UNKNOWN

ADAPTED_NOW

Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. EDUCATION REQUIREMENTS:4 year / Bachelor's Degree in Health Information Management or related medical degree (Required) ;In lieu of a Bachelor's Degree; an Associate Degree and a Minimum of 4 years additional relevant experience is acceptable.

<div><div><div><div><div><div><div><div><div><div><div><p><b>JOB SUMMARY:</b></p><p>Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Educates physicians and clinical personnel to ensure complete documentation in the medical record and queries physicians to resolve incomplete or conflicting information to ensure compliant coding and billing practices. Educates and trains coders to ensure both a working knowledge of coding and reimbursement guidelines and successful career ladder completion, including the development of training materials and reference documents. Researches audit results, error reports, and denials and resolves by successful appeal, staff education, and correction of discrepancies.</p><p/><p><b>GENERAL REQUIREMENTS:</b></p><ul><li>Adheres to the hospital and departmental attendance and punctuality guidelines</li><li>Performs all job responsibilities in alignment with the core values, mission and vision of the organization</li><li>Performs other duties as required and completes all job functions as per departmental policies and procedures</li><li>Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)</li><li>Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.</li></ul><p/><p><b>WORKING CONDITIONS:</b></p><ul><li>General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.</li><li>May be required to change from one task to another of different nature without loss of efficiency or composure.</li><li>Periods of high stress and fluctuating workloads may occur.</li><li>May be scheduled as needed including overtime</li></ul></div><div></div><div><b><br/><br/><u>EDUCATION REQUIREMENTS:</u></b></div></div></div></div></div><div><div><div><div><div><div><ul><li>4 year / Bachelor's Degree in Health Information Management or related medical degree (Required) ;In lieu of a Bachelor's Degree; an Associate Degree and a Minimum of 4 years additional relevant experience is acceptable.</li></ul></div><p/><div><br/><b><br/><br/><u>EXPERIENCE REQUIREMENTS:</u></b></div></div></div></div></div></div></div><div><div><div><div><div><div><div><ul><li>4 - 5 years Experience with ICD-9, ICD-10, and HCPCS coding including hospital inpatient medical records  (Required</li></ul></div></div></div></div></div><div><div><div><div><ul><li>4 - 5 years Extensive knowledge of medical terminology, pathophysiology, and pharmacology  (Required)</li></ul></div></div></div></div><div><div><div><div><ul><li>4 - 5 years Experience calculating and analyzing MS-DRG, DRG, APC, and other payer reimbursement methodologies  (Required)</li></ul><div></div></div></div></div></div></div></div><div><div><div><div><div><b><br/><br/><u>CERTIFICATIONS AND LICENSURES:</u></b></div></div></div></div><div><div><div><div><div><div></div><div><ul><li>Required Certifications/Licensures: Certified Coding Specialist (CCS)</li></ul></div><ul><li>Preferred Certifications/Licensures: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), AHIMA Approved ICD-10 Trainer</li></ul></div></div></div></div><div><div><div><div><div><br/><b><br/><br/><u>GENERAL SKILLS:</u></b></div></div></div></div></div></div></div><div><div><div><div><div><div><div><ul><li>Organizational Skills</li></ul></div><ul><li>Communication Skills</li></ul></div></div></div></div><div><div><div><div><ul><li>Interpersonal Skills</li></ul></div></div></div></div><div><div><div><div><ul><li>Customer Relations</li></ul></div></div></div></div><div><div><div><div><ul><li>Mathematical</li></ul></div></div></div></div><div><div><div><div><ul><li>Analytical</li></ul></div></div></div></div><div><div><div><div><ul><li>Grammar / Spelling</li><li>Read / Comprehend Written Instructions</li></ul></div></div></div></div><div><div><div><div><ul><li>Follow Verbal Instructions</li></ul></div></div></div></div><div><div><div><div><ul><li>Basic Computer Skills</li></ul></div></div></div></div><div><div><div><div><ul><li>Microsoft Office Suite</li></ul></div></div></div></div><div><div><div><div><ul><li>General Clerical Skills</li></ul></div></div></div></div><div><div><div><div><div></div></div></div></div></div></div></div><div><div><div><div><div><br/><br/><u><b>PHYSICAL REQUIREMENTS:</b></u></div></div></div></div><div><div><div><div><div><ul><li>Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors</li><li>Ability to perform - repetitive tasks/motion</li></ul></div></div></div></div><div><div><div><div><div></div></div></div></div></div></div></div><div><div><div><div><div><b><br/><br/><u>PHYSICAL DEMANDS:</u></b></div></div></div></div><div><div><div><div><div><div><ul><li>Standing - Occasionally within shift (1-33%)</li></ul></div><ul><li>Walking - Occasionally within shift (1-33%)</li></ul></div></div></div></div><div><div><div><div><ul><li>Sitting - Continuously within shift (67-100%)</li></ul></div></div></div></div><div><div><div><div><ul><li>Bending/Stooping - Occasionally within shift (1-33%)</li></ul></div></div></div></div><div><div><div><div><ul><li>Twist at waist - Occasionally within shift (1-33%)</li></ul></div></div></div></div><div><div><div><div><ul><li>Pushing/Pulling - Occasionally within shift (1-33%)</li></ul></div></div></div></div><div><div><div><div><ul><li>Reaching above shoulder - Occasionally within shift (1-33%)</li></ul></div></div></div></div><div><div><div><div><div></div></div></div></div></div></div></div></div></div></div></div></div>

Phoebe Putney Health System

Coding Auditor & Education Advisor

nas_phoebehealthorganic

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

YEAR

<strong>Become a part of our caring community and help us put health first</strong><br/><br/><br/>The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider.<br/><br/><br/>The Coding Educator 2 will be responsible for arranging educational sessions with assigned providers aimed at quality of care and documentation improvements.<br/><br/><br/>+ Identify educational needs based on reports<br/><br/>+ Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques.<br/><br/>+ Provider onsite education, based on business needs<br/><br/>+ Collaboration with other market provider facing role<br/><br/>+ Utilize data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards.<br/><br/>+ Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions.<br/><br/>+ Participate in cross-functional teams to improve documentation, data integrity, and workflow processes<br/><br/><br/><strong>Use your skills to make an impact</strong><br/><br/><br/><strong>Required Qualifications</strong><br/><br/><br/>+ AHIMA or AAPC CPC (Certified Professional Coder) Certification<br/><br/>+ 3 or more years of medical coding education and/or auditing in a healthcare setting experience<br/><br/>+ Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets<br/><br/>+ Experience with speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers<br/><br/>+ Risk Adjustment knowledge<br/><br/>+ Familiar with coding guidelines<br/><br/>+ Live in South Carolina, North Carolina or Georgia<br/><br/><br/><strong>Preferred Qualifications</strong><br/><br/><br/>+ Bachelor's Degree<br/><br/>+ CRC -Certified Risk Adjustment Coder<br/><br/>+ Experience interacting with healthcare providers<br/><br/>+ Strong technical knowledge of all Microsoft Office applications<br/><br/>+ Strong attention to detail and exceptional follow up skills<br/><br/>+ Valid Driver's license and reliable transportation<br/><br/>+ Medicare Risk Adjustment knowledge<br/><br/><br/><strong>Additional Information</strong><br/><br/>Work at home - with ability to travel (up to 5%) to surrounding provider offices<br/><br/><br/>As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.<br/><br/><br/>If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.<br/><br/><br/>If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.<br/><br/><br/><strong>Work at Home Guidance</strong><br/><br/><br/>To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:<br/><br/><br/>+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested<br/><br/>+ Satellite, cellular and microwave connection can be used only if approved by leadership<br/><br/>+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.<br/><br/>+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.<br/><br/>+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information<br/><br/><br/>Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.<br/><br/><br/>#LI-BB1<br/><br/><br/>Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.<br/><br/><br/><strong>Scheduled Weekly Hours</strong><br/><br/><br/>40<br/><br/><br/><strong>Pay Range</strong><br/><br/><br/>The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.<br/><br/><br/>$59,300 - $80,900 per year<br/><br/><br/>This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.<br/><br/><br/><strong>Description of Benefits</strong><br/><br/><br/>Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<br/><br/><br/><strong>About us</strong><br/><br/><br/>Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.<br/><br/><br/>​<br/><br/><strong>Equal Opportunity Employer</strong><br/><br/><br/>It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.<br/>Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Humana

Coding Educator

FEED

To assist with proper maintenance of Durable Medical Equipment supplies/orders and assist with Casting and W/C Pharmacy as necessary with patient care activities. •Valid Driver’s License, satisfactory motor vehicle report (MVR) and proof of insurance required for position on-boarding.

<p><strong><u>Position Goal</u></strong></p><p><strong>To assist with proper maintenance of Durable Medical Equipment supplies/orders and assist with Casting and W/C Pharmacy as necessary with patient care activities. Preform all patient care activities for cast and post-op care.</strong></p><p><strong><u>Position Responsibilities:</u></strong></p><ul><li>Escort patients as necessary from the waiting area to the cast room and/or DME area for analysis of needs.</li><li>Remove and apply casts, both fiberglass, plaster and other appliances as needed</li><li>Assist in fracture reductions and minor surgical procedures as well as remove sutures, staples, and apply bandages.</li><li>Clean and sterilize instruments and equipment.</li><li>Stock and maintain workspaces.</li><li>Assist with supply, DME ordering, inventory activities, receiving etc. and in always maintaining appropriate inventory levels.</li><li>Deliver DME products to area hospitals as needed.</li><li>Obtain authorization for custom braces and all DME prescribed for worker's compensation patients.</li><li>Review DME receipts to ensure billing of items daily.</li><li>Responsible for patient care activities such as determining proper DME sizing and fitting items when needed.</li><li>Work DME hold buckets in workflow dashboard in Athena throughout the day.</li><li>Ensure DME orders and procedure documentation is complete prior to issuing DME.</li><li>Assist in properly and accurately dispensing pre-packed medications to patients as directed by Physician.</li><li>Triage cast patients with problems in absence of physician if necessary.</li><li>Provide back-up support in performing Medical Assistant duties when necessary (if applicable).</li></ul><p><strong>Experience:</strong></p><p><em><u><strong>Required</strong>:</u></em></p><ul><li>One (1) year Orthopaedic healthcare experience.</li></ul><p><strong><u><em>Preferred:</em></u></strong></p><ul><li>One (1) year of Ortho Tech or two (2) years casting experience.</li></ul><p><strong>Education:</strong></p><p><u><em><strong>Required:</strong></em></u></p><ul><li>High School Diploma or equivalent.</li><li>Certified DME/Cast Technician </li></ul><p><u><em><strong>Preferred:</strong></em></u></p><ul><li>Completion of an accredited Orthopaedic specialist training program.</li></ul><p><strong>Special Qualifications:</strong></p><p><u><em><strong>Required:</strong></em></u><br/>
•Valid Driver’s License, satisfactory motor vehicle report (MVR) and proof of insurance required for position on-boarding.<br/>
•Annual MVR may be required per policy and procedure; background reports may be ran as needed throughout the course of employment.<br/>
•Basic Life Support (BLS) Certification (American Heart Association or American Red Cross).<br/>
•Must have the ability to work independently.<br/>
•Must have a working knowledge of HIPAA requirements.<br/>
•Must have knowledge of fracture care coding along with CPT and ICD-10 codes.<br/>
•Must possess excellent computer skills.</p><p>All applicants must apply at <a href="http://www.hughston.com/" rel="nofollow">www.hughston.com</a> to be considered</p><p><em>The Hughston Clinic, The Hughston Foundation, The Hughston Surgical Center, Hughston Clinic Orthopaedics, Hughston Medical, Hughston Orthopaedics Trauma, Hughston Orthopaedics Southeast and Jack Hughston Memorial Hospital participate in E-Verify. This company is an equal opportunity employer that recruits and hires qualified candidates without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status</em></p>

Hughston Clinic

Certified DME/Cast Technician - Full Time

Analysis Skills

Basic Life Support (BLS)

Billing

Casting

Computer Skills

Current Procedural Terminology (CPT)

Documentation

Driver's License

Durable Medical Equipment

Equipment Maintenance/Repair

HIPAA (Health Insurance Portability and Accountability Act)

Healthcare

High School Diploma

Hospital

ICD-10

Insurance

Inventory Levels

Inventory Management

Medical Assistance

Medical Billing

Medical Office Administration

Medical Products

Medications

Onboarding

Order Supplies

Orthopedics

Patient Assessment

Patient Care

Pharmacy

Reporting Dashboards

Shipping/Receiving

Sterilization

Surgical Nursing

Surgical Procedures

Training Program

Worker's Compensation

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Coding Auditor & Education AdvisorPhoebe Putney Health System

Coding EducatorHumana

Certified DME/Cast Technician - Full TimeHughston Clinic

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