β Banking and Financial Services β Clear
Banking and Financial Services Jobs in Findlay Ohio
7 positions found
F
Financial Tips Evaluator (Remote)
π’ Finance Buzz
$29 per hour - monthly
We are looking for remote participants to review financial advice related to budgeting, saving money, and improving spending habits.
In this role you will explore different strategies people use to manage their finances and identify which ideas are the most helpful in real life.
Tasks include reviewing simple financial tips, evaluating money-saving strategies, and providing feedback on budgeting approaches.
The role is remote and open to anyone with an interest in personal finance or household budgeting.
Remote working/work at home options are available for this role.
B
Respiratory Care Professional - 40 hrs/wk, 2nd shift
Salary not disclosed
**UP TO $10,000 SIGN ON BONUS, restrictions apply
** PURPOSE OF THIS POSITION Perform therapeutic, diagnostic and monitoring procedures in the clinical respiratory care setting.
Participates in patient and family teaching.
JOB DUTIES/RESPONSIBILITIES Duty 1: RCP administers medications and performs duties per policies and procedures while maintaining a high level of service and quality.
Is able to multi-task work in a timely manner and adjusts to busy or stressful situations easily.
Duty 2: RCP trained in the following will institute and assist with emergency measures such as Code Blue.
Proficiency in infant, pediatric and adult ventilator support including CPAP and BiPAP to provide qualified emergency care to patients.
Duty 3: RCP will assess and document patient respiratory status which includes reviewing all orders written by provider, reporting any problems to other members of the health care team and follow with proper documentation and goal setting to provide timely and accurate reporting.
Coordinates with other departments to enhance productivity and customer satisfaction.
Duty 4: RCP will ensure that the use of all equipment and supplies are maintained to provide the economical and safe use thereof.
Duty 5: RCP provides education to staff, patients and family members to have clear communication between Pulmonary Services and other BVHS associates and customers Duty 6: RCP participates in the departmental process of: improvement projects, revising policies / procedures and equipment needs, then assists in implementing the change for the efficient delivery of care.
Duty 7: Follows department line of management, as well as demonstrates good problem solving skills, and seeks guidance as needed.
Demonstrates knowledge to improvise when situations are not normal.
Strives to educate self, regarding new equipment, procedures and protocols.
REQUIRED QUALIFICATIONS Graduate of an approved school for respiratory care.
Licensed as a Respiratory Care Professional by the State of Ohio.
RRT credentialed by the NBRC, no exception for those graduating in 2015 or beyond.
Successfully completes ACLS, BCLS, PALS and NRP within 3 months of hire.
Positive service-oriented interpersonal and communication skills required.
Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department.
The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status.
Must be able to interpret the appropriate information needed to identify each patientβs requirements relative to their age-specific needs and to provide the care needed as described in the areaβs policies and procedures.
PREFERRED QUALIFICATIONS Experience performing EKGβs PHYSICAL DEMANDS This position requires a full range of body motion with intermittent activities in walking, sitting, lifting, bending, squatting, climbing, kneeling, twisting and standing.
The associate must be able to lift 50 pounds or more.
This position requires excellent eye-hand coordination, grasping, pushing, pulling and fine finger manipulation.
The individual must be able to reach work above the shoulder.
The associate must have corrected vision, hearing in the normal range and excellent verbal communication skills.
This position is classified βat riskβ for possible occupational exposure to blood borne pathogens (HBV, HIV, etc.)
B
Respiratory Care Professional (FT or PRN)
π’ Blanchard Valley Hospital
Salary not disclosed
**$10,000 SIGN ON BONUS, restrictions apply
** PURPOSE OF THIS POSITION Perform therapeutic, diagnostic and monitoring procedures in the clinical respiratory care setting.
Participates in patient and family teaching.
JOB DUTIES/RESPONSIBILITIES Duty 1: RCP administers medications and performs duties per policies and procedures while maintaining a high level of service and quality.
Is able to multi-task work in a timely manner and adjusts to busy or stressful situations easily.
Duty 2: RCP trained in the following will institute and assist with emergency measures such as Code Blue.
Proficiency in infant, pediatric and adult ventilator support including CPAP and BiPAP to provide qualified emergency care to patients.
Duty 3: RCP will assess and document patient respiratory status which includes reviewing all orders written by provider, reporting any problems to other members of the health care team and follow with proper documentation and goal setting to provide timely and accurate reporting.
Coordinates with other departments to enhance productivity and customer satisfaction.
Duty 4: RCP will ensure that the use of all equipment and supplies are maintained to provide the economical and safe use thereof.
Duty 5: RCP provides education to staff, patients and family members to have clear communication between Pulmonary Services and other BVHS associates and customers Duty 6: RCP participates in the departmental process of: improvement projects, revising policies / procedures and equipment needs, then assists in implementing the change for the efficient delivery of care.
Duty 7: Follows department line of management, as well as demonstrates good problem solving skills, and seeks guidance as needed.
Demonstrates knowledge to improvise when situations are not normal.
Strives to educate self, regarding new equipment, procedures and protocols.
REQUIRED QUALIFICATIONS Graduate of an approved school for respiratory care.
Licensed as a Respiratory Care Professional by the State of Ohio.
RRT credentialed by the NBRC, no exception for those graduating in 2015 or beyond.
Successfully completes ACLS, BCLS, PALS and NRP within 3 months of hire.
Positive service-oriented interpersonal and communication skills required.
Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department.
The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status.
Must be able to interpret the appropriate information needed to identify each patientβs requirements relative to their age-specific needs and to provide the care needed as described in the areaβs policies and procedures.
PREFERRED QUALIFICATIONS Experience performing EKGβs PHYSICAL DEMANDS This position requires a full range of body motion with intermittent activities in walking, sitting, lifting, bending, squatting, climbing, kneeling, twisting and standing.
The associate must be able to lift 50 pounds or more.
This position requires excellent eye-hand coordination, grasping, pushing, pulling and fine finger manipulation.
The individual must be able to reach work above the shoulder.
The associate must have corrected vision, hearing in the normal range and excellent verbal communication skills.
This position is classified βat riskβ for possible occupational exposure to blood borne pathogens (HBV, HIV, etc.)
B
Respiratory Care Professional (PRN)
π’ Blanchard Valley Hospital
Salary not disclosed
PURPOSE OF THIS POSITION Perform therapeutic, diagnostic and monitoring procedures in the clinical respiratory care setting.
Participates in patient and family teaching.
JOB DUTIES/RESPONSIBILITIES Duty 1: RCP administers medications and performs duties per policies and procedures while maintaining a high level of service and quality.
Is able to multi-task work in a timely manner and adjusts to busy or stressful situations easily.
Duty 2: RCP trained in the following will institute and assist with emergency measures such as Code Blue.
Proficiency in infant, pediatric and adult ventilator support including CPAP and BiPAP to provide qualified emergency care to patients.
Duty 3: RCP will assess and document patient respiratory status which includes reviewing all orders written by provider, reporting any problems to other members of the health care team and follow with proper documentation and goal setting to provide timely and accurate reporting.
Coordinates with other departments to enhance productivity and customer satisfaction.
Duty 4: RCP will ensure that the use of all equipment and supplies are maintained to provide the economical and safe use thereof.
Duty 5: RCP provides education to staff, patients and family members to have clear communication between Pulmonary Services and other BVHS associates and customers Duty 6: RCP participates in the departmental process of: improvement projects, revising policies / procedures and equipment needs, then assists in implementing the change for the efficient delivery of care.
Duty 7: Follows department line of management, as well as demonstrates good problem solving skills, and seeks guidance as needed.
Demonstrates knowledge to improvise when situations are not normal.
Strives to educate self, regarding new equipment, procedures and protocols.
REQUIRED QUALIFICATIONS Graduate of an approved school for respiratory care.
Licensed as a Respiratory Care Professional by the State of Ohio.
RRT credentialed by the NBRC, no exception for those graduating in 2015 or beyond.
Successfully completes ACLS, BCLS, PALS and NRP within 3 months of hire.
Positive service-oriented interpersonal and communication skills required.
Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department.
The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status.
Must be able to interpret the appropriate information needed to identify each patientβs requirements relative to their age-specific needs and to provide the care needed as described in the areaβs policies and procedures.
PREFERRED QUALIFICATIONS Experience performing EKGβs PHYSICAL DEMANDS This position requires a full range of body motion with intermittent activities in walking, sitting, lifting, bending, squatting, climbing, kneeling, twisting and standing.
The associate must be able to lift 50 pounds or more.
This position requires excellent eye-hand coordination, grasping, pushing, pulling and fine finger manipulation.
The individual must be able to reach work above the shoulder.
The associate must have corrected vision, hearing in the normal range and excellent verbal communication skills.
This position is classified βat riskβ for possible occupational exposure to blood borne pathogens (HBV, HIV, etc.)
Participates in patient and family teaching.
JOB DUTIES/RESPONSIBILITIES Duty 1: RCP administers medications and performs duties per policies and procedures while maintaining a high level of service and quality.
Is able to multi-task work in a timely manner and adjusts to busy or stressful situations easily.
Duty 2: RCP trained in the following will institute and assist with emergency measures such as Code Blue.
Proficiency in infant, pediatric and adult ventilator support including CPAP and BiPAP to provide qualified emergency care to patients.
Duty 3: RCP will assess and document patient respiratory status which includes reviewing all orders written by provider, reporting any problems to other members of the health care team and follow with proper documentation and goal setting to provide timely and accurate reporting.
Coordinates with other departments to enhance productivity and customer satisfaction.
Duty 4: RCP will ensure that the use of all equipment and supplies are maintained to provide the economical and safe use thereof.
Duty 5: RCP provides education to staff, patients and family members to have clear communication between Pulmonary Services and other BVHS associates and customers Duty 6: RCP participates in the departmental process of: improvement projects, revising policies / procedures and equipment needs, then assists in implementing the change for the efficient delivery of care.
Duty 7: Follows department line of management, as well as demonstrates good problem solving skills, and seeks guidance as needed.
Demonstrates knowledge to improvise when situations are not normal.
Strives to educate self, regarding new equipment, procedures and protocols.
REQUIRED QUALIFICATIONS Graduate of an approved school for respiratory care.
Licensed as a Respiratory Care Professional by the State of Ohio.
RRT credentialed by the NBRC, no exception for those graduating in 2015 or beyond.
Successfully completes ACLS, BCLS, PALS and NRP within 3 months of hire.
Positive service-oriented interpersonal and communication skills required.
Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department.
The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status.
Must be able to interpret the appropriate information needed to identify each patientβs requirements relative to their age-specific needs and to provide the care needed as described in the areaβs policies and procedures.
PREFERRED QUALIFICATIONS Experience performing EKGβs PHYSICAL DEMANDS This position requires a full range of body motion with intermittent activities in walking, sitting, lifting, bending, squatting, climbing, kneeling, twisting and standing.
The associate must be able to lift 50 pounds or more.
This position requires excellent eye-hand coordination, grasping, pushing, pulling and fine finger manipulation.
The individual must be able to reach work above the shoulder.
The associate must have corrected vision, hearing in the normal range and excellent verbal communication skills.
This position is classified βat riskβ for possible occupational exposure to blood borne pathogens (HBV, HIV, etc.)
B
Respiratory Care Professional - 36 hr/wk, 3rd shift
π’ Blanchard Valley Hospital
Salary not disclosed
**UP TO $10,000 SIGN ON BONUS, restrictions apply
** PURPOSE OF THIS POSITION Perform therapeutic, diagnostic and monitoring procedures in the clinical respiratory care setting.
Participates in patient and family teaching.
JOB DUTIES/RESPONSIBILITIES Duty 1: RCP administers medications and performs duties per policies and procedures while maintaining a high level of service and quality.
Is able to multi-task work in a timely manner and adjusts to busy or stressful situations easily.
Duty 2: RCP trained in the following will institute and assist with emergency measures such as Code Blue.
Proficiency in infant, pediatric and adult ventilator support including CPAP and BiPAP to provide qualified emergency care to patients.
Duty 3: RCP will assess and document patient respiratory status which includes reviewing all orders written by provider, reporting any problems to other members of the health care team and follow with proper documentation and goal setting to provide timely and accurate reporting.
Coordinates with other departments to enhance productivity and customer satisfaction.
Duty 4: RCP will ensure that the use of all equipment and supplies are maintained to provide the economical and safe use thereof.
Duty 5: RCP provides education to staff, patients and family members to have clear communication between Pulmonary Services and other BVHS associates and customers Duty 6: RCP participates in the departmental process of: improvement projects, revising policies / procedures and equipment needs, then assists in implementing the change for the efficient delivery of care.
Duty 7: Follows department line of management, as well as demonstrates good problem solving skills, and seeks guidance as needed.
Demonstrates knowledge to improvise when situations are not normal.
Strives to educate self, regarding new equipment, procedures and protocols.
REQUIRED QUALIFICATIONS Graduate of an approved school for respiratory care.
Licensed as a Respiratory Care Professional by the State of Ohio.
RRT credentialed by the NBRC, no exception for those graduating in 2015 or beyond.
Successfully completes ACLS, BCLS, PALS and NRP within 3 months of hire.
Positive service-oriented interpersonal and communication skills required.
Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department.
The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status.
Must be able to interpret the appropriate information needed to identify each patientβs requirements relative to their age-specific needs and to provide the care needed as described in the areaβs policies and procedures.
PREFERRED QUALIFICATIONS Experience performing EKGβs PHYSICAL DEMANDS This position requires a full range of body motion with intermittent activities in walking, sitting, lifting, bending, squatting, climbing, kneeling, twisting and standing.
The associate must be able to lift 50 pounds or more.
This position requires excellent eye-hand coordination, grasping, pushing, pulling and fine finger manipulation.
The individual must be able to reach work above the shoulder.
The associate must have corrected vision, hearing in the normal range and excellent verbal communication skills.
This position is classified βat riskβ for possible occupational exposure to blood borne pathogens (HBV, HIV, etc.)
B
HIS - Professional Coding Integrity Supervisor (FT Salaried)
π’ Blanchard Valley Hospital
Salary not disclosed
PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Supervisor is to maintain the daily operations of the Professional Coding Integrity Specialists (PCIS), provide education to providers, offices, and other departments to ensure accurate, compliant and optimal professional charge capture which is supported by clinical documentation.
Coordinate with the Professional Coding Integrity Auditor/Educator to research coding questions from offices, departments, and providers.
Supports the PCIS job functions as necessary.
Provides general coding support as well as education and training for new and existing BVHS providers.
JOB DUTIES/RESPONSIBILITIES Duty 1: Provide direct oversight of the PCIS team and related functions with the primary objective to support the integrity of the professional charge processes by ensuring capture of all revenue opportunities and compliance with applicable regulatory standards.
Effectively communicate and solicit input from team and other impacted areas to promote a collaborative and innovative team environment, translates BVHS Mission, Vision, and Values into front-line action.
Maintains effective connectivity and collaboration between all members of the team, including onsite and remote associates.
Duty 2: Perform supervisory administrative support functions including but not limited to: assist in the recruiting and hiring process, training and education of associates in conjunction with the professional coding integrity auditor/educator when needed, coordinate staff schedules, payroll, completion of associate performance evaluations, recognition and reward, disciplinary follow up as appropriate, monitor adherence to established quality and productivity standards and department metrics, support associate, departmental and organizational goals, assist in the development and monitor completion of competencies and organizational mandatory requirements, etc.
Duty 3: Identify clinical documentation opportunities and provide routine feedback and education to medical staff providers to support compliant, accurate and optimal charge capture.
Provide education in a meaningful and organized approach which is supported by examples, research, potential revenue impact, and/or tools to support the provider.
Communicate with electronic health record (EHR) Trainers, Superuser or Analyst to explore potential options to improve quality and ease of provider documentation.
Duty 4: Remain current on regulatory guidelines related to CPT and ICD-10 coding updates.
Serve as primary resource for providers and the revenue integrity team for guidance relative to professional-related coding issues and/or clinical documentation practices.
Provide research as necessary and collaborate with various team members or other departments to provide accurate and credible guidance.
Duty5: Review of quarterly internal quality audits of the PCIS team, in coordination with the auditor/educator; assist in building education plans, feedback and documented education to the PCIS regarding the results and areas of opportunity for improvement.
Duty 6: Work with the Compliance Department, in coordination with the Professional Coding Integrity Manager to assist in response to investigational or potential compliance risks.
Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether coding related or other, and prepare feedback for improvement opportunities for the appropriate audience.
Work in conjunction with auditor/educator as well as CCRS to review pre-bill edits & tracking sheets and collaborate on opportunities for education and training when available.
Duty 8: Monitor PCIS work queues and reassign encounters as needed to maintain a manageable level of encounters for each PCIS or contract coder as needed.
Coordinate with additional resources, as necessary, such as Revenue Integrity Auditors and/or Coding Integrity Team, when available, to assist with the review and release of encounters.
Organize cross-training with educator/auditor to develop depth of skills within the team.
Duty 9: Demonstrate superior knowledge of federal, state and third-party charging guidelines of clinical areas supported by the Professional Coding Integrity team to ensure optimal, accurate and compliant charging.
Understand changes to applicable coding and billing regulations, including annual IPPS/OPPS revisions, by resourcing credible references (i.e.
CMS website, Craneware, Codify, publications, professional contacts, reliable internet sources, seminars, etc.).
Collaborate with clinical areas, Revenue Integrity Team, Coding Integrity Team and/or other impacted areas to support implementation of changes.
Duty 10: Participates in system testing as a result of upgrades, changes, enhancements, new application implementations, etc.
that may impact Professional Coding Integrity processes.
Duty 11: Regularly attends and actively participates in in-services, organizational and department meetings and continuing education programs as offered in order to remain current with organizational and industry changes and best practice.
Communicate and disseminate information to other departments as applicable.
REQUIRED QUALIFICATIONS An Associateβs Degree in a related field including, but not limited to, Health Information Management or 2+ yearsβ experience from which comparable knowledge and abilities have been acquired.
Coding certification (CPC or CCS-P) required or obtained with 9 months of hire date CDEO (Certified Documentation Expert Outpatient) certification required or achieved within 9 months or CPMA (Certified Professional Medical Auditor) certification required or achieved within 9 months.
Knowledge of medical terminology, anatomy and physiology required.
Knowledge of CPT/HCPCS coding systems, appropriate use of applying modifiers, CPT Assistant, LCD/NCD and ICD-10 diagnosis coding concepts required, and up-to-date guidelines.
Training, research, and education skills required; Ability to present data/information in an organized and meaningful way; must be comfortable with public speaking as well as education/training of both small & large groups Ability to research, review and interpret Federal, State and Local billing regulations required.
Familiarity with utilization of computers and commonly used applications, including Microsoft Office Suite, (Windows, PowerPoint, Excel, Word, Outlook), electronic health record, internet required.
Ability to track and monitor data to identify trends pertaining to charge issues Excellent organizational, time management and problem-solving skills required; detail oriented and follow through.
Positive service-oriented interpersonal and communication (written and verbal) skills required.
A valid driver's license is required (if you do not have a valid Ohio driverβs license you must obtain one within 30 days of your residency in the state).
You must also meet BVHS's company fleet policy and insurance company requirements, and any other requirements that may be required to operate a vehicle.
Must be willing to work a hybrid schedule and attend on-site meetings as needed PREFERRED QUALIFICATIONS Specialty specific certification(s) Knowledge of regulatory compliance and reimbursement methodologies Encoder experience PHYSICAL DEMANDS This position requires a full range of body motion with intermittent activities in walking, lifting, bending, squatting, climbing, kneeling, and twisting.
The associate will be required to sit for five hours a day.
The individual must be able to lift ten to twenty pounds and reach work above the shoulders.
This position requires corrected vision and hearing in the normal range.
The individual must have excellent eye-hand coordination and verbal communication skills to perform daily tasks.
Coordinate with the Professional Coding Integrity Auditor/Educator to research coding questions from offices, departments, and providers.
Supports the PCIS job functions as necessary.
Provides general coding support as well as education and training for new and existing BVHS providers.
JOB DUTIES/RESPONSIBILITIES Duty 1: Provide direct oversight of the PCIS team and related functions with the primary objective to support the integrity of the professional charge processes by ensuring capture of all revenue opportunities and compliance with applicable regulatory standards.
Effectively communicate and solicit input from team and other impacted areas to promote a collaborative and innovative team environment, translates BVHS Mission, Vision, and Values into front-line action.
Maintains effective connectivity and collaboration between all members of the team, including onsite and remote associates.
Duty 2: Perform supervisory administrative support functions including but not limited to: assist in the recruiting and hiring process, training and education of associates in conjunction with the professional coding integrity auditor/educator when needed, coordinate staff schedules, payroll, completion of associate performance evaluations, recognition and reward, disciplinary follow up as appropriate, monitor adherence to established quality and productivity standards and department metrics, support associate, departmental and organizational goals, assist in the development and monitor completion of competencies and organizational mandatory requirements, etc.
Duty 3: Identify clinical documentation opportunities and provide routine feedback and education to medical staff providers to support compliant, accurate and optimal charge capture.
Provide education in a meaningful and organized approach which is supported by examples, research, potential revenue impact, and/or tools to support the provider.
Communicate with electronic health record (EHR) Trainers, Superuser or Analyst to explore potential options to improve quality and ease of provider documentation.
Duty 4: Remain current on regulatory guidelines related to CPT and ICD-10 coding updates.
Serve as primary resource for providers and the revenue integrity team for guidance relative to professional-related coding issues and/or clinical documentation practices.
Provide research as necessary and collaborate with various team members or other departments to provide accurate and credible guidance.
Duty5: Review of quarterly internal quality audits of the PCIS team, in coordination with the auditor/educator; assist in building education plans, feedback and documented education to the PCIS regarding the results and areas of opportunity for improvement.
Duty 6: Work with the Compliance Department, in coordination with the Professional Coding Integrity Manager to assist in response to investigational or potential compliance risks.
Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether coding related or other, and prepare feedback for improvement opportunities for the appropriate audience.
Work in conjunction with auditor/educator as well as CCRS to review pre-bill edits & tracking sheets and collaborate on opportunities for education and training when available.
Duty 8: Monitor PCIS work queues and reassign encounters as needed to maintain a manageable level of encounters for each PCIS or contract coder as needed.
Coordinate with additional resources, as necessary, such as Revenue Integrity Auditors and/or Coding Integrity Team, when available, to assist with the review and release of encounters.
Organize cross-training with educator/auditor to develop depth of skills within the team.
Duty 9: Demonstrate superior knowledge of federal, state and third-party charging guidelines of clinical areas supported by the Professional Coding Integrity team to ensure optimal, accurate and compliant charging.
Understand changes to applicable coding and billing regulations, including annual IPPS/OPPS revisions, by resourcing credible references (i.e.
CMS website, Craneware, Codify, publications, professional contacts, reliable internet sources, seminars, etc.).
Collaborate with clinical areas, Revenue Integrity Team, Coding Integrity Team and/or other impacted areas to support implementation of changes.
Duty 10: Participates in system testing as a result of upgrades, changes, enhancements, new application implementations, etc.
that may impact Professional Coding Integrity processes.
Duty 11: Regularly attends and actively participates in in-services, organizational and department meetings and continuing education programs as offered in order to remain current with organizational and industry changes and best practice.
Communicate and disseminate information to other departments as applicable.
REQUIRED QUALIFICATIONS An Associateβs Degree in a related field including, but not limited to, Health Information Management or 2+ yearsβ experience from which comparable knowledge and abilities have been acquired.
Coding certification (CPC or CCS-P) required or obtained with 9 months of hire date CDEO (Certified Documentation Expert Outpatient) certification required or achieved within 9 months or CPMA (Certified Professional Medical Auditor) certification required or achieved within 9 months.
Knowledge of medical terminology, anatomy and physiology required.
Knowledge of CPT/HCPCS coding systems, appropriate use of applying modifiers, CPT Assistant, LCD/NCD and ICD-10 diagnosis coding concepts required, and up-to-date guidelines.
Training, research, and education skills required; Ability to present data/information in an organized and meaningful way; must be comfortable with public speaking as well as education/training of both small & large groups Ability to research, review and interpret Federal, State and Local billing regulations required.
Familiarity with utilization of computers and commonly used applications, including Microsoft Office Suite, (Windows, PowerPoint, Excel, Word, Outlook), electronic health record, internet required.
Ability to track and monitor data to identify trends pertaining to charge issues Excellent organizational, time management and problem-solving skills required; detail oriented and follow through.
Positive service-oriented interpersonal and communication (written and verbal) skills required.
A valid driver's license is required (if you do not have a valid Ohio driverβs license you must obtain one within 30 days of your residency in the state).
You must also meet BVHS's company fleet policy and insurance company requirements, and any other requirements that may be required to operate a vehicle.
Must be willing to work a hybrid schedule and attend on-site meetings as needed PREFERRED QUALIFICATIONS Specialty specific certification(s) Knowledge of regulatory compliance and reimbursement methodologies Encoder experience PHYSICAL DEMANDS This position requires a full range of body motion with intermittent activities in walking, lifting, bending, squatting, climbing, kneeling, and twisting.
The associate will be required to sit for five hours a day.
The individual must be able to lift ten to twenty pounds and reach work above the shoulders.
This position requires corrected vision and hearing in the normal range.
The individual must have excellent eye-hand coordination and verbal communication skills to perform daily tasks.
B
HIS - Professional Coding Integrity Specialist - 40 hrs/wk, 1st shift
π’ Blanchard Valley Hospital
Salary not disclosed
PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate, including review of clinical documentation to ensure charge is supported and/or to determine specific charge/modifier assignments, for designated clinical areas.
JOB DUTIES/RESPONSIBILITIES Duty 1: Review, enter and/or modify charge on encounters to ensure accurate and compliant and optimal charge capture in a time-sensitive manner for designated clinical service lines.
Review clinical documentation to ensure charge is appropriately supported and/or to determine the assignment of the accurate charge, modifier, E&M levels, etc.
Assign ICD-10 diagnosis codes as appropriate.
Work βexceptionβ accounts (e.g.
canceled accounts, combined, unique modifier or charge rules requiring review, etc.) through review of clinical documentation and/or collaboration with appropriate resources, as needed, to resolve.
Duty 2: Support resolution of claim-scrubber edits (Quadax) resulting from charges entered by the Revenue Integrity Validation team; collaborate with clinical areas, coding, PFS, etc.
to support resolution of edits; trend, identify opportunities, and collaborate with RI Educator and/or Claims Resolution Specialist to avoid/reduce future edits.
Support Condition 44 notifications (inpatient to observation status) process by properly modifying charges and calculating hours etc.
Duty 3: Track and quantify revenue impact to organization as a result of charge corrections made, including impacts from modifications to processes.
Duty 4: Identify opportunities related to clinical documentation and/or other system enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor, Revenue Integrity Educator, clinical area, and other areas to support resolution of issues.
Duty 5.
Demonstrate proficient knowledge of federal, state and third party charging guidelines of clinical areas supported by the Revenue Integrity Validation team to ensure optimal, accurate and compliant charging.
Understand changes to applicable coding and billing regulations, including annual IPPS/OPPS revisions, by resourcing credible references (i.e.
CMS website, Craneware, publications, professional contacts, reliable internet sources, seminars, etc.).
Collaborate with clinical areas, Revenue Integrity Team, Coding Integrity Team and/or other impacted areas to support implementation of changes.
Duty 6: Participates in system testing as a result of upgrades, changes, enhancements, new application implementations, etc.
that may impact Revenue Integrity Validation processes.
Duty 7: Regularly attends and actively participates in in-services, organizational and department meetings and continuing education programs as offered in order to remain current with organizational and industry changes and best practice.
Communicate and disseminate information to other departments as applicable.
REQUIRED QUALIFICATIONS An Associateβs degree in a related field including, but not limited to, health information, business or related clinical profession preferred or 1-2 yearsβ experience from which comparable knowledge and abilities have been acquired.
Coding certification (CCA or CPC) required or obtained with 9 months of hire date Knowledge of medical terminology and anatomy and physiology required.
Knowledge of CPT/HCPCS/APC coding systems, appropriate use of applying modifiers, CPT Assistant, LCD/NCD and ICD-10 required.
Ability to research, review and interpret Federal, State and Local billing regulations required.
Familiarity with utilization of computers and commonly used applications, including Microsoft Office Suite, (Windows, Excel, Word, Outlook), electronic health record, internet required.
Ability to track and monitor data to identify trends pertaining to charge issues.
Excellent organizational, time management and problem-solving skills required; detail oriented and follow through.
Positive service-oriented interpersonal and communication (written and verbal) skills required.
PREFERRED QUALIFICATIONS Other certifications applicable to primary clinical service line supported preferred.
Knowledge of regulatory compliance and reimbursement methodologies preferred.
Encoder experience preferred Training and education skills preferred.
PHYSICAL DEMANDS This position requires a full range of body motion with intermittent activities in walking, lifting, bending, squatting, climbing, kneeling, and twisting.
The associate will be required to sit for five hours a day.
The individual must be able to lift ten to twenty pounds and reach work above the shoulders.
This position requires corrected vision and hearing in the normal range.
The individual must have excellent eye-hand coordination and verbal communication skills to perform daily tasks.
JOB DUTIES/RESPONSIBILITIES Duty 1: Review, enter and/or modify charge on encounters to ensure accurate and compliant and optimal charge capture in a time-sensitive manner for designated clinical service lines.
Review clinical documentation to ensure charge is appropriately supported and/or to determine the assignment of the accurate charge, modifier, E&M levels, etc.
Assign ICD-10 diagnosis codes as appropriate.
Work βexceptionβ accounts (e.g.
canceled accounts, combined, unique modifier or charge rules requiring review, etc.) through review of clinical documentation and/or collaboration with appropriate resources, as needed, to resolve.
Duty 2: Support resolution of claim-scrubber edits (Quadax) resulting from charges entered by the Revenue Integrity Validation team; collaborate with clinical areas, coding, PFS, etc.
to support resolution of edits; trend, identify opportunities, and collaborate with RI Educator and/or Claims Resolution Specialist to avoid/reduce future edits.
Support Condition 44 notifications (inpatient to observation status) process by properly modifying charges and calculating hours etc.
Duty 3: Track and quantify revenue impact to organization as a result of charge corrections made, including impacts from modifications to processes.
Duty 4: Identify opportunities related to clinical documentation and/or other system enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor, Revenue Integrity Educator, clinical area, and other areas to support resolution of issues.
Duty 5.
Demonstrate proficient knowledge of federal, state and third party charging guidelines of clinical areas supported by the Revenue Integrity Validation team to ensure optimal, accurate and compliant charging.
Understand changes to applicable coding and billing regulations, including annual IPPS/OPPS revisions, by resourcing credible references (i.e.
CMS website, Craneware, publications, professional contacts, reliable internet sources, seminars, etc.).
Collaborate with clinical areas, Revenue Integrity Team, Coding Integrity Team and/or other impacted areas to support implementation of changes.
Duty 6: Participates in system testing as a result of upgrades, changes, enhancements, new application implementations, etc.
that may impact Revenue Integrity Validation processes.
Duty 7: Regularly attends and actively participates in in-services, organizational and department meetings and continuing education programs as offered in order to remain current with organizational and industry changes and best practice.
Communicate and disseminate information to other departments as applicable.
REQUIRED QUALIFICATIONS An Associateβs degree in a related field including, but not limited to, health information, business or related clinical profession preferred or 1-2 yearsβ experience from which comparable knowledge and abilities have been acquired.
Coding certification (CCA or CPC) required or obtained with 9 months of hire date Knowledge of medical terminology and anatomy and physiology required.
Knowledge of CPT/HCPCS/APC coding systems, appropriate use of applying modifiers, CPT Assistant, LCD/NCD and ICD-10 required.
Ability to research, review and interpret Federal, State and Local billing regulations required.
Familiarity with utilization of computers and commonly used applications, including Microsoft Office Suite, (Windows, Excel, Word, Outlook), electronic health record, internet required.
Ability to track and monitor data to identify trends pertaining to charge issues.
Excellent organizational, time management and problem-solving skills required; detail oriented and follow through.
Positive service-oriented interpersonal and communication (written and verbal) skills required.
PREFERRED QUALIFICATIONS Other certifications applicable to primary clinical service line supported preferred.
Knowledge of regulatory compliance and reimbursement methodologies preferred.
Encoder experience preferred Training and education skills preferred.
PHYSICAL DEMANDS This position requires a full range of body motion with intermittent activities in walking, lifting, bending, squatting, climbing, kneeling, and twisting.
The associate will be required to sit for five hours a day.
The individual must be able to lift ten to twenty pounds and reach work above the shoulders.
This position requires corrected vision and hearing in the normal range.
The individual must have excellent eye-hand coordination and verbal communication skills to perform daily tasks.