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DRG Quality Auditor
Medical Center of Central Georgia
Job Description:
The DRG Quality Auditor will have the following responsibilities:
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Creates and maintains consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality in hospital inpatient services.
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Directs, plans, organizes activities related to data collection, ICD-9-CM, CPT-4, DERG, APC assignment and coding accuracy, quality and compliance.
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Acts as an organizational contact for DRG related issues and questions.
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Ensures an effective data collection and processing system by reviewing and analyzing data input, and processing and data output activities.
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Performs audits to evaluate the quality and timelines of coding and abstracting completion to ensure optimum reimbursement to the hospital programs to hospital and medical staff members regarding coding, diagnosis related groups (DRGs), APR-DRGs, MS-DRGs, APCs, RBRVS or other coding related documentation, and billing and reimbursement systems.
Required Qualifications:
5 years of Inpatient Coding experience in Business, Healthcare, Insurance, Financial, or related field. Education may be substituted for experience at a ratio of 1:2.
Education Qualifications:
High School Diploma or GED; Associate Degree or Bachelor’s Degree preferred.
Compensation/Benefits:
Major Medical, Dental, Vision, 403B with matching funds. Local discounts, Life, Supplemental Life, and more.
Instructions for Resume Submission:
Email resumes to Angela Smith or apply online at www.mccg.org.
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Coding Specialist II
Columbus Regional Healthcare System
Columbus Regional is currently recruiting for Coding Specialist II PRN positions.
Job Description:
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Assigns ICD-9-CM and CPT codes for all medical records (including, but not limited to, inpatients, SDS Observation)
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Utilizes appropriate coding reference and/or computerized encoder
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Abstracts medical records for clinical, financial and statistical reporting
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Enters codes and abstracted information into Encoder and SMS for accurate and timely generation of patient bills
Required Qualifications:
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Two years direct coding experience Associate's Degree in Health Information Technology or completion of a certified coding program through CCS or RHIT, including coding internship
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Knowledge of anatomy & physiology, pharmacology and fundamental disease process
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Proficiency in word processing and spreadsheets
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Above average communication skills and the ability to relate effectively to the public and health care professionals
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AHIMA certified coding specialist (CCS) or successful passing within 6 months of hire
Preferred Qualifications:
Hospital coding experience preferred.
Education Qualifications:
Associate's Degree in Health Information Technology or completion of a certified coding program through CCS or RHIT, including coding internship.
Instructions for Resume Submission:
Qualified applicants should apply online @ www.columbusregional.com.
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Coding & ROI Team Leader
Phoebe Putney Health System
Introduction:
Phoebe Putney Health System is a network of hospitals, family medicine clinics, rehab facilities, auxiliary services, and medical education training facilities. Founded in 1911, Phoebe Putney Memorial Hospital is one of Georgia's largest comprehensive regional medical centers. Phoebe is nationally recognized for clinical excellence and innovative community health programs. From the beginning, Phoebe's goal has been to bring the finest medical talent and technology to the citizens of Southwest Georgia, and to serve all citizens of the community regardless of ability to pay. The more than 300 affiliated doctors and 3,800 professional staff form a unique partnership to deliver world-class healing and prevention to our community.
Job Description:
The Coding & ROI Team Leader coordinates the day-to-day operations of the Coding and Release of Information areas. Supervises all Coding and Release of Information staff.This is a full time days position.
Required Qualifications:
- CCS certification with Associates degree or equivalent required
- RHIT or RHIA preferred
- Two years experience in a Medical Record Department, physician office, or other health care setting required
- Extensive knowledge of ICD-9-CM and CPT coding and DRG and APC payment methodologies required
- Extensive knowledge of HIPAA, state and federal regulations pertaining to release of medical records and confidentiality required
Instructions for Resume Submission:
Please click HERE to apply online.
