Job Board

MidMichigan Health

Introduction:

This position is responsible for providing ongoing coding, documentation and compliance education to providers and their office staff. They are then responsible for monitoring coding and documentation performance through random chart audits and regular meetings to communicate findings with providers and staff; follow up as necessary (additional reviews, analysis of benchmarking profiles, etc.). The position must also provide continual coding and payer updates and research coding issues that will arise.

Job Description:

ESSENTIAL DUTIES AND RESPONSIBILITIES

• (35%)* Orientation of new providers and staff (including locum tenens and new residents); ongoing review and training for up to six (6) months.
• (25%)* Conduct provider (physician and non-physician) and staff education on an ongoing basis. Once per month minimum. Education will include formal small group presentations.
• (25%)* Responsible for reviewing notes related to patient or payer complaints/concerns related to evaluation and management coding as well as patient requests for denials on services provided at the facility. After review, responsible for timely communication to the patient, payer and physician (if needed) to address their concern.
• (15%)* Conduct bi-annual chart audits, 1-2 week pre-review process for all providers, provide feedback and education on outcome of reviews and the Work Relative Value Unit (WRVU) impact.

OTHER DUTIES AND RESPONSIBILITIES:

• Complete audits of Office Of Inspector (OIG) focused areas for review as needed for Corporate Compliance.
• Semi-annual monitoring and analysis of utilization benchmark reports to Centers for Medicaid and Medicare Services (CMS) norms.
•  Code difficult cases at the request of providers. July 12, 2021
• MidMichigan Health is a technology-driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MidMichigan Health.

REQUIRED CERTIFICATIONS AND LICENSURES

• E/M CODER – CPC, CCS, CCSP, RHIT, OR RHIA
• Essential – Y Equivalent Experience – One of the following certifications are required: Certified Professional Coding (CPC) certificate, Certified Coding Specialist (CCS) certificate, or Certified Coding Specialist – Physician Office (CCS-P) certificate
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.

REQUIRED EDUCATION

• Education: High School Diploma or GED

EXPERIENCE, TRAINING AND SKILLS

• Four (4) years experience in the medical field is preferred.
• Two (2) years physician coding and billing experience is preferred.
• One (1) year with direct physician contact preferred.
• Strong interpersonal, written and communication skills required.
• Being an effective educator, self-start and highly organized is required. Ability to exercise initiative and judgment is required.
• Knowledge of medical terminology and anatomy.
• Knowledge of Word, Excel and PowerPoint is preferred.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

• Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
• Overall vision and hearing is necessary with or without assisted device(s).
• Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
• Some exposure to bloodborne pathogens and other potentially infectious material. Must follow MidMichigan Health bloodborne pathogen and TB testing as required.
• Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
• Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
• Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

Apply Online: https://pm.healthcaresource.com/cs/midmichigan/#/preApply/4733

MidMichigan Health

Introduction:

General Summary

This position is responsible for coding all services including major and minor surgical cases and evaluation and management (E/M) levels performed in both the office and hospital setting for MidMichigan Physicians Group, Family Practice Center and the MidMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of Diseases (ICD) coding rules and regulations.

Essential Duties & Responsibilities

• (25%)* Codes all E/M visits, performed in both the office and hospital setting within 48 hours of receipt.
• (25%)* Uses the Epic coding edits, CPT Assistant, and Centers for Medicare and Medicaid Services (CMS) coding guidelines to make necessary corrections to ICD, CPT, Healthcare Common Procedure Coding Systems (HCPCS), codes, modifiers and place of service to ensure clean claims.
• (20%)* Codes all major and minor surgical cases, including obstetrics, performed in both the office and hospital setting, within 48 hours of receipt.
• (20%)* Utilizes clinical knowledge to interact with physicians/provider on a regular basis to assist in improving documentation.
• (10%)* Demonstrates willingness to participate in continuing education to enhance coding knowledge.

