OU Health logo
OU Health

OU Health is the state’s academic health system of hospitals, clinics and centers of excellence.

Pediatric Professional Coding Specialist III

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteSeniorTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Oklahoma + 2 moreAll locations: Oklahoma | Missouri | Texas

Posted

10 days ago

Salary

0

Seniority

Senior

High School5 yrs expEnglish

Job Description

Pediatric Professional Coding Specialist III

OU Health

• Overseeing pediatric areas for coding assistance • Fielding staff questions around pediatric billing • Ensuring compliant coding • High audit defensibility in complex pro fee coding portfolios • Serve as an escalation resource for coding disputes • Support training and mentoring of Coding Specialists I–II • Contribute to coding quality management through audits and trend analysis • Partner with clinical leadership and compliance for documentation improvement

Job Requirements

  • High School diploma or GED required
  • At least 5 years of experience of physician/provider coding required
  • CPC or CCS-P required
  • Additional specialty credential required such as CPMA, CEMC, CRC or other specialty credentials (e.g. COPC, CEDC, CGIC, CIRCC or other)

Benefits

  • PTO
  • 401(k)
  • medical and dental plans
  • many more

Related Categories

Related Job Pages

More Medical Billing and Coding Jobs

Adventist Health logo

Senior Certified Coder, Acute Inpatient

Adventist Health

Led by CEO Scott Reiner and President Bill Wing, Adventist Health is a faith-based, nonprofit healthcare system servicing western regions of the United States.

Role Description Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Qualifications - High School Education/GED or equivalent: Required - Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred - Working knowledge of hospital Cerner EMR (electronic medical record): Required - Three years' inpatient coding experience: Preferred - Experience in a health care setting: Required - AHIMA Certified Coding Specialist (CCS): Required Requirements - Abstracts and assigns ICD-10-CM diagnosis codes and PCS codes from the inpatient patient record to ensure accurate MS-DRG and APR-DRG assignment and to provide information required for reimbursement and statistical data submissions. - Uses understanding of MS-DRG and APR-DRG methodologies. - Generates compliant physician queries. - Collaborates with clinical documentation integrity and quality departments to identify HAC/PSI and communicate issues affecting inpatient records. - Validates appropriate dates of service against documentation in the EMR for inpatient encounters. - Completes required abstract fields in registration conversation on inpatient encounters for OSHPD and other data submissions. - Communicates with appropriate departments related to charge corrections/modifications. - Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies. - Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. - Reviews, understands and applies quarterly coding clinics, coding guidelines and coding conventions of ICD-10-CM references. - Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accuracy of documentation and physician coding practices. - Analyzes content of reports and software edits to facilitate revisions with appropriate departments - NCCI edits. - Follows up coding holds, revenue cycle department holds including related and all other email communication. - Maintains required online Healthstream education courses. - Attends meetings and training pertaining to coder education, audit reviews, staff meetings, and inpatient coder roundtable meetings. - Performs other job-related duties as assigned. Benefits - Adventist Health is committed to the safety and wellbeing of our associates and patients. - All associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. - Medical and religious exemptions may apply. - Adventist Health participates in E-Verify.

United States
$31 - $47 / hour
Skilled Wound Care logo

Physician

Skilled Wound Care

Wound surgeons that specialize in ensuring that nursing home patients heal and wounds thrive.

