This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval, analysis, reimbursement and research. - Codes and enters diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder, as appropriate. - Meets quality and productivity coding standards. - Demonstrates the ability to navigate an EMR. - Ability to code across all facilities. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: - Alabama - Arizona - Arkansas - Colorado - Florida - Georgia - Idaho - Indiana - Iowa - Kansas - Kentucky - Louisiana - Missouri - Mississippi - Nebraska - New Mexico - North Carolina - Ohio - Oklahoma - South Carolina - South Dakota - Tennessee - Texas - Utah - Virginia - West Virginia - Wyoming Requirements - High School Diploma/GED Required - Associates Degree Preferred - Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC), required or must be certified within One Year of hire. - A minimum of 4 years coding experience preferably in an inpatient acute care setting or a minimum of 2 years' experience and successful completion of the organization's internal coding program. - Must demonstrate competency of inpatient coding guidelines and DRG assignment. - Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems. - Experience successfully working in a remote environment, preferred. - Demonstrate intermediate to advanced technical coding competency in ICD-10 CM, CPT-4, HCPCS and Coding Modifiers. - Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e.3M). - Physical Requirements- Medium Work - exert/lift up to 50 lbs. force occasionally, and/or up to 20 lbs. frequently, and/or up to 10 lbs. constantly.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Diana Health is seeking a skilled and detail-oriented Medical Biller / Coder to join our Revenue Cycle team. In this role, you’ll ensure the accurate coding of medical procedures and diagnoses across our diverse range of services including inpatient, outpatient, ambulatory, and specialty care. You’ll play a key role in supporting compliance, optimizing reimbursements, and ensuring all documentation aligns with federal and state regulations. - Review clinical documentation and diagnostic results to ensure accurate CPT and ICD-10 coding. - Validate medical necessity and ensure coding aligns with CMS and payer-specific guidelines. - Process charge captures and review billing system edits to prevent claim denials. - Collaborate with providers and billing teams to clarify documentation or coding inconsistencies. - Identify coding trends, resolve payer denials, and provide recommendations for improvement. - Assist with provider education on documentation and coding compliance. - Maintain production standards and report daily coding productivity and quality metrics. Qualifications - High School Diploma or GED required. - Completion of a formal coding program (AHIMA, CCS, or AAPC preferred). - Minimum of 3 years’ applied coding experience OR 5 years of OB/GYN coding experience in a physician billing or revenue cycle setting; Emphasize on OB/GYN coding! - Proficiency in ICD-10, CPT, medical terminology, anatomy, and health record content. Requirements - Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred. - Non-certified coders with strong experience may be required to obtain certification within an agreed timeframe. - In-depth knowledge of Medicare, Medicaid, and managed care plans (HMO, PPO, POS, Indemnity). - Understanding of HIPAA, Medicare Fraud and Abuse regulations, and EHR/Billing systems. - Strong analytical and organizational skills with attention to detail. - Proficiency in Microsoft Office (Word, Excel, Outlook) and healthcare billing platforms. - Excellent verbal and written communication skills. - Customer-focused approach and ability to work effectively with clinical staff and patients. Benefits - Competitive compensation - Medical, dental & vision plans, with an HSA/FSA option - 401(k) with employer match - Paid time off - Paid parental leave Company Description Diana Health is a network of modern women’s health practices working in partnership with hospitals to reimagine the maternity and women’s healthcare experience. We are restructuring the traditional approach to care to create an experience that is good for patients and good for providers. We do that by combining a tech-enabled, wellness-focused care program that women love with a clinical system that helps us drive continuous quality improvement and ensure work-life balance for our care team. We work with clients across all life stages to empower and support them to live happier, healthier, more fulfilling lives.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Dane Street wants you to join our dynamic team of expert reviewers! In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. This telework opportunity allows you to customize your schedule as a 1099 independent contractor. - Evaluate medical records - Provide clinical summaries - Engage in peer communications - Answer specific questions posed by our clients We are on the lookout for talented professionals in the following area: - Endocrinology - With direct experience prescribing and treating gender dysmorphia patients Be a part of a team that values your skills and dedication to improving patient care. Your expertise is vital to helping us deliver high-quality healthcare assessments. Qualifications - Board Certified in Endocrinology - Current, unrestricted Washington Medical License - 5+ years of clinical practice experience - Attends all required orientation and training - Maintains proper credentialing, state licenses, and any certifications or requirements necessary to perform the job Requirements - Independent consultant role allows for schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct this work based on your scheduled availability - No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions Benefits - Dane Street offers a streamlined case flow and a user-friendly work portal - We facilitate all communication, organize and sort all medical records, support all administrative processes, prep cases extensively, and ensure the quality and timely delivery of all determinations/reports - A chronological listing of medical records as well as all treatment guidelines used to make a determination are provided in an easy, click-to-view format - Dane Street offers initial training as well as an ongoing point of contact should you have any questions about completing reviews

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospitals, clinics and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment, severity of illness and risk of mortality for each medical record. This position is an integral part of an overall compliance program effort as it pertains to hospital/physician coding and billing functions, as such will interact with physician and non-physician providers to maximize correct coding initiatives along with hospital coding. Responsible for analyzing and resolving issues of missing charges and problem accounts by researching information regarding department reimbursement. Responsible for the coding of the more complex patient classes i.e. inpatient, observations, same day care, etc. This position will be able to code a variety of patient classes along with This position will be responsible for Split Claim processes required for Critical Access hospitals. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent.                                                                                                           2. Current HIM or Coding Certification through ONE of the following: - American Health Information Management Association (AHIMA) - American Academy of Professional Coders (AAPC) EXPERIENCE: 1. Two (2) years of medical coding experience. PREFERRED QUALIFICATIONS: EXPERIENCE: 1.Two (2) years of physician office coding experience CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Reviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. Assigns hospital and/or professional codes to a variety of patient classes (i.e. I/P, OBS, SDC, etc.) 2. Performs the coding/billing Split Claims process to ensure correct coding and reimbursement for appropriate accounts. 3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas. 4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals. 5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill. 6. Contacts physicians or any persons necessary to obtain information required to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process. 7. Monitors on an on-going basis provider documentation. Performs audits to assess provider coding accuracy and follows up with provider education as needed. 8. Provides assistance to Revenue Cycle Operations in claim development functions to resolve problem patient accounts. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for long periods of time. 2. Must have visual and hearing acuity within the normal range. 3. Must have manual dexterity needed to operate computer and office equipment. 4. Must be Able to lift, push or pull 10-20 pounds. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. 3. May require travel. SKILLS AND ABILITIES: 1. Must be able to concentrate and maintain accuracy during constant interruptions. 2. Must possess independent decision-making ability. 3. Must possess the ability to prioritize job duties. 4. Must be able to handle high stress situations. 5. Must be able to adapt to changes in the workplace. 6. Must be able to organize and complete assigned tasks. 7. Must possess excellent written and verbal communication skills. 8. Must meet quality and productivity standards. 9. Must possess the knowledge of anatomy, physiology and medical terminology. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 548 SYSTEM HIM Coding Analysis