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. It is expected the Intern will be able to 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 181501

Role Description The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. - Responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. - Responsible for understanding and applying coding knowledge to resolve billing edits related to coding. - Uses Carle electronic medical record systems to review clinical encounters. Qualifications - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) - Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC) - Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) Requirements - Knowledge of ICD-10-CM, CPT, and HCPC coding rules and guidelines for code application. - Ability to work with others collaboratively and communicate efficiently, both orally and in writing. - Knowledge of medical science, anatomy and physiology required. - Ability to perform computer data entry. - Experience with encoders or other coding software packages preferred. Responsibilities - Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. - Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. - Develops methodology to provide a coding process that is compliant with regulatory agencies. - Facilitates optimization of revenue while maintaining compliance standards for the organization. - Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, and all other necessary coding systems. - Serves as liaison for coding and billing staff to ensure accurate charge capture. - Reports any documentation and coding improvement needs based upon review findings. - Responsible for maintaining coding certification, knowledge, and skills to successfully perform job duties. - Performs provider and peer coding audits as requested. - Assists with monitoring of internal controls for coding and billing. - Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel. Benefits - The compensation range for this position is $23.58 per hour - $39.38 per hour. - Actual compensation offered will depend on various factors including experience, qualifications, location, training, licenses, shifts worked, and compensation model. - Carle Health offers a comprehensive benefits package for team members and providers.

• Responsible for supervising the work of staff who review, interpret, code and abstract medical records information according to standard classification systems. • Performs the most advanced medical records coding and abstraction duties. • Performs data quality reviews and prepares complex reports as required. • Promotes Coding Audit department goals by selecting, motivating, and training capable team members. • Leads the activities of assigned Coding Audit team members by communicating and providing guidance toward achieving department objectives. • Assists in analyzing common operational definition of metrics and assists in the development of regional reports to monitor individual hospitals in one database and develops processes to integrate clinical department managers in correction and resubmission of medical records. • Assists with the development of tools to track performance including daily reports that track coding operations contribution to the DNFB, including progress toward the resolution of holds; applies data-driven methodologies to understand the current state of coding operations relating to individual hospitals. • Compiles data into reports to identify trends and patterns in procedures; provides regional and local metric information for organization communications. • Evaluates and implements systems, mechanisms, and procedures that ensure timely placement of documents in the patient medical record. • Measures adherence of system(s) developed, handle delays and errors; ensures adherence to high-quality Medical Records standards. • Assists the leadership in development of performance goals, dashboards and medical record chart assembly / delivery procedures; utilizes and reviews tools to track and monitor the prompt resolution of holds and non-coded accounts. • Collaborates with site leadership to prioritize, schedule, assign, and monitor work to optimize operational services; maintains compliance with the policies, procedures and regulations of Medical Records; informs and educates staff of regulatory changes, as needed. • Communicates case write-offs with senior leadership and Business Offices; supervises, hires, trains, disciplines, and evaluates the performance of staff; ensures performance appraisals are completed in a timely manner. • Prioritizes, schedules, assigns and monitors work to optimize operational services; participates in developing and delivering training related to operations. • Performs other related duties as assigned.

Role Description We are seeking an eager, detail-oriented Medical Biller and Coder to join our Revenue Cycle Team at Circle Medical Technologies. This position is eligible for hiring remote U.S. and in the following States; Florida, Texas, or Arizona. - Review patient claims for accuracy and completeness and proactively obtain any missing payer information for inclusion. - Appeal medical insurance claim denials in a timely manner. - Ensure compliance with procedures and coding guidelines. - Answer patient inquiries related to coverage denials and coding reviews for resubmissions as necessary. - Communicate with clinical leadership and third-party billing company on issues regarding CPT & ICD-10 coding selections. Qualifications - Excellent verbal and written communication skills. - Outstanding organizational skills and attention to detail. - Superior time management skills with a proven ability to meet deadlines. - Knowledge of CPT and ICD-10 codes. - Ability to identify coding trends and areas of risk. - Proficient with Google Workspace, Microsoft Office Suite, or related software. Requirements - Associate degree in business, finance, health administration or a related field preferred. - Required - Certified Professional Coder (CPC). - 5+ years of experience in a primary care clinic setting (preferred). - Mental/behavioral health experience is a plus. Benefits - Paid Time Off: Flexible vacation, sick leave, and 12 statutory holidays. - Health & Insurance: Medical, Dental, Vision, Disability, and Life insurance. - Wellness: Mental health programs and an Employee Assistance Program (EAP). - Retirement: 401(k) program with company match. - Development: Annual reimbursement for eligible training and professional programs.