3m Jobs in Usa
70 positions found — Page 6
M
Medical Coder II
Salary not disclosed
Medical Coder II Department of Defense (DoD) Defense Health Agency (DHA) Specifically supporting the DHA Medical Coding Program Branch (DHA-MCPB) Place of Performance: Remote / Off-site performance Period of Performance: One (1) year base period, with the possibility of one (1) additional option year.
Schedule: Coding services may be performed Monday–Friday, excluding federal holidays Requirements: Coding contract personnel in this position are required to possess a minimum of four (4) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of two (2) years of medical coding or auditing experience if that experience was in Military Treatment Facility (MTF).
A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying.
Professional AND facility coding certification, such as: • CCS® (AHIMA) • CPC® + COC® (AAPC) • CCS-P® + CCS® Experience must include two or more medical, surgical, or ancillary specialties Duties and Responsibilities will include, but are not limited to the following: Accurately assigns diagnosis and procedure codes for facility and professional services for Day Surgery (a.k.a.
Ambulatory Procedure Visit (APV)), Dental surgical procedures, Observation, Emergency Department (ED), outpatient ERSA, outpatient procedures, outpatient specialty encounters, and any outpatient primary care encounters billable to a third party IAW DHA accuracy, completeness, productivity, and timeliness standards contained in DoDI 6040.42, Management Standards for Coding of DoD Health Records.
Work may involve areas such as Laboratory, Radiology, and Dental services.
Codes records with correct Ambulatory Payment Classifications (APCs); and Relative Value Units (RVUs) in order for the center to receive correct reimbursement or workload credit.
Performs necessary tasks within MHS GENESIS® and other military coding systems (to include, but not limited to, 3M Encompass 360, Joint Legacy Viewer (JLV)) to complete encounters.
Researches and resolves MHS GENESIS coding edit failures as assigned.
Review medical documentation and codes for compliance with federal coding regulations and DoD guidelines.
Obtain clarification of conflicting, ambiguous, or non-specific documentation.
Maintain required productivity standards per DoD requirements.
Contractor productivity requirement will be to complete 80% or more of assigned workload within a performance period (quarter).
Maintain timeliness standards per DoD requirements.
Maintain accuracy standards per DoD requirements.
Accuracy standards will be 97% overall accuracy of diagnosis, Evaluation & Management (E&M), and procedure codes; modifiers; and quantities or units of service.
#CB For additional information and compensation information, please email your most recent resume/CV to .
Thank you for your time and we look forward to speaking with you soon!
Schedule: Coding services may be performed Monday–Friday, excluding federal holidays Requirements: Coding contract personnel in this position are required to possess a minimum of four (4) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of two (2) years of medical coding or auditing experience if that experience was in Military Treatment Facility (MTF).
A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying.
Professional AND facility coding certification, such as: • CCS® (AHIMA) • CPC® + COC® (AAPC) • CCS-P® + CCS® Experience must include two or more medical, surgical, or ancillary specialties Duties and Responsibilities will include, but are not limited to the following: Accurately assigns diagnosis and procedure codes for facility and professional services for Day Surgery (a.k.a.
Ambulatory Procedure Visit (APV)), Dental surgical procedures, Observation, Emergency Department (ED), outpatient ERSA, outpatient procedures, outpatient specialty encounters, and any outpatient primary care encounters billable to a third party IAW DHA accuracy, completeness, productivity, and timeliness standards contained in DoDI 6040.42, Management Standards for Coding of DoD Health Records.
Work may involve areas such as Laboratory, Radiology, and Dental services.
Codes records with correct Ambulatory Payment Classifications (APCs); and Relative Value Units (RVUs) in order for the center to receive correct reimbursement or workload credit.
Performs necessary tasks within MHS GENESIS® and other military coding systems (to include, but not limited to, 3M Encompass 360, Joint Legacy Viewer (JLV)) to complete encounters.
Researches and resolves MHS GENESIS coding edit failures as assigned.
Review medical documentation and codes for compliance with federal coding regulations and DoD guidelines.
Obtain clarification of conflicting, ambiguous, or non-specific documentation.
Maintain required productivity standards per DoD requirements.
Contractor productivity requirement will be to complete 80% or more of assigned workload within a performance period (quarter).
Maintain timeliness standards per DoD requirements.
Maintain accuracy standards per DoD requirements.
Accuracy standards will be 97% overall accuracy of diagnosis, Evaluation & Management (E&M), and procedure codes; modifiers; and quantities or units of service.
#CB For additional information and compensation information, please email your most recent resume/CV to .
Thank you for your time and we look forward to speaking with you soon!
Not Specified
M
Medical Coder III
Salary not disclosed
Medical Coder III Department of Defense (DoD) Defense Health Agency (DHA) Specifically supporting the DHA Medical Coding Program Branch (DHA-MCPB) Place of Performance: Remote / Off-site performance Period of Performance: One (1) year base period, with the possibility of one (1) additional option year.
Schedule: Coding services may be performed Monday–Friday, excluding federal holidays Requirements: Coding contract personnel in this position are required to possess a minimum of five (5) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of three (3) years of medical coding or auditing experience if that experience was in Military Treatment Facility (MTF).
A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying.
Professional AND facility coding certification, such as: • CCS® (AHIMA) • CPC® + COC® (AAPC) • CPC® + CIC® (AAPC) Advanced inpatient and complex coding experience expected Duties and Responsibilities will include, but are not limited to the following: Accurately assigns diagnosis and procedure codes for inpatient facility and professional services to include, but not limited to, inpatient stays, surgical procedures, dental surgical procedures, anesthesia services, ancillary services, and inpatient external resource sharing agreement (ERSA) encounters IAW DHA accuracy, completeness, productivity, and timeliness standards IAW DoDI 6040.42.
Work may involve areas such as Laboratory, Radiology, and Dental services.
Ensures correct assignment of DRGs for inpatient stays.
Codes inpatient discharge records with correct and optimal DRG assignment, Relative Weighted Product (RWP) and Relative Value Units (RVUs) in order for the center to receive correct reimbursement or workload credit.
Performs necessary tasks within MHS GENESIS® and other military coding systems (to include, but not limited to, 3M Encompass 360, Joint Legacy Viewer (JLV)) to complete encounters.
May be tasked with assisting with ambulatory and outpatient coding.
Researches Review medical documentation and codes for compliance with federal coding regulations and DoD guidelines.
Obtain clarification of conflicting, ambiguous, or non-specific documentation.
Maintain required productivity standards per DoD requirements.
Contractor productivity requirement will be to complete 80% or more of assigned workload within a performance period (quarter).
Maintain timeliness standards per DoD requirements.
Maintain accuracy standards per DoD requirements.
Accuracy standards will be 97% overall accuracy of diagnosis, Evaluation & Management (E&M), and procedure codes; modifiers; and quantities or units of service.
#CB For additional information and compensation information, please email your most recent resume/CV to .
Thank you for your time and we look forward to speaking with you soon!
Schedule: Coding services may be performed Monday–Friday, excluding federal holidays Requirements: Coding contract personnel in this position are required to possess a minimum of five (5) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of three (3) years of medical coding or auditing experience if that experience was in Military Treatment Facility (MTF).
A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying.
Professional AND facility coding certification, such as: • CCS® (AHIMA) • CPC® + COC® (AAPC) • CPC® + CIC® (AAPC) Advanced inpatient and complex coding experience expected Duties and Responsibilities will include, but are not limited to the following: Accurately assigns diagnosis and procedure codes for inpatient facility and professional services to include, but not limited to, inpatient stays, surgical procedures, dental surgical procedures, anesthesia services, ancillary services, and inpatient external resource sharing agreement (ERSA) encounters IAW DHA accuracy, completeness, productivity, and timeliness standards IAW DoDI 6040.42.
Work may involve areas such as Laboratory, Radiology, and Dental services.
Ensures correct assignment of DRGs for inpatient stays.
Codes inpatient discharge records with correct and optimal DRG assignment, Relative Weighted Product (RWP) and Relative Value Units (RVUs) in order for the center to receive correct reimbursement or workload credit.
Performs necessary tasks within MHS GENESIS® and other military coding systems (to include, but not limited to, 3M Encompass 360, Joint Legacy Viewer (JLV)) to complete encounters.
May be tasked with assisting with ambulatory and outpatient coding.
Researches Review medical documentation and codes for compliance with federal coding regulations and DoD guidelines.
Obtain clarification of conflicting, ambiguous, or non-specific documentation.
Maintain required productivity standards per DoD requirements.
Contractor productivity requirement will be to complete 80% or more of assigned workload within a performance period (quarter).
Maintain timeliness standards per DoD requirements.
Maintain accuracy standards per DoD requirements.
Accuracy standards will be 97% overall accuracy of diagnosis, Evaluation & Management (E&M), and procedure codes; modifiers; and quantities or units of service.
#CB For additional information and compensation information, please email your most recent resume/CV to .
Thank you for your time and we look forward to speaking with you soon!
Not Specified
Truck Driver OTR - Regional - Menomonie, WI
🏢 Walmart
$105,000 per year
About the Fleet
Join our growing private fleet and help us deliver on a powerful purpose: We help people save money so they can live better. As a Class A CDL driver, you’ll enjoy competitive pay for every aspect of the job—not just your miles—along with predictable schedules and modern equipment. Take the wheel of a career that moves more than freight; it moves lives forward.
Why drive for Walmart?
Regional truck drivers can earn up to $105,000 in their first year.
- Weekly Home Time
- Consecutive days off every week
Benefits & Perks
- Earn PTO immediately—up to 21 days in your first year
- Up to 6% match on 401K
- Medical, Dental, and Vision plan options available from day one
- Company paid life insurance and short-term disability
- Up to four paid safety days a year
- Associate Discount Card available after 90 days
- No touch freight deliveries
- Quarterly safety bonuses & annual pay increases
- Ask about our Walmart driver perks, such as our Referral Program, Rider Program, Driver Mentor Program, parking at Walmart locations and more!
What you'll do
- You plan your day, set priorities, and work with your team to keep freight moving safely and on time. You communicate clearly, solve problems as they come up, and adapt to changes on the road or in the plan.
- You handle all required paperwork and electronic logs accurately and follow all DOT, state, and company guidelines.
- You safely operate your tractor-trailer, inspecting it before, during, and after each trip to keep it in top shape.
- You will run optimized routes by following traffic laws and local restrictions—reducing delays and improving on-time delivery performance.
- You uphold Walmart’s high standards of safety, integrity, and professionalism every mile of the way.
Minimum Qualifications
- Interstate (Class A) Commercial Driver’s License with Hazmat endorsement (including cleared background check) or will obtain HAZMAT endorsement (with cleared background check) within 120 calendar days of date of hire.
- Minimum of 30 months (2.5 years) experience working in a full-time Class A tractor/trailer driving position in the previous 3 years (36 months).
- No more than two (2) moving violations while operating a personal and/or commercial motor vehicle in the last three (3) years.
- No serious traffic violations while operating a personal and/orcommercial motor vehicle in the last three (3) years.
- No preventable accidents* while operating a personal and/orcommercial motor vehicle in the last three (3) years.
- No preventable DOT recordable accidents* (collisions resulting in disabling damage and/or immediate medical treatment away from the scene) while operating a commercial motor vehicle in the last ten (10) years.
- No preventable accident* resulting in a fatality or catastrophic injury in driving history in personal or commercial motor vehicle.
- Must currently live within 250 miles of the assigned facility or willing to establish a residence within 250 miles by 90 days from hire date.
*The preventability of any accidents will be determined by Walmart based on the ATA Guidelines.
At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.
You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable.
For information about PTO, see
Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms.
For information about benefits and eligibility, see One.Walmart.
Drivers are paid a fixed rate for each mile driven, with additional pay for certain activities. For some activities drivers receive the mileage rate plus activity pay. For other activities they receive only activity pay. Drivers also receive Average Daily Pay (ADP) in certain circumstances.
Local Driver: The mileage rate for this position will be $0.55 - $0.69 per mile and the average number of miles driven range from 62,355 - 196,040.*
Regional Driver: The mileage rate for this position will be $0.55 - $0.69 per mile and the average number of miles driven range from 62,355 - 196,040.*
*This is for information only. Your actual pay may vary by location and actual miles driven.
Drivers receive both activity pay and the mileage rate for activities including Arrive/Arrive Drop, Bridge Pay, Chain, Evening Shift Premium, Hook, Live Load, Layover, Live unload, Regional Pay, Stop/Stop Drop, and Weekend mileage.
Drivers receive only activity pay for activities including Accident, Breakdown, Weather/Road Closure, Cleaning Rejected Trailer, Assigned tractor not available, Out of hours (70), Snow Removal assigned trailer, Undock Trailers, Trailer Weight issue, and Wait Time.
Drivers may be eligible to receive Average Day’s Pay (ADP) for circumstances such as to calculate paid time off (PTO), safety day, holiday, deferred holiday, bereavement, and jury duty. A driver will receive ADP when attending a Walmart event scheduled to last a full day (8 hours or more). Drivers will be paid a full ADP even if the driver performs no driving duties following the event. The full ADP is paid in addition to the pay earned for all activities, miles, and layover performed after the event.
The ADP rate is $240 per day.Minimum Qualifications...Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.
Interstate (Class A) Commercial Driver’s License with Hazmat endorsement (including cleared background check) or will obtain HAZMAT endorsement (with cleared background check) within 120 calendar days of date of hire.A minimum of 30 months of experience working in a full-time Class A tractor/trailer driving position in the previous 3 years or successful completion of the Walmart Fleet Development Academy Program.
No more than two (2) moving violations while operating a personal or commercial motor vehicle in the last three (3) years.
No serious traffic violations while operating a personal or commercial motor vehicle in the last three (3) years.
No preventable accidents while operating a personal or commercial motor vehicle in the last three (3) years.
No preventable DOT recordable accidents (collisions resulting in disabling damage and/or immediate medical treatment away from the scene) while operating a commercial motor vehicle in the last ten (10) years.
No preventable accident resulting in a fatality or catastrophic injury in driving history (personal or commercial motor vehicle).
Must currently live within 250 miles of the assigned facility or be willing to establish a residence within 250 miles by 90 days from the hire date.
Permanent residence is defined as your main, and regular residence (home) at a fixed address. It is the location you report to the government (W2, tax returns, census, passport, etc.) as your “home.” Your permanent residence is the location you have the intention of returning to as your primary residence and is the place containing your most loved persons, animals, and/or things.Primary Location...6100 3M Dr, Menomonie, WI 54751-4930, United States of AmericaAre you currently a Walmart associate?
Please log in to Workday and use the Find Jobs report to apply for this job.
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permanent
Inpatient Coding Specialist, FT and Per Diem Available, Remote (PA, NJ Candidates)
Salary not disclosed
St.
Luke's is proud of the skills, experience and compassion of its employees.
The employees of St.
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
REVISED: 7/04, 8/11, 2/13, 9/13, 2/14, 1/17 AHIMA Certified Required: CCS, RHIA, or RHIT REQUIRED WORK SCHEDULE: Fully remote for local (PA, NJ) candidates only.
Home base out of Allentown, PA.
Full Time: Day shift with flexible hours.
Mon-Fri with weekend rotation every 3rd week.
Per Diem: Total shift flexibility.
Must be able to commit to working at minimum 16 hours per month .
Codes and abstracts all pertinent patient medical information according to ICD-10-CM/PCS and CPT-4 coding conventions, UHDDS guidelines and CMS directives.
Completes data entry of abstracted inpatient/outpatient diagnosis and/or procedure codes into Network’s health information system.
Collaborates with the Health Information/Medical Records and Finance departments to ensure appropriate flow of information.
The intent of this job description is to provide a summary of the major duties and responsibilities of this position and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.
PLEASE NOTE: A 10-question coding skills assessment is a part of the SLUHN application process.
The following materials will be needed in order to complete the assessment: INPATIENT – ICD-10-CM & PCS codebooks; OUTPATIENT – ICD-10-CM and CPT-4 codebooks.
Please plan your time accordingly.
JOB DUTIES AND RESPONSIBILITIES: ESSENTIAL FUNCTIONS: 1.
Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations.
Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS and CPT-4 codes, and MS-DRG/APR-DRG assignment.
2.
Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews.
3.
Maintains daily productivity and turnaround times as outlined in Department’s Performance Improvement plan (attachment A) 4.
Responsible for remaining up-to-date knowledge of AHA ICD-9-CM/ICID-10-CM/PCS coding conventions, MS-DRG and APR-DRG principles and guidelines.
Maintains a working knowledge of prospective payment systems as it relates directly to coding process.
5.
Participation in department and sectional meetings, education sessional sessions and workshops as scheduled.
6.
Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists (inpatient coding professionals only).
7.
Demonstrates/models the Network’s core values and customer service behaviors in interactions with all customers (internal and external).
8.
Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information.
9.
Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements.
10.
Demonstrates/models the Network’s Service Excellence Standards of Performance in interactions with all customers (internal and external).
11.
Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety.
12.
Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.
13.
Complies with Network and departmental policies regarding attendance and dress code.
OTHER FUNCTIONS: 1.
Assists in training of new personnel 2.
Other related duties as assigned.
PHYSICIAL AND SENSORY REQUIREMENTS PHYSICAL/SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time.
Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information.
Extended periods of vision use for reviewing and coding computerized patient records approximately 7 hours per day, 3 hours at a time.
Hearing as it relates to normal conversation.
Occasionally may be required to use upper extremities to lift up to 10 lbs.; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with department downtime policy..
POTENTIAL ON-THE-JOB RISKS: No identified risks.
SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE: N/A MOST COMPLEX DUTY: Ability to apply objective understanding of AHA ICD-10-CM/PCS coding conventions and AMA CPT-4 guidelines.
Appropriately assign diagnosis and procedure codes for accurate reimbursement.
Understanding computerized health information system and encoding software systems.
SUPERVISION (Received and/or Given): IP and OP coding coordinators COMMUNICATIONS: Communicate frequently in a tactful, respectful and diplomatic manner with internal and external customers.
Advises respective coordinators of issues requiring immediate attention.
ADDITIONAL REQUIREMENTS: Adheres to the confidentiality guidelines as outlined within the Hospital and departmental policies.
Promotes positive customer satisfaction by way of prompt and courteous service.
QUALIFICATIONS (MINIMUM) EDUCATION: RHIA, RHIT and/or CCS eligible or currently enrolled in a Health Information Technology or other health-care related program desired.
Will consider candidate with greater than 3 years experience in the coding field without coding credentials.
Candidate will be expected to obtain their AHIMA credential within three years of hire date to retain position with St.
Luke’s University Health Network.
TRAINING AND EXPERIENCE: Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting.
Knowledge of anatomy and physiology, pathophysiology, and medical terminology as well as AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions required.
Previous experience with EPIC health information computerized patient record and 3M encoding system preferred.
AHIMA Certified Required: CCS, RHIA, or RHIT REQUIRED WORK SCHEDULE: Fully remote for local (PA, NJ) candidates only.
Home base out of Allentown, PA.
Full Time: Day shift with flexible hours.
Mon-Fri with weekend rotation every 3rd week.
Per Diem: Total shift flexibility.
Must be able to commit to working at minimum 16 hours per month .
Please complete your application using your full legal name and current home address.
Be sure to include employment history for the past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application.
Thank you for your interest in St.
Luke's!! St.
Luke's University Health Network is an Equal Opportunity Employer.
Remote working/work at home options are available for this role.
Luke's is proud of the skills, experience and compassion of its employees.
The employees of St.
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
REVISED: 7/04, 8/11, 2/13, 9/13, 2/14, 1/17 AHIMA Certified Required: CCS, RHIA, or RHIT REQUIRED WORK SCHEDULE: Fully remote for local (PA, NJ) candidates only.
Home base out of Allentown, PA.
Full Time: Day shift with flexible hours.
Mon-Fri with weekend rotation every 3rd week.
Per Diem: Total shift flexibility.
Must be able to commit to working at minimum 16 hours per month .
Codes and abstracts all pertinent patient medical information according to ICD-10-CM/PCS and CPT-4 coding conventions, UHDDS guidelines and CMS directives.
Completes data entry of abstracted inpatient/outpatient diagnosis and/or procedure codes into Network’s health information system.
Collaborates with the Health Information/Medical Records and Finance departments to ensure appropriate flow of information.
The intent of this job description is to provide a summary of the major duties and responsibilities of this position and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.
PLEASE NOTE: A 10-question coding skills assessment is a part of the SLUHN application process.
The following materials will be needed in order to complete the assessment: INPATIENT – ICD-10-CM & PCS codebooks; OUTPATIENT – ICD-10-CM and CPT-4 codebooks.
Please plan your time accordingly.
JOB DUTIES AND RESPONSIBILITIES: ESSENTIAL FUNCTIONS: 1.
Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations.
Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS and CPT-4 codes, and MS-DRG/APR-DRG assignment.
2.
Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews.
3.
Maintains daily productivity and turnaround times as outlined in Department’s Performance Improvement plan (attachment A) 4.
Responsible for remaining up-to-date knowledge of AHA ICD-9-CM/ICID-10-CM/PCS coding conventions, MS-DRG and APR-DRG principles and guidelines.
Maintains a working knowledge of prospective payment systems as it relates directly to coding process.
5.
Participation in department and sectional meetings, education sessional sessions and workshops as scheduled.
6.
Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists (inpatient coding professionals only).
7.
Demonstrates/models the Network’s core values and customer service behaviors in interactions with all customers (internal and external).
8.
Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information.
9.
Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements.
10.
Demonstrates/models the Network’s Service Excellence Standards of Performance in interactions with all customers (internal and external).
11.
Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety.
12.
Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.
13.
Complies with Network and departmental policies regarding attendance and dress code.
OTHER FUNCTIONS: 1.
Assists in training of new personnel 2.
Other related duties as assigned.
PHYSICIAL AND SENSORY REQUIREMENTS PHYSICAL/SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time.
Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information.
Extended periods of vision use for reviewing and coding computerized patient records approximately 7 hours per day, 3 hours at a time.
Hearing as it relates to normal conversation.
Occasionally may be required to use upper extremities to lift up to 10 lbs.; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with department downtime policy..
POTENTIAL ON-THE-JOB RISKS: No identified risks.
SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE: N/A MOST COMPLEX DUTY: Ability to apply objective understanding of AHA ICD-10-CM/PCS coding conventions and AMA CPT-4 guidelines.
Appropriately assign diagnosis and procedure codes for accurate reimbursement.
Understanding computerized health information system and encoding software systems.
SUPERVISION (Received and/or Given): IP and OP coding coordinators COMMUNICATIONS: Communicate frequently in a tactful, respectful and diplomatic manner with internal and external customers.
Advises respective coordinators of issues requiring immediate attention.
ADDITIONAL REQUIREMENTS: Adheres to the confidentiality guidelines as outlined within the Hospital and departmental policies.
Promotes positive customer satisfaction by way of prompt and courteous service.
QUALIFICATIONS (MINIMUM) EDUCATION: RHIA, RHIT and/or CCS eligible or currently enrolled in a Health Information Technology or other health-care related program desired.
Will consider candidate with greater than 3 years experience in the coding field without coding credentials.
Candidate will be expected to obtain their AHIMA credential within three years of hire date to retain position with St.
Luke’s University Health Network.
TRAINING AND EXPERIENCE: Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting.
Knowledge of anatomy and physiology, pathophysiology, and medical terminology as well as AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions required.
Previous experience with EPIC health information computerized patient record and 3M encoding system preferred.
AHIMA Certified Required: CCS, RHIA, or RHIT REQUIRED WORK SCHEDULE: Fully remote for local (PA, NJ) candidates only.
Home base out of Allentown, PA.
Full Time: Day shift with flexible hours.
Mon-Fri with weekend rotation every 3rd week.
Per Diem: Total shift flexibility.
Must be able to commit to working at minimum 16 hours per month .
Please complete your application using your full legal name and current home address.
Be sure to include employment history for the past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application.
Thank you for your interest in St.
Luke's!! St.
Luke's University Health Network is an Equal Opportunity Employer.
Remote working/work at home options are available for this role.
Not Specified
Professional Fee Coder (Remote PA/NJ)
🏢 ST. LUKE'S UNIVERSITY HEALTH NETWORK
Salary not disclosed
St.
Luke's is proud of the skills, experience and compassion of its employees.
The employees of St.
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives.
Must assure data quality through quarterly reviews.
Performs data entry of physician services statistics into specialty-specific databases.
Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.
JOB DUTIES AND RESPONSIBILITIES: Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling.
Maintains a 95% coding accuracy rate as measured through quality reviews.
Maintains daily productivity as outlined Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.
Performs data entry of abstracted physician information into specialty- specific databases.
Conducts educational sessions to the medical staff for coding and documentation compliance.
PHYSICAL AND SENSORY REQUIREMENTS: Sitting for up to seven hours per day, three- four at a time.
Frequently uses fingers for typing, data entry, etc.
Frequent use of hands.
Use of upper extremities to rarely lift up to ten pounds.
Rarely stoops, bends, or reaches above shoulder level.
Hearing as it relates to normal conversation.
Seeing as it relates to general vision, near vision, peripheral vision and visual monotony.
EDUCATION: RHIA, RHIT, CPC, OR CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required.
TRAINING AND EXPERIENCE: Minimum 1-3 years experience in CPT/HCPCS physician procedural coding.
Previous experience with computerized patient record and coding system preferred.
Please complete your application using your full legal name and current home address.
Be sure to include employment history for the past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application.
Thank you for your interest in St.
Luke's!! St.
Luke's University Health Network is an Equal Opportunity Employer.
Remote working/work at home options are available for this role.
Luke's is proud of the skills, experience and compassion of its employees.
The employees of St.
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives.
Must assure data quality through quarterly reviews.
Performs data entry of physician services statistics into specialty-specific databases.
Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.
JOB DUTIES AND RESPONSIBILITIES: Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling.