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Clinical Documentation Improvement Specialist
Maxim Health Information Services
Introduction:
Maxim Health Information Services is a leader in providing quality health information management (HIM) and clinical documentation improvement (CDI) services to healthcare organizations across the country. Maxim Health Information Services has jobs for experienced healthcare professionals to support its offerings to customers, including on-site coding support, remote coding services, auditing and review services, education and training, HIM outsourcing, services to the Department of Veterans Affairs Medical Centers, and clinical documentation improvement. Maxim provides short-term, long-term, and permanent placement staffing solutions. Employees may travel or work remotely in full-time or part-time positions.
Job Description:
Maxim Health Information Services (MHIS) is seeking a Clinical Documentation Improvement Specialist for positions nationwide. The responsibilities are primarily to review medical records concurrently within the requesting facilities and determine if there are gaps in documentation; if so, query the physicians appropriately to clarify the documentation to support and then record the appropriate working MS-DRGs. As part of the interview process, candidates for the CDI Specialist positions will be interviewed by Maxim’s account executives and Director of CDI, as well as the client if they so desire. A CDI-focused set of questions will be provided to determine depth of CDI capabilities and familiarity of the CDI process. Depending on the candidate’s background, knowledge/depth of CDI experience and basic interview result and Maxim’s capability, candidates may be mentored prior to being placed on a client site.
Required Qualifications:
Two types of credentials are acceptable:
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HIM professional candidates must be credentialed as an RHIA or RHIT and have experience in ICD-9CM hospital based coding. HIM management experience is a plus.
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Clinical candidates must be credentialed as an MD, PA, RN, BSN, (C-CDIS is a plus). Strong clinical background for a minimum of three years in Med-Surg, ICU or Surgery experience is a must.
Preferred Qualifications:
For both HIM and Nursing candidates - optional but a large plus:
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Case Management/Utilization review experience
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Clinical Documentation Specialist Hospital experience
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Certification as a Certified Documentation Improvement Specialist
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Worked as a CDI Consultant
Compensation/Benefits:
Maxim offers the following benefits:
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Rewarding placements
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Health, Vision, Dental, Life Insurance and 401(k) Plan
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Competitive pay
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Hassle-free travel-no fees for flight, hotel or car rental!
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Flexible scheduling
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Consistent workload
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Quality customer service-available 24 hours/day
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Referral bonuses
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Discounted coding books
Instructions for Resume Submission:
Please email your resume to careers@maxhealth.com or fax to (877) 316-8245, Attention CDIS Jobs. Maxim Health Information Services Delivering Results, Growing Careers.
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Coder -
Quality Reviewer/Trainer
Mayo Clinic
Introduction:
Mayo Clinic seeks an experienced Coder
Reviewer/Trainer who is ready to maintain and improve
our staff's work against quality standards.
Job Description:
You will be responsible for reviewing
work performed by individual coders, document trends and
interpret data to develop, launch and deliver innovative
training and educational programs at all of our
facilities.
This position can be located at our
Rochester, MN, Jacksonville, FL or Scottsdale/Phoenix AZ
locations.
Required Qualifications:
Qualifications include a very strong
knowledge of current billing and coding regulations and
policies. You must also have a thorough understanding of
anatomy, physiology, medical terminology and disease
processes.
Preferred Qualifications:
Three years of inpatient coding, one
year of training and quality review work in coding are
preferred.
Education Qualifications:
You must also have an associate's degree
or a bachelor's degree in a healthcare field or any
related field with RHIT, RHIA, CCS or CPC credentials.
We require five years of CPT-4 surgical coding and/or
ICD-9 diagnosis, and/or procedure coding and/or MS-DRG
assignment.
Compensation/Benefits:
Mayo Clinic, one of Fortune magazine's
"100 Best Companies to Work For," offers an excellent
salary and benefits package. We also provide you with
the opportunity to realize your highest personal and
professional ambitions.
Instructions for Resume Submission:
To apply or learn more about this or
other opportunities, please visit:
http://bit.ly/rT0u11. Mayo Clinic is an affirmative
action and equal opportunity employer.
Post-offer/pre-employment screening is required.
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Director of Health Information Management
Ridgeview Institute
Introduction:
Ridgeview Institute, a
not-for-profit behavioral healthcare facility located in
Smyrna, Georgia, seeks a qualified candidate for the
position of Director of Health Information Management.
Job Description:
The Director of Health Information
Management is responsible for the planning, direction
and daily operations of the Health Information
Management Department including release of information,
record completion, transcription, coding, filing,
storage, retrieval and maintenance. The HIM Director
works closely with the hospital’s medical staff and
administration to ensure that patient records are
maintained in compliance with all accrediting and
regulatory agency standards. This position reports
directly to the Chief Financial Officer and is
responsible for the confidentiality and privacy program
throughout the facility. EMR experience a plus as the
facility moves to implement this function in the near
future.
Required Qualifications:
Qualifications require certification
as a Registered Health Information Technician (RHIT) or
Registered Health Information Administrator (RHIA).
Requires 3-5 years management experience.
Preferred Qualifications:
Prefer previous behavioral
healthcare experience.
Instructions for Resume
Submission:
Resumes may be emailed to:
jhonea@ridgeviewinstitute.com or
bsonderman@ridgeviewinstitute.com or faxed to:
770-431-7092.
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Associate Professor,
HIM
Horry-Georgetown Technical College
Introduction:
Horry-Georgetown Technical College
is a dynamic and progressive multi-campus comprehensive
community/technical college serving Horry and Georgetown
counties in the northeast region of South Carolina, with
campuses in Conway, Georgetown, and Myrtle Beach.
The three campuses are located near
the center of South Carolina’s “Grand Strand,” a 60-mile
stretch of beaches extending between the North Carolina
border and historic Georgetown, South Carolina. The
College has an enrollment of over 7,500 curriculum
students and 12,000 Continuing Education students.
Job Description:
The instructor is accountable to the
Department Chair for the fulfillment of his or her
functions, responsibilities, authority and
relationships, and for their proper interpretation.
Required Qualifications:
Bachelors Degree in Health
Information Management, Health Care Administration, or a
closely related field and current certification as RHIT
or RHIA required. A minimum of three (3) years
experience in the field preferred.
Preferred Qualifications:
Teaching experience a plus.
Education Qualifications:
Bachelors Degree in Health
Information Management, Health Care Administration, or a
closely related field and current certification as RHIT
or RHIA required.
Compensation/Benefits:
South Carolina State benefit
package.
Instructions for Resume
Submission:
Submit online application, attaching
unofficial transcripts via:
www.hgtc.edu/hr.
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Coding Specialist
II (PRN)
Columbus Regional Healthcare System
Columbus Regional is currently
recruiting for Coding Specialist II PRN positions.
Job Description:
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Assigns ICD-9-CM and CPT codes
for all medical records (including, but not limited
to, inpatients, SDS Observation)
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Utilizes appropriate coding
reference and/or computerized encoder
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Abstracts medical records for
clinical, financial and statistical reporting
-
Enters codes and abstracted
information into Encoder and SMS for accurate and
timely generation of patient bills
Required Qualifications:
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Two years direct coding
experience
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Associate's Degree in Health
Information Technology or completion of a
certified coding program through CCS or RHIT,
including coding internship
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Knowledge of anatomy &
physiology, pharmacology and fundamental disease
process
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Proficiency in word
processing and spreadsheets
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Above average communication
skills and the ability to relate effectively to
the public and health care professionals
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AHIMA certified coding
specialist (CCS) or successful passing within 6
months of hire
Preferred Qualifications:
Hospital coding experience
preferred.
Education Qualifications:
Associate's Degree in Health
Information Technology or completion of a certified
coding program through CCS or RHIT, including coding
internship.
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GHIMA Members and
Non-Members: