job postings
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Posted 9/8/2020 --*****CLOSE DATE EXTENDED TO 9/17/2020*****
Business Manager I
Job Description:
The Business Manager I manage and oversee all functions of UCF Health's billing and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations.
Responsibilities includes:
Department:
College of Medicine - UCF Health
Expected Salary:
$56,030 to Negotiable
Minimum Qualifications:
Bachelor's or Master's degree and 4+ years of relevant experience.
Preferred Qualifications:
Special Instructions to Applicants:
This is a "soft money" funded position. Employment is subject to availability of funding and may cease at the time funding for this employment is depleted.
If you are selected as the final candidate for an employment opportunity with the UCF College of Medicine, both your position and salary will be significantly based upon the information that you have provided in your application for employment. We urge you to please (1) take the time to complete the application in its entirety; (2) provide a resume; and (3) include current/most recent/former “professional” references.
Equal Employment Opportunity Statement:
As an equal opportunity/affirmative action employer, UCF encourages all qualified applicants to apply, including women, veterans, individuals with disabilities, and members of traditionally underrepresented populations. UCF's Equal Opportunity Statement can be viewed at: http://www.oie.ucf.edu/documents/PresidentsStatement.pdf. As a Florida public university, UCF makes all application materials and selection procedures available to the public upon request.
The University of Central Florida is proud to be a smoke-free campus and an E-Verify employer.
To apply for the position click here: JobswithUCF
Questions please contact: comhr@ucf.edu
https://jobs.ucf.edu/en-us/job/499331/business-manager-i
Posted 7/22/2020
I am reaching out, hoping to network with you. As we work towards getting back to our "new normal," we are starting to see some opportunities moving forward again and would like to share some details on permanent opportunities we are recruiting for currently. We would love to help anyone who may be interested in exploring new opportunities.
Coding Educator (multiple positions) (Full time| Permanent| Onsite: Medical Coding and Provider Education experience required
CPC or CCS- CPMA preferred
Work collaboratively with physicians and their staff to review assigned medical records and other clinical documentation daily.
Conduct physician chart reviews to identify potentially incorrect coding, prepare reports of findings, recommend improvements, and report and assist with remediation of any compliance issue Available to travel to various local clinics as needed Bilingual English/Spanish preferred
Please take a peek at our website to learn more about the samstaff story. I hope you feel our energy, culture, and enthusiasm for helping. samstaff.com.
I appreciate you helping us SPREAD THE WORD! Please reach out to hello@samstaff.com for more details.
Posted 6/14/2020
MRA Specialist Validator| Educator (multiple positions) (Full time| Permanent| Onsite: Orlando, FL)
· Medicare Risk Adjustment experience
· Ability to teach, coach and train
· Willingness to cultivate relationships with clinical staff onsite
· Minimum of 2 years coding experience and AHIMA or AAPC credentials
Regional Operations Manager (Full time| Permanent| Onsite: Orlando, FL)
Director of Patient Services (Full time| Permanent| Onsite: Orlando, FL)
Please reach out to hello@samstaff.com for more details.
Posted 3/15/2020
PRO & Facility and FSED ED Coders
Join our collaborative team of dedicated individuals at Nicka & Associates, Inc. We have built our reputation specializing in ED medical coding, compliance, consulting and education with a track record of growth for 18 years!! Our clients value and trust our expertise in the U.S.
We are taking resumes for Skilled, Certified, Remote Coders with a minimum of 3 years of very recent (ED) Emergency medicine PRO & Facility combined coding experience with FSED (Freestanding) ED coding. Qualified individuals must have a current coding certificate (CPC, CCS or RHIT) with recent experience in ICD-10, CPT and codes, Medicare and Medicaid, diagnosis and procedures such as: infusions, injections, incisions, hydrations, outpatient facility, and immunizations.
Our benefit package consists of medical, dental, vision, company paid life and AD&D insurance, short term and long term disability, flex spending. AFLAC & additional life insurance, for our full time staff. 401(k) eligibility at 6 months of employment also! Our Nicka Coders receive daily support and opportunities to grow into leadership and compliance areas. Come join our team!
If interested, please send directly to: NickaJobs@nicka-associates.com
Posted March 12, 2020
Experienced Insurance/ Billing Specialist for Multi-Physician Surgery practice in Winter Park. Must be knowledgeable with CPT and ICD coding, insurance billing and collections, denials and A/R management (CPC preferred - but not required). This is a Full-Time positon with Great Compensation and Benefits. Forward Resume - no phone calls to: SGOINS@ORLANDONEUROSURGERY.COM
Job Postings available through Samstaff, Posted 3/3/2020
Amazing Opportunities!
HIM Coding Operations Director: Onsite / FT/ Contract to Permanent/Texas
MRA Coder/Educator: Onsite/FT/Permanent/Orlando
impact on your organization.
hello@samstaff.com or 813.392.3540
Two Jobs for Nemours Hospital, Posted 3/3/2020
Coding Auditor
Wilmington, DE
As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
Primary Functions
Audit:
Conduct compliance reviews on coding and documentation of procedural and diagnosis coding, billing and medical record documentation performed by Nemours clinical services providers (physicians and billing providers) as well as by coding and billing associates, as requested by the Coding Integrity Director.
Educate:
Meet with service providers for new provider education, then discuss their reviews and provide continuing education. Work on special projects individually and in collaboration with other coding auditors, as assigned.
Provide training/education on coding and billing requirements, and Nemours policies:
Position Qualifications:
Licenses, Registrations, Certifications:
Essential Responsibilities:
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.
For more information and to apply, please visit: https://nemours.wd1.myworkdayjobs.com/en-US/careers_at_nemours/job/Wilmington-DE/Coding-Auditor_29316
Job 2:
Coding Educator
Wilmington, DE
Orlando, FL
As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
The Coding Educator is responsible for the development and execution of coding education programs including but not limited to evaluation and management coding, specialty specific/surgery coding, and ICD-10 diagnosis coding for Nemours providers and coding and billing staff at all sites. The position requires extensive travel to Nemours sites in Delaware, Pennsylvania, New Jersey and Florida. This position can be located in Orlando, Florida or Wilmington, Delaware.
QUALIFICATIONS:
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.
For more information and to apply, please visit: https://nemours.wd1.myworkdayjobs.com/en-US/careers_at_nemours/job/Wilmington-DE/Coding-Educator_29317
Posted Feb 19, 2020
Medical Coder-Lead
Skills:
Auditing, Billing, Compliance, Educating, Training
Specialties: Pediatric, Urgent Care, Hospitalist Inpatient/Outpatient coding
Certifications: Required
or equivalent, CPC-exam ready
Location: Orlando
Days Monday-Friday weekend offs
Excellent benefits package
Coder is required to evaluate medical records documentation from EMR system to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the patient visit, and to ensure that data comply with legal standards and guidelines.
· Prepares appeals for accounts which denied by the payor when suitable and follows up as needed for completion of appeal
· Reviews all add-on/deletions for most current ICD-10 and CPT-4 Coding utilization in compliance with new annual changes
Night Lite Pediatrics Urgent Care Center
5900 South John Young Parkway
Orlando, Florida 32839
https://www.nightlitepediatrics.com/
3 Amazing Opportunities from Samstaff Posted Jan 20, 2020
Coding Educator: Remote / FT/ Contract to Permanent
You’ll need a CPC and bachelor’s degree with a minimum of 5 years of Coding
Education experience
Must have a strong multi-specialty experience to include diverse surgical coding
to succeed
Strong presentation, diplomacy and leadership skills
If you love working with a cohesive leadership team with amazing culture
If you enjoy being part of a growing organization with excellent benefits…
Then this job is for YOU!
Diagnosis Validation/ Educator: Onsite/FT/Permanent/Orlando
You’ll need at least one of the following: CPC, or CCS to succeed
If you are amazing at and have more than 2+ years of experience in Risk
Adjustment coding, validation and provider education
If you enjoy working with providers and staff and provide education or training
If you love to work with an amazing internal culture and bring a positive outlook to
their team environment. Then this job is for YOU!
Multi-Specialty Coder: Remote / FT/ Contract/Remote
You’ll need an AAPC credential to succeed!
If you have at least 3+ years of experience in multi-specialties to include Surgical,
Ortho, Neuro, Intervention Radiology (CIRCC preferred), you will be amazing in
this role!
If you want a flexible work schedule, then this AMAZING role could be for you!
Outpatient/ER Coder: Remote / FT/ Temp to Permanent
You’ll need an AAPC or AHIMA credential to succeed!
If you have at least 3+ years of experience in Same Day Surgeries, ER with
Injections and Infusion, and Observation, this could be a perfect fit for you as the
next step in your career!
If you want to be part of a growing organization with flexibility and GREAT
culture, then reach out to samstaff for more details!
At samstaff, we believe that the right person in the right position has the
potential to transform your business. Let us find the candidates who can
make the best possible
impact on your organization.
Say hello. We’d love to hear from you.
hello@samstaff.com
813.392.3540
Two Jobs !! Posted January 11, 2020:
For the two jobs below, contact Cheryl at cherylgilder@gmail.com
JOB TYPE:
Risk Adjustment Coding Supervisor
HOME COMPANY:
The Villages Health, LLC
HOME BUSINESS UNIT:
The Villages Health
REPORTS TO:
Revenue Cycle Manager
FLSA STATUS:
Exempt
PRE-REQUISITE:
RHIA, RHIT, CRC, or CPC
SCOPE OF RESPONSIBILITIES
This position coordinates, oversees and completes certain aspects of Risk Adjustment. Serves as Risk Adjustment coding subject matter expert and works collaboratively with Revenue Cycle Manager, Medical Directors and CFO to strategically plan and execute HCC coding efforts. The Supervisor is also responsible for the development of department specific and organization policies and procedures to support the Risk Adjustment coding program.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different functions be performed when circumstances change or exigencies require (this includes but is not limited to emergencies, changes in personnel, workload, rush jobs, or technological developments).
Responsible for maintaining up to date knowledge of coding guidelines as they relate to professional services and HCC Coding
EDUCATION/EXPERIENCE REQUIREMENTS
Education: High School graduate or equivalent required. Graduation from an accredited Medical Billing/Coding secondary education program preferred
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Position requires sitting and standing associated with a normal office environment. Regularly lifts up to 10 pounds and occasionally 25 to 50 pounds. Manual dexterity using a calculator and computer on a frequent basis.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Position is in a well-lighted office environment.
ACCESS TO PROTECTED HEALTH INFORMATION (PHI)
Next Position
The Coding Supervisor is responsible for daily supervision and operational oversight of Professional Coding Staff and specific functionality within the daily management of Outpatient Coding (ICD-10-CM and CPT-4/HCPCS Coding Systems).
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different functions be performed when circumstances change or exigencies require (this includes but is not limited to emergencies, changes in personnel, workload, rush jobs, or technological developments).
EDUCATION/EXPERIENCE REQUIREMENTS
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Position requires sitting and standing associated with a normal office environment. Regularly lifts up to 10 pounds and occasionally 25 to 50 pounds. Manual dexterity using a calculator and computer on a frequent basis.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Position is in a well-lighted office environment.
Business Manager I
Job Description:
The Business Manager I manage and oversee all functions of UCF Health's billing and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations.
Responsibilities includes:
- Account receivables, medical billing including oversight of third-party billing vendor, coding and compliance, and insurance credentialing.
- Perform monthly review of account receivable, to include: aging schedule, denials status and follow-up, credit balance management, collaboration and coordination of third-party billing company. Ensures claims, denials, and appeals are efficiently processed and resolves billing-related issues.
- Complete billing and coding training for new providers; providing assistance with questions.
- Periodically review charts of existing providers to ensure appropriate clinical documentation and coding for services with written reports to various stakeholders.
- Serve as Compliance Liaison for UCF Health. Partners with compliance team on billing and coding risk assessment; assisting with periodic chart audits and providing written reports on compliance activities.
- Develop and implement solutions for improvement related to billing and coding activities.
- Provide supervision of revenue cycle staff in various duties, such as account management, communications with insurance providers and patients, collections, payment posting, and billing. Other duties as assigned; including credentialing of providers and assisting Health IT within eCW.
- Direct experience with medical coding; certification such as Certified Professional Coder (CPC).
- Direct experience with medical coding; certification such as Certified Professional Coder (CPC).
Department:
College of Medicine - UCF Health
Expected Salary:
$56,030 to Negotiable
Minimum Qualifications:
Bachelor's or Master's degree and 4+ years of relevant experience.
Preferred Qualifications:
- Multi-specialty, hands on experience with chart reviews and billing and coding compliance.
- Prior experience training faculty (physicians).
- Specialized knowledge of federal and state laws related to healthcare.
- Ability to articulate difficult concepts to technical and non-technical audiences.
- Direct experience with medical coding; certification such as Certified Professional Coder (CPC).
Special Instructions to Applicants:
This is a "soft money" funded position. Employment is subject to availability of funding and may cease at the time funding for this employment is depleted.
If you are selected as the final candidate for an employment opportunity with the UCF College of Medicine, both your position and salary will be significantly based upon the information that you have provided in your application for employment. We urge you to please (1) take the time to complete the application in its entirety; (2) provide a resume; and (3) include current/most recent/former “professional” references.
Equal Employment Opportunity Statement:
As an equal opportunity/affirmative action employer, UCF encourages all qualified applicants to apply, including women, veterans, individuals with disabilities, and members of traditionally underrepresented populations. UCF's Equal Opportunity Statement can be viewed at: http://www.oie.ucf.edu/documents/PresidentsStatement.pdf. As a Florida public university, UCF makes all application materials and selection procedures available to the public upon request.
The University of Central Florida is proud to be a smoke-free campus and an E-Verify employer.
To apply for the position click here: JobswithUCF
Questions please contact: comhr@ucf.edu
https://jobs.ucf.edu/en-us/job/499331/business-manager-i
Posted 7/22/2020
I am reaching out, hoping to network with you. As we work towards getting back to our "new normal," we are starting to see some opportunities moving forward again and would like to share some details on permanent opportunities we are recruiting for currently. We would love to help anyone who may be interested in exploring new opportunities.
Coding Educator (multiple positions) (Full time| Permanent| Onsite: Medical Coding and Provider Education experience required
CPC or CCS- CPMA preferred
Work collaboratively with physicians and their staff to review assigned medical records and other clinical documentation daily.
Conduct physician chart reviews to identify potentially incorrect coding, prepare reports of findings, recommend improvements, and report and assist with remediation of any compliance issue Available to travel to various local clinics as needed Bilingual English/Spanish preferred
Please take a peek at our website to learn more about the samstaff story. I hope you feel our energy, culture, and enthusiasm for helping. samstaff.com.
I appreciate you helping us SPREAD THE WORD! Please reach out to hello@samstaff.com for more details.
Posted 6/14/2020
MRA Specialist Validator| Educator (multiple positions) (Full time| Permanent| Onsite: Orlando, FL)
· Medicare Risk Adjustment experience
· Ability to teach, coach and train
· Willingness to cultivate relationships with clinical staff onsite
· Minimum of 2 years coding experience and AHIMA or AAPC credentials
Regional Operations Manager (Full time| Permanent| Onsite: Orlando, FL)
- Experienced leader to lead the daily operations to include supervision staff,
- Work with the management team to develop organizations' strategic plans and objectives,
- Review monthly HEDIS and MRA Reports, and
- Ensure the highest level of patient experience success- #1 goal!
Director of Patient Services (Full time| Permanent| Onsite: Orlando, FL)
- Oversee Members Services, Transportation, Medical Records, Referrals
- To be successful, must be able to be extremely data and metrics driven.
- Self-motivated, energetic, and patient customer centric
- Patient satisfaction is the #1 goal
Please reach out to hello@samstaff.com for more details.
Posted 3/15/2020
PRO & Facility and FSED ED Coders
Join our collaborative team of dedicated individuals at Nicka & Associates, Inc. We have built our reputation specializing in ED medical coding, compliance, consulting and education with a track record of growth for 18 years!! Our clients value and trust our expertise in the U.S.
We are taking resumes for Skilled, Certified, Remote Coders with a minimum of 3 years of very recent (ED) Emergency medicine PRO & Facility combined coding experience with FSED (Freestanding) ED coding. Qualified individuals must have a current coding certificate (CPC, CCS or RHIT) with recent experience in ICD-10, CPT and codes, Medicare and Medicaid, diagnosis and procedures such as: infusions, injections, incisions, hydrations, outpatient facility, and immunizations.
Our benefit package consists of medical, dental, vision, company paid life and AD&D insurance, short term and long term disability, flex spending. AFLAC & additional life insurance, for our full time staff. 401(k) eligibility at 6 months of employment also! Our Nicka Coders receive daily support and opportunities to grow into leadership and compliance areas. Come join our team!
If interested, please send directly to: NickaJobs@nicka-associates.com
Posted March 12, 2020
Experienced Insurance/ Billing Specialist for Multi-Physician Surgery practice in Winter Park. Must be knowledgeable with CPT and ICD coding, insurance billing and collections, denials and A/R management (CPC preferred - but not required). This is a Full-Time positon with Great Compensation and Benefits. Forward Resume - no phone calls to: SGOINS@ORLANDONEUROSURGERY.COM
Job Postings available through Samstaff, Posted 3/3/2020
Amazing Opportunities!
HIM Coding Operations Director: Onsite / FT/ Contract to Permanent/Texas
- You’ll need bachelor’s degree, a CPC and a CPMA is preferred with a minimum of 7+ years of Coding Education experience
- Must have extensive knowledge of coding operations functions
- Strong presentation, diplomacy and leadership skills
- If you love working with a cohesive leadership team with amazing culture
- If you enjoy being part of a growing organization with excellent benefits…
MRA Coder/Educator: Onsite/FT/Permanent/Orlando
- You’ll need at least one of the following: CPC, or CCS to succeed
- If you are amazing at and have more than 2+ years of experience in Risk Adjustment coding, validation and provider education
- If you enjoy working with providers and staff and provide education or training
- If you love to work with an amazing internal culture and bring a positive outlook to their team environment. Then this job is for YOU!
- You’ll need an AAPC credential to succeed!
- If you have at least 3+ years of experience in multi-specialties to include Surgical, Ortho, Neuro, Intervention Radiology (CIRCC preferred), you will be amazing in this role!
- If you want a flexible work schedule, then this AMAZING role could be for you!
- You’ll need an AAPC or AHIMA credential to succeed!
- If you have at least 3+ years of experience in Same Day Surgeries, ER with Injections and Infusion, and Observation, this could be a perfect fit for you as the next step in your career!
- If you want to be part of a growing organization with flexibility and GREAT culture, then reach out to samstaff for more details!
impact on your organization.
hello@samstaff.com or 813.392.3540
Two Jobs for Nemours Hospital, Posted 3/3/2020
Coding Auditor
Wilmington, DE
As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
Primary Functions
Audit:
Conduct compliance reviews on coding and documentation of procedural and diagnosis coding, billing and medical record documentation performed by Nemours clinical services providers (physicians and billing providers) as well as by coding and billing associates, as requested by the Coding Integrity Director.
Educate:
Meet with service providers for new provider education, then discuss their reviews and provide continuing education. Work on special projects individually and in collaboration with other coding auditors, as assigned.
Provide training/education on coding and billing requirements, and Nemours policies:
- To service providers and/or their departments; and
- To coding and billing associates.
- Conduct annual education sessions upon release of updated ICD-10-CM and CPT codes.
Position Qualifications:
- High School diploma required, Associate Degree preferred
- Must be a certified professional coder with either the AAPC or AHIMA
- Minimum five years hands-on experience in physician coding
- Thorough knowledge of CMS’ coding and documentation guidelines
- Knowledge of third party physician service billing practices and systems (commercial and governmental)
- Willingness and ability to travel (up to 40%)
Licenses, Registrations, Certifications:
- Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) certification is required.
- Attending conferences, webinars, and local chapter meetings to maintain continuing education units in order to stay certified.
Essential Responsibilities:
- Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers at Nemours’ sites, or as specially requested by the Coding Integrity Director.
- Prepare reports as required relative to these monitoring and review activities.
- Conduct post-review educational meetings, both individually and departmentally with clinical service providers and coding/billing associates focused on clinical documentation improvement and billing regulations.
- Work with coding/billing associates to assure compliance on coding, billing, monitoring and review activities.
- Assist in the development of Nemours policies.
- Participate in planning sessions with the Coding Integrity Director to develop provider review schedules based on their historical coding accuracy and organizational needs.
- Assist the Coding Integrity Director in the development of an annual work plan for coding monitoring, education, and improvement, including the establishment of measurable success criteria.
- Monitor, communicate and conduct educational sessions regarding additions and/or revisions to coding and documentation rules and regulations.
- Research payment denials, and provide justification for payment of appeals.
- Receive, review and communicate findings on patient billing coding related complaints.
- Coordinate effectively with Nemours Compliance, Legal, and Internal Audit Services staff as required.
- Periodically monitor and report on the coding interfaces associated with the Nemours Electronic Medical Record (Epic).
- Perform other duties as requested by Coding Integrity Director.
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.
For more information and to apply, please visit: https://nemours.wd1.myworkdayjobs.com/en-US/careers_at_nemours/job/Wilmington-DE/Coding-Auditor_29316
Job 2:
Coding Educator
Wilmington, DE
Orlando, FL
As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
The Coding Educator is responsible for the development and execution of coding education programs including but not limited to evaluation and management coding, specialty specific/surgery coding, and ICD-10 diagnosis coding for Nemours providers and coding and billing staff at all sites. The position requires extensive travel to Nemours sites in Delaware, Pennsylvania, New Jersey and Florida. This position can be located in Orlando, Florida or Wilmington, Delaware.
- The Coding Educator will assist the Coding Integrity team to ensure correct coding, legal compliance and complete charge capture. In addition, this role will conduct coding audits and serve as a resource to Nemours associates regarding coding issues.
- Create and tailor all modules of a successful education process, including lesson plans and teaching materials (e.g. audiovisual aids, competency examinations, and presentations)
- Coordinate with Learning Solutions to create e-learning systems or web-based training modules
- Conduct training sessions on provider based coding and billing guidelines
- Perform quality assurance reviews to assess comprehension of training efforts
- Organize and participate in coding and reimbursement meetings
- Act as a regulatory compliance expert by remaining up-to-date with federal, state, and organizational guidelines, especially those related to coding, documentation and billing
- Communicate coding/billing updates to physicians and billing staff
- Conduct coding reviews and associated training programs to assure coding quality
- Collaborate with organization leadership during new hire orientation
QUALIFICATIONS:
- Bachelor's degree or equivalent work experience preferred.
- AHIMA and/or AAPC coding certification required
- Minimum of 5 years experience as a coding educator required.
- Knowledge of surgical coding a plus
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.
For more information and to apply, please visit: https://nemours.wd1.myworkdayjobs.com/en-US/careers_at_nemours/job/Wilmington-DE/Coding-Educator_29317
Posted Feb 19, 2020
Medical Coder-Lead
Skills:
Auditing, Billing, Compliance, Educating, Training
Specialties: Pediatric, Urgent Care, Hospitalist Inpatient/Outpatient coding
Certifications: Required
or equivalent, CPC-exam ready
Location: Orlando
Days Monday-Friday weekend offs
Excellent benefits package
Coder is required to evaluate medical records documentation from EMR system to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the patient visit, and to ensure that data comply with legal standards and guidelines.
- Performs charges and audits for our inpatient hospital-setting
- Audits providers charts and assures the E/M codes are met according to provider charges
- Assures the correct CPT codes, modifiers are used and adjust as required for accuracy based on medical records criteria
- Trains and educates providers, front desk and clinical staff
- Knowledge of medical billing/collections working Scrub denials
- knowledge of governmental legal and regulatory provisions related to collection activities
- Reviews request for medical records from all payors for medical necessity before releasing to insurance companies
- Reviews all denials that were down coded incorrectly by payors and submits appeals to insurance company for reconsideration of benefits based on documentation
· Prepares appeals for accounts which denied by the payor when suitable and follows up as needed for completion of appeal
· Reviews all add-on/deletions for most current ICD-10 and CPT-4 Coding utilization in compliance with new annual changes
Night Lite Pediatrics Urgent Care Center
5900 South John Young Parkway
Orlando, Florida 32839
https://www.nightlitepediatrics.com/
3 Amazing Opportunities from Samstaff Posted Jan 20, 2020
Coding Educator: Remote / FT/ Contract to Permanent
You’ll need a CPC and bachelor’s degree with a minimum of 5 years of Coding
Education experience
Must have a strong multi-specialty experience to include diverse surgical coding
to succeed
Strong presentation, diplomacy and leadership skills
If you love working with a cohesive leadership team with amazing culture
If you enjoy being part of a growing organization with excellent benefits…
Then this job is for YOU!
Diagnosis Validation/ Educator: Onsite/FT/Permanent/Orlando
You’ll need at least one of the following: CPC, or CCS to succeed
If you are amazing at and have more than 2+ years of experience in Risk
Adjustment coding, validation and provider education
If you enjoy working with providers and staff and provide education or training
If you love to work with an amazing internal culture and bring a positive outlook to
their team environment. Then this job is for YOU!
Multi-Specialty Coder: Remote / FT/ Contract/Remote
You’ll need an AAPC credential to succeed!
If you have at least 3+ years of experience in multi-specialties to include Surgical,
Ortho, Neuro, Intervention Radiology (CIRCC preferred), you will be amazing in
this role!
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hello@samstaff.com
813.392.3540
Two Jobs !! Posted January 11, 2020:
For the two jobs below, contact Cheryl at cherylgilder@gmail.com
JOB TYPE:
Risk Adjustment Coding Supervisor
HOME COMPANY:
The Villages Health, LLC
HOME BUSINESS UNIT:
The Villages Health
REPORTS TO:
Revenue Cycle Manager
FLSA STATUS:
Exempt
PRE-REQUISITE:
RHIA, RHIT, CRC, or CPC
SCOPE OF RESPONSIBILITIES
This position coordinates, oversees and completes certain aspects of Risk Adjustment. Serves as Risk Adjustment coding subject matter expert and works collaboratively with Revenue Cycle Manager, Medical Directors and CFO to strategically plan and execute HCC coding efforts. The Supervisor is also responsible for the development of department specific and organization policies and procedures to support the Risk Adjustment coding program.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different functions be performed when circumstances change or exigencies require (this includes but is not limited to emergencies, changes in personnel, workload, rush jobs, or technological developments).
Responsible for maintaining up to date knowledge of coding guidelines as they relate to professional services and HCC Coding
- Determines workflow priorities and efficient methodologies to complete tasks
- Determine staffing patterns; validate timecards and time off requests
- Monitors and assesses daily performance of coding staff to ensure accurate code assignment and timely billing of professional claims
- Ensures optimal use of resources to achieve departmental goals for productivity and financial expectations for TVH
- Generates both routine and ad-hoc reporting, and serves as a senior resource to staff
- Communicate with assigned staff via regularly scheduled meetings coding updates, departmental/team metrics/KPIs, and advise of revisions to policies and procedures
- Administer timely corrective action related to performance, attendance and corporate standards of conduct
- Demonstrated knowledge of managed care principles, insurance industry practices, codes, and medical terminology required
- Develop and coordinate educational and training programs regarding elements of coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates
- Assists in orienting and training new providers throughout the year
- Serves as a resource to the office staff, providers, and billing department
- Provides clarification on TVH coding policies
- Oversight of Coding Staff training and professional development with Coding Analyst/Auditor
- Review annual CMS call letter issued in April of each year to ascertain changes to HCC codes.
- Work with RAF workgroup team in providing updates on RAF initiatives.
- Other duties as assigned
EDUCATION/EXPERIENCE REQUIREMENTS
Education: High School graduate or equivalent required. Graduation from an accredited Medical Billing/Coding secondary education program preferred
- Extensive knowledge of CMS Risk Adjustment payment rules, regulations and guidelines as it relates to managed care organizations required.
- Ability to effectively communicate Medical Coding Documentation rules and regulations to Providers and/or staff required
- Experience in a Medicare HMO setting preferred
- Experience: Minimum of five (5) years’ experience in physician coding and physician billing; must have working knowledge of CMS coding and documentation rules and regulations, HCC coding
- Certifications/Licensure: Candidate must possess a minimum of RHIA, RHIT, CRC or CPC
- 2 years previous supervisory experience preferred.
- May have equivalent combination of education and experience to substitute for both the education and experience requirements
- Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing
- Excellent written, communication, and analytical skills
- Ability to set priorities and meet deadlines
- Proficiency with Microsoft Windows Operating Systems and Office applications such as Word, Excel, and PowerPoint
- Ability to interpret and develop basic electronic spreadsheets, reports, departmental/team policies and procedures
- Extensive knowledge of Medical Terminology, ICD-10, CPT, HCPCS Coding and Medical Record Documentation required.
- Organizational Skills
- Able to work well with minimal supervision
- Knowledge of Medicare and Medicaid regulations
- Able to communicate clearly both written and verbally
- Must be able to work well and interact with others in a positive & professional manner when under stressful situations; must be a team player
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Position requires sitting and standing associated with a normal office environment. Regularly lifts up to 10 pounds and occasionally 25 to 50 pounds. Manual dexterity using a calculator and computer on a frequent basis.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Position is in a well-lighted office environment.
ACCESS TO PROTECTED HEALTH INFORMATION (PHI)
Next Position
The Coding Supervisor is responsible for daily supervision and operational oversight of Professional Coding Staff and specific functionality within the daily management of Outpatient Coding (ICD-10-CM and CPT-4/HCPCS Coding Systems).
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different functions be performed when circumstances change or exigencies require (this includes but is not limited to emergencies, changes in personnel, workload, rush jobs, or technological developments).
- Determines workflow priorities and efficient methodologies to complete tasks
- Determine staffing patterns; validate timecards and time off requests
- Monitors and assesses daily performance of coding staff to assure accurate code assignment and timely billing of professional claims.
- Ensures optimal use of resources to achieve departmental goals for productivity and financial expectations for TVH
- Generates both routine and ad-hoc reports, and serves as a senior resource to staff
- Regularly meet with assigned staff to communicate departmental/team expectations, advise of revisions to policies and procedures
- Administer timely corrective action related to performance, attendance and corporate standards of conduct
- Demonstrated knowledge of managed care principles, insurance industry practices, codes, and medical terminology required
- Responsible for maintaining up to date knowledge of coding guidelines as they relate to professional services and HCC Coding
- Develop and coordinate educational and training programs regarding elements of coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates
- Assists in orienting and training new providers throughout the year
- Serves as a resource to the office staff, providers, and billing department
- Provides clarification on TVH coding and compliance policies
- Oversight of Coding Staff training and professional development with Coding Analyst/Auditor
- Other duties as assigned
EDUCATION/EXPERIENCE REQUIREMENTS
- Education: High School graduate or equivalent required. Graduation from an accredited Medical Billing/Coding secondary education program preferred
- Experience: Minimum of five (5) years’ experience in physician coding and physician billing; must have working knowledge of CMS coding and documentation rules and regulations, HCC coding
- Certifications/Licensure: Candidate must possess a minimum of RHIA, RHIT, CRC or CPC
- 2 years previous supervisory experience preferred.
- May have equivalent combination of education and experience to substitute for both the education and experience requirements
- Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing
- Excellent written, communication, and analytical skills
- Ability to set priorities and meet deadlines
- Proficiency with Microsoft Windows Operating Systems and Office applications such as Word, Excel, and PowerPoint
- Ability to interpret and develop basic electronic spreadsheets, reports, departmental/team policies and procedures
- Knowledge of medical terminology
- Knowledge of HCC Coding, CPT-4, ICD-10, and HCPCS coding
- Organizational Skills
- Able to work well with minimal supervision
- Knowledge of Medicare and Medicaid regulations
- Able to communicate clearly both written and verbally.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Position requires sitting and standing associated with a normal office environment. Regularly lifts up to 10 pounds and occasionally 25 to 50 pounds. Manual dexterity using a calculator and computer on a frequent basis.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Position is in a well-lighted office environment.