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

Building Name: UVMMC - In State Remote Worker Location Address: 111 Colchester Ave., Burlington Vermont Regular Department: Health Information Management Full Time Standard Hours: 40 Biweekly Scheduled Hours: Shift: Day/Eve-8Hr Primary Shift: - Weekend Needs: Salary Range: Min $25.78 Mid $33.23 Max $40.67 Recruiter: Abby Luck This is a fully remote position. JOB DESCRIPTION: Applies knowledge of anatomy and physiology, medical terminology and pathology of disease processes while analyzing clinical documentation for inpatient and outpatient records for facility and/or professional services coding. May be assigned to work edit lists for accuracy of claims processing and data reporting. Applies knowledge of ICD-10 and CPT-4 nomenclatures and American Hospital Association, American Medical Association and applicable Federal and third party payer guidelines to accurately and compliantly determine principal and secondary ICD-10 diagnoses codes, principal and secondary ICD-10 procedure codes for all visits. In addition, assigns corresponding CPT-4 codes for all inpatient surgery cases or outpatient CPT defined procedural services for facility and professional billing and assignment of appropriate modifiers. Appropriately assigns ICD- 10 codes for professional services per medical necessity criteria. Follows UVMMC compliance and HIM coding compliance policies and by maintaining financial goals and meeting or exceeding accuracy and productivity standards. Utilizes various electronic information systems to accomplish coding including, EPIC, 3M/Solventum Coding and Reimbursement Systems, NCCI edit software, EncoderPro, and other clinical documentation systems or reference systems as deemed appropriate. Must have knowledge of charge master and charge maintenance. Effectively communicates with and acts as a resource to health care providers, department managers and staff to resolve documentation, charge or other issues as they arise to ensure accuracy of coding and reimbursement. HIM Coder Staff may be assigned other duties as deemed necessary by the HIM Supervisor and or HIM Manager. HIM Coder Staff will adhere to the HIM Mission and Vision. All coders will continually seek to improve coding knowledge through various mediums including seminars, articles, networking, web access and other as available. EDUCATION: Minimum: High school diploma. College level Anatomy and Physiology and Medical Terminology required. Associate's degree or Bachelor's degree in Allied Health or HIM preferred. AHIMA or AAPC certification (above an associate level) and as a condition of continued employment, must maintain certification status and CEU’s. If an employee has a lapse in certification, they shall have six months for first attempt to become recertified. If unable to become recertified within the year, may be demoted to the HIM Associate Level. Recertification is at the expense of the employee. An employee who is demoted due to a lapse in certification will be placed back at their current level (staff or senior) upon recertification. EXPERIENCE: Two years of Coding in a university hospital or professional setting or two years of coding as a UVMMC, HIM Coder or MGC Coder. Coding or billing experience preferred, utilizing ICD-10-CM, CPT-4, HCPCS level II and/or experience performing clinical documentation record reviews. Demonstrated ability meet or exceed quality and productivity standards. This is a bargaining union position.

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas *Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments. Occ Summary The Medical Records Coder II is a certified coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures. Work Performed Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions. Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits. Assist with research, development, and presentation of continuing education programs on areas of specialization. Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Consult with and educate physicians on coding practices and conventions to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Maintain a thorough understanding of medical record practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc. Assist with special projects as required. Perform other related duties incidental to the work described herein. Knowledge, Skills, and Abilities Advanced ICD-10-CM & CPT-4 coding conventions, Anatomy and Physiology, Medical Terminology, Extensive DRG/APC reimbursement knowledge, Coding software familiarity, Effective written and verbal communication skills, Data entry/CRT Level Characteristics N/A Minimum Qualifications Duke is an Equal Opportunity Employer committed to providing employment opportunities without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy-related conditions), sexual orientation, or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Education High school diploma required. Experience RHIA certification—no experience required, RHIT certification—no experience required, CCS certification- one year of coding experience required, CPC or HCS-D certification—two years of coding experience required Degrees, Licensures, Certifications Must hold one of the following active/current certifications: Registered Health Information Administrator (RHIA), Hospital Coding Registered Health Information Technician (RHIT), Hospital Coding Certified Coding Specialist (CCS), Hospital Coding Certified Professional Coder (CPC), Homecare Coding, or Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

SHIFT: Day (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-10 codes. This role is also responsible for timely charge submissions and or data entry of the coded services. What you will do - Systematically review and analyze patient medical records to determine all appropriate diagnosis and procedures performed, and to produce coded abstract for physician billing. - Submission of coded services for billing and or data entry of the coded services for claim submission in accordance with departmental productivity and accuracy standards. - Review of inpatient data and reconciliation of billable services including, review of system processing and appropriate escalation and timely communication of errors and omissions and clinical documentation insufficiencies. - Review and resolution of coding related edits and errors that impact claim submission. - Maintaining thorough knowledge of coding and documentation requirements outlined by CPT, ICD-10 CMS and CHOP Compliance for all physician services performed. Education Qualifications - High School Diploma / GED Required - Associate's Degree Preferred Experience Qualifications - At least one (1) year coding experience Required - At least two (2) years coding experience Preferred Skills and Abilities - Advanced knowledge of specialty coding. - Advanced knowledge of ICD10, third party procedures, and requirements regarding benefit structures, insurance verification, referrals and authorizations. - Advanced knowledge of general financial counseling and the revenue cycle. - Familiarity with electronic health records (EHR). - Intermediate proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel) - Excellent verbal and written communications skills - Excellent interpersonal skills - Strong critical thinking / problem-solving skills - Strong analytical skills - Ability to maintain confidentiality and professionalism - Ability to work independently with minimal supervision - Ability to gather, analyze and make recommendations/decisions based on data - Ability to convey complex or technical information in an easy to understand manner Licenses and Certifications - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - upon hire - Required or - Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) - upon hire - Required or - Certified Outpatient Coder (CPC-H) - American Academy of Professional Coders (AAPC) - upon hire - Required or - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required or - Certified Coding Specialist-Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - upon hire - Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $27.35 - $34.19 Hourly Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.