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Job Description: Professional Coder Professional Coder Location: Hartford County, CT Salary: $40-$60 per hour Experience: 3.0 year(s) Job Type: Temporary / Consulting Job ID: U1006926       About the Opportunity A healthcare facility in Connecticut is currently seeking a new Professional Coder for a promising position with their growing staff. This is a great opportunity for a highly organized and detail oriented Professional Coder to gain valuable work experience and further their career with an established facility in Hartford County. Apply today! Company Description Healthcare Facility Job Description The Professional Coder will be responsible for: Abstracting diagnosis and service Supporting the coding and charging capture needs of the hospital Monitoring unbilled surgical / procedural services Required Skills 3+ years of Coding experience (Certification is required within one year of hire) Associate's Degree or equivalent training Certification within 1 year of hire, including: American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA; and/or, American Academy of Professional Coders (AAPC): CPC-H Computer savvy Solid time management and problem solving skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Successful completion of a Coding Certificate program with AHIMA approval status

Job Description: Coder II 80 hours per two week pay period. Under general supervision and according to established policies and procedures, assigns diagnostic, procedural & E&M codes to patient medical record. Codes charts under the ICDCM, PCS and HCPCS Systems related to patient's visit in order provide statistical, payment and DRG assignments. Abstracts required data into hospital abstracting system and assigns codes and charges based on documentation. Responsible for accurate charge capture and coding to support timely billing and hospital reimbursement. Coder must work in a self-directed team environment to keep revenue cycle performance current. Minimum Education Equivalent to an Associate's degree in medical information technology (with college level courses in anatomy, physiology, medical terminology, ICDCM coding, and prospective payment) required. College level course in Anatomy & Physiology required. Evidence of successful complete of basic coding coursework (i.e. Stafford, AHIMA, AAPC etc.) Minimum Work Experience 3+ Years' experience as Coder required. Required Licenses/Certifications CCS or CCS-P required. Required Skills, Knowledge, and Abilities Excellent oral and written communications. Demonstrate strong knowledge of basic computer skills.

Job Description: Medical Coder / Biller Medical Coder / Biller Location: Fairfield County, CT Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1014824       About the Opportunity A widely recognized hospital located in Fairfield County, CT is actively seeking a driven and analytical professional for a promising opportunity on their staff as a Medical Coder / Biller. In this role, the Medical Coder / Biller will ensure all assigned tasks are completed in a timely and efficient manner. Apply today! Company Description Hospital Job Description The Medical Coder / Biller will be responsible for: Coding and abstracting patient charts Communicating with physicians and other personnel when needed Detecting and monitoring discrepancies Contacting manager for resolution Maintain knowledge of ICD 10 updates and changes in the industry Required Skills 1+ year of recent experience in Medical Coding Knowledge of ICD 10 Strong medical skills and knowledge Basic math skills Ability to multitask Excellent communication skills Proficiency with computer platforms and applications Desired Skills Associate's Degree CPC

Job Description: Medical Coder Medical Coder Location: Boston, MA Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1011446       About the Opportunity A recognized insurance company located in the Greater Boston Area is actively seeking a self-motivated and dynamic individual for a promising opportunity on their staff as a Medical Coder. Working in the Stop Loss Claims Department, the Medical Coder processes all assigned claims within a specified timeline. Apply today! Company Description Insurance Company Job Description The Medical Coder: Works independently in the GWEW and MECA claims systems Reviews all reports, spreadsheets, and bills associated with a Medical Stop Loss claim Files for the claims department Supports administrative functions Performs other tasks as necessary Completes other tasks as necessary Required Skills Strong attention to detail Good verbal and written communication skills Highly organized Team-oriented Ability to multitask Proficiency with computer platforms and applications

