Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts
Abstracts key data elements required for billing
Interacts with providers for clarification of documentation/education
UChicago Medicine has been at the forefront of medicine since 1899 and provides superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, they need employees with passion, talent and commitment… with patients and with each other.
Responsible for coding procedures and entering charges to comply with regulations and internal policies.
Coordinate with Practice Coordinator and Revenue Integrity to assure all necessary documentation is present.
Participate in audits to evaluate if all selected codes are accurate and develop methodologies to improved coding issues.
Northside Hospital is an award-winning and state-of-the-art hospital that is continually growing. They are expanding the quality and reach of their care to patients and communities which creates more opportunity for healthcare professionals in Atlanta and beyond.
Abstract information from patient medical records to assign correct codes and charges to outpatient surgical records, and/or observation cases.
Assign correct CPT, ICD-10-CM; HCPCS or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas.
Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
OHSU is Oregon's only public academic health center. As Portland's largest employer, they offer learning and advancement opportunities in a system of hospitals and clinics across Oregon and Southwest Washington.
Ensuring the accuracy, integrity, and quality of coding practices within the HIM department.
Conducting thorough reviews of clinical documentation, coding, and billing processes to ensure compliance.
Educating and training coding staff on best practices and updates in coding guidelines.
Cooper University Health Care is committed to providing extraordinary health care. They focus on clinical innovations and access to facilities, equipment, technologies and research protocols, and offer competitive rates, compensation programs, benefits, and career growth.
Organizes and prioritizes assigned work to ensure completion within the assigned time frame.
Reviews charts and medical records, assigning ICD and CPT code combinations to each data element.
Audits for documentation opportunities and queries clinical staff to fill in any gaps.
Riverside Health System's mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team, offering care at all stages of life, in hundreds of locations.
Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types.
Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures
Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures.
Northwestern Medicine is committed to a patient-first approach, setting them apart as a leader in healthcare. They pride themselves on providing competitive benefits, from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, aiming to care for their employees.
Codes and abstracts Outpatient records for data retrieval, analysis, reimbursement and research.
Enters diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder.
Meets quality and productivity coding standards and demonstrates the ability to navigate an EMR.
CommonSpirit Health has more than 700 care sites across the U.S. Their combined resources are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen both inside our hospitals and out in the community.
Demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts.
Supports Revenue Cycle goals for timely billing.
Coding experience of 3-5 years required.
Cooper University Health Care is committed to providing extraordinary health care, with a team of extraordinary professionals dedicated to clinical innovations and enhanced access to facilities, equipment, technologies and research protocols. They offer competitive rates, comprehensive benefits, attractive working conditions, and opportunities for career growth.
Codes and abstracts hospital medical records for diagnostic and procedural coding.
Utilizes federal, state procedures/guidelines to assure accuracy of coding.
Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation.
Virtua Health is dedicated to offering quality care through its extensive range of services and facilities. They have over 14,000 colleagues, including over 2,850 doctors, physician assistants, and nurse practitioners committed to providing quality healthcare.
Supports coding and documentation quality assurance.
Performs internal audits to assess compliance and quality.
Researches coding, billing, and charging compliance issues.
Presbyterian Healthcare Services is dedicated to improving the health of patients, members, and communities. They are a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group, employing nearly 14,000 individuals.
Performs CPT and ICD10 coding by abstracting from medical records, focusing on complex encounters.
Collaborates with Providers and Clinical areas to ensure accurate medical record reflection of patient services.
Trains physicians and staff on documentation, billing, and coding, while resolving Optum coding edits.
Northwestern Medicine is dedicated to providing a positive and patient-first workplace. They are a leader in the healthcare industry, offering opportunities for employees to contribute to better healthcare across the system.
Monitors work volume and work distribution to maintain optimal efficiency.
Reviews and reconciles reports and assigned work queues, troubleshooting problem accounts.
Researches coding questions and provides coding training as needed.
Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children, providing a wide range of care and support. As the region's only independent healthcare system dedicated to children, they offer rewarding career opportunities and encourage employees to be their best.
Responsible for managing and overseeing activities for multiple value streams within the revenue cycle.
Provide ongoing input in the strategic planning of business requirements and corporate objectives for the Revenue Cycle.
Ensure compliance with all federal, state, and local statutes and regulations, as well as all third-party payer policies.
Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.
Accurately assigning ICD-10, CPT, HCPCS, ASA, and modifiers for infusion services.
Reviewing medical documentation to ensure proper coding and compliance.
Staying up to date with third-party payer regulations and compliance guidelines.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions. They are committed to exceptional care and empower their team to thrive while living their core values.
Review clinical documentation and assign accurate ICD-10-CM, HCPCS, and CPT codes to encounters
Ensure compliance with CMS, payer, and risk adjustment coding guidelines
Collaborate with clinicians and billing staff to clarify documentation or coding discrepancies
Main Street Health is the nation's largest provider of value-based care exclusively serving rural America. They partner with rural primary care doctors and reinforce the importance of trust and relationship-driven care in rural communities.
Lead advanced coding education for individual providers and large provider groups, utilizing remote methods such as E/M and Medicare Preventive services.
Design, implement, and lead specialty-specific documentation and coding training programs to address unique needs and challenges.
Monitor market trends and emerging issues related to documentation and coding, ensuring timely and relevant updates to training programs.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. They optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care. Their platform is led by top industry talent and consists of scalable operations and end-to-end, cloud-based technology.
Northeast Georgia Health System (NGHS) is a non-profit organization dedicated to improving community health through various initiatives. With a team of caregivers serving over 1 million people across the region, NGHS consists of five hospitals and numerous outpatient facilities.
Ensuring accurate and timely entry of professional services billings into the IDX billing system.
Managing all components of the billing process, including charge entry into the IDX system.
Verifying provider numbers, capturing professional activity, completing encounter forms, and ensuring proper patient registration.
Lucile Packard Children’s Hospital Stanford combines advanced technologies and breakthrough discoveries with family-centered care. They provide caregivers with continuing education and state-of-the-art facilities and are committed to healing humanity, one child and family at a time.
Translate health care services and procedures into standardized codes on outpatient accounts.
Work with Epic work quests to maintain timeliness of coding, billing, and accounts receivable.
Communicate with providers, coders and clinical documentation specialists as needed for comprehensive patient record documentation.
ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges.
Performs claims processing, insurance and charge verification, payment posting, account resolution, customer service and follow up.
Educates staff and physicians on CPT/HCPCS/ICD-10 codes and appropriate documentation requirements to reduce errors and remain compliant.
Works directly with staff when needed for insurance authorization assistance, IPA guidance and insurance optimization.
Community is committed to providing the highest standard of care. They value their diverse team members and offer various opportunities for growth and development.