Maintains a 95% coding accuracy rate as measured through quality reviews.
Maintains daily productivity as outlined Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.
Performs data entry of abstracted physician information into specialty- specific databases.
Conducts educational sessions to the medical staff for coding and documentation compliance.
PHYSICAL AND SENSORY REQUIREMENTS: Sitting for up to seven hours per day, three- four at a time.
Frequently uses fingers for typing, data entry, etc.
Frequent use of hands.
Use of upper extremities to rarely lift up to ten pounds.
Rarely stoops, bends, or reaches above shoulder level.
Hearing as it relates to normal conversation.
Seeing as it relates to general vision, near vision, peripheral vision and visual monotony.
EDUCATION: RHIA, RHIT, CPC, OR CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required.
TRAINING AND EXPERIENCE: Minimum 1-3 years experience in CPT/HCPCS physician procedural coding.
Previous experience with computerized patient record and coding system preferred.
Please complete your application using your full legal name and current home address.
Be sure to include employment history for the past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application.
Thank you for your interest in St.
Luke's!! St.
Luke's University Health Network is an Equal Opportunity Employer.
Remote working/work at home options are available for this role.
Not Specified
Network Facility Coding Manager
🏢 ST. LUKE'S UNIVERSITY HEALTH NETWORK
Salary not disclosed
St.
Luke's is proud of the skills, experience and compassion of its employees.
The employees of St.
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
PHYSICIAL AND SENSORY REQUIREMENTS: Sitting for up to 7 hours per day, 3 hours at a time.
Repetitive arm/finger use for retrieving/viewing computerized patient medical record and abstracting of patient information.
Extended periods of vision use for reviewing computerized patient record, abstracting of patient information, approximately 7 hours per day, 3 hours at a time.
Hearing as it relates to normal conversation.
Seeing as it relates to general vision, near vision, peripheral vision and visual monotony.
Occasionally may be required to use upper extremities to lift up to 10 lbs; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with downtime policy; or use of wheel cart to and from Medical Record Department.
POTENTIAL ON-THE-JOB RISKS: None identified SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE: N/A MOST COMPLEX DUTY: Objectively applies understanding of ICD-9-CM/ICD-10-CM/PCS and CPT-4 coding guidelines to assure accurate and appropriate reimbursement.
Supports/facilitates understanding of computerized Hospital database system, computerized patient record, and 3M Encoder.
Manages/supervises CDCI professionals and daily coding activities.
Collaborates and communicates effectively and tactfully with the Medical Staff and CDCI professionals.
SUPERVISION (RECEIVED BY AND/OR GIVEN TO): Responsible for the management/supervision of CDCI professionals and volunteer staff.
Reports to the Network Director, CDCI.
COMMUNICATIONS: Must communicate frequently in an effective, tactful and diplomatic manner to CDCI professionals, Medical staff, Administration and other internal and external customers.
ADDITIONAL REQUIREMENTS: Expected to maintain designated CEUs for AHIMA credentials (RHIA, RHIT, and/or CCS) in accordance with the AHIMA Governing Body, with confirmation of valid credentials for every two-year cycle reporting.
Adherence to the confidentiality guidelines as outlined within the Hospital and departmental policies.
Promote positive customer satisfaction by way of prompt and courteous customer service.
QUALIFICATIONS (MINIMUM) EDUCATION: Graduate of an AHIMA-accredited Health Information Administration (RHIA) program or Health Information Technology (RHIT) program with Certified Coding Specialist credentials (CCS) required.
Candidates with a health-care related degree and one of the AHIMA credentials (RHIA, RHIT, or CCS) may be considered.
TRAINING AND EXPERIENCE: Minimum 5-7 years management experience in acute care, teaching hospital with strong inpatient and outpatient ICD-10-CM/PCS and CPT-4 coding experience and MS-DRG/APR-DRG assignment.
Demonstrated experience in organizational, effective communication, time-management, and computer skills.
Approved AHIMA ICD-10-CM/PCS Trainer preferred.
WORK SCHEDULE: Day shift with varying hours based on the needs of the department.
JOB SUMMARY Under general supervision of the sr.
network director of CDCI, oversees and monitors coding operations including but not limited to providing guidance to the supervisors of IP and OP coding and coding appeals, DNB/CFB/CBO management, coordination of the annual external coding audits with feedback (individually & collectively) and establishing education sessions to ensure coding quality and consistency across the network; provides guidance with the coordination of daily workflow for all inpatient and outpatient coding professionals when needed and acts as the back-up to the Sr.
Network Director, CDCI.
Provides and/or assists with the training of new coding professionals.
Maintains current knowledge of ICD-10-CM/PCS, CPT-4, MS-DRG and APR-DRG coding principles and conventions.
Updates and maintains AHA coding clinic and department coding resources on a regular basis.
Provides assistance to the business office, finance, registration and other departments as needed.
The intent of this job description is to provide a summary of the major duties and responsibilities of this position and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.
The Network manager is responsible for the day-to-day operational performance of the inpatient and outpatient coding services across the network, ensuring accuracy, timeliness, compliance, and consistency in accordance with departmental and organizational standards ESSENTIAL FUNCTIONS: Quality, Audit & Compliance Oversees internal and external coding audits, including coordination, response management, education follow-up, and monitoring of corrective actions.
Ensures coding practices align with ICD-10-CM/PCS, CPT/HCPCS, MS-DRG/APR-DRG guidelines and applicable regulatory requirements.
Collaborates with Quality and Clinical Documentation teams on medical record quality and documentation integrity initiatives as assigned.
Education & Process Improvement Oversees development and delivery of coding education in collaboration with education/audit coordinators.
Ensures policies, procedures, and reference materials are current and consistently applied.
Identifies operational improvement opportunities and supports implementation of approved process changes.
Leadership & Staff Management Manages assigned staff, including scheduling, performance evaluations, coaching, and disciplinary actions in accordance with HR policies.
Participates in hiring, onboarding, and orientation of coding staff and coordinators.
Serves as an escalation point for operational questions from lead coders and coordinators.
Collaboration & Communication Partners with Finance, HIM, Admissions, CDI, and other departments to resolve coding-related operational issues.
Represents coding operations in meetings as assigned and ensures follow-through on action items.
Other Functions Performs additional duties as assigned to support departmental operations Please complete your application using your full legal name and current home address.
Be sure to include employment history for the past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application.
Thank you for your interest in St.
Luke's!! St.
Luke's University Health Network is an Equal Opportunity Employer.
Luke's is proud of the skills, experience and compassion of its employees.
The employees of St.
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
PHYSICIAL AND SENSORY REQUIREMENTS: Sitting for up to 7 hours per day, 3 hours at a time.