Job Description: Medical Coder Medical Coder Location: New York, NY Salary:  Experience: 1.0 year(s) Job Type: Temporary to Full-Time Job ID: U1010933       About the Opportunity A highly reputable healthcare company based in Manhattan is looking for a qualified and experienced individual to join their staff as a Medical Coder! In this role, the Medical Coder performs ongoing critical assessment of coding CPT and diagnosis assignment on all types of specialties to include assessment for accuracy and compliance with Coding Guidelines. Apply today! Company Description Healthcare Company Job Description The Medical Coder will: Abstract pertinent information from patient records and assign ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT, and/or HCPCS codes Review claims, ensure accurate charge capture and review medical necessity for all Follow guidelines for coding and documentation to ensure physicians and hospital compliance Remain current with coding information to ensure accuracy of codes assigned based on documentation Guide, support, and sponsor concurrent clinical coding Provides clinical interpretation of physician documentation Acts as a liaison between the clinical and coding functions Serve as a resource for coding functions in the Medical Claims Review Unit to ensure proper level of coding and payment of medical claims Evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate CPT assignment   Required Skills 1 year of experience ICD-10 experience mandatory Understanding of ICD-9 codes and how they will translate to the new ICD-10 code set Strong knowledge of GEM mapping Proficiency in assigning accurate medical codes for diagnoses, procedures and services performed in the outpatient setting Proficiency across a wide range of services, which include evaluation and management, anesthesia, surgical services, radiology, pathology and medicine HCS-D certification or agreement to complete within 6 months

Job Description: Capital Health is the region's leader in advanced medicine with significant investments in advanced technologies and the area's most experienced physicians. Comprising its two hospitals (Capital Health Regional Medical Center in Trenton and Capital Health Medical Center - Hopewell), an outpatient facility in Hamilton Township, and various primary and specialty care practices across the region, Capital Health is a growing healthcare organization that is accredited by The Joint Commission and received Magnet® status three times in recognition of its quality patient care, innovations in professional nursing practice, and nursing excellence. Responsibilities: Provides expertise in development and maintenance of rules, policies and procedures to ensure organizational compliance with industry standard coding rules and guidelines. Verifies accurate assignment of diagnoses and procedures within the medical record to comply with federal and state regulations. Acts as the primary department expert on APCs and DRGs while consistently monitoring regulatory updates and their implementation, including OCE, NCD and LCD edits. Conducts regular audits and reviews of medical records at a senior level, and assists with external and internal reviews for coding accuracy. Reviews claim denials and rejections pertaining to coding and medical necessity issues, and exercises discretion and judgment when recommending corrective action plans, such as educational programs, to prevent similar denials and rejections from occurring in the future. Assists in implementation of policy and procedural changes within the department regarding coding and quality issues required by third-party payers and according to recommendations by coding consultants and agencies. Develops and coordinates educational and training programs on coding and documentation for department staff, physicians, billing staff and ancillary departments. Provides management with various statistical reports, data and audit information on health information management compliance issues, internal and external quality assurance results and activities, performance improvement activities and other statistical information as required or requested. Adapts to changing department demands required for higher department efficiency.   Requirements: Associate's degree or acceptable certification or graduation from an accredited school of nursing. CCS or CPC-H certification required. Two years coding experience in healthcare setting. Experience with 3M encoder and HBOC computer system. Ability to manage multiple projects simultaneously, and ability to respond quickly in a fast-paced environment. We offer: Competitive salaries Tuition reimbursement Low employee expense for medical and dental insurance 403(b) Savings and Retirement Program Easy commute from PA and major NJ routes. Find out why our 3000+ employees have chosen Capital Health. For more information and to apply online, please visit http://www.capital.attnhr.com/jobs/128990/ Equal opportunity employer.   Apply Here: http://www.Click2Apply.net/fmn9n8xsr4   PI96630595

