Responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, CPT/HCPCS procedure codes, and modifiers to ensure proper reimbursement for complex outpatient accounts.
Compensation
Compensation Range: $24.60 - $36.34
Responsibilities
Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and CPT/HCPCS procedural codes, and modifiers accurately reflect and support the hospital-based outpatient encounter
Identifies documentation clarification opportunities to ensure that documentation supports the coding and charges for the services provided. Initiates coding queries and provides feedback to clinicians
Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided
Works with the coding denials team for education and assists with denial prevention solutions
Ensures outpatient accounts are coded accurately and in a timely manner
Requirements
Successful completion of a coding program, which included coursework in ICD-10-CM, CPT/HCPCS, medical terminology, anatomy and physiology and disease processes
Two (2) years of hospital outpatient coding experience
Cardiovascular Interventional Technologist Level II (CIT II) sets exposure parameters and provides the radiographic technical expertise during cardiovascular, neurovascular and angiographic procedures.
Compensation
Base Pay Scale: Generally starting at $76.29 - $85.91 per hour
Responsibilities
Competent to work in 3 services working to proficiency: Cardiovascular (adult/pediatric), Neurovascular, Interventional Radiology Vascular, and EP
Provides scrub assistance during procedures
Sets exposure parameters on fixed and mobile angiography equipment
Enters data such as patient demographics in imaging equipment
This position assists medical staff providers with documentation in the medical record, reviewing physician documentation daily to reflect the level of service provided and ensure accurate clinical severity capture.
Compensation
Minimum Offer $65,520.00 Maximum Offer $111,612.80
Responsibilities
Performs concurrent reviews of the medical record for inpatient admissions to include assignments of DRG
Identifying complication and co-morbid conditions and specific co-existing conditions
Works collaboratively with Medical Staff, Nursing Staff, and patient care givers to improve quality of chart documentation
Assist physicians with documentation requirements to support medical necessity for hospital and physician billing
Interprets clinical information in the medical record, ordered interventions, lab and test results, and queries if necessary
Requirements
Associates degree in Nursing
Bachelors degree
Nice to have: CCDS (Certified Clinical Documentation Specialist)
Intermediate Clinical Research Nurse (CRN) advocates for patient safety and protocol integrity, adheres to patient care standards, and communicates effectively to ensure effective conduct of clinical trials and quality patient care.
Responsibilities
Advocates for patient safety and protocol integrity
Adheres to patient care standards
Communicates effectively to ensure effective conduct of clinical trials
Assumes responsibility for accurately coding and abstracting medical records of discharged patients for reimbursement purposes and to establish statistical indices and data sources used for research studies, surveys, and medical audits.
Compensation
Base Pay Scale: Generally starting at $39.56 - $49.45 per hour
Responsibilities
Codes a wide variety of principal and secondary diagnoses and procedures according to the latest adaptation of the International Classification of Diseases (ICD-9-CM) and CPT4 coding and according to official coding guidelines and UHDDS definitions.
Relies of knowledge of anatomy, physiology, disease processes, and medical terminology in searching the medical chart in order to complete properly sequence the coding of diagnoses and procedures.
Assigns CPT4 procedure codes on appropriate Medicare and Medi-Cal inpatient charts and outpatient charts.
Abstracts data elements on-line according to department guidelines, abstracting requirements, hospital and department needs.
Abstracts pertinent data from medical charts according to criteria established by the office of Statewide Health Planning and Development (OSHPD), Medical Staff for individual physicians for various studies.
Requirements
RHIA (Registered Health Information Administrator)
RHIT (Registered Health Information Technician)
CCS (Certified Coding Specialist)
Medical Terminology
REMOTE PROFESSIONAL CERTIFIED CODER - (PLASTICS/RADIATION ONCOLOGY)
Responsible for accurately coding and abstracting office, observation, inpatient, and general surgical records, including complex ambulatory and inpatient procedures, ensuring compliance for reimbursement and reporting requirements.
Responsibilities
Code and abstract office, observation, inpatient records, and surgical procedures
Assign and sequence appropriate ICD-10-CM codes for all diagnoses, signs, symptoms, and conditions
Accurately assign CPT/HCPCS codes for procedures performed and services rendered
Add necessary modifiers to CPT codes to ensure full description of services provided
Review and respond to APC, OCE, CCI, and medical necessity edits
Requirements
High school diploma or equivalent
AAPC/CPC (Certified Professional Coder) certification
Associate degree in a health-related field preferred
The Subject Matter Expert (SME) serves as the clinical and operational resource for the AO Clinical Claims Program, providing expertise on clinical claims processes, medical documentation review, disability management guidelines, quality standards, and client-specific policies and procedures while also performing core clinical claims review and case management responsibilities.
Responsibilities
Serve as the primary clinical subject matter expert for disability and clinical claims operations
Interpret and apply client-specific guidelines, medical policies, and standard operating procedures
Review complex cases and provide recommendations to associates and leadership teams
Support accurate evaluation and documentation of clinical claims based on medical evidence and established protocols
Ensure consistency in claims handling and decision-support processes
Requirements
Bachelor's Degree in Nursing (BSN)
Nice to have: experience supporting Disability Claims, Group Benefits
Clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient accounts. Competently assigns ICD-10-CM, CPT-4, HCPCS codes to complex outpatient accounts for billing, internal and external reporting, research, and regulatory compliance.
Responsibilities
Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards.
Actively participates in creating and implementing workflow improvements.
Assigns ICD-10-CM, CPT-4, or HCPCS codes to all diagnoses, treatments, and procedures on complex hospital outpatient or clinical department visits.
Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.
Research and understand simple and moderately complex coding issues.
Requirements
Completion of an accredited coding certificate program
Health Information Technician program
Nice to have: Associate of Science in Health Information
Nice to have: Bachelor of Science in Health Information
Nursing student providing patient care under supervision of a Registered Nurse in a surgical trauma setting.
Compensation
$25.00 - $25.00
Responsibilities
Responds to patient care needs by answering call lights, assisting patients with hygiene care and nourishment, obtaining vital signs, and communicating constructively, effectively, and timely with members of the care team.
Assists with Foley catheter and nasogastric tube insertions, care, and removal.
Checks and documents patient vitals, glucose levels, inputs, and outputs. Documents patient care with the additional signature of a Registered Nurse.
Performs secondary assessments as additions to the primary assessment performed by a Registered Nurse.
Assists with patient and family education related to the patient’s disease process, medications, and interventions related to the plan of care.
Requirements
Nursing student in an accredited School of Nursing program with completed medical/surgical rotation
Nice to have: Completion of all clinical coursework except final/capstone
Nice to have: 1+ years of previous experience in a healthcare setting
Physical Therapist responsible for directing physical therapy services, supervising department operations, and ensuring compliance with regulations at Modoc Medical Center.
Responsibilities
Direct physical therapy services
Coordinate and supervise department operations
Administer prescribed physical agents
Maintain performance improvement activities
Participate in continuous quality improvement
Requirements
Current California licensure or certification as a physical therapist
CTO Clinical Research Nurse - IntermediateUT Health San Antonio Staff Positions · San Antonio, US
REMOTE PROFESSIONAL CERTIFIED CODER - (PLASTICS/RADIATION ONCOLOGY)Riverside Healthcare · Remote, US
Coder 3Fairview Health Services · St Paul, US