Job Opportunities
Medical Coder/Biller (Home Health Care)
Position Summary: Dynamic, home care agency is seeking a full-time biller/insurance collections specialist with home health care experience.Primary responsibilities include:
- Third party billing.
- Proactively resolving claims issues, researching denials and filing appeals.
- Monitoring account details for non-payment, delayed payment and other irregularities.
- Sending supporting documentation required by insurance companies
Requirements:
- 5 years of third party billing and collections experience
- Knowledge of ICD-9 coding
- Knowledge of Cahaba, Promise, NaviNet systems
- Microsoft Office competency
- High School Diploma or College.
- Excellent written and verbal communication skills
- Dependable, accurate and organized
- Must be comfortable working in a fast-paced environment
- Experience with HHC3000 a big plus
Contact:
HR Coordinator
Better Home Care, LLC
275 East Street Rd. Suite #6
Feasterville, PA 19053
Phone: 267-988-8978
Fax: 267--988-8979
HIP Tier 2 Curriculum Designer
Position Summary: The Center for Social Policy and Community Development (CSPCD) at Temple University seeks a qualified individual who will serve as a consultant to assist in developing curriculum domains for the Health Information Professions (HIP) Tier II training program, which prepares individuals for the AHIMA CCS, CCS-P credentials. The curriculum developed must therefore meet the standards/requirements necessary for HIP Tier II to become an AHIMA Approved Coding Certificate Program. The Curriculum Designer will be responsible for:
- Design of the Clinical Classification Systems/Reimbursement Methodologies domain of the HIP Tier 2 curriculum
- Design of the Health Information Management/Healthcare Data Content/Healthcare Delivery Systems domain of the HIP Tier 2 curriculum
Requirements: Applicants must meet the following requirements:
- one of the following AHIMA recognized credentials: CCS, CCS-P, RHIA, RHIT.
- Bachelor’s degree (master’s degree preferred) and 3 - 5 years work experience in the following areas: Health Information Management, the Biomedical Sciences, Inpatient Coding or Outpatient Coding.
- Familiarity with the ICD-10 CM coding book (formal training in ICD-10 CM coding is preferred).
- Experience in designing curricula for courses/training programs in post-secondary institutions of higher learning.
- Experience in the training and the instruction of staff and/or students.
- Strong organizational skills and attention to detail.
- Ability to receive constructive criticism from colleagues.
- Ability to consistently meet deadlines.
The individual must provide at least 3 professional references to be contacted by the HIP selection committee.
Contact: Shirley Moy, MSW Director, CSPCD @ smoy@temple.edu
Pennsylvania Health Management Association (PHiMA)
Click here for PHiMA opportunities
Posted: 01/23/2012
RHIA Consultants
Position Summary: CHS in Nashville, TN is hiring this quarter and would like to find the sharpest graduates across the Southeast. They will have to commit to 100% travel for a few years, have the ability to teach in a classroom environment, and work independently.
Contact: Jonathan McEwen | HCTec | 7105 s. Springs Dr, suite 200 Franklin, TN. O: 615-263-2124 M: 662-549-7734 | www.HCTec.com
Posted: 01/16/2012
Coding and Abstracting Educator
Position Summary: Located at Abington Memorial Hospital in Abington, PA. Working with the Assistant Director of Clinical Information Services, you will be responsible for the comprehensive planning, development, implementation and quality assurance of formal ICD-9 CM/ICD-10, ICD-10 PCS and other classification systems/programs. Responsibilities include supporting, guiding and coordinating end user training sessions and maintaining a specific knowledge base in the field of coding.
Requirements: Three years of relevant training experience in coding education and training. CCS and RHIA or RHIT. Ability to organize and display aggregate data, as well as manage employee groups independently. Ability to provide effective presentation to management or physician groups. Maintain membership in professional organizations. Associate's degree in Health Information Management or related field required. Bachelor's degree preferred.
Contact: www.amh.org, Job #2011-0872. Abington Memorial Hospital is an Equal Opportunity Employer.