Job Description: Medical Coder Medical Coder Location: Queens, NY Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1006962       About the Opportunity A recognized healthcare facility located in New York City is actively seeking a self-motivated and diligent Medical Coder for a rewarding opportunity on their staff. In this role, the Medical Coder will maintain a working knowledge of CPT and ICD 9CM coding principles, governmental regulations, protocols and third party requirements regarding coding and billing documentation. This is an excellent opportunity for a Coder to advance their career with a recognized facility in Queens. Company Description Healthcare Facility Job Description The Medical Coder will: Code charge tickets for all surgical and non-surgical departments Review and correct coded outpatient tickets Code electronic chart documentation for medical wards and consultation services Perform other duties as required Required Skills Associate's Degree CPC or CCS-P certification Polished and professional demeanor Strong medical skills and knowledge Patient-oriented Ability to multitask Excellent communication skills Strong interpersonal skills Compassionate and empathetic

Job Description: Inpatient Coder Inpatient Coder Location: Bridgeport, CT Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U995867       About the Opportunity A premier healthcare organization in Bridgeport is looking for a Inpatient Coder to join their growing team. This is an immediate, full-time opportunity for the right candidate to continue to their career with one of the fastest growing medical centers in Connecticut. Company Description Healthcare Organization Job Description The Inpatient Coder will be responsible for: Reviewing all patient files for accuracy Coding all necessary information into the computer system so that the records will indicate all relevant data, such as: the reason that the patient was admitted; type of illness; and, breakdown of the treatment that was prescribed and received Other duties as needed Required Skills 1+ year of Inpatient Coding experience Certified Coding Specialist (CCS) credentials Computer savvy Data entry experience Solid analytical and research experience Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized

Job Description: Inpatient Coder Inpatient Coder Location: Bridgeport, CT Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U994934       About the Opportunity A premier healthcare organization in Bridgeport, Connecticut is currently seeking an experienced Inpatient Coder to join their growing team. This is an immediate, full-time (Monday through Friday) opportunity where the right candidate will be able to continue to their career with one of the fastest growing medical facilities in Connecticut. Company Description Healthcare Organization Job Description The Inpatient Coder will be responsible for reviewing all patient files for accuracy and coding all the necessary information into the computer system so that the records will indicate all relevant data, such as: the reason that the patient was admitted; type of illness; and, breakdown of the treatment that was prescribed and received. Required Skills 2+ years of Inpatient Coding experience Certified Coding Specialist (CCS) Computer savvy Solid analytical and research skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively $

Job Description: Inpatient Certified Medical Coder Inpatient Certified Medical Coder Location: New York, NY Salary:  Experience: 2. year(s) Job Type: Temporary / Consulting Job ID: U1014134       About the Opportunity The Health Information Management Department of a recognized medical facility in New York City is currently seeking a new Inpatient Certified Medical Coder for a promising position with their growing staff. This is a great opportunity for a diligent and dedicated Inpatient Certified Medical Coder to gain valuable work experience and further their career at an established facility in Manhattan. Apply today! Company Description Medical Facility Job Description The Inpatient Certified Medical Coder will be responsible for medical coding and researching coding related issues in an acute care setting. Required Skills 2+ years of Coding experience in a Hospital setting High School Diploma / GED RHIT / RHIA, CCS, AHIMA or CCP certification Knowledge of Coding guidelines, Payor guidelines, Federal Billing guidelines Knowledge of Anatomy, Physiology & Disease processes Knowledge of ICD-10 Knowledge of Medical terminology Knowledgeable of 3M database Microsoft Office/Suite proficient (Excel, Word, etc.) Solid analytical skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized

Job Description: Coder, Health Information Management, CCS / Bachelor's (Coding, Records) Nemours is seeking a Coder to join our Nemours Children's Hospital team in Orlando, Florida. As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own. Located in Orlando, Florida, Nemours Children’s Hospital is the newest addition to the Nemours integrated health care system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids and outpatient pediatric clinics, including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in health care innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region. Responsible for the facility coding and abstracting of all emergency department and hospital outpatient accounts according to established ICD-9-CM and CPT coding guidelines. The assigned codes are utilized for third-party reimbursement for services rendered at the Nemours Children's Hospital to maintain a clinical database to provide reports and to submit data to the Agency for Health Care Administration (i.e., State of Florida mandatory reporting). Ability to read and comprehend the medical record to help identify all diagnoses, operations and procedures relevant to the current period. Select, assign and sequence the appropriate ICD-10 Diagnosis and PCS and CPT codes to patients’ current period of care according to established sequencing guidelines for optimal reimbursement for the emergency department and inpatients. Abstract records in an accurate manner according to established procedures and guidelines (i.e., attending physician, consults, dates of procedure, surgeon, point of origin, admission source and birth weight). Contact the appropriate health care provider if there is inadequate information on which to base code assignment, or clarify inconsistent, doubtful or non-specific information in a medical record by querying the responsible physician. Coding knowledge of infusion hierarchy with knowledge of medications. Coding knowledge of modifier application based on HIM principles to include order validation, modifier validation and communication with revenue areas for validation of charges. Enter pending claims in the Abstracting Activity of Epic for reporting and follow-up. Validate that each outpatient encounter has a provider order for the service prior to coding. Use the Abstracting Activity function in Epic to track missing orders. Code outpatient/emergency department encounters of 125 daily; code 75 recurring rehabilitation encounters daily with a 95% accuracy rate. Code 2.5 inpatients per hour. Accuracy minimum is 95% accuracy within 12 months. Demonstrate and incorporate a working knowledge of the Epic for retrieval of clinical data for coding purposes, including comprehension of filing schema, Media tab and Office visit overlay for ordering. Participate in continuous improvement training and working towards an “error-free” environment. Understand and comply with Correct Coding Initiative edits for hospital/facility outpatient encounters. Have good working knowledge of medical necessity rules, local coverage determination policies and any other payer-specific guidelines. Requirements High school diploma with post-specialized training required. Certified Coding Specialist (CCS) certification or Bachelor's degree in HIM required. Minimum of one (1) to three (3) years' inpatient/outpatient coding experience preferred. Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings. Don’t miss out on important health care news and updates from Nemours – connect with us on… Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, Neonatal, Registered Health Information Administrator, Registered Health Information Technician, Technologist, RHIA, RHIT, Tech, Certified Medication Technician, Clerical, Coding, Coder, Medical Billing, EMR, Electronic Medical Record, Certified Coding Specialist, CCS, CCS-P, Certified Procedural Coder, CPC, AAPC, American Academy of Professional Coders

Job Description: Medical Biller / Coder Medical Biller / Coder Location: Fairfield, CT Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1016461       About the Opportunity An acute care facility in Connecticut is actively seeking a new Medical Biller / Coder for a promising position with their growing staff. This is a great opportunity for a diligent and highly motivated Medical Biller / Coder to gain valuable work experience and further their career at a recognized facility in Fairfield County. Apply today! Company Description Acute Care Facility Job Description The Medical Biller / Coder will be responsible for: Coding and abstracting patient charts Detecting and monitoring discrepancies and contacting manager for resolution Staying up to date on ICD 10 and changing in the industry Communicating with Physicians and other personnel, when needed Required Skills 1+ year of experience in Medical Coding High School Diploma / GED Working knowledge of ICD10 Computer savvy Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Associate's Degree in a related field Certified Professional Coder (CPC) Previous Billing experience

