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Career
Center - Job Bank
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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.
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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:
Compensation/Benefits:
Instructions for Resume
Submission:
Apply
Online!
www.HanoverHospital.org
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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
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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.
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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.
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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.)
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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
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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.
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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
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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
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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
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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
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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
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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.
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Director, Revenue Cycle
Professional Reimbursement
Geisinger Health
System
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.
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MAJOR DUTIES AND
RESPONSIBILITIES:
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*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
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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:
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:
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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