by Irma Moore | Dec 30, 2024 | Uncategorized
Employment Type:
Full time
Shift:
Description:
Posting
POSITION PURPOSE
Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement.
Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.
Assigns appropriate code(s) by utilizing coding guidelines established by:
• The Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting
• American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification
• American Health Information Management Association (AHIMA) Standards of Ethical
Coding
• Revenue Excellence/HM coding procedures and guidelines
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APR DRGs, and identify HACs and PSIs or other indicators that could impact quality data and hospital reimbursement.
Codes Inpatient health records utilizing encoder software and consistently uses online tools to support the coding process and references to assign ICD codes, MS-DRG, APR DRGs, POA, SOI & ROM indicators.
Reviews Inpatient health record documentation, as part of the coding process, to assess the presence of clinical evidence/indicators to support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials.
Works Inpatient claim edits and may code consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios.
Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM.
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
Utilizes EMR communication tools to track missing documentation or Inpatient queries that require follow-up to facilitate coding in a timely fashion.
Works with HIM and Patient Business Services (PBS) teams, when needed, to help resolve billing, claims, denial and appeals issues affecting reimbursement.
Maintains CEUs as appropriate for coding credentials as required by credentialing associations.
Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for Inpatient coding e.g., Hospital at Home.
Identifies, and attempts to problem solve, coding and/or EMR workflow issues that can impact coding.
Exhibits awareness of health record documentation or other coding ethics concerns. Notifies appropriate leadership for assistance, resolution when appropriate.
Performs other duties as assigned by Leadership.
Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior
MINIMUM QUALIFICATIONS
Completion of an AHIMA-approved coding program or Associate’s degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor’s degree in Health Information Management (HIM) or related healthcare field is preferred.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required.
Three (3) years of current acute care or Inpatient coding experience is required. Extensive, comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG, APR DRG assignment. Must be proficient on identifying POA, SOI and ROM indicators for Inpatient records as well as HACs and PSIs to ensure accurate hospital reimbursement.
Current experience utilizing encoding/grouping software and Computer Assisted Coding (CAC) is preferred.
Ability to use a standard desktop/laptop, email and other Windows applications, if needed, Internet and web-based training tools preferred.
Strong oral and written communication skills. Ability to communicate effectively with individuals and groups representing diverse perspectives.
Ability to research, analyze and assimilate information from various sources based on technical and experience-based knowledge. Must exhibit critical thinking skills, strong problem- solving skills and the ability to prioritize workload.
Excellent organizational and customer service skills. Ability to perform frequent detailed tasks and provide productivity standard driven results. Ability to adapt to change and be flexible with work priorities and interruptions.
Must be comfortable functioning in a 100% virtual, collaborative, shared leadership environment. with minimal supervision and able to exercise independent judgement.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles.
Must possess the ability to comply with Trinity Health policies and procedures.
Must be able to spend majority of work time utilizing a computer, monitor, and keyboard.
Must be able to work with interruptions and perform detailed tasks.
If applicable, involves a wide array of physical activities, primarily standing, sitting and reading. Must be able to sit for long periods of time.
Must be able to travel to various Trinity Health sites as necessary.
Hourly Pay Range: $26.88 – $ 40.32
If applicable, telecommuting (working remotely), must be able to comply with Trinity Health’s and the Region/HM Working Remote Policy.
The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
by Irma Moore | Dec 30, 2024 | Uncategorized
Introduction
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Data Abstractor I WFH today with Work from Home.
Benefits
Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Come join our team as a(an) Data Abstractor I WFH. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications
GENERAL SUMMARY OF DUTIES: This position is responsible for abstracting data to support the trauma service
SPECIFIC ELEMENTS AND ESSENTIAL FUNCTIONS
1. Performs data collection, data analysis, data entry, data completion and data validation of all patients meeting inclusion criteria into the trauma registry on a daily basis.
2. Responsible for reviewing medical records to abstract information according to the standards of various regulatory and accreditation agencies
3. Ensure delivery of Trauma Center data to the American College of Surgeons (NTDB/TQIP), the Virginia Department of Health (ESO/VSTR), the HCA-EWTDC Trauma Registry, and internal Chippenham Hospital departments in order to maintain trauma center designation.
