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Career Center - Job Bank

 

These job postings are provided as a service to the PHIMA membership.

Job information is provided by the organization named in the contact information. Efforts will be made to keep up-to-date information in this space. However, PHIMA is not responsible for job listings that are no longer available. Direct all communication to the contact organization and not to PHIMA.

Click here for information on how to post to the job bank.

Job Title

Company

Date

Compliance Auditor Hanover Hospital 01/27/2012
Compliance Auditor Ephrata Community Hospital 01/26/2012
RN-Clinical Documentation Specialist Einstein Healthcare Network 01/26/2012
Coding Manager St. Francis Medical Center - Trenton 01/26/2012
Coding Manager Christiana Care Health System 01/25/2012
Senior Clinical Auditor Geisinger Health System 01/24/2012
DRG Clinical Auditor Geisinger Health System 01/24/2012
Coding Auditor Select Medical 01/23/2012
Health Information Manager Select Specialty Hospital 01/17/2012
Certified Coding Specialist Penn Presbyterian Medical Center 01/17/2012
Clinical Documentation Specialist Aria Health 01/16/2012
Inpatient Coder St. Francis Medical Center - Trenton 01/16/2012
Director, Revenue Cycle Professional Reimbursement Geisinger Health System 01/09/2012
Director, Revenue Cycle Operation Geisinger Health System 01/09/2012
Coding and Abstracting Educator Abington Memorial Hospital 01/04/2012
Remote Coding Consultant United Audit Systems, Inc. 12/20/2011
Coding Specialist (In-patient) Delaware County Memorial Hospital 12/19/2011
Nurse Analyst - HMS Highmark 12/19/2011
Onsite DRG Auditor IOD Incorporated 12/15/2011
Coding Supervisor, Medical Records Department St. Clair Hospital 12/15/2011
Certified Coding Specialist Fulton County Medical Center 12/14/2011
Manager, Coding Data Abstraction Hanover Hospital 11/18/2011
Adjunct Coding Instructor Camden County College 11/17/2011
Inpatient Coder (Full-Time Remote Coding Available) Hahnemann University Hospital 11/04/2011

Compliance Auditor
Hanover Hospital

Introduction:

The Health Information Management Team at Hanover Hospital in Hanover, PA, is seeking a Regular Part Time (28 hrs. per week) Compliance Auditor.

Job Description:

Under the general supervision of the Director of Corporate Compliance, the Compliance Auditor performs audits, assessments, and analyses of healthcare areas. The Compliance Auditor uses clinical experience and/or knowledge to provide more specific insight to potential compliance issues. The Compliance Auditor will collaborate with appropriate departments to plan and execute risk assessments, perform auditing and monitoring, and implement policies and procedures.

Preferred Qualifications:

CCS or CPC Certification preferred

Education Qualifications:

  • BA/BS Degree in Required

  • BA/BS Degree in Healthcare Preferred

  • Approximately 3 to 5 years of experience

Compensation/Benefits:

  • Competitive Salaries

  • Generous Benefit Packages

  • Family-friendly & team environment

Instructions for Resume Submission:

Apply Online! www.HanoverHospital.org


Compliance Auditor
Ephrata Community Hospital

Introduction:

Ephrata Community Hospital has a full time opening for a Compliance Auditor. We are searching for a RHIA, RHIT or RN with CCS (certified coding specialist). Candidate must have knowledge of federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing. Certified Coding Specialist preferred. Must have a working knowledge of ICD-9-CM, CPT and HCPCS coding involving various inpatient (including DRG methodology), outpatient (including APC methodology), and /or physician coding (including E/M methodology); a minimum of 5 years coding experience and coding certification(s), or eligible to sit for coding certification. Minimum of 1 year prior auditing experience and a valid PA driver’s license are required.

Monday-Friday 8am to 4:30 pm.

Compensation/Benefits:

Full benefit package including vacation, sick, personal and holidays. Date of hire: health, dental and vision coverage. 403(b) Retirement Savings Program. Educational Assistance Program. Company paid disability coverage and much more.

Instructions for Resume Submission:

Please visit our website www.ephratahospital.org to apply online as well as learn more about our facility. Email resumes to hr@ephratahospital.org or mail resumes to Ephrata Community Hospital, 169 Martin Ave., PO Box 1002, Ephrata, PA 17522


RN-Clinical Documentation Specialist
Einstein Healthcare Network

Job Description:

In this position you will be responsible for:

  • Extensive interaction with physicians and multidisciplinary team members, the Clinical Documentation Specialist will facilitate modifications to the overall quality and completeness of medical record documentation.

  • Supporting the appropriate clinical picture and level of severity of the patient while providing accurate and complete information that is utilized in the medical record abstraction and coding process.

  • Coordinating and conducting education regarding changing DRG requirements and the Clinical Documentation Specialist processes.

Required Qualifications:

If you possess the following qualifications, please apply immediately:

  • RN with 5 years acute care experience in Critical Care, Emergency Department or Med/Surg required
    OR

  • Recent Care Management experience with prior RN experience in Critical Care, Acute Care or Med/Surg considered
    OR

  • RHIA or RHIT certification required
    AND

  • 5 years inpatient hospital coding experience, DRG and/or Clinical Documentation Program experience as a hospital inpatient coder required

  • Critical thinking, strong computer and customer services skills required

  • Must be able to work independently and autonomously with minimal supervision

  • Excellent communication and presentation skills are a must

  • Working knowledge of Microsoft applications, including Word, Excel and Powerpoint required

Instructions for Resume Submission:

To apply immediately to this position, please click HERE.


