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Remote Coder/Claims Analyst
re|solution Consulting
Introduction:
The purpose of this
position is to review and recommend code
changes to optimize APC and/or MS-DRG
reimbursement and facilitate data
quality in outpatient and/or inpatient
services.
Job Description:
Responsibilities:
-
Performs data
quality reviews on outpatient and/or
inpatient encounters to validate the
ICD-9-CM, CPT, and HCPCS Level II
code and modifier assignments, APC
group appropriateness, missed
secondary diagnoses and/or
procedures, and ensure compliance
with all CMS mandates and outpatient
and/or inpatient reporting
requirements.
-
Monitors outpatient
and/or inpatient service mix reports
to identify patterns, trends, and
variations in the facility’s
frequently assigned APC/MS-DRG
groups. Once identified, he or she
evaluates the causes of the change
and takes appropriate steps in
collaboration with the right
department to effect resolution or
explanation of the variance.
-
Continuously
evaluates the quality of clinical
documentation to spot incomplete or
inconsistent documentation for
outpatient and/or inpatient
encounters that impact the code
selection and resulting APC groups
and payment. Brings identified
concerns to managers for resolution.
-
Maintains knowledge
of current professional coding
certification requirements.
-
Abides by the
Standards of Ethical Coding as set
forth by the American Health
Information Management Association.
-
Develops reports and
collects and prepares data for
studies involving outpatient and/or
inpatient encounter data for
clinical evaluation purposes and/or
financial impact and profitability.
-
Communicates any APC
updates published in third-party
payer newsletters/bulletins and
provider manuals to share with
peers.
-
Keeps abreast of new
technology in coding and abstracting
software and other forms of
automation and stays informed about
transaction code sets, HIPAA
requirements, and other future
issues impacting the coding
function.
-
Demonstrates
competency in the use of computer
applications and Grouper Software,
OCE edits, and all coding and
abstracting software and hardware
currently in use by re|solution.
Required
Qualifications:
-
RHIT, RHIA, CCS or
CCS-P (combination of RHIT or RHIA
with CCS or CCS-P preferred.. Will
consider CPC-H (Certified
Professional Coder)
-
Minimum of five
years facility coding experience in
ICD-9-CM and CPT/HCPCS
-
Good oral and
written communication skills and
comprehensive knowledge of the APC/DRG
structure and regulatory
requirements
-
Prefer someone with
past auditing experience or strong
training background in coding and
reimbursement Technical Skill Set
-
Facility Coding
Experience (Outpatient, Emergency
Room and possible Inpatient coding)
-
Expert level in
coding injections/infusions, ED, and
intervention radiology cases
-
Working knowledge of
APCs and MS-DRGs
-
Chargemaster
exposure
-
Some billing
knowledge
-
Proficient at the
following software: MS Excel, Word,
Outlook (e-mail with attachments)
-
Able to manage
desktop, create folders, and
minimize/maximize multiple programs
-
Experience in using
the internet as a research tool
(I.e., find CMS transmittals,
reference vendors for product
information, etc.)
-
VPN/EMR experience a
plus.
Preferred
Qualifications:
Desirable Personality
Traits:
Education
Qualifications:
Compensation/Benefits:
Full Time Temporary
Position with no benefits.
Instructions for
Resume Submission:
Interested candidates
please forward your resume as an MS Word
attachment to Bonnie at
bonnie.leblanc@ereso.com
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Remote Coding Quality Review &
Education Consultant
Care Communications, Inc.
Introduction:
Recognized as Chicago’s Best Small
Business to Work For by The National
Association for Business Resources Care
Communications, Inc. continues to
experience tremendous growth and needs
experienced professionals like you now!
Job Description:
CARE’s expert consultants provide coding
data quality reviews and training.
National opportunities are available.
Required Qualifications:
- RHIA, RHIT or CCS certification
- Minimum of 8 years Current
Coding Experience using ICD-9-CM,
CPT-4 and HCPCS Coding Systems
- Knowledge of Reimbursement
Systems MSDRG and APC
- Minimum of 3-5 year Inpatient
and/or Outpatient Auditing
experience
- Previous Coding Training
Experience
- Educational
background/experience required
- Exceptional Written and Verbal
Communication Skills required
- Excellent Computer Skills
Preferred Qualifications:
- Management Experience a Plus
Education Qualifications:
- RHIA, RHIT or CCS certification
Compensation/Benefits:
- Above average earnings &
benefits package
- Variety of prestigious and
diverse clients
- Being part of the CARE family
- Flexible Schedules, a balance
between work & home
- Generous Continuing Education
Allowance
- Collegial support systems
Instructions for Resume Submission:
Qualified and like to learn more?
Contact us! Apply onilne at:
www.carecommunications.com
Barbara Black
Care Communications, Inc.
205 W. Wacker Drive
Suite 1900 Chicago, IL 60606
Fax: 312-229-7130
E-mail to
hr@care-communications.com
Please reference this ad with your
resume. Equal Opportunity/Affirmative
Action Employer
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Compliance Coordinator, HIM
The Nebraska Medical Center
Job Description
Provides analytical,
coordinative and systems support
related to HIM governance and
regulatory issues and facilitates
HIM-related activities in support of
accreditation and certification
surveys.
Required Qualifications
-
National
certification as an RHIT
(Registered Health Information
Technician) required.
-
Experience and a
working knowledge of The Joint
Commission (TJC) and Centers for
Medicare and Medicaid Services
(CMS) standards are required.
-
Demonstrated
expertise with
computer-generated reports.
-
Demonstrated
knowledge, experience and
proficiency with the use of
computer applications including
Microsoft Office Suite.
-
Demonstrated
problem solving skill required.
-
Demonstrated
knowledge of medical terminology
required.
-
Demonstrated
effective oral and written
communication skills required.
-
Ability to
establish and maintain effective
relationships with employees,
physicians, hospital
departments, and The Nebraska
Medical Center management team.
-
Ability to
maintain confidentiality; work
independently and as a member of
a team.
Preferred
Qualifications
A bachelor's degree
or a combination of education and
experience equivalent in a related
health field or an associate's
degree in HIM preferred.
Compensation/Benefits
Minimum Salary:
$16.80/hr, goes up from there based
on years of experience
Instructions For Resume
Submission
Please apply online at
www.nebraskamed.com/careers
Questions? Contact Briana at
402.559.2108
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HIM Manager
Monroe Clinic
Introduction
Monroe Clinic is a
not-for-profit integrated healthcare
system dedicated to bringing the
best to the communities it serves.
Sponsored by the Sisters of St.
Agnes, Monroe Clinic offers
comprehensive health care with more
than 80 providers, 1000+ employees,
a 24-hour emergency room, home care
and hospice services, as well as 8
branch clinics in southern Wisconsin
and northern Illinois. Every day, we
provide care to more than 1,000
patients. A Solucient 100 Top
Hospital, Monroe Clinic has been
attracting patients for more than 65
years.
Job Description
-
Works under the
supervision of the Director of
Information Systems
-
Oversees all
activities related to
development, implementation,
maintenance of and adherence to
policies covering the privacy of
PHI in accordance with state and
federal laws
-
Responsible for
the hospital coding and
hospital/clinic
clerical/EPIC/scanning and ROI
areas
-
Manages the Team
Leaders and scheduling of
employees
-
Responsible for
the quality of the work and
productivity of the teams
-
Responsible for
operational and capital budget
planning as well as long range
planning for the areas
-
Responsible for
other duties as assigned
Required Qualifications
-
Accreditation by
American Health Information
Management Association
-
Ten years HIM
supervisory experience
-
Five years
coding experience
-
Experience and
knowledge of information privacy
and security laws and/or release
of information
-
Evidence of
strong managerial and
communication skills
demonstrating the ability to
work through complex issues with
all levels of employees and
patients, including the medical
staff and other department
leadership
-
Experience with
contract negotiations, vendor
elections and ongoing customer
support
Education
Qualifications
Compensation/Benefits
Monroe Clinic offers
a very competitve compensation and
benefits package. A compensation and
benefits overview will be provided
during the interview process.
Instructions For Resume
Submission
Please apply online
by visiting our website at
www.monroeclinic.org
Click on 'Join Our
Team'. You can download your resume
to your online application.
Gina Haldiman
Human Resources
515 22nd Ave.
Monroe, WI 53566
gina.haldiman@monroeclinic.org
Fax: 608-324-2499
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Director
of HIM
Buena Vista Regional Medical Center
Introduction
Recently honored as
one of the "Best Places to Work in
Healthcare", Buena Vista Regional
Medical Center is a JCAHO accredited
facility with a 50 year history of
improving the health of the people
and communities we serve. BVRMC has
400 employees and is a 25-bed
critical access facility offering a
wide range of medical, surgical and
specialty services. BVRMC has an
annual expense budget of more than
$30 million. A multi-million dollar
construction project will be
completed in 2010 including new MRI
suite, surgical suites, and OB.
BVRMC is located in
Storm Lake, a community of 12,000 in
northwest Iowa. Storm Lake enjoys a
3,200 acre lake surrounded by public
parks, golf course, modern
campgrounds and a bike/hike trail. A
highly acclaimed public school
system, two private K-12 schools, a
community college, and Buena Vista
University are all a valuable part
of this growing community, rich in
talent, profit and productivity.
AWAYSIS, a $30 million dollar
recreation and area enhancement
project, is currently underway. This
project includes a beautiful
lakeside lodge, an indoor/outdoor
water park, campgrounds, cabins, a
family-friendly playground, new
sandy beach and exciting amenities.
Check it all out at
www.stormlake.org.
Job Description
This position
oversees the coordination of HIM
department activities and serves as
a liaison between personnel,
administration, physicians and other
departments to ensure optimal
service.
Required Qualifications
Candidate must have
understanding of
transcription/dictation equipment,
coding, EMR, and MS Word/Excel,
current RHIT or RHIA certification,
and at least one year of management
experience.
Compensation/Benefits
Excellent salary and
benefit package including generous
paid time off, health, vision,
dental, retirement plan and much
more.
Instructions For Resume
Submission
Click the "Careers"
link at
www.bvrmc.org to apply.
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Traveling Coding Consultants
Care Communications, Inc.
Introduction
Recognized as
Chicago’s Best Small Business to
Work For by The National Association
for Business Resources Care
Communications, Inc. continues to
experience tremendous growth and
needs experienced professionals like
you now!
Job Description
Inpatient and
Outpatient (Large Teaching Hospital
Experience Preferred)
Required Qualifications
Qualifications
include:
-
AHIMA certified
credentials (RHIA, RHIT, CCS)
-
Minimum of 3
years acute care experience
using ICD-9-CM, CPT-4 and HCPCS
Coding Systems
-
Knowledge of
reimbursement systems MSDRG and
APC
-
As a plus: E/M
Facility and Professional Fee,
Training & Education experience
and Exceptional Presentation
skills
Compensation/Benefits
-
Above average
earnings and benefits package
-
Being part of
the CARE family
-
Variety of
prestigious and diverse client
locations
-
Flexible
Schedules, a balance between
travel & home
-
Generous
Continuing Education Allowance
Not to mention …
-
Air miles/Hotel
points
-
Corporate travel
card
-
Travel Pay
Instructions For
Resume Submission
Send Resume to:
Barbara Black
Care Communications, Inc.
205 W. Wacker Drive, Suite 1900
Chicago, IL 60606
Fax: 312-229-7130
E-mail to
hr@care-communications.com
Visit our
Website at
www.carecommunications.com.
Please reference this ad with
your resume. Equal
Opportunity/Affirmative Action
Employer
|
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Coding Quality Review & Education
Consultant
Care Communications, Inc.
Introduction
Recognized as
Chicago’s Best Small Business to
Work For by The National Association
for Business Resources Care
Communications, Inc. continues to
experience tremendous growth and
needs experienced professionals like
you now!
Job Description
CARE’s expert
consultants provide coding data
quality reviews and training in
hospitals & alternative care
settings.
Required Qualifications
-
RHIA, RHIT or
CCS certification
-
Minimum of 8
years Current Coding Experience
using ICD-9-CM, CPT-4 and HCPCS
Coding Systems
-
Knowledge of
Reimbursement Systems MSDRG and
APC
-
Minimum of 3-5
year Inpatient and/or Outpatient
Auditing experience
-
Previous Coding
Training Experience
-
Educational
background/experience required
-
Exceptional
Written and Verbal Communication
Skills required • Excellent
Computer Skills
-
Management
Experience a Plus
Compensation/Benefits
-
Above average
earnings & benefits package
-
Variety of
prestigious and diverse client
locations
-
Being part of
the CARE family
-
Flexible
Schedules, a balance between
travel & home
-
Generous
Continuing Education Allowance
-
Collegial
support systems
-
Air miles/Hotel
points
-
Corporate travel
card
-
Travel Pay
Instructions For
Resume Submission
Send Resume to:
Barbara Black
Care Communications, Inc.
205 W. Wacker Drive, Suite 1900
Chicago, IL 60606
Fax: 312-229-7130
E-mail to
hr@care-communications.com
Visit our
Website at
www.carecommunications.com.
Please reference this ad with
your resume. Equal
Opportunity/Affirmative Action
Employer
|
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E/M Coding Quality Reviews &
Education Consultant
Care Communications, Inc.
Introduction
Recognized as
Chicago’s Best Small Business to
Work For by The National Association
for Business Resources Care
Communications, Inc. continues to
experience tremendous growth and
needs experienced professionals like
you now!
Job Description
Experienced in
Professional Fee E/M, in addition to
SDS, ED Hospital Coding using
ICD-9-CM, CPT-4, HCPCS Coding
Systems
Required Qualifications
-
RHIA, RHIT, CCS
or CCS-P certification
-
Minimum of 8
years Current Coding Experience
using ICD-9-CM, CPT-4 and HCPCS
Coding Systems
-
E/M Facility and
Professional Fee experience,
along with ER and Same Day
Surgery ICD-9-CM/CPT coding
experience necessary
-
Minimum of 3-5
year Inpatient and/or Outpatient
Auditing experience
-
Previous Coding
Training Experience
-
Educational
background/experience required
-
Exceptional
Written and Verbal Communication
Skills required
-
Excellent
Computer Skills
-
Management
Experience a Plus
Compensation/Benefits
-
Above average
earnings & benefits package
-
Variety of
prestigious and diverse client
locations
-
Being part of
the CARE family
-
Generous
Continuing Education Allowance
-
Collegial
support systems
-
Air miles/Hotel
points
-
Corporate travel
card
-
Travel Pay
Instructions For Resume
Submission
Send Resume to:
Barbara Black
Care Communications, Inc.
205 W. Wacker Drive, Suite 1900
Chicago, IL 60606
Fax: 312-229-7130
E-mail to
hr@care-communications.com
Visit our Website at
www.carecommunications.com.
Please reference this ad with your
resume. Equal
Opportunity/Affirmative Action
Employer
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