Centene Coding Jobs Jobs in Usa

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 910 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.

Work Hours per Biweekly Pay Period: 80.00

Shift: Monday - Friday

Location: 210 South Florida Avenue Lakeland, FL (Remote)

Pay Rate: Min $63,793.60 Mid $79,747.20

Position Summary

Under the direction of the facility Coding and Reimbursement Manager, conducts coding quality reviews and audits of chart documentation to assess accuracy, ensure compliance with federal and payer policies, and identifies areas for improvement for hospital outpatient coding. Develops and delivers training on coding accuracy and compliance, staying updated on regulations and providing expert guidance to coders. Provides ongoing coding education and training to coding team and serves as mentor to all new coding team members. Serves as a subject matter expert and resource for coders, providers, and other staff on coding questions, regulatory changes, and best practice. Prepares reports of findings and meets with coders and Coding Leadership to provide education and training on accurate coding practices and compliance issues.

Has thorough knowledge of acute care facility guidelines, modifiers, sequencing rules and the NCCI (National Correct Coding Initiative) edits, OCE (Outpatient Code Editor) edits, Official Guidelines for Coding and reporting for ICD-10-CM/PCS, CPT-4, and HCPCS coding conventions, APC payment classifications and Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback.

Responsible for conducting coding and billing training programs for billing and coding specialists. Other duties will include implementing coding department policies and procedures and assisting with reviewing and appealing coding denials.

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: Outpatient Coding Quality Educator Specialist

• Actively participates in team development, achieving dashboards, and in accomplishing departmental goals and objectives.
• Performs internal quality assessment reviews on outpatient facility coders to ensure compliance with national coding guidelines and the LRH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed.
• Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans.
• Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. Researches coding opportunities and escalates as needed. Communicates Coding topics and/or question trends to Coding Leadership for global education.
• Prepares and presents coding compliance status reports to the Coding and Reimbursement Manager and Health Information Management AVP.
• Assists in ensuring coding staff adherence with coding guidelines and policy. Demonstrates and applies expert level knowledge of medical coding practices and concepts.
• Coaches and mentors coding staff as they develop and grow their coding skills. Provides skilled coding support through regularly scheduled coding meetings and as the need arises. Provide one-on-one coaching and support to coding professionals, offering constructive feedback and guidance to improve coding accuracy and documentation practices.
• Assists Coding Leadership with outpatient coding denials.
• Create educational materials, such as manuals, handouts, and multimedia presentations, that effectively communicate complex coding concepts and guidelines.
• Orients, develops and coordinates on-the-job training of instructing them on systems and policies and procedures in accordance to coding compliance guidelines.

Competencies & Skills

Essential:

• Computer experience especially with computerized encoder applications, computer-assisted-coding applications, spreadsheets, and databases.
• Extensive regulatory coding, (ICD-10-CM, CPT-4, HCPCS, Modifiers, and APCs, and associated reimbursement knowledge. Strong knowledge of medical terminology, pharmacology and anatomy and physiology.
• Data Analysis - able to analyze, interpret and share data in a presentation format. Ability to plan and execute educational programs and presentations.
• Communicates clearly and concisely, verbally and in writing. Able to work effectively with other employees, providers and external parties.
• Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.

Qualifications & Experience

Essential:

• Associate Degree
• Bachelor Degree

Essential:

• Health Information Management or other Healthcare degree

Other information:

Experience essential:

5+ years acute care hospital outpatient coding experience and/or coding auditing

5-10 years of educational experience in a facility or consulting setting.

Certification essential:

CCS, CPC, RHIT, or RHIA

Certification preferred:

RHIA

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.

Renown Health is seeking a visionary Director of Coding & Health Information Management (HIM) to lead and modernize HIM, HB and PB Coding operations across our integrated health network. This executive-level leader will drive accuracy, compliance, and innovation across inpatient, outpatient, and professional coding while shaping the future of digital health information management.

In this role, you’ll partner closely with executive leadership, revenue cycle, compliance, IT, and clinical teams to optimize documentation quality, coding accuracy, risk adjustment performance, and revenue integrity—while ensuring the privacy and security of health information systemwide.

What You’ll Lead

• Enterprise HIM & Coding Operations: Oversight of inpatient, outpatient, and professional coding with a focus on accuracy, timeliness, and regulatory compliance.
• Risk Adjustment & Compliance: Serve as the subject-matter expert for risk adjustment, coding audits, RADV activity, and regulatory readiness.
• HIM Modernization: Drive digital transformation initiatives including record digitization, ROI automation, EMR optimization, and AI-enabled coding solutions.
• Performance & Analytics: Establish and monitor KPIs for coding accuracy, productivity, audit outcomes, and turnaround times—using data to drive measurable improvement.
• Collaboration & Influence: Partner with CDI, Revenue Integrity, Compliance, IT, and Physician Leadership to improve documentation quality and reimbursement outcomes.
• Leadership & Talent Development: Build and lead a high-performing HIM and coding team through coaching, development, and succession planning.
• Vendor & Financial Oversight: Manage vendor partnerships, budgets, and technology investments to support operational excellence.

What We’re Looking For

• Bachelor’s degree in Health Information Management, Health Informatics, Healthcare Administration, or related field (Master’s preferred)
• 10+ years of HIM experience in a large, integrated healthcare system
• 5+ years of leadership experience with direct oversight of coding operations
• Deep expertise in medical coding and Risk Adjustment
• RHIA or RHIT required; CPC or CCS required
• Proven ability to lead change, influence across teams, and drive results in complex environments

Why Renown Health?

At Renown, you’ll help shape the future of healthcare information management for Northern Nevada’s largest not-for-profit health system. We offer the opportunity to lead at scale, influence enterprise strategy, and drive innovation that directly impacts patient care, compliance, and financial performance.

Job Description

Responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives. Performs data entry of required abstracted patient information into the system. Queries physicians when appropriate.

Qualifications

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Certified Professional Coder with Minimum of two to three year of coding for professional services
• Strong understanding of physiology, medical terms and anatomy.
• Proficiency in computer skills including typing speed and accuracy.
• Excellent written and verbal communication skills.
• Proficient computer skills including but not limited to Microsoft Office
• Must be able to achieve and maintain appropriate coding quality and productivity as established by compliance

About Us

St. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.

Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)

• Competitive salary*
• Robust benefits with health, dental, Rx and vision plans
• 403b retirement plan options with company match**
• Health & Wellness*
• Non-Profit Health System – eligible for Federal Student Loan Forgiveness
• PTO, and paid holidays
• Tuition reimbursement
• Employee Assistance Program
• LTD : Long Term Disability
• Life Insurance Options
• Onsite Day care Program

*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.

**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.

Pay transparency: St. Joseph’s Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc.” The salary range does not include incentives, differential pay or other forms of compensation.

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.

Position Title: Care Manager (RN)

Work Location: Remote OH (North West - Lucas, Fulton, Wood, Ottawa)

Assignment Duration: 6 months (Possibility to extend or convert)

Work Schedule: Monday-Friday 8a-5p EST

Training Schedule: Monday-Friday 8a-5p - 4 weeks training - classroom & 1on1 - virtual - CAMERAS ON - NO TIME OFF during training

Work Arrangement: Remote (Field Visits: 50-60% of the time)

Occasionally (once a year) will need to travel to the Columbus Centene location for team meets.

Position Summary:

Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

Background & Context:

Everyone works together to ensure our members get the care and services they need to remain as independent as possible. This is part of a larger hiring initiative of 30 staff.

Key Responsibilities:

* Log on laptop by 8am, review emails, tasks, and voicemails and respond to any urgent needs.

* Review calendar for possible meetings and/or scheduled visits.

* Staff typically arrange their days with the expectation of 5-7 visits required weekly.

* Documentation must be completed within 24 hours.

* Performance expectations: 5-7 visits weekly, ensuring documentation is completed within 24 hours.

* Meeting required turn-round times for processes, and completing trainings timely.

Qualification & Experience:

* Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 - 4 years of related experience.

* RN - OH (Not compact state).

* 2-4 years of experience nursing, case management, home health.

* Computer Literate (knowledge of Microsoft) Excel, Word, Team, Outlook, One note, One Drive, Powerpoint, Explorer, Chrome.

* Critical Thinker.

* Works well independently, troubleshooting.

* Someone who works well independently, able to travel occasionally for meetings/gatherings, personable, strong communication skills.

* Someone who can think critically, be flexible, open to change, and can also work well on a team.

• 
  
• Top 3 must-have hard skills stack-ranked by importance
  

Lead position that requires multi-certification and disciplines necessary to handle project approvals from start to finish through the plan review and inspection processes in accordance with the Division's mission and performance objectives.

Direct and lead Building Inspector/Plans Examiners and seasonal/casual staff. Assist the Division Manager and Building Official with program planning and personnel direction. Oversee the coordination of the building safety plan review and inspection process. Conduct construction code reviews and inspections for residential, commercial, industrial and multi-family development proposals. Depending on the Division's needs, employees in this position may be assigned to focus primarily on plan review or inspection duties. This program is highly visible and often the first contact made with the City from those outside the community. These tasks are illustrative only and may include other related duties.

