Physician Coding Specialist II Job at University Hospitals (Shaker Heights)

Provider Enrollment Specialist II - HP Enrollment Eligibility

Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care cred...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma
1-3 years of Payer Enrollment experience
Solid knowledge and utilization of PC applications to include WORD, EXCEL, ACCESS
Excellent written and verbal communication skills
Excellent organization and planning skills with demonstrated teamwork skills
Proven ability to interact with all levels of management and other Associates

Job Responsibility

Collects and maintains data on providers for Medicare and Medicaid enrollment
Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates
follows up by telephone or in writing, with carriers regarding application status
Complies with Medicare and Medicaid provider enrollment guidelines
Requests NPI numbers for providers and clinics as necessary and maintains NPI files
Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals
Generates various reports to identify outstanding claims issues with provider numbers and non-payment
Communicates information to appropriate personnel
Educates staff on corrections, e.g.. front-end entry errors in a positive, constructive manner
Collects and reviews managed care contracts for correct billing and payment terms

Fulltime

Health Information Management Coding Educator II

The Health Information Management Coding Educator II provides support and coding...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School diploma or equivalent years of experience required
Bachelor's Degree in HIM or 5 years experience in a complex healthcare or medical office setting preferred
Experience conducting training/educational sessions for professional coding staff, including preparations of instructional materials, is preferred
Extensive knowledge of Health Information Management systems (e.g., Epic, Meditech, 3M/360 CAC, OneContent, etc.) and legal health record documentation components and practices
Experience working in an integrated healthcare delivery system is preferred
Experience with physician documentation and audit experience is preferred
RHIA (Registered Health Information Administrator (AHIMA), or RHIT (Registered Health Information Technician (AHIMA) or CCS Certified Coding Specialist (AHIMA) credential required

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Onboard, train, and orient new hires to CHRISTUS Coding systems, workflows, and practices
Facilitate and/or instruct associates in coding education programs such as monthly inpatient and outpatient coding roundtables and coding updates as relevant to health information management including documentation requirements, accurate coding, modifier assignment, compliance and data management
Advises associates about their coding performance, suggest educational curriculum in training academy and maintains attendance rosters and coder performance trends on assessment exams
Work collaboratively with Coding Integrity and Coding Compliance to develop job aides and educational resources regarding important coding concepts and to advise on important topics related to coding guidelines and changing trends
Reviews audit results and performs trend analyses and sends completion reports to report educational findings and opportunities. Incorporates findings into educational events such as coding roundtables and section meetings as requested
Serves as a resource for department leadership, staff, physicians, and administration to obtain education, training or information on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements
Ensures maintenance of attendance rosters and documentation (agenda, job aids) for HIM training programs
Ensure instruction of associates is streamlined, appropriate and effective with an interest in productivity and efficiency. Assesses course effectiveness through associate evaluations and surveys
Performs additional duties to cover in the absence of the Education Manager in areas such as 3M/360 testing, coding updates and providing the “all-clear” at times of system updates. Reviews and managers education platform by presenting utilization reports and trends. Collect and regularly reports qualitative data about the HIM Coding Department and Educational efforts

Fulltime

Invasive Tech II

To provide and coordinate high quality patient care in all areas of the Heart an...

Location

United States , Bismarck

Salary:

29.03 - 39.92 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Member of the North Dakota Medical Imaging and Radiation Board of Examiners
Must hold a Registered Radiologic Technologist RT(R) credential from the ARRT or a Registered Cardiovascular Invasive Specialist (RCIS) and/or Registered Cardiac Electrophysiology Specialist (RCES) and/or Certified Electrophysiology Specialists (CEPS)
Basic Life Support within 480 hours of employment
AHA Advanced Cardiac Life support certification is required within 6 months of hire date
Working knowledge of skills obtained in a Cath Lab/EP Lab
Ability to work independently to perform standard and complex procedures under minimal direction
Working knowledge of computer skills

Job Responsibility

Provide and coordinate high quality patient care in all areas of the Heart and Vascular Center
Demonstrates technical and professional knowledge in patient care through job knowledge, equipment management, productivity, critical thinking and leadership
Manages routine use and quality control requirements of equipment, by adhering to established radiation safety protocols
Assists with patient care by the following: patient education of procedure, safe transfer of patient, adhering to infection control and to HIPPA regulations while meeting Core Measurements and Quality Control thresholds
Assists physicians by providing quality imaging, facilitating completion of exams, maintaining supplies and assisting with specialized equipment for diagnostic purposes and urgent/emergent procedures
Utilized CPT coding for all procedures, and stays current on the charging CPT coding system
Assesses patient relative to requested procedure by collecting pertinent data about the patient and procedure and uses professional judgement to analyze data to select the most appropriate and cost-effective products
Sets up, maintains, and monitors the sterile field assuring the highest standards of sterile technique are maintained during the procedure
Prepares the patient for the procedure assuring that the highest standards are maintained
prepares and administers contrast

What we offer

Up to $30,000 sign on bonus
medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

Compliance Analyst II

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

63815.00 - 95723.00 USD / Year

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor or Associate’s degree in a related field preferred
Equivalent combination of education, professional certification(s), and substantial relevant experience will also be considered
Minimum of 3 years of healthcare coding experience required to include APG, APC, and/or DRG coding methodologies or professional coding and billing in specialty areas
Experience in a direct or supporting role within healthcare compliance preferably within an integrated health system or Academic Medical Center or other comparable setting
Strong communication, interpersonal, and public speaking skills required
Ability to efficiently produce clear, concise, and complete written audit reports required
Excellent analytical, organizational, and problem-solving skills required
Demonstrated objectivity and critical thinking in analyzing situations
must be able to evaluate facts without bias and avoid unsupported assumptions required
Ability to manage projects and effectively advise staff in a motivational and positive manner required

Job Responsibility

Provides compliance oversight and support for assigned clinical specialties across URMC and Affiliates in accordance with the OIG and OMIG compliance program guidance
Evaluates adherence to coding and billing regulations and guidelines through review, research, and analysis
Serves as a compliance resource, developing and delivering comprehensive education and training
Conducts investigations, risk assessments, and regulatory monitoring to prevent and detect fraud, waste, and abuse, specifically addressing the DRA, NY SSL § 363-d, and 18 NYCRR SubPart 521
Analyzes billing data to identify potential risk areas related to professional and/or facility payment systems
Performs audits of medical record documentation to ensure compliance with coding and billing requirements as defined by AMA, AHA, HCPCS, CMS and Medicaid guidelines
Creates and provides reports on findings to relevant stakeholders
Responds to reported compliance concerns by conducting formal investigative activities
Performs root cause analysis when deficiencies are identified
Collaborates with relevant stakeholders to determine improvement opportunities to mitigate future risk

Fulltime

Sales Manager

The position is accountable for proactively soliciting and handling sales opport...

Location

Indonesia , Manado

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

2-year degree from an accredited university in Business Administration, Marketing, Hotel and Restaurant Management, or related major
3 years experience in the sales and marketing or related professional area
4-year bachelor's degree in Business Administration, Marketing, Hotel and Restaurant Management, or related major
1 year experience in the sales and marketing or related professional area

Job Responsibility

Proactively soliciting and handling sales opportunities
Ensuring business is turned over properly and in a timely fashion for proper service delivery
Assisting in leading all day-to-day activities related to sales with a focus on building long-term, value-based customer relationships that enable achievement of sales objectives
Achieving personal sales goals
Working collaboratively with off-property sales channels to ensure sales efforts are coordinated, complementary and not duplicative
Building and strengthening relationships with existing and new customers to enable future bookings
Developing relationships within community to strengthen and expand customer base for sales opportunities
Managing and developing relationships with key internal and external stakeholders
Providing accurate, complete and effective turnover to Event Management
Participating in sales calls with members of sales team to acquire new business and/or close on business

Fulltime

Accounts Payable Analyst

Our client is a global biotechnology company focused on developing and deliverin...

Location

United States , San Rafael

Salary:

30.00 - 33.00 USD / Hour

Tucker Parker Smith Group

Expiration Date

Until further notice

Requirements

Experience in Accounts Payable, Finance, or Accounting support preferred
Strong organizational skills and attention to detail
Ability to manage a high-volume inbox and prioritize tasks effectively
Strong communication skills when interacting with vendors and internal stakeholders
Ability to work independently while collaborating with a team in a fast-paced environment
Proficiency in Microsoft Office (Excel, Outlook, etc.)
experience with ERP/AP systems is a plus

Job Responsibility

AP Inbox Management
Escalation Monitoring & Communication
Physical Mail Processing
AP Team Support
Financial Disclosure & Audit Support
Invoice Processing

Fulltime

Delivery/Shipping Clerk

Thrifty White Pharmacy is seeking a Delivery/Shipping Clerk in #762 Maple Grove,...

Location

United States , Maple Grove

Salary:

19.00 - 23.00 USD / Hour

Thrifty White

Expiration Date

Until further notice

Requirements

Provide excellent customer service skills
Have attention to detail
Have the ability to maintain patient confidentiality
Be at least 18 years of age
Maintain a valid driver's license
Must pass a Motor Vehicle Records check and maintain a clean driving record
Must maintain their own insurance coverage on personal vehicles used for deliveries. Insurance coverage must be at least $250/500/250 ($250,000 bodily injury limits per person, $500,000 bodily injury limits per accident, and $250,000 property damage limits per accident)
The employee must be able to safely operate a motor vehicle
The employee must occasionally lift and/or move up to 40 pounds
Good attendance and punctuality is required in order to fulfill the essential job functions

Fulltime

Business Administration Apprentice

If you’re looking to start your career in a fast-paced, commercially focused env...

Location

United Kingdom , Grimsby

Salary:

Not provided

Wilkin Chapman Solicitor

Expiration Date

Until further notice

Requirements

3 A-levels at grade C or above, or equivalent Level 3 qualification
5 GCSE's including Maths and English at grade 4 or above

Job Responsibility

Proactively consider conduct risk in line with company policies, procedures, and professional standards
Support departmental training and ensure knowledge of conduct risk is regularly refreshed
Promote and uphold Treating Customers Fairly (TCF) and Consumer Duty principles
Deliver a high standard of service, ensuring fair outcomes for clients and their customers
Produce and deliver accurate management information and client reports in line with KPIs
Support development and improvement of reporting processes
Help to maintain quality accreditations, including ISO 9001, ISO 27001 and Lexcel
Assist with data cleansing for case selection and client reporting
Support client audits, including file and call reviews
Assist with drafting responses to defendant complaints

What we offer

Competitive holiday entitlement
Self-invested personal pension
Life assurance
Cycle to work scheme
Health and wellbeing initiatives
Agile working opportunities
Discounted legal fees
Referral incentives
Car parking

Fulltime

Select Country

Physician Coding Specialist II

Job Description

Job Responsibility

Requirements

Nice to have

What we offer

Looking for more opportunities?