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Description Job Summary:The Corporate Revenue Cycle team is searching for a Certified Professional Coder (CPC) to join their Coding Team! This role has the same responsibilities as Coder II, but is also responsible for assigning PQRS codes and assisting in the development of templates and processes to obtain the appropriate documentation. The CPC position will work on Same Day Surgery coding. This role is Monday through Friday during business hours. The position will work from home and have remote training. If you are up for the challenge, apply today! Responsibilities: • Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process. • Refer problem accounts to appropriate coding or management personnel for resolution. • Make forward progress within the training period toward meeting coding accuracy standards of the departments... within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. • Provides training on code selection for new and existing staff. • Investigate and resolve reimbursement issues, including denials, in a timely manner per department standards. • Responsible for assigning PQRS codes and assists in the development of templates and processes to obtain the appropriate documentation. • Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding. • Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management. • Be a resource to other coding staff. • Utilize computer applications and resources essential to completing the coding process efficiently. • Adhere to internal and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics. • Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions. • Lead, participate in and/or assist with departmental coding audits. Qualifications • High school graduate or equivalent. • Graduate of an approved certified coding program preferred. • Proficient computer skills with MS excel knowledge preferred. • Three years physician coding experience in the applicable specialty. Licensure, Certifications, and Clearances: • CPC or Certified Coding Specialist (CCS) specialty certification required • Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) UPMC is an Equal Opportunity Employer/Disability/Veteran Employment Type: ["Full-Time","Regular

