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Job
Board
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Coding
Compliance Consultant
Pershing and Yoakley
Job Description
The Coding Compliance Consulting
will be part of a team that provides consulting
services to hospital and physician clients
regarding: ICD-9/CPT coding, billing and regulatory
compliance for third party payors, and current
inpatient, outpatient and physician reimbursement
methodologies. He/she is a dedicated team member who
consistently demonstrates integrity within a
professional environment.
Required Qualifications
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Must possess a minimum of an
undergraduate degree with at least 2 years
experience in health information management in
an acute care hospital setting.
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RHIA or RHIT
designation required.
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Excellent oral and written
communication skills are required.
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Must indicate a willingness
to travel up to 70% (primarily in the
Southeast).
Education Qualifications
Minimum of an Undergraduate
Degree
Contact
Eric Rasar
Pershing and Yoakley
erasar@pyapc.com
Phone: 865-673-0844
Fax: 865-673-0173
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Recovery Audit
Contractor Coordinator (RAC Coordinator)
Saint Joseph Hospital - Atlanta, GA
Introduction:
Saint Joseph's facility is
Atlanta's oldest hospital. Today, the 410-bed,
acute-care facility is recognized as one of the top
specialty-referral hospitals in the Southeast. Saint
Joseph's has received numerous awards including the
distinguished Magnet Recognition for Nursing
Excellence from the American Nurses Association
Credentialing Center a designation of best in
Georgia and top five percent in the nation for
cardiac and vascular programs. EOE.
Job Description:
Responsibilities include:
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Coordination and
facilitation of operational and strategic
elements related to the Recovery Audit
Contractor program implementation and response
for Saint Joseph’s Hospital of Atlanta.
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Will monitor overall RAC
effectiveness by developing and communicating
changes to organizational practice, policies and
procedures as needed for the RAC oversight
program.
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Will manage, coordinate and
report on the facilities’ responses to data
requests from Medicare’s Recovery Audit
Contractor program, thereby assuring appropriate
and timely management of this process.
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This position will also
provide input and oversight to the denials
management process utilizing various data mining
methods to track, analyze and determine
opportunities for improvement and will also
assist with various other data analysis tasks as
needed to support various project related work
within the revenue cycle.
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Provides patient care and/
or support activities appropriate to ages
served; primarily adults ages 18-65 or geriatric
patients ages over 65.
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May also include care for
infant age 0-1 year, child ages 1-12 years or
adolescent ages 13-17 years.
Required Qualifications:
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Minimum 3-5 years in an acute
healthcare setting is strongly desired. Overall
knowledge of data management processes within the
Revenue Cycle is required.
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Excellent written, oral and
human relations skills in prior positions must be
demonstrated.
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Previous experience managing
complex informational databases strongly needed.
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Ability to organize work,
prioritize deadlines and establish priorities
without guidance must be evidenced through prior
work history.
Job Knowledge:
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Knowledge of Interqual &
Milliman and Robertson patient statusing criteria as
well as an overall knowledge of Medicare/Medicaid
(governmental) and Managed Care (non governmental)
payer systems (rules and regulations) is required.
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Understanding/background of
medical procedures, Medical terminology, CPT/HCPCS/ICD9
codes, revenue codes, modifiers is strongly
encouraged. Knowledge and prior use of all Microsoft
suite applications is required.
Education Qualifications:
Bachelor’s degree in a clinical
area, healthcare management field or 5 years of
equivalent professional experience is required.
Contact:
To apply or learn more, please
visit our
website.
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Coding Consultants -
Atlanta, GA
LexiCode Corporation
Job Description:
Atlanta, GA Coding Consultants
LexiCode Corporation has opportunities for full-time
Coding Consultants to work locally in Atlanta, GA.
These positions require a health information
professional with an RHIA, RHIT, or CCS credential
and acute care hospital coding experience. Strong
coding skills in both Inpatient and Outpatient
records is preferred, but specialty positions may be
possible. Consultants may live in the Atlanta metro
area and work locally, or may live in any
southeastern state and travel into Atlanta M-F each
week to work. Apply online today at
www.lexicode.jobs!
Required Qualifications:
RHIA, RHIT, or CCS credential
and acute care hospital coding experience
Preferred Qualifications:
Strong coding skills in both
Inpatient and Outpatient records is preferred
Compensation/Benefits:
Paid expenses are available for
travel consultants. Benefits include: ·
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Excellent compensation and
bonus opportunities
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Local position in Atlanta,
GA
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Full Benefits, including
health, dental, life, disability, 401(k), & PTO
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CEU reimbursement
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Computer with encoder &
electronic resources provided
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Coding Updates
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Participate in our unique
Coder Development Program
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Growth Opportunities
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Continuing Education
Contact:
Apply online today at:
www.lexicode.jobs
LexiCode is an Equal Opportunity
Employer M/F/D/V
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Coding Coordinator
Tift Regional Medical Center
Introduction:
Tift Regional is a 191 bed acute care facility with
excellent financial stability. The H.I.M. department
has a fully functional electronic medical record and
all coding is done on line.
Job Description:
Position reports to the Director of
H.I.M. Has oversight of coding personnel and assists
with revenue management process. Assists with
coordination of work flow in coding and works with
coding personnel to avoid or eliminate backlogs.
Required Qualifications:
1+ years of management
experience. Excellent organizational and
communication skills.
Preferred Qualifications:
2-5 years of management experience. CCS certified.
Education Qualifications:
Compensation/Benefits:
Full time position with full benefits. Salary
negotiable.
Contact:
Kathy Alberson
Tift Regional Medical Center
kathy.alberson@tiftregional.com
Phone: 229-353-7553
Fax: 229-353-7779
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Coding Coordinator
Emory Johns Creek Hospital
Introduction:
Just two years old, with 110-private
room beds, located just outside of Atlanta, we provide
comprehensive inpatient and outpatient services at Emory
Johns Creek Hospital, with some of the most advanced
medical technologies available.
Job Description:
Qualified professionals will be
responsible for coding all inpatient and observation
discharges. Will assume leadership role and provide
direction to the staff in the absence of director.
Required Qualifications:
A minimum of 5 years of acute
care inpatient coding or consulting experience in
required to join our team. In addition, the
knowledge of ICD-9 CM and CPT coding and APC
reimbursement methodologies, as well as demonstrated
knowledge of coding interventional radiology
procedures, with thorough knowledge of coding/coding
compliance guidelines required.
Preferred Qualifications:
Must demonstrate the ability to provide leadership
in educating staff and the ability to develop coding
education materials for staff.
Education Qualifications:
Bachelor Degree with RHIA, RHIT, and/or CCS.
Compensation/Benefits:
We offer an excellent benefit package, including
matching 401K plan, and a warm and friendly work
environment.
Contact:
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Manager
Humana
Introduction:
Humana Inc., headquartered in
Louisville, Kentucky, is one of the nation's largest
publicly traded health benefits companies. Humana offers
a diversified portfolio of health insurance products and
related services - through traditional and
consumer-choice plans - to employer groups,
government-sponsored plans, and individuals. Today,
Humana is a leader in consumer engagement. Throughout
its diversified customer portfolio, the company provides
guidance that can both help lower costs and lead to a
better health plan experience.
Job Description:
The Market Review Analyst/Certified
Professional Coder (CPC) is responsible for the review
and analysis of patient medical records in Providers'
offices. The Analyst ensures the records have been
appropriately ICD-9 coded to the highest level of
specificity in accordance with Medicare regulations.
This role will include training and serving as a
resource on coding appropriateness to providers,
provider office staff, other MRA team members, and other
corporate departments. The MRA Analyst works to provide
exemplary service to ensure long term success in a
rapidly changing environment.
Duties include:
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Ensure appropriate claims and
encounter data is submitted to CMS for Medicare Risk
adjustment.
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Review/audit medical records to
determine if specific disease conditions were
overlooked in billing.
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Communicate and document
findings back to Provider offices as well as
internally.
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Conduct education and training
for physician groups/offices to increase awareness
and proficiency, and importance of accurate Medicare
coding.
Required Qualifications:
Role Essentials: ·
- Coding certification (CPC or CCS) required
- ICD-9 coding experience/proficiency
- Minimum of 2 years healthcare or insurance
experience
- Medical Record Review experience
- Must have dependable transportation and
valid drivers license
- Strong computer skills including MS Office
- Strong presentation and
relationship-building skills
- Must be highly organized
Preferred Qualifications:
Role Desirables RHIT/RHIA certification desired.
Contact:
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Traveling
Coding Consultant
Care Communications, Inc.
Introduction:
Recognized as Chicago’s Best Small
Business to Work For by The National Association for
Business Resources Care Communications, Inc. continues
to experience tremendous growth and needs experienced
professionals like you now!
Job Description:
Inpatient and Outpatient (Large
Teaching Hospital Experience Preferred) Our Traveling
Consultants enjoy:
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Above average earnings and
benefits package
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Being part of the CARE family
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Variety of prestigious and
diverse client locations
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Flexible Schedules, a balance
between travel & home
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Generous Continuing Education
Allowance Not to mention …
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Air miles/Hotel points
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Corporate travel card
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Travel Pay
Required Qualifications:
Qualifications include:
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AHIMA certified credentials (RHIA,
RHIT, CCS)
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Minimum of 3 years acute care
experience using ICD-9-CM, CPT-4 and HCPCS Coding
Systems
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Knowledge of reimbursement
systems MSDRG and APC
Preferred Qualifications:
As a plus: E/M Facility and
Professional Fee, Training & Education experience and
Exceptional Presentation skills.
Education Qualifications:
AHIMA certified credentials (RHIA,
RHIT, CCS)
Contact:
Visit our Website at
www.carecommunications.com
Barbara Black
Care Communications, Inc.
hr@care-communications.com
205 W. Wacker Drive, Suite 1900
Chicago, IL. 60606
Fax: 312-229-7130
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Traveling
Coding Specialist
Health Information Associates
Introduction:
Health Information Associates is a
progressive, entrepreneurial company that values
individual initiative. We seek out committed employees
who are looking for a career, not just a job. In return,
we reward your commitment and drive with support,
benefits and - most important of all - a work experience
that's simply unmatched.
Job Description:
Travel to our client sites to code
both inpatient and outpatient records.
Required Qualifications:
RHIA, RHIT and/or CCS with a minimum
of 1 year of acute care coding experience.
Preferred Qualifications:
Previous travel experience is a
plus.
Education Qualifications:
Minimum of a high school diploma
plus one of the above listed credentials.
Compensation/Benefits:
Full medical, dental and life
insurance benefits. Long-term disability. Retirement
plan with company contribution. Reimbursement for
continuing education and AHIMA dues. Bonus program for
completion of additional AHIMA credentials. Many other
insurance plans available at group rates. Reimbursement
for travel. Laptop with an industry-leading encoder.
Contact:
For consideration please submit your
resume either via e-mail to
resumes@hiacode.com
or fax to 843-235-8627.
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Quality Management
Director
East Central Regional Hospital
Introduction
This Quality Management Director
position at one of the seven hospitals within the State
of Georgia's Department of Behavior Health and
Developmental Disabilities system. The position
supervises seven staff members. Department staff provide
guidance to hospital staff in areas of Joint Commission
and CMS compliance through performance improvement
activities and monitoring.
The hospital provides acute
psychiatric services for adults who have diagnoses of
mental illness and developmental disabilities. Hospital
services include acute, general, and forensic
psychiatry, developmental disability intermediate care,
and skilled care. The hospital is located on two
campuses approximately 3 miles apart in the southern
portion of Augusta, Georgia.
Job Description
Coordinates performance improvement,
data analysis and prepares presentations and/or
publications of findings for the operation of a large or
complex project, system, program, agency or function.
Conducts organizational studies and evaluations,
conducts work simplifications and measurement studies,
and designs and administers surveys. Identifies barriers
to quality services, compliance, Must obtain the
Relational Skills Level of Mandt® certification and must
complete certification in the required CPR/AED and First
Aid by completion of new employee orientation, and must
maintain this certification as a term and condition of
employment.
Preferred Qualifications
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Master’s degree in a field
related to the area of assignment.
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Certification in Professional
Healthcare Quality (CPHQ). Successfully coordinating
hospital-wide quality management activities through
The Joint Commission survey process.
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Quality Management experience in
a State of Georgia hospital.
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Competent in the areas of
statistics, research methodology, performance
improvement, and quality management, to include
completion of college classes.
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Three (3) years of professional
experience in a human services delivery program
related to quality management.
Education Qualifications
Bachelor's degree from an accredited
college or university. Master's degree preferred.
Compensation/Benefits
Salary Based on Education and
Experience
Contact
Please email a cover letter and
resume in Microsoft Word format to:
ecrhjobs@dhr.state.ga.us
East Central Regional Hospital
Human Resources Dept.
Phone: 706-790-2147
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GHIMA Members and
Non-Members: