Role Description The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. - Responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. - Responsible for understanding and applying coding knowledge to resolve billing edits related to coding. - Uses Carle electronic medical record systems to review clinical encounters. Qualifications - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) - Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC) - Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) Requirements - Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. - Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. - Develops methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. - Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.). - Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties. - Serve as liaison for coding and billing staff to ensure accurate charge capture. - Reports any documentation and coding improvement needs based upon review findings. - Responsible for maintaining coding certification, knowledge and skills to successfully perform job duties. - Performs provider and peer coding audits as requested. - Assist with monitoring of internal controls for coding and billing. - Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel. Benefits - The compensation range for this position is $23.58 per hour - $39.38 per hour. - The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. - Carle Health offers a comprehensive benefits package for team members and providers.

Must Reside in AL, AZ, CO, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and supported. Together, we are a team of 15,000+ strong hearts and open minds. If you share our values of connected, personal, agile and imaginative, we invite you to discover what’s possible for you and your career. Summary: Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines. Reviews coding and amends coding edits to assure compliance with all applicable regulations. Position requires advanced knowledge of complex surgical procedures and a working knowledge of evaluation and management guidelines. Responsibilities: 1. Codes all outpatient medical records in a timely and accurate manner according to department policy. 2. Defines and transforms verbal descriptions of diseases, injuries, and procedures into numerical designations (codes) using ICD-10-CM and CPT-4 according to established coding guidelines 3. Initiates a physician/department query when there is conflicting, incomplete, or ambiguous documentation in the record or additional information is needed for accurate coding. 4. Enters all required information accurately into computer system for reimbursement and statistical purposes 5. Remains abreast of all applicable Federal, State, regulatory and hospital-specific coding guidelines. 6. Applies applicable guidelines to all cases coded to ensure accuracy of selected codes 7. Accesses and research applicable reference materials to further support decision-making in code selection. 8. Mentors less experienced coding personnel 9. Participates in Performance Improvement/Quality Assurance activities 10. Reports on software and hardware problems. 11. Attends required educational sessions (webinars, conferences etc.) to maintain and enhance coding certification(s) 12. Maintains and Model the Organization’s values. 13. Demonstrates regular, reliable and predictable attendance. 14. Performs other duties as required. Education Skills Experience: • Associate degree or equivalent • Knowledge of ICD-10, CPT-4, Disease Pathology, Anatomy, Physiology and Medical Terminology • Advanced knowledge of Evaluation and Management Coding guidelines • 6 years of coding experience • Familiarity with MS Office applications • Usage of coding manuals and regulatory websites for research • Certification from the America Academy Professional Coders (AAPC) or the American Health Information Management Association (AHIMA): CPC, CPC-H, CCS, CCS-P, RHIA, RHIT, or specialty certification required. • Additional Specialty Certification Required (CGSC, CASC, CCVTC etc.) Work Type: Full-Time Standard Hours: 40.00 Work Shift: Monday through Friday Department: Health Information Management Exempt: No Grade: U4 Salary Range: $30.85/hr Flat Rate per CBA

Outpatient coder with recent and multiple years' experience coding in a children's hospital or extensive pediatric experience. This role will be for multi-specialty coding for both medicine and surgical cases. The role can be utilized in areas where the experience is strongest, thus candidates do not need to be experience all specialties but should have experience in multiple specialties. Epic and 3M 360 CAC experience required. Schedule can be flexible after initial training. For initial training candidate must be available for the first week between 8a and 4p PST. Post initial training 50% of the shift should be worked during this timeframe. This is an 8 week project. 1. Core Outpatient Coding Knowledge & Technical Skills - Advanced knowledge of ICD‑10‑CM coding for outpatient encounters - Strong proficiency in CPT®, HCPCS Level II, and modifier usage - Thorough understanding of Outpatient Prospective Payment System (OPPS) and Ambulatory Payment Classifications (APCs) - Ability to correctly assign: - First‑listed diagnosis - Secondary diagnoses affecting medical necessity - CPT/HCPCS procedures and services - Knowledge of National Correct Coding Initiative (NCCI) edits and bundling rules - Accurate application of modifiers, including but not limited to: - ‑25, ‑59, ‑76, ‑77, ‑LT/‑RT, ‑TC/‑26 2. Outpatient Surgery Coding Skills - Proficiency coding same‑day and scheduled outpatient surgical procedures, including: - Minor and major surgeries - Endoscopic procedures - Image‑guided procedures - Pediatric‑specific surgical techniques - Ability to interpret: - Operative reports - Brief op notes - Anesthesia documentation - Knowledge of global surgical package rules, including: - Global periods - Separate reporting of E/M services - Return‑to‑OR scenarios - Understanding of ASC vs. hospital outpatient surgery coding distinctions (when applicable) 3. Observation & Extended Care Coding - Strong understanding of observation services in a hospital outpatient setting - Ability to correctly code: - Observation start and stop times - Initial, subsequent, and discharge observation codes (CPT) - Knowledge of observation vs. inpatient status criteria and billing rules - Familiarity with same‑day admission and discharge scenarios - Ability to correctly apply observation coding guidelines in cases involving: - ED to observation - Surgery to observation - Observation to inpatient conversions 4. Pediatric & Specialty‑Specific Expertise - In‑depth understanding of pediatric anatomy, physiology, and disease processes - Ability to code age‑specific conditions and procedures accurately - Experience with pediatric outpatient specialties, such as: - Pediatric surgery - Orthopedics and sports medicine - Cardiology and cardiology diagnostics - Gastroenterology and endoscopy - Pulmonology - Oncology and infusion services - Knowledge of congenital conditions and chronic pediatric diagnoses commonly treated in outpatient and surgical settings 5. Clinical Documentation Review & Interpretation - Strong ability to review and interpret: - Clinic notes - ED notes - Operative reports - Anesthesia records - Observation flowsheets and progress notes - Ability to identify: - Incomplete or conflicting documentation - Missing diagnoses affecting medical necessity - Skilled application of official coding guidelines to support accurate and compliant code assignment Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com AAP/EEO Statement Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories. Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com.

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions - All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. - Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. - Utilizes appropriate coding software and coding resources in order to determine correct codes. - Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. - Follows departmental policies for charge corrections. - Participates in coding educational opportunities (webinars, in house training, etc.). - Provides feedback to providers in order to clarify and resolve coding concerns. - Resolves assigned pre-billing edits. - Assists in identifying areas that require additional training. - Mentors and assists in training other coders and new team members - Performs other duties as assigned. Supervisory/Management Responsibilities - This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements - Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred - Experience - Five (5) years professional fee coding experience In Lieu Of - NA Required Certifications, Registrations, Licenses - Certified Professional Coder (CPC) - Specialty Certification from AAPC that correlates with assigned specialty Knowledge, Skills and Abilities - Maintain knowledge of governmental and commercial payer guidelines. - Knowledge of office equipment (fax/copier) - Proficient computer skills including word processing, spreadsheets, database - Data entry skills - Mathematical skills Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019178 Medical Group Coding & Education Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.