Meritus Medical Center

Introduction:

This position requires onsite training for approximately 60-90 days after which it will report remotely

Job Description:

This position is responsible to provide high-quality coding of diagnoses & procedures on Inpatient Charts, with ICD-10-CM & ICD-10-PCS coding systems, as well as accurate assignment of MS-DRG and APR-DRG, after an extensive review of the clinical documentation/chart. This position is also required to abstract data elements for internal and external data submissions as required by CMS, HSCRC and other regulatory agencies. Qualified candidates are responsible to code all types of Inpatient charts; Inpatient charts possess the utmost complexity and the skill level required for this position is found in a prominent, experienced & proficient Inpatient Coding professional.

High-quality coding is essential in this position, for accurate billing, for internal & external reporting, as well as internal & external data analysis purposes. To accomplish this, this position requires thorough, ethical, accurate, & high-quality coding practices, to ensure Coding Compliance, high level of data quality and the expedition of reimbursement. As assigned, this position may also be assigned to code other work types as needed to maintain workflow of all work types to be within the bill hold and to maintain minimal Coding Days in AR/Accounts Receivables.

Experiential Requirements:

Minimum of three-five years of hospital Inpatient coding experience which includes coding of Acute Care, Med – Surg, Trauma, Rehab, Psych, OB & NB records. As well as comprehensive experience with MS-DRGs & APR-DRGs, along with detailed experience in abstracting data elements from medical records.
Demonstration of skills through completion of a hospital administered advanced coding test with a satisfactory score.

Licