by Irma Moore | Feb 25, 2025 | Uncategorized
Position Title: Ambulance Coding Specialist
Reports To: Billing Manager
FLSA Status: Non-exempt
SUMMARY: This position is responsible for reviewing and evaluating ambulance run reports to assign appropriate HCPCS and ICD-10 codes. In addition, the coding specialist will be responsible for tracking any documentation or system trends and reporting these to management.
ESSENTIAL DUTIES AND RESPONSBILITIES: (Responsibilities include, but not limited to)
- Verify patient demographics and insurance verification are complete.
- Accurately assign the appropriate HCPCS codes and modifiers to each account according to Federal/Local regulations
- Accurately assign the appropriate diagnosis code(s) to each account according to Federal/Local regulations
- Consistently achieve defined metrics.
- Adhere to company policies and procedures.
- Regular attendance is an essential function of the position.
- Other duties as assigned.
KNOWLEDGE AND SKILLS:
- Ability to read, analyze and interpret insurance plans.
- Possess intermediate knowledge of Medicare, Medicaid, and insurance benefits.
- Demonstrate knowledge of ICD-10 CM coding
- Must have accurate, high-level data entry skills with continuous quality focus
- Must have excellent phone and customer service skills.
- Must be detail oriented with excellent organizational and problem solving skills.
- Experience in MS Office and general computer skills
PHYSICAL REQUIREMENTS:
- This is a remote positions.
MINIMUM QUALIFICATIONS:
- Minimum education required: Medical Terminology course, Anatomy and Physiology course, and completion of an accredited coding course, minimum of 80 hours of class time.
- Certified Professional Coder (CPC) or (CCS) preferred or CAC certification.
- Previous internship plus 3 months of experience or one year of medical coding experience.
Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.
Allegiance is an EEO employer as defined by the EEOC.
by Irma Moore | Feb 25, 2025 | Uncategorized
Important Notice for Applicants:
At Bixal, we want to ensure a transparent and secure application process for all candidates. Official communication will come from an email address ending in @bixal.com or from [email protected]. Messages from other sources may be fraudulent, and you should exercise care to avoid any links or attachments included. If you experience any challenges with your submission, please contact us at [email protected]. We’re here to help!
Bixal will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. If you require any accommodation as part of our recruitment process, please contact us at [email protected]. You can expect a response from a team member within 24 hours during the regular work week and on the next operating day during the weekend or holidays.
About Us:
Bixal is a consulting company based in Fairfax, VA, working alongside governments and organizations to help them deliver better services and experiences to the communities they serve. Using evidence-based knowledge and technology, Bixal empowers clients to deliver on their missions more effectively by fostering a culture of learning and continuous improvement.
Location
This role can work remotely from anywhere in the USA. You must be legally authorized to work in the US. Bixal does not provide visa sponsorship.
About the SPRUCE IDIQ:
The SPRUCE IDIQ is a $2.4 billion contract vehicle awarded by the Department of Veterans Affairs to acquire digital products and services that facilitate better user experiences. It encompasses five technical functional areas: software development and operations, technical advising and architecture planning, service design and user research studies, data science and analytics, and product support operations.
What will you do?
We are seeking a Senior Product Data Analyst to lead a critical initiative under the Secure, Performant, Reliable, and User-Centered Experiences (SPRUCE) IDIQ contract with the Department of Veterans Affairs (VA). This role will focus on the Lifestage Benefits Crew, which focuses on providing tailored benefits and support to veterans based on their specific life stages, such as young veterans, mid-career veterans, and aging veterans, ensuring they receive the most relevant assistance throughout their lives. The Senior Content Designer will fulfill the content needs of product teams working on digital tools and applications in the OCTO Benefits Portfolio.
This is a full-time position contingent on contract award by our client, with a defined performance period of one year with two one year option periods. This role offers you a unique opportunity to make a meaningful impact on a project that aligns with Bixal’s mission of delivering innovative, human-centered solutions. While the role has a fixed duration, we are committed to transparency and collaboration, keeping you informed about contract updates and new opportunities. At Bixal, we support your professional journey, ensuring your experience reflects our inclusive, purpose-driven culture and prepares you for future success.
Responsibilities
- Measure product success: Define and evaluate the effectiveness of product features in meeting user needs and government objectives, using data-driven approaches.
- Analyze quantitative and qualitative data: In collaboration with delivery teams, collect and analyze feedback from user research, analytics, CSAT, monitoring dashboards, claims submission process, and claim adjudication.
- Ensure data quality: Establish and maintain data integrity by developing processes to ensure that data used for analysis is accurate, reliable, and up to date.
- Create dashboards: Develop and maintain dashboards that allow team members and stakeholders to easily track the performance of products in real-time.
- Identify areas for innovation: Proactively identify areas for innovation or process optimization within the product or the development workflow.
- Promote data-driven decision-making: Advocate for a data-driven culture within the product and development teams, ensuring decisions are backed by solid analysis and evidence.
- Lead product analysis initiatives: Take a lead role in important product analysis initiatives, ensuring alignment with product strategy and stakeholder objectives.
- Manage a complex stakeholder environment, with the ability to manage competing interests and find common ground.
- Perform other relevant duties as required.
Minimum Qualifications
- Bachelor’s degree in a related field plus at least four years of relevant experience developing and implementing content strategies for large websites and digital products.
- Strong understanding of human-centered design (HCD) strategies, methods, and approaches, and how content design fits in and elevates UX and product design deliverables and solutions.
- A portfolio of work that demonstrates a strong understanding of content design deliverables (e.g., content strategies, content models, UX writing).
- Experience working with Agile development teams.
- Demonstrated experience working within cross-functional digital teams
- Strong consultation and collaboration skills; comfortable facilitating meetings and workshops with cross-functional project teams.
- Excellent verbal and written communication skills.
- Experience in writing, revising, sourcing, and aggregating content.
- Experience using voice of the customer data and analytics to support content strategy.
- An understanding of plain language guidelines and accessibility standards (Section 508, WCAG).
- Experience working with content management systems and/or digital experience. platforms, including creating and managing plans for migrating content from legacy to modernized content management solutions.
- Ability to obtain and maintain a Public Trust clearance
Perks & Benefits:
Flex hours
401K with matching incentive
Parental Leave
Medical/dental/vision benefits
Flex Spending Account
Company provided short-term disability and life insurance
Commuter benefits
Generous PTO
11 Paid holidays
Professional development opportunities
Please note that candidates selected may undergo a background investigation and, if applicable, meet eligibility requirements for suitability.
Our company is committed to providing equal employment opportunities for all individuals and complies with all applicable federal, state, and local anti-discrimination laws. Employment decisions are based on merit, qualifications, and business needs.
by Irma Moore | Feb 25, 2025 | Uncategorized
Job Description
Join UChicago Medicine Care Network, as a Revenue Claims Coding Specialist, UCM Care Network in the Burr Ridge, IL location. In this role you will primarily support Administrative Support Workers. This position will be primarily a work from home
opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area.
Revenue Claims Coding Specialist (RCCS) works under the supervision of the Manager, Revenue Claims Coding Specialist. The RCCS team works collaboratively with Primary Healthcare Associates (PHA) physicians assigned to his/her team/group in order to provide an optimal revenue cycle environment that is efficient, effective, comprehensive and compliant. The RCCS team also works collaboratively with the PHA practice managers, billing staff and when needed, insurance payers to support a highly efficient, effective, and compliant revenue cycle program. The typical work includes the entry of professional charges from charge tickets into EPIC, resolution of coding edits for all payers, revenue reconciliation, identify and/or organize appropriate education for physicians. Effective communication with management, providers and practice directors will be key. The Revenue Claims Coding Specialist will also be responsible for the completion of all work assignments in a proficient and accurate manner; meeting productivity and quality standards set by the Revenue Claims Coding Specialist Manager.
Essential Job Functions
- Works directly with manager as assigned to charges from PHA providers for non-office based services, i.e. inpatient, outpatient surgery, dialysis and nursing home visits to facilitate charge entry, resolve coding and charging issues for all payers (NCCI, OCE, MUE, LCD, payer custom edits), including but not limited to denials and disputes
- Serves as a charging/coding resource supporting physician’s/provider’s revenue capture. As such, organizes charge tickets for timely entry into EPIC
- Review medical documentation for assigning billing modifiers to insurance claims where appropriate and applicable. Works assigned work ques daily with the goal to complete all assigned tasks
- Perform charge reconciliation and work with the physicians/providers and/or practice managers in instances of missing charges/ revenue
- Routinely communicates with manager and where possible, providers, practice administrators, billing staff and payers as needed to discuss clinical questions with respect to coding assignment or resolution of edits in a courteous and professional manner
- Provide appropriate feedback to manager and provider for education on trends identified from errors or payer denials
- Participate in meeting with provider, practice manager as assigned by manager to improve the overall claims, revenue cycle, and business functions of the practice
- Attends and participates in team meetings to discuss coding/charging issues and participates on projects as requested. Maintains current knowledge of all billing and compliance policies, procedures and regulations and attends appropriate training sessions as required
- Meets all productivity and quality expectations and participates in all scheduled audits and performs other duties as assigned
Required Qualifications
- Ability to identify trends and recommend solutions to billing and revenue cycle processes and problems
- Coding certification through AAPC or AHIMA required
- High school diploma
- Proven working knowledge of professional billing of CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) coding systems
- Knowledge of Federal billing regulations governing Medicare and Medicaid programs and working knowledge of other managed care and indemnity (third party) payer requirements
- Must possess a working knowledge of Local and National Coverage Determination policies (LCD’s and NCD’s), Ambulatory Payment Classification (APC) related edits such as the National Correct Coding Initiative (NCCI) and Outpatient Code Editor (OCE).
- Must be proficient in Microsoft Excel and Word
- Must be highly analytical and have excellent written and verbal communication skills
Preferred Qualifications
- Epic experience
- Associate or bachelor’s degree in a health-care information or health care finance related field
- Prior experience with Provider E/M
Position Details
- Job Type/FTE: Full Time (1.0 FTE)
- Shift: Days
- Work Location: Flexible Remote/ Burr Ridge, IL
- Unit/ Department: Revenue Cycle
- CBA Code: Non-Union
#UCMOther24
To apply, Please email your resume to [email protected].
Why Join Us
We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities.
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
Must comply with UChicago Medicine’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background check are also required for all employees prior to hire.
by Irma Moore | Feb 25, 2025 | Uncategorized
Current Employees:
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The University of Miami/UHealth Central Business Office has exciting Full-Time Senior Medical Biller opportunities work remotely. The Senior Medical Biller processes billing information in appropriate system and assists supervising staff in maintaining quality control of data by identifying potential problems, and offering and implementing solutions.
CORE QUALIFICATIONS
- Assists management with the training of new staff.
- Runs reports weekly on accounts and monitors to keep the contents at a minimum.
- Verifies all claims and ensures edits are collected and released in a timely fashion.
- Reports edits by billing area to managing staff on a monthly basis.
- Verifies that all controls are followed so that no charges are missed.
- Verifies all payment reconciliation processes are followed at the clinics.
- Ensures that all charges are entered in a timely fashion.
- Reviews encounters received for all pertinent information.
- Coordinates the correction of inaccurate vouchers, and prints daily voucher report to reconcile all vouchers.
- Adheres to University and unit-level policies and procedures and safeguards University assets.
Department Specific Functions
- Reviews and releases all physician charges from the assigned WQ’s in a timely fashion.
- Reviews encounters received for all pertinent information: patient demographic information, guarantor and insurance information, place of service, referrals, claim info record, and managed care authorization requirements.
- Runs insurance eligibility and fixes registration issues.
- Manually enters paper vouchers received for missing charges.
- Reviews and fixes erroneous and/or rejected charges.
- Distributes credits from patient payments as needed.
- Assigns charges to cases and phases.
- Performs other duties as assigned.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
- High School diploma or equivalent required
- Minimum 3 years of relevant experience required
- Knowledge of generally accepted accounting procedures and principles.
- Skill in completing assignments accurately and with attention to detail.
- Ability to process and handle confidential information with discretion.
- Ability to work independently and/or in a collaborative environment.
- Ability to communicate effectively in both oral and written form.
Any appropriate combination of relevant education, experience and/or certifications may be considered.
#LI-NN1
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida’s only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We’re the challenge you’ve been looking for.
The University of Miami is an Equal Opportunity Employer – Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:Full time
Employee Type:Staff
Pay Grade:H4Explore Location
by Irma Moore | Feb 25, 2025 | Uncategorized
- Glendale, California
- Professional
Job Description
NATIONAL LEADERS IN PEDIATRIC CARE
Ranked among the top 10 pediatric hospitals in the nation, Children’s Hospital Los Angeles (CHLA) provides the best care for kids in California.
Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.
The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.
Join a hospital where the work you do will matter—to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.
It’s Work That Matters.
Overview
**This position is Remote. Candidates must reside in California.**
Purpose Statement/Position Summary: In conjunction with the Manager, HIM Coding & CDI, responsible for direct supervision of the HIM Coders to meet or exceed the DNFB Goals for the HIM Department. May perform management responsibilities in the absence of the Manager.
Minimum Qualifications/Work Experience: 3+ years in a large acute care hospital with lead or supervisory experience. 3-5 years of Inpatient/Outpatient Supervisory or Management and RHIT and CCS with Inpatient/Outpatient coding experience. Cerner, 3M HDM, and MDAudit knowledge and Auditing experience preferred. Proficient in computer programs, strong attention to detail, ensure consistency in execution across the team, perform inpatient and outpatient coding audits and any other special projects. Must be able to demonstrate understanding of complex inpatient and outpatient coding concepts including APR-DRGs, ICD-10-CM, ICD-10-PCS, CPT, E&M, and Modifiers). Participate in planning, development, and implementation of ongoing success of the coding team.
Education/Licensure/Certification: High school diploma, GED or equivalent. Credentialed Coding Specialist (CCS) required. Registered Health Information Administrator (RHIA) or Accredited Health Information Technician (RHIT) preferred.
Pay Scale Information
$80,288.00-$144,518.00
CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures.
Children’s Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you’ll find an environment that’s alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures – for our patients, as well as for you and your career!
CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.
At Children’s Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.
Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process.
Diversity inspires innovation. Our experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.HIM Coding
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