4. Maintains compliance with the standards set forth in the Virginia Trauma Center Designation Manual and the American College of Surgeons, Resources for Optimal Care of the Injured Patient Manual.
5. Establish processes for data concurrency and data validation in order to ensure that the databases are current, and the data is also accurate.
6. Maintain knowledge of all rules, regulations, laws, and guidelines that impact or govern the Trauma Registry and ensures that Chippenham Hospital is in compliance.
7. Assist with case follow‐up as requested.
8. Attend educational activities as approved by Manager and/or Director to stay compliance with yearly educational requirements
9. Communicate in a timely manner with manager to achieve measure compliance.
10. Resolve errors resulting in the rejection of records from the data entry system.
11. Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
12. Other duties as assigned
KNOWLEDGE, SKILLS & ABILITIES:
1. Familiar with medical record documentation
2. Basic medical terminology and physiology
3. Able to navigate through the medical record and locate specific documentation
4. Understanding of patient discharge disposition and where to validate in the medical record
5. Ability to extract data from medical record content for abstraction
6. Proficiency in computer skills to include Microsoft Office applications
7. Possess basic keyboard skills
8. Knowledge of medical terminology, quality measures and coding logic.
EXPERIENCE:
1. 1 year in Trauma Registry/ Injury Coding Experience Required
-AIS 2008 or 2015 Injury coding, ICD 10
2. Familiarity with the TraumaBase CDM registry preferred
EDUCATION:
REQUIRED: High school degree (or equivalent) required
PREFERRED: Undergraduate (Associates or Bachelor) degree or successful completion of a certified coding program
CJW Medical Center is comprised of Chippenham Hospital and Johnston-Willis Hospital. We have served the greater Richmond Virginia area for over 100 years. Our campuses offer services in orthopedics, joint care, behavioral health, cancer care, and neurology. We have been recognized as a top performer on Key Quality Measures. Our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
by Irma Moore | Dec 30, 2024 | 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 UHealth-University of Miami Health System IT Department has an opportunity for a full-time BI Report Developer 2 to work remotely.
The BI Report Developer 2 partners with stakeholders and peer teams to deliver solutions for BI needs via reports, dashboards, SQL queries, and metadata layers. This position is regarded as a Subject Matter Expert in the areas of BI Reporting, Data Warehousing, and Data Modeling.
Core Responsibilities:
- Designs, develops and tunes dashboards and reports to meet business requirements.
- Works with ETL developers to determine report design strategies.
- Works with application analysts to identify and understand source data systems.
- Looks for opportunities to improve current processes or find efficiencies by ap plying industry best practices for BI development.
- Works on security setup and maintenance, tool administration, and data modeling.
- Develops and implements application documentation and training materials.
- Maintains communication with management and users during development or maintenance cycle.
- Reviews, tests and evaluates reports, queries, dashboards and analytical tools developed by teammates prior to move to production
- Develops and/or assists in the creation of project time estimates.
- Provides post implementation support of user questions and fine tuning of processes.
- Collects requirements and specifications to aid team leads in prioritization and resource allocation
- Maintains communications with management and users during development or maintenance cycle.
- Coordinates users’ activities during application development and maintains data and system integrity.
- Provides supervision and leadership to staff, as appropriate.
- Adheres to University and unit-level policies and procedures and safeguards University assets.
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:
- Bachelor’s degree in related field
- Minimum 5 years of relevant experience
- Excellent interpersonal skills
- Outstanding oral and written communication skills
- Strong knowledge of Reporting Tools
- Exceptional presentation and analytical skills
- Highly self-motivated
- Works effectively as part of a team or independently
Any relevant education, certifications and/or work experience may be considered.
#LI-AS1
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:H13Explore Location
by Irma Moore | Dec 27, 2024 | Uncategorized
The Client Account Specialist ensures proper and accurate client account set up for billing, collection arrangements, and inventory management of assigned client portfolios. This position develops strong collaborative relationships with lawyers throughout full cycle of client invoicing and collections. The Specialist guarantees that client service and satisfaction are attained in all areas.
JOB DESCRIPTION
- Responsible for complete ownership of the billing and collections cycle for designated portfolios of client matters.