Posted: 01/10/2012
Certified Coder
Position Summary: Located at Virtua Health in Mt. Holly, NJ. Accurately reviews each record and knowledgeably utilizes ICD-9 and CPT-4 and encoder to accurately code all significant diagnoses and procedures according to AHA, AHIMA, UHDDS hospital specific guidelines and rules/conventions. Records coded include Inpatients, Same Day Surgery, Invasive Outpatients, and Emergency Department. Sequences principal diagnosis and principal procedures according to documentation found in the medical records and UHDDS definitions. Utilizes ongoing knowledge and reference material regarding DRGs to validate DRG assignments. Accurately utilizes written federal and state regulations and written guideline regarding definitions and prioritizing of abstract data elements to assure uniformity of database. Records abstracted include Inpatients, Same Day Surgery, Invasive Outpatients, and Emergency Department. Verifies and/or abstracts required data into PC according to procedure. Utilizes equipment and processes appropriately, to ensure efficient coding and abstracting; utilizes the established downtime procedures as needed. Participates in maintaining DNFB and accounts receivable goal. Maintains department level competencies. Participates in performance improvement activities (Q-edit, PA/HIM/REG shared folder monitoring, DRG Assurance Program committee participation). Must be certified in AHIMA Certifications, such as the CCS (Certified Coding Specialist), RHIA, or RHIT. However, if you are an active member in AHIMA and are eligible to sit for the CCS, RHIA or RHIT, please apply.
Requirements: Minimum of two years inpatient records coding experience or equivalent. Ability to perform functions in a Microsoft Windows environment. Ability to be detailed oriented and perform tasks at a high level of accuracy. Ability to make sound decisions. Demonstrate good communication and team work skills. Previous experience with an electronic legal health record system preferred.
Contact: Carol Orosz, PHR at 856-761-3876 or corosz@virtua.org or apply online at www.virtua.org/careers.
Posted: 01/10/2012
HIM Manager
Position Summary: Located at Virtua Health in NJ. Assists Director with planning, managing, and overseeing the daily operations of divisional HIM departments. Monitors workflow of EHR queues and maintains AR goals by monitoring DNFB reports for Inpatient and Outpatient including working with coding staff ensuring accuracy and compliance of coding. Communicates with all levels of Virtua staff including physicians, vendors, other departments, patients and visitors. Provides technical application (HPF) support, follow up and issue resolution as needed. Monitors/Assesses and checks scanned images against accuracy and quality requirements, including Adjust Document Indexing (ADI) as needed. Monitors manual index queues of unassigned images. Validates interfaces to ensure receipt of clinical information from various systems into the electronic legal health record. Assists Director with employee evaluations, action planning and disciplinary actions as needed. Performs payroll function/process collaboratively with Director. Works with all clinical and financial systems to perform all required job functions. Monitors/performs document capture process of paper record (including prepping, scanning, etc.) into Horizon Patient Folder, and manages electronic images in HPF. Monitors and ensures scanning equipment is maintained according to procedure. Assists with training/retraining, orientation, and development of HIM staff. Ensures flow of clinical documentation to appropriate work queues for internal and external audits. Participates in and performs quality audits and reviews. Assists/manages physician suspension/reinstatement process. This is a fulltime permanent position starting at $47K to $60K, dependent on experience.
Requirements: Three (3) years of Health Information Management supervisory experience preferred.
Excellent organizational, communication and customer service skills. Ability to utilize information Systems effectively (such as Microsoft Office Windows products, Outlook, Softmed, etc.) Ability to be detail oriented and perform tasks at a high level accuracy. Ability to make sound decisions and provide guidance.
Knowledge of medical terminology preferred. Previous experience with electronic health record system preferred. RHIA/RHIT certification (Registration of Accreditation by the American Health Information Management Association) or eligibility.
Contact: Carol Orosz, PHR at 856-761-3876 or corosz@virtua.org or apply online at www.virtua.org/careers.
Posted: 01/10/2012
Clinical Compliance Senior Manager
Position Summary: Pershing Yoakley & Associates (PYA) located in Atlanta, GA. The Clinical Compliance Senior Manager leads and actively functions as part of a team to provide consulting services for hospital and physician clients regarding: ICD-9/CPT coding accuracy, billing, quality, case management and regulatory compliance for third party payors, current inpatient and outpatient reimbursement methodologies, and general compliance/risk services.
Requirements: B.S. in Medical Record Administration. RHIA credential through AHIMA. Additional credentials such as CCS, CPC, LPN, RN or BSN are desirable. Prior hospital experience in either HIM or clinical operations. Demonstrated technical excellence – specific outpatient, case management,
physician, chargemaster, and revenue cycle expertise is desirable. Experience within a professional services firm. Superior communication skills are required, both oral and written. Overnight travel required (percentage varies by project and client need).