Repetitive arm/finger use for retrieving/viewing computerized patient medical record and abstracting of patient information.
Extended periods of vision use for reviewing computerized patient record, abstracting of patient information, approximately 7 hours per day, 3 hours at a time.
Hearing as it relates to normal conversation.
Seeing as it relates to general vision, near vision, peripheral vision and visual monotony.
Occasionally may be required to use upper extremities to lift up to 10 lbs; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with downtime policy; or use of wheel cart to and from Medical Record Department.
POTENTIAL ON-THE-JOB RISKS: None identified SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE: N/A MOST COMPLEX DUTY: Objectively applies understanding of ICD-9-CM/ICD-10-CM/PCS and CPT-4 coding guidelines to assure accurate and appropriate reimbursement.
Supports/facilitates understanding of computerized Hospital database system, computerized patient record, and 3M Encoder.
Manages/supervises CDCI professionals and daily coding activities.
Collaborates and communicates effectively and tactfully with the Medical Staff and CDCI professionals.
SUPERVISION (RECEIVED BY AND/OR GIVEN TO): Responsible for the management/supervision of CDCI professionals and volunteer staff.
Reports to the Network Director, CDCI.
COMMUNICATIONS: Must communicate frequently in an effective, tactful and diplomatic manner to CDCI professionals, Medical staff, Administration and other internal and external customers.
ADDITIONAL REQUIREMENTS: Expected to maintain designated CEUs for AHIMA credentials (RHIA, RHIT, and/or CCS) in accordance with the AHIMA Governing Body, with confirmation of valid credentials for every two-year cycle reporting.
Adherence to the confidentiality guidelines as outlined within the Hospital and departmental policies.
Promote positive customer satisfaction by way of prompt and courteous customer service.
QUALIFICATIONS (MINIMUM) EDUCATION: Graduate of an AHIMA-accredited Health Information Administration (RHIA) program or Health Information Technology (RHIT) program with Certified Coding Specialist credentials (CCS) required.
Candidates with a health-care related degree and one of the AHIMA credentials (RHIA, RHIT, or CCS) may be considered.
TRAINING AND EXPERIENCE: Minimum 5-7 years management experience in acute care, teaching hospital with strong inpatient and outpatient ICD-10-CM/PCS and CPT-4 coding experience and MS-DRG/APR-DRG assignment.
Demonstrated experience in organizational, effective communication, time-management, and computer skills.
Approved AHIMA ICD-10-CM/PCS Trainer preferred.
WORK SCHEDULE: Day shift with varying hours based on the needs of the department.
JOB SUMMARY Under general supervision of the sr.
network director of CDCI, oversees and monitors coding operations including but not limited to providing guidance to the supervisors of IP and OP coding and coding appeals, DNB/CFB/CBO management, coordination of the annual external coding audits with feedback (individually & collectively) and establishing education sessions to ensure coding quality and consistency across the network; provides guidance with the coordination of daily workflow for all inpatient and outpatient coding professionals when needed and acts as the back-up to the Sr.
Network Director, CDCI.
Provides and/or assists with the training of new coding professionals.
Maintains current knowledge of ICD-10-CM/PCS, CPT-4, MS-DRG and APR-DRG coding principles and conventions.
Updates and maintains AHA coding clinic and department coding resources on a regular basis.
Provides assistance to the business office, finance, registration and other departments as needed.
The intent of this job description is to provide a summary of the major duties and responsibilities of this position and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.
The Network manager is responsible for the day-to-day operational performance of the inpatient and outpatient coding services across the network, ensuring accuracy, timeliness, compliance, and consistency in accordance with departmental and organizational standards ESSENTIAL FUNCTIONS: Quality, Audit & Compliance Oversees internal and external coding audits, including coordination, response management, education follow-up, and monitoring of corrective actions.
Ensures coding practices align with ICD-10-CM/PCS, CPT/HCPCS, MS-DRG/APR-DRG guidelines and applicable regulatory requirements.
Collaborates with Quality and Clinical Documentation teams on medical record quality and documentation integrity initiatives as assigned.
Education & Process Improvement Oversees development and delivery of coding education in collaboration with education/audit coordinators.
Ensures policies, procedures, and reference materials are current and consistently applied.
Identifies operational improvement opportunities and supports implementation of approved process changes.
Leadership & Staff Management Manages assigned staff, including scheduling, performance evaluations, coaching, and disciplinary actions in accordance with HR policies.
Participates in hiring, onboarding, and orientation of coding staff and coordinators.
Serves as an escalation point for operational questions from lead coders and coordinators.
Collaboration & Communication Partners with Finance, HIM, Admissions, CDI, and other departments to resolve coding-related operational issues.
Represents coding operations in meetings as assigned and ensures follow-through on action items.
Other Functions Performs additional duties as assigned to support departmental operations Please complete your application using your full legal name and current home address.
Be sure to include employment history for the past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application.
Thank you for your interest in St.
Luke's!! St.
Luke's University Health Network is an Equal Opportunity Employer.
Not Specified
Coding Appeals Specialist
🏢 ST. LUKE'S UNIVERSITY HEALTH NETWORK
Salary not disclosed
St.
Luke's is proud of the skills, experience and compassion of its employees.
The employees of St.
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors.
Assures that the most accurate and descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered.
JOB DUTIES AND RESPONSIBILITIES: Conduct retrospective medical record reviews for diagnosis and procedure code assignment and MS-DRG accuracy.
Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.
Work with the physician liaison in review of patient medical records identified by RAC/MIC/CGI/QIO and other outside auditors in retrospective reviews for DRG and coding-related issues.
May participate in review of other medical necessity issues as needed.
Develop and apply appeal arguments to defend the coding of and by the coding professionals and be able to refute the coding determination made by the outside payor including but not limited to CMS, Aetna, IBC, Omniclaim, QIP, Gateway Health, etc.
Draft appeal letters, including the coding argument, to support network coding.
Identify clinical documentation improvement issues and through excellent communication with physicians, nurses, coding and other members of the health care team and work independently to resolve such issues.
Participate as needed in Administrative Law Judge (ALJ) hearings.
Spends approximately 20% of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines.
Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment.
Performs data entry of coded patient medical records into EPIC, maintaining a 95% coding accuracy rate as measured through quality reviews.
Queries physicians when code assignments are not clear and consistent, or when documentation in the record is inadequate, ambiguous, or unclear for coding assignment.
PHYSICAL/SENSORY DEMANDS: Sitting, standing and light lifting.
Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information.
Corrected vision and hearing to within normal range.
Hearing as it relates to normal conversation.
Works inside with adequate lighting, comfortable temperature and ventilation.
EDUCATION: RHIA, RHIT and/or CCS with knowledge of ICD-9-CM and ICD-10-CM/PCS diagnosis/procedure coding and MS-DRG assignment.
Minimum of 5 years coding experience in an acute care, teaching hospital, inpatient setting required.
TRAINING, KNOWLEDGE AND EXPERIENCE: Minimum 5 years demonstrated inpatient and/or outpatient coding experience in acute care, teaching setting.
Knowledge of anatomy and physiology, pathophysiology, and medical terminology required.
Working knowledge of ICD-10-CM/PCS and ability to understand complex disease processes strongly preferred.
Possesses extensive knowledge of reimbursement systems; extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and, as needed, medical necessity.
Previous experience with electronic patient medical record/EPIC and 3M encoding system preferred.
Please complete your application using your full legal name and current home address.
Be sure to include employment history for the past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application.
Thank you for your interest in St.
Luke's!! St.
Luke's University Health Network is an Equal Opportunity Employer.
Luke's is proud of the skills, experience and compassion of its employees.
The employees of St.
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors.
Assures that the most accurate and descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered.
JOB DUTIES AND RESPONSIBILITIES: Conduct retrospective medical record reviews for diagnosis and procedure code assignment and MS-DRG accuracy.
Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.
Work with the physician liaison in review of patient medical records identified by RAC/MIC/CGI/QIO and other outside auditors in retrospective reviews for DRG and coding-related issues.
May participate in review of other medical necessity issues as needed.
Develop and apply appeal arguments to defend the coding of and by the coding professionals and be able to refute the coding determination made by the outside payor including but not limited to CMS, Aetna, IBC, Omniclaim, QIP, Gateway Health, etc.
Draft appeal letters, including the coding argument, to support network coding.
Identify clinical documentation improvement issues and through excellent communication with physicians, nurses, coding and other members of the health care team and work independently to resolve such issues.
Participate as needed in Administrative Law Judge (ALJ) hearings.
Spends approximately 20% of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines.
Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment.
Performs data entry of coded patient medical records into EPIC, maintaining a 95% coding accuracy rate as measured through quality reviews.
Queries physicians when code assignments are not clear and consistent, or when documentation in the record is inadequate, ambiguous, or unclear for coding assignment.
PHYSICAL/SENSORY DEMANDS: Sitting, standing and light lifting.
Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information.
Corrected vision and hearing to within normal range.
Hearing as it relates to normal conversation.
Works inside with adequate lighting, comfortable temperature and ventilation.
EDUCATION: RHIA, RHIT and/or CCS with knowledge of ICD-9-CM and ICD-10-CM/PCS diagnosis/procedure coding and MS-DRG assignment.
Minimum of 5 years coding experience in an acute care, teaching hospital, inpatient setting required.
TRAINING, KNOWLEDGE AND EXPERIENCE: Minimum 5 years demonstrated inpatient and/or outpatient coding experience in acute care, teaching setting.
Knowledge of anatomy and physiology, pathophysiology, and medical terminology required.
Working knowledge of ICD-10-CM/PCS and ability to understand complex disease processes strongly preferred.
Possesses extensive knowledge of reimbursement systems; extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and, as needed, medical necessity.
Previous experience with electronic patient medical record/EPIC and 3M encoding system preferred.
Please complete your application using your full legal name and current home address.
Be sure to include employment history for the past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application.
Thank you for your interest in St.
Luke's!! St.
Luke's University Health Network is an Equal Opportunity Employer.
Not Specified
Certified Outpatient Coding Specialist
🏢 ST. LUKE'S UNIVERSITY HEALTH NETWORK
Salary not disclosed
St.
Luke's is proud of the skills, experience and compassion of its employees.
The employees of St.
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Certified Outpatient Coding Specialist codes and abstracts all pertinent patient medical information according to AHA ICD-10-CM/PCS and AMA CPT-4 Coding conventions, UHDDS guidelines and CMS directives.
Completes data entry of abstracted inpatient/outpatient diagnosis and/or procedure codes to Network’s health information system.
Collaborates with the Health Information/Medical Records, Admissions and Finance departments to ensure appropriate flow of information.
JOB DUTIES AND RESPONSIBILITIES: Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations Utilizes the 3M Encoder to verify and assign AHA ICD-10-CM/PCS and AMA CPT-4 codes, and MS-DRG/APR-DRG assignment Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews Maintains daily productivity and turnaround times as outlined in Department’s Performance Improvement plan Responsible for remaining up-to-date with knowledge of AHA ICD-9-CM/ICD-10-CM/PCS and AMA CPT-4 coding conventions, MS-DRG and APR-DRG principles and guidelines Maintains a working knowledge of prospective payment systems as it relates directly to coding process Participation in department and sectional meetings, education sessional sessions and workshops as scheduled Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists PHYSICIAL AND SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time.
Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information.
Extended periods of vision use for reviewing computerized patient records, abstracting of patient information, approximately 7 hours per day, 3 hours at a time.
Hearing as it relates to normal conversation.
EDUCATION: RHIA, RHIT CCS, and/or CPC from an accredited Health Information Technology or Management program.
Will consider candidate with greater than 3 years experience in the coding field without coding credentials.
If candidate is RHIA, RHIT, CCS and/or CPC -eligible or possess no credentials, then candidate will be expected to obtain their AHIMA/AAPC credential within three years of hire date to retain position with St.
Luke’s University Health Network.
TRAINING AND EXPERIENCE: Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting.
Knowledge of anatomy and physiology, pathophysiology, and medical terminology required.
Previous experience with EPIC health information computerized patient record and 3M encoding system preferred.
WORK SCHEDULE: Day shift but may require other hours as necessary.
Weekend rotations.
Please complete your application using your full legal name and current home address.
Be sure to include employment history for the past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application.
Thank you for your interest in St.
Luke's!! St.
Luke's University Health Network is an Equal Opportunity Employer.
Luke's is proud of the skills, experience and compassion of its employees.
The employees of St.
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Certified Outpatient Coding Specialist codes and abstracts all pertinent patient medical information according to AHA ICD-10-CM/PCS and AMA CPT-4 Coding conventions, UHDDS guidelines and CMS directives.
Completes data entry of abstracted inpatient/outpatient diagnosis and/or procedure codes to Network’s health information system.
Collaborates with the Health Information/Medical Records, Admissions and Finance departments to ensure appropriate flow of information.
JOB DUTIES AND RESPONSIBILITIES: Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations Utilizes the 3M Encoder to verify and assign AHA ICD-10-CM/PCS and AMA CPT-4 codes, and MS-DRG/APR-DRG assignment Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews Maintains daily productivity and turnaround times as outlined in Department’s Performance Improvement plan Responsible for remaining up-to-date with knowledge of AHA ICD-9-CM/ICD-10-CM/PCS and AMA CPT-4 coding conventions, MS-DRG and APR-DRG principles and guidelines Maintains a working knowledge of prospective payment systems as it relates directly to coding process Participation in department and sectional meetings, education sessional sessions and workshops as scheduled Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists PHYSICIAL AND SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time.
Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information.
Extended periods of vision use for reviewing computerized patient records, abstracting of patient information, approximately 7 hours per day, 3 hours at a time.
Hearing as it relates to normal conversation.
EDUCATION: RHIA, RHIT CCS, and/or CPC from an accredited Health Information Technology or Management program.
Will consider candidate with greater than 3 years experience in the coding field without coding credentials.
If candidate is RHIA, RHIT, CCS and/or CPC -eligible or possess no credentials, then candidate will be expected to obtain their AHIMA/AAPC credential within three years of hire date to retain position with St.
Luke’s University Health Network.
TRAINING AND EXPERIENCE: Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting.
Knowledge of anatomy and physiology, pathophysiology, and medical terminology required.
Previous experience with EPIC health information computerized patient record and 3M encoding system preferred.
WORK SCHEDULE: Day shift but may require other hours as necessary.
Weekend rotations.
Please complete your application using your full legal name and current home address.
Be sure to include employment history for the past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application.
Thank you for your interest in St.
Luke's!! St.
Luke's University Health Network is an Equal Opportunity Employer.
Not Specified
Physician / Oncology / Wyoming / Locum Tenens / Family Medicine Physician :: Gillette, WY (Offering Sign on & Relocation up to $130K)
Salary not disclosed
Family Medicine Physician - Gillette, WY (Offering Sign on & Relocation up to $130K)
Job Types: Full-time (Onsite)
Shifts: Monday- Friday 8:00 AM - 5:00 PM (no weekends)
Job Summary:
Your duties will include ensuring long-term, comprehensive, and prospective care is provided for the patient base. This will include the treatment of common and complex disease and collaboration with other team members to effectively diagnose patient cases. You will be responsible for providing complete, comprehensive clinical care for all patients necessary including, but not limited to, diagnosis, treatment, and coordination of care, preventative and health care maintenance to patients. You should be proactive in building relationships and recommend specialists when patients require treatment outside your medical purview. Effective teamwork abilities, communication skills, and ethics are highly important.
Requirements/Qualifications:
- Must hold either Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Degree
- Completion of FM/IM residency at point of hire.
- Board Certified or Board Eligible in Family/Internal Medicine.
- Possess or be able to obtain a valid license to practice medicine in the state of Wyoming
- Active DEA Certificate or the ability to obtain.
- Experience preferred but not required.
Benefits:
- Sign on Relocation Assistance up to $130K
- Comprehensive Health Insurance - Employer-paid premiums, low deductibles
- Additional Insurance Benefits - Disability, Life, Cancer, Accident, Hospital Indemnity coverage, and more
- 401(k) with 6% Employer Match - Invest in your future
- Generous PTO - 6 weeks of PTO + 6 paid holidays + 7 sick days
- Education Allowance - $5,000 and 5 days for Continuing Medical Education
- Malpractice Insurance - Employer-paid coverage ($1M/$3M policy)
Not Specified
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Project Manager - Low Voltage
Salary not disclosed
Job Summary:
The Low Voltage Project Manager is the overall manager for assigned project(s). The Project Manager ensures that all contracted work is developed, implemented, installed and managed in accordance with the Company’s requirements, including but not limited to, safety, quality, management and financial performance requirements. All aspects of the assigned project(s) must be carried out as efficiently as possible with respect to staffing, materials management, financial management, customer care and customer delivery goals.
Job Duties and Responsibilities:
- The Low Voltage Project Manager will recruit, hire, train, manage, supervise, promote, discipline and discharge, if necessary, all security systems project related staff. Effectively manage all human resource issues (and escalate as needed) per Company policies and procedures. Complete recommendations for project related employees’ performance ratings, promotions and pay changes. Provide guidance and mentoring to meet all customer and Company goals and objectives.
- The Low Voltage Project Manager will manage the workload distribution and monitor the customer delivery and job installation progress.
- The Security Systems Project Manager will plan for, manage, monitor and maintain project profitability to achieve Company goals.
- The Low Voltage Project Manager reviews all job cost postings for accuracy and completeness, including but not limited to, the preparation of invoices, customer collections and periodic financial reporting to the customer and management.
- The Low Voltage Project Manager will manage all related quality and safety issues on customer work.
- The Low Voltage Project Manager will participate in and/or facilitate the bid process.
- The Low Voltage Project Manager acts as the Company liaison for interface with customer representative(s).
- The Low Voltage Project Manager will create, develop and implement account process improvement(s).
- Other responsibilities as assigned.
Physical and Mental Requirements:
- The Low Voltage Project Manager must be self-motivated, positive in approach, professional and lead others to create, develop and implement project process improvement(s).
- Must promote the Company culture and mission to all employees, vendors, clients and business partners.
- Must have proven problem solving skills, critical thinking skills and the ability to effectively read, write and give oral presentation(s).
- Must have proven high skill level to interpret blueprints and other project documents, including but not limited to, specifications, reporting and quality requirements.
- Must able to travel within branch territory and/or regional territory as needed.
- Must have the ability to learn Company and customer project management systems. The Security Systems Foreman must also have proven high skill level to interpret blueprints and other project documents, including but not limited to, specifications, reporting and quality requirements.
- Must be able to secure and maintain a Company sponsored American Express Card.
- Must be able to use the following trade Tools: punch tool with 110 block and 66 block blade, 6/8 position combo crimp tool, Krone/3M/BIX, butt set, volt-ohmmeter, 4-pair continuity tester and 5-gang punch tool.
Education, Certification, License, and Skill Requirements:
- Must possess at least a High School diploma or GED equivalency; Bachelor’s Degree preferred.
- Must have experience in customer interface, such as liaison between the customer and the Company.
- Must possess a minimum of five (5) years of supervisory or managerial experience.
- Must have a minimum of five (5) years of experience in telecommunications or a related technical or construction field.
- Must be proficient with Microsoft Office (Word, Excel and MS Project).
- Must meet Company minimum driving standards.
- Must be able to manage multiple tasks/projects simultaneously.
- Must have demonstrated verifiable ability to define a project, create a project scope of work, develop detailed associated tasks and manage these to final completion and customer turnover.
Not Specified
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