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Job Description & Requirements Specialty: Med Surg Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success.
Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role Part time Position Night Shift Benefits Eligible Sign on Bonus Eligible The BJC RN Career Ladder differentiates BJC as the place for nurses to work in the greater St.
Louis area.
This is a tool to empower nurses to work at the top of their license and own their career progression.
The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best
- caring for patients
- while having the opportunity to advance to the next step in their career.
Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description.
Additional Preferred Requirements Overview Barnes-Jewish St.
Peters Hospital proudly serves the health care needs of families in St.
Charles, Lincoln and Warren counties.
The 102-bed community hospital provides comprehensive inpatient and outpatient services including the Siteman Cancer Center at Barnes-Jewish St.
Peters Hospital, the Breast Health and Women's Center, the Cardiology Center, the Neurosurgery Center and the Outpatient Surgery and Endoscopy Center.
Barnes-Jewish St.
Peters Hospital is an Accredited Chest Pain Center and carries a Level II stroke certification.
Additionally, the hospital's medical office building houses offices for specialists in primary care, cardiology, obstetrics, dermatology, surgery and pulmonology.
Barnes-Jewish St.
Peters Hospital also offers outpatient services including physical therapy, a sleep lab, and cardio-pulmonary rehabilitation.
At Barnes-Jewish St.
Peters Hospital, every decision is made in the best interest of patients and families.
The Surgical inpatient unit cares for surgical patients utilizing relationship based care philosophy.
Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care.
Responsibilities Promotes patient and family centered care in a healing environment.
Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration.
Participates in activities that promote patient safety, quality and regulatory compliance.
Participates in professional development.
Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care.
Proactively plans and ensures communication of the plan of care across the continuum of care.
Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care.
Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs.
BJC has determined this is a safety-sensitive position.
The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.
Minimum Requirements Education Nursing Diploma/Associate's
- Nursing Experience No Experience Supervisor Experience No Experience Licenses & Certifications RN Preferred Requirements Education Bachelor's Degree
- Nursing Experience Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance
* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary
*Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position.
It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.
Equal Opportunity Employer BJC HealthCare Job ID 99962.
Posted job title: Med Surg Nurse Part Time About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St.
Louis, southern Illinois and southeast Missouri regions.
With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations.
Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri.
BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit.
That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay.
In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.5c143e31-5e48-4549-b638-05792d185386
Job Description & Requirements Specialty: Nephrology Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success.
Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role Great unit to grow your nursing skills Days or nights available Sign on bonus eligible! Open to new grads The BJC Registerd Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St.
Louis area.
This is a tool to empower nurses to work at the top of their license and own their career progression.
The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best
- caring for patients
- while having the opportunity to advance to the next step in their career.
Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description.
Benefits include but not limited to Medical, Dental, Vision, 401K with Match, Tuition Assistance Additional Preferred Requirements Overview Christian Hospital has been serving St.
Louis and the surrounding metro areas since 1903.
U.S.
News & World Report ranks Christian Hospital No.
5 in St.
Louis for overall clinical excellence and No.
9 in Missouri, which puts us in the top 6% of all hospitals in the state! The U.S.
News adult methodology ranks clinical specialties and rates common care procedures and conditions.
Christian was nationally ranked as "high performing" in the clinical specialty of geriatrics and in the following seven of 21 common procedures and conditions: heart attack, heart failure, kidney failure, diabetes, COPD, pneumonia and stroke.
High performing in a specialty means we were in the top 10% nationally of all evaluated hospitals for that specialty or procedure and condition.
Northwest HealthCare, six miles west of Christian, offers 24- hour emergency care, the Sleep Disorders Center and a variety of outpatient diagnostic and imaging services.
The 8th floor is a 44 bed Renal/Telemetry unit with 24 sem8i-private rooms and 1 private room with an adjacent dialysis suite where dialysis treatments are performed under a contractual agreement.
The dialysis suite can accommodate 6 patients at any given time.
There are 2 negative air-flow rooms on the unit.
Any semi-private room can be made private for isolation purposes or to accommodate patient request.
Patients admitted to the 8th floor are acutely ill with medical problems whose primary reason for admission include but are not limited to Renal Failure, CHF, Pneumonia, COPD, Sepsis, Dehydration, Diabetes Mellitus, MI, Angioplasty, S/P Cardiac Catheterization, Cardiac Arrhythmias, Direct Admits along with Post-op surgical patients.
Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care.
Responsibilities Promotes patient and family centered care in a healing environment.
Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration.
Participates in activities that promote patient safety, quality and regulatory compliance.
Participates in professional development.
Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care.
Proactively plans and ensures communication of the plan of care across the continuum of care.
Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care.
Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs.
BJC has determined this is a safety-sensitive position.
The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.
Minimum Requirements Education Nursing Diploma/Associate's
- Nursing Experience No Experience Supervisor Experience No Experience Licenses & Certifications RN Preferred Requirements Education Bachelor's Degree
- Nursing Experience Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance
* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary.
*Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position.
It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.
Equal Opportunity Employer BJC HealthCare Job ID 106130.
Posted job title: Nephrology
- Nurse About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St.
Louis, southern Illinois and southeast Missouri regions.
With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations.
Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri.
BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit.
That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay.
In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.5c143e31-5e48-4549-b638-05792d185386
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Active - Benefit Eligible and Accrues Time Off
Work Hours per Biweekly Pay Period: 80.00
Shift: Flexible Hours and/or Flexible Schedule
Location: 210 South Florida Avenue Lakeland, FL
Pay Rate: Min $19.37 Mid $24.22
Position Summary
Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes.
Position Responsibilities
People At The Heart Of All That We Do
- Fosters an inclusive and engaged environment through teamwork and collaboration.
- Ensures patients and families have the best possible experiences across the continuum of care.
- Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
- Behaves in a mindful manner focused on self, patient, visitor, and team safety.
- Demonstrates accountability and commitment to quality work.
- Participates actively in process improvement and adoption of standard work.
Stewardship
- Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
- Knows and adheres to organizational and department policies and procedures.
Standard Work Duties: Coder II - Outpatient
- Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding
- Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment.
- Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement.
- Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers.
- Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines.
- Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames.
- Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.
- Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily.
- Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
- Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
Competencies & Skills
Essential:
- Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
- Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.
- Knowledge of anatomy and physiology, pharmacology, and medical terminology.
Qualifications & Experience
Essential:
- High School or Equivalent
Nonessential:
- Associate Degree
Essential:
- High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.
Other information:
Certifications Essential: CCS
Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Experience Essential:
2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Active - Benefit Eligible and Accrues Time Off
Work Hours per Biweekly Pay Period: 80.00
Shift: Flexible Hours and/or Flexible Schedule
Location: 210 South Florida Avenue Lakeland, FL
Pay Rate: Min $24.73 Mid $30.92
Position Summary
Under the direction of the Coding and Clinical Documentation Improvement Manger , reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, physician advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract, Participates in ongoing continued education to assure knowledge and compliance with annual changes.
Position Responsibilities
People At The Heart Of All That We Do
- Fosters an inclusive and engaged environment through teamwork and collaboration.
- Ensures patients and families have the best possible experiences across the continuum of care.
- Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
- Behaves in a mindful manner focused on self, patient, visitor, and team safety.
- Demonstrates accountability and commitment to quality work.
- Participates actively in process improvement and adoption of standard work.
Stewardship
- Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
- Knows and adheres to organizational and department policies and procedures.
Standard Work Duties
- Determines whether the coding assigned was properly assigned based upon clinical indicators and review of the medical documentation and application of coding guidelines.
- Develop and apply appeal arguments to defend the coding and clinical decisions while being able to address and refute the coding determination made by the carrier/payer.
- Drafts appeal letters, including the coding argument with clinical and coding references, to support the coding decision. This may include providing additional medical record documentation.
- Identifies areas for education to improve complete and accurate coding and billing and provide feedback to management regarding trends or patterns noticed in the coding for discussion.