Coding Manager - Exceed Expectations
St. Francis Medical Center - Trenton

Job Description:

Exceed Your Expectations Through Clinical Transformation at St. Francis Medical Center!

St. Francis Medical Center in Trenton, NJ is an acute care teaching hospital that provides comprehensive family health care services hires only the best people in all professions. We provide total healthcare-physical, emotional and spiritual health in one convenient location.

We are currently seeking a full time Coding Manager to manage the day to day operations of HIM Coding and data abstracting/quality for inpatient, outpatient and emergency services.

Duties include:

  • Oversee activities as related to data collection and HIM revenue cycle

  • Provide leadership for coding staff with training, coding compliance reviews, regulatory guidance, work distribution and monitoring of A/R related to coding

  • Respond to external audits and coding/DRG reviews

  • Manage and coordinate all coding related system/software updates

Required Qualifications:

The ideal candidate will be detail-oriented, knowledgeable about ICD-10 implementation and willing to become certified. Excellent communication, interpersonal, and follow-up skills a must.

Requirements:

  • RHIA/RHIT/CCS credentials with at least 2 years previous HIM experience

  • At least 2 years previous supervisory experience

  • Bachelors degree, Associates degree and certification from AHIMA as an HIM practitioner

Instructions for Resume Submission:

We offer a competitive salary with an excellent benefits package and other great incentives. Interested applicants can forward their resumes to: St. Francis Medical Center, Attn: Leora Washington, Fax: 609-599-6257, e-mail: Lwashington@stfrancismedical.org.

Visit us at www.stfrancismedical.org. EOE.


Coding Manager
Christiana Care Health System

Introduction:

As one of the largest, privately owned, not-for-profit academic affiliated health care systems in the United States, Christiana Care Health System is a Magnet® health care organization, and the region’s premier health care provider. With over 1,100 beds between its two hospitals (Christiana Hospital and Wilmington Hospital) and the only Level I trauma service on the East Coast corridor between Philadelphia and Baltimore, it has been honored repeatedly as “One of America’s Best Hospitals” by U.S. News & World Report. This independent academic medical center combines the best of both community and academic hospital systems.

Job Description:

Christiana Care Health System is always seeking like-minded professionals to join us in our commitment to providing the best patient care in the region. We are currently seeking a Coding Manager to join our Health Information Management department. This role will be responsible for the overall management and direction of coding and abstracting activities in HIMS.

Duties will include:

  • Responding to Coding/Abstracting data and report requests made by Administration, physicians, and others

  • Utilizing database queries and reports to perform various auditing functions.

  • Working with the Medical-Dental Staff and other departments for resolution and education of coding, documentation, and reimbursement issues

  • Providing ongoing training and inservice programs for coding staff to support corporate compliance

  • Preparing and updating policies and procedures for Coding/Abstracting section, including internal coding guidelines

  • Overseeing that months are closed out for abstracting purposes within 90 days of end of month

  • Preparing monthly management reports on section productivity and quality

  • Providing coding support, vendors and review agency contract negotiations and usage

  • Completing performance reviews, recommending and/or initiating employee selection, promotion, disciplinary and/or discharge actions

  • Coordinating coding staff meetings, keeping staff informed of HIMS and CCHS changes, developments and events.

  • Assisting with system analysis, implementation, testing, database management, maintenance, accuracy, regulatory compliance, troubleshooting, and security of coding/abstracting systems, interfaces, databases, and reporting tools for systems using coding/abstracting data (e.g. WinCDS, HIS, Business Objects, etc.)

  • Working with Vendor and IS Analysts to develop products to improve performance, efficiency, and data integrity

  • Assisting in the preparation and monitoring of the capital and operating budgets

  • Assisting in the development of departmental goals and objectives

  • Demonstrating the highest level of confidentiality and conducts self according to AHIMA Code of Ethics

  • Performing assigned work safely, adhering to established departmental safety rules and practices; Reporting to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors; Promoting safe work habits, rules, and practices among staff

Required Qualifications:

To be considered, candidates must have a Bachelor’s or Associate Degree in HIM or related field, and two years of supervisory experience. Four years of Coding/DRG experience is required, preferably in an acute care, teaching hospital. AHIMA Certification as an RHIA/RHIT, and AHIMA Certification as a CCS needed.

Instructions for Resume Submission:

We offer outstanding career opportunities in an environment focused on excellence. Please apply for this position online at: http://careers.christianacare.org.

EOE

Apply Here


Senior Clinical Auditor
Geisinger Health System

Introduction:

The Senior Clinical Auditor functions as a Team Leader and provides business support for the External Audit team, responsible for meeting audit productivity goals and monitoring recovery rates.

Additionally, the Senior Clinical Auditor/Team Leader researches Plan documentation to assist the Manager of Audit to develop Audit projects consistent with Geisinger Health Plan (GHP) clinical and reimbursement policies, provider contracts and industry standard coding rules, as adopted by GHP.

Job Description:

  • Provides direction to team of three to five External Auditors

  • Performs comprehensive retrospective audits to accurately verify billed hospital and ancillary charges against medical documentation

  • Provides clinical and technical assistance to less experienced staff members

  • Utilizes an expert knowledge of CPT, ICD-9, HCPCS coding and GHP clinical and reimbursement policies to evaluate and improve Audit processes

  • Conducts in-depth research and makes recommendations to clarify coding and billing issues as requested

  • Identifies trends and makes recommendations for potential audit projects

  • Develops and updates job aides and training materials, including FAQs

  • Trains and mentors junior team members and provide assistance to enhance job-related skills

  • Collaborates with Provider Relations, Contracting, Payment Operations and other departments to resolve recovery issues or concerns identified at audit

  • Provides guidance and serves as a resource for interpretation of provider billing practices to the department

  • Leads team meetings, special projects and project initiatives

Required Qualifications:

  • Bachelor's degree in Nursing or Valid Pennsylvania Registered Nurse License is required.

  • CPC or CCS certification required.

  • Minimum three years experience in a clinical setting is required.

  • Two years of previous audit experience is also required.

  • Valid Motor Vehicle Operators license and dependable transportation required.

Instructions for Resume Submission:

Email us here: jflowry@geisinger.edu


DRG Clinical Auditor
Geisinger Health Plan

Job Description:

This Auditor is responsible for DRG Validation audits of our contracted providers in an automated audit process environment. The Auditor utilizes clinical knowledge and experience, coding knowledge and chart review skills to provide accurate, quality DRG determinations. Travel to provider facilities is required.

The Auditor is also responsible for the development and implementation of audit and recovery ideas and approaches.

  • Conducts audits and recoveries in a manner which is consistent with GHP reimbursement methods as detailed in the Billing Guidelines

  • Performs onsite DRG Validation audits of paid claims utilizing ICD-9-CM Coding and 'Grouper' software

  • Establishes and maintains partnering relationships with hospital DRG representatives

  • Responsible for the development and implementation of audit opportunities

  • Achieves recovery results by applying clinical/coding/claims knowledge to analysis of claims data to identify errors and potential overpayments

  • During the course of chart and claim reviews, recommends process improvements and identify key issues that may require further attention

  • Supports Payment Integrity audit goals by contributing information and recommendations for new recovery initiatives

  • Applies extensive clinical/coding/claims knowledge to collaborate with and support audit staff

  • Applies sound analytical and research skills to the analysis of claims data utilizing clinical documentation, coding expertise and knowledge of the contracts and the claims systems

  • Collaborates with the IT staff to support the audit application and accomplish the department goals

  • Communicates information, observations and findings to other departments in order to prevent inappropriate payment of claims

  • Communicates with providers to resolve coding/billing discrepancies

Required Qualifications:

  • Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) with current American Health Information Management membership required.

  • Bachelor's degree in Health Care Administration or Business related field, current Registered Nurse or Licensed Practical Nurse certification or equivalent professional experience. RN/LPN must have recent clinical experience, audit and/or utilization review experience.

  • Minimum of three to five years proven experience with ICD-9-CM coding and DRG expertise required.

  • Minimum of three to five years of clinical chart review experience and/or coding knowledge applied to claims/medical record review.

  • Ability to travel to providers, as assigned; ability to work additional hours during peak periods required.

Compensation/Benefits:

Excellent compensation and benefits package available for this position. Relocation costs, if needed, will also be included in the compensation package.

Instructions for Resume Submission:

E-mail Us Here: jflowry@geisinger.edu


Coding Auditor
Select Medical

Introduction:

Select Medical is a leading provider of specialized health care in both inpatient and outpatient settings. Based in Mechanicsburg, Pennsylvania, Select Medical has 27,585 employees throughout the United States.

The company was co-founded in 1996 by Rocco Ortenzio and Robert Ortenzio. Its parent company is Select Medical Holdings Corporation, which is listed on the New York Stock Exchange as SEM.

Job Description:

Exciting opportunity to work in the Health Information Department at Select Medical’s corporate campus in Mechanicsburg, PA.

The Coding Auditor is a new position, responsible for reviewing LTACH medical records and reviewing ICD9 code and DRG assignment for accuracy and compliance. The Coding Auditor assists in coordinating internal and external coding and DRG validations.

Required Qualifications:

The right candidate will have CCS credentials, 3–5 years experience in ICD9 inpatient coding and DRG assignment and experience with Word, Excel and PowerPoint.

Preferred Qualifications:

Associates or Bachelors degree in health information management or related field with RHIT or RHIT preferred.

Compensation/Benefits:

Excellent benefit and compensation package.

Instructions for Resume Submission:

Submit resume to: afranklin@selectmedical.com


Health Information Manager
Select Specialty Hospital

Introduction:

SELECT SPECIALTY HOSPITAL PITTSBURGH, PENNSYLVANIA
Health Information/Credentialing Manager

If you’re looking for an opportunity where you can make a real difference in people's lives...we’re looking for you! Select Specialty Hospitals are part of a national network of specialized acute care hospitals within Select Medical. Our programs and services have been designed to fit in the continuum of health care for those patients that are critically ill and need a longer acute hospitalization for their recovery.

Job Description:

As an active Health Information/Credentialing Manager/Coordinator will:

  • Organize and direct Medical Records Services

  • Be responsible for timely record completion

  • Verify file records are filed and stored according to policy and procedure

  • Oversee the credentialing process

  • Comply with all regulatory and HIPAA policies

Required Qualifications:

This position requires a Bachelor degree and credentialing as a Registered Records Administrator (RRA), RHIA or RHIT.

Preferred Qualifications:

One to three (1-3) years experience as a Manager or Assistant Manager of a Medical Records Department preferred.

Education Qualifications:

Bachelor degree

Compensation/Benefits:

Competitive wages and benefits

Instructions for Resume Submission:

Please forward your resume to: PRUDENCE SLOAN - HR Coordinator
PHONE: 412-586-9800 FAX: 412-586-9811 EMAIL: psloan@selectmedical.com


Certified Coding Specialist
Penn Presbyterian Medical Center

Introduction:

Why Choose Penn Medicine? As a professional, you are seeking to join one of the nation's leading academic medical centers, servicing patients from all over the world. Penn Medicine has been awarded several national healthcare quality awards and we seek employees who are engaged and excited by our mission of continued service excellence and on-going professional development. We believe that your life will be enriched should you become a Penn Medicine employee and we thank you for your interest in our organization.

Job Description:

The Department of Health Information Management at Penn Presbyterian Medical Center is seeking a full-time Certified Coding Specialist. Under the direction of the Manager of Coding and Revenue Cycle, the Certified Coding Specialist is responsible for the abstraction of financial and clinical data for the assignment of ICD 9 CM/CPT codes for the purpose of statistical compilation, clinical research and optimal hospital reimbursement.

Required Qualifications:

  • RHIT or RHIA and CCS certified

  • 1 year inpatient and outpatient coding at an acute care hospital and thorough knowledge of current ICD9 CM/CPT coding conventions

  • Thorough knowledge of disease process, procedure techniques and medications

  • Proficiency in computer software packages used in clinical data abstraction and coding

  • Proficiency in ad-hoc report writing

  • Ability to maintain 98% accuracy in coding reviews

  • Demonstrated coursework with Medical Terminology

  • Excellent verbal and written skills

  • Available to work rotating and flexible schedules.

Compensation/Benefits:

At Penn Medicine, you will enjoy the camaraderie and support that you'll experience at our prestigious institution, as well as a comprehensive compensation and benefits program that includes one of the finest pre-paid tuition assistance programs in the region.

Instructions for Resume Submission:

Apply online at www.pennmedicine.org. Search under All Other Opportunities for Job #37612. Your Life is Worth Penn Medicine AA/EOE, M/F/D/V


Clinical Documentation Specialist
Aria Health

Introduction:

At Aria Health, our dedication to quality is seen in the way we embrace new technology, advance our facilities, add services and care for our patients. A 477-bed health system, Aria Health employs more than 4,000 and includes three acute care hospitals, two in Northeast Philadelphia (Frankford and Torresdale Campuses) and one in Langhorne, Bucks County, PA (Bucks County Campus), as well as two outpatient centers in Northeast Philadelphia and a network of primary and specialty care physician offices.

Job Description:

In this integral role, the selected candidate will concurrently review inpatient medical records for proper documentation for compliance to JCAHO, CMS, DOH regulatory and financial requirements. This position will be responsible for ensuring documentation of the clinical picture to capture the correct severity of illness and complication/co-morbid conditions are accurately reflected. Your ability to work collaboratively with physicians and other clinical staff and provide real-time education on documentation requirements through the concurrent review process will be essential to the position.

Required Qualifications:

To be considered, our qualifications include:

  • RN with 5 years of acute care Med/Surg, Critical Care or Emergency Department experience

  • RN with recent Care Management experience in Critical Care, Acute Care or Med/Surg will also be considered

  • RHIA/RHIT with 3-5years inpatient hospital coding experience in ICD-9-CM coding and DRG assignment, and/or Clinical Documentation Program strongly preferred

  • Excellent communication and presentation skills

  • Ability to perform as a critical thinker and work independently with minimal supervision

  • Computer skills with a working knowledge of MS Office (Word, Excel, Powerpoint)

Instructions for Resume Submission:

Learn more online at: WWW.ARIAHEALTH.ORG. Equal Opportunity Employer

Apply Here: http://www.Click2Apply.net/7jsykwn


Inpatient Coder - Exceed Expectations!
St. Francis Medical Center - Trenton

Job Description:

IN-PATIENT CODER
Exceed Your Expectations Through Clinical Transformation at St. Francis Medical Center!

St. Francis Medical Center in Trenton, NJ is an acute care teaching hospital that provides comprehensive family health care services hires only the best people in all professions. We provide total healthcare-physical, emotional and spiritual health in one convenient location.

We are currently seeking a full time In-Patient Coder to assign accurate ICD-9 diagnosis codes and ICD-9 and CPT procedure codes for In-Patient medical records. The Coder will perform accurate data entry into 3M Encoder and Abstracting software systems.

We offer a competitive salary with an excellent benefits package and other great incentives. Interested applicants can forward their resumes to: St. Francis Medical Center, Attn: Leora Washington, Fax: 609-599-6257, e-mail: Lwashington@stfrancismedical.org. Visit us at www.stfrancismedical.org. EOE.

Required Qualifications:

We require knowledge of medical terminology, Anatomy and Physiology, ICD-9-CM, CPT and HSCPCS coding. RHIT or CCS with 3-5 years experience preferred. Must be proficient with both In-Patient and Out-Patient coding and possess comprehensive knowledge of the APC, DRG/MS-DRG structure.

Instructions for Resume Submission:

Apply Here: http://www.Click2Apply.net/pk76558.


Director, Revenue Cycle Professional Reimbursement
Geisinger Health System

Job Description:

 

Starting with job offers dated February 1, 2012 and after, Geisinger Health System will no longer hire applicants who use tobacco products, including cigarettes, cigars and chewing or smokeless tobacco. Applicants will be screened for nicotine as part of the pre-employment physical process. Nicotine will be part of the urine drug screen. Applicants who test positive for nicotine will not be offered employment. Applicants who test positive may re-apply for jobs with Geisinger in six months.

Direct management responsibility for Revenue Cycle Professional Reimbursement which serves as the primary educator to the professional staff. This department serves as consultant and educator to physician leadership, administrative team and Operations staff for System related reimbursement, strategic growth initiatives and l reimbursement issues.

Works under the general supervision of the Senior Director, Revenue Cycle.

MAJOR DUTIES AND RESPONSIBILITIES:

 *1. Provides strategic direction to facilitate the optimization of organizational revenue and oversees the revenue cycle activities associated with assigned clinical areas

*2. Manages the daily activity related to the review and analysis of external forces that affect revenue and reimbursement including governmental, commercial and technology changes with a planned approach to communication and education regarding those changes.

*3. Provides strategic direction to facilitate the maintenance and daily operations of contract maintenance and net expected reimbursement reporting.

*4. Under the direction and supervision of the Senior Director of Revenue Cycle and working with a team of peers, provides training and process improvement efforts across the clinical departments for the development of consistent and comprehensive clinical practices related to revenue generation supported by the Geisinger Health System.

*5. Through data analysis and with thorough working knowledge of clinical practice management, identifies process improvement opportunities associated with the management of department-wide clinical information that affects the patient billing and collection processes throughout the Clinical Practice and provides solution oriented feedback.

*6. Investigates current processes, assessing efficiency and accuracy, and provides solutions for problems, process improvement and development of training programs and documentation for clinical practice operations and management.

*7. Serves as a liaison between Clinical Operations and the Revenue Cycle staff. Facilitates communication between various constituents in order to optimize revenue cycle functions and maximize system-wide reimbursement.

*8. Communicates the departmental activities to revenue cycle senior management and to the management staff of GHS as it relates to performance improvement opportunities, system applications, unbilled revenue, organizational profitability, customer service issues, accounts receivable, and professional consulting activity.

*9. Manages the recommendations; implementation and monitoring of new procedures to facilitate the revenue cycle process, and improve communications with department staff.

*10. Through face to face meetings and other means of communication, works with GHS physicians, managers and clinical department staff to identify areas that would benefit from IDX, SMS, EPICARE or other system functionality for the present and future. Facilitates such change as appropriate.

*11. Identifies user needs and creates proposals to enhance existing or create new training programs or systems solutions.

*12. Provides informational input into the development of solutions to problems referred to by GHS staff.

*13. Manages assigned Revenue Cycle projects related to strategic initiatives to achieve stated goals of the Geisinger Health System.

*14. Works closely with the Senior Leadership of Finance, operational departments, IT, and others to improve quality, patient safety, and health care operations as related to Revenue Cycle reimbursement.

*15. Integrates virtual management, computer science, pre-billing and post-billing activity to achieve desired outcomes across the continuum of care. Project management components include proposal development, compilation of metrics and benchmarks, stakeholder reviews, workflow design and analysis, implementation, and follow-up.

16. Performs other duties as required or assigned.

*Denotes essential functions.

Required Qualifications:

Bachelor's degree in Business, Healthcare, Management, or Finance required.

Minimum nine years healthcare experience required OR an equivalent combination of education and experience required.

Experience with managing a physician practice or as a Best Practice consultant preferred.

Billing, Collection and Reimbursement experience for both Professional and Hospital Services required.

Outstanding knowledge of ICD-9, CPT-4 and HCPCS coding, medical terminology and third party reimbursement policies required.

Proficiency with MS Word, Excel and Access required.

Experience with IDX, Siemens Invision and EPIC EHR preferred.

Instructions for Resume Submission:

Email Us Here: jawolfe1@geisinger.edu


Director, Revenue Cycle Operation
Geisinger Health System

Job Description:

Starting with job offers dated February 1, 2012 and after, Geisinger Health System will no longer hire applicants who use tobacco products, including cigarettes, cigars and chewing or smokeless tobacco. Applicants will be screened for nicotine as part of the pre-employment physical process. Nicotine will be part of the urine drug screen. Applicants who test positive for nicotine will not be offered employment. Applicants who test positive may re-apply for jobs with Geisinger in six months.

Participates as a core member of the Revenue Cycle leadership team. The Revenue Cycle spans Patient Access, Financial Clearance, Utilization Review, Medical Records Coding, Revenue Capture, Training & Education, Billing & Collections, Cash Application, Reporting, Revenue Enhancement, Customer Service, Quality Assurance, Credentialing, Compliance, and Provider Education. Provides guidance, perspective, and leadership across all areas within the Revenue Cycle as it relates to information technology solutions and innovation. Assumes primary responsibility for coordinating the services, programs and resources of Revenue Cycle System Support, IT, and Revenue Cycle operations. These programs provide the system support infrastructure to support the Revenue Cycle processes associated with approximately $285 million of hospital and professional accounts receivable while insuring monthly cash flow of approximately $75 million. These responsibilities further include the management of approximately 30 FTE's in regards to system support functions for approximately $2.4 billion of hospital and professional gross revenue and $900 million in net revenue. The Revenue Cycle System Support functions maintain an annual operating budget of $4 million, while indirectly maintaining an overall Revenue Cycle annual operating budget of $28 million (through the overall Revenue Cycle system support and initiatives).

Reports to and takes administrative direction from Senior Director, RC Administrative Services or Vice President, Revenue Cycle.

MAJOR DUTIES AND RESPONSIBILITIES:

*1. Provides consistent and appropriate administrative leadership for the Revenue Cycle System Support services of the GHS enterprise.

*2. Oversees and coordinates Revenue Cycle System Support units within the GHS. Works with managers in the various units to:
a. Administer personnel policies (e.g., hire, evaluate, discipline and discharge,
review employee orientation and training).
b. Oversee work unit budgets.
c. Assess work unit needs.
d. Develop goals and objectives for the work unit.
e. Evaluate effectiveness and efficiency of operations.
f. Develop operational methods and systems to support the goals and objectives of the combined GHS enterprise.

*3. Provides administrative support to the Sr. Director, RC Admin Services and VP, Revenue Cycle provide advanced technology solutions for all revenue cycle employees as well as their customers (Clinical Enterprise, Payors, Providers, Patient). These solutions include software applications, online educational tools, intranet WEB-page development)

*4. Develops long- and short-range plans for Revenue Cycle Information System Support, including plans for facilities, services and staffing. Coordinates plans within and outside the department.

*5. As a core member of the Revenue Cycle leadership team, participates in
establishing and integrating strategic plans for the Revenue Cycle.

*6. Coordinating with Information Services and other areas within the clinical enterprise as appropriate, uses emerging information management technologies to provide effective and innovative services.
a. In conjunction with Information Technology, evaluates computer applications and services for relevance to the mission of Revenue Cycle and GHS.
b. In conjunction with Information Technology, may negotiate contracts with vendors.

*7. Works closely with Information Services to coordinate computer applications related to the Revenue Cycle, both internally and with patrons.
a. Determines appropriate hardware and software configurations.
b. Approves software/hardware purchases for all units, adhering to existing standards and practices for the Revenue Cycle and the larger enterprise.
c. Develops and provides training to healthcare and educational personnel regarding the use of software and applications related to Revenue Cycle.
d. Follows all Geisinger IT standards for systems, software and hardware as set by Information Technology.

*8. Monitors Revenue Cycle Application support services provided to all GHS entities. Plans inter- and intradepartmental activities. Coordinates billing and budgeting with requesters and various entity accounting departments.

9. Performs other duties as required or assigned by emergency or other operational reasons which the employee is qualified to perform.

*Denotes essential job functions.

Job Requirements:

Masters degree in Information Services, Healthcare, Business or other related field preferred. Appropriate years of experience will be considered in lieu of degree.

Minimum of five years of managerial experience required.

Experience within a centralized business office utilizing one or more of the following systems: IDX, Siemens, Epic, for a large-scale multi-site or multi-entity hospital system and/or a physician practice plan preferred.

Instructions for Resume Submission:

Email Us Here: jawolfe1@geisinger.edu

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Coding and Abstracting Educator, Full-Time
Abington Memorial Hospital, Abington, PA

Introduction:

Abington Memorial Hospital is a 665-bed acute care teaching hospital and comprehensive regional health center with a level II trauma center located in the Philadelphia suburbs. We offer highly specialized services in cardiac care, cancer care, neurosciences, orthopaedics and maternal/child health. Some other interesting facts about us: *Named one of the Best Places to Work in the Philadelphia region by the Philadelphia Business Journal, 2010 and 2008. The award recognizes AMH's achievements in creating a positive work environment that attracts and retains employees through a combination of benefits, working conditions and company culture. *One of the busiest hospitals in the Delaware Valley. *First acute care hospital in the Philadelphia area to earn Magnet designation! *2010 Philadelphia Magazine TOP DOCS and TOP DENTISTS - exemplifying our commitment to clinical excellence and patient safety, 35 physicians and 10 dentists from Abington Memorial Hospital have been recognized by their peers as "Top Doctors" in Philadelphia Magazine. *Healthy WorkPlace Award 2010 - named one of the healthiest employers in the region, in the Philadelphia Business Journal's inaugural Healthy WorkPlace Awards. *Largest maternity hospital in the Delaware Valley with more than 5,000 births per year. *The only Level II accredited trauma center in Montgomery County. *Over 104,000 people are treated annually in our Emergency Trauma Center. *More than 5,600 employees, including over 2,000 nurses and 900 physicians. *Abington Memorial Hospital also offers specialty certifications, tuition assistance and continuing education. *Committed to being one of the best places to work in the region. *Abington Township was named "One of America's Best Places to Live" by Money magazine. *Excellent benefits, including medical, dental, sick time, vacation and holiday pay, tuition assistance, discount parking, direct deposit, credit union and more! *On-site childcare available.

Job Description:

Working with the Assistant Director, Clinical Information Services, you will be responsible for the comprehensive planning, development, implementation and quality assurance of formal ICD-9 CM/ICD-10, ICD-10 PCS and other classification systems/programs. Responsibilities include supporting, guiding and coordinating end user training sessions and maintaining a specific knowledge base in the field of coding.

Required Qualifications:

  • 3+ years of relevant training experience in coding education and training

  • CCS and RHIA or RHIT

  • Ability to organize and display aggregate data, as well as manage employee groups independently

  • Ability to provide effective presentation to management or physician groups

  • Maintain membership in professional organizations

Education Qualifications:

Associate's degree in Health Information Management or related field required. Bachelor's degree preferred.

Instructions for Resume Submission:

Apply online: www.amh.org, Job #2011-0872.
Abington Memorial Hospital is an Equal Opportunity Employer.

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Remote Coding Consultant
United Audit Systems, Inc.

Job Description:

Give yourself a gift this year and join the UASI remote coding team! We are currently seeking an inpatient coder to work remotely from home on a full-time basis. This position requires 40 hours per week and we offer a dynamic work environment with flexible schedules and competitive salaries.

Required Qualifications:

The ideal candidate will be experienced, quality-focused, flexible, detail-oriented and have the ability to work independently.

Additional qualifications include:

  • Minimum of three to five years inpatient coding experience in an acute care setting

  • RHIA, RHIT, or CCS certification

  • Extensive knowledge of ICD-9-CM coding conventions, medical terminology, anatomy and physiology, federal regulations and policies pertaining to documentation and billing

Compensation/Benefits:

UASI is the employer of choice for remote coding services due to the comprehensive benefit package provided to our full-time staff. Our benefits include: health, dental, vision, disability and life insurance, PTO, 401(K), and referral bonuses

Instructions for Resume Submission:

Interested in joining our team of professionals? Send a copy of your resume to: hr@uasisolutions.com or visit www.uasisolutions.com. UASI is an equal opportunity/affirmative action employer

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Coding Specialist (In-patient)
Delaware County Memorial Hospital

Job Description:

Delaware County Memorial Hospital is seeking a full-time Coding Specialist (In-patient) in our Medical Records Department.

Full-time, Day Shift

Required Qualifications:

  • High School Diploma or equivalent; Associate’s degree or completion of AHIMA independent study program preferred

  • CCS certification

  • Minimum of 2 years inpatient medical records coding experience in an acute care setting

  • Solid knowledge of ICD-9, CM and CPT Coding System along with Medical Terminology, Clinical Medicine and Anatomy

  • Ability to work independently

Compensation/Benefits:

Join our well-respected community hospital and become part of a workforce committed to patient and employee satisfaction.

Our outstanding staff enjoys:

  • Excellent compensation and benefits package

  • Convenient suburban location

  • Easy to reach from Philadelphia and Montgomery counties

Instructions for Resume Submission:

Apply online at www.crozerkeystone.org, click on Careers. EOE M/F/D/V

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Nurse Analyst - HMS
Highmark

Job Description:

Conducting a review of medical documentation to provide a clinical determination on a claim. Incumbent will apply the appropriate coding and policies and render a decision. Rendering a clinical decision based on the Center for Medicare and Medicaid Services (CMS) national requirements, Highmark Medicare Services local policies, Social Security Act and the accepted medical standards of practice. The incumbent will use their clinical knowledge along with contract guidelines to render a clinical decision. Working within multiple computer applications, such as: the Standard Medicare System (MCS), Fiscal Intermediary Standard System (FISS), Internet and Windows applications. Meeting workload expectations as established by management.

Required Qualifications:

  • High School Diploma/GED

  • One (1) to three (3) years of experience in clinical decision making

Preferred Qualifications:

  • Bachelor's degree in Nursing (BSN) or equivalent clinical degree

  • Experience working with and interpreting CMS instructions

  • Advanced computer skills

  • Sound research and decision making skills and apply strong clinical knowledge to the case

  • Excellent investigative and analytical skills and demonstrate advanced proficiency in determining medical necessity, and compliance with local and CMS standards of care

  • Excellent organizational skills

  • A strong understanding of coding systems such as ICD-9, HCPCs, CPT-4 and APC

  • Excellent oral and written communication skills

  • Ability to handle highly sensitive issues with the utmost professionalism, tact, and diplomacy

  • Ability to multi-task

  • Ability to perform detailed analytical reviews/calculations

  • Certification in or equivalent training in Certified Professional Coder, Certified Professional Utilization

Instructions for Resume Submission:

Please click here to apply.

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Onsite DRG Auditor
IOD Incorporated

Introduction:

IOD provides full suite HIM solutions that help hospitals, healthcare systems and clinics nationwide streamline and simplify the end-to-end HIM workflow. IOD delivers Your HIM Edge™ with end-to-end HIM services.

Our services include: Coding, Auditing, ICD-10 Consulting, RAC Services, Training/Education, EMR Asbstraction, Release of Information (ROI) and Document Conversion.

Job Description:

Responsible for performing an in depth review of medical records to determine the completeness and accuracy of diagnostic and procedural coding, DRG assignment, POA and discharge disposition assignment in order to ensure that the assigned codes and DRG are supported by clinical documentation and that appropriate reimbursement and clinical severity is captured. Responsible for providing ongoing education to coders, physicians and other staff. Serves in an advisory role for coding and regulatory compliance.

Essential functions include:

  • 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, comorbidities 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, (delete comma) as needed and provides reports to manager as directed

  • High complexity of work function and decision making

  • Strong organizational, teamwork, and leadership skills

  • Willingness to travel when necessary

Required Qualifications:

Bachelor’ degree from AHIMA certified HIM Program or Nursing Program. RHIA/RHIT and CCS required. Must be able to communicate effectively in the English language. Five or more years of coding experience in a hospital and/or coding consulting. Experience in computerized encoding and abstracting software. Passing annual Introductory HIPAA examination. (Testing to be given annually in accordance with employee review.)

Compensation/Benefits:

We offer excellent full-time benefits including:

  • Full Medical, Dental and Vision Plan

  • Short and Long Term Disability

  • Flexible Spending Account

  • Generous PTO Program

  • Tuition Reimbursement

  • 401(k) Savings Plan

  • ICD-10 Training

  • Paid Holidays

  • Free CEU’s

  • PC/Laptop

Instructions for Resume Submission:

If you are interested in a rewarding career with IOD, please e-mail your resume to Dan Cooke at dan.cooke@iodincorporated.com or visit us at www.iodincorporated.com.

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Coding Supervisor, Medical Records Department
St. Clair Hospital

Introduction:

CARING FOR PITTSBURGH. St. Clair Hospital, the largest employer in Pittsburgh’s scenic South Hills, offers the best of all worlds—advanced medical technology and expertise, a charming location, and the culture and excitement of nearby urban centers featuring everything from world-class museums to championship sports teams. Join us in a truly remarkable setting.

Consider the following: Coding Supervisor Medical Records Department.

Job Description:

This leadership position will compile, code and abstract all patient categories according to regulatory and payment guidelines. Other duties include recruiting, developing and motivating Coding personnel to provide an efficient, effective and legally responsive health information system. This individual is also responsible for preparing various reports and for quality improvement/compliance within the coding area via remote setup.