This recruitment is accepting applications for
Building Inspector/Plans Examiner III
Building Inspector/Plans Examiner IV (Plan Review Lead)

Full-Time 40 hours per week

AFSCME-represented positions

12-month probationary period

Must meet all qualifications and requirements as listed in the position description below.

Building Inspector/Plans Examiner III $38.25 - 48.66 Hourly

Building Inspector/Plans Examiner IV (Plan Review Lead) $41.27 - $52.51 Hourly

Building Inspector/Plans Examiner III
Leads and coordinates members of the development review and inspection teams to ensure a timely, predictable, comprehensive and accurate plan review and inspection process for any development proposal.

Reviews and inspects residential, commercial, industrial, and multi-family development proposals to ensure compliance with State and City codes/ordinances, engineering/architectural, and fire/life safety principles.

Depending on the Division's needs, performs construction plan review and site inspections:

• Conducts Pre-Development, Plan Intake, and Pre-Construction meetings.
• Takes the lead in coordinating plan reviews and inspections internally, with customers, and with other departments and agencies.
• Maintains communication with contractors to anticipate and resolve onsite issues.
• Performs building safety inspections and plan reviews.
• Calculates and assesses fees.
• Monitors permit and project status and follow-up with expired applications and permits.
• Maintains accurate records and files of construction plan reviews, inspections, and related correspondence. Archives documents as required.
• Manages phased development and deferred submittal process for assigned projects.
• Ensures special inspection and structural observation is accomplished where required.
• Recommends or issues Stop Work Orders, violation notifications, and other building code compliance actions when necessary.
• Issues final approval of construction permits.

Building Inspector/Plans Examiner III

Education and Experience
High school diploma, or equivalent required. Associates degree in Building Inspection Technology, Drafting, Engineering, Fire Prevention, or other related field preferred.

Four years of formal education, training, and/or experience in construction management, architecture, structural engineering, building design, construction inspection, and/or plan review providing the knowledge, skills and abilities necessary to perform the essential functions of the position.

Knowledge, Skills and Abilities
Thorough knowledge of construction practices, engineering concepts, and architectural principles.

Excellent customer service, communication, and public relations skills and the ability to mediate adversarial situations. Ability to proactively anticipate and mitigate problem areas before they become issues.

Prioritize and meet multiple demands by the construction industry, the general public and other City staff.

Organize, coordinate, chair, and effectively facilitate high profile meetings.

Interpret, disseminate, and communicate complex technical information, state and local construction regulations, City review process, and City policies effectively with technicians and non-technicians.

Possess a self-directed commitment to maintain current knowledge of construction standards, methods, technologies, and codes.

Get along well and maintain effective work relationships with coworkers and the public.

Special Requirements

Certifications: Incumbent must be certified in accordance with OAR 918-098. Oregon Inspector Certification is required within 60 days of appointment.

Certifications giving the incumbent the legal ability to perform work described in sets A, B, C, or D:

A: Inspection/Plan Review:
Commercial Inspection (A-Level Building, Mechanical)
Residential Inspection (Building , Mechanical)
Residential Plan Review
Commercial Plan Review (A-Level, Mechanical) must be obtained within the probationary period.
OR
B: Residential Multi-Discipline:
Residential Plan Review
Residential Inspection for 4: Building, Mechanical, Plumbing and Electrical
OR
C: Commercial Plan Review:
Commercial Plan Review (A-level, Mechanical)
Fire and Life Safety
Residential Plan Review and Residential Inspection required within the probationary period
D: Specialty Discipline- Commercial and Residential Inspection and Plan Review to include:

• Plumbing - Commercial and Residential Plumbing Inspector; obtain a Medical Gas Certification within the probationary period; or
• Electrical - Commercial and Residential Electrical Inspector; obtain a Fire Investigation Certificate within the probationary period.

Education and Experience
High school diploma, or equivalent required. Bachelor's degree in Architecture, Engineering, Construction Management, Public Administration or a closely related field preferred. Two years of experience in construction management, architecture, structural engineering, building design, construction inspection, and/or plan review.

Six years of formal education, training and/or experience in construction management, architecture, structural engineering, building design, construction inspection, and/or plan review providing the knowledge, skills and abilities necessary to perform the essential functions of the position.

Knowledge, Skills and Abilities
Thorough knowledge of construction practices, engineering concepts, and architectural principles.

Excellent customer service, communication, and public relations skills and the ability to mediate adversarial situations, and proactively anticipate and mitigate problem areas before they become issues.