Job Description: Medical Biller / Coder Medical Biller / Coder Location: Westchester County, NY Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1001613       About the Opportunity A recognized medical facility is looking for a qualified and experienced Medical Coder / Biller to join their Healthcare team. In this role, the Medical Biller / Coder will be responsible for reviewing patient medical records and assigning codes to diagnoses and procedures performed so the facility can bill insurance and other third-party payers (such as Medicare or Medicaid) as well as the patient. Company Description Medical Facility Job Description The Medical Biller / Coder will be responsible for: Reviewing medical procedures as documented by doctors Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities Transmitting coded patient treatment information to payers and other recipients Coordinating insurance reimbursement of care providers Handling patient billing Required Skills 1+ year of previous Coding experience Previous experience in a Medical Office setting Familiar and proficient with ICD-10 coding Computer savvy Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Spine Coder / Surgery Appeals Specialist Spine Coder / Surgery Appeals Specialist Location: Lake Success, NY Salary: $40,000-$80,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J134141       About the Opportunity A medical facility on Long Island is currently seeking a new Spine Coder / Surgery Appeals Specialist for a promising opportunity with their staff. This is a great position for an experienced Spine Coder / Surgery Appeals Specialist to further their career at a recognized facility in Nassau County. Company Description Medical Facility Job Description The Spine Coder / Surgery Appeals Specialist will be responsible for reviewing, coding, editing, billing, and appealing operative reports and surgical claims. Required Skills 2+ years of Coding experience Bachelor's Degree in a related filed Previous Spine Coding experience Experience with Appeals, Claims, Clinical Documentation, and Reimbursement Solid time management and problem solving skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized

Job Description: Billing & Coding Manager, Health System, CPC Req, FT (Coder, Accounting) Nemours is seeking a Billing and Coding Manager - Full Time to join our team in Jacksonville, Florida. As one of the nation’s leading pediatric healthcare systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own. At Nemours, each Associate plays a vital role in supporting the delivery of world-class pediatric care to the children we serve. The team based at our home office in Jacksonville, Florida, provides essential administrative, financial and technical support to Nemours operations across all locations. Manage and coordinate the daily workflows and operations related to billing and coding for physician services provided in North and Central Florida. The Billing and Coding Manager will work with the CBO billing teams, management and clinical operations to develop consistent processes to ensure billing and coding is accurate, timely and compliant, according to the guidelines set forth by Nemours Coding Compliance and Coding Integrity, CMS and all other regulatory entities. The Billing and Coding Manager must be a Certified Professional Coder with an extensive knowledge of CPT, ICD-10 and HCPCS Level II coding guidelines, as well a strong knowledge of surgical and E/M coding. Supervise and manage all billing, coding and charge review functions related to physician billing. Hire, counsel and recommend disciplinary action as necessary. Audit all staff monthly, ensuring that associate billing accuracy exceeds 95%. Evaluate charges entered for transmission to the claim for accuracy and completeness. Ensure that all standard billing practices and guidelines are followed. Responsible for creation and maintenance of billing policies and procedures that are clear and succinct in accordance with corporate and government billing and coding guidelines. Create payer-specific guidelines resource for billing staff. Work with Reimbursement, Denial Analyst and NHI to create charge review work queue rules to assist in clean claim submission and mitigate denials from the payors. Work closely with Billing and Coding Teams to provide immediate feedback and education on coding and billing rules and guidelines as trends are identified. Assist Billing and Coding Team and Supervisors with tracking and escalating trends through the appropriate huddle process. Work closely with managed care department and other leaders within the revenue cycle regarding denial management and charge capture opportunities. Research all billing inquiries from providers, coworkers and administrative staff. Assist customers with all billing questions that arise in a prompt, professional manner. Requirements Bachelor's degree preferred. Minimum of five (5) years experience required. Management experience in physician billing required. Certified Professional Coder (CPC) required. Must have the ability to work well with others. Good communication skills are required. Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings. Don’t miss out on important health care news and updates from Nemours – connect with us on… Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, Neonatal, AP, AR, Accounts Payable, Accounts Receivable, Collection, Collections, Accounting, Finance, Accountant, Financial, Billing, Payment, Bill, Insurance, A/R, A/P, GAAP, Generally Accepted Accounting Principles, Coding, Coder, Medical Billing, EMR, Electronic Medical Record, Certified Coding Specialist, CCS, CCS-P, Certified Procedural Coder, CPC, Lead, Leader, Manager, Manage, Supervisor, Supervisory, Coordinator, Coordinate

Job Description: HEDIS Abstractor (RHIA / Coder) HEDIS Abstractor (RHIA / Coder) Location: Iselin, NJ Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1014179       About the Opportunity A healthcare company in New Jersey is looking to fill an immediate need with the addition of a new HEDIS Abstractor (RHIA / Coder) to their growing staff. In this role, the HEDIS Abstractor (RHIA / Coder) will be responsible for determining appropriate codes for medical services and procedures to ensure accurate adjudication of claims as well as working with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. Apply today! Company Description Healthcare Company Job Description The HEDIS Abstractor (RHIA / Coder) will be responsible for: Reviewing operative notes and various forms and medical records to identify proper coding of claims Providing training and guidance to service operations staff to ensure accurate claims adjudication and explanation of benefits Reviewing denied claims and advises service staff regarding appeals Maintaining current knowledge of coding and keeps current with medical compliance and reimbursement policies impacting claims payment Required Skills 1+ year of related work experience High School Diploma / GED Certified Professional Coder (CPC) with designation from an accredited source such as American Health Information Management Association, American Academy of Professional Coders, or Practice Management Institute Understanding of codes for services based on diagnosis and procedure Working knowledge of Medical Records Microsoft Office/Suite proficient (Excel, Outlook, Word, etc.) Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Associate's and/or Bachelor's Degree in a related field Prior HEDIS experience RHIA certification

Job Description: Coder, Health Information Management, 8am-5pm, Mon-Fri (Days, RHIT, RHIA, CCS) Nemours is seeking a Coder (HIM), Full Time, Monday-Friday, 8 a.m. to 5 p.m., to join our Nemours Children's Hospital team in Orlando, Florida. As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own. Located in Orlando, Florida, Nemours Children’s Hospital is the newest addition to the Nemours integrated health care system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids and outpatient pediatric clinics, including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in health care innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region. Responsible for the facility coding and abstracting of all emergency department and hospital outpatient accounts according to established ICD-9-CM and CPT coding guidelines. The assigned codes are utilized for third-party reimbursement for services rendered at the Nemours Children's Hospital to maintain a clinical database to provide reports and to submit data to the Agency for Health Care Administration (i.e., State of Florida mandatory reporting). Ability to read and comprehend the medical record to help identify all diagnoses, operations and procedures relevant to the current period. Select, assign and sequence the appropriate ICD-10 diagnosis and PCS and CPT codes to patients’ current period of care according to established sequencing guidelines for optimal reimbursement for the emergency department and inpatients. Abstract records in an accurate manner according to established procedures and guidelines. (i.e., attending physician, consults, dates of procedures, surgeon, point of origin, admission source and birth weight). Contact the appropriate health care provider if there is inadequate information on which to base code assignment, or clarify inconsistent, doubtful or non-specific information in a medical record by querying the responsible physician. Enter Pending claims in the Abstracting Activity of Epic for reporting and follow-up. Validate that each outpatient encounter has a provider order for the service prior to coding. Use the Abstracting activity function in Epic to track missing orders. Code outpatient/emergency department encounters of 125 daily; code 75 recurring rehabilitation encounters daily with a 95% accuracy rate. Code 2.5 inpatients per hour.  Demonstrate and incorporate a working knowledge of Epic for retrieval of clinical data for coding purposes, including comprehension of filing schema, Media tab and Office visit overlay for ordering. Participate in continuous improvement training and working towards an “error-free” environment. Understand and comply with Correct Coding Initiative edits for hospital/facility outpatient encounters. Have good working knowledge of medical necessity rules, local coverage determination policies and any other payer-specific guidelines. Requirements Associate's degree required. Certified Coding Associate (CCA) minimum with intent to secure CCS within 12 months/RHIT or RHIA. Minimum of one (1) to three (3) years' inpatient/outpatient coding experience required. Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings. Don’t miss out on important health care news and updates from Nemours – connect with us on… Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, Neonatal, Registered Health Information Administrator, Registered Health Information Technician, Technologist, RHIA, RHIT, Tech, Certified Medication Technician, Clerical, Coding, Coder, Medical Billing, EMR, Electronic Medical Record, Certified Coding Specialist, CCS, CCS-P, Certified Procedural Coder, CPC, AAPC, American Academy of Professional Coders