- Continued follow-up on denials as payers may continue to deny. Collaboration with Physician Advisor as required to continue appeal process.
- Continuously reviews changes in coding rules and regulations including in Coding Clinic, CMS, and other payer guidelines.
- Complete denials/appeals reports for leadership.
- Documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.
- Assigns and sequence documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.s diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines.
- Performs special projects and/or other duties as assigned.
Competencies & Skills
Nonessential:
- Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
- Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision
- MS-DRG and APR-DRG methodology expertise required. Strong knowledge of ICD-10-CM, ICD-10-PCS, POAs, HACs, PSIs, SOIs, ROMs and mortality rates as well as physician queries.
Qualifications & Experience
Nonessential:
- Associate Degree
Essential:
- High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.
Other information:
Certifications Essential: CCS
Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Experience Essential: 2-5 years acute care hospital inpatient coding experience within the past five years.
Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, finding value creation opportunities, and driving innovative and sustainable customer experiences through technology. We believe our portfolio of businesses and investments in growth and transformation will result in a company with the scale, brand, capabilities, talent, and values to succeed as the digital revolution transforms our society and our industry.
About the TeamThe team's work encompasses the entire lifecycle of software artifacts, from inception to archival. Work and Code Management systems - Jira serves as the single source of truth for all work items, features, and defects. This planning layer is integrated with GitHub, which manages the source code and version control, to establish a clear, auditable trail from requirement to code.
Capital One Product FrameworkIn this role, you'll be expected to demonstrate proficiency in five key areas which we consider to be the foundation for successful Product management:
Human Centered - Obsesses about internal and external customer needs to reimagine and innovate product solutions
Business Focused - Delivers game-changing outcomes by focusing on leverage and execution excellence
Technology Driven - Leverages technology to deliver innovative and resilient solutions that enable both near term and long term value
Integrated Problem Solving - Identifies and resolves complex problems to deliver outcomes while mitigating product risks
Transformational Leadership - Leads cross functional teams to solve customer problems and drive organizational alignment
At least 3 years of experience working in Product Management
Currently has, or is in the process of obtaining one of the following with an expectation that the required degree will be obtained on or before the scheduled start date:
A Bachelor's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer Engineering, Software Engineering, Mechanical Engineering, Information Systems or a related quantitative field)
A Master's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer Engineering, Software Engineering, Mechanical Engineering, Information Systems or a related quantitative field) or an MBA with a quantitative concentration
Experience translating business strategy and analysis into consumer facing digital products
The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.
McLean, VA: $164,800 - $188,100 for Manager, Product Management
New York, NY: $179,700 - $205,100 for Manager, Product Management
Plano, TX: $149,800 - $171,000 for Manager, Product Management
Richmond, VA: $149,800 - $171,000 for Manager, Product Management
San Francisco, CA: $179,700 - $205,100 for Manager, Product Management
Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate's offer letter.
This role is also eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). Incentives could be discretionary or non discretionary depending on the plan.
Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at the Capital One Careers website. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.
This role is expected to accept applications for a minimum of 5 business days. No agencies please. Capital One is an equal opportunity employer (EOE, including disability/vet) committed to non-discrimination in compliance with applicable federal, state, and local laws. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City's Fair Chance Act; Philadelphia's Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.
If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-8 or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.
For technical support or questions about Capital One's recruiting process, please send an email to .
Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.
Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).
$24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
- Position: Coding Educator
- Location: Skokie, IL
- Full Time
- Hours: Monday-Friday, [hybrid]
What you will do:
- Ongoing growth and development from participation in events such as workshops, in-service programs and departmental meetings.
- Provides care based on physical, psychological, educational and related criteria appropriate to the age and type of the patients/customers served in their area.
- Acts as a coding resource for physicians, charge entry staff, other coders, and clinical staff.
- Participates in continuing education and in-service programs to maintain coding and billing skills.
- Communicates coding changes and updates physicians based on department standards.
- Queries physician and/or staff regarding incomplete or missing documentation.
- Works resolute charge review work queues with the purpose of correcting coding errors, reviewing documentation and applying coding guidelines to ensure the accurate and timely filing of charges.
- Ensure service, procedure and diagnoses codes are accurately reported and linked.
- Assigns CPT, ICD-10 and HCPCS codes based on coding guidelines.
- Queries Physician/Provider when applicable
- Maintains productivity and aging levels based on department standards.
- Identifies trends in coding issues and works with manager to educate and implement solutions.
- Work follow-up work queues with the purpose of reviewing denial codes and remarks and apply coding and billing guidelines for resubmission to obtain final adjudication of claim.
- Use coding resources (NCCI manual, LCD's payor bulletins) to assist with correct resubmission.
- Maintains productivity based on department standards.
- Work account work queues with the purpose of resolving patient disputes by applying coding and billing guidelines.
- Communicates with practice managers and/or physicians if applicable.
- Maintains productivity based on department standards.
- Consistently utilizes coding and billing resources and reference tools.
- Reports identified or potential coding compliance issues to manager and/or Coding Compliance Department in accordance with established policy and procedures.
- Implements findings to improve processes and workflows.
What you will need:
- Education: High School Diploma Required
- Certifications: CCS or CCS-P or CPC or RHIT required
- Experience: 3 years of outpatient coding experience
Benefits:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Coverage
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( ) to better understand how
Endeavor Health delivers on its mission to ?help everyone in our communities be their best?. Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions.
The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely.
Principal duties and responsibilities:
Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers.
Researching state and payer regulations to identify areas of risk in a variety of healthcare settings and specialties, coordinating with various team members to ensure clear expectations are communicated and deadlines are met.
Qualifications:
CPC/CCS-P with a minimum of 5 years of experience in healthcare coding/auditing (E&M, CPT, HCPCS and ICD-10), with knowledge of professional billing, coding, and documentation practices performed by physicians and other qualified healthcare providers in inpatient and outpatient settings.
Proficiency in evaluating how well clinical documentation supports medical necessity and the E/M, CPT, and HCPCS codes that were billed, across a wide range of services. The focus will be in the primary care sector (fee-for-service and risk-based), though experience in specialties such as dermatology, vascular, podiatry, wound care, home health, and personal care is preferred. Behavioral health experience is also a plus.
Proven ability to identify billing and coding issues including use of modifiers, bundling issues, CCI edits, therapeutic and diagnostic procedures, supplies, materials, injections, drugs, and units of service etc.
Solid understanding of both federal and state coding and documentation laws and regulations, applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity. Identify and access risk of repayment or recoupment in the event of payor scrutiny.
Familiarity with both UB-04 and CMS 1500 claims data, as well as understanding of payor remittances.
Knowledge of anatomy, physiology, and medical terminology necessary to appropriately review assignment and documentation of diagnosis codes.
Solid working knowledge of various EHR/EMR systems; experience accessing these remotely.
Strong organizational skills and task management
Highly organized with a high level of attention to detail
Ability to work in a fast paced and rapidly changing environment.
Skilled at multi-tasking with the ability to handle several different priorities simultaneously.
Strong communication skills with experience in articulating audit findings and interpretation of coding regulations
Experience with HIPAA, data privacy, and/or data security processes.
Experience working with regulators governing (public or private) health insurance carriers.
A minimum of AAPC or AHIMA certification required, that could include:
· Certified Professional Coder (CPC)
· Certified Outpatient Coder (COC™)
· Certified Professional Medical Auditor (CPMA)
· Certified Risk Adjustment Coder (CRC™)
· Certified Coding Specialist (CCS)
· Certified Coding Specialist – Physician based (CCS-P)
For consideration, please email resume and cover letter as attachments with salary expectations to with the subject title “Certified Coding Auditor - Behavioral Health.”
Marwood offers a comprehensive compensation package with full benefits. We offer a competitive wage, a collaborative work environment and an opportunity to participate in a full benefit package, including, Medical, Dental, Vision, Life, AD&D, Voluntary Life and LTD, Spouse and Dependent Life, 401k Retirement plan with a company match, Commuter, FSA/DCFSA. We offer paid days off, and paid holidays. Marwood prides itself on providing employees with a good work-life balance. There is no travel expected with this position.
The position is based in our New York location. Currently working a hybrid schedule. Remote option will be considered.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class.
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. This hybrid role requires an individual to be in the office 3 days per week. Relocation assistance is not available for this position.
Identifies and manages existing and emerging risks that stem from business activities and the job role.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.
Follows written risk and compliance policies, standards, and procedures for business activities.
Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (e.g. torn meniscus, broken bones, disc herniations), as well as all auto physical damage associated with those claims.
Identifies, confirms, and makes coverage decisions on moderately complex bodily injury claims.
Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines.
Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.
Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates.
Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
Supports workload surges and/or Catastrophe Operations as needed.
High School or General Equivalency Diploma.
~2 years of auto liability claims adjusting experience.
~ Deep knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations.
~ Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims.
~ Ability to exercise sound financial judgment and discretion in handling insurance claims.
~ Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts.
4 or more years auto liability/casualty adjusting experience.
~1yr Medical experience to include coding and billing or EMT.
~ Ongoing Professional Development with a focus on Insurance.
~ Bachelors degree or higher.
~ US military experience through military service or a military spouse/domestic partner.
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
We are looking for a remote Coding Specialist for an award-winning hospital system! This is a great opportunity to work with a supportive team at a company that cares about its employees! This specialist will assess documentation for each service rendered in the hospital to accurately code principal diagnoses, secondary conditions, procedures, and social determinant codes using American Hospital Association & Current Procedural Terminology guidelines, payer-specific rules for commercial/Medicaid insurance, and drug administration for certain service lines.
Requirements:
- 2 years of recent inpatient hospital coding experience
- Must have 1 certification: RHIA, RHIT, or CCS
Benefits:
- Health, dental, vision, and life insurance
- Paid time off, including vacation and sick time.
- Remote
- Upward mobility!
Who We Are
Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers. Our Comprehensive and Customer-Focused Workforce Solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationally. Pivotal Placement Services is an Equal Opportunity Employer.
Pivotal Placement Services, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
NOVA Engineering is currently seeking afully-certified Commercial Building Code Inspector in Panama City Beach FL. Primary duties will include performing building code inspections and/or plans review (building / structural, mechanical, electrical, and plumbing – as licensed) on residential and commercial buildings, as well as managing specific projects related to these types of code inspections. Some travel may be required for inspections and/or managing projects in the assigned area. The inspector positions are predominately located in the field but may occasionally include office assignments.
Essential Functions:
- Building Code Review and/or Quality Control Inspections on commercial construction projects (Building, Mechanical, Electrical, and Plumbing)
- Prepare written and electronic reports, and issue notices of correction
- Explain and interpret code and/or quality control regulations or requirements
- Recognize, evaluate and properly resolve unique problems or situations
- Maintain effective customer service relationship with clients and the public
- Assist the inspection management team with business development
- Perform other related duties as assigned by the Manager
Qualifications:
- Required state of Florida commercial building inspection license (BN#) in two or more of the following disciplines: Building (Structural), Mechanical, Electrical, and Plumbing.
- 3+ years’ experience performing plan review and/or inspections
Check out our Perks:
In addition to our welcoming company culture and competitive compensation packages, our employees enjoy the below benefits:
- Use of take-home Company Vehicle and gas card for daily travel to work sites
- Comprehensive group medical insurance, including health, dental and vision
- Opportunity for professional growth and advancement
- Certification reimbursement
- Paid time off
- Company–observed paid holidays
- Company paid life insurance for employee, spouse and children
- Company paid short term disability coverage
- Other supplemental benefit offerings including long-term disability, critical illness, accident and identity theft protection
- 401K retirement with company matching of 50% on the first 6% of employee contributions
- Wellness program with incentives
- Employee Assistance Program
NOVA is an Equal Opportunity Employer. All qualified candidates are encouraged to apply. NOVA does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, ancestry, marital status, veteran status or any other characteristic protected by law.
