St. Luke’s University Health Network

Introduction:

St. Luke’s University Health Network (SLUHN) is a non-profit, regional, fully integrated, nationally recognized Network providing services at more than 200 sites, primarily in Lehigh, Northampton, Carbon, Schuylkill, Bucks, Montgomery, Berks and Monroe counties in Pennsylvania and in Warren County, New Jersey.

Job Description:

• Oversees and coordinates IP hospital coding workflow, monitoring account and claim edit work queues and re-assigning IP coding professionals as needed, including contract coding professionals when utilized.
• Provides clarification to inpatient coding professionals regarding AHA coding rules/principles and application to ensure consistency within the department
• Research and address coding questions and provides query development support for inpatient coding professionals.
• Assists with research of diseases and new technologies for appropriate ICD-10-CM/PCS diagnosis and procedure code assignment.
• Provides training of new inpatient coding professionals, working with them to meet/exceed department coding accuracy and productivity standards.
• Collaborates with network coding manager in the development, implementation and maintenance of coding department policies and procedures.
• Identifies educational opportunities and provides feedback on these areas to the Network Coding Manager and/or Network Director, CDCI.
• Monitors productivity for IP network coding professionals providing weekly and monthly reports to both the staff and the coding leadership team.
• Processes PHC4 reports on a quarterly basis.
• Conducts employee performance assessments, manages employee timecards, and coordinates vacation and holiday scheduling.

Physical and Sensory Requirements:

• Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Extended periods of vision use for reviewing computerized patient records, abstracting of patient information, approximately 7 hours per day, 3 hours at a time.  Hearing as it relates to normal conversation.  Occasionally may be required to use upper extremities to lift up to 10 lbs.; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with department downtime policy; use of wheel cart to and from Medical Records Department.

Required Qualifications:

• Minimum 5 years inpatient coding experience in acute care setting required.

Preferred Qualifications:

• Teaching hospital setting preferred. Past auditing experience or strong training background in coding and reimbursement preferred. Previous experience with EPIC health information system and 3M encoding system preferred.

Education Qualifications:

• Formal HIM education with national certification RHIA, RHIT and/or CCS coding certification required from the American Health Information management Association.  Candidates with 5 years experience and certification eligible within one year considered. If candidate is RHIA, RHIT and/or CCS-eligible, candidate will be expected to obtain their AHIMA credential within two years of hire date to retain position with St. Luke’s University Health Network.

Compensation/Benefits:

Excellent benefits package available.  Health, Dental and Vision Insurance available upon date of hire.  EOE.

Instructions for Resume Submission:

Please apply on line, see link below.

Apply Online: https://sluhn.wd1.myworkdayjobs.com/en-US/SLUHN/job/Allentown-PA—1110-American-Parkway/Coding-Supervisor_R047922

Allied Services

Introduction:

Job Description:

• Supervises Health Information staff in their day-to-day work activities. Consistently guides, directs and counsels staff members regarding work performance, problem solving and decision making ability.
• Assists in development of department goals and objectives, including productivity monitoring. Assists Director in formulating policies and procedures of the department and ensures proper implementation. Effectively communicates changes in policy, procedure and other matters to staff and provides feedback from staff to Director.
• Develops and maintains a coding audit process in conjunction with a physician query process.
• Conducts performance improvement studies in the absence of the Director.
• Assists in evaluation of personnel in performance appraisals. Makes effective recommendations in matters of hiring, promotion, discipline and termination.
• Answers request for information according to the release of information policies and procedures.
• Provides physician identification numbers to all new physicians in the absence of staff.
• Performs ICD—CM coding of inpatients and outpatient medical records, in the absence of coding staff.
• Performs qualitative and quantitative analysis of inpatient and outpatient medical records, in the absence of the analysis staff.
• Participates in in-services and continuing education lectures and seminars.
• In the absence of the Director, attends department-head and divisional meetings and takes minutes.
• Ensures employees are scheduled and paid. Reviews and evaluates all requests for time off. Accurately completes and approves timecards. Monitors and evaluates department objectives to ensure that time off is used effectively in order to manage departmental work flow.

Work Experience:

Minimum of two (2) years experience as Health Information Technician required.

Education Qualifications:

Certification as Registered Health Information Technician (RHIT) or Bachelor’s degree as Registered Health Information Administrator (RHIA) required.

Instructions for Resume Submission:

Please click here to apply online or call 570-341-4518 for more information.

Penn Medicine Lancaster General Health

Job Description:

Hours: Full-Time (1.0 FTE); Monday-Friday 8:00am- 4:30pm with flexibility due to the requests of providers, meetings, etc.

Position Summary:

Serves as a resource to Practices for coding issues and compliance, while adhering to official coding guidelines, for the purpose of assuring accuracy when billing insurance carriers.

Essential Functions:

Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Act as coding resource for Practices and Patient Business/Financial Services and assist with coding-related issues.
• Prepare and present specific coding education as required.
• Review medical records for coding accuracy.
• Optimize revenue through utilization of most appropriate coding methods, following regulatory and insurance guidelines.

Secondary Functions: The following duties are considered secondary to the primary duties listed above:

• Prepare reports for administration as needed to summarize coding issues.
• Other duties as assigned.

Minimum Required Qualifications:

• HS diploma or equivalent (GED).
• Formal education in ICD-10-CM coding, CPT-4 coding, and medical terminology.
• Certification as a Certified Coding Specialist-Physician (CCS-P) through AHIMA (American Health Information Association), or certified by AAPC (American Association Professional Coders) with certification as a Certified Professional Coder (CPC).  If not certified, coding certification is required within (3) years of employment.
• Three (3) to five (5) years of ICD-9-CM coding experience
• Three (3) to five (5) years of CPT-4 coding experience

Preferred Qualifications:

• One (1) year experience with Physician Office billing software.
• Three (3) to five (5) years’ experience with physician office billing.

Apply Online: https://lghealth.wd1.myworkdayjobs.com/LGHealth_Career/job/Burle-Industries-Building/Coding-Specialist–non-surgical-_REQ-0010919-1

CBIZ KA Consulting Services, LLC

Introduction:

CBIZ KA Consulting Services, LLC (CBIZ), a leader in providing customized financial solutions to healthcare providers, is expanding its credentialed staff to perform inpatient audits to support coding and DRG assignments based on clinical documentation.

Job Description:

CBIZ is seeking contract consultants that possesses an understanding of Medicare principles of reimbursement, DRG assignment, clinical documentation, superior reasoning and analytical skills, strong presentation skills and a solid professional attitude.

Required Qualifications:

• 5 years recent inpatient hospital coding in an acute care setting with RHIA/RHIT, CCS or CDIP/ACDIS,
• Broad knowledge of ICD-10-CM/PCS coding, DRGs and prospective payment systems,
• Knowledge and experience working with computer systems for coding,
• Attention to detail and excellent communication skills,
• Ability to work independently,
• Consulting experience is a plus.

Interested parties should submit a resume with salary requirements.

Instructions for Resume Submission:

Susan Ilasi
CBIZ KA Consulting Services, LLC
50 Millstone Road, Building 400, Suite 1000
East Windsor, NJ 08520
Telephone: 609.918.0990
Fax: 609.918.0930
Email: silasi@cbiz.com

WellSpan Chambersburg Hospital

Introduction:

Plans, directs, coordinates, and evaluates the Department’s coding orientation and educational programs for staff, physicians, and students under the direction of the Data Quality Manager.

Supervises the personnel and functions involved in the Coding education program, specifically the coding trainees.

Works collaboratively with the Data Quality Manager in educating and implementing effective policies and procedures.

Monitors and evaluates the development of the coding trainee role. Serves as a liaison to all other departments for educating and improving the documentation processes to support quality coding and reimbursement.

Job Description:

Experience: Experience applying customer service behaviors and communication skills required. Able to type 45 w.p.m.

Certifications/Licensure: Certification as an RHIA, RHIT, CCS, or CPC required.

Required Qualifications:

One (1) year of previous progressive coding management experience in an HIM department setting, or the equivalent in other relevant experience in HIM department management experience is preferred. Prior management experience preferred to include staff development, budget accountability, education planning, goal setting, quality improvement and project management. Knowledge of PC applications such as Word, Excel, or other word processing, spreadsheet, database management applications preferred. Knowledge of Meditech and Quantim preferred. Previous coding education experience is a plus.

Preferred Qualifications:

Minimum qualifications for a person in this position. Associates or Bachelors Degree from an accredited Health Information Technology program or equivalent education or experience.

Compensation/Benefits:

• Medical/Dental Insurance & Supplemental Vision Plan
• Medical spending account (FSA) / Health savings account / Dependent care spending account
• Employer paid life insurance and AD&D
• Supplemental life and AD&D insurance for employees, spouse, and children
• Employer paid long-term disability insurance
• 403(b)
• Employer retirement plan
• PTO

Apply Online:

Please apply online by submitting your application and resume on WellSpan Chambersburg Hospital’s career page

 https://pm.healthcaresource.com/cs/chambersburg#/job/1938

GBMC HealthCare

Job Description:

• Under the supervision of the Manager of Coding and Clinical Validation, the Clinical Documentation Improvement Educator is responsible for providing education and training to Clinical Validation staff, physicians and the health care team on effective, compliant clinical documentation.
• Facilitates consistent, accurate and optimal documentation by providing both formal and informal educational programs.
• Assesses documentation gaps and formulates appropriate CDI educational tools to include, but not limited to, PowerPoint presentations, newsletters and documentation tips sheets.
• Applies teaching/learning principles in establishing an overall educational program related to effective clinical documentation for, and in collaboration with, Clinical Validation staff, physicians and the health care team.
• Acts as a resource to Clinical Validation staff and clinical providers on optimal documentation.

Education

• Bachelor’s Degree, preferably in Nursing or Health Information Management

Experience

• Five years’ experience as a Clinical Validation Specialist and/or educator

Skills

• Must demonstrate understanding of the APR-DRG system, impact on case mix index as well as ICD-10 coding systems and how guidelines relate to clinical documentation improvement.
• Demonstrates competency in teaching/learning process.
• Demonstrates extensive clinical knowledge and understanding of anatomy, physiology and pathophysiology.
• Must have a thorough understanding of clinical documentation principles, guidelines and regulations.
• Must be able to communicate effectively with peers, physicians, nursing and other staff.
• Demonstrated interpersonal skills that promote teamwork.
• Must demonstrate abilities to train and deliver education programs.
• Must possess strong verbal and written communication skills, and be able to produce training presentations and materials.

Licensure/Certifications

• RN licensure
• CCS/CIC; CCDS and/or CDIP strongly preferred but required to obtain within a year of hire

Physical Requirements

• Ability to sit, stand, walk, concentrate and pay close attention to detail.

Working Conditions

• Normal office work environment.  Opportunity to work remotely.

Instructions for Resume Submission:

Apply Online 

Select Specialty Hospital

Introduction:

At Select Specialty Hospital, a division of Select Medical, our specialty hospitals care for chronically and critically ill or post-ICU patients who require extended hospital care. We are currently seeking a Health Information/Credentialing Manager to join our team. We offer an excellent network of career opportunities across the U.S.

Job Description:

As a Health Information /Credentialing Manger you will be responsible for planning, organizing and directing the Health Information and Credentialing Services.  Including record processing and physician record completion, transcription, filing, storage/retrieval, release of confidential information, maintenance and safety/security of all medical records, as well as, maintenance of medical and allied health staff credentialing files to meet regulatory requirements.

Other responsibilities include:

• Consistently demonstrating commitment to customer service excellence in all interactions with patients, family members, visitors and other staff.
• Participating in building and maintaining positive working relationships through effective communication, performance improvement and teamwork efforts.  Demonstrates the ability to clearly and effectively communicate (to include reading, writing, and speaking) to all patients, family members, visitors and other staff members.
• Accomplishing individual and team goals and objectives established by your supervisor based on prior performance evaluation.
  • Assembling and analysis of medical records in accordance to hospital policy, and regulatory requirements for medical record documentation (JCAHO, CARF, and CMS).
  • Assisting the clinical team in chart completion by running weekly reports of incomplete/delinquent medical records, pulling charts for completion, providing feedback on performance, and processing transcription/miscellaneous reports.
  • Performing concurrent and retrospective ongoing records reviews to ensure compliance to standards for medical record documentation.

Required Qualifications:

As a Health Information / Credentialing Manager , you must be able to deliver superior quality in all that you do. We are seeking results-driven team players who treat patients as if they were their own family members. Qualified candidates must be passionate about providing a superior quality of care. You must also be a resourceful problem solver who thrives in a fast-paced environment.

Other requirements of the Health Information / Credentialing Manager role include:

• An Associate’s degree in a health care related field
• Current credentials as a Registered Health Information Technician (RHIT) or RHIT-eligible status, Registered Health Information Administrator (RHIA) or RHIA-eligible status
• Working knowledge of medical staff organization and credentialing activities.
• Minimum of 3-5 years previous medical record experience required.
• Knowledge of medical terminology, medical transcription guidelines and policies and procedures
• Knowledge of operating PC based equipment/applications and programs
• Strong communication skills with focus on customer service

Instructions for Resume Submission:

Please email Senior Regional Recruiter, Danelle Bruder, at DRBruder@selectmedical.com.

Post Acute Medical, LLC

Introduction:

Post Acute Medical is committed to being the most trusted source for post-acute services in every community it serves by utilizing experienced and dedicated staff to provide high quality patient care and customer service. With over 30 Long Term Acute Care and Rehabilitation facilities currently in operation across the country, we are proud to offer services including comprehensive wound care, aquatic therapy, ventilator weaning, amputation treatment, pain management and much more.

Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program.

We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.postacutemedical.com for a comprehensive look at how we’re able to positively impact our local communities.

Post Acute Medical is an Equal Opportunity Employer.

Job Description:

The Coder is responsible for:

• Performing coding and abstracting of both inpatient and outpatient medical records in accordance with ICD-10-CM coding rules and regulations
• Codes all inpatient records within 5 days of discharge (unless record is not available or critical pieces of documentation are not available) following ICD-10-CM guidelines with 95% accuracy.  Will interim code if needed.
• Codes all outpatient records by the third day after discharge according to ICD-10-CM with 95% accuracy, to include Ancillary and Wound Care services.
• Reviews H&Ps and other documentation (if needed) to assign admission IGC in eRehabData along with etiology. Alerts HIM Director of any unusual documentation patterns.
• Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.
• Performs necessary investigations/actions to assure the account will drop into the billing system without any problems.  Informs HIM Director of any unusual circumstances that could delay coding/billing process.
• Uses HMS along with 3M to assist in accurate coding and clean claims processing.  Makes sure that all necessary information is present in the record (documentation to substantiate code assignment) and all data is entered in the computer to ensure bill will drop into billing system.
• Monitors the billing error report to ensure all accounts are dropped timely and accurately.  Keeps Director informed of unusual findings.
• Abstracts designated fields for physician information, according to procedure, to assure physician index reports reflect actual activity.  Informs Director and Medical Staff Secretary of any new physician activity.
• Assigns present on admission codes along with date of onset.

Required Qualifications:

The Coder must have:

• Knowledge of ICD-10-CM coding guidelines/conventions, disease processes, medical terminology, anatomy and physiology, pharmacology and laboratory terminology in order to code accurately.
• Ability to stay updated on coding changes.
• Knowledge of medical terminology, anatomy and physiology, pharmacology, and laboratory terminology.
• Must possess excellent communication, organizational skills.
• Must possess good typing and or computer data entry skills.
• Must have ability to maintain confidentiality, exercise initiative and decision making, organize work independently, willingness to work with physicians and other hospital staff, and promote a positive attitude.
• Should be able to follow directions accurately and timely, produce quality work of repetitive tasks and have preference for orderly, detail-oriented duties.
• Must understand importance of maintaining patient confidentiality, exercise initiative and decision-making and be able to organize work independently.
• Must be able to work with physicians and other hospital staff and promote a positive attitude.

Preferred Qualifications:

• A Certified Coder is preferred.
• 2+ years prior inpatient rehabilitation coding experience is preferred

Education Qualifications:

• High School diploma or its equivalent required.

Apply Online: https://careers-postacutemedical.icims.com/jobs/15347/coder-full-time-days—inpatient-rehab/job?mode=view

e4 Services

Introduction:

e4 Services is a leading national healthcare consulting and professional services company providing Revenue Cycle, HIM, CDI, Coding, Clinical Optimization and IT solutions.

We also specialize in complex program and change management.  At e4 Services, we understand that happy employees mean happy customers.  Our goal is to create and maintain a company culture that fosters an innovative and fun spirit for our team.

Our team members come from many diverse backgrounds and professional experiences, but we are all connected by a shared goal of improving healthcare.

Job Description:

• This is a Full-Time role based out of the Philadelphia area, with at least two days onsite for meetings and the rest working remotely from home.
• Medical coding consultants work to ensure accurate coding of the clinically documented care within medical records. They utilize industry coding guidelines along with specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
• This individual has the responsibility for developing, implementing and maintaining a data quality compliance plan for inpatient and outpatient coding.
• They’ll also perform daily audits to validate accuracy of MSDRG, APC and coding assignments to ensure compliance with coding requirements.

Responsibilities:

• Responsible for developing, applying and upholding a coding quality compliance plan for outpatient and inpatient coding
• Organizes and conducts daily reviews of targeted cases to ensure correct hospital reimbursement
• Complete random audits and reviews on denied cases to validate accuracy of MS-DRG and APC coding assignments to ensure compliance with coding and billing requirements
• Perform follow-up and focused audits as directed and as necessary
• Ensures optimal reimbursement of all cases in compliance with CMS policies and procedures and ICD-10-CM and ICD-10-PCS Official Coding Guidelines
• Utilizes technical coding principals and DRG and/or APC reimbursement expertise to assign appropriate diagnoses and/or procedures
• Fluent in Official Coding Guidelines, Coding Clinics and reimbursement reporting requirements.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association
• Adheres to Client’s policies and procedures
• Ability to review Medicare and other payer claims and denials and document validity of payer findings
• Appropriately identify payer denials issues and determine correct resolution
• Research and prepare appeal letters with appropriate coding guidelines and rationales
• Ability to work collaboratively with all departments involved in the revenue cycle claims process
• Provides constructive feedback to the customer on areas of opportunity and coding and reimbursement risk
• Ensures client’s production and overall expectations are met

Required Qualifications:

• Minimum of 3 years of coding and facility auditing experience
• Strong knowledge of denials management, validation and appeals process
• Satisfactory completion of e4 ICD-10-CM and PCS test – 85 or above on both CM and PCS.
• Demonstration of successful completion of ICD-10-CM and PCS coursework with experience production coding of hospital inpatient in ICD-10-CM and PCS.
• Experience with remote EHR access and encoder preferred; Technical skill set sufficient to sustain independent remote working environment, including PC troubleshooting, program installation.
• Proficiency in MS Office, including Outlook, Word, Excel and PowerPoint.

Preferred Qualifications:

• Experience in working with large academic facilities is preferred
• Computer Assisted Coding (CAC) experience desired
• Self-starter with strong interpersonal, analytical and critical thinking skills.
• Learns quickly and adapt to change.

Education Qualifications:

• AHIMA and/or AAPC credentialed CCS, CPC required with RHIT/RHIA preferred
• Bachelor’s degree preferred

Compensation/Benefits:

• We offer healthcare benefits with employer sponsored HSA
• Dental
• Vision
• Employer sponsored short and long term disability and life insurance
• 401K with employer 4% match.

Instructions for Resume Submission:

Please send all qualified resumes to Eryn Drury at edrury@e4-services.com or apply online.