Job Board

Date

Job Title

Company

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


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.