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Supervisor, PB Surgical Coding
Salary not disclosed
Warrenville, IL 3 days ago
Hourly Pay Range:

$32.60 - $48.90 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights

- Position: Supervisor PB Surgical Coding
- Location: Warrenville, IL
- Full Time
- Hours: Monday-Friday, [hours and flexible work schedules]

A Brief Overview:
The Supervisor, Medical Coding, is responsible for overseeing the medical coding team, ensuring accurate code assignments, adherence to coding guidelines, and compliance with regulatory requirements. This position plays a pivotal role in maintaining financial accuracy and integrity within the hospital.

What you will do:

- Supervise and provide leadership to a team of medical coders, offering guidance, training, and support to ensure high-quality code assignments.
- Oversee and review diagnostic (ICD-10-CM) and procedural (CPT) codes assigned to medical records, validating their accuracy and adherence to coding guidelines.
- Conduct internal coding audits to monitor coding accuracy and consistency, providing feedback and guidance to coding staff.
- Collaborate with clinical staff, physicians, and clinical documentation specialists to ensure accurate coding and identify opportunities for documentation improvement.
- Stay current with coding guidelines, conventions, and regulatory changes, and disseminate information to the coding team.
- Ensure coding practices comply with federal, state, and local healthcare regulations and standards, including HIPAA.
- Generate coding reports, analyze coding data, and provide insights into coding accuracy, trends, and process improvement opportunities.
- Provide ongoing training and development opportunities for coding staff, ensuring they stay updated on best practices and regulations.
- Collaborate closely with clinical staff, health information management, and other departments to streamline the flow of coding-related information.
- Maintain strict confidentiality and security of patient data, complying with HIPAA and other privacy regulations.

What you will need:

- Bachelors Degree Health Administration Required or Bachelors Degree Information Technology Required
- 5+ Years of medical coding experience, with at least 2 years in a supervisory or leadership role.
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Required And
- Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) Required

Benefits:

- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to ?help everyone in our communities be their best?.

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
Not Specified
Coding Educator
🏢 Endeavor Health
Salary not disclosed
Skokie, IL 3 days ago
Hourly Pay Range:

$24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights:

- Position: Coding Educator
- Location: Skokie, IL
- Full Time
- Hours: Monday-Friday, [hybrid]

What you will do:

- Ongoing growth and development from participation in events such as workshops, in-service programs and departmental meetings.
- Provides care based on physical, psychological, educational and related criteria appropriate to the age and type of the patients/customers served in their area.
- Acts as a coding resource for physicians, charge entry staff, other coders, and clinical staff.
- Participates in continuing education and in-service programs to maintain coding and billing skills.
- Communicates coding changes and updates physicians based on department standards.
- Queries physician and/or staff regarding incomplete or missing documentation.
- Works resolute charge review work queues with the purpose of correcting coding errors, reviewing documentation and applying coding guidelines to ensure the accurate and timely filing of charges.
- Ensure service, procedure and diagnoses codes are accurately reported and linked.
- Assigns CPT, ICD-10 and HCPCS codes based on coding guidelines.
- Queries Physician/Provider when applicable
- Maintains productivity and aging levels based on department standards.
- Identifies trends in coding issues and works with manager to educate and implement solutions.
- Work follow-up work queues with the purpose of reviewing denial codes and remarks and apply coding and billing guidelines for resubmission to obtain final adjudication of claim.
- Use coding resources (NCCI manual, LCD's payor bulletins) to assist with correct resubmission.
- Maintains productivity based on department standards.
- Work account work queues with the purpose of resolving patient disputes by applying coding and billing guidelines.
- Communicates with practice managers and/or physicians if applicable.
- Maintains productivity based on department standards.
- Consistently utilizes coding and billing resources and reference tools.
- Reports identified or potential coding compliance issues to manager and/or Coding Compliance Department in accordance with established policy and procedures.
- Implements findings to improve processes and workflows.

What you will need:

- Education: High School Diploma Required
- Certifications: CCS or CCS-P or CPC or RHIT required
- Experience: 3 years of outpatient coding experience

Benefits:

- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Coverage
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( ) to better understand how

Endeavor Health delivers on its mission to ?help everyone in our communities be their best?. Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
Not Specified
Supervisor, Hospital Coding
🏢 Endeavor Health
Salary not disclosed
Warrenville, IL 3 days ago
Hourly Pay Range:

$30.46 - $45.69 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights:

- Position: Supervisor, Hospital Coding
- Location: Warrenville, IL
- Full Time/Part Time: Full Time
- Hours: Monday-Friday, [hours and flexible work schedules]

A Brief Overview:
The Supervisor, Medical Coding, is responsible for overseeing the medical coding team, ensuring accurate code assignments, adherence to coding guidelines, and compliance with regulatory requirements. This position plays a pivotal role in maintaining financial accuracy and integrity within the hospital.

What you will do:

- Supervise and provide leadership to a team of medical coders, offering guidance, training, and support to ensure high-quality code assignments.
- Oversee and review diagnostic (ICD-10-CM) and procedural (CPT) codes assigned to medical records, validating their accuracy and adherence to coding guidelines.
- Conduct internal coding audits to monitor coding accuracy and consistency, providing feedback and guidance to coding staff.
- Collaborate with clinical staff, physicians, and clinical documentation specialists to ensure accurate coding and identify opportunities for documentation improvement.
- Stay current with coding guidelines, conventions, and regulatory changes, and disseminate information to the coding team.
- Ensure coding practices comply with federal, state, and local healthcare regulations and standards, including HIPAA.
- Generate coding reports, analyze coding data, and provide insights into coding accuracy, trends, and process improvement opportunities.
- Provide ongoing training and development opportunities for coding staff, ensuring they stay updated on best practices and regulations.
- Collaborate closely with clinical staff, health information management, and other departments to streamline the flow of coding-related information.
- Maintain strict confidentiality and security of patient data, complying with HIPAA and other privacy regulations.

What you will need:

- RHIA or RHIT American Health Information Management Association (AHIMA) required
- 5+ Years of medical coding experience, with at least 2 years in a supervisory or leadership role.

Benefits:

- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off
- Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to ?help everyone in our communities be their best?.

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

___________________________________________________________

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Not Specified
Outpatient Coding Quality Education Specialist
Salary not disclosed
Lakeland, FL 1 week ago

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

Not Specified
Coder II - Outpatient - Coding & Reimbursement
🏢 Lakeland Regional Health-Florida
Salary not disclosed
Lakeland, FL 2 days ago

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.

Not Specified
Coding II - Inpatient - Coding & Reimbursement
🏢 Lakeland Regional Health-Florida
Salary not disclosed
Lakeland, FL 2 days ago

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.

Not Specified
Director of Coding & Health Information Management (HIM)
Salary not disclosed
Reno, NV 1 week ago

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.

Not Specified
Certified Coding Auditor
Salary not disclosed
Paterson, NJ 1 week ago

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.

Not Specified
Commercial Building Code Inspector
Salary not disclosed

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.

Not Specified
Physician / Oncology - Hematology / Maryland / Locum or Permanent / Pacific Companies, INC Job
Salary not disclosed
Chicago, Illinois 4 days ago
Good day Are you looking for a change? A way to fill your time while in transition? Or looking for a 1099 independent contractor position? Continue to read below- one of the locum tenens opportunities that we have.