Essential Functions:

  • Supervise Coding Technicians and Associates, as well as associated clerical staff

  • Train new employees and monitor work until the employee can code and abstract independently either onsite or remotely

  • Create and maintain an environment conducive to high employee morale and group cohesiveness; conduct regular Section meetings

  • Manage a coding compliance program and ensure they maintain required quality ratings

  • Participate in review of APC issues hospital-wide (especially with clinical area, registration, patient accounting, and CDM Coordinator)

  • Analyze outside audit results (e.g., PRO, QIO, PEPPER) for trends and patterns; develop action plans

  • Control workflow assignments and the administrative module of e-web coding software

  • Assist Director of HIM by preparing special studies, reports, projects, and/or research

  • Analyze patient medical information and determine appropriate index codes for specific and varied diagnoses/procedures for statistical, research and reimbursement purposes

  • Obtain appropriate DRG assignment utilizing designated resources for various third-party payors and Hospital case-mix indices

  • Maintain and update the medical record system according to governmental regulations, including entering DRG changes; update weights and rates to accomplish accurate billing

  • Operate various computer software packages in order to compile, process and retrieve health information, including groupers and encoders

  • Coordinate and facilitate Coding education

  • Assist in budget development and approval and monitor expenses to stay within budget guidelines; assist with setting short- and long-term goals and objectives

Required Qualifications:

The successful candidate will be a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) as granted by the American Health Information Management Association and maintained via required credit units. BS degree in Health Information Administration with associated RHIA or Associate degree in Health Information Technology with associated RHIT is required, along with 3 years of acute hospital coding (inpatients and outpatients).

Preferred Qualifications:

Ideal candidates will possess 3 years of acute hospital coding experience as the lead coder, as well as extensive knowledge of DRGs, groupers, encoders and APCs. Extensive knowledge of CMS Core Measures and PHC4 issues is desirable.

Instructions for Resume Submission:

To apply, visit: www.stclair.org. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, handicap, ancestry, national origin, age or sex.

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Certified Coding Specialist
Fulton County Medical Center

Introduction:

Fulton County Medical Center, a Critical Access Hospital located in McConnellsburg, PA, is seeking a Full Time Certified Coding Specialist.

Job Description:

Performs inpatient, ambulatory surgery, Emergency Department and outpatient coding by collecting and classifying diagnostic, procedural and patient information from physicians and medical records.

Required Qualifications:

Requirements include:

  • Must be certified as Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS)

  • Solid understanding and command of the ICD-9-CM classification system and Diagnosis Related Group (DRG) methodology

  • Previous coding experience in IDC-9-CM and CPT4/CHPCS

Instructions for Resume Submission:

For more information and to apply, please visit our website www.fcmcpa.org or fax your resume to (717) 485 6716. EOE.

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MANAGER, CODING DATA ABSTRACTION
Hanover Hospital

Introduction:

The Health Information Management Team at Hanover Hospital is searching for a high performing MANAGER OF CODING/DATA ABSTRACTION

Job Description:

The Manager is responsible for supervision of coding and data abstraction. She/he will monitor quality and timeliness. She/he will maintain credentials and keep up-to-date with Federal and State regulations and Joint Commission standards.

Required Qualifications:

  • CCS, CCS-P, CPC OR CPC-H Certification required

  • AA Degree HIM wiith RHIT/RHIA Credentials highly recommended

  • 5 years ICD-9-CM, CPT and HCPCS hospital-based coding training or experience required

  • Approximately 5 to 8 years of experience

Compensation/Benefits:

INCLUDE:

  • Competitive Salaries

  • Generous Benefit Packages

  • Family-friendly, team environments

Instructions for Resume Submission:

Apply Online! www.Hanoverhospital.org

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Adjunct Coding Instructor
Camden County College

Introduction:

Camden County College offers AHIMA-Approved/Accredited Medical Coding Certificate and HIT Associate Degree Programs. They are offered both online and in class.

Job Description:

These are part-time adjunct positions teaching ICD-10-CM/PCS coding both in the classroom and online.

Required Qualifications:

  • AHIMA or AAPC coding certification

  • Certification as an AHIMA ICD-10CM/PCS Trainer

  • Experience in medical coding

Preferred Qualifications:

Experience teaching

Education Qualifications:

Bachelors Degree or Masters Degree preferred, but strong coding credentials may suffice.

Compensation/Benefits:

Camden County College offers a competitive salary for adjunct instructors.

Instructions for Resume Submission:

Submit resume to lmesko@camdencc.edu

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Inpatient Coder (Full-Time Remote Coding Available)
Hahnemann University Hospital

Introduction:

Join Hahnemann University Hospital, a healthcare leader in Philadelphia, PA that provides advanced tertiary-level care in an academic setting. As a Level I Trauma Center and regional referral center, we know what it takes to provide the best care possible to our patients.

Job Description:

The Inpatient Coder:

  • Codes imaged inpatient medical records using the ICD-9 diagnostic and procedural classification system

  • Abstracts all necessary clinical and demographic information from the inpatient record consistently and accurately

  • Remains current and informed regarding any changes or rules governing assignment of ICD-9 codes and the principles and conventions associated with their accurate application and assignment

  • Communicates issues with HIM Coding Manager and Coders, Medical Audit, Patient Accounts, the Regional Billing Office and ancillary departments

Required Qualifications:

Qualifications include:

  • RHIT or RHIA, or CCS required

  • Minimum 1 year acute-care hospital coding experience

  • Comprehensive knowledge of coding practices and procedures, including Coding Clinic guidelines and references

  • Good oral and written communication skills

Instructions for Resume Submission:

To apply, please visit www.hahnemannhospital.com and click on careers. EOE, M/F/D/V

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