Northwestern Regional Medical Group

Introduction:

Coding Manager, Full TIme

Northwestern Regional Medical Group

Carol Stream, Illinois location

Northwestern Regional Medical Group (NMRG) is seeking a Coding Manager to join the team at our location in Carol Stream, Illinois. The professional we select will manage the revenue cycle process and charge-capture initiatives to ensure efficient, accurate, and complete revenue capture for all inpatient and outpatient business. Providing general management and leadership support for coding functions and staff, this individual will review billing requirements, develop/maintain policies and procedures, and ensure appropriate coding of services.

About Northwestern Regional Medical Group

Respected as one of Chicago’s largest medical practices, NMRG is a primary and multi-specialty group practice of more than 1,000 physicians and other healthcare professionals with expertise in approximately 40 medical specialties and subspecialties.

About Northwestern Medicine

Northwestern Medicine is a network of four award-winning, Magnet®-recognized hospitals and more than 60 sites of care throughout Chicagoland. This translates to more than 4,000 aligned physicians including faculty, residents and researchers who are dedicated to exceptional service based on our mission of Patients First. The treatment provided within our network is informed by the latest research from the Feinberg School of Medicine.

Job Description:

Additional Responsibilities

• Ensuring the routine performance of accurate charge capture reconciliation and communicating opportunities for improvement to clinical departments.
• Conducting staff and department coding, reimbursement, compliance and regulatory education and training, assessing staff educational needs, and planning additional training.
• Assessing functional work processes, initiating changes, and driving coding functions toward industry best-practices models.
• Managing billing and coding staff and monitoring their quality and productivity levels.
• Monitoring and reporting key financial and operations indicators related to coding to improve performance.
• Collaborating with internal and external customers, defining abstract data elements, and establishing data-capture, retention, and retrieval policies and procedures.

Required Credentials

• Current health information professional credentials, including CCSP or CCS certification.
• Bachelor’s degree in a related field.
• Five or more years of progressively responsible experience within a healthcare environment.
• Working knowledge of all aspects of a typical healthcare system departmental revenue cycle.
• Proficiency with Excel, EPIC electronic medical record systems and database management.

Northwestern Medicine offers exceptional resources, education, growth opportunities, and benefits-including premier health insurance featuring our renowned physician network.

For more information and to apply, please visit us online at: www.nm.org (job #0026613).

AA/EOE

PI99768959

Apply Online: http://www.nm.org/

SIU Medicine

Job Description:

Clinical Documentation Specialist, SIU HealthCare Coding (S1702911) P V

SIU Medicine – Springfield, IL

Overview:

Employees in this title typically promote health care compliance related to clinical/business activities of a health care facility and provide technical expertise in support of coding, billing and medical records documentation.

To review the position description for this vacancy, please visit our website at https://siumed.hiretouch.com

*Salary: * $3957-$4352.70/month

Minimum Qualifications:

Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Based (CCS-P) or Accredited Record Technician (ART) or Registered Record Administrator (RRA) by the American Health Information Management Association or certification as a Certified Procedural Coder (CPC) by the American Academy of Professional Coders; AND

Any one, or any combination that totals 1 unit from the following:

1. Work experience coding complex charge documents for ancillary and physician services using standardized coding systems such as ICD-9-CM and CPT (4 years = 1 unit); or
2. College course work in a field directly related to health care (120 semester hours = .5 unit maximum)

Condition of Employment:

Pursuant to the State Universities Civil Service System, an out-of-state resident who is hired into this position must establish Illinois residency within 180 calendar days of their start date.

Minimum Experience Required – 2 Years Experience

Minimum Education Required – High School Diploma or Equivalent

Benefits:

• Health, vision, dental and life insurance offered on Day 1 of employment
• 37.5 hour work week
• 13 paid holidays per year
• Choice of retirement plans
• Generous vacation time
• Tuition Reimbursement and Tuition Waivers
• Discount Programs
• And MORE!

TO APPLY:

Complete an online profile at https://siumed.hiretouch.com/.

Find this Job through the ‘Jobs’ link at the top, left of the page.
Select the ‘Apply to Job’ button at the bottom of this posting.
Complete the Job Source form, letting us know how you learned about this vacancy.

Complete the required Civil Service Application package forms and upload applicable documents.

Certain requirements may apply for out-of-state applicants. Please visit https://siumed.edu/hr and review the specific job listing information for details.

Equal Opportunity Employer

United Audit Systems, Inc.

Introduction:

Elevate your expertise! Join UASI today and work with the top HIM experts in the industry. The remote coding positions at UASI allow HIM professionals to have the best of both worlds: a challenging opportunity to utilize and enhance current coding skills and the convenience of working from home.

Job Description:

We are currently seeking experienced inpatient coding specialists to perform accurate code assignments while working remotely from a home office. The ideal candidate will be flexible, detail-oriented, have the ability to work independently, quality conscious and be able to adapt well to change.

Required Qualifications:

• RHIA, RHIT or CCS certification
• A minimum of three years recent coding experience in an acute care setting
• Experience working in a large trauma/teaching facility is required
• The ability to provide a secure work environment is a must

Compensation/Benefits:

UASI is dedicated to providing employees with the tools needed for professional growth and development. We also recognize that HIM professionals are our greatest asset and in return for your talents, we offer a dynamic work environment, career growth and development, strong leadership and competitive salaries.

Additional benefits include:

• Medical, Dental, Vision and Life Insurance
• Short/ long-term disability, PTO, 401(K), referral bonuses and flexible schedules
• Training opportunities, yearly educational allowances and continuing education programs
• UASI’s unique approach to employee appreciation which include: birthday recognition, holiday gift selections, years of service awards and quality bonus programs

Instructions for Resume Submission:

To find out how you can join our team of professionals, give us a call at 800.526.0594 or send an e-mail to HR@uasisolutions.com or visit: www.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.

Decatur Memorial Hospital

Introduction:

To improve the health of the people of Central Illinois.

Summary

Decatur Medical Group (“DMG”) consists of physician and non-physician practitioners providing professional services to Decatur Memorial Hospital patients. The Professional Services Coding Supervisor (“PS Coding Supervisor”) provides documentation review, coding and billing services in accordance with DMG’s compliance plan, following its policies and procedures, official and regulatory coding guidance. Understanding and accurate use of approved coding guidelines is paramount to successful performance in this position.

Essential Functions and Job Duties

 The PS Coding Supervisor is responsible for reviewing the medical record to independently determine the appropriate CPT / HCPCS procedure codes, modifiers, and ICD-10-CM (diagnosis) codes are supported by medical record documentation for submission to commercial and government payors. DMG’s use the information provided by the coder to obtain: correct reimbursement from all payors, provider compensation, financial planning, contracting, and performance improvement activities. The PS Coding Supervisor is also responsible for performing quality assurance reviews on PS Coding staff and assisting with billing follow up and denial management requests when needed.

• Provides daily supervision and oversight of professional services coders. This includes setting priorities to meet revenue cycle goals.
• Identifies and assigns appropriate CPT and ICD-10-CM codes for reimbursement, research, and compliance in accordance with coding guidelines.
  • Complies with all federal, local and other legal requirements as they relate to medical coding practices.
  • Reviews all patient encounters involving a professional service and assigns and sequences all diagnoses and procedure codes to the highest level of specificity documented in the provider notes.
  • Observes confidentiality and safeguards all patient related information.
  • Accurately assign Evaluation & Management (“E/M”) services after review of the provider’s documentation in accordance with the 1995 or 1997 E/M documentation guidelines.
• Perform quality assurance reviews on all PS Coders and provide education to help coders maintain accuracy standards.
• Report accuracy and productivity of all PS Coders to the HIM Director.
• Complete coding tasks while maintaining the required accuracy and productivity standards.
• Communicates in a positive and professional manner with visitors, physicians, and hospital staff.
  • Maintains an optimal working relationship with peers, other hospital departments, and physicians.
  • Exhibits understanding of CARES and the hospital mission statement.
  • Attends continuing education classes to maintain coding proficiency in ICD-10-CM, CPT/HCPCS, and other areas as deemed necessary by management.
• Utilize DMG’s Epic electronic health record (“EHR”) and other DMG and DMH documentation and billing systems to abstract and code all professional services, including data entry of codes.
• Use professional services encoder software to determine RVU values for correct coding assignment and modifier use.
• Participate in DMG’s coding quality reviews as deemed appropriate by the HIM Director.
• Attend continuing education classes to maintain coding credential and continually improve proficiency in areas of coding that include but are not limited to CPT, ambulatory surgery, surgical specialties, E/M assignment, ICD-10-CM and other specialties as required.
• Interpret coding rules and general policies in addition to determining appropriate conclusions.
• Complete administrative activities such as time reporting, productivity reporting and expense reporting as necessary and in accordance with established policies and deadlines.
• Comply with DMG’s policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities.

Required Qualifications:

Education and/or Other Requirements

• Minimum High School Diploma or equivalency. College degree and / or extended education in an allied health field preferred.
• Possess an established coding credential from AAPC (CPC) or AHIMA (CCS-P) pertaining to professional fee coding and remain in good ethical standing, by obtaining the necessary continuing educational certification requirements.
• Five (5) to eight (8) years’ experience in healthcare billing, coding and / or reimbursement follow up activities for professional coding services.

Compensation/Benefits:

Full Benefits Package available. Salary based on experience.

Instructions for Resume Submission:

Apply Online:

https://www.healthcaresource.com/decatur/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=102798

Decatur Memorial Hospital

Introduction:

To improve the health of the people of Central Illinois.

Job Description:

Summary

Manages the operation of the Health Information Management (HIM) coding staff and assists the HIM Director in planning for the future direction of the coding staff and implementation of new programs and procedures.

Essential Functions and Job Duties

Plans and organizes the daily operation of coding staff.

• Assists in the development of policies, procedures, standards, and objectives for the coding staff.
• Supervises all functions of coding staff, including training and education, quality assurance reviews, and timely completion of records.
• Assists in maintaining internal and external contacts with the institution, community physicians, and health care professionals.
• Assists the Director of HIM in preparing and directing the preparation of a variety of recurring and special reports.
• Monitors outstanding accounts to ensure timely completion by coding staff.
• Monitors the discharges not final billed to ensure that accounts are coded within departmental timeframes. Adjust staffing levels as appropriate to ensure accounts are coded within the required timeframe.
• Works with the business office and patient financial services to resolve billing edits or coding-related issues.
• Works with Clinical Documentation Improvement (CDI) manager, and Coding Team Lead to resolve discrepancies between coding staff and CDI staff.

Develops and maintains quality improvement goals for coding staff.

• Works with the Director of HIM, and Coding Team Leads to develop coding continuous quality monitors.
• Reviews outcomes of quality reviews to identify patterns which can indicate need for additional training and education or potential reassignment of duties.
• Reviews SMART edits and outcomes to determine patterns for education.
• Reviews weekly productivity reports to identify any potential noncompliance.
• Assists in maintaining appropriate medical record control and statistics for prospective pricing systems to ensure compliance for Medicare, Medicaid, HIS and IHCCCC.
• Analyzes departmental activities to ascertain the extent to which departmental goals are being met.

Motivates and maintains a competent staff; develops teamwork.

• Assists in communicating hospital policies and procedures.
• Assists in hiring, developing, assigning work to, and evaluating all staff.
• Assists in developing and maintaining criteria-based job descriptions for all staff.
• Assists in the development of coding education program and coding mentoring program.

Ensures a high quality of customer service both internal and external.

• Exhibits understanding of CARES and hospital mission statement.
• Maintains a good working relationship within the department, hospital departments and with medical staff.

Maintains professional skills and refines expertise through appropriate educational/developmental activities and professional affiliations.

• Understands and keeps abreast of CMS regulations that relate to coding and DRG and APC guidelines.
• Serves as a liaison with medical staff and nursing in regard to coding methodology
• Observes confidentiality and safeguards all patient related information.

Required Qualifications:

Education and/or Other Requirements

• Bachelors degree in Health Information Management with successful completion of the Registered Health Information Management Administrator (RHIA) exam and Certified Coding Specialist (CCS) credential; or
• Associates degree in Health Information Management with successful completion of the Registered Health Information Technician (RHIT) exam and Certified Coding Specialist (CCS) credential.
• Minimum of 5 years’ experience in inpatient and outpatient coding services in an acute care setting, including but not limited to ICD-10-CM/PCS and CPT coding skills.
• Supervisory experience preferred.
• Epic system and 3M encoder experience preferred.
• Candidates who are CCS credentialed and eligible for the RHIT or RHIA exam will be considered if the candidate is willing to get the second credential within 6 months.
• Candidates who only have RHIT or RHIA credential will be considered if the candidate is willing to get CCS credential within 6 months.

Compensation/Benefits:

Full benefits package available. Salary based on experience.

Instructions for Resume Submission:

Apply Online: https://www.healthcaresource.com/decatur/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=102634

SIU Medicine

Job Description:

*Employees in this title typically coordinate the activities of the medical records staff of a health care facility or program.

The following information is intended to be representative of the work to be performed by the incumbent in this position and is not all-inclusive. The omission of a specific duty or responsibility will not preclude it from the position if the work is similar, related, or a logical extension of position responsibilities.

50% Administrative

• Assists with the coordination of daily work assignments of Medical
  Records and Central Indexing staff.
• Reviews quality and accuracy of documents scanned and/or indexed into
  Centricity and Touch Works.
• Accepts and approves vacation and sick requests according to
  Departmental and university guidelines. reviews employee time
  sheets tor completeness and completes biweekly time entry reports.
• Evaluates job performance of staff by preparing and giving job
  performance evaluations to both probationary and status employees.
• Trains any new permanent employees on the day-to-day operations of the
  unit and advises new employees of department guidelines and procedures
  using the Employee Reference Manual.
• Issues any initial disciplinary action to staff as appropriate, and involves
  the Director of Medical Records when further disciplinary action is
  warranted.
• Responds appropriately to calls and emails from paper chart requestors including those from physicians, nurses. secretaries, and other SIU systemusers and staff.
• Participates in the interview process for the hiring of Medical Record and Indexing staff and obtains reference checks, as required.
• Identifies possible duplicate medical records and cross-references them inPowerTrac whenever possible.
• Provides copies of records for chart audits, and SIU Legal dept. as needed.
• Maintains inventory of office supplies.
• Reports any office equipment repair or replacement needs to the Director of Medical Records.
• Serves as daily Liaison with copy service vendor on work assignments:
  Orders/picks up and/or returns offsite records from our SIU record storage locations and/or record storage vendor as needed.
  Sends out the weekly copy count report via email.
• Notifies the Director of Medical Records and the Clinical Infom1ation Support Unit of any PowerTrac issues, and works to resolve them whenever possible.
• Assist in training of Indexing staff; records indexing staff daily productiontotals. 45% Additional duties
• Operates unit computer systems in order to:
  Wand in returned charts, look up chart locations and check out charts using the PowerTrac chart tracking system.
  Look up healthcare providers’ appointment schedules and patient names and numbers using Electronic Health Record
  View and print out patient digital files using the Digitized Medical Record System. Pull, view and print out patient records stored on microfilm.
  Respond appropriately to e-mail messages from supervisors and administrators.
• Receives and makes phone calls requesting charts from clinics and physician offices.
• Maintains/repairs paper charts using terminal digit order and color/number identifiers.
• Shares responsibility with the Medical Record Technician for sorting mail for mail code 9641 and delivering mail to ROI support staff according to our campus mail delivery schedule.
• Answers referral requests for copies of patient electronic and paper records in the absence of the Medical Record Technician.
• Follows policies and procedures for the release of privileged and non-privileged information, referring calls to the copy service vendor appropriately. Sends and receives medical record information via fax machine when necessary, following confidentiality and faxing procedures.
• Receive and process all “invalidate” in Touchworks and “file in error” requests in Centricity in the absence of the Medical Record Technician.

5% Other duties as assigned.

Skills and Abilities

• Knowkdge of medical record format.
• Organizational skills; detail oriented.
• Ability to operate standard office equipment including but not limited to:
  fax machine, photocopy machine, scanner and telephone.
• Ability to keyboard accurately using a personal computer.
• Good communication skills and the ability to handle telephone requests
  and personal contacts appropriately.
• Demonstrated ability to effectively use Centricity and Touch Works EHR.
• Demonstrated ability to effectively use the PowerTrac chart tracking
  system.
• Demonstrated ability to effectively and appropriately use e-mail.
• Ability to prioritize work and accurately complete multiple tasks
  simultaneously.
• Be sensitive to the needs of underrepresented minority populations.
• Demonstrates, by actions, commitment to the mission and the behavioral
  Standards of SIU School of Medicine. Provides excellent service to both
  Internal and external customers through collaboration and partnership;
  Compassion and respect; integrity and accountability; diversity and
  inclusion; as well as continuous learning improvement.

Responsibility

Supervisory Controls-Controls over the position shall be written and oral
directives from the Director of Medical Records. These directives shall be
developed in close consultation with the Chief Operating Officer. The individual
in this position is expected to perform work independently according to
established procedures. Unusual situations should be referred to the Director of Medical Records for resolution who determines work priorities and provides
instruction and assistance when needed.

Guidelines-All directives shall be in accordance with the rules and operational policies and procedures of SIU Medicine, the statutes and regulations of the Board of Trustees of Southern Illinois University School of Medicine and the laws of the State of Illinois. The person in this position must be able to work independently and as a team member. The ability to prioritize work assignments appropriately, meet deadlines, and work within established guidelines is essential.

Required Qualifications:

** Registration as a Registered Health Information Administrator (RHIA) by the American Health Information Management Association if required by the employing department. If registration is not required, the applicant must have 18 months of experience as a medical record technician in a health care facility or program; **AND

2 years of experience as a medical record administrator/librarian in a health care facility or program. If required by the employing department, the health care facility or program in which the experience was gained must have been accredited by the Joint Commission on Accreditation of Hospitals or the Accreditation Association for Ambulatory Health Care.

Excellent Benefits:

Health, vision, dental and life insurance offered on Day 1 of employment
37.5 hour work week
13 paid holidays per year
Choice of retirement plans
Generous vacation time
Tuition Reimbursement and Tuition Waivers
Discount Programs
And MORE!

To Apply:

Complete an online profile at https://siumed.hiretouch.com/.

Find this Job through the ‘Jobs’ link at the top, left of the page.

Select the ‘Apply to Job’ button at the bottom of this posting.

Complete the Job Source form, letting us know how you learned about this vacancy.

Complete the required Civil Service Application package forms and upload applicable documents.

Certain requirements may apply for out-of-state applicants. Please visit siumed.edu/jobs and review the specific job listing information for details.

Equal Opportunity Employer

Instructions for Resume Submission:

Apply Online: https://siumed.hiretouch.com/