Job Board

Date

Job Title

Company

4/9/15 Remote Coder United Audit Systems, Inc.
4/7/15 Full-time Remote Inpatient Coder – Work Remotely from Home Healthcare Coding and Consulting Services
4/7/15 Remote Outpatient Facility Coding Consultants – with Large Hospital Same Day Surgery Coding Experience Care Communications, Inc.
4/6/15 Outpatient Coding Quality Review and Education Consultant Care Communications, Inc.
4/6/15 Outpatient Facility and Professional Fee Coding Quality Review and Education Consultant Care Communications, Inc.
4/6/15 Inpatient Coding Quality Review and Education Consultant Care Communications, Inc.
4/6/15 Coding Manger Senior HIM Consultant Care Communications, Inc.
4/2/15 Auditor-Coding Quality / Virtual Ascension Health
4/2/15 Coding and Documentation Specialist IPC Healthcare
3/25/15 CCS Medical Coder (DRG Validation Auditor) – Remote Position DataMetrix
3/18/15 DRG Auditor OmniClaim, Inc.
3/9/15 Remote Inpatient Auditing IOD Incorporated
3/9/15 Remote Inpatient Coding Specialist IOD Incorporated
3/5/15 DRG/Coding Quality Auditor Cook Children’s Health Care System
1/26/15 HIM Manager Select Specialty Hospital

Remote Coder
United Audit Systems, Inc.

Introduction:

Elevate your expertise! Join UASI today and work with the top ICD-10 and 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 and outpatient 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:

Additional qualifications include:

  • RHIA, RHIT or CCS
  • A minimum of three years recent coding experience in an acute care setting
  • 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 to ensure a successful transition to ICD-10. 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 as well as our ICD-10 training program
  • 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.


Full-time Remote Inpatient Coder – Work Remotely from Home
Healthcare Coding and Consulting Services

Introduction:

HCCS understands the day to day challenges a HIM department faces, from chart accuracy to timely billing and precise clinical documentation to supporting a steady revenue cycle. All of these challenges are difficult to overcome without the help of highly trained and experienced HIM professionals. That is why HCCS searches high and low to find the industry’s best HIM professionals to join our elite team. Having an experienced and well trained team allows HCCS the ability to offer our healthcare partners superior HIM consulting and unparalleled health information management (HIM) and clinical documentation improvement (CDI) services, all while fulfilling our highest mission of being a trusted, dependable and unified extension of our partners HIM teams.

HCCS – HIM Services, a subsidiary of The Innovation Institute, serves a wide variety of clients throughout the United States; from Critical Access Hospitals to the largest Level 1 Trauma Centers. Regardless of size HCCS has been partnering with healthcare providers since 2006. HCCS is headquartered in Fort Myers, Florida where all administrative responsibilities are housed. Our Coders and HIM Professionals are all AHIMA, AAPC, or CDI certified and have a minimum of 3 years industry experience; all Coders are US-based working remotely throughout the continental United States.

Job Description:

We currently have several openings for experienced, certified, and remote Inpatient Coders. A minimum of 3 years prior coding experience is required along with an industry coding certification from an accredited organization like AHIMA, AAPC, or CDI.

Required Qualifications:

  • Current coding certification
  • 3 years of experience in Inpatient Coding
  • Detail Oriented
  • Ability to work from home in a quiet space
  • Access to high speed internet
  • Successful completion of the HCCS online assessment test
  • Remote experience a plus

Compensation/Benefits:

We offer our professionals numerous benefits, below are just a few of the great benefits our people enjoy.

  • Competitive Salaried Pay
  • Health Benefits
  • 401K
  • PTO
  • CEUs and ICD-10 Training
  • Paid Life Insurance
  • Computer equipment after 30 days

Instructions for Resume Submission:

Submit your current resume to jobs@hccscoding.com.


Remote Outpatient Facility Coding Consultants – with Large Hospital Same Day Surgery Coding Experience
Care Communications, Inc.

Introduction:

A nationally recognized health information and data management consulting company, Care Communications, Inc. has been recognized as one of the “Best and Brightest Companies to Work For” in the country and a seven-time Elite Winner of Chicago’s “101 Best and Brightest Companies to Work For” by the National Association for Business Resources.

Visit us at the June TXHIMA Annual Meeting at Booth #131!

Job Description:

Care Communications, Inc. is looking for an Outpatient Facility Coder to add to our Coding Team! This full-time opportunity allows you to work as a remote coder from the comfort of your own home. Through CARE, you will be able to code same day surgery, ancillary, and emergency room charts for facilities all across the country. At Care Communications, we highly value work/life balance; you will be able to maintain a flexible schedule with this 100% remote position.

Required Qualifications:

  • AHIMA certified credentials (RHIA, RHIT or CCS)
  • A minimum of 3 years acute care experience using ICD-9-CM, CPT-4 and HCPCS
  • Must have experience with same day surgery, observation, ancillary, and emergency room coding
  • Must have large facility coding experience
  • Inpatient coding experience preferred
  • Knowledge of reimbursement system APC
  • Excellent computer skills
  • Exceptional written and verbal communication skills required

Compensation/Benefits:

  • Competitive earnings and benefits package
  • Variety of prestigious and diverse clients
  • State-of-the-art computer equipment provided by CARE, shipped to your home
  • Being part of the CARE family
  • Collegial support systems; internal mentoring and coaching
  • Flexible Schedules — a balance between work and home
  • CARE’s responsive Information Technology support team available to you days, evenings, and weekends
  • CARE partners with an educational software program that has the ability to meet all of your AHIMA and AAPC CE needs
  • A generous continuing education allowance
  • The opportunity to earn additional income through our Employee Referral and Client Referral Programs

Instructions for Resume Submission:

Qualified and like to learn more? Contact us!

Barbara Black
Care Communications, Inc.
205 W. Wacker Drive, Suite 1900
Chicago, IL. 60606
Fax: 312-229-7277
Email: hr@care-communications.com

Visit our website: www.carecommunications.com

Please reference this ad with your resume. Equal Opportunity/Affirmative Action Employer.


Outpatient Coding Quality Review and Education Consultant
Care Communications, Inc.

Introduction:

A nationally recognized health information and data management consulting company, Care Communications has been recognized as one of the “Best and Brightest Companies to Work For” in the country and a seven-time Elite Winner of Chicago’s “101 Best and Brightest Companies to Work For” by the National Association for Business Resources.

Visit us at the upcoming TXHIMA Annual Meeting in June – Booth #131!

Job Description:

Care Communications, Inc. is looking for an Outpatient Coding Quality Review and Education Consultant to add to our Data Quality and Coding Compliance Business Unit. As an Outpatient Coding Quality Review and Education Consultant, you will provide coding data quality reviews and training for outpatient services in a variety of hospitals and alternative care settings throughout the United States. These reviews may include professional fee, E/M, and ACS.

Required Qualifications:

  • Minimum of 8 years of coding experience using ICD-9-CM, CPT-4 and HCPCS coding systems
  • E/M Facility and professional fee experience, along with same day surgery (ASC) ICD-9-CM/CPT coding experience preferred
  • Knowledge of outpatient surgical reimbursement system APC
  • Minimum of 3-5 years 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 is a plus

Education Qualifications:

  • RHIA, RHIT, CCS credentials

Compensation/Benefits:

  • Competitive earnings and benefits package
  • Variety of prestigious and diverse client locations
  • State-of-the-art computer equipment provided by CARE, shipped to your home
  • Being part of the CARE family
  • Collegial support systems; internal mentoring and coaching
  • Flexible schedules — a balance between travel and home
  • CARE’s responsive Information Technology support team available to you days, evenings, and weekends
  • All travel arrangements are made for you by our Internal Scheduling Coordinator, saving you time and energy
  • CARE partners with an educational software program that has the ability to meet all of your AHIMA and AAPC CE needs
  • A generous continuing education allowance
  • The opportunity to earn additional income through our Employee Referral and Client Referral Programs
  • Air miles/Hotel points
  • Corporate credit card

Instructions for Resume Submission:

Qualified and like to learn more? Contact us!

Barbara Black
Care Communications, Inc.
205 W. Wacker Drive, Suite 1900
Chicago, IL. 60606
Fax: 312-229-7277
Email: hr@care-communications.com

Visit our website: www.carecommunications.com

Please reference this ad with your resume. Equal Opportunity/Affirmative Action Employer.


Outpatient Facility and Professional Fee Coding Quality Review and Education Consultant
Care Communications, Inc.

Introduction:

A nationally recognized health information and data management consulting company, Care Communications has been recognized as one of the “Best and Brightest Companies to Work For” in the country and a seven-time Elite Winner of Chicago’s “101 Best and Brightest Companies to Work For” by the National Association for Business Resources.

We’d love to meet you! Come visit our booth (#131) at the upcoming June TXHIMA Annual Meeting!

Job Description:

Care Communications, Inc. is looking for an Outpatient Facility and Professional Fee Coding Quality Review and Education Consultant to add to our Data Quality and Coding Compliance Business Unit. As a Coding Quality Review and Education Consultant, you will provide coding data quality reviews and training for outpatient services in a variety of hospitals and alternative care settings throughout the United States. All qualified applicants must have experience with both professional fee and outpatient facility coding and auditing.

Required Qualifications:

  • Minimum of 8 years of coding experience using ICD-9-CM, CPT-4 and HCPCS coding systems
  • E/M Facility and professional fee experience, along with same day surgery (ASC) ICD-9-CM/CPT coding experience preferred
  • Knowledge of outpatient surgical reimbursement system APC
  • Minimum of 3-5 years 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 is a plus

Education Qualifications:

  • RHIA, RHIT, CCS credentials

Compensation/Benefits:

  • Competitive earnings and benefits package
  • Variety of prestigious and diverse client locations
  • State-of-the-art computer equipment provided by CARE, shipped to your home
  • Collegial support systems; internal mentoring and coaching
  • Flexible schedules — a balance between travel and home
  • CARE’s responsive Information Technology support team available to you days, evenings, and weekends
  • All travel arrangements are made for you by our Internal Scheduling Coordinator, saving you time and energy
  • CARE partners with an educational software program that has the ability to meet all of your AHIMA and AAPC CE needs
  • A generous continuing education allowance
  • The opportunity to earn additional income through our Employee Referral and Client Referral Programs
  • Air miles/Hotel points
  • Corporate credit card

Instructions for Resume Submission:

Qualified and like to learn more? Contact us!

Barbara Black
Care Communications, Inc.
205 W. Wacker Drive, Suite 1900
Chicago, IL. 60606
Fax: 312-229-7277
Email: hr@care-communications.com

Visit our website: www.carecommunications.com

Please reference this ad with your resume. Equal Opportunity/Affirmative Action Employer.


Inpatient Coding Quality Review and Education Consultant
Care Communications, Inc.

Introduction:

A nationally recognized health information and data management consulting company, Care Communications, Inc. has been recognized as one of the “Best and Brightest Companies to Work For” in the country and a seven-time Elite Winner of Chicago’s “101 Best and Brightest Companies to Work For” by the National Association for Business Resources.

Meet us at the upcoming TXHIMA Annual Meeting – Booth #131.

Job Description:

Care Communications, Inc. is looking for an Inpatient Coding Quality Review and Education Consultant to add to our Data Quality and Coding Compliance business unit. As a Coding Quality Review and Education Consultant, you will provide coding data quality reviews and training in a variety of hospitals, including large university hospitals and other facilities.

Required Qualifications:

  • RHIA, RHIT or CCS credentials
  • Minimum of 8 years inpatient coding experience at a university hospital
  • Knowledge of Reimbursement System MSDRG
  • Minimum of 3-5 year inpatient auditing experience at a university hospital
  • Previous coding training experience
  • Educational background/experience required
  • Exceptional written and verbal communication skills required
  • Excellent computer skills
  • Management experience is a plus

Preferred Qualifications:

  • Knowledge of Outpatient Surgical Coding and Reimbursement System APC, also a plus

Education Qualifications:

  • RHIA, RHIT or CCS credentials

Compensation/Benefits:

  • Competitive earnings and benefits package
  • Variety of prestigious and diverse client locations
  • State-of-the-art computer equipment provided by CARE, shipped to your home
  • Being part of the CARE family
  • Collegial support systems; internal mentoring and coaching
  • Flexible schedules — a balance between travel and home
  • CARE’s responsive Information Technology support team available to you days, evenings, and weekends
  • All travel arrangements are made for you by our Internal Scheduling Coordinator, saving you time and energy
  • CARE partners with an educational software program that has the ability to meet all of your AHIMA and AAPC CE needs
  • A generous continuing education allowance
  • The opportunity to earn additional income through our Employee Referral and Client Referral Programs
  • Travel pay
  • Air miles/Hotel points
  • Corporate credit card

Instructions for Resume Submission:

Qualified and like to learn more? Contact us!

Barbara Black
Care Communications, Inc.
205 W. Wacker Drive, Suite 1900
Chicago, IL. 60606
Fax: 312-229-7277
Email: hr@care-communications.com

Visit our website: www.carecommunications.com

Please reference this ad with your resume. Equal Opportunity/Affirmative Action Employer.


Coding Manger Senior HIM Consultant
Care Communications, Inc.

Introduction:

A nationally recognized health information and data management consulting company, Care Communications has been recognized as one of the “Best and Brightest Companies to Work For” in the country and a seven-time Elite Winner of Chicago’s “101 Best and Brightest Companies to Work For” by the National Association for Business Resources.

Visit us at the upcoming TXHIMA Annual Meeting in June, Booth # 131!

Job Description:

Care Communications, Inc. is looking for a Coding Manager Senior HIM Consultant to add to our Data Quality and Coding Compliance Services Business Unit. As a Senior HIM Consultant you will provide HIM support by managing projects that may include operational reviews, gap assessments, and implementation of new systems or by filling interim roles such as Coding Manager. Join the leaders in Change Management to help healthcare organizations meet or exceed industry standards!

Required Qualifications:

SKILLS, ABILITIES, KNOWLEDGE:

  • Experience with day-to-day management of HIM coding operations, including best practices for HIM coding operational workflows
  • Previous inpatient and/or outpatient coding experience using ICD-9-CM, CPT-4 and HCPCS coding systems
  • Knowledge of Reimbursement Systems MSDRG and/or APC
  • Knowledge of or experience in project management
  • Previous consulting experience and/or workflow design expertise preferred
  • Practiced technical or business writing skills
  • Excellent listening and verbal communication skills
  • Proficient with computer technology and automated system designs for HIM. Computer knowledge of MS Office including Word, Excel, and PowerPoint
  • Demonstrated adaptability
  • Able to work independently addressing objectives without supervision
  • Able to handle and resolve issues/objections diplomatically and respectfully
  • Ability to travel

EXPERIENCE:

Eight (8) years of management experience including responsibilities related to management of health information management, coding, compliance, and revenue integrity, and/or documentation improvement.

Education Qualifications:

EDUCATION/TRAINING:

  • Health information management professional credentials through AHIMA: RHIA or RHIT, with CCS or CCS-P

Compensation/Benefits:

  • Competitive earnings and benefits package
  • Variety of prestigious and diverse client locations
  • State-of-the-art computer equipment provided by CARE, shipped to your home
  • Being part of the CARE family
  • Collegial support systems; internal mentoring and coaching
  • Flexible schedules — a balance between travel and home
  • CARE’s responsive Information Technology support team available to you days, evenings, and weekends
  • CARE partners with an educational software program that has the ability to meet all of your AHIMA and AAPC CE needs
  • A generous continuing education allowance
  • The opportunity to earn additional income through our Employee Referral and Client Referral Programs
  • Air miles/Hotel points
  • Corporate credit card

Instructions for Resume Submission:

Qualified and like to learn more? Contact us!

Barbara Black
Care Communications, Inc.
205 W. Wacker Drive, Suite 1900
Chicago, IL. 60606
Fax: 312-229-7277
Email: hr@care-communications.com

Visit our website: www.carecommunications.com

Please reference this ad with your resume. Equal Opportunity/Affirmative Action Employer.


Auditor-Coding Quality / Virtual
Ascension Health

Introduction:

Ascension Health (www.ascension.org) is a Catholic healthcare organization dedicated to the transformation of healthcare through excellent clinical care throughout the continuum of care and through innovation. Ascension is the nation’s largest Catholic and non-profit health system, providing the highest quality care to all with special attention to those who are poor and vulnerable. Last year Ascension provided $1.8 billion in care of persons living in poverty and community benefit programs. Its Mission-focused Health Ministries employ more than 150,000 associates serving in more than 1,900 sites of care in 23 states and the District of Columbia. Ascension’s direct subsidiaries provide services that include healthcare delivery, medical equipment management, treasury management, resource and supply management, venture capital investing, physician practice management, and risk management.

Job Description:

The Auditor – Coding Quality performs internal coding auditing and reporting of individual and system coder performance.

Responsibilities:

  • Audits specified number of records per coder as defined in the system coding audit plan.
  • Prepares and distributes audit results/reports for the system coding compliance program.
  • Identifies trends and educational opportunities. Prepares and presents educational programs related to coding.
  • Assists with other audits as requested.
  • Audits cases flagged by the coding quality software on a daily basis for multiple HMs, including validating the completeness of documentation, identifying diagnoses and procedures that have been missed, proposing physician queries, and ensuring the accuracy of diagnoses, procedures and DRG assignment.
  • Maintains both a high productivity rate and a high accuracy rate in audits.
  • Communicates audit findings with HM coders and supports HM in effectively and efficiently addressing and resolving local coding issues.
  • Utilizes results of the ongoing review of flagged cases to develop and present coding education to HM coding teams.
  • Works closely with the CDI Nurse Auditor to address and resolve documentation issues.
  • Compiles and reports coding quality performance statistics. Contributes to reduction of HM coding compliance risks. Contributes to Ascension Revenue Cycle revenue enhancement goals.
  • Serves as a coding expert/resource for the HM coding teams and for Ascension Departments including Revenue Cycle, Corporate Responsibility and Legal.
  • Follows industry coding and documentation guidelines to ensure and maintain system-wide coding consistency and compliance with governmental and other regulatory guidelines.

Required Qualifications:

  • Associate or Bachelor degree in Health Information Technology with RHIT and CCS credentials
  • Associate or Bachelor degree and CCS
  • Five (5) years of hospital inpatient coding experience is required
  • Two (2) years of inpatient coding audit experience is required
  • One (1) year of experience in coding training, providing both written and verbal/speaker presentations, is required

Preferred Qualifications:

  • Ten (10) years of hospital inpatient coding experience is preferred.
  • Experience in a large (> 500 beds) hospital or multi-hospital health system is preferred.
  • Training in hospital Clinical Documentation Improvement is preferred.
  • Experience as a Coding Consultant with a consulting firm is preferred

Compensation/Benefits:

  • Medical, Dental and Vision Benefits – Medical, prescription, dental, and vision care, plus flexible spending reimbursement accounts.
  • Wellness Programs – Health management programs that emphasize disease prevention and improving wellness in body, mind and spirit
  • Employee Discounts – Service and entertainment opportunities at discounted costs
  • Retirement Plans – Building retirement income based on earnings and years of service, including a company match
  • Time Away from Work – Holidays and paid time off
  • Educational Benefits – Tuition Assistance and professional development opportunities
  • Financial Security Benefits – Life insurance, accidental death and dismemberment insurance, long term care, short-term and long-term disability insurance, and adoption assistance
  • Quality of Life, Quality of Work – Support and online resources to assist with life’s everyday challenges (employee assistance program, legal assistance, etc.)

