Role Description Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and/or CPT codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the HIM Coding Manager, accurately codes conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting and/or CPT Assistant. Demonstrates knowledge of reimbursement methodologies and applies to assigned charts in order to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Qualifications - Advance coding certification credential: - Certified Coding Specialist (CCS) - Certified Coding Specialist - Physician Based (CCS-P) - Certified Professional Coder (CPC) - Certified Professional Coder - Hospital Based (CPC-H) - Certified Medical Coder (CMC) - RHIT/RHIA certification - Radiology Certified Coder (RCC) - Certified Coding Associate (CCA) - Certified Outpatient Coding (COC) - Certified Inpatient Coder (CIC) - Certified Risk Adjustment Coder (CRC) - Certified Professional Coder-Payer (CPC-P) - Specialty coding certifications offered by AAPC (e.g., CASCC, CANPC, CCC, etc.) - Will consider RHIT eligible candidate who sits for the exam within one year of hire. - Full CPC certification must be obtained within 24 months if employee holds CPC-A from the American Academy of Professional Coders (AAPC) at time of hire or 36 months after certification if obtained after employment. - For HOMECARE: Homecare Diagnosis Coding Specialist (HCS-D) certification required within 16 months of hire. - Grandfather Clause: If hired on or before September 30, 2018, 2 years of relevant work experience and one of the following coding certification credentials are required: - Certified Coding Specialist (CCS) - Certified Coding Specialist - Physician Based (CCS-P) - Certified Professional Coder (CPC) - Certified Professional Coder - Hospital Based (CPC-H) - Certified Medical Coder (CMC) - Registered Health Information Technician (RHIT) - Registered Health Information Administrator (RHIA) - A specialty coding certification and Associate’s degree in Health Information Management. Requirements - Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines and keeps abreast of coding changes and interpretation of codes. - Complies with RRH & HIM department policies & procedures. - Reviews appropriate provider documentation to identify & assign diagnoses & surgical procedure or treatment codes using ICD-10-CM and CPT procedure codes as defined in facility specific guidelines. - Meets established departmental productivity guidelines for the specific type of coding being performed with 95% accuracy on a consistent basis. - Utilizes Care Connect, UDS and Clintegrity systems proficiently to obtain ICD10-CM and CPT codes. - Utilizes technical coding principles and APC/E-APG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT procedure codes. - Formulates compliant coding queries when documentation is inadequate, ambiguous or unclear for coding purposes. - Enters and/or updates data accurately in various systems as departmental policy indicates. - Completes other duties as assigned by HIM leadership. - Provides assistance to customers (physicians, clinical quality staff) regarding clinical documentation opportunities, coding reimbursement issues, and quality improvement review process. - Assigns appropriate discharge disposition and/or modifiers based on established coding guidelines. - Analyzes clinical documentation to determine charge capture requirements for numerous clinical services. - Uses reports and application queues to identify targeted accounts on a daily basis. Works with CDM team to ensure appropriate charges are in place and that associated CPT codes are current. - Corrects failed claim errors to billing edits, accounts misclassified and/or other errors identified through various auditing processes in a timely manner. - Attends RGHS, HIM Department and Coding Team meetings and training sessions as required. - Ensures timely reporting for external regulations. Benefits - Pay Range: $20.75 - $29.50 - Eligible for additional pay components. - Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Company Description Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran.

Role Description Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. The position requires strong problem-solving skills, effective communication with medical professionals to improve documentation accuracy, and the ability to work independently. We offer flexible hours and the ability to work remotely. Pay starts at $19.00/hr with additional credit given for work experience relative to this role. - Serve as a resource for providers in understanding covered indications and the supporting documentation. - Support both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and hospital professional services. - Maintain a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. - Understand and support the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management. - Monitor and validate physician charge capture. - Participate in coding team meetings and serve as a subject matter expert. - Review medical documentation from physicians and other healthcare providers; assign modifiers, diagnostic and procedure codes. - Provide accurate and timely ICD-10-CM coding of diagnoses, HCPCS, and CPT coding. - Review and audit medical record documentation accurately to reflect healthcare coding. - Convey coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation. - Utilize computer skills to interpret, analyze, and abstract data/documentation. Qualifications - Associate degree in Health Information Technology or Certification in Coding required. - Specific knowledge of diagnostic and procedural terminology. - Successful coursework from an accredited institution in ICD diagnosis, CPT, and HCPCS coding schemes, medical terminology, or human anatomy/physiology is preferred. - Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required. - If the associate is not certified at hire, the associate must be so within one year of the date of hire. Requirements - Strong problem-solving skills. - Effective communication with medical professionals. - Ability to work independently. - Good time management and organizational skills. Benefits - Flexible hours. - Ability to work remotely. Company Description Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

• assists the Coding Managers with oversight and evaluation of coding functions including efficiency, accuracy, continuing education needs and overall coding quality • determines individual education needs of coders and collaborates with department manager and CDCI Coding Trainer and Educator to develop appropriate training materials • oversees the administration of the education plan/training necessary, evaluating the effectiveness of the education plan or performance improvement plans

• Work from home and set your own schedule • Research denied claims and ensure patient visits are paid