OTHER DUTIES AND RESPONSIBILITIES:

• Reviews accounts related to patient or payer complaints/concerns.
• After review, responsible for timely communication to the patient, payer and physician (if needed) to address their concern.
• Meets established productivity guidelines.
• Other duties as assigned.
• MidMichigan Health is a technology-driven organization and employees need to demonstrate competency organization in Microsoft® Windows.
• Employees may be required to participate in further learning opportunities offered by MidMichigan Health.

REQUIRED EDUCATION, EXPERIENCE, TRAINING AND SKILLS:

• Essential: CPC-A, CCS-P, RHIT, or RHIA
• Essential: Effective May 1, 2019, new hires must be RHIA or RHIT eligible and successfully complete the certification exam within six (6)months of hire and maintain the certification to meet the requirements of the position. Employees hired prior to May 1, 2019, and have a Certified Professional Coder (CPC) certificate without a RHIT designation are grandfathered. They must however maintain the certification to meet the requirements of the position.
• Required: Fingerprinting
• Two (2) years physician coding and billing experience and four (4) years experience in the medical field is preferred.
• Knowledge of medical terminology and anatomy.
• Proficiency in the use of personal computers. Knowledge of medical record/patient confidentiality laws.
• Great organizational skills are required.
• Oral, written and interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

• Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
• Overall vision and hearing is necessary with or without assisted device(s).
• Frequently required to sit/stand/walk for long periods of time.
• May require frequent postural changes such as stooping, kneeling or crouching.
• Some exposure to blood borne pathogens and other potentially infectious material.
• Must follow MidMichigan Health bloodborne pathogen and TB testing as required.
• Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
• Overall dexterity is required including handling, reaching, grasping, fingering and feeling.
• May require repetition of these movements on a regular to frequent basis.
• Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

Apply Online: https://pm.healthcaresource.com/cs/midmichigan/#/preApply/5884

​Intellis

Introduction:

Trusted Advisors and Strategic Partnerships

Job Description:

To review other career opportunities at Intellis or to apply directly (fastest method) for consideration on this role, please visit our career page at: https://intellisiq.com/careers/

JOB TITLE:  Outpatient Same-Day Surgery (SDS) Coder

JOB SUMMARY:  The Medical Coding Specialist, Outpatient SDS is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client’s information system. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Assigns appropriate ICD-10-CM, CPT, HCPCS codes and modifiers to outpatient surgery accounts as per designated workflow
• Abstracts and enters coded data and/or charges for hospital statistical and reporting requirements
• Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
• Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts
• Maintains required productivity and quality requirements
• Maintains coding credential requirements

REQUIRED QUALIFICATIONS:

• Candidate must possess an approved AHIMA or AAPC coding credential
• Minimum 3 years’ coding experience required, Trauma Level 1 and Academic Teaching facility experience preferred

CORE COMPETENCIES:

• Communication
• Trustworthiness and Ethics
• Consistency and Reliability
• Meeting Standards

KEY SUCCESS ATTRIBUTES:

• Integrity, passion, and ethics are required
• Demonstrates strong communication and collaboration skills
• Has strong organizational, analytic and problem-solving abilities and techniques
• Exhibit consistent initiative with strong drive for results and success
• Demonstrate commitment to a team environment
• Demonstrate excellent interpersonal as well as well-developed written and verbal communication skills
• Self-starter with strong time management skills
• Commitment and adherence to company Core Values

BENEFITS:

We offer an excellent base salary, full benefits package including 401(k) with company match, group medical, dental, vision, life, & short-term disability insurance and vacation/sick days.

PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:

Sitting, talking, hearing and near vision are required over 90% of the time. Feeling is required over 90% of the time and reaching is required about 50% of the time.

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:

Over 90% of the time is spent indoors, with protection from weather conditions. Exposure to noise levels that may be distracting or uncomfortable is present in only unusual situations.

Intellis is an equal opportunity E-Verify employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

To review other career opportunities at Intellis or to apply directly (fastest method) for consideration on this role, please visit our career page at: https://intellisiq.com/careers/

Apply Online: https://careers-intellisiq.icims.com/jobs/1127/outpatient-sds-coder—remote/job

Intellis

Introduction:

Trusted Advisors and Strategic Partnerships

Job Description:

Instructions for Resume Submission:

Apply Online: https://intellisiq.com/careers/

LifeWays Community Mental Health

Introduction:

Pension! Fantastic benefits, effective 1st of the month following hire. Competitive pay. PTO after 45 days. 12 paid Holidays, and more!

General Summary:

Under the direction of the Supervisor, Customer Service, the Medical Records Specialist is responsible for maintaining and securing all written and electronic medical records, managing disclosure and record release as well as representing LifeWays as the custodian of the record in any subpoenas for records. They also ensure that information contained in the records is complete, accurate, and only available to authorized personnel. The medical records specialist organizes and maintains health information both in paper files and in electronic systems, checking data for accuracy, recording information, and keeps file folders and electronic databases up to date. They must also follow best practices for security and patient confidentiality, including Health Insurance Portability and Accountability Act (HIPAA) and 42 CFR Part 2 guidelines.

Job Description:

Essential Functions:

• Communicate with requester regarding costs and fees associated with the request.
• Prepares invoices and collects payment for medical records requests (if applicable)
• Completes medical record by reviewing information, notifying health care supervisor of record deficiencies.
• Resolves medical record discrepancies by collecting and analyzing information.
• Maintains patient confidence and protects clinical operations by keeping information confidential, following release-of-information protocols.
• Performs data entry functions utilizing company tracking application to log monitor and complete requests for information.
• Provides routine service to customers regarding release of information requests and the retrieval and delivery of protected health information and materials on-site at facilities.
• Reviews records prior to releasing to the consumer and redacts information that could be considered harmful as permitted.
• Reviews records with consumers upon request and assist consumers to add statements within the record upon their request. The medical records specialist is the person who has been designated responsible for the care, custody, and control of the health record for LifeWays.
• Manages the document disclosure que per HIPPA and 42 CFR Part 2
• Appropriately and accurately pulls records for patient care, quality review, and audits in a timely manner.
• Observe confidentiality and safeguard all patient-related information.
• Responsible for reviewing, approving, and coordinating the release of medical information to individuals or agencies that have a proper executed Release of Information on file.
• Responsible for processing of subpoenas and court orders, at the direction of the Corporate Compliance/Risk Manager.
• Responsible for receiving and reviewing all subpoenas for records and follow procedures regarding responses to subpoenas.
• Responsible for receiving and responding to all court orders for medical records. This includes but is not limited to:
  • (a) contacting the court for clarification on what is needed.
  • (b) representing LifeWays in court as the custodian of the record

• Fulfills release of information requests in an accurate and detail-oriented manner within timeframes established by LifeWays.
• Maintains medical records operations by following policies and procedures; reporting needed changes.
• Processes medical records requests from patients, attorneys, physician’s offices, hospitals, disability firms, etc.
• Ensure that all requests for records are stamped with date received and logged in the Electronic Medical Records EMR) /Electronic Health Record (EHR).
• Notifies requester when records are available or mail when available
• Maintains a good working relationship within the department and other departments.
• Provides excellent customer service.
• Performs other clerical duties as needed.
• Maintains regular and predictable attendance.
• All other duties as assigned.

Required Qualifications:

• Associate degree in Health Information Management, or related field.
• Registered Health Information Technician certification.
• Mental Health First Aid Training, upon hire.
• Must have reliable transportation

Preferred Qualifications:

• Bachelor’s degree Health Information Management or related field.
• Registered Health Information Administrator certification.
• CPR, AED, and First Aid Training.

Apply Online: https://lifewayscmh.applicantpool.com/jobs/