Instructions for Resume Submission:

Please apply online at www.ascensionhealth.org/careers for the Auditor-Coding Quality/Virtual position (job Code 50663) or submit your resume via email to suelane.vital@ascensionhealth.org.



Coding and Documentation Specialist
IPC Healthcare

Introduction:

IPC Healthcare INC. Is a publicly held leading national physician group practice company focused on the delivery of hospitalist medicine services. IPC’s physicians and affiliated providers manage the care of hospitalized patients in coordination with primary care physicians and specialists.

Job Description:

We are seeking a self-motivated professional with prior evaluation and management auditing experience. This position is responsible for providing coding and documentation education to physicians and practitioners in a variety of settings predominantly in acute and post-acute care settings. Education will encompass annual, periodic, or other focused medical record audits as requested to oversee the quality and accuracy of physician, inpatient and outpatient coding and documentation. This position requires effective communication and excellent organization skills to ensure timeliness and accuracy of response to requests for educational sessions, support assistance to our central billing office, as well as continual program development through training and process improvement. This role will work out of one of our regional offices. We are currently seeking a candidate for our New England Region located in Massachusetts or Connecticut OR our Texas Region located in San Antonio, Houston or the Dallas-Fort Worth Area.

Primary Responsibilities:

  • Provide and deliver educational material to clinicians in response to identified deficiencies within audit results, including recommendations for improvement to ensure clinical documentation is documented in accordance with the appropriate third party regulations and/or standards and follows the 1995/1997 documentation guidelines as directed by CMS.
  • Provide support for our central billing office with assistance to payer audits, down-coding, and denials.
  • Review and conduct evaluation and management (E/M) audits of medical documentation to ensure the documentation adequately supports and reflects the level of service reported, medical necessity for an encounter, and that documentation is complete and accurate.
  • Keep current on all Medicare Part B regulations, guidance documents and bulletins.
  • Participate in developing and maintaining documentation and coding compliance audit standards.
  • Conduct state-specific third party payer research when required.
  • Ability to manage and prioritize multiple projects at one time.
  • Develops documents and assists in implementing policies and procedures to ensure compliance with third-party requirements and to minimize corporate risk.

Required Qualifications:

  • 2+ years of experience in healthcare developing and conducting audits in a healthcare or managed care environment, with emphasis on E/M reviews.
  • 2+ years of experience providing written and oral reports of audit observations and findings.
  • Advance knowledge of ICD-9-CM, HCPCs, and CPT classifications and reimbursement methodologies.
  • Certified at ICD-10-CM or prepared to shortly after hire.
  • Certified as a Coding Professional or Health Information Technician is required (CCS-P, CPC, RHIA, RHIT), Additional certifications of CHDA, CDIP, CEMC, CPMA is a plus but not required.
  • Licensed in a clinical discipline a plus but not required.
  • Data management experience for report writing and tracking.
  • Strong verbal and written communication skills with strong problem solving and critical thinking skills.
  • Previous experience using computerized systems for health information storage and retrieval. Experience with paper, computerized and hybrid medical records.

Compensation/Benefits:

IPC provides a competitive salary and a comprehensive benefits package, including health, dental, life and long-term disability insurance, Section 125 Flexible Spending Accounts, 401(k) retirement plan with employer matching, employee stock purchase plan and paid time off.

For more information on IPC, please visit our website at www.hospitalist.com or at (NASDAQ: IPCM – News).

Instructions for Resume Submission:

Please apply on our job site at http://www.hospitalist.com/jobs/coding-specialist.php?cat=business or apply to talent@ipcm.com.



CCS Medical Coder (DRG Validation Auditor) – Remote Position
DataMetrix

Introduction:

DataMetrix is committed to quality and unparalleled customer service in all aspects of our business. As part of the team, each person will discover that the pursuit of excellence is a rewarding aspect of his/her career with us. While we’re always looking for talented new people who can help contribute to the success of our business and share our commitment to achieving our goals, we’re currently looking for a CCS Medical Coder (DRG Validation Auditor) – Remote Position.

At DataMetrix, we pride ourselves in leading with experience, expertise, and industry knowledge and we’re known and highly regarded as an expert in our practice areas.

We offer a tremendous array of work life benefits including:

  • Remote work
  • Flexible work schedules
  • Company laptop provided
  • Full benefits
  • Paid Time Off
  • Holiday Pay

If you think you have what it takes, consider joining the DataMetrix team!

Job Description:

The CCS Medical Coder (DRG Validation Auditor) will be responsible for auditing the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data (POA, Discharge Disposition, etc.) to support the appropriate reimbursement. Also, provides ongoing education to coders, clients, and other clinical staff.

Here’s a list of the key responsibilities for this role:

  • Reviews clinical documentation and validates facility codes/DRG assignment, discharge disposition for pre, post payment inpatient claims – Medical Records.
  • Prices DRG and reviews payment data for correctness using DRG pricer and facility specific contract parameters.
  • Works cross functionally with other departments to investigate questionable data, elicit information, and corrects errors or omissions on the claims.
  • Summarizes MS DRG and APR DRG disputes in writing and cites official coding guidelines.
  • Acts as a guide in answering inpatient coding appeal questions.
  • Discusses disputes with facilities.
  • Screens claim data for appropriate cases for medical review.
  • Utilizes official coding guidelines and resources as required including CMS directives and bulletins.
  • Stays up to date on electronic encoder software & maintains AHIMA credentials.

Required Qualifications:

Successful applicants for this CCS Medical Coder (DRG Validation Auditor) opportunity must have:

  • Must have at least five years of MS DRG and/or APR DRG coding experience.
  • Must be a Certified Coding Specialist (CCS) and Registered Health Information Technician (RHIT) or (RHIA) is preferred.
  • Extensive understanding of terminology, anatomy and physiology, and MS DRG and APR DRG grouping methodologies, in particular what diagnoses/procedures impact DRG assignment.
  • Excellent interpersonal skills to develop relationships necessary to facilitate and educate.
  • Effective written and verbal communication skills along with a working knowledge of Microsoft Office.
  • Ability to apply general rules to specific problems to produce answers that make sense.
  • Must be able to work independently while maintaining close attention to detail.
  • Must be highly motivated, have excellent prioritization skills and have the ability to set and reach goals.
  • Knowledge of CMS regulations and statutes.
  • Knowledge of state/regional insurance regulations, medical provider.
  • Ability to deal with highly sensitive and confidential information and adhere to data security and HIPAA confidentiality procedures.

Instructions for Resume Submission:

Ready for a dynamic new career opportunity? Apply today at www.data-metrix.com!



DRG Auditor
OmniClaim, Inc.

Introduction:

A leader and innovator in healthcare cost containment, OmniClaim is a rapidly-growing company that provides a wide range of pre- and post-payment cost containment services designed to ensure that its insurance company clients are not overpaying on claims. As the industry leader in healthcare cost containment, the company’s disciplined approach, state of the art predictive analytics software, and fanatical focus on customer service are saving healthcare payers millions of dollars every month.

Job Description:

DRG Auditors (CCS) will review full medical records (electronic and hard copy) for DRG validation at hospitals across the country, comparing the Insurers Paid DRG to the final DRG determined by the auditor. The auditor oversees the well-documented process through which audit results, appeals and final determinations are made. The Auditor will work collaboratively as part of a cohesive team of our elite team of auditors, schedulers, office support and management, supporting and learning from each other.

Required Qualifications:

The right candidate will have a CCS certification, and ideally be an RN, CCDS, RHIA or RHIT. He or she should have several years’ experience coding in a tertiary inpatient hospital setting, and be familiar with “Coding Clinic.” Thorough understanding of 3M Encoder/grouper logic or similar billing software products is essential. Preferred is a working knowledge of outpatient CPT, HCPCS and APC assignment; experience defending insurance company appeals of DRG coding; coding auditing experience is a big plus. Candidates will travel locally, regionally or nationally depending on location! We have local travel in TX! The right candidate will have excellent oral and written communication skills, organizational and time management skills and the ability to develop relationships at all levels. He or she must enjoy working for a privately-held entrepreneurial organization that has very high standards, pays handsomely above the average salary of a CCS and rewards good performance with an annual bonus.

Education Qualifications:

CCS, AHIMA

Instructions for Resume Submission:

Please send your resume and a cover letter to careers@omniclaim.com.



Remote Inpatient Auditing
IOD Incorporated

Introduction:

IOD’s people, process and technology give healthcare organizations an HIM edge. If you share our commitment to providing service that is second-to-none, we invite you to join our team of more than 1,600 HIM specialists, healthcare veterans and thought-leaders nationwide. If you are passionate about what you do, then you belong with the leading provider of full suite HIM solutions. IOD’s Coding/HIM Consulting/EMR Abstraction Division is looking for HIM professionals to join our rapidly growing team! We are currently hiring Remote Inpatient Coders for full-time or part time employment opportunities. With more than 30 years of experience and 1,900 locations nationwide, IOD is the leader in full suite HIM services solutions that help hospitals, health systems, and clinics streamline and simplify HIM workflow. With comprehensive solutions including document conversion, release of information (ROI), coding, auditing, abstracting, ICD-10 transition services, RAC services, along with complete training and HIM consulting, IOD empowers healthcare organizations to overcome workflow challenges and focus on their most mission-critical initiatives. The result is improved patient/physician satisfaction, increased HIM efficiencies and a stronger bottom line. For more information, visit www.IODincorporated.com.

