearance Certificate - Act 33 Child Abuse Clearance Certificate - Act 73 FBI Fingerprinting Criminal Background Clearance Certificate - Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). - CPR certification - Current valid driver’s license. - Proof of current automobile insurance Preferred - Experience with Home Infusion Care and/or IV Therapy Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $32.00 Pay Range Maximum: $50.75 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice