Reimbursement Management Consultants, Inc.

Introduction:

RMC is looking for great medical coders of the following categories:

Job Description:

• Outpatient Clinic
• Emergency Department
• Ambulatory Procedures Visit
• Inpatient Professional Services

Required Qualifications:

• Have a minimum of two years of experience with common office software to include, but not limited to Microsoft Excel, Microsoft Word and electronic mail systems
• Proficient with computer hardware and software (AHLTA, CCE, CHCS, MHS Genesis, and Essentris) to accomplish assigned tasks.
• Minimum of 3 years of recent outpatient coding experience with 2 years current production coding in multiple specialties in the outpatient setting (physician’s practice/office or ambulatory surgery centers) including assignment of evaluation and management (E/M) leveling for professional services, CPT, HCPCS codes, modifiers and units of service.
• Two years of outpatient/ambulatory surgery experience may be qualifying if received in a military medical treatment facility.
• Experience with MHS DoD coding is preferred.
• Required credentials will be either by the American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA); or Registered Health Information Technician (RHIT); or Certified Coding Specialist (CCS); or Certified Coding Specialist-Physician Based (CCS-P); or certified by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) or Certified Outpatient Coder (COC).
• Shall have extensive knowledge of outpatient coding, coding guidelines, official coding resources and disease processes to code at a level of no less than 97% accuracy in order to meet MEDCOM data quality standards for professional services, ICD-10-CM and CPT (includes E/M) codes for multiple specialties.

Does not fit the requirements if:

• Coding experience in the role of billing services will not be considered qualifying experience.
• Coding experience limited to ancillary services (i.e. Radiology or Lab) or other specialties that did not provide experience in E/M leveling is not considered as acceptable experience.

Instructions for Resume Submission:

Contact Person: Angie Kurasz

Email address: akurasz@rmcinc.org
Phone: 503-658-7274
Fax: 503-658-7119

Apply Online: http://www.rmcinc.org/opportunities.html

Health Information Associates

Job Description:

Headquartered in Pawleys Island, SC, Health Information Associates (HIA) is a privately held company and was founded in 1992 by Betsy Bailey, RHIA and Deane Beamer, MHA. Prior to 1992, Mrs. Bailey held Director of HIM positions at two (2) hospitals in Virginia. Mr. Beamer had over thirty (30) years of experience as an Administrator working in various hospitals throughout the southeast.

Since its inception, HIA has partnered with hundreds of hospitals nationwide to provide customized comprehensive coding compliance reviews and educational services as well as coding support. HIA has grown to become a highly respected provider due to its ability to adapt to industry changes while maintaining a cohesive and conservative approach. HIA’s attention to individual client needs, from the smallest critical access hospital to the largest healthcare corporation, has led to the type of long term and mutually beneficial partnerships it is fortunate to share with its clients.

Responsibilities:

• Codes all requested outpatient acute care facility records using the most accurate and appropriate ICD-10-CM/PCS, and
• CPT codes in accordance with coding guidelines.
• Abstracts, codes and assigns necessary demographic and clinical data elements required
• Uses 3M encoder to ensure appropriate reimbursement.
• Writes appropriate, non-leading queries.
• Maintains quality and productivity according to client requirements.
• Completes all I-10 education as required within established deadlines.
• Commits to continually improving his/her coding skills by actively participating in all education sessions.
• Reports to the Coding Services Manager.

Qualifications:

• RHIA, RHIT, and/or CCS
• Minimum 3 years outpatient coding experience in an acute care facility.
• I-10-CM/PCS training
• Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources.
• High Speed Internet via Cable (no Satellite or wireless cell based)
• Independent, focused individual able to work remotely.

Instructions for Resume Submission:

Apply Online: http://www.Click2Apply.net/r3jjbr7c2r8x2pjx

PI98217075

nThrive

Introduction:

nThrive is the leader in providing end-to-end revenue cycle services, technology and education solutions. Previously known as MedAssets, Precyse, Equation and Adreima, each formerly a leader in its own right, we’ve combined our talents and capabilities into a single enterprise. At nThrive, we are people who are passionate about empowering health care for every one in every community. We work together to transform financial and operational performance, enabling health care organizations to thrive. nThrive is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

Overview:

This individual is responsible for completing quality assurance audits on current colleagues, new hires and new clients. This individual will also coordinate all quality assurance activities in the department including but not limited to: reporting of QA results, responding to client QA needs and providing training to all coding colleagues.

Responsibilities:

• Responsible for creating and conducting QA audits and results on all new hires, new clients, as well as audits of tenured colleagues on new accounts
• Complete all scheduled QA for clients per a predetermined schedule
• Communicate quality issues to Remote Manager and Remote colleagues
• Maintain reports and accuracy rates for colleagues/clients
• Respond to client QA needs and requests
• Demonstrated ability to deliver audit results to colleague and client when required
• Provide remote colleague educational sessions on issues identified during the audit process
• Assist in providing educational requirements for remedial training as needed
• Support nThrive’s Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient information.
• Commitment to maintaining up-to-date knowledge of current and changing regulatory requirements related to coding and compliance
• Attend educational conference calls
• Provide coding support as needed
• Perform other duties as needed in the remote coding area
• Ability to add, subtract, multiply and divide in all units of measure using whole numbers, common fractions and decimals.
• Ability to compute rate, ratio and percent and to draw and interpret bar graphs.

Qualifications:

• RHIT or RHIA and/or CCS, CCS-P required
• 3+ years of experience in inpatient and outpatient coding and auditing required
• Demonstrated experience in coding quality assurance audit functions within the Inpatient and Outpatient skill sets
• Demonstrated customer service focus consistent with professionalism, flexibility, dependability, commitment to excellence and commitment to the profession
• Proficient computer knowledge including MS Office (Outlook, Word, Excel, Power Point)
• Must possess and display excellent interpersonal and problem solving skills with all levels of internal and external customers

Preferred Skills:

• Preferred skill sets: IP, Evaluation & Management, IVR, MS-DRG, OP/ASU, procedures, APC, physician office billing, prospective payment methodologies and charge description master review

Compensation/Benefits:

Compensation is negotiable based on experience.

nThrive offers a full cafeteria of benefits, including medical, dental, life insurance, among other benefits.

Instructions for Resume Submission:

Apply Online: http://nthrive.com/careers

Aurora Health Care

Introduction:

At Aurora Health Care we believe that each of us can use our knowledge, experience and creativity to help people live well. We’re a non-profit organization with a clear vision of providing people with better health care than they can get anywhere else. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals.

Job Description:

Responsible for researching and creating educational materials regarding current coding concepts for the Aurora Coding Academy. Responsible for coding training and education programs for hospital Inpatient Specialty Coders at St. Luke’s Medical Center and system-wide as necessary including extern staff. Creates presentations, develops handbook, learning and training materials.

Major Responsibilities:

Leads training sessions and presents high-level education on coding guidelines/information to coders and Inpatient Specialty trainees, which includes presenting PowerPoint presentations and webinar-type meetings. Coordinates training and orientation of new staff, as well as existing caregivers wishing to pursue promotion.

Stays abreast of Joint Commission, Agency Healthcare Research and Quality, core measures as well as severity and risk of mortality and other indicators affecting benchmarking and reimbursement for the organization.

Collaborates with respective Quality personnel and develops and creates educational materials around quality indicators.

Independently develops and maintains coding educational tools/resources, including training curriculum and training handbook, presentations, web-based coding education programs, learning and training materials.

Researches coding guidelines and updated coding information as published in ICD, CPT and HCPCS coding systems, and communicates any changes and new findings to coding staff. Maintain knowledge of ICD-10 and CPT and MS-DRG classifications and coding of diagnoses and procedures.

Assesses coder’s comprehension of training, and tracks and reports coding education results to coding leadership. Identifies need for one-on-one coding sessions and develops follow-up educational plans as needed. Collaborates with coding leadership to ensure coders receive sufficient and focused education.

Works with the Coding Quality Lead and Coding Supervisors to identify promotional opportunities for Coders depending on their skill level and performance.

Works with Learning Connection liaison to schedule presentations throughout the organization.

Works with Coding Leadership and Learning Connection liaison to ensure that all yearly and onboarding competencies are met including those required by Federal and State Agencies.

Maintains the Aurora Coding Connections website ensuring updated policies and procedures are published.

Required Qualifications:

Licenses & Certifications:

• Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
• Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), and
• Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA).

Experience & Education:

• Specialty Coding in an acute health care environment
• Associate’s Degree in Health Information Management or related field.

Knowledge, Skills & Abilities:

Expert knowledge and experience in ICD and CPT coding systems, G-codes, HCPCS codes, CPT modifiers, MS-DRGs and APC. Advanced knowledge and understanding of anatomy and physiology, medical terminology, pathophysiology, and of pharmacology indications for drug usage and related adverse reactions. Expert knowledge of coding work flow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems. Ability to work independently, takes initiative, and work collaboratively with others. Demonstrated experience and knowledge in developing and providing presentations. Advanced computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications. Excellent communication and interpersonal skills to work effectively with varying levels of caregivers. Excellent organization, prioritization, and reading comprehension skills. Excellent analytical skills, with a high attention to detail. Demonstrates ability to function as a mentor, role model and teacher. Ability to meet deadlines while working in a fast-paced environment, and to exercise independent judgment.

key words: RHIT RHIA AHIMA CCS WHIMA medical coding coder inpatient hospital outpatient facility

Preferred Qualifications:

• Typically requires 5 years of experience in Specialty Coding in an acute health care environment, which includes experience in acting as a resource and/or providing training/education.

Education Qualifications:

• Associate’s Degree in Health Information Management or related field.

Compensation/Benefits:

Aurora health care offers a competitive salary and benefits package. Further information will be shared during the interview process.

Instructions for Resume Submission:

Please apply on line at www.aurora.org/careers

Search job opening # 142480

Apply Online: https://applyonline.aurora.org/psc/hcmjob/EMPLOYEE/HRMS/c/HRS_HRAM.HRS_APP_SCHJOB.GBL?Page=HRS_APP_JBPST&FOCUS=Applicant&JobOpeningId=142480&Siteid=1&PostingSeq=1&SourceId=4%20

USA Medical Center

Introduction:

The University of South Alabama Health System helps people lead longer, better lives through its excellence in education, research and medical care. With more than 3,600 employees, USA’s health network includes USA Medical Center, USA Children’s & Women’s Hospital, USA Mitchell Cancer Institute, USA Physicians Group and the USA College of Medicine. Each year, our team of 180 physicians, 240 residents and fellows, 70 mid-level providers and 800 nurses handle some 185,000 clinic visits and 350,000 outpatient procedures. The USA Health System delivers 2,800 babies a year, more than any other regional hospital, and treats patients through some 60,000 emergency room visits annually.

In addition to advanced and innovative patient care offered at University hospitals and clinics, USA’s medical education programs provide first-class training experiences for the next generation of physicians and scientists. The USA Health System delivers excellence in care while improving the quality of life for residents across the Gulf Coast.

The USA Health System is managed by the USA HealthCare Management, LLC.

Job Description:

Assists the manager in assessing, planning, organizing, and implementing educational activities, including orientation and competency testing; supervises lower level coding and billing staff to include assigning duties, checking work, and handling disciplinary issues ; assists physicians, Business Office, and other medical records requestors by pulling records, answering questions, and performing follow-up regarding coding completion requirements; interviews applicants and makes personnel recommendations; assists in completing annual performance evaluations; prepares personnel schedules and coordinates with the department manager; conducts new employee orientation and develops training schedule; acts as point of contact for all physician inquiries; maintains reports; records and collects statistical data for administrative and regulatory purposes; ensures inpatient and outpatient accounts are coded in a timely manner by utilizing Alpha-Di and OPBER reports; accurately codes records to include Inpatient, Outpatient, Emergency Room, and Outpatient Diagnostic; applies CPT codes to Cardiac Catherization Billing; stays abreast of rules related to ICD-9-CM, ICD-10-CM and CPT coding; identifies and posts all forms and reports in the correct chart order; complete specified portions of the daily departmental routing slip; maintains accurate logbooks and statistical reports; updates CARLOS information as needed; removes specified forms/reports from the medical records, as appropriate, for reviewers/requestors; verifies information sent via fax was done without error by reviewing fax log; utilizes the Hospital Information System to access records required to perform duties; accesses and accurately maintains electronic and paper medical records; communicates and uses appropriate customer relation skills with physicians, patients, families, and healthcare team in person and via telephone; responds to overhead pages; informs incoming shifts of unfinished requests/duties; abides by and enforces all compliance requirements and policies and performs these responsibilities in an ethical manner consistent with the organization’s values; adheres to hospital policies including confidentiality; regular and prompt attendance; ability to work schedule as defined and additional hours as required; related duties as required.

Required Qualifications:

Bachelor’s degree in a Health Information Management program accredited by AHIIME, current certification by the AHIMA as a Registered Health Information Administrator (RHIA), three years of medical records supervisory experience and current membership in the AHIMA is required.

Instructions for Resume Submission:

Apply Online: http://www.southalabama.edu/departments/financialaffairs/hr/index.html

USA Medical Center

Introduction:

The University of South Alabama Health System helps people lead longer, better lives through its excellence in education, research and medical care. With more than 3,600 employees, USA’s health network includes USA Medical Center, USA Children’s & Women’s Hospital, USA Mitchell Cancer Institute, USA Physicians Group and the USA College of Medicine. Each year, our team of 180 physicians, 240 residents and fellows, 70 mid-level providers and 800 nurses handle some 185,000 clinic visits and 350,000 outpatient procedures. The USA Health System delivers 2,800 babies a year, more than any other regional hospital, and treats patients through some 60,000 emergency room visits annually.

In addition to advanced and innovative patient care offered at University hospitals and clinics, USA’s medical education programs provide first-class training experiences for the next generation of physicians and scientists. The USA Health System delivers excellence in care while improving the quality of life for residents across the Gulf Coast.

The USA Health System is managed by the USA HealthCare Management, LLC.

Job Description:

Analyzes Medicare/Champus inpatient and outpatient surgery records and assigns the correct ICD-9 diagnosis and CPT procedure codes; ensures the diagnoses and procedures have been accurately documented in the medical record by the physician; utilizes the encoding system to assist in obtaining correct codes; properly identifies the principal diagnosis, secondary diagnoses, and procedure codes as required by CMS; reviews all Alabama Quality Assurance Foundation denials and changes and determines the proper course of action and completes the necessary action for resolution; communicates with hospital business office to answer questions concerning coding and billing issues; refers problems to Manager of Medical Records for further action; reviews records where Medicare/Champus are secondary payors; reviews records where the financial class is changed to Medicare/Champus; refers all encoder/grouper problems to hospital information systems promptly for resolution; stays informed of CMS coding changes through the review of the federal register, CMS websites, and other publications such as the Coding Clinic and CPT Assistant; assists business office with combining accounts; accurately codes a minimum of two Medicare/Champus inpatient records per hour and a minimum of five outpatient surgery records per hour; reviews records and coordinates data for Alabama Quality Assurance Foundation Studies; works with medical staff, social services, and case managers concerning documentation requirements and the assignment of working DRGs; maintains accurate and complete records; identifies and posts all forms and reports in the correct chart order; maintains accurate logbooks; updates CARLOS information as needed; removes specified forms/reports from the medical record for reviewers/requestors; accesses and accurately maintains electronic and paper medical records; verifies that information sent via fax machine was done so without error by reviewing the fax log; abides by and enforces all compliance requirements and policies; adheres to hospital policies including confidentiality; adheres to current Infection Control/Safety Standards; assists with orientation of new employees as assigned; communicates and uses appropriate customer relation skills with physicians, patients, families and healthcare team in person and via telephone; responds to overhead pages; informs/relays information to incoming shifts regarding unfinished requests/duties; utilizes and accesses the Hospital Information System, encoder, internet, and CARLOS via personal computer; regular and prompt attendance and the ability to work schedule as assigned and overtime and call as required; related duties as required.

Required Qualifications:

Associate’s degree in Health Information Technology from an accredited institution as approved and accepted by the University of South Alabama or successful completion of a program in practical nursing and current licensure with the State of Alabama as a Licensed Practical Nurse, five years of experience coding inpatient/outpatient Medicare/Champus records in an acute care hospital setting, registration with AHIMA as a Registered Health Information Technician, and certification as a Certified Coding Specialist from the AHIMA or certification as a Certified Professional Coder – Hospital from the American Academy of Professional Coders. A bachelor’s degree in Health Information Management or a bachelor’s degree in nursing and current licensure with the State of Alabama as a registered nurse is highly preferred and will substitute for two years of the required experience. Registration with the AHIMA as a Registered Health Information Administrator is highly preferred.

Instructions for Resume Submission:

Apply Online: http://www.southalabama.edu/departments/financialaffairs/hr/index.html