Our firm has a nationwide (locums and permanent) presence so please let me know if you are interested in a different location.The HEMONC locum tenens opportunity in MarylandLocation: Leonardtown, MD Duration: March August (potential for extension or conversion to perm)Reason for coverage: on-going vacancy in department Schedule: may consider part-timeShift: Monday Friday, 8a-4:30pCall: 1:4 weekends, rotating week night (NP triages call prior to getting to MDs)Patient volume: 12-15 patients per dayScope: Hematology 30%, Oncology 60% EMR: CernerHospital: 93 bedsGroup/support: infusion center on-site, NP supportRequirements (boards, license): Board certified with Maryland or compact license at time of application Travel, Accommodations, and Malpractice
- PAID for locum opportunities Assistance with credentialing provide -expedited 45-60 days credentialing with clean NPDB Call or Email for further details If you (or someone you know) are interested, please let me know your availability, and contact information.

Followed with an updated CV.

All information is held strictly confidential.Looking forward to hearing from you.

Thank you, Shawn Faucette
permanent
Physician / ObGyn / New York / Permanent / Ob/Gyn - Upstate New YorkBase Salary: $450,000 + WRVU Inc
$450,000
Chicago, Illinois 4 days ago
Ob/Gyn
- Upstate New York Base Salary: $450,000 + WRVU Incentives Signing Bonus: $100,000 Loan Repayment: $20,000 annually (up to $80,000) Relocation: $15,000 CME Stipend: $3,000 + 5 Paid Days Off Practice Highlights: Modern Center for Women & Children (Opened 2019) Private mother-baby rooms & dedicated labor/delivery surgical suites DaVinci XI robotics & cutting-edge technology 24/7 neonatology & anesthesia coverage Teaching opportunities with Family & Internal Medicine residency programs Serving military families Qualifications: Board Certified/Eligible in OB/GYN Passion for patient-centered, team-based care Strong clinical & interpersonal skills Robotics optional
permanent
Physician / Infectious Disease / South Carolina / Any / Pacific Companies, Inc. Job
🏢 Pacific Companies, Inc.
Salary not disclosed
Chicago, Illinois 4 days ago
Good day Are you looking for a change? A way to fill your time while in transition? Or looking for a 1099 independent contractor position? Continue to read below- one of the locum tenens opportunities that we have.

Our firm has a nationwide (locums and permanent) presence so please let me know if you are interested in a different location.The Infectious Disease locum tenens opportunity in South CarolinaLocation: Conway, SCDuration: July 25
- November 25 ( 12 weeks)Reason for coverage: Maternity leaveSchedule: 3 days in clinic + 2 days of inpatient + 1 weekend of callShift: Clinic 3 times a week, Mon/Tues/Wed, half day in the mornings from 9AM to 12PMRounds after clinic (on own patients only)Call: 10 days per month (inpatient days are on the same day as call)Inpatient scope: Rounding and consults on the med surg floor (infectious disease only)Outpatient Scope: Provided antibiotics (no labs on site), infusion lab review, rehab lab (no pharmacist for labs, so this is the physicians responsibility)EMR: CERNER w/ Dragon DictationHospital: Level 3 Trauma, 210 bedsRequirements (boards, license): BC with SC license, Clean NPDBInitial COVID Vaccine Required Travel, Accommodations, and Malpractice
- PAID for locum opportunities Assistance with credentialing provide Call or Email for further details If you (or someone you know) are interested, please let me know your availability, rates, and contact information.

Followed with an updated CV.

All information is held strictly confidential.Looking forward to hearing from you.

Thank you, Shawn Faucette
Not Specified
Physician / Internal Medicine / Delaware / Permanent / Delaware I Concierge Medicine Physician I Inc
$250,000
Chicago, Illinois 4 days ago
Exciting Internal Medicine Physician opportunity!Here is an outstanding opportunity to work in a private concierge practice where you are able provide comprehensive medical care to ensure the health and well-being to the members of the community.We are actively seeking a dedicated Internal Medicine physician to join our practice that has been a staple of the local community for more than 12 years!Practice Details:-Base Salary range $250k-$275k + signing bonus-Income potential $400k+-4.5 day work week-100% outpatient-NO Call-Live in a beautiful beach community with a high quality of lifeWhy Choose Us?We offer competitive compensation packages including health insurance, retirement plans, paid time off, and opportunities for professional development.About the Area:Milton, DE offers residents the benefits of small-town living coupled with the convenient access to large cities like Baltimore, Philadelphia and Washington DC.

This beautiful beachfront community boasts a low crime rate, job opportunities, quality schools, affordable housing, and a variety of dining and outdoor options.

Milton provides a safe and appealing environment to raise a family.
permanent
Physician / Orthopedics / Georgia / Locum tenens / Telemedicine Physician Opportunity with Great Inc
Salary not disclosed
Augusta, Georgia 2 days ago
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
Not Specified
Physician / Orthopedics / Arizona / Locum tenens / Telemedicine Physician Opportunity with Great Inc
🏢 Quivvy Tech
Salary not disclosed
Tucson, Arizona 2 days ago
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
Not Specified
Physician / Orthopedics / Wyoming / Locum tenens / Telemedicine Physician Opportunity with Great Inc
🏢 Quivvy Tech
Salary not disclosed
Cheyenne, Wyoming 2 days ago
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
Not Specified
Physician / Gynecology / Arizona / Locum or Permanent / OBGYN opening in Phoenix, AZ - stipend, ince
Salary not disclosed
Phoenix, Arizona 2 days ago
Seeking BE/BC OBGYN to join top practice in Phoenix, AZ.

* You will be joining a team of 9 providers
* Call is 1:6
* In-office sonography
* Up to 6-Figure Starting Bonus
* PGY-4 Stipend Bonus Option
* Comprehensive Health and Medical Plans
* Coverage of Malpractice Insurance and Medical Licenses
* Great Flexibility to assist with work/life balance.
* PTO of 25 days + 7 Paid Holidays
* CME of 5 days w / $2,500 allowance
* Productivity Incentives
* Company Retirement Plan plus Match
* Admitting Hospital is Banner University medical Center Phoenix
* Call rotation is shared with other physicians in the group and are frequently supported by Advanced Practice Providers to manage routine care, only calling on the physician for complex situations.

The Community:

Phoenix boasts a vibrant community with diverse amenities. Explore a mix of suburban charm and modern conveniences. Discover family-friendly parks, local events, and a variety of dining options. With easy access to major highways, residents enjoy a convenient lifestyle. The area's growth brings new opportunities and a welcoming atmosphere!
APPLY NOW or TEXT Job and email address to .

Search all of our provider opportunities here:
permanent
Physician / Orthopedics / Montana / Locum tenens / Telemedicine Physician Opportunity with Great Inc
🏢 Quivvy Tech
Salary not disclosed
Billings, Montana 2 days ago
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
Not Specified
Physician / ObGyn / Pennsylvania / Permanent / Ob/Gyn Position in Northeast Pennsylvania - $210K Inc
$210,000
An OBGYN opportunity is available with a large organization in northeastern Pennsylvania.

The position offers exceptional earning potential, including an incredible $210K in recruitment incentives! About the position 250-bed facility with a level III NICU 2000 deliveries/year 5
- 24 hour in-house call shifts/month On call with laborists, off post call Work with midwives available 7 am-7 pm 11 Days in the clinic and 2 OR days/month APP support in the clinic Opportunity to Teach residents, medical students, and APPs Benefits: Robust salary $210K in recruitment incentives
- can be used for anything Full Benefits Malpractice with tail coverage Relocation and CME $ on top of the recruitment incentives About the Area: A progressive city with industrial roots and conveniently nestled in the tri-state area, there are many recreational amenities here.

From boating and walking trails to concerts, arts, and festivals, as well as a wide variety of shopping and dining options.

The local population is 44,261 based on 2022 census.

LB-5
permanent
Physician / Orthopedics / Alabama / Locum tenens / Telemedicine Physician Opportunity with Great Inc
🏢 Quivvy Tech
Salary not disclosed
Birmingham, Alabama 2 days ago
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
Not Specified
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