6 open positions available
The Benefits Manager oversees the administration of employee benefit programs, ensuring compliance with regulations and effective vendor performance. They manage full-cycle annual enrollment activities and lead benefit plan operations. | A Bachelor's degree in business administration or Human Resources management is required, along with five years of experience in benefits administration. Preferred qualifications include experience in a healthcare environment and managing self-insured medical plans. | Job Summary: The Benefits Manager leads and directs a team on the administration of employee benefit programs. Ensures benefit programs comply with applicable regulations and vendor performance is monitored through integration files, billing and reconciliation. Evaluates processes and procedures ensuring effective operation through process improvement, coordination, and collaboration. Education: Required: Bachelor's degree in business administration, Human Resources management or related field. Experience: Required: -Five years of experience in leading benefits administration. -Experience managing retirement plans and health and welfare insurance programs. Preferred: -Previous experience working in a healthcare environment. -Experience managing a self-insured medical plan. Knowledge, Skills & Abilities: -Expert knowledge of federal and state laws related to health, welfare, retirement, and leave programs. -Hands-on leader and ability to prioritize competing responsibilities, clearly communicate expectations and adhere to deadlines. -Strong analytical skills with ability to present results in a clear and effective manner. -Advanced Microsoft Excel skills required. -Effective communication and interpersonal skills with a proven ability to work in a collaborative, team-oriented environment. -Strong attention to detail and excellent customer service required. -Ability to effectively manage time, balance challenging multiple tasks, work within stringent time frames and execute projects to completion. -Ability to plan and execute process improvement initiatives and measure outcomes to demonstrate improvement. Department Position Summary: Key Responsibilities Benefit Administration - Manages full-cycle annual enrollment activities, including planning, system setup, employee communications, vendor coordination, and post-enrollment audits. Leads benefit plan operations, including vendor integration, billing, reconciliation, and compliance. Relationship Management - Builds strong partnerships and effectively collaborates with HR peers to ensure alignment and consistency across functions. Manages successful relationships with benefit brokers and vendors to ensure service excellence. Leadership & Team Development - Provides coaching, mentorship, and developmental opportunities to direct reports, fostering a high-performing and growth-oriented team. Employee Education & Engagement - Leads benefit communications, including education and engagement strategies, to improve employee understanding and appreciation of Erlanger's benefits package. Develops targeted messaging and resources to support informed decision-making during enrollment and throughout the year. #remote
The Benefits Manager oversees the administration of employee benefit programs, ensuring compliance with regulations and effective vendor performance. They manage full-cycle annual enrollment activities and lead benefit plan operations, including vendor integration and compliance. | A Bachelor's degree in business administration or a related field is required, along with five years of experience in benefits administration. Preferred qualifications include experience in a healthcare environment and managing self-insured medical plans. | Job Summary: The Benefits Manager leads and directs a team on the administration of employee benefit programs. Ensures benefit programs comply with applicable regulations and vendor performance is monitored through integration files, billing and reconciliation. Evaluates processes and procedures ensuring effective operation through process improvement, coordination, and collaboration. Education: Required: Bachelor's degree in business administration, Human Resources management or related field. Experience: Required: -Five years of experience in leading benefits administration. -Experience managing retirement plans and health and welfare insurance programs. Preferred: -Previous experience working in a healthcare environment. -Experience managing a self-insured medical plan. Knowledge, Skills & Abilities: -Expert knowledge of federal and state laws related to health, welfare, retirement, and leave programs. -Hands-on leader and ability to prioritize competing responsibilities, clearly communicate expectations and adhere to deadlines. -Strong analytical skills with ability to present results in a clear and effective manner. -Advanced Microsoft Excel skills required. -Effective communication and interpersonal skills with a proven ability to work in a collaborative, team-oriented environment. -Strong attention to detail and excellent customer service required. -Ability to effectively manage time, balance challenging multiple tasks, work within stringent time frames and execute projects to completion. -Ability to plan and execute process improvement initiatives and measure outcomes to demonstrate improvement. Department Position Summary: Key Responsibilities Benefit Administration - Manages full-cycle annual enrollment activities, including planning, system setup, employee communications, vendor coordination, and post-enrollment audits. Leads benefit plan operations, including vendor integration, billing, reconciliation, and compliance. Relationship Management - Builds strong partnerships and effectively collaborates with HR peers to ensure alignment and consistency across functions. Manages successful relationships with benefit brokers and vendors to ensure service excellence. Leadership & Team Development - Provides coaching, mentorship, and developmental opportunities to direct reports, fostering a high-performing and growth-oriented team. Employee Education & Engagement - Leads benefit communications, including education and engagement strategies, to improve employee understanding and appreciation of Erlanger's benefits package. Develops targeted messaging and resources to support informed decision-making during enrollment and throughout the year. #remote
