UC Health is a hospital and healthcare organization that consists of the University of Cincinnati Medical Center, its flagship facility, and the state-of-the-art West Chester Hospi
Coder II, PBO Coding
Location
Worldwide
Posted
32 days ago
Salary
0
Seniority
Entry Level
Job Description
Coder II, PBO Coding
UC Health
Title: Coder II, PBO Coding, Full Time, First Shift Location: United States Department: Not Applicable Job Description: Description Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Responsibilities Coding quality: Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG’s. Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation. Maintains a coding accuracy rating of at least 95% on records assigned. Queries physicians when necessary to ensure documentation supports the codes assigned. Coding productivity: Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals. Completes productivity data correctly and timely. Billing edits, coding corrections, DRG changes: Reviews, researches, and resolves claim edits for billing purposes. Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated. Accountability: Reviews educational materials thoroughly and takes responsibility for applying this information when coding. Seeks to clarify information and educational material when necessary. Listens actively. Maintains information and resources in an organized manner so that information can be referenced easily. Reviews emails timely and thoroughly and responds when indicated. Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance. Qualifications - Minimum Required: High School Diploma or GED. - Minimum Required: Formal education in basic ICD-10CM/CPT coding, Medical Terminology, Anatomy/, pathophysiology and disease processes. - Preferred Degree: Associate's Degree in healthcare related field. - Preferred Degree: Bachelor's Degree in healthcare related field. | - Certified Coders are required to be certified in one of the following: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). - Minimum Required: 1 - 2 Years equivalent experience - At least 1 year of Acute Care Coding. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer. Job Info - Job Identification22557 - Job CategoryHealth Information - Locations 3200 Burnet Ave, Cincinnati, OH, 45229, US - For RN positions are you willing to accept New RN graduates?N/A - EmployerUC Health, LLC - Cost CenterUCH-741805-Corporate Coding Services - Remote/Hybrid/OnsiteRemote - On Call Required?No - ShiftFirst - Working Hours40 - FTE1.0
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Mental Health Specialist
Rutgers UniversityEstablished in 1766, Rutgers University, also known as the State University of New Jersey, is one of the oldest universities in the country and one of the leadi
Mental Health Specialist Location: Remote, NJ Part Time Job Description: Rutgers University Behavioral Health Care (UBHC), established in 1971, offers a full continuum of evidence based behavioral health and addiction services for children, adolescents, adults, and seniors throughout New Jersey. UBHC's 1,060 experienced behavioral health professionals and support staff are dedicated to treatment, prevention, and education. UBHC, one of the largest providers of behavioral health care in the country, has a budget of $260 million and has 15 sites throughout New Jersey. Services are readily accessible and include: inpatient, outpatient, partial hospitalization, screening, crisis stabilization, family/caregiver support, community outreach and case management, supportive housing, supported employment, prevention and consultation, employee assistance programs, and a licensed therapeutic school from preschool through high school. Specialty services include the New Jersey suicide prevention helpline and peer help lines for police, veterans, active military, teachers, mothers of special needs children and child protective service workers. In FY2016, UBHC treated 16,199 consumers, had 24,502 admissions, and touched the lives of 19,441 individual callers through peer support. In addition, UBHC is the primary mental health training resource for the New Jersey departments of Human Services, Children and Families, and Corrections, delivering 16,000 trainings each year. Posting Summary Rutgers, The State University of New Jersey, is seeking a Mental Health Specialist (Part Time: 4p - 12:30a Sat/Sun) for the 988 Lifeline Services within Rutgers University Behavioral Health Care. Performs functions in support of the Unit's mission providing streamlined, prompt, and "customer friendly" services to clients of the 988 Lifeline Services. 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Among the key duties of this position are the following: - Models for clients' good communication skills, recovery-oriented living skills, effective coping skills, and self help strategies as observed by supervisor and as indicated by feedback from clients and team members. - Accepts service requests, responds to incoming calls, chats and/or texts within prescribed timeframe, as observed by supervisor. - Maintains comprehensive and up-to-date knowledge of resources and programs used by the Center and Unit in order to provide guidance to clients and make appropriate referrals, as observed by supervisor. - Performs assessment and makes appropriate disposition as indicated by feedback from receiving program/referral; client satisfaction supervised observations, or other provider. - Collaborates effectively with other staff members and referral sources for disposition, as indicated by supervisory observation. - Documents all client contact information in accordance with departmental protocols and accurately and appropriately inputs data in unit's informational system, as observed by supervisor. FLSA Nonexempt Grade 187 Salary Details $28.30 per hour Minimum Salary 28.300 Mid Range Salary 28.800 Maximum Salary 29.660 Offer Information The final salary offer may be determined by several factors, including, but not limited to, the candidate's qualifications, experience, and expertise, and availability of department or grant funds to support the position. We also take into consideration market benchmarks, if and when appropriate, and internal equity to ensure fair compensation relative to the university's broader compensation structure. We are committed to offering competitive and flexible compensation packages to attract and retain top talent. Benefits Rutgers provides a comprehensive benefits package to eligible employees. The specific benefits vary based on the position and may include: - Medical, prescription drug, and dental coverage - Paid vacation, holidays, and various leave programs - Competitive retirement benefits, including defined contribution plans and voluntary tax-deferred savings options - Employee and dependent educational benefits (when applicable) - Life insurance coverage - Employee discount programs Position Status Part Time Working Hours 16 per week Standard Hours 40.00 Daily Work Shift Evening Work Arrangement This position may be eligible for a fully remote work arrangement. 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Additional infection control and safety policies may apply. Prospective employees should speak with their hiring manager to determine which policies apply to the role or position for which they are applying. Failure to provide proof of vaccination for any required vaccines or obtain a medical or religious exemption from the University will result in rescission of a candidate's offer of employment or disciplinary action up to and including termination. Equal Employment Opportunity Statement It is university policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, affectional or sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As an institution, we encourage all qualified applicants to apply. For additional information please see the Non-Discrimination Statement at the following web address: http://uhr.rutgers.edu/non-discrimination-statement
• Submit clean, accurate claims for cardiology services. • Manage and resolve denied, rejected, and underpaid claims, including appeals and payer follow-up. • Review EOBs and remittance advice to identify denial trends and root causes. • Work claims to resolution while meeting defined revenue cycle KPIs (e.g., first-pass acceptance rate, denial turnaround time, AR days). • Utilize eClinicalWorks EMR for charge entry, claim submission, and payment posting. • Verify insurance eligibility, benefits, and authorization requirements. • Communicate with commercial payers, Medicare, and Medicaid to resolve claim issues. • Maintain HIPAA compliance and billing accuracy standards.