ContractRemoteTeam 51-200H1B No Sponsor

Role Description Looking for dedicated and passionate physicians who want to deliver world class care. Start a New Career in Wound Care! This career provides high satisfaction while achieving a great work-life balance. Hello fellow physicians!!! If you are passionate about wound care and want to work hard without sacrificing your life, then call us today to join our one of a kind medical group. Skilled Wound Care prioritizes work/life balance for physicians, allowing doctors to choose their own schedule, have 4-5 day work-weeks, no nights, no weekends, no Holidays, and focus their time on surgical procedures instead of admin work. Find a career with us even if you did not complete a Residency program or are not Board Certified/Eligible! We train all of our Physicians to become the best in wound care and start a new career! - Must have an active Medical License. Qualifications - Passion for wound care. - Desire to work in a hands-on bedside procedure-oriented practice. Requirements - Currently looking for a minimum of two full weekdays. - Full-time Monday through Friday physicians will receive priority consideration. Benefits - Choose Your Own Schedule - 2-5 Day Work-Week - Free Weekends - Protected Time-Off - No Calls - Full malpractice insurance - Equipment - 2 Fully covered weekend educational retreats per year with 16 hours of CME each - Work in Your Community - Yearly and quarterly bonus potential based on performance - Independent Contractor, Fee for Service Pay Model Company Description We are a nation-wide mobile surgical practice, focused on skin, wound, and ostomy patient issues in nursing home settings. Since 2007, Skilled Wound Care has been innovating mobile medicine delivery in the nursing facility. This would set you up to become an expert in your field and highly advanced in your subspecialty. We provide mentoring, professional guidance, covered advanced wound care and surgical training and on-boarding. To learn more information contact us today at (310) 445-5999! Or visit us at www.skilledwoundcare.com

United States
$250K / year
Adventist Health logo

Supervisor, Coding

Adventist Health

Led by CEO Scott Reiner and President Bill Wing, Adventist Health is a faith-based, nonprofit healthcare system servicing western regions of the United States.

Role Description Oversees all functions within Health Information Management's coding team. Provides technical leadership while performing escalated or complex duties. Monitors department efficiencies and assumes responsibility for meeting departmental goals. Implements plans for improvement when needed. Maintains policies and procedures. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment. Qualifications - Bachelor’s Degree or equivalent combination of education/related experience: Preferred - Five years' medical coding experience: Required - AHIMA Certified Coding Specialist Credential (CCS): Required - Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT): Required Requirements - Directs daily operations of staff and performs supervisory functions. - Ensures accurate, compliant, and timely assignment of workload and work backlogs. - Monitors and assesses performance of coding staff to assure timely, accurate coding of inpatient discharges, ambulatory surgery encounters, emergency department, clinic encounters, and diagnostic services. - Assists with resolving coding/billing issues. - Reviews medical records in order to code and abstract medical information to be submitted to financial reimbursement as required for the UB-04/1500 form and using IPPS and OPPS methodologies (Acute). - Ensures compliance with rules and regulations approved by CMS using coding conventions approved by coding guidelines (Pro-fee). - Maintains department statistics on work volume, productivity and accuracy for use in long-range planning and budgeting. - Conducts performance reviews and provides input on direct reports for human resource decisions such as hiring, promotions and disciplinary actions. - Participates in the development of employees. - Delegates the work appropriately, provides clear expectations and follows up to ensure progress and overcome roadblocks. - Identifies associates and team priorities based on business direction and adjusts when needed. - Leads by example and shares knowledge and experiences with associates and team. - Models a respectful work environment, creates accountability and recognizes accomplishments. - Provides timely feedback to encourage success and connects opportunities for associates’ development. - Identifies top talent to achieve the desired results. - Promotes and builds a diverse yet cohesive team to accomplish objectives and aligns associates' skills to fill gaps. - Performs other job-related duties as assigned. Benefits - Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. - Adventist Health participates in E-Verify. Visit this link for more information about E-Verify.

California
$35 - $53 / hour

Role Description PART TIME - 40 HOURS PER PAY - REMOTE Qualifications - ICD-9, CPT4, APC, and Modifier education; CCS, CPC, RHIT or RHIA preferred. - Previous coding experience preferred, will train with appropriate coding education. - Previous computer experience required. - Must possess strong verbal and written communication skills. - Needs organizational skills and ability to prioritize. - Assertive personality to present facts succinctly and directly to physicians and other healthcare providers. - Flexible approach to problem solving. Requirements - Sitting and reviewing charts most of the time. - Concurrent work requires going from floor to floor. - Able to determine principal diagnosis, secondary, DRG, CPT, Modifier assignment.

United States
Job Closed