The specialist is responsible for assigning and sequencing diagnosis and procedure codes for inpatient and outpatient encounters based on medical record documentation. They must ensure adherence to coding guidelines and maintain coding certification while participating in performance improvement initiatives. | Candidates must have a coding certification and at least 4 years of coding experience in an acute care hospital. Knowledge of coding conventions, medical terminology, and the ability to navigate electronic medical records are essential. | Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, SC, TN, TX, VA, WI, WY REMOTE Job Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators (inpatient only) on inpatient or outpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Inpatient Coding - Must code all types of adult and pediatric Inpatient cases including long length of stays, mortality, trauma, L&D, NICU, and normal newborns. Outpatient Coding - Must code all types of outpatient cases includes, ED, outpatient, OBS, Same Day Surgery. Detailed responsibilities: 1. Reviews inpatient or outpatient medical records to assign and sequence all appropriate diagnosis and procedures codes utilizing encoder software and following by proficiently translating diagnostic statements, procedure descriptions, physician orders, and other pertinent documentation. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) on inpatient cases or Ambulatory Payment Classification (APCs) on outpatient cases for appropriate code assignment. 2. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts admission type, point of origin, discharge disposition, physicians, procedure dates and on inpatient cases present on admission (POA) indicators. 3. Reviews appropriate coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials. 4. When documentation or valid order is incomplete, vague, or ambiguous, it is the responsibility of coder to work in conjunction with Leadership to utilize the appropriate physician clarification process to obtain additional information that provides a codeable diagnosis, procedure and/or physician order. 5. Outpatient coders are responsible for following charge verification processes and routing accounts based on missing, incomplete, or inaccurate charging. Other responsibilities include: - Adherence to Health Information Management (HIM) Coding policies. - Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures. OP coding validates reason for visit and IP validates admit diagnosis. - Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to continually improve coding quality and accuracy. - Responsibility for maintaining coding certification and knowledge referencing diagnosis and procedural coding classification system coding guidelines and regulatory changes. - Contacts the appropriate department or physician for assistance in obtaining physician clarification of Diagnoses and procedures. - Participates in performance improvement initiatives as assigned. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The coder must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers. 4. Accurate translation of written procedure descriptions to accurately assign ICD 10 PCS procedure codes for inpatient and CPT/HCPCs codes for outpatient accounts. 5. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges. 6. Knowledge of clinical content standards. Education: Required: - Validation of coding certification, i.e., specialty focus such as ICD-10-CM coding, ICD-10-PCS, CPT coding, and billing practices from an accredited program. Preferred: - BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program. Experience: Required: - Must demonstrate knowledge of coding to support this position. - Ability to follow standard practices in coding and reimbursement. - Demonstrate the knowledge of optimization of coding for reimbursement. - Computer literate in a windows environment, also basic word processing skills, knowledge of MS Office and a basic graphics package. - Possess excellent communication skills both written and oral. - Demonstration of sound judgment and organizational ability. - Ability and knowledge to maintain a quality and quantity standard in coding. - Must have 4 years of coding experience in an acute care hospital. Preferred: - Level 1 Academic medical center experience Position Requirement(s): License/Certification/Registration Required: - RHIT, RHIA, CCS, CPC, or CPC-H Preferred: - N/A Department Position Summary: The employee must be able to demonstrate the knowledge and skills necessary to optimally code inpatient or outpatient encounters (based on team assigned). The individual must demonstrate knowledge of the various payment schemes for inpatient encounters or outpatient encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded. The associate must demonstrate the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. The associate must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to accomplish assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. The associate will perform any other tasks as assigned.