Job Description: Coding Manager, Health Information Management, Days (CCS, RHIT, RHIA, Quantim) Nemours is seeking a Coding Manager to join our Health Information Management team in Wilmington, Delaware.   As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own. As the birthplace of the Nemours health care system, the Nemours/Alfred I. duPont Hospital for Children in Wilmington, Delaware, honors our legacy of delivering exceptional care to the children of the Delaware Valley and beyond. Ranked among the nation’s best pediatric hospitals by U.S. News & World Report and honored with the ANCC’s Magnet® Designation for excellence in nursing practice, we offer intensive and acute inpatient and outpatient services covering more than 30 pediatric specialties. In October, we will complete a multi-phase hospital expansion that will include new inpatient rooms, Pediatric Intensive Care Unit and Emergency Department. Additionally, Nemours duPont Pediatrics allows us to reach more children across the region through community-based physician services and collaborative partnerships with health and hospital systems. Coordinates the daily workflow and reporting activities for inpatient coders, ensuring that quality and productivity standards are consistently achieved. Function as the primary communication point between the Coding unit and the Clinical Documentation Improvement (CDI) manager, to ensure collaboration of both functional areas. The determinant of success is to achieve accurate documentation of the severity and complexity of the patients served by the Nemours Healthcare System, to enable accurate coding of that clinical information to be used for quality measures and reimbursement. Assures compliance with all regulatory bodies, including Joint Commission (TJC), and Center for Medicare and Medicaid Services (CMS). Assures the timely, efficient, and accurate transfer of required data into the billing system on a daily basis. Monitor and oversight of coding applications to assure alignment with the EMR and compliance with Federal and State regulations.   Main Responsibilities:  Oversees job performance, attendance and quality issues of the hospital coding staff. Interviews, hires and trains new staff. Completes evaluations as per Departmental and Corporate Policy. Selects, assigns, and sequences the appropriate ICD10-CM/PCS and CPT codes to patients’ current encounter of care according to established sequencing guidelines for optimal reimbursement and generation of the appropriate DRG and/or AP/APR/DRG. Abstract inpatient records in an accurate manner according to established procedures and guidelines. Develops, coordinates, implements, and provides training on new coding programs. Performs quality review on all hospital coders, providing feedback and education on areas identified as opportunities of improvement. Contacts the appropriate health care provider when there is inadequate information on which to base code assignment; or clarify inconsistent, doubtful or non-specific information in a medical record by querying the responsible provider. Provides the healthcare providers feedback and education on clinical documentation practices as identified through the review process. Participates in departmental and hospital programs for Quality Assessment and Improvement and working with department management to improve the services provided. Takes on other responsibilities as assigned by the Director of the HIM department. Additional Requirements: Presents professional appearance at all times, including adhering to the dress code and maintaining a neat work environment. (core competency/serve) Is punctual and present as stipulated by appropriate Attendance Policy. (core competency/serve) Possesses strong customer service skills. (core competency/serve customer focus) Breaks down barriers and develops influential relationships with and across teams (core competency/excel teamwork) Builds partnership with peers. Develops relationship within and across teams. (Teamwork excel) Communicates courteously, professionally and effectively (core competency /communication excel) Communicates in open, candid, clear, complete and consistent manner (core comp/communication/excel Takes on extra work when necessary to ensure the team meets or exceeds it goals (core competency/excel teamwork) Pays attention to all aspects of the job to achieve/support high quality standards set for by HIM. (core competency/honor/quality) Ensures all details of a task are accomplished meeting productivity standards set forth by HIM. (core competency/excel/initiative) Education and Training: Bachelor's Degree. RHIT/RHIA Certification with CCS certification required. Minimum 3 - 5 years job related experience. Quantim Encoder. Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours is committed to focusing on the best-qualified applicants for our openings.   Don’t miss out on important health care news and updates from Nemours – connect with us on… Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, NeonatalCareer, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, Neonatal, Registered Health Information Administrator, Registered Health Information Technician, Technologist, RHIA, RHIT, Tech, Certified Medication Technician, Clerical, Coding, Coder, Medical Billing, EMR, Electronic Medical Record, Certified Coding Specialist, CCS, CCS-P, Certified Procedural Coder, CPC, AAPC, American Academy of Professional Coders, Quantim, Coding Manager

