Role Description Cypress Healthcare Partners is now hiring remote candidates for the Medical Coder position. This position is responsible for abstracting provider services accurately into billable codes from the medical documentation in accordance to the coding ethics of American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting and reconciling charges and communicating with provider/staff of medical necessity of services, unspecified, truncated, and lack of supporting diagnoses along with incomplete or missing documentation. - Responsible for abstracting provider services into billable codes (CPT, HCPCS, & ICD-10) from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS and payer coverage guidelines in an accurate and timely manner. - Post and reconcile hospital setting (IP/OP/OBS) charges daily. - Communicate inefficiencies to the coding supervisor such as the medical necessity of services; unspecified truncated and lack of supporting diagnoses; incomplete or missing documentation along with any inappropriate coding and documentation trends. - Reference coding and payer resources to accurately code and bill the provider documented services. - When needed, assist the AR Specialist with a complicated coding denial. Furthermore, the coder assists with creating an appeal letter regarding the coding denial along with any supporting documentation. Coder will forward the appeal documentation(s) to the AR Specialist to handle. - Continue education with coding and billing via Encoder Pro, coding subscriptions and resources provided by CHP. - Other duties as assigned. Qualifications - Have experience properly coding (CPT, HCPCS, & ICD-10) services from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS. - Must be able to communicate effectively in English, verbally, and written. Additional languages are desirable. - Excellent customer service and phone etiquette skills. - Must be able to maintain a high degree of confidentiality and work well under productivity standards. - Able to prioritize and balance the workload on short and long-term company needs. - Must be able to work independently and be able to solve problems efficiently and accurately. - Able to create channels of communication to obtain information necessary to perform job tasks. - Strong organizational skills with the ability to prioritize a high-volume workload. - Helpful attitude, positive teamwork spirit with a willingness to help. Requirements - High School Diploma or Equivalent required. - Minimum of 2 years of experience in medical billing and/or coding. - Certifications in Medical Billing and Coding highly desirable.

Role Description Coding Intern is a temporary level coding position aimed at introducing individuals to the coding experience. Incumbents are expected to learn coding rules, guidelines, classification systems and other relevant skills required to successfully code medical records. Responsibilities include learning and coding simple cases under direct supervision. Responsibilities - Growth and Development: Coding Interns are expected to progress through learning different types of Coding within the first three months. - Understand coding rules, guidelines, and classification systems. - Navigate the medical record and understand the different types of documentation needed for the service lines. - Coding Expectations: Coders are expected to understand coding functions within departmental guidelines. - Departmental guidelines include productivity expectations, goals, accurate use of coding statuses, work queues, hard stops, and communication and relationship building with partner departments. - Coding Quality: Coders are expected to understand a minimum quality score of 95% in all aspects of their coding including diagnosis codes, PCS, CPT, modifiers, etc. - Shadow Experience: Coding Interns will shadow other revenue cycle departments relevant to coding (e.g., CDI (IP OP), Billing, Denials, Professional Coding). - Coding Interns are expected to understand the roles of these areas and how they contribute to overall revenue cycle operations. - Presentation: Coding Interns will create and present a PowerPoint presentation highlighting their internship experience. Qualifications - EDUCATION: High School Diploma required. Recent graduate or currently enrolled in a Medical Coding Program strongly preferred. - EXPERIENCE: No coding experience required. Past experience in healthcare-related fields preferred. Clinical experience is helpful but not required. - SPECIAL SKILLS: Knowledge of medical terminology, anatomy and physiology, and disease process acquired in educational program requirements. - Good oral and written communication skills. - Ability to exercise good judgment, independent logic, light typing, and excellent computer data entry skills. - Computer system experience helpful. YNHHS Requisition ID 181776

Role Description The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. - Assign ICD-10, CPT, HCPCS and modifiers codes from documentation - Review and appropriately resolve pre-bill edits - Review and appropriately resolve coding denials - Meet or exceed productivity standards - Meet or exceed accuracy rate of 95.5% in monthly internal audits - Effectively present coding issues to internal team members, internal clients, or external clients - Deliver information in a one-on-one or small group format to peers - Meet deadlines and complete assignments before monthly closing dates - Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines - Other duties as assigned Qualifications - Vocational or technical education beyond high school - Minimum of 3-5 years coding experience - CPC or CCS-P or equivalent certification - Multi-specialty Evaluation and Management coding - Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations - Must possess knowledge of third-party reimbursement regulations and billing practices - Ability to examine documents for accuracy and completeness - Detail oriented with the ability to identify and resolve problems - Ability to communicate clearly and work effectively with co-workers - Ability to work as a team member in all activities - Conduct self in an ethical, honest, and professional manner - Demonstrate continued willingness to learn and grow - Proficient in Microsoft Word, Excel Requirements - Builds Team Relationships - Communicates Effectively - Compliance with Laws, Policies and Procedures - Develops Self - Displays Adaptability - Drives for Results - Focus on the Customer/Client - Respects Others - Shows Reliability Benefits - Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. - Position may be eligible for a signing bonus for qualified new hires, subject to employment status. - Conifer observed holidays receive time and a half. - Medical, dental, vision, disability, and life insurance - Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. - 401k with up to 6% employer match - 10 paid holidays per year - Health savings accounts, healthcare & dependent flexible spending accounts - Employee Assistance program, Employee discount program - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. - For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

Role Description This position in the Health Administration Service at the Atlanta VA Medical Center. MRTs (Coder) Auditor are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. - Perform audits of encounters to identify areas of non-compliance in coding. - Facilitate improved overall quality, completeness, and accuracy of coded data. - Assist facility staff with documentation requirements to completely and accurately reflect the patient care provided. - Provide technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. - Directly consult with the clinical staff for clarification of conflicting or ambiguous clinical data. - Use computer applications with varied functions to produce a wide range of reports, to abstract records, and review assigned codes. - Perform prospective and retrospective coding audits and use results to identify documentation, coding inadequacies, and re-educate clinical and coding staff based on audit results. - Act independently to plan, organize, and perform auditing with emphasis on data validation, analysis, and generation of reports. - Assist in the development of guidelines for data quality, consistency, and monitoring for compliance to improve the quality of clinical, financial, and administrative data. - Ensure that all coded data is fully documented and supported. - Maintain statistical database(s) to track the results and validate the program. Identify patterns and variations in coding practices with regular reports to the medical staff and management. Qualifications - Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Auditor assignments can be established for any of the coder subspecialties (outpatient, inpatient, or outpatient and inpatient combined). - One year of creditable experience equivalent to the journey grade level of a MRT (Coder). - Employees at this level must have a mastery level certification. - Mastery Level Certification through AHIMA or AAPC. - May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation. Requirements - Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS for the subspecialty being assigned. - Ability to research and solve complex questions related to coding conventions and guidelines in an accurate and timely manner. - Ability to review coded data and supporting documentation to identify adherence to applicable standards, coding conventions and guidelines, and documentation requirements. - Ability to format and present audit results, identify trends, and provide guidance to improve accuracy. - Skill in interpersonal relations and conflict resolution to deal with individuals at all organizational levels. Benefits - Work Schedule: 7:30am-4:00 pm - Pay: Competitive salary and regular salary increases. - Paid Time Off: 37-50 days of annual paid time off per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). - Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. - Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. - Child Care Subsidy: After 60 days of employment, full-time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. - Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. - Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement). - Telework: Available. This is a remote position. - Virtual: This is a virtual position.