The Hospital Reimbursement & Coding Specialist III is responsible for assigning and sequencing diagnosis and procedure codes for inpatient and outpatient encounters based on medical record documentation. This role requires adherence to coding guidelines and collaboration with leadership for clarification on documentation. | Candidates must have a coding certification and at least 4 years of coding experience in an acute care hospital. Knowledge of coding conventions and the ability to maintain quality and productivity standards are essential. | Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, SC, TN, TX, VA, WI, WY REMOTE Job Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators (inpatient only) on inpatient or outpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Inpatient Coding - Must code all types of adult and pediatric Inpatient cases including long length of stays, mortality, trauma, L&D, NICU, and normal newborns. Outpatient Coding - Must code all types of outpatient cases includes, ED, outpatient, OBS, Same Day Surgery. Detailed responsibilities: 1. Reviews inpatient or outpatient medical records to assign and sequence all appropriate diagnosis and procedures codes utilizing encoder software and following by proficiently translating diagnostic statements, procedure descriptions, physician orders, and other pertinent documentation. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) on inpatient cases or Ambulatory Payment Classification (APCs) on outpatient cases for appropriate code assignment. 2. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts admission type, point of origin, discharge disposition, physicians, procedure dates and on inpatient cases present on admission (POA) indicators. 3. Reviews appropriate coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials. 4. When documentation or valid order is incomplete, vague, or ambiguous, it is the responsibility of coder to work in conjunction with Leadership to utilize the appropriate physician clarification process to obtain additional information that provides a codeable diagnosis, procedure and/or physician order. 5. Outpatient coders are responsible for following charge verification processes and routing accounts based on missing, incomplete, or inaccurate charging. Other responsibilities include: - Adherence to Health Information Management (HIM) Coding policies. - Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures. OP coding validates reason for visit and IP validates admit diagnosis. - Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to continually improve coding quality and accuracy. - Responsibility for maintaining coding certification and knowledge referencing diagnosis and procedural coding classification system coding guidelines and regulatory changes. - Contacts the appropriate department or physician for assistance in obtaining physician clarification of Diagnoses and procedures. - Participates in performance improvement initiatives as assigned. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The coder must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers. 4. Accurate translation of written procedure descriptions to accurately assign ICD 10 PCS procedure codes for inpatient and CPT/HCPCs codes for outpatient accounts. 5. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges. 6. Knowledge of clinical content standards. Education: Required: - Validation of coding certification, i.e., specialty focus such as ICD-10-CM coding, ICD-10-PCS, CPT coding, and billing practices from an accredited program. Preferred: - BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program. Experience: Required: - Must demonstrate knowledge of coding to support this position. - Ability to follow standard practices in coding and reimbursement. - Demonstrate the knowledge of optimization of coding for reimbursement. - Computer literate in a windows environment, also basic word processing skills, knowledge of MS Office and a basic graphics package. - Possess excellent communication skills both written and oral. - Demonstration of sound judgment and organizational ability. - Ability and knowledge to maintain a quality and quantity standard in coding. - Must have 4 years of coding experience in an acute care hospital. Preferred: - Level 1 Academic medical center experience Position Requirement(s): License/Certification/Registration Required: - RHIT, RHIA, CCS, CPC, or CPC-H Preferred: - N/A Department Position Summary: The employee must be able to demonstrate the knowledge and skills necessary to optimally code inpatient or outpatient encounters (based on team assigned). The individual must demonstrate knowledge of the various payment schemes for inpatient encounters or outpatient encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded. The associate must demonstrate the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. The associate must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to accomplish assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. The associate will perform any other tasks as assigned.
The Outpatient Hospital Reimbursement & Coding Specialist III is responsible for assigning and sequencing diagnosis and procedure codes for inpatient and outpatient encounters based on medical record documentation. This role requires adherence to coding guidelines and collaboration with leadership for clarification on ambiguous documentation. | Candidates must have a coding certification and at least 4 years of coding experience in an acute care hospital. Knowledge of coding conventions, anatomy, and medical terminology is essential for optimal reimbursement. | Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, SC, TN, TX, VA, WI, WY REMOTE Job Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators (inpatient only) on inpatient or outpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Inpatient Coding - Must code all types of adult and pediatric Inpatient cases including long length of stays, mortality, trauma, L&D, NICU, and normal newborns. Outpatient Coding - Must code all types of outpatient cases includes, ED, outpatient, OBS, Same Day Surgery. Detailed responsibilities: 1. Reviews inpatient or outpatient medical records to assign and sequence all appropriate diagnosis and procedures codes utilizing encoder software and following by proficiently translating diagnostic statements, procedure descriptions, physician orders, and other pertinent documentation. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) on inpatient cases or Ambulatory Payment Classification (APCs) on outpatient cases for appropriate code assignment. 2. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts admission type, point of origin, discharge disposition, physicians, procedure dates and on inpatient cases present on admission (POA) indicators. 3. Reviews appropriate coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials. 4. When documentation or valid order is incomplete, vague, or ambiguous, it is the responsibility of coder to work in conjunction with Leadership to utilize the appropriate physician clarification process to obtain additional information that provides a codeable diagnosis, procedure and/or physician order. 5. Outpatient coders are responsible for following charge verification processes and routing accounts based on missing, incomplete, or inaccurate charging. Other responsibilities include: - Adherence to Health Information Management (HIM) Coding policies. - Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures. OP coding validates reason for visit and IP validates admit diagnosis. - Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to continually improve coding quality and accuracy. - Responsibility for maintaining coding certification and knowledge referencing diagnosis and procedural coding classification system coding guidelines and regulatory changes. - Contacts the appropriate department or physician for assistance in obtaining physician clarification of Diagnoses and procedures. - Participates in performance improvement initiatives as assigned. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The coder must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers. 4. Accurate translation of written procedure descriptions to accurately assign ICD 10 PCS procedure codes for inpatient and CPT/HCPCs codes for outpatient accounts. 5. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges. 6. Knowledge of clinical content standards. Education: Required: - Validation of coding certification, i.e., specialty focus such as ICD-10-CM coding, ICD-10-PCS, CPT coding, and billing practices from an accredited program. Preferred: - BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program. Experience: Required: - Must demonstrate knowledge of coding to support this position. - Ability to follow standard practices in coding and reimbursement. - Demonstrate the knowledge of optimization of coding for reimbursement. - Computer literate in a windows environment, also basic word processing skills, knowledge of MS Office and a basic graphics package. - Possess excellent communication skills both written and oral. - Demonstration of sound judgment and organizational ability. - Ability and knowledge to maintain a quality and quantity standard in coding. - Must have 4 years of coding experience in an acute care hospital. Preferred: - Level 1 Academic medical center experience Position Requirement(s): License/Certification/Registration Required: - RHIT, RHIA, CCS, CPC, or CPC-H Preferred: - N/A Department Position Summary: The employee must be able to demonstrate the knowledge and skills necessary to optimally code inpatient or outpatient encounters (based on team assigned). The individual must demonstrate knowledge of the various payment schemes for inpatient encounters or outpatient encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded. The associate must demonstrate the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. The associate must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to accomplish assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. The associate will perform any other tasks as assigned.
The specialist will assign and sequence diagnosis and procedure codes for inpatient and outpatient encounters based on medical record documentation. They will ensure compliance with coding guidelines and maintain coding quality and accuracy. | Candidates must have a coding certification and at least 4 years of coding experience in an acute care hospital. Knowledge of coding conventions and the ability to navigate electronic medical records are essential. | Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, SC, TN, TX, VA, WI, WY REMOTE Job Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators (inpatient only) on inpatient or outpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Inpatient Coding - Must code all types of adult and pediatric Inpatient cases including long length of stays, mortality, trauma, L&D, NICU, and normal newborns. Outpatient Coding - Must code all types of outpatient cases includes, ED, outpatient, OBS, Same Day Surgery. Detailed responsibilities: 1. Reviews inpatient or outpatient medical records to assign and sequence all appropriate diagnosis and procedures codes utilizing encoder software and following by proficiently translating diagnostic statements, procedure descriptions, physician orders, and other pertinent documentation. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) on inpatient cases or Ambulatory Payment Classification (APCs) on outpatient cases for appropriate code assignment. 2. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts admission type, point of origin, discharge disposition, physicians, procedure dates and on inpatient cases present on admission (POA) indicators. 3. Reviews appropriate coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials. 4. When documentation or valid order is incomplete, vague, or ambiguous, it is the responsibility of coder to work in conjunction with Leadership to utilize the appropriate physician clarification process to obtain additional information that provides a codeable diagnosis, procedure and/or physician order. 5. Outpatient coders are responsible for following charge verification processes and routing accounts based on missing, incomplete, or inaccurate charging. Other responsibilities include: - Adherence to Health Information Management (HIM) Coding policies. - Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures. OP coding validates reason for visit and IP validates admit diagnosis. - Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to continually improve coding quality and accuracy. - Responsibility for maintaining coding certification and knowledge referencing diagnosis and procedural coding classification system coding guidelines and regulatory changes. - Contacts the appropriate department or physician for assistance in obtaining physician clarification of Diagnoses and procedures. - Participates in performance improvement initiatives as assigned. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The coder must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers. 4. Accurate translation of written procedure descriptions to accurately assign ICD 10 PCS procedure codes for inpatient and CPT/HCPCs codes for outpatient accounts. 5. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges. 6. Knowledge of clinical content standards. Education: Required: - Validation of coding certification, i.e., specialty focus such as ICD-10-CM coding, ICD-10-PCS, CPT coding, and billing practices from an accredited program. Preferred: - BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program. Experience: Required: - Must demonstrate knowledge of coding to support this position. - Ability to follow standard practices in coding and reimbursement. - Demonstrate the knowledge of optimization of coding for reimbursement. - Computer literate in a windows environment, also basic word processing skills, knowledge of MS Office and a basic graphics package. - Possess excellent communication skills both written and oral. - Demonstration of sound judgment and organizational ability. - Ability and knowledge to maintain a quality and quantity standard in coding. - Must have 4 years of coding experience in an acute care hospital. Preferred: - Level 1 Academic medical center experience Position Requirement(s): License/Certification/Registration Required: - RHIT, RHIA, CCS, CPC, or CPC-H Preferred: - N/A Department Position Summary: The employee must be able to demonstrate the knowledge and skills necessary to optimally code inpatient or outpatient encounters (based on team assigned). The individual must demonstrate knowledge of the various payment schemes for inpatient encounters or outpatient encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded. The associate must demonstrate the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. The associate must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to accomplish assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. The associate will perform any other tasks as assigned.
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