Coding Specialist, EM
US Acute Care SolutionsWe serve more than 10 million patients annually at 400+ programs in 26 states
• Examines medical records to determine the proper ICD (diagnosis) and CPT (procedure codes) to be assigned • Utilizes coding tools & resources to verify the correctness of CPT and ICD codes assigned. • Abstracts data including providers, injury info, quality measures, and others as needed. • Maintains knowledge of current trends and practices in coding principles and government regulations through reading materials and/or attendance at educational meetings or seminars. • Maintains appropriate certification. • Communicates with coworkers and physicians to resolve and clarify questions and documentation discrepancies. • Communicates risk management concerns to appropriate parties. • Completes priority accounts (Holds) daily. • Refers complex issues to designated work queues. • Participates in coder specific training and education based on audit metrics and trends. • Review and analyze content of medical record to accurately assign ICD diagnosis and procedure codes; CPT procedure codes and modifiers according to national coding guidelines, USACS policies and SOPs. • Answer coding and abstracting questions from coding leadership, compliance, clinicians, etc. • Maintain coding accuracy rate of ≥ 95%. • Maintain coding productivity (Milestone based standards) rate of ≥ 95%. • Maintain minimum of 15 CEUs per quarter either through Nthrive and/or other company sponsored webinars and programs. • Accurately identify and enter core abstracting elements such as physician and APP attributions. • Identify documentation trends and topics for education/feedback to physicians and APPs. • Keep current with coding and industry changes through participation in educational opportunities. • Thorough understanding of updates from intermediaries, carriers, government agencies, third party payers to ensure proper documentation, coding and compliance. • Thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payor specific guidelines. • Assists with special projects as needed and performs related duties as assigned.
Role Description This position is in the Health Information Management Section at the VA Northern California Health Care System. Certified Coders classify medical data from patient health records. Seeking candidates with robust inpatient coding experience for a complex, multi-specialty Acute Care Hospital. Expertise in ICU coding, psychiatric inpatient admissions, complex surgical procedures using ICD10-PCS and DRG assignment is required. Experience in high volume, tertiary, or academic hospitals is preferred. Responsibilities - Select and assign codes from current versions of ICD CM, PCS, and/or CPT and HCPCS classification systems for inpatient facility and/or professional services. - Comprehensive review of inpatient documentation within the health record to assign ICD codes for diagnosis, complications/major complications, comorbid/major comorbid conditions, surgery, and procedures using ICD-PCS for accurate assignment of diagnosis-related groups (DRG), and/or assigning CPT/HCPCS codes for inpatient professional services. - Independently review and abstract clinical data from the inpatient record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. - Code all complicated and complex medical/specialty disease processes, patient injuries, and all medical procedures in a wide range of inpatient settings and specialties. - Consult directly with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record. - Abstract, assign, and sequence codes into the encoder software to obtain correct DRG, support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered. - Query clinical staff with documentation requirements to support the coding process. - Enter and correct information that has been rejected; correct any identified data errors or inconsistencies. - Maintain a 95% coding accuracy on quality audits. 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Requirements - Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either: - Apprentice/Associate Level Certification through AHIMA or AAPC. - Mastery Level Certification through AHIMA or AAPC. - Clinical Documentation Improvement Certification through AHIMA or ACDIS. - Grandfathering Provision: All persons employed in VHA as a MRT (Coder) on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series, and grade held. Grade Determinations - Medical Records Technician (Coder-Inpatient), GS-8 - Experience: One year of creditable experience equivalent to the next lower grade level. - Demonstrated Knowledge, Skills, and Abilities: - Ability to analyze the health record to identify all pertinent diagnoses and procedures for inpatient coding. - Ability to accurately perform the full scope of inpatient coding. - Skill in interpreting and adapting health information guidelines. Physical Requirements VA Directive and Handbook 5019, Employee Occupational Health Service.


