VCUHealth System

Introduction:

VCU Health System Business Office Coding Services is seeking a full time Medical Coder III. The Medical Coder III translates authenticated provider documentation and/or operative reports and makes the determination as to the appropriate CPT, ICD-9/10 codes for billing of services rendered by providers for specialized complex coding from surgical and operative notes or from complex clinical specialties. Must comply with all applicable State, Federal and insurance regulations and guidelines in order to apply codes for consultation, diagnosis, surgical procedures, etc. Identifies, analyzes and resolves assigned denial payment issues according to established departmental policies and procedures or assists in resolving all coding associated payer denials by pulling charts, missing operative reports and gathering information requested by insurance company and/or supervisor. Assists in the resolution of payment denials, or independently resolves selected denials.

Job Description:

• Make independent decisions regarding documentation and accurate CPT-4 and ICD-10 PCS code assignments.
• Coordinate training/education and orientation of coding staff as well as performing managerial responsibilities related to interviewing potential candidates for hire, development of training programs, monitoring quality and productivity, payroll and performance reviews.
• Actively manage coding vendor contracts and relationships by establishing and/or ensuring the achievement of Service Level Agreements (SLA).
• Work with the Director and other professional services leaders on clinical documentation improvement, accuracy, revenue integrity, process efficiencies, effectiveness, and quality within the Professional Services Revenue Cycle
• Structure and deliver education and feedback to physicians and other professional billing professionals on documentation and billing issues.

Required Qualifications:

• Bachelor’s Degree in Health Information Management, Business, Health Care Administration, Finance or closely related field from an accredited program
• Certified Professional Coder (CPC) by the American Association of Professional Coders
• Minimum of five (5) years physician practice professional coding experience with ICD-9, ICD10; and
• CPT coding principles and rules, reimbursement, documentation requirements and compliance
• Three (3) years management/supervisory experience
• Previous experience working with managed care companies
• Previous experience at the intermediate to advanced level with windows based software applications (Microsoft Word, Excel, PowerPoint, and Outlook), encoder software and e-mail applications

Preferred Qualifications:

• Master’s Degree in Health Information Management, Business, Healthcare Administration, Allied Health Program or closely related field from an accredited program
• Seven (7) years previous physician practice coding experience in an acute care, Level I Trauma facility or other closely related field
• Previous experience with governmental and insurance regulations including coding and compliance issues

Instructions for Resume Submission:

Navigate the website listed below.

The job Req# is 55125.

Follow instruction for application completion and resume submission.

Apply Online: https://www.vcuhealth.org/explore-vcu-health/careers/careers

Novant Health UVa Health System

Introduction:

The employee’s Number One job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understand how he or she contributes to the health system’s vision of achieving that commitment to patients and families. Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payers and other regulatory agencies. Functions includes but are not limited to working charge review work queues for assigned non-surgical practices to ensure the completeness and accuracy of coding clinical diagnosis and procedures.

Job Description:

17041. Coding:

With minimal supervision, review and codes work queues as assigned by applying coding principles for correct coding including sequencing. Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses. Provides provider education and regular feedback on ICD-10 and correct coding issues. Evaluates and identifies front-end and back-end error trends for training needs and brings them to the attention of the coding manager.

Communicates and participates in departmental meetings and initiatives involving coding and the revenue cycle enhancement process. Demonstrates a comprehensive knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-10-CM, CPT, HCPCS and CMS guidelines.

17042. Process:

Maintain adequate knowledge of coding, compliance and reimbursement procedures through review of information provided by RCS, payer policy updates and coding manuals: Provides coding assistance through interpretation of guidelines and communication to practitioner. Must be accurate in coding of diagnostic and procedure services in accordance with national coding guidelines and appropriate information reimbursement requirements. Responsible for responding to coding, billing and collection inquiries.

1704. All other duties as assigned.

Required Qualifications:

Education:

High School Diploma: Required

Experience:

Minimum of two years healthcare experience with at least one year of professional coding experience: Required

Two years of customer service experience in a clinic setting: Preferred

Licensure/Certification/Registration:

RHIA, CPC, CPC-A, CCS-P or RHIT: Required

Certified Outpatient Coding (COC): Required

Additional Skills Required:

Working knowledge of Current Procedure Technology (CPT), ICD-9 and HCPCS coding. Experience with EPIC Resolute Billing preferred. Ability to effectively communicate and work with patients, physicians, staff and administration. Outstanding written and verbal communication skills. Ability to work independently with minimal supervision. Self-audit of work and awareness of impact on revenue cycle is key. Working knowledge of Current Procedure Terminology (CPT), ICD-9, ICD-10 proficiency and HCPCS coding.

Apply Online: https://external-novanthealth.icims.com/jobs/35877/certified-prof-coder-ii/job

United Audit Systems, Inc

Introduction:

Take your Inpatient coding career to the next level with employee-focused UASI

UASI is a progressive HIM consulting firm with over 33 years in the industry.

Job Description:

We are seeking full-time inpatient coders with experience coding for a level one trauma and teaching hospital. These inpatient coders will code high-level, complex inpatient records remotely from a home office.
We need inpatient coders who are flexible, detail and quality-oriented, with the ability to work independently and adapt well to change.

Required Qualifications:

Additional qualification requirements include:

• CCS certification required
• A minimum of 5 years’ Inpatient coding experience in a short-term acute care setting
• 3+ years of experience coding for a Level 1 Trauma hospital and Teaching facility required

Compensation/Benefits:

Through our broad client base, remote-employment opportunities, and multiple service offerings, we engineer individual career paths and encourage balance for each employee. UASI provides employees with the tools needed for professional growth and development, including, but not limited to AHIMA/AAPC CEU opportunities, reference materials and access to a full-time education team. We offer a dynamic work environment, competitive salaries and a full benefit package:

• Medical, Dental, Vision, and Life insurance, Short/Long-Term Disability Coverage
• 401(K) with employer match
• Flexible work schedules, paid holidays, PTO
• Employee appreciation: birthday recognition, holiday gift selections, years of service awards and quality bonus programs, referral bonuses

Instructions for Resume Submission:

Apply directly on our website at https://uasisolutions.com/careers/inpatient-remote-coder/ or send resumes to hr@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.