Trinity Health

  • Silver Spring, MD, United States
Trinity Health Silver Spring, MD, USA
Employment Type: Full time Shift: Description: General Summary: The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC, high risk scoring, with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas related to coding, documentation and compliance. Works closely with leadership and the department to...

Trinity Health Mason City, IA, USA
Employment Type: Full time Shift: Day Shift Description: REMOTE OPPORTUNITY What we offer: MercyOne Nurses Rock Scholarship - loan repayment for ADN or BSN Education Assistance offered Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 16 hours per week or greater Competitive wages; including weekend and night differentials Generous paid time off program Retirement Savings program with employer match starting on Day 1 Hours: Full Time, working Monday - Friday, 7:00am - 3:30pm. Position is currently on-site with opportunity to work from home (remote) in the future. About The Job: Responsible for ensuring compliance of coding through auditing, training, and monitoring Clinic coding staff Conducts quality monitoring of provider documentation and code selection Acts as mentor and coach for coding staff Provides or facilitates training opportunities Serves as member of the Clinic Support Services Department Leadership...

Trinity Health Peosta, IA, USA
Employment Type: Full time Shift: Description: Key Responsibilities (list 5-8) •Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines. •Communicates professionally with providers, practice management, and other stake holders either verbally or in writing. •Responsible for working encounters in the coding work queue or task lists in a timely manner. •Meets or exceeds organizational coding production and quality standards. •Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits. •Reviews and resolves coding denials. •Participates in special projects and completes other duties as assigned. Job Requirements / Qualifications Education/Experience: •High school diploma or equivalent required. •One year physician coding experience preferred....

Trinity Health Maywood, IL, USA
Employment Type: Full time Shift: Description: Responsible for clinical review and data abstraction of inpatient discharges, selection of principal diagnosis and other secondary diagnosis withe goal of appropriate DRG assignment for quality data and reimbursement. Work closely with CDI team for supportive physician clinical documentation to support code assignment. POSITION PURPOSE Under the general direction of the Coding Manager and/or Lead, the Coding Specialist lll is responsible for coding accounts providing high level technical competency and subject matter expertise analyzing physician/provider documentation contained in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records. Our Commitment to...

Trinity Health Clinton, IA, USA
Employment Type: Full time Shift: Day Shift Description: Position Purpose Responsible for ensuring compliance of coding through auditing, training, and monitoring Clinic coding staff. Conducts quality monitoring of provider documentation and code selection. Acts as mentor and coach for coding staff. Provides or facilitates training opportunities. Serves as member of the Clinic Support Services Department Leadership Team and Clinic Compliance and Integrity Team. What You Will Do Conducts quality auditing and monitoring of coding completed by clinic coders. Prepares reports and corrective action plans with the support of the Coding Leads and Manager. Communicates discrepancies and corrective plans in a professional and supportive manner. Monitors providers coding patterns through use of Histograms or similar tools and identifies areas for improvement. Develops plan to include working directly with providers or working in conjunction with on-site...

Trinity Health Peosta, IA, USA
Employment Type: Full time Shift: Description: Are you patient centered and thrive on providing top notch customer service? Consider joining our team as a Coder. This person will be responsible for coding and abstracting patients' medical records for billing and statistical purposes. Day-to-Day: Responsible for coding and abstracting patients' records for professional billing. Reviews patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes. Interacts and assists with coding requests and questions from billers. Serves as a resource for difficult coding questions and assists with insurance denials for correction and re-filing. Makes process improvement recommendations to management as identified, specifically related to registration and charge posting. Performs in compliance with federal, state, insurance industry regulations. Follows established hospital policies concerning corporate...

Trinity Health Des Moines, IA, USA
Trinity Health Auditor Coder Specialist DES MOINES , Iowa Apply Now Are you patient centered and thrive on providing top notch customer service? Consider joining our team as a Coder! This person will be responsible for coding and abstracting patients’ medical records for billing and statistical purposes. Day-to-Day: Responsible for coding and abstracting patients’ records for professional billing. Reviews patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes. Interacts and assists with coding requests and questions from billers. Serves as a resource for difficult coding questions and assists with insurance denials for correction and re-filing. Makes process improvement recommendations to management as identified, specifically related to registration and charge posting. Performs in compliance with federal, state, insurance industry regulations. Keeps abreast of insurance carrier...

Trinity Health Athens, GA, USA
Employment Type: Full time Shift: Description: to be able to code OP surgery, observation and Emergency room accounts To be able to accurately code OP surgery, Observation, and Emergency room accounts. To include handling NCCI edits and knowledge of coding rules and guidelines both for ICD-10 and CPT coding. To have knowledge of anatomy and physiology. Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race,...

Trinity Health Fresno, CA, USA
Employment Type: Full time Shift: Day Shift Description: Reporting to the Manager Medical Group Revenue Cycle Site Operations, Fresno, this position is responsible for to perform medical record audits including, but not limited to analysis of medical record documentation; validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Monitor’s accuracy of centralized coder’s charge capture and coding with proper International Classification of Diseases 10th Revision (ICD-10), Current Procedural Terminology (CPT), Healthcare Common procedure Coding System (HCPCS), as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient medical record...

Trinity Health Des Moines, IA, USA
Employment Type: Full time Shift: Day Shift Description: Key Responsibilities: · Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines. · Communicates professionally with providers, practice management, and other stake holders either verbally or in writing. · Responsible for working encounters in the coding work queue or task lists in a timely manner. · Meets or exceeds organizational coding production and quality standards. · Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits. · Reviews and resolves coding denials. · Participates in special projects and completes other duties as assigned. Job Requirements / Qualifications: Education/Experience: · High school diploma or equivalent required. · One year physician coding...