Contact: Carine Cesar, RHIA, P (678) 533-1759, Toll Free (800) 270-9629, www.pyapc.com.
Posted: 12/15/2011
Coding Staff Consultant
Position Summary: Pershing Yoakley & Associates (PYA) located in Atlanta, GA. Consultant will join a successful team of credentialed HIM professionals that provide consulting services to hospital clients regarding: ICD-9/CPT coding, DRG and MS-DRG validation, documentation improvement, charge capture, billing and other regulatory compliance for third party payors; as well as current inpatient and outpatient hospital coding and reimbursement methodologies. This individual serves as a dedicated team member who consistently demonstrates integrity and a strong client-oriented work ethic within a professional environment.
Requirements: Bachelors in Business or Health Administration. Credentials such as RHIA or RHIT through AHIMA. Additional credentials such as CCS, CPC, LPN, RN or BSN are desirable. Demonstrated technical excellence. Experience within a professional services firm. Superior communication skills are required, both oral and written. Overnight travel required (percentage varies by project and client need).
Contact: Carine Cesar, RHIA, P (678) 533-1759, Toll Free (800) 270-9629, www.pyapc.com.
Posted: 12/15/2011
Clinical Advisory Services Consultant
Position Summary: Pershing Yoakley & Associates (PYA) located in Atlanta, GA or Knoxville, TN. As a member of our team, the Clinical Advisory Services Consultant will join a successful team of professionals that provide consulting services to physician organizations regarding: financial reimbursement, revenue cycle expertise, evaluation and management/ICD-9/CPT coding, physician documentation improvement, billing and other regulatory compliance for third party payors; as well as reimbursement methodologies. This individual serves as a dedicated team member who consistently demonstrates integrity and a strong client-oriented work ethic within a professional environment.
Requirements: Bachelor’s degree in Health Information Management (“HIM”), Business, and/or 1-3 years in healthcare setting. A minimum of two years prior experience in physician coding and billing. Current credential of CPC. Additional credentials such as CCS, FACHE, and/or CMPE are desirable. Physician financial reimbursement and revenue cycle understanding a plus.
Contact: Carine Cesar, RHIA, P (678) 533-1759, Toll Free (800) 270-9629, www.pyapc.com.
Posted: 12/13/2011
Consulting Manager/ICD-10-CM/PCS Trainer
Position Summary: Pershing Yoakley & Associates (PYA) located in Atlanta, GA. Position requires 25 - 50% travel. Part of a team that provides consulting services to hospital and physician clients. Conduct charge description master (CDM) reviews, APC and DRG coding quality and compliance risk assessments for hospitals and physician practices. Manage and lead assigned client engagements to support external clients and internal resources. Develop and maintain client relationships by communicating progress of projects.
Manage multiple projects simultaneously, to include resource and staff allocation. Provide ICD-10 education/training to coders, clinical documentation improvement specialists, nurses, and physicians in ICD-10-CM/PCS coding methodologies and documentation compliance guidelines. Support development of ICD-10-CM/PCS related products and professional services. Assist in ICD-10 operational and technical assessments. Provide ICD-10 auditing to include review of medical record documentation to identify opportunities for coding and documentation improvement. Develop ICD-10 training materials and resources
Provide ICD-10 education and training to coders, physicians, clinical documentation specialists and other healthcare personnel.
Requirements: Minimum of an undergraduate degree in health information management with 5 plus years prior experience in health information management. RHIT, RHIA, CCS, and/or CCS-P preferred. AHIMA- approved ICD¬10-CM/PCS Trainer required. LPN, RN or BSN a plus.
Contact: Carine Cesar, RHIA, P (678) 533-1759, Toll Free (800) 270-9629, www.pyapc.com
Posted: 12/13/2011
Coding Abstract Manager
Position Summary: Located at the University of Maryland Medical Center (UMMC)
- Provides guidance to all team leaders, validation team and DRG Specialist. Ensures compliance with The Joint Commission (TJC) standards. Checks that written policies and procedures and job description to ensure they are kept current for the validation areas.
- Identifies goals to support the department's objectives. Establishes target dates and/or milestones to attain set goals. Ensures that goals are attained according to schedule and investigates problems/issues if they occur.
- Monitors contracted services from vendors, ensuring that set standards are maintained and coordinates timely validation. Confirms that all necessary equipment needed for the designated remote/downtime areas to operate is available and properly used by staff.
- Performs verification reviews of diagnostic and procedural coding and diagnosis and All Patient Refined (APR) validation to ensure accurate monitoring of case mix, severity and reimbursement patterns. Resolves issues regarding documentation with physicians, as necessary.
- Assists Director and Sr. Coding Manager in establishing work performance and quality standards, implements and monitors it. Performs annual employee performance reviews and counsels employees on performance issues, as necessary.
Requirements: Degree in Medical Records Technology and current accreditation as a Registered Health Information Technician (RHIT) or Certified Coding Specialist is required.Three years of progressively responsible technical experiences as a Medical Records Technician performing coding and abstracting work; in addition, two years experience in a lead role, preferably in the medical record field. Proficient knowledge of medical terminology and medical records science, to include documentation requirements (both regulatory and institutional), medical records coding nomenclature (ICD-9 & CPT), abstracting, research methods and automated record management applications.
Contact: Jennie Cyran, 410-328-6093, jcyran@umm.edu, jobs.umm.edu.
Posted: 12/08/2011
Health Info Coding System Coordinator
Position Summary: Located at the University of Maryland Medical Center (UMMC)
- Trains users on codingapplications, as needed, to comprehend and properly utilize the applications, screens and functionality of the applications. Oversees clinical documentation specialist functions within the coding area.
- Acts as technical liaison between application vendor, ITG and Coding staff (intradepartmental) to facilitate implementation of upgrades, resolution of application problems and report to or update manager and other entities as appropriate.
- Performs system configuration task such as: Modifying comprehensive record and revenue management chapters, Updating table information, Creating user accounts within the Comprehensive record & review management software application.
- Create APR-DRG, Case-Mix, & Coding Audit reports on a weekly, monthly basis or as needed.
- Prepares complete systems documentation for operations and creates policy and procedures for system utilization which includes accurately maintaining all necessary data tables in 3M Health Data Management system.
Requirements: Degree in Health Information Management, Information Technology, Health Care Administration or related field required. Two years experience performing system administration, user training or equivalent required. Health care environment preferred. Proficient knowledge of coding encoder and abstracting system, related terminology, and associated hardware required. Knowledge of SQL report generation and other utilities such as CRYSTAL reports, etc., is preferred.
Contact: Jennie Cyran, 410-328-6093, jcyran@umm.edu, jobs.umm.edu.
Posted: 12/08/2011
Data Analyst
Position Summary: Southern Jersey Family Medical Center seeks a Data Analyst to prepare and present reports to federal, state regulatory agencies and internal constituents(senior management, medical and dental providers, and management staff ). Audit medical chart//electronic records to compile data for reporting. Work closely with senior management, Physicians, Staff and colleagues. Conduct monthly QA chart audits and perform periodic audits at each site to ensure compliance with federal and state regulations. Submit weekly and monthly reports to President/CEO and COO concerning findings. Present QA statistics to the management.
Requirements: Bachelors Degree in Health Information Management and/ or 2-4 years equivalent experience- Health Care environment is a plus. Ability to handle and prioritize multiple projects. Excellent customer service skills. Enjoy working in a diverse environment. Ability to travel to medical/dental offices on a periodic basis.
Contact: Interested candidates may apply and send their resume to Stephanie Tupas via fax to 609-567-9649. To apply, click on the link https://sjfmcjobs.ats.profilestm.com/cgi-bin/a/highlightjob.cgi?jobid=175&lcid=en-US.
Posted: 12/2/2011
Sunrise EMR Clinical Application Manager
Position Summary: Randstad Technologies is looking for a Sunrise EMR Clinical Application Manager
- Minimum of 3-5 years exp working in a Healthcare IT background within one of the following EMR (Electronic Medical Records) Systems - Sunrise (Perferred), Epic, Cerner, Siemens, Accenture.
- Ideal Candidate will come from a clinical background who has worked in Informatix and processed up from a lead clinical analyst.
- Healthcare or Hospital Operations
Contact: Andrew Brantley, Technical Recruiter, Randstad Technologies (formerly Sapphire Technologies)
610-265-3844, andrew.brantley@randstadusa.