Prioritize and meet multiple demands by the construction industry, the general public and other City staff.

Organize, coordinate, chair, and effectively facilitate high profile meetings.

Travel among City worksites, off-site meetings and presentations.

Interpret, disseminate, and communicate complex technical information, state and local construction regulations, City review process, and City policies effectively with technicians and non-technicians.

Experience in use of permit tracking systems. Excellent ability to use computer hardware, printers, and computer programs to conduct inspections, complete plan reviews, communicate and present information, track progress, schedule projects, and to perform the essential functions of the position.

Get along well and maintain effective work relationships with coworkers and the public.

Demonstrable commitment to quality and timely customer service.

Special Requirements
Certifications: Incumbent must be certified in accordance with OAR 918-098. Oregon Inspector Certification is required within 60 days of appointment.

State of Oregon Building Official Certification; or State of Oregon Inspector Certification and International Code Council Certified Building Official Certification, must be obtained within the probationary period.

Certifications giving the incumbent the legal ability to perform work described in sets A, B, or C:
A: Inspection/Plan Review:
Commercial Inspection (A-Level Building, Mechanical)
Commercial Plan Review (A-Level, Mechanical, Fire and Life Safety)
Residential Inspection (Building , Mechanical)
Residential Plan Review
OR
B: Residential Multi-Discipline:
Residential Plan Review
Residential Inspection for 4: Building, Mechanical, Plumbing and Electrical

OR
C: Specialty Discipline - Commercial and Residential Inspection and Plan Review to include:

• Plumbing - Commercial and Residential Plumbing Inspector plus obtain a Medical Gas Certification within the probationary period; or
• Electrical - Commercial and Residential Electrical Inspector plus obtain a Fire Investigation Certificate within the probationary period.

Qualified applicants must submit an online application located on the City of Corvallis website(click on "Apply" above).

Position is open until filled.

First review of applications will occur after 8:00 AM on Friday March 6, 2026.

Resumes will not be accepted in lieu of a completed online application.

Late or incomplete applications will not be accepted/considered.

*Please do not include personal or protected information in attached resumes or cover letters, this includes your birth date, age, dates of education, and graduation dates.*

City of Kirkland

$46.92 - $55.20 Hourly

Kirkland, WA

Seasonal

202100717

Planning & Building - Inspection

01/22/2026

Continuous

Non-Exempt

N/A

Note: This is an On-Call position that is not eligible for benefits.

Being an on-call employee means that your work schedule is not guaranteed, hours worked could range from 0 - 40 hours a week, depending on office needs. All hours worked are subject to Department of Retirement Services and Affordable Care Act reporting requirements. More information will be shared during the interview, and we encourage questions about the program.

• Inspect buildings and structures to ensure compliance with laws, codes, and regulations relating to building construction, mechanical systems, plumbing systems, state energy code requirements, local zoning requirements, and job site erosion control.
• Investigate compliance complaints and, if necessary, mediate a resolution.

• Conducts site inspections of new and old commercial and residential buildings and structures to ensure compliance with approved plans and codes, notes violations. Approved plans will be reviewed, are posted on the construction site, and are reviewed by the inspector to see that they are properly implemented. Reinspects to ensure all noted violations have been corrected. The incumbent has the authority to stop work on a construction site if code violations are not corrected and makes the final approval of a structure prior to occupancy.
• Plans and schedules routes in order to ensure the most efficient use of time.
• Answers questions and provides technical advice related to building and structure code compliance.
• Investigates and responds to complaints regarding code compliance; informs individual making the complaint if a violation occurred and, if so, what corrective action has been taken.
• Logs daily inspections and prepares inspection reports.
• Reads special inspection reports for compliance and files reports.
• Inspects sites for grading and soil excavation or other land modifications. Makes a visual survey of the construction site to determine if a licensed survey is to be required for setback verification.
• Responds to public and contractor inquiries concerning interpretation of the National Electrical and related codes, construction problems, and City administrative procedures. This requires clear, concise, oral and written communication skills.
• Monitors construction to see that it is completed before occupancy of the building, the permit expires, or sees that the permit is renewed in a timely fashion.
• Maintains adequate records to assure proper documentation of inspections.
• Inspects nonstructural problems with building sites, such as surface water problems and inadequate access, and assures that they are corrected or referred to the appropriate City department.
• Position requires daily use of computer. Incumbent must have, or be able to learn, basic keyboard and computer skills.
• Performs daily inspections of vehicles to include checking tires and lights and determining if service is necessary.
• Fosters a positive and supportive work environment; promotes diversity, equity, inclusion, and belonging in the workplace, contributing to an environment of respectful living and working in a multicultural society.

• Attends staff meetings to discuss Building Department and City issues and to discuss changes in policy and codes.
• The incumbent is expected to perform as an emergency worker in the event of a disaster.
• Performs functions as assigned in the City's emergency response plan in the event of an emergency.

• Knowledge of local, state, and regional/international building codes.
• Considerable knowledge of the standards and practices of building construction, mechanical systems, plumbing systems.
• Maintains knowledge of the various changes in local, state, and regional/international building codes which are of technological changes in building materials and changing architectural philosophies. This will require attendance at college-level courses and/or trade seminars as they become available, provided they are necessary to achieve objectives.
• Knowledge of construction techniques and material.
• Must have or be able to learn basic keyboard and computer skills.
• Skill in reading and understanding blueprints and drawings.
• Skill in interpreting codes.
• Skill in organizing and prioritizing tasks.
• Must be able to communicate orally and in writing in a clear, concise, and diplomatic manner.
• Communication and interpersonal skills as applied to interaction with engineers, architects, coworkers, supervisor, the general public etc. sufficient to exchange or convey information and to receive work direction.
• Must be able to navigate typical construction sites which involve walking, climbing ladders/scaffolding, crawling, and being exposed to inclement weather conditions.

Minimum Qualifications:

• Education: High school diploma or GED.
• Experience: 3 years of construction or inspection experience.
• Or: In place of the above requirements, the incumbent may possess any combination of relevant education and experience which would demonstrate the individual's knowledge, skill, and ability to proficiently perform the essential duties and responsibilities listed above.

• Must have a valid Washington State Driver's license and ability to remain insurable under the City's insurance to operate motor vehicles.
• Possess and maintain ICC Residential Building Inspector (B1) certification within 1 year.
• Must have good oral and written communication skills.

Physical Demands and Working Environment:
The position is driving to or being at construction sites a majority of the time. Potential hazards at construction sites might include falling objects, loose footing, and construction equipment. The position may be required to climb ladders, occasionally walk on scaffolding, crawl in crawl spaces, and be exposed to inclement weather and adverse conditions. The incumbent is expected to perform as an emergency worker in the event of a disaster.
Positions in this class typically involve indoor and outdoor work in extreme variable temperature and atmospheric conditions. Duties may require extended periods of talking or listening, climbing, balancing, stooping, kneeling, crawling, reaching, standing, walking, fingering, feeling, and seeing. Incumbents may be subjected to being around moving mechanical parts, vibration, fumes, odors, gasses, poor ventilation, inadequate lighting, work space restrictions, intense noises, and travel.
Work typically includes exerting up to 50 pounds of force occasionally and/or up to 35 pounds of force more frequently, and/or negligible amount of force constantly to move objects.
This position encounters foot hazards as defined by the WAC, which may include any of the following: falling objects, rolling objects, piercing/cutting injuries, or electrical hazards.

Position requires a resume and cover letter for consideration of application. Please note how you meet minimum qualifications within the cover letter. Applicants who are selected for next steps in the hiring process will be invited by phone or e-mail. Candidates are encouraged to apply at the earliest possible date as screening, interviewing, and hiring decisions will be made through the recruitment period, until such time as the vacancy is filled. First review of applicants will be 15 days after original posting date.

The City of Kirkland is a welcoming community where every person can thrive and grow. We value diversity, inclusion, belonging, and work together to support our community. We do this by solving problems, focusing on the customer, and respecting all people who come into the City whether to visit, live, or work. As an Equal Opportunity Employer, we are committed to creating a workforce that does not discriminate on the basis of race, sex, age, color, sexual orientation, religion, national origin, marital status, genetic information, veteran status, disability, or any other basis prohibited by federal, state or local law. We encourage qualified applicants of all backgrounds and identities to apply to our job postings. Persons with a disability who need reasonable accommodations in the application or testing process, or those needing this announcement in an alternative format, may call or Telecommunications Device for the Deaf at 711.

Inpatient Coder III

Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health’s robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.

JOB SUMMARY:

Under limited supervision, reviews medical records and performs coding on all diagnoses and procedures (both medical and surgical) according to applicable coding guidelines. Assigns and verifies the correct diagnostic related grouping (DRG) for all inpatient-designated account types. Applies the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. Maintains the confidentiality of patient records and procedures.