Job Description:

Essential Functions:

  • Thoroughly reviews medical records to determine correct usage of ICD-9 CM diagnostic and procedure codes for appropriate DRG assignment
  • Facilitates documentation review of the medical record to achieve accurate inpatient coding and DRG assignments to ensure the principal diagnosis, co-morbidities and principal procedure are appropriate and supported for reimbursement
  • Reviews non-CC/MCC records to determine if record was properly coded or if additional documentation is needed • Participates in settlement of audit findings
  • Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
  • Shows versatility and exemplary work including a wide range of services coded
  • Meets with client facility representatives to discuss issues and trends identified in audit
  • Develops and implements education for physician, nursing, and other clinical staff to improve documentation
  • Works effectively with the coding manager to improve coding services provided by the coding staff
  • Maintains 98% accuracy rate for DRG assignment and 98% productivity rate
  • Responsible for tracking continuing education credits to maintain professional credentials
  • Attend IOD sponsored education meetings/in-services
  • Demonstrate initiative and judgment in performance of job responsibilities
  • Communicates with co-workers, management, and hospital staff regarding clinical and reimbursement issues
  • Function in a professional, efficient and positive manner
  • Adhere to the American Health Information Management Association’s code of ethics
  • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
  • Audits both internal and external coding staff as needed and provides reports to manager as directed
  • High complexity of work function and decision making
  • Strong organizational, teamwork, and leadership skills

Required Qualifications:

  • Minimum of 3 years’ experience coding or auditing
  • Bachelor degree from an accredited, AHIMA approved HIT/HIM program or Nursing Program
  • CCS credentials and RHIA/RHIT preferred
  • Recent experience in academic/level 1 trauma centers
  • Experience coding or auditing inpatient records for various facilities
  • Track record of acceptable productivity standards
  • Maintain 95% accuracy rate for DRG assignment and 95% productivity rate
  • Experience with various software including EMR, Encoder and Auditing software

Compensation/Benefits:

We offer excellent benefits including:

  • Full Medical, Dental and Vision Plans
  • Free ICD-10 Training and Education
  • Free CE credits – Minimum of 12 per year
  • 144 hours PTO, plus two holiday floating PTO days
  • Six Paid Holidays
  • Referral bonus for coding experts
  • Monthly incentives to win iPads and other awards
  • Short and Long Term Disability
  • Competitive Compensation Packages
  • Flexible Spending Account
  • Tuition Reimbursement
  • 401K Savings Plan
  • Personal Computer with dual monitors

Instructions for Resume Submission:

Please email your resume to codingjobs@iodincorporated.com.



Remote Inpatient Coding Specialist
IOD Incorporated

Introduction:

IOD’s people, process and technology give healthcare organizations an HIM edge. If you share our commitment to providing service that is second-to-none, we invite you to join our team of more than 1,600 HIM specialists, healthcare veterans and thought-leaders nationwide. If you are passionate about what you do, then you belong with the leading provider of full suite HIM solutions. IOD’s Coding/HIM Consulting/EMR Abstraction Division is looking for HIM professionals to join our rapidly growing team! We are currently hiring remote inpatient coders for full-time or part time employment opportunities. With more than 30 years of experience and 1,900 locations nationwide, IOD is the leader in full suite HIM services solutions that help hospitals, health systems, and clinics streamline and simplify HIM workflow. With comprehensive solutions including document conversion, release of information (ROI), coding, auditing, abstracting, ICD-10 transition services, RAC services, along with complete training and HIM consulting, IOD empowers healthcare organizations to overcome workflow challenges and focus on their most mission-critical initiatives. The result is improved patient/physician satisfaction, increased HIM efficiency and a stronger bottom line. For more information, visit www.IODincorporated.com

* SIGN ON BONUS UP TO $5,000.00!!!!!

Job Description:

Essential Functions:

  • Assigning diagnostic and procedural codes to patient records using ICD-9-CM and CPT/HCPCS and any other designated coding classification system in accordance with the UHDDS coding guidelines
  • Reviewing medical records and assigning accurate codes for diagnoses and procedures
  • Assigning and sequencing codes accurately based on medical record documentation
  • Assigning the appropriate discharge disposition
  • Abstracting and entering coded data for hospital statistical and reporting requirements
  • Communicating documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
  • Tracking their own continuing education credits to maintain professional credentials
  • Communicating with co-workers, management, and hospital staff regarding clinical and reimbursement issues
  • Adhering to the American Health Information Management Association’s code of ethics

Required Qualifications:

  • Minimum of 3 years experience coding or auditing
  • RHIA, RHIT, CCS, CPC or CCS-P credentials
  • Recent experience in academic/level 1 trauma centers
  • Experience coding or auditing inpatient records for various facilities
  • Track record of acceptable productivity standards
  • Maintain 95% accuracy rate for DRG assignment and 95% productivity rate
  • Experience with various software including EMR, Encoder and Auditing software

Compensation/Benefits:

We offer excellent benefits including:

  • Full Medical, Dental and Vision Plans
  • Free ICD-10 Training and Education
  • Free CE credits – Minimum of 12 per year
  • 144 hours PTO, plus two holiday floating PTO days
  • Six Paid Holidays
  • Referral bonus for coding experts
  • Monthly incentives to win iPads and other awards
  • Short and Long Term Disability
  • Competitive Compensation Packages
  • Flexible Spending Account

Instructions for Resume Submission:

Please email your resume to codingjobs@iodincorporated.com.


DRG/Coding Quality Auditor
Cook Children’s Health Care System

Job Description:

SUMMARY: To improve the overall accuracy, integrity and quality of patient data, and bills submitted for payment, the auditor performs coding and DRG assignment quality reviews on inpatient records within 5 days of discharge and before billing occurs. Validates accuracy of the ICD-9 coding and APR-DRG, SOI, ROM and POA assignments in compliance with all Federal and State coding regulations and reporting requirements. Provides feedback, supporting documentation for code changes, and education to the coders. Assists with third-party denials and opportunities for appeal of claims. Maintains audit results for each coder and provides audit results to the Coding & CDI Educator for further education. Creates & provides reports of cases with missing, ambiguous, contradictory, etc. documentation to the Coding & CDI Educator to assist with improvement of physician documentation which supports code assignments. Maintains thorough & current knowledge and understanding of all job related electronic and manual systems, policies and processes, coding schemes, DRG groupers, regulations and guidelines, etc. Fosters relationships between all disciplines and provides excellent customer service.

Required Qualifications:

RHIA or RHIT required, RHIT with CCS preferred. Required to have have a minimum of three (3) years current & continuous acute care hospital inpatient coding and DRG analysis with advanced knowledge of current codes sets, guidelines and principles; experience in pediatric setting highly desired. Clinical documentation improvement experience highly desired. Demonstrates superior coding and critical thinking skills with ability to solve problems appropriately using knowledge, and current policies/procedures/guidelines and regulations. Technically competent and fluent knowledge in navigation of electronic medical record applications, coding decision support tools, including encoders, abstracting & billing systems, electronic medical records (used as coding source documents), and other associated computer applications required. Proficiency in computer assisted coding/CDI tools, automated coding work flow process and management of coded data integrity highly desired. Experience using Microsoft Office applications (excel, word, outlook, power point) required. Ability to remain focused, work well independently and productively with minimal guidance and without direct supervision. Must have sharp analytical and critical thinking skills, must be highly detail oriented, have strong organizational, writing, interpersonal and communication skills with ability to maintain confidentiality, create positive relationships; energetic, flexible, goal and team oriented. Ability to provide excellent customer service routinely in all types of interactions with all individuals. Demonstrated coding knowledge and proficiency is required through on-site evaluation prior to hire. Skills assessment required with demonstrated ability to easily articulate knowledge of coding guidelines and procedures.

Education Qualifications:

Licensure, Registration, and/or Certification: Registered Health Information Administrator (RHIA) or Registered Health Information Technologist (RHIT) required, Certified Coding Specialist (CCS) preferred. ICD-10-CM/PCS training completion no later than July 2015.

Instructions for Resume Submission:

Please log onto www.cookchildrens.org and visit the Careers Page for our list of job postings.


HIM Manager
Select Specialty Hospital

Introduction:

Using discretion and independent judgment under the direction of the CEO, the Health Information Manager plans, organizes, and directs Health Information to effectively carry out the functions and responsibilities of these areas, based upon corporate and hospital goals and objectives while ensuring it is being done in accordance with applicable laws, rules and regulations.

Job Description:

The Health Information Manager plans, organizes, and directs Health Information services and is responsible for all activities as assigned. Including record processing and physician record completion, transcription, filing, storage/retrieval, release of confidential information, maintenance and safety/security of all medical records, as well as, maintenance of medical and allied health staff credentialing files to meet regulatory requirements. knowledge of medical staff organization and credentialing activities are needed.

Required Qualifications:

Requires an Associate degree in a health care related field. Requires current credentials as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) as required by state regulation. Working knowledge of medical staff organization. Mimimum of 2 years experience as a manager in a hospital environment.

Education Qualifications:

Associate degree in health care related field.

Compensation/Benefits:

Compensation is dependent upon applicant’s experience. Benefits include: Excellent Orientation Program, Paid Time Off (PTO), Extended Illness Days (EID), Health, Dental, and Vision Insurance Prescription Coverage, Life Insurance Short- and Long-Term Disability, Tuition Reimbursement, 401(k) Retirement Plan, and Personal and Family Medical Leave

Instructions for Resume Submission:

Submit your application online through Select Medical website at selectmedical.com. Enter location as “Carrollton, Texas” and apply for the HIM Manager position from the website.