Job Description: Clinical Documentation Specialist (Full Time) Monday - Friday, 7:00 AM - 3:30 PM or 8:00 AM - 4:30 PM • Bachelor’s degree and RHIA certification preferred. • Certified Clinical Documentation Specialist or Certified Documentation Improvement Practitioner. • CCS , CPC , RHIT credentials , RN or LPN. • Minimum of Associates Degree in Health Information Management and RHIT credentials, and/or CPC, CCS, LPN, RN along with classes in anatomy and physiology, pathophysiology and medical terminology. Extensive knowledge of ICD-9 coding, DRG system, documentation requirements for reimbursement. Ability to communicate effectively and tactfully with all levels of healthcare professionals. Presentation and instructional skills. Attention to detail. Anatomy and physiology, pathophysiology and medical terminology. The CDI facilitates and obtains appropriate and complete physician documentation within the medical record for any clinical conditions and treatment to support the appropriate severity of illness of the patient. The CDI exhibits a sufficient knowledge of clinical documentation, DRG requirements, and clinical conditions or procedures. Educates member of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing and case management.

Job Description: Coding Specialist Associate Coding Specialist Associate Location: Tarrytown, NY Salary: $20-$21 per hour Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1011084       About the Opportunity An established healthcare facility located in Tarrytown, NY is actively seeking a dedicated and analytical professional for a promising opportunity on their staff as a Coding Specialist Associate. In this role, the Coding Specialist Associate will work closely with independent auditors and external exam teams to provide necessary support and materials necessary to test compliance programs and activities. Company Description Healthcare Facility Job Description The Coding Specialist Associate will: Assist in the oversight of compliance program and activities Assist with establishing compliance policies Monitor, and as necessary, coordinate compliance activities, to remain abreast of the status of all compliance activities and to identify trends Audit documentation to ensure it supports complete, accurate and compliant billing with both CMS and payer requirements Provide reports on all findings upon completion audits Assist in the development of site and provider specific training, as well as corrective action plans based on audit results Track and trend audit results Review monthly list of refunds provided by Compliance Team to verify that a refund has been appropriately processed Work closely with the Regulatory Associates to manage outside auditors Required Skills CPC-A certifications Experience with and exposure to compliance matters Specific knowledge of the regulations and guidelines as they relate to documentation and coding Superior verbal, written, organizational and interpersonal skills Competency with Microsoft Office (Excel, Word and PowerPoint) Solid ability to organize and prioritize workload to manage multiple tasks and meet deadlines Desired Skills Experience with revenue management or background from the healthcare industry 2+ years of coding experience CPC, CCS, CCS-P, CPMA, CEMC or CENTC certification Compliance certifications (CHC, CPCO) and/or Bachelor's Degree

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The healthcare industry has seen a boom in coding jobs over the past few years, and this increase is expected to continue. According to the Bureau of Labor Statistics, there will be a 21% uptick in coder positions between 2010 and 2020. The field of health information management is evolving and more detail-oriented professionals are needed every day as things continue to change.

This trend has a lot to do with the fact that electronic health records are being implemented at facilities all across the country. Coding jobs are essential to making sure healthcare providers stay up to date with the latest technology as patient information goes digital.

Coding jobs are also a key factor in keeping up with the increase in the number of services being offered by healthcare facilities. Many hospitals, outpatient clinics and physician offices have access to more tests and treatment options, which adds to the workload of the HIM team as they process reimbursement claims.

There are plenty of coding jobs listed here on the ADVANCE job board. All you need to do is sort them by location to find the open positions in your area.