• Ensure accurate and consistent coding of medical data for clinical trials • Provide independent review of data coded by third parties ensuring consistent coding • Oversee work outsourced to CRO through medical coding review and synonym dictionaries review • Participate in the review and maintenance of guidance and training documentation for coding guidelines in accordance with ICH guidelines, client's coding guidelines and dictionary definitions • Provide support to other departments concerning dictionary use and coding quality • Collaborate on the creation and maintenance of CDM documents referencing coding related activities • Support and manage MedDRA and WHO Drug Dictionary upversion activities for both client and third-part vendor operated studies • Ensure compliance with industry quality standards, regulations, guidelines and procedures

Role Description As a Medical 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. Core Coding & Data Integrity: - Applies expert-level knowledge to accurately assign and sequence ICD-10-CM, CPT, and HCPCS codes to outpatient medical records and encounters. - Ensures coding decisions are fully substantiated by medical record documentation and adhere to official coding guidelines, payer requirements, and the Standards of Coding Ethics. - Analyzes APCs (Ambulatory Payment Classifications) and modifier assignments to ensure thorough and compliant coding and charging, utilizing designated coding applications and systems to accurately code and abstract all assigned encounters. Documentation Review & Integrity: - Identifies conflicting, ambiguous, or incomplete documentation within medical records and initiates appropriate physician queries to obtain necessary clarifications. - Works collaboratively with providers and other departments to ensure accurate and complete clinical documentation and resolve charge discrepancies. Productivity, Quality & Confidentiality: - Reviews assigned work queues, prioritizing and coding all assigned encounters within established department productivity and turnaround time frames, consistently meeting quality and accuracy standards set by Coding Leadership. - Complies with all applicable laws, rules, regulations, and organizational policies, including reporting suspected violations. - Maintains strict patient, medical record, department, and employee confidentiality at all times. - Actively participates in professional development, fulfilling continuing education requirements and maintaining professional credentials. - Contributes to a positive team environment and fosters effective communication with colleagues and leadership. Professional Development & Departmental Contribution: - May assist with new hire onboarding, provide mentorship, contribute to audit processes, and various reports. Performs other duties as assigned. - Offers insights and suggestions for enhancing coding workflows, efficiency, and documentation improvement initiatives based on daily coding experience. - Provides feedback on proposed coding policies and procedures, utilizing expert knowledge to identify potential impacts on coding accuracy or workflow. - Offers guidance and shares expertise with less experienced coders on challenging cases or coding complexities, under the direction of leadership and without formal supervisory responsibility. - Actively participates in departmental meetings, contributes to a positive team environment, and fosters effective communication with colleagues and leadership. Qualifications - High School Graduate - Completion of a CAHIIM Approved AHIMA/AAPC Accredited Coding Education and 3 years Coding Experience (Inpatient, Outpatient, Professional Fee, &/or Outpatient Physician Clinics) using ICD-10-CM, CPT, HCPCS, and/or ICD-10-PCS coding - Electronic Medical Record (EMR) and encoder experience - Certified Professional Coder - Certified Coding Specialist - Certified Coding Specialist - Physician Based - Certified Professional Coder Hospital - Registered Health Information Administrator - Registered Health Information Technician

Medical Billing Specialist - Hybrid/Remote Omaha, NE Job Type Full-time, Part-time Description This is a hybrid position with flexibility to work from home with some work at the office in Omaha. Makovicka Physical Therapy is a dynamic company made of outpatient clinics that serve the Omaha and Lincoln area. We are a fast-paced and growth-oriented company committed to providing high-quality care to the community. Position Summary: The Medical Billing Specialist is responsible for the accurate data entry of (1) patient’s demographic information into the electronic medical record system and collection system, if needed, and (2) all payment types into the billing system. Follow up on all addendums, mass approve all electronic claims and submit all electronic claims daily. Help with patient statements and accounts receivable. Essential Functions of the Medical Billing Specialist: - Prepares and submits clean claims to various insurance companies either electronically or by paper. - Send patient statements. - Data Entry - Payments - Billing System - Patient’s Demographic Information - Electronic Medicare Record System - Collection System - Conducts self in accordance with HPA’s employee manual. - Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Competitive Salary based on experience.  Benefits Include: Insurance, 401(K) with matching, Continuing education reimbursement, Paid Time Off, and more. Requirements Qualifications: Minimum Education/Licensure/Certification: - 2-5 years experience in healthcare billing required - Experience in physical therapy billing a plus - Knowledge of Medicaid and private pay processes strongly preferred - Strong attention to detail and accuracy - Excellent organizational and time management skills - Ability to work independently and meet deadlines - Proficient in computer systems; experience with EMR or billing software a plus - Strong communication and problem-solving skills Salary Description $20+

Role Description As a BCN Hospice Team member, you will be a part of a team providing care and support to patients and their families who no longer receive treatments to cure their terminal illness but instead choose care to improve their comfort and quality of life. Our service allows our team members to focus on one patient at a time providing care where the patient calls home. While this often is a house or apartment, we also provide care at nursing homes, assisted living facilities, and hospitals. If a patient’s care needs are too complicated for home care or require a higher level of attention from nurses and other experts, we can provide care at one of our Hospice Care Centers. Schedule: PRN (as needed) Position Summary: - The Hospice and Palliative Physician oversees the medical component of direct patient care through telehealth visits and some regularly scheduled in-person visits. - This will include accepting patients as the hospice attending physician and providing consultations at the request of community physicians or Bluegrass Care Navigators’ Nurse Practitioners. - Making medically necessary visits and face-to-face recertification visits, as needed. - The position will participate in rotating shifts to cover afterhours, weekend call, and weekend visits through in-person and/or telehealth. - Serving as triage physician during the week. - This position coordinates care with the interdisciplinary team and includes participating in care planning meetings. - Performing other necessary administrative functions, including certifications, recertifications, pre-authorizations, and completion of medical forms and death certificates consistent with Bluegrass Care Navigators policies and in accordance with Federal and State hospice regulations. Qualifications - Currently licensed to practice medicine in the state of Kentucky, including a Drug Enforcement Administration (DEA) license. - Board certification in Family Medicine, Internal Medicine, Oncology, or appropriate medical society. Certification in Hospice and Palliative Medicine preferred. - A fellowship in hospice and palliative medicine or a minimum of two years of post-residency medical experience required. - Two years of hospice or palliative experience preferred. - Familiar with the philosophical and technical aspects of Hospice and Palliative care. - Expertise in pain and symptom management preferred. - Ability to work as a member of a large interdisciplinary team. - Excellent communication skills and experience with conflict resolution. - Familiar with principles of quality management and ethical issues in Hospice and Palliative care. - Must be a licensed driver with an automobile in good working order, that is insured in accordance with state and/or organization requirements, with personal auto liability insurance of $100,000/$300,000 in bodily injury coverage. - Team members will be expected to comply with Bluegrass Care Navigators (BCN) Employee Health, infectious disease, and vaccination policies. Benefits - At BCN we are committed to a work setting that treats all team members with fairness, dignity, and respect. - We offer our team members an opportunity to grow, to develop professionally, and to work in a team environment. - You can help our team make a lasting difference. - Join #TeamBCN where your work matters, and your time is valued.