MINIMUM QUALIFICATIONS:

• Education/Specialized Training/Licensure: High school diploma or GED. Certified Coding Specialist (CCS) credential required. RHIA/RHIT credential preferred

• Work Experience (Years and Area): 5 years minimum of Inpatient coding experience. Inpatient Coding in Trauma Level 1 teaching facility preferred

• Equipment Operated: 3M encoder interfaced with EPIC electronic medical record billing system

SPECIAL REQUIREMENTS:

Communication Skills:

Writing /Composing: Correspondence, Reports

Other Skills: Analytical, Medical Terms, P.C., Anatomy and Physiology

Work Schedule: Holidays, Flexible, Eligible for Telecommute (remote)

Other Requirements:

• Knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology
• Knowledge of classification systems ICD-10-CM, AND ICD-10-PCS nomenclature, coding rules, guidelines, and proper sequencing
• Knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), and the ICD-10-CM and ICD-10-PCS Official Coding Guidelines for assignment of diagnostic and procedure codes Knowledge of JCAHO, Privacy Act of 1974, and HIPAA standards affecting medical records and their impact on reimbursement
• Knowledge of ethical coding principles and revenue cycle activities
• Skill in interpreting and applying ethical coding standards, understanding federal and state laws and regulations, and following professional practice standards for health care organization coding

CitiMed is a unique medical facility that provides exclusive healthcare amenities to our community. The range of medical and rehabilitative services offered has been specifically selected to treat traumatic injury patients. We provide a variety of health services including diagnostic and rehabilitation. Our vision directs the evolution of our practice, as we strive to improve our services to the community. All CitiMed offices are multilingual and staffed with individuals to make any experience pleasant. You can learn more about us at is growing rapidly, and we are looking for many qualifying individuals to be a part of our team! With the support and hard work of all our employees, CitiMed continues to make its way down a successful road. CitiMed maintains a work culture that allows our team members to feel supported and confident in their work. We offer many learning opportunities with room for professional growth. If the responsibilities interest you and believe you have met the requirements, we strongly encourage you to apply!

Job Description:

We are seeking a highly skilled and detail-oriented Certified Medical Coder with expertise in Pain Management and Orthopedic coding to join our dynamic team. The ideal candidate will possess a strong understanding of coding guidelines and regulations, ensuring accurate coding for optimal reimbursement and compliance.

Key Responsibilities:

• Accurate Coding: Assign appropriate ICD-10, CPT, and HCPCS codes for pain management and orthopedic services, including surgical procedures, injections, and diagnostic tests.
• Documentation Review: Analyze medical records, operative reports, and provide documentation to ensure completeness and accuracy of coding.
• Compliance: Ensure coding practices adhere to federal, state, and payer-specific regulations, including NCCI edits and LCD/NCD guidelines.
• Denial Management: Collaborate with billing and clinical staff to address coding-related denials and implement corrective actions.
• Education & Training: Provide feedback and education to providers and staff with documentation requirements and coding updates.
• Quality Assurance: Participate in internal audits and quality improvement initiatives to maintain high coding accuracy standards.
• Data Analysis: Utilize coding data to identify trends, opportunities for revenue enhancement, and areas for process improvement.

Qualifications

• Certification: Active AAPC certification (CPC, COSC, or CANPC) or AHIMA equivalent (CCS, CCS-P).
• Experience: Minimum of 3 years of coding experience in pain management and orthopedic specialties.
• Knowledge: Proficient in ICD-10-CM, CPT, HCPCS Level II coding systems, and medical terminology related to musculoskeletal and pain management services.
• Technical Skills: Experience with EHR systems and coding software (e.g., EncoderPro, 3M).
• Analytical Skills: Strong attention to detail and ability to interpret complex medical documentation.
• Communication: Excellent verbal and written communication skills for effective collaboration with healthcare providers and staff.

Preferred Qualifications:

• Advanced Certification: COSC (Certified Orthopedic Surgery Coder) or CANPC (Certified Anesthesia and Pain Management Coder).
• Audit Experience: Familiarity with conducting coding audits and implementing compliance strategies.
• Regulatory Knowledge: Understanding of CMS guidelines, HIPAA regulations, and payer-specific policies.

About Us: Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

SUMMARY: The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk Adjustment Factor.
• Conduct internal reviews of documentation and billing on a timely basis.
• Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by utilizing official coding resources, Medicare manual and policies.
• Collaborate and educate provider practices on CMS guidelines for Star Measures (Part C & D). Review and advise on appropriate documentation and coding for HEDIS and RAF reporting.
• Prepare summary reporting of the coding review results as requested.
• Participate in ongoing discussions concerning data collection and analysis for HEDIS gaps in care. Re-educate providers as needed.
• Apply official CPT/HCPCS and ICD10 coding guidelines, internal guidelines, and state specific Medicare/Medicaid coding instructions to review and analyze professionally coded services and coding queries.
• Collaborate with internal departments and external partners to review and implement projects to improve delivery of services and quality of care.
• Participate in provider and interdepartmental conference calls and meetings that support exceptional customer service.
• Attend health plan meetings as requested by department leadership.
• Regular and consistent attendance.
• Other duties as assigned.

EDUCATION and/or EXPERIENCE:

• 0 - 1 year of prior experience as a coder in a quality improvement role within a health plan, IPA or medical group.
• Certified Coding certificate required.
• Strong understanding of coding principals including, HEDIS, Medicare Star ratings and Risk Adjustment.
• Strong understanding of the principals of HIPAA and able to maintain confidentiality.
• Able to build rapport with external providers and partners and internal teams.
• Professionally present data and findings that support internal goals and objectives.

BENEFITS:

• 401(k)
• Dental Insurance
• Health Insurance
• Life Insurance
• Vision Insurance
• Paid Time Off
• Free catered lunches

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 910 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.

Work Hours per Biweekly Pay Period: 80.00

Shift:

Location: 1324 Lakeland Hills Blvd Lakeland, FL

Pay Rate: Min $161,200.00 Mid $215,300.80

Position Summary

The Physician Advisor serves as a liaison between the clinical document improvement (CDI) team, which includes hospital coders; members of the Hospital's administration; the Medical Staff of the hospital; and the hospital's Utilization Management to facilitate the development and implementation of clinical documentation improvement initiatives. The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation. The Physician Advisor is responsible for conducting clinical reviews referred by the Utilization Management, Coding and Clinical Documentation Improvement departments. The Physician Advisor will assist with reviews and appeals of DRG and medical necessity denials.

Position Responsibilities

People At The Heart Of All 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.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

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.

Supervisor/Team Lead Capabilities

• Demonstrates accountability for shift/team operations and care/service delivery to support achievement of organizational priorities.
• Coaches front line team members to support ongoing professional development and hardwire technical and professional capabilities.
• Creates a high performing team by building strong relationships, delegating work and nurturing commitment and engagement.
• Manages team conflict/issues implementing appropriate corrective actions, improvement plans and regular performance evaluations.
• Applies change management best practices and standard work to support departmental changes and ensure effective team transition.
• Promotes a healthy and safe culture to advance system, team and service experien

Standard Work: Physician Advisor

• Acts as a liaison between the CDI professionals, Health Information Management, and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment.
• Perform concurrent and retrospective reviews of selected health records as it pertains to CDI and coding validation, and participate in the development of clinically appropriate and compliant provider queries to further clarify documentation.
• Educates individual hospital staff physicians about International Classification of Diseases (ICD) coding guidelines and clinical terminology to improve their understanding of severity, acuity, risk of mortality, HCC/risk adjustment and DRG assignments on their individual patient records.
• Assists with the evaluation and appeal of concurrent and restrospective denials and retrospective DRG downgrades. May perform peer-to-peer meetings as required.
• Participates in the coding and CDI programs and identifies potential areas for improved documentation of services. Also participates in the Coding and CDI meetings and provides ongoing education to the team members.
• Provides peer to peer communication to affect the appropriate response for those cases where the physician fails to respond or questions the need for queries.
• Responsible for writing and submitting appeals (multiple levels as needed) specifically around medical necessity, non-covered services, authorizations, and inpatient/observation stay related denials. May perform peer-to-peer meetings as required.
• The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation through effective communication and education of the respective parties.
• Provides his or her expert opinion in relation to clinical validity assessments, and, furthermore, the development of clinically robust and appropriate queries.
• Serves as second level reviewer for UM, providing guidance on appropriate/alternate levels of care based on InterQual guidelines and other appropriate criteria.

Competencies & Skills

Essential:

• Broad knowledge base of clinical medicine across all specialties.
• Basic coding guidelines regarding the selection of the principal diagnosis and reporting additional diagnoses and procedures; understanding the DRG system; levels of comorbidities; and concepts of risk adjustment, severity of illness, risk of mortality, case mix index, prospective payment, hospital acquired conditions, patient safety indicators.
• Organize tasks effectively and efficiently and the ability to act independently through the application of critical thinking skills.
• Computer skills appropriate to position
• Excellent written and verbal communication skills.

Qualifications & Experience

Essential:

• Medical Degree

Essential:

• Licensed to practice medicine in the state of Florida, shall be board certified in internal medicine, and shall meet any other reasonable professional criteria established by LRH or the hospital.

Other information:

Experience Essential:

- Minimum of two years of experience in conducting coding and CDI reviews.

- Knowledge of coding guidelines and how it translates from clinical documentation.

- Knowledge of DRGs, Risk of Mortality, Severity of Illness, Mortality Rate, HCC/risk adjustment, CMI and the impact of clinical documentation/coding in relation to these metrics.

- Excellent computer skills with prior exposure to use of Microsoft Office suite

We are seeking a detail-oriented Certified Risk Adjustment Coder to join our healthcare team. This role involves working directly within a clinical or administrative unit to ensure accurate and compliant coding of medical procedures, diagnoses, and services. The ideal candidate will be embedded in day-to-day operations, collaborating closely with physicians, nurses, and billing staff to support efficient documentation and reimbursement processes.

This is a hybrid role, and requires 3 days a week in the office

Key Responsibilities:

• Review and analyze patient medical records to assign appropriate ICD-10, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with federal regulations, payer policies, and internal standards.
• Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.
• Submit coded data to billing systems to initiate insurance claims and support reimbursement.
• Maintain and update patient data for long-term tracking and reporting.
• Participate in audits and quality reviews to ensure coding integrity.
• Stay current with changes in medical coding guidelines, CMS updates, and payer requirements.
• Support internal compliance and contribute to external audit readiness.

Qualifications:

• Certified Risk Adjustment Coder (CRC) Certification
• Minimum 2–3 years of experience in medical risk adjustment coding, preferably in an embedded or integrated healthcare setting.
• Familiarity with value-based care and risk-bearing contracts.
• Strong understanding of medical terminology, anatomy, and disease classification systems.
• Proficiency with Electronic Health Records (EHR) and coding software.
• Working knowledge of Microsoft Office.
• Excellent attention to detail and analytical skills.
• Ability to work collaboratively in a fast-paced clinical environment.

Preferred Skills:

• Experience with inpatient, outpatient, or specialty coding.
• Ability to engage with providers.
• Familiarity with payer-specific coding requirements and reimbursement processes.
• Strong communication skills for cross-functional collaboration.
• Knowledge of HIPAA and confidentiality protocols.

• 
  
• The Medical Records Director (Non-Nurse) maintains the patients’ clinical records, including coding, auditing, and providing pertinent staff education regarding recordkeeping procedures in accordance with all applicable laws, regulations, and Life Care standards. Serves as the designated Privacy Officer for the facility.
  
• Reports to Executive Director (ED)
  

• 
  
• Bachelor’s degree OR an equivalent combination of education and experience
  
• Credentialed as a Registered Health Information Administrator (RHIA) OR as a Registered Health Information Technician (RHIT) OR have a degree in a health related field with extensive training and demonstrated competence in the HIM field
  
• Training in post-acute care health information management
  

• 
  
• Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
  
• Demonstrate efficient usage of complex computer software systems
  
• Functional knowledge in field of practice
  
• Make independent decisions when circumstances warrant such action
  
• Knowledgeable of medical records practices and procedures as well as the laws, regulations, and guidelines governing medical records functions in the post-acute care facility
  
• Implement and interpret the programs, goals, objectives, policies, and procedures of the medical records department
  
• Perform proficiently in all competency areas including but not limited to: medical coding, auditing, clinical records, privacy official responsibilities, supervisory responsibilities, patient rights, and safety and sanitation
  
• Maintains confidentiality of all proprietary and/or confidential information
  
• Understand and follow company policies including harassment and compliance procedures
  
• Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
  
• Promotes a culture of integrity, maintains an “open door” policy, and does not participate in or allow retaliation against those who report good faith concerns
  
• Actively implements the compliance program and Code of Conduct and ensures 100% participation by department staff
  

• 
  
• Audit and complete ongoing review of all patients’ clinical records to ensure documentation and performance compliance
  
• Maintain current, overflow, and discharged record filing systems
  
• Serve as the facility’s Privacy Officer for HIPAA compliance
  
• Understand and apply LTC payment systems, including Medicare
  
• Use ICD-10-CM coding
  
• Use CPT/HCPCS coding systems
  
• Effectively communicate with physicians, nursing staff, and allied health personnel
  
• Interview, hire, train, evaluate, counsel, and supervise medical records staff
  
• Exhibit excellent customer service and a positive attitude towards patients
  
• Assist in the evacuation of patients
  
• Demonstrate dependable, regular attendance
  
• Concentrate and use reasoning skills and good judgment
  
• Communicate and function productively on an interdisciplinary team
  
• Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
  
• Read, write, speak, and understand the English language
  
• Must be able to lift 35 lbs floor to waist, lift 35 lbs waist to shoulder, lift and carry 35 lbs, and push/pull 35 lbs