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Nemours is seeking a Hospital Coding Coordinator to join our team in Delaware.

As one of the nation´s premier pediatric health care systems, Nemours provides world-class clinical care in four states -- Delaware, Florida, New Jersey and Pennsylvania. The Nemours/Alfred I. duPont Hospital for Children in Wilmington, DE, offers intensive and acute inpatient and outpatient services covering more than 30 pediatric specialties. Ranked as one of the nation´s 25 Best Children´s Hospitals by Parents magazine in 2009, we care for thousands of children in the Delaware Valley, across the country and around the world. Extending the world-class care of the duPont Hospital for Children, the Nemours Children´s Clinic provides convenient community-based physician services and collaborative partnerships with health and hospital systems across the Delaware Valley. Job Summary:- Coordinate and manage the daily workflow of coding area of the Health Information Management Department. - To insure proper coding and abstracting of the hospitals inpatient accounts according to established ICD-9-CM and CPT coding procedures and guidelines.- Perform quality reviews, training of new coding staff, and other managerial duties within the Coding section of the department including the ability to code all hospital accounts.- Leadership role in development of a Clinical Documentation Improvement Program, provide training and in-services on appropriate clinical documentation practices to the Medical Staff.- Will play a pivotal role in the implementation and training of the new ICD10 codes.- Will work closely with the Charge Defense Auditor on any/all RAC, MIP audits regarding coding implications. Job Description:1. Ability to read and comprehend the electronic medical record to help identify all diagnosis, operations and procedures relevant to the current period. - Select, assign and sequence the appropriate ICD-9-CM and CPT codes to patients current period of care according to established sequencing guidelines for optimal reimbursement.- Assignment of the DRG to inpatient records according to established guidelines. - Abstract inpatient records in an accurate manner according to established procedures and guidelines.2. Perform quality reviews of coding staff on a monthly basis, giving feedback and educational sessions when opportunities have been identified. 3. Leadership role in the development and implementation of the Clinical Documentation Improvement Program.- Working with a multidisciplinary team in analyzing current documentation practices, creating and presenting educational programs to the physicians.Job Requirements: - Associates or some college required.- Must have strong coding experience, hospital coding experience preferred. - Qualified Candidate must be a CCS ( Certified Coding Specialist) or working towards a CCSNemours, an equal opportunity employer, is committed to focusing on the best-qualified applicants for our openings.Dont miss out on important health care news and updates from Nemours - connect with us on... Facebook (Fan Page): www.facebook.com/pages/Nemours/90523951091?ref=ts YouTube: www.youtube.com/user/NemoursUpdates Twitter: www.twitter.com/nemours Flickr: www.flickr.com/photos/nemours/

TCA currently has an excellent opportunity for a full time Certified Medical Coder/Auditor/Trainer to work at the Air Base, in Yokota, Japan.Note: we offer relocation assistance for this position. Please call for further details. Duties Include, but are not all inclusive:- Process random monthly audit of providers records to determine accuracy of E/M, ICD-9 and CPT accuracy.- Prepare and execute a well developed education program for Providers and Staff.- Designing templates in the electronic medical record program.- Carry out a variety of medical records functions such as analysis, coding, ensuring compliance and compiling data.- Perform auditing, coding and report development. - Work closely with the Program Manager on all contract matters.- Other duties as required by the contract. Benefits:- Competitive Salary- Relocation Allowance- Tax Benefits for working overseas- Opportunities to earn professional CEUs.Requirements:- Must be a Certified Medical Coder.- Must have 3+ years direct outpatient coding experience, Ambulatory Surgical and/or Inpatient coding, in addition to medical billing experience.- Must have extensive knowledge of coding references, CMS... - Extensive knowledge for understanding and applying the official coding clinic guidelines- Knowledge of medical terminology and usage, general medical, surgical, pharmaceutical, hospital terms and abbreviations and abstracting techniques.- Knowledge of ICD-9-CM (ICD-10 when applicable), CPT, HCPCS, medical dictionaries and manuals related to coding textbooks and glossaries.- Knowledge of medical records procedures, regulations and principles.- Knowledge of data collection methods for basic health care, research information and statistical reporting.- Knowledge of laws and regulations on the confidentiality of medical records.- Ability to work closely with others and work independently- Ability to work and learn several computer programs- Requires a National Security ClearanceSkills:- Knowledge of computer programs: Microsoft Word, PowerPoint, Outlook, AHLTA and CHCS a plus- Excellent oral and written communications- Training, educating and development of training and education material- Need at least one (1) certification (CCS-P, CPC, CCS)

UW Physicians in Seattle WA seeking coding expert/trainer

University of Washington Physicians (UWP) in Seattle, Washington is an academic faculty practice group of more than 1,500 physicians and health-care providers who practice at several major medical centers in the greater Seattle area and community-based practice sites around the state of Washington. Our clinicians are among the best and most sought-after in the world providing care for over a million patient visits each year in our outpatient primary-care clinics, specialty clinics, and emergency departments.UW Physicians has an immediate opening for a Manager of Charge Capture Quality Review. Under general direction of the Charge Capture Director, the Manager of Charge Capture Quality Review will develop and maintain the education and quality review functions for UWP Charge Capture coding staff. This position will assist in directing UWP to raise the bar for UWP coding via coding education and quality reviews. Manager will develop and oversee quality review program; provide ongoing training for coding staff; maintain quality review functions; collaborate with Manager of Compliance Education to implement coding/billing guidance for coding/billing.QualificationsBA or equivalent education/experience; 5 years in multi-specialty medical billing; 4 years minimum supervisory experience; 3 years preparing/presenting coding training materials to provider or staff groups; 7 years medical terminology; knowledge of payer coding, billing, documentation and reimbursement standards. CCS-P or CPC required. EPIC system knowledge; work in an academic health care setting preferred. A Certified PMCC instructor highly desired.UW Physicians provides a competitive salary and an excellent benefits package.

Billing manager for anesthesiology practice. Responsible for all aspects of medical billing/collections, including supervision of billing staff. Medical billing and coding experience is preferable. Please forward resume and salary history and requirements.

University Medical Practice Associates (UMPA) is a multi-specialty group practice whose physicians are affiliated with Continuum Health Partners/St. Luke´s-Roosevelt Hospital Center, New York, NY.

We are seeking an experienced Professional Coding Coordinator to join our practice located on the Upper West Side. The professional coder will provide support to our 25-physician cardiology group including: - on site coding support- auditing and review of charges- education and training of physicians and billing staff To be considered for this position, you must meet the following criteria:- 3 to 5 years of on hand ICD-9 CM and CPT coding experience particularly focused in Electrophysiology and Cardiac Catheterization billing - CPC, RRA, ART, CCS OR AAPC certification required Candidates should be a quick learner and self-motivated. Must be proficient in Microsoft Office applications, email communications and Internet research. Experience with GE/IDX billing system a plus.

Reports directly to the Regional Director of Patient Accounts and is responsible for assisting the Director in planning, organizing, directing, and managing the activities of, as well as providing leadership for all collection related activities within a specific Region. Develops, recommends, and administers company policies and procedures related to the patient accounting functions. Responsible for ensuring cash collections, days in accounts receivables, adherence to corporate compliance and adjustments are within established goals set for the Regional office. Applications utilized are: Word, Excel, Monarch, GPMS, Brio, and Master Database.JOB RESPONSIBILITIES/DUTIES:1. Assists in the development of short and long term financial goals and objectives for the Patient Accounts Department.2. Assists in the development and in overseeing policies and procedures designed to ensure the appropriate functioning of the department.3. Directs and develops subordinate staff.4. Maintains contact with payers and business partners.5. Responsible for providing feedback to the Hospital Associate management team regarding opportunities for improvement to the front-end process.6. Responsible for managing the accounts receivable in an efficient and effective manner.7. Assists in ensuring the maximization of patient revenue, payment reimbursement, and cash flow.8. Maintains regular and direct contact with various company departments.9. Assumes responsibility for ensuring continued professional growth and development.10. Develops and ensures that departmental customer service/public relations are given appropriate priority and are properly handled.11. Reviews and interprets various information and reports trends, movements, and gives status to the Regional Director of Patient Accounts at least once a month.12. Responsible for overseeing the acquisition process.13. Responsible for working with Provider Enrollment on credentialing/enrolling new physicians, acquisitions and monitoring the progress of all outstanding issues out to Provider Enrollment.14. Responsible for coordinating and formulating audit functions for Patient Accounting.15. Responsible for overseeing and coordinating training function for all policy and procedures, new hires, and ongoing training for existing employees.16. Oversees Appeals Specialist’s duties and ensure commercial appeals efforts are maximized.17. Oversees underpayment and overpayment functions.18. Performs other job-related duties within the job scope as requested by the Regional Director of Patient Accounts.19. Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.20. Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.21. Embodies the principles of the corporate Mission Statement and Philosophy at all times.22. Complies with departmental and company-wide policies and procedures.Requirements • Level of educational degree and years of experience in hospital administration and/or multi-specialty physician practice, with full exposure to managing the accounts receivables, physician billing, and CPT-4/ICD-9 coding with medical terminology will identify the appropriate candidate. The following ratio of educational degree and years of experience will apply:Degree Years of ExperienceHigh School Diploma 10 + yearsAssociate’s Degree 7 + yearsBachelor’s Degree 5 + yearsMaster’s Degree 3 + years• Ability to read, analyzes, and interprets common and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conforms to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors.• Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.• Ability to define problems collects data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

Brigham and Women´s Hospital is more than a healthcare institution - it´s the birthplace of legendary medicine and one of America´s most respected and innovative hospitals.

The BWPO Sr. Revenue Analyst is primarily responsible for independent oversight of third-party payment compliance with negotiated fee schedules and transactional billing compliance with BWPO billing policies and procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES:Third-Party Payment Variance AnalysisUtilizing the PMMC (Preferred Medical Marketing Corporation) contract management and revenue modeling application, the BWPO Sr. Revenue Analyst will: 1.Monitor and evaluate the financial performance of third-party contracts to identify, audit and resolve variances between amounts paid on claims and agreed-upon fee schedules rates.2.Communicate relevant payment trends and variances to business unit billing representatives for follow-up.3.Serve as a training resource for business unit PMMC users.4.Assist Physician Payment Analysis Team (PPAT) to develop comprehensive reimbursement models to assess the financial impact of various reimbursement rates for prospective contracts.Billing Policy ComplianceIn conjunction with the BWPO Payer Relations Manager, the BWPO Sr. Revenue Analyst will verify:1.Transactional billing code utilization in compliance with BWPO Billing Policy.2.Payment denials are reviewed for accuracy, tagged for follow-up and reported to BWPO Senior Management.3.IDX transactions are consistently mapped to PeopleSoft general ledger in accordance with PHS standards for revenue classification. ChargemasterIn conjunction with the PPAT, the BWPO Sr. Revenue Analyst will:1.Participate in the development of assumptions to create the joint BWPO/MGPO joint chargemaster.2.Analyze and distribute the impact of the new fees for all departments.3.Serve as liaison representative between the PPAT and clinical departments to address questions and concerns related the impacts of new fees for all clinical departments.Budget Revenue ModelThe BWPO Sr. Revenue Analyst will have primary responsibility for the BWPO budget revenue model, including:1.Exporting the base model data from POLR reflecting base assumptions for service mix, payer mix, contractual allowance adjustments, bad debt expense and collection rate, by business unit.2.Importing the PPAT assumptions for adjustments to the base model for payer fee schedule changes.3.Incorporate changes in the joint charge master, by business unit.4.Report assumptions and resulting contractual allowance and bad debt rates along with collection rates to each business unit for incorporation in their respective budgets. Other ResponsibilitiesThe BWPO Sr. Revenue Analyst will also be responsible to:1.Model and distribute payer supplemental funds to business units.2. Manage the Private Staff Associations (PSA) funds flow of payer supplemental, pay-for-performance withholds and PSA annual membership fees. 3. Lead analytics for PSA interim and final settlement.4.Research and conduct impact analysis on issues regarding policy changes to Medicare, Medicaid and other payer reimbursement, including updates to the work relative value units (RVUs) and practice expense RVUs, by business unit and the corresponding impact on physician fee schedule and physician incentive compensation plans. 5. Identify patient revenue rate enhancement opportunities and claims processing efficiencies.6. Collaborate on the business unit accounts receivable valuation.7. Perform supervisory duties for analytic support as necessary.8. Perform other ah hoc analysis and reporting support for senior management, as neededEducation: - Minimum of Bachelors degree. Masters degree in related field preferred.Experience: 1.At least three to five years of progressively responsible relevant experience, including demonstrated ability to manage multiple responsibilities in complex environment.2. Comprehensive understanding of healthcare/payer environment. 3. Working knowledge of the hospital and physician reimbursement environment and charge master development.4. Solid experience with clinical and financial systems; and advance knowledge of reimbursement principles including Medicare, Medicaid and Managed Care. SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:1.Proficiency with spreadsheets, database, and presentation software2.Excellent interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management staff and other customers. 3. Strong customer service skills, including the use of appropriate judgment, independent thinking and creativity when resolving customer issues.4. Ability to work independently and as a member of a team. 5. Strong written and verbal communication skills. 6. Strong organizational, analytic and financial skills. 7. Familiarity with IDX billing system for data extraction and analysis.

Required Experience: High School diploma or GED required Associates Degree in Health Information Management or Related Field One of the following licenses or credentials preferred: RHIA, RHIT, CCS, CCS-P Knowledge of ICD-9-CM, CPT, and HCPCS coding principlesKnowledge of MS-DRG/APC structure and regulatory requirements Knowledge of Meditech and 3M Encoder Software Whether it is the Circle of Life that plays throughout the hospital when a baby is born or the in-house massage therapist available to patients and staff alike, this hospital is one of a kind. Job ID: 39284

Be MovedTo a Career with a Central Florida Healthcare Leader

At Orlando Health, you can develop the career that is right for your individual goals. As a family of specialty and community hospitals, each has its own character, a natural extension of the specialized services offered. It is our mission that unifies us to offer superior service and provide quality healthcare to the people of Central Florida. We are currently seeking the following professional:Physician Coder Senior for Physician PracticesThis position will support a variety of physician practices at a variety of locations. In this role, you will serve as a mentor to Physician Coders in the physician practices. Assign workload to specialty team coders daily. Accurately and efficiently access hospital billing and information systems to secure and assemble all necessary physician records in order to accurately code and bill professional physician and/or physician extender services. Review medical records and code physician services utilizing current ICD-9 and CPT classifications systems. Verify billable physician services by reviewing physician documentation. Follow up on issues or trends found within the documentation of a particular physician for evaluation and refer to auditor as necessary. Assemble and input coding results into the current Practice Management billing system in order to expedite proper billing. Collaborate with members of the specialty team to consistently monitor financial goals within their specialty in order to satisfy corporate goals. Interface with Central Business Office to ensure appropriate and complete follow-up of patient accounts in order to maximize reimbursement. Batch and balance daily charges, checking provider, place of service, rate of service, referring physician, diagnoses and procedures. Communicate effectively with physicians, physician extenders, physician offices, members of the coding team and the manager.Candidates must have a high school diploma or equivalent with four years of certified coding and billing experience in a professional or physician practice coding. Completion of coding certification program required. Must have thorough knowledge of CPT ICD-9 as evidenced by results of coding skills test. Working knowledge of anatomy, physiology and medical terminology required. Must have computer/typing literacy. Requires one of the follow national certifications: Certified Professional Coder (CPC) through the American Academy of Professional Coders renewed every year; Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) renewed every year or Certified Coding Specialist - Physician (CCS-P) through the American Health Information Management Association (AHIMA) renewed every year.

The Manager of the Coding Team is responsible for providing leadership and direction to the CHWMF Coding Team and to ensure, through programs of education, auditing, support and evaluation, appropriate coding practices throughout the organization. The Manager will oversee a team of coding professionals who will interact regularly with CHWMFs physicians, clinic and system management and individual coders in a way which ensures CHWMF coding practices are consistent, accurate and efficient. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. * Provides leadership and direction to the CHWMF Coding and Physician Education Team. * Recruits, develops, organizes and provides leadership to a team which: * Develops and conducts education programs on a regular basis designed to improve the accuracy and consistency of coding by coders and physicians throughout CHWMF. Conducts regular coding audits at all CHWMF clinics on at least an annual basis. * Develops a resource platform for the Coding Department that houses policies, procedures, best practices and various points of information. * Works with others to periodically analyze coding data in CHWMFs clinics to identify coding variations and determine the cause and the appropriateness of such variation and presents such findings to appropriate business leaders. * Develops and delivers programs and educational content that ensures that CHWMF coders code in a manner consistent with relevant laws, regulations and standards. * Supports clinic coding efforts in periods of extreme backlog. * Prepares and provides Coding Department budgets to CHWMF leadership. * Assists the organization in reviews relating to internal or external investigations. * Ensures that members of the coding team perform their job functions competently in a manner consistent with CHWMFs Mission, Vision and Values. * Conducts performance evaluations for members of the Coding Department. * Supports the Compliance team members in ensuring CHWMF coding compliance. * Monitors changes in law, policy and coding standards and advises CHWMF stakeholders and leadership on the impact of those changes. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required: Excellence in academic achievement with an undergraduate degree, and certified as a coder by the American Health Information Management Association (AHIMA). Minimum eight (8) years coding experience. At least four(4) years experience in a supervisory capacity of coders in a hospital or clinic setting. Demonstrated ability to manage a multi-clinic system coding and education program Demonstrated ability to develop and conduct education programs for coders and physicians. Experience conducting efficient and regular coding reviews and evaluating the quality and efficiency of coding practices is also required.