- Establishes, fosters, and maintains professional and collaborative relationships with lawyers, business services personnel, and clients to ensure compliance with both lawyer and client specifications.
- Manages all billing and collections processes from engagement to collections with tact, diplomacy, and effective negotiation skills.
- Reviews rates for accuracy, ensures fee arrangement is in line with the client’s outside counsel guidelines, monitors fee caps, tier discounts and matter budgets; escalates where potential issues might occur (delayed billings, exceeding fee cap, etc.).
- Manages proforma to final bill process; ensures that the Matter Supervising Partners (MSP) receive accurate proformas and that they return their proformas in a timely manner.
- Submits finalized bills/eBills in appropriate template format, adhering to lawyer and client specifications. Ensures final bills have been submitted to the client and are posted in the finance system.
- Collaborates with the eBilling team regarding new client and matter eBilling set-ups.
- Submits invoices electronically, taking accountability for successful submission and troubleshooting issues. Proactively follows-up regarding acceptance and timely payment of eBills.
- Collaborates with Client Maintenance team to update appropriate fields, according to client billing guidelines.
- Communicates directly with clients as requested or as established, including following-up on ebilling collections and contacting clients as needed. Concisely communicates arrangements with MSP’s and clients regarding their matters; provides clients with requested information on any special billing and or collection arrangements. Responds to all inquires relating to same.
- Responds to inquiries relating to accruals, billing and payment information; Recommends solutions based on billing trends relating to realization; Prepares ad hoc reports upon request.
- Prepares effective monthly billing and collections forecasts for assigned portfolio.
- Maintains updated proforma status report; ensures the system reflects the current status for all proformas
- Establishes effective back-up support processes (cross-training and knowledge transfer) to ensure seamless support for all portfolio matters.
- Participates in continuous improvement of processes for own portfolio and for the Client Account Specialist group as a whole; Offers constructive recommendations and solutions; Proposes streamlined processes; actively solves problems.
- All members of the firm participate in our Global Citizenship program.
- Other duties as assigned.
QUALIFICATIONS
REQUIRED SKILLS
- Excellent written and verbal communication skills. Ability to communicate effectively with lawyers, Business Team employees, and peers. Ability to exchange information, present ideas and report in a clear and concise manner.
- Talent for delivering client service through teamwork.
- High level of business acumen and attention to detail. Ability to multi-task and manage large amounts of data.
- Strong organizational and management skills and an ability to prioritize and complete simultaneous projects with minimal supervision.
- Experience working independently, within cross-functional teams, in a collaborative, professional environment.
- Ability to assess pertinent information, anticipate issues and outcomes, and make effective decisions.
- Proven critical thinking and problem solving skills. Good judgment and decision making.
- Ability to meet deadlines and work well under pressure, while preparing accurate and detailed work product. High comfort level with sometimes stressful client requirements.
- Reliability, dependability, and strong motivation to respond to requests quickly.
- Proficiency in Microsoft Office (Word, Excel, PowerPoint).
- Basic math skills to perform billing and reporting tasks.
- Ability to speak Spanish is a plus.
EDUCATION, CERTIFICATIONS AND/OR EXPERIENCE
- Bachelor’s degree in accounting, finance, or business discipline preferred.
- Three (3)+ years’ experience in dedicated specialized billing, collections, or account management experience.
- Hands-on experience performing complex accounting analysis.
- Law firm or professional services experience preferred.
HOURS
Core hours are Monday through Friday, 9:00 a.m. to 5:30 p.m. or 9:30 a.m. to 6:00 p.m., including one hour for lunch with flexibility for overtime as needed. With respect to agile working and hybrid schedules, our goal is to embed flexibility across our business by giving everyone the opportunity to work in an agile way, whether as a regular pattern or on an ad hoc basis, and we will be happy to discuss this further. This position is eligible to be fully remote.
This job description sets forth the responsibilities of this position and may be changed from time to time as shall be determined.
Hogan Lovells is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, age, national origin, disability, sexual orientation, gender identity or expression, marital status, genetic information, protected Veteran status, or other factors protected by law.
Hogan Lovells complies with federal and state disability laws and makes reasonable accommodations for applicants and candidates with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, please contact our Benefits Department at [email protected].
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