CNA/HHA - Crown Point, In

Amada Senior Care - Crown Point, IN

5 days ago
At Amada Senior Care, we believe happy Caregivers/CNA's make happy clients, and we reward individuals who are ready to work hard and stay motivated. Every CNA/HHA is absolutely critical to its success. Our promise is to keep delivering the same award winning service and value that our community has come to expect from us through the years. Benefits • Career Growth Opportunities • Industry-Competitive Pay • Continuing Education/Training • Flexible Schedules • Referral Bonuses • Caregiver Bonuses • App based scheduling system Responsibilities • Providing Shower Service for patients throughout Lake and Porter Counties. • Willing to up to 25 miles • Most shifts are M-F between 9a-5p and also opportunities to pick up extra hours on Nights and weekends • Provide personal hygiene assistance for elderly patients or those recovering from surgeries, injuries or accidents by attending to their basic needs, such as showering, bathing, dressing and eating • Take patient vitals and track. Report... back to the office. • Help with mobility around the house. • May Assist with personal care and hygiene, plan and prepare meals and help with physical therapy exercises • Perform housekeeping duties (Clean up after service)and report any unusual incidents • Act quickly and responsibly in cases of emergency • Offer activities that are essential for daily living by assisting patients with their meals, including serving and other tasks, if necessary Qualifications • CNA OR HHA LICENSE REQUIRED • Enjoy working in a one-on-one setting, eager to improve and continuously learn new skills • Ability to lift and/or move up to 50 pounds with physical capability to perform job-related duties • Valid driver’s license and reliable transportation every single day • Validated ability to act in a compassionate and supportive manner • Available to work different shifts, including nights and/or weekends • Prior experience in a healthcare prefered. • Willingness to enforce health and safety standards • Supportive and compassionate • Take pride in providing high quality care We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws
Bicycle Health is a rapidly growing digital health start-up that offers online Medication Based Treatment for patients with Opioid Use Disorder. We offer an evidence-based clinical program focused on medication management, peer support, behavioral health treatment, and care coordination. The Opioid Epidemic is a systemic problem - millions of Americans are physically dependent on Opioids but only 10% of Americans have access to treatment. Bicycle Health is addressing this gap by offering online, affordable, and confidential treatment with the goal of helping patients take back control of their lives. We are seeking a Nurse Practitioner/ Physician Assistant to help us grow in new and existing geographies to help patients start treatment with Bicycle Health. Position Responsibilities: • Manage a panel of up to 275 patients via telehealth technologies by facilitating clinical assessments, treatments and medication management. • Promptly respond to patient questions and concerns in... between appointments. • Partner closely with the care team to make appropriate assessments, treatment plans, and referrals for the patient. • Provide psychosocial interventions (e.g., counseling, skills development) aimed at improving treatment outcomes. • Maintain accurate records on patients treated using our Web-based EMR system. • Participate in case reviews, consultations, and utilization reviews. • Continuously improve Bicycle Health's clinical model, policies and protocols. Requirements : • Active Nurse Practitioner or Physician Assistant license. • Ability and willingness to be licensed in multiple states. • Active DEA certification. • Must have an X Waiver for at least 100 patients. • Strong communication and diagnostic skills. • Familiarity with technology - computers, smartphones, tablets. • Comfort with ambiguity and a drive for process improvement. Benefits: • Competitive compensation and total rewards package (paid time off, health benefits, CME, paid holidays). • Talented, passionate and mission-driven coworkers. • Work from anywhere in your state (subject to change depending on regulations). • Flexible hours. • Malpractice and liability insurance. Powered by JazzHR
Summary of the Role ConcertAI is seeking a Clinical Codification SME with strong clinical data experience to leverage our data network to develop and maintain our dataset. An ideal candidate will have experience in analyzing, standardizing, and codifying healthcare data and improving data quality from electronic medical records. Responsibilities • Identify clinical data elements within several different EMR systems and claims feeds. • Codify clinical data to common ontologies (such as SNOMED-CT, RxNorm, and LOINC). • Develop new clinical ontologies to represent data elements for which no standard yet exists. • Develop new methods of data extraction and mining (such as utilizing NLP to obtain clinical information from text fields). • Work on a day-to-day basis with ConcertAI Data Operations and Software Engineering teams to ensure that our clinical, financial, and operational data is being accurately represented in our platform, data products, and applications. • Formulate validation... strategies and methods to ensure accurate and reliable data. • Maintain and update common clinical ontologies • Train and update software used to automate codification. Requirements • Experience working with Electronic Health Record (EHR) systems. • Experience working with database systems, such as Oracle, as well as database query syntax (SQL). • Knowledge of classification systems and clinical vocabularies and nomenclature, such as ICD-10, CPT, HCPC, LOINC, SNOMED-CT, NDC, and RxNorm. • Knowledge of basic principles of clinical, financial, and operational data. • Degree in Computational Biology, Bioinformatics, Computer Science, Health Information Management (HIM), PharmD, RN, or related field. • Clinical Health Data Analyst (CHDA), Registered Health Information Administrator (RHIA), or equivalent certification strongly preferred. • Strong organizational, interpersonal, and problem solving skills
Position Title:Coding Quality Review/Educator - Work From HomeDepartment:HIM CodersJob Description:Outpatient Coding Quality Review/Educator (Work From Home) General Description Performs internal quality assessment reviews on OUMS coders to ensure compliance with national coding guidelines and the OUMS coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed. Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing... account reviews, and preparing training documents to assist with coding quality action plans. Essential Responsibilities Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. • Responds to coding-related questions from HSC coding staff • Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and outpatient coding across OUMS • Provides Coding Integrity Specialist (CIS) and CQR education as needed • Initiates the rebilling process as required per policy on special projects • Researches coding opportunities and escalate as needed • Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. • Provides and creates education as needed • Monitors QA results to assist Coding Leadership in root cause analysis and educational opportunities • Assists with curriculum development • Assists in ensuring coding staff adherence with coding guidelines and policy • Demonstrates and applies expert level knowledge of medical coding practices and concepts • Participates on special reviews or projects • Maintains or exceeds 95% productivity standards • Maintains or exceeds 95% accuracy • Meets all educational requirements as stated in current Company policy • Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current • Performs an annual education needs assessment as input to the strategic coding education program and provides this assessment to the Coding Leadership team • Communicates Coding topics and/or question trends to Coding Leadership for global education • Coaches and mentors coding staff as they develop and grow their coding skills • Provides skilled coding support through regularly scheduled coding meetings and as the need arises • Researches external sources for common coding trends and questions • Works on special projects as assigned • Applies adult learning concepts when developing, delivering or assisting others for educational programs • Provides high level of customer service • Practices and demonstrates adherence to the Company’s Code of Conduct and ethics philosophy and Company’s Mission and Values • Completes other duties as assigned General Responsibilities • Performs other duties as assigned Minimum Qualifications Education: High School graduate or GED equivalent required, undergraduate (associates or bachelors) degree in HIM/HIT preferred. Experience: Proven work experience in areas of coding education strongly preferred. Minimum of 5 years acute care inpatient/outpatient coding experience required. Minimum of 3 years coding auditing/monitoring experience strongly preferred. Licensure/Certifications/Registrations Required: RHIA, RHIT, CCS, or CPC required Knowledge, Skills And Abilities • Coding Technical/Professional Knowledge and Skills- extensive regulatory coding, (ICD-10-CM, ICD-10- PCS, CPT-4, Modifiers, MS-DRGs, POA assignment and where applicable APR-DRGs and APCs) and associated reimbursement knowledge • Effective Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values • Adaptability to major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures • Initiative - independently takes prompt proactive steps toward problem resolution • Contributing to Team Success by actively participating as a member of the team to move the team toward the completion of goals • Work Standards -setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self- imposing standards of excellence rather than having standards imposed • Communication - communicates clearly and concisely, verbally and in writing. • Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. • Interpersonal Skills - able to work effectively with other employees, patients and external parties. • Data Analysis - able to analyze, interpret and share data in a presentation format. • Knowledge of Healthcare Information - familiar with various types and sources of health care information, including financial and patient level data files. • Work Independently, with experience working in a team environment. • PC Skills - demonstrates proficiency in Microsoft Office applications and others as required. • Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures, systems and query handbook. OU Medicine has a comprehensive benefits package, including PTO, 401(k), medical and dental plans, but our offerings go beyond traditional packages. We know that a total benefits and compensation package, designed to meet your specific needs and goals both inside and outside of the work environment, brings additional rewards that create peace of mind for you and your family. Current OU Medicine Employees - Please click HERE to login. OU Medicine has a comprehensive benefits package, including PTO, 401(k), medical and dental plans, but our offerings go beyond traditional packages. We know that a total benefits and compensation package, designed to meet your specific needs and goals both inside and outside of the work environment, brings additional rewards that create peace of mind for you and your family