Xtend Healthcare

Job Description:

Required Qualifications:

• High school diploma

MUST HAVE:

• Eight years of experience with coding and/or billing in healthcare revenue cycle.  This should include hospital and physician practice.
• AHIMA CCS Certification

OTHER HELPFUL EDUCATONAL EXPERIENCE:

•  An understanding of healthcare billing practices and compliant claims preparation for both governmental and commercial payers.
• Electronic health record (EHR) expertise, including knowledge of a variety of vendors.
• Specialty Coding Certifications: The following are recognized professional certifications: Ambulatory Surgical Center (CASCC), Anesthesia and Pain Management (CANPC), Cardiology (CCC), Cardiovascular and Thoracic Surgery (CCVTC), Chiropractic (CCPC), Dermatology (CPCD), Emergency Department (CEDC), Evaluation and Management (CEMC), Family Practice (CFPC), Gastroenterology (CGIC), General Surgery (CGSC), Hematology and Oncology (CHONC), Internal Medicine (CIMC), Interventional Radiology and Cardiovascular (CIRRC), Obstetrics Gynecology (COBGC), Orthopaedic Surgery (COSC), Otolaryngology (CENTC), Pediatrics (CPEDC), Plastics and Reconstructive Surgery (CPRC), Rheumatology (CRHC), Surgical Foot & Ankle (CSFAC), and Urology (CUC).

KNOWLEDGE, SKILLS and ABILITIES:

•  Coding Certifications: The following are recognized professional certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Coding Associate (CCA); Certified Professional Coder (CPC); Certified Outpatient Coder (COC); Certified Inpatient Coder (CIC); Certified Coding Specialist (CCS); or Certified Coding Specialist — Physician (CCS-P); Certified Professional Medical Auditor (CPMA). Senior Coding Compliance Specialist team members are required to possess at least one of the above professional services coding certifications.
• Continuing Education Requirements: Medical coders shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position.
• Coding Test. Pass a pre-employment coding test that is provided, developed and administered by candidate management instructions, with a score of 80% or higher.
• Must possess a working knowledge of Medicare and Local Medical Review Policy Guidelines.
• Ability to function independently and as a team player in a fast-paced environment required.
• Knowledge of inpatient and DRG coding.
• Knowledge of computing observation hours.
• Knowledge of coding infusions and injections.
• Knowledge of surgical coding.
• Knowledge of Evaluation and Management coding.
• Must be able to maintain the company accuracy rating of 95%.
• Must meet set weekly quota for productivity.
• Knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT).
• Knowledge of reimbursement systems, including Prospective Payment System (PPS); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS).
• Practical knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.
• Practical knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology).
• Make well-informed, effective, and timely decisions, even when data are limited or solutions produce unpleasant consequences; perceives the impact and implications of decisions.
• Utilize medical computer software programs to abstract, analyze, and/or evaluate clinical documentation and enter/edit diagnosis, procedure codes and modifiers.
• Clearly express information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information.
• Display courtesy, empathy, and tact, developing and maintaining effective relationships with others; effectively work with individuals who are difficult, hostile, or distressed to resolve differences; and be able to relate well to people from varied backgrounds and in different situations.
• Work with internal and external customers to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations.
• Contribute to maintaining the integrity of the organization; display high standards of ethical conduct and understand the impact of violating these standards on an organization, self, and others.
• Be open to and embrace change and new information; adapt behavior or work methods in response to new information, changing conditions, or unexpected obstacles; effectively deals with uncertainty. Cooperate by willingly accepting new assignments, and forming relationships with customers/co-workers/supervisors.
• A high level of effort and commitment towards performing the work, using efficient learning techniques to acquire and apply new knowledge and skills; uses training, feedback, or other opportunities for self-learning and development.
• Understand and interpret written material, including technical material, rules, regulations, instructions, reports, charts, graphs, or tables; applies what is learned from written material to specific situations. Working Excel knowledge.
• Attention to detail and completeness with a thorough understanding of government rules and regulations, medical coding and reimbursement guidelines, and potential areas of risk for fraud.
• Work planning is necessary in being able to understand assignments and establish priorities. It is required that each coder be able to look at his/her work load and determine priorities for the day.
• Ability to respond to email or text correspondence in a timely manner.

All offers of employment are contingent on standard background checks. Navient and certain of its affiliated companies are federal, state and/or local government contractors. Should this position support a federal government contract, now or in the future, the successful candidate will be subject to a background check conducted by the U.S. Government to determine eligibility and suitability for federal contract employment for public trust or sensitive positions. Positions that support state and/or local contracts also may require additional background checks to determine eligibility and suitability.

EOE Minority/Female/Disability/Protected Vet/Sexual Orientation/Gender Identity. Navient Corporation and its subsidiaries are not sponsored by or agencies of the United States of America. Navient is a drug free workplace.

Apply Online:

https://www.candidatecare.com/srccsh/public/RTI.home?r=5000451620410&c=14&d=navient.candidatecare.com&_dissimuloSSO=LEA9gfdIpnY:Evj8bUKWQsfBGfvqmC664GicOzI&_fromPublish=true

Southern Illinois Healthcare

About the Job:

The people of Southern Illinois Healthcare, a not-for-profit healthcare system, are dedicated to promoting the health and well-being of all of the people in the communities we serve.

Over 3,700 employees, along with physicians and volunteers, work together to achieve our mission and ensure that the health care needs of those we serve are met. WE make this a reality by treating patients in SIH facilities, offering services in rural clinics, collaborating with some of America’s best hospitals and improving our communities through our charitable community benefits programs.

The System Headquarters is currently looking for a Coding Educator to be responsible for educating physicians and mid-level providers on assigning appropriate evaluation and management codes for their services. This person will also serve as an educational liaison for the professional coding staff.

About the Area:

Why make the move?  Aside from our state-of-the art medical facilities, southern Illinois itself boasts much to offer.  We are surrounded by nature’s beauty; including Wayne Fitzgerrell State Park, Giant City State Park, Garden of the Gods and Shawnee National Forrest…and that’s just to name a few!  Take a hike, utilize the bike trails, go zip lining, host a picnic, venture out for a horseback ride, jump in for a dip in the lake or take a swing at some of the region’s finest golf courses!

Feeling like something a little more relaxing?  Nestled in our soil are multiple award-winning wineries; often hosting live music or special events on the weekends.  Not a wine fan? Craft beer is available at several local breweries.  Sample some of nature’s fruits at our local orchards and feast on freshly grown vegetables and homegrown meats at the many neighborhood farmer’s markets open seasonally.

Southern Illinois is home to some of the tri-state area’s finest campground facilities; offering both primitive and modern camping options.  Or, if you prefer, enjoy the hospitality of one of over 40 bed and breakfasts before heading out to explore the area.  Visit one of our local art museums, Civil War museums and other notable historical sites and monuments. See what kind of treasures you can find at one of several antique shops in each of the communities that make up this beautiful area of Illinois.

Filled with excellent schools, your kids can grow from daycare all the way to college right here in Southern Illinois!  Take a tour of Southern Illinois University or enjoy any of its fine arts or sporting events happening all year long.  There’s something for everyone in Southern Illinois!

Conveniently located less than two hours from St. Louis, MO and Evansville, IN. Three hours from Nashville, TN and five hours from Chicago, IL.

Job Description:

• Serves as an educator for physicians and mid-levels on appropriate coding practices.
• Completes initial training on Evaluation and Management CPT code selection for new providers.
• Monitors code assignment by providers on an ongoing basis to identify educational needs and provide said education.
• Monitors continuing education needs for department/coders, assists in selecting appropriate educational material, and provides education as needed.
• Collaborates with Practice Managers to reach providers in the most effective manner.
• Promotes a culture of process improvement by participating in unit/department based programs that support the system’s process improvement goals.
• Actively participates on system-wide or hospital-based teams.

Required Qualifications:

• RHIT, RHIA, CCS or CPC certification required.
• Physician practice management or provider education experience required.
• Extensive knowledge and application of CPT/HCPCS codes and modifiers required.
• Knowledge of health information management practices and federal and state healthcare regulations required.

Preferred Qualifications: Education Qualifications:

• Associate’s degree in Health Information Technology required.
• Bachelor’s degree in Health Information Management or Healthcare Management preferred.

Compensation/Benefits:

About the Benefits:

Along with a market competitive salary, eligible employees enjoy

• AD&D insurance
• Dental insurance
• Dependent life insurance
• Life insurance
• Long-term disability insurance
• Medical insurance
• Retirement Savings Plan (401k)
• Short-term disability insurance
• Tax-free spending accounts
• Wellness program
• Voluntary insurance

Instructions for Resume Submission:

You may upload your resume to your application on the Southern Illinois Healthcare website.

Apply Online: https://careers-sih.icims.com/jobs/search?ss=1&searchKeyword=2018-3473

Southern Illinois Medical Services

Introduction:

Southern Illinois Medical Services (SIMS) is in search of a dynamic individual to supervise our provider practice based coding department.

SIMS employs over 200 providers (physician and mid levels).   This position will supervise approximately 12 coders, a lead coder, and a provider documentation educator

The southern Illinois region offers affordable housing choices, national parks and forests, cultural and Division I college sports and academic environments,  short home to work commutes.

Job Description:

• Supervises approximately 12 coders, a lead coder and provider documentation educator.
• Monitors Epic work queues for prompt and effective completion of accounts. Assists when necessary to ensure prompt resolution.
• Reviews delinquent deficiencies for outstanding queries prior to physician notification.
• Communicates any educational issues to the Coding Specialist/Educator.
• Collaborates with PFS to identify billing edits and/or coding issues that may be delaying claims processing.
• Serves as coding liaison for patients/physician offices.
• Monitors coder compliance with department policies and procedures and assists with disciplinary action as necessary.

Required Qualifications:

• Physician practice management experience required
• In depth applied knowledge of  physician practice regulatory and payer requirements as it pertains to professional coding and claims.

Preferred Qualifications:

• Epic Professional Billing experience.  Understand and apply rural health setting coding rules, Medicare preventative and wellness exam requirements, modifier rules, mid level coding rules.

Education Qualifications:

Required:

• Associate degree in Health Information Technology, RHIT

Preferred:

• Bachelors degree  in, Health Information Management or Healthcare Management, RHIA
• CCS or CPC certification preferred

Compensation/Benefits:

Competitive benefits.

Paid Annual AHIMA dues. Paid CEU’s. Paid travel/expenses to coding related conferences as required.

Instructions for Resume Submission:

Apply Online – Click here

Group Health Cooperative of South Central Wisconsin

Introduction:

Group Health Cooperative of South Central Wisconsin (GHC-SCW) is a not-for-profit managed health care organization that provides the entire spectrum of health care services, including insurance, Primary Care and some Specialty Care. We are a member-owned cooperative with approximately 800 employees with six Madison area clinic locations.

We have a rich and diverse 42 year history with many firsts including electronic medical records (through Epic Systems), smart phone capabilities, and Complementary Medicine. We have continually earned an “excellent” accreditation status from NCQA as indicated in your packet.
Our Mission Statement: To provide accessible, comprehensive, high quality healthcare and outstanding service in an efficient and personalized manner on a prepaid basis to persons in the GHC-SCW service area.

Our Vision: To be a leader among HMO’s in providing high-quality medical care, impeccable service and competitive benefit levels and premium rates.

Our Common Values:

Patient Centered: When health insurers and health care providers are brought together under one roof, we are better together. Our care team model focuses on supporting the needs of our patients/members and providing the best in safe, high quality coordinated health care. Members and their providers participate in making meaningful decisions that lead to better outcomes.

Quality Driven: When members and their providers each participate meaningfully in the decisions that lead to better health care, we are better together. GHC-SCW continues its tradition of providing proactive health promotion and disease management outreach to our members to consistently achieve high quality health care accreditation.

Innovation: When we work to lift each other up, show appreciation and collaborate in the best interests of the member, we are better together. GHC-SCW has made innovative advancements which include the implementation of an electronic medical records system (EMR) and GHC-SCW MyChartSM, access to innovative Complementary Medicine benefits and Wellness reimbursement services.

Community Involved: When we join with our community to further the causes for which we share a common concern, we are better together. We are proud to promote programs that strengthen lives, and make our community a safer, stronger and healthier place to live and grow. GHC-SCW employees share their time and talent; and we recognize that the value of what we give is also what we gain – for our employees, our members and our community.

Not for Profit Cooperative: When we share a common purpose, a common voice and a common vision, we are better together. We use our surpluses to improve clinics, enhance health care benefits and give back to the community. Our members, not our profits, are our priority. We have a unique “cooperative” governance structure which works directly for our members.

GHC-SCW is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees, members, and patients feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.

We believe:
ealthcare is a human right.
In treating all people with dignity and respect.
There is strength in diversity.
Equity celebrates our humanity.
We are better together.

Job Description:

The Health Information Management (HIM) and Privacy Manager position is responsible for actively assuring that the organization and its employees adhere to GHC-SCW policies and procedures governing protected health information (PHI) in compliance with federal and state laws. The HIM and Privacy Manager is responsible for fostering and facilitating quality and process improvements on an ongoing basis, while ensuring an effective and customer driven Health Information Management Team. The position is responsible for communicating with the Epic Care Team to ensure that issues are adequately addressed. The HIM and Privacy Manager supervises the Health Information Management Team and is responsible for providing daily operational and problem-solving support on routine and complex issues that arise, and for monitoring progress on ongoing assignments and projects. The HIM and Privacy Manager acts as GHC-SCW’s Privacy Officer. Work is performed under the general guidance, direction, and supervision of the Corporate Compliance Officer.

Required Qualifications:

A bachelor’s degree from an accredited school in health care or business administration or equivalent combination of education and experience. Advanced training with HIPAA privacy and confidentiality practices is desirable.

Three (3) to five (5) years of progressively responsible experience in the health information records field is required.

Certification as a Registered Health Information Administrator or Registered Health Information Technician is required.

Preferred Qualifications:

Two (2) to three (3) years of management/leadership experience is preferred.

Education Qualifications:

A bachelor’s degree from an accredited school in health care or business administration or equivalent combination of education and experience.

Compensation/Benefits:

GHC-SCW provides competitive pay and an excellent work environment!

Instructions for Resume Submission:

Group Health Cooperative of South Central Wisconsin is proud to be an equal opportunity employer. GHC-SCW considers candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Apply Online: https://ghcscw.com/careers

United Audit Systems, Inc

Introduction:

Take your Inpatient coding career to the next level with employee-focused UASI

UASI is a progressive HIM consulting firm with over 33 years in the industry.

Job Description:

We are seeking full-time inpatient coders with experience coding for a level one trauma and teaching hospital. These inpatient coders will code high-level, complex inpatient records remotely from a home office.
We need inpatient coders who are flexible, detail and quality-oriented, with the ability to work independently and adapt well to change.

Required Qualifications:

Additional qualification requirements include:

• CCS certification required
• A minimum of 5 years’ Inpatient coding experience in a short-term acute care setting
• 3+ years of experience coding for a Level 1 Trauma hospital and Teaching facility required

Compensation/Benefits:

Through our broad client base, remote-employment opportunities, and multiple service offerings, we engineer individual career paths and encourage balance for each employee. UASI provides employees with the tools needed for professional growth and development, including, but not limited to AHIMA/AAPC CEU opportunities, reference materials and access to a full-time education team. We offer a dynamic work environment, competitive salaries and a full benefit package:

• Medical, Dental, Vision, and Life insurance, Short/Long-Term Disability Coverage
• 401(K) with employer match
• Flexible work schedules, paid holidays, PTO
• Employee appreciation: birthday recognition, holiday gift selections, years of service awards and quality bonus programs, referral bonuses

Instructions for Resume Submission:

Apply directly on our website at https://uasisolutions.com/careers/inpatient-remote-coder/ or send resumes to hr@uasisolutions.com

UASI is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.