Complex Coder Physician Practice OBGYN

by Irma Moore | Oct 30, 2024 | Uncategorized

Primary Location Salary Range:$24.32 – $36.48 / hour, based on education & experience

In accordance with State Pay Transparency Rules.

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you’re looking to leverage your abilities – you belong at Banner Health.

Are you a superstar strong  OBGYN Physician Complex Coder | Medical Coder looking for the opportunity to code a wide variety of accounts? The ideal candidate would have 3 years+ of coding experience ideally in OBGYN. There are also opportunities for overtime with special projects from time to time. This requires being fully CPC (AAPC) or CCS or CCA (AHIMA)certified. Come join a strong team of 10 Coder with an Associate Director and Associate Manager.

If you are interested in a career with OBGYN, then Banner is the place you want to be. With our complex OBGYN Coder position, you will have the opportunity to code in our academic or non-academic team. Here at Banner you will be exposed to not only OBGYN services within our OBGYN teams we have subspecialties that belong to our clinics, such as Maternal Fetal Medicine where you would  be coding for high risk pregnancies and deliveries, ultrasounds and some procedures, you will see specialized surgical cases related to pelvic organ prolapse and urinary retention, In Gynecology Oncology with this specialty you would be coding more complex Hysterectomies, pelvic exenterating, and robotic cases related to female cancers. With this group of subspecialties in OBGYN you have more opportunities to learn other services with our specialties that not all OBGYN offices perform is on this team. Production expectations depend on placement anywhere from 6 to 12 charts an hour. This is a great opportunity to build your OBGYN coding resume.

Banner Health provides your equipment when hired. You will be fully supported in training with continued support throughout your career here!

This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY.

The hours are flexible as we have remote Coders across the Nation. Generally, any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis.  Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you’ll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position evaluates medical records, provides clinical and surgical abstraction for full range of complex and/or multispecialty surgical, procedural and E&M professional services in accordance with nationally recognized coding guidelines. Utilize coding knowledge and expertise to support department projects, validation edits and/or revisions.

CORE FUNCTIONS

1. Analyzes medical information from medical records. Accurately codes diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate coding in accordance to department specific productivity and quality standards. Codes ICD CM and CPT4 for accurate APC assignment. Addresses National Correct Coding Initiative (NCCI) edits as appropriate.  Reconciliation of charges as required.

2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysts, supervisor or individual department for clarification/additional information for accurate code assignment.

3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.

4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.

5. Able to identify validation edits and revision issues to ensure compliant coding.

6. Recognizes and distinguishes complex diagnoses and procedures and has attention to detail to make needed corrections and ensure accurate coding, reimbursement, and compliance.

7. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to the two year certification course in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations, or an Associate’s degree in a related health care field.

Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).  Certification may also include a general area of specialty.

Requires three or more years of complex professional coding experience within specialty.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders.

Must be able to work effectively and efficiently in a remote setting, utilizing common office programs, coding software and abstracting systems.

PREFERRED QUALIFICATIONS

Specialty Certification. Radiology Certified Coder (RCC) if employed in the Imaging space.
Experience in a large, multi-system physician practice preferred.

Additional related education and/or experience preferred.

Manager- Coding

by Irma Moore | Oct 30, 2024 | Uncategorized

Job Description

Responsibilities

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

To learn more about IPM visit Physician Services – Independence Physician Management – UHS.

POSITION OVERVIEW

The Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Contributes to the development of medical coding and documentation plans and materials and works with the Markets to enhance documents and templates to enhance the coding and charge entry process. Ensure timeliness and accuracy of charges submitted. Meets regularly and develops positive business relations with the Markets to provide ongoing training and education for employees and providers. Works with CBO Leadership to identify coding-related revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues and implement solutions for improvement. The Coding Manager coaches, counsels and mentors all coding.Responsible for driving consistency across IPM, related to clinical documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Develops workflows and education plans and materials and reviews and recommends updates, as needed, to enhance the overall coding and charge entry process.

This is a remote opportunity. Successful candidates must live in proximity to an IPM Office located in any of the following areas:

• King of Prussia, PA
• McAllen or Laredo, TX
• Bradenton or Wellington, FL
• Aiken, SC
• Sparks or Reno, NV

Qualifications

• Performs ongoing review and feedback on the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
• Meets regularly with Market leadership and Regional Coding/Charge Supervisors to discuss opportunities for improvement, impact to the revenue cycle, and ongoing training and education for providers and employees.
• Maintains an expanded knowledge base of medical terminology, standard medical abbreviations, anatomy and disease processes, CPT-4, and ICD-10, and abstracting of clinical documentation to meet regulatory and compliance requirements.
• Demonstrates excellent initiative and judgement. Works independently applying effective approaches to task prioritization, time management, delegation of tasks and meeting deadlines. Exhibits outstanding decision making and customer service.
• Promotes a work environment of accountability and ownership. Sets appropriate standards of performance and communicates clear expectations to the team. Shows direct and tangible evidence of coaching, mentoring and professional development.
• Conducts one-on-one meetings with direct reports to provide a structured time to provide coaching, discuss accomplishments and review the status of revenue cycle operations within their scope of responsibility. Discuss areas of professional development as well as goal tracking/reporting, projects, and other pertinent topics. Maintains comprehensive and concise documentation of the one-on-one meetings, next steps, and expectations.
• Manages the employment hiring process for the Coding and Charge Entry Department. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations.

Education: 

• High School Graduate/GED required.
• Bachelor’s Degree preferred.
• AAPC CPC Certification required.

Work experience:

• Experience (5-8 years minimum) working in a healthcare (professional) billing, health insurance, coding or equivalent operations work environment.
• Minimum 5 years of direct supervisory experience managerial or administrative experience required. 

Knowledge: 

• Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements.
• Thorough understanding of the revenue cycle and how the various components work together.

Skills:

• Excellent verbal/written communication skills.
• Strong presentation skills.
• Proven history of leadership ability.
• Results oriented with a proven history of accomplishing tasks and building high-performing teams. Project Management.
• Strong interpersonal and organizational skills.
• Service-oriented/customer-centric.
• Microsoft Office.
• Strong computer literacy skills.

Equipment Operated:

• Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable

As an IPM employee you will be part of a first-class organization offering:

• A Challenging and rewarding work environment.
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match

and much more!

Production Support Analyst

by Irma Moore | Oct 30, 2024 | Uncategorized

Arcadia is dedicated to happier, healthier days for all. We transform diverse data into a unified fabric for health. Our platform delivers actionable insights for our customers to advance care and research, drive strategic growth, and achieve financial success. For more information, visit arcadia.io.

Why This Role Is Important to Arcadia

Our Production Support Team is one of the keys to providing our clients with the highest level of customer service. As a Production Support Analyst, you will be on the front lines triaging, troubleshooting, and resolving requests reported by Arcadia customers and internal stakeholders. You will leverage technologies such as AWS, Postman, New Relic, JIRA, and others to aid our customers in investigating and resolving complex issues. This position requires experience in product support and/or data analysis, and benefits from an understanding of US healthcare and care management. This is a high-growth position that offers deep and focused exposure to Arcadia engineering and product experts.

What Success Looks Like

In 3 months

– Learn the different areas of Arcadia product suite

– Independently Triage issues and escalate to partner teams as necessary

– Diagnose systemic problems and collaborate with customers and other teams to fix these problems

– Review and Monitor logs to identify issues or errors

In 6 months

– Be able to serve as a SME for multiple components in Arcadia’s product suite

– Deep understanding of the underlying product data model

– Provide constant feedback to the product and engineering teams to improve ability to support products with speed & quality

– Investigate and diagnose problems and collaborate with customers or other teams to resolve

In 12 months

– Comfortable communicating technical concepts to customers and stakeholders 

– Deep understanding of user flows, functional specifications, technical architecture, data models, and roadmap

– Take ownership of support for a set of products

– Contribute meaningfully to process improvements for the team

What You’ll Be Doing

• In this position, you will collaborate with a diverse and skilled cross-functional team managing intake, triage, troubleshooting, and resolution of Product Support issues. You will play a pivotal role in swiftly identifying and assessing issues ensuring a seamless service experience for our customers.  
• Assist in intake, triage, and resolution of support tickets
• Manage multiple work queues and maintain process documentation
• Provide detailed Root Cause Analysis for Data and Application related issues
• Build Subject Matter Expertise across Arcadia product lines and data-related areas
• Serve as a resource for both customers and Internal Stakeholders
• Identify and advocate for areas of improvement and proposed solutions
• Collaborate with Product and Engineering teams to advocate for resolution of Production bugs and feature enhancements
• This role will be expected to cover West Coast support hours which end at 6pm PST

What You’ll Bring

• 3-5 years as a technical, data, or support analyst/engineer or relative experience: healthcare industry experience is a plus
• High Proficiency in SQL and data analysis
• Understanding of Kanban/Scrum/Agile processes 
• Experience with investigating API, Application, Data, and Infrastructure related errors and issues
• Experience with AWS cloud infrastructure, Redshift, New Relic, Postman are a plus
• Ability to communicate technical issues and solutions to non-technical users and stakeholders
• Strong analytical, quantitative, problem solving and organization skills
• Attention to detail and ability to coordinate multiple tasks, set priorities and meet deadlines
• Experience with ETL, Database, or Application development/support leveraging tools such as Spark, Java, Kubernetes or are a plus
• Knowledge of HIPAA, experience with EHR/HL7/FHIR, experience in a secure data systems environment, experience in Atlassian Jira and Confluence are a plus.

What You’ll Get

• Chance to be surrounded by a team of extremely talented and dedicated individuals driven to succeed
• Be a part of a mission driven company that is transforming the healthcare industry by changing the way patients receive care
• A flexible, remote friendly company with personality and heart
• Employee driven programs and initiatives for personal and professional development
• Be a member of the Arcadian and Barkadian Community

About Arcadia

Arcadia.io helps innovative providers and payers across the country transform healthcare to reduce cost while improving patient health. We do this by aggregating large amounts of disparate data, applying algorithms to identify opportunities to provide better patient care, and making those opportunities actionable by physicians at the point of care in near-real time. We are passionate about helping our customers drive meaningful outcomes. We are growing fast and have emerged as a market leader in the highly competitive population health management software market and have been recognized by industry analysts KLAS, IDC, Forrester, and Chilmark for our leadership. For a better sense of our brand and products, please explore our website.

Protect Yourself

If you have concerns about the authenticity of a job offer or recruitment-related communication claiming to be from Arcadia, we encourage you to verify by contacting us directly at (781) 202-3600 and select option 3. For more information, visit our website.

Remote Data Entry Associate

by Irma Moore | Oct 30, 2024 | Uncategorized

Remote Data Entry Associate
 

Pay Rate: $15 per hour 
Location: Remote. Must live in or near Lexington, Kentucky
Training Schedule: Monday-Friday 9:00AM- 5:00PM.
Work Schedule Monday-Friday 8:00AM until work completion. 

Why Work With Us?
Joining Conduent as a Remote Data Entry Associate means working with a leading global business services provider while enjoying the flexibility of working from home. You’ll benefit from career growth opportunities and a supportive team environment.

As a Remote Data Entry Associate, you’ll play a key role in keeping our operations running smoothly. The main skills need for this role will include:

• Strong attention to detail
• Comfortable working with high volume workload/environment
• Must be able to type 45 words per minute.
• Previous data entry experience with high accuracy is preferred.

Benefits:

• Full Time Employment
• Career Growth
• Full Benefits and 401k Options
• Great Work Environment

Requirements:

• Must be able to pass a criminal background check and drug screening.
• Must be at least 18 years of age or older.
• Must have stable internet connection.
• Must have a High School Diploma or General Education Degree (GED).
• Must be eligible to work in the United States.

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information.  For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $26600 – $33250.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the “Submit” button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. You may also click here to access Conduent’s ADAAA Accommodation Policy.At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

Sr. Sales Executive, IT Services

by Irma Moore | Oct 30, 2024 | Uncategorized

NTT DATA strives to hire exceptional, innovative, and passionate individuals who want to grow with us. We are a recognized leader in IT and business services, headquartered in Texas. As a global division of NTT DATA – part of NTT Group – we leverage consulting and deep industry expertise to help clients accelerate and sustain value throughout their digital journeys. We are the preferred digital partner for organizations looking to push the boundaries of what’s possible with cloud, applications, and data transformation, simplifying the complexity of digital transformation.

Sr. Sales Executive, IT Services / Solutions in Retail, Transportation, and Hospitality, -North East US (Remote)

NTT DATA strives to hire exceptional, innovative, and passionate individuals who want to grow with us. We are a recognized leader in IT and business services, headquartered in Texas. As a global division of NTT DATA – part of NTT Group – we leverage consulting and deep industry expertise to help clients accelerate and sustain value throughout their digital journeys. We are the preferred digital partner for organizations looking to push the boundaries of what’s possible with cloud, applications, and data transformation, simplifying the complexity of digital transformation.

We are seeking a Sr. Sales Executive to join our team, focusing on IT Services and Solutions within primarily the RLTH industry. This is a remote position based in the greater Boston, Massachusetts area, with travel required for client meetings, events, conferences, etc. The ideal candidate will have significant experience in IT Solutions sales within the RLTH industry, with a proven track record of closing high-value deals. This role is an individual contributor position, focused on hunting and closing new business within these RLTH companies.

Job Responsibilities Include:

• Hunter Role: Originate and close new business at the C-Level, VP, and Director level within the RLTH industries.
• Develop and execute a strategy for new logo acquisition within the territory.
• Build and maintain relationships with prospective customers, leveraging NTT DATA resources such as Marketing, Consulting, and the CRO office.
• Generate, contribute, track, and manage new sales and account plan information.
• Promote solutions-selling with a focus on value-add techniques to identify business needs, develop customized solutions, and establish business partners at the customer’s C-Suite Level.
• Drive the entire sales cycle from initial engagement to closed sales, focusing on value-add solutions tailored to customer needs.
• Prospect for potential customers using both direct (calling, face-to-face meetings) and indirect methods (networking).
• Qualify prospects against NTT DATA criteria for ideal customers and sales.
• Maintain a high level of relevant domain knowledge to engage meaningfully with prospects.
• Make presentations to internal and customer senior leaders and decision-makers.
• Collaborate with technical staff and product specialists to address customer requirements.
• Report on sales activity regularly, ensuring accuracy in tracking and managing sales and account plan information.
• Cultivate strong relationships with third-party and partner companies to deliver comprehensive solutions to customers.
• Provide feedback to management on market trends, competitive threats, and opportunities for enhancing customer value through extended offerings.

Basic Qualifications:

• Minimum of 8 years of sales experience in Technology Solutions, Consulting Services, and/or Digital IT Solutions, with at least 70% experience in selling our portfolio of services
• Minimum of 3 years of current industry experience selling into RLTH clients
• Proven record of closing multi-million dollar IT Services and Solutions deals, preferably in the $15-20M+ range.
• Bachelor’s degree or equivalent experience (additional 4 years of work experience).
• Ability to travel up to 40% of the time.

About NTT DATA

NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at nttdata.com

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $102,206 – 236,172. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. 

This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short and long term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally-required benefits.

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