Carle Health

Clinical Coding Auditor Assists in the provision of an efficient and effective clinical coding service within Carle by providing accurate and timely auditing and coding education to providers and coding team members to include CPT EM coding, CPT Procedural Coding, ICD10CM and ICD10 PCS coding, as applicable. Assist Coding Audit and Education Supervisor in managing audits and audit schedules for providers and coding team members. Auditors work closely with HIM leadership and Compliance to assure Carle providers and coding team members are following all regulatory requirements for code assignment. Auditors help identify training needs through ongoing internal provider and staff audits and assist with remediation and reaudit post education. Auditors are responsible to produce coding education materials in formats such as power point or LMS educations systems. Qualifications: Certifications: Registered Health Information Administrator (RHIA) - American Health Information...

HIM Certified Coder The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM coder uses Carle electronic medical record systems to review clinical encounters. Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management...

Coder/Quality Review Analyst This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and responds to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC) Registered Health Information Administrator (RHIA) – American Health Information Management Association (AHIMA) Registered Health Information...

A healthcare organization in Champaign, Illinois, seeks a HIM Certified Coder to ensure accurate and compliant coding for hospital encounters using various coding systems. Candidates must have a high school diploma and certifications in coding. The role offers competitive pay ranging from $23.58 to $39.38 per hour, with a focus on collaboration and regulatory compliance. Join a supportive team dedicated to healthcare excellence at this prominent organization. #J-18808-Ljbffr

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Carle Health. The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient, and/or professional fee encounters using appropriate ICD-10/ICD-PCS, CPT, or HCPCS codes, along with coding software such as computer-assisted coding and encoders. This ensures compliant billing of Carle claims. The HIM Certified Coder must understand and apply all regulatory coding guidelines, including National and Local Coverage Determinations, and CPT modifiers. They are also responsible for applying coding knowledge to resolve billing edits related to coding. The coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Accurately code all records according to the appropriate coding classification system (ICD-10, CPT, HCPCS, and modifiers). The assigned codes should accurately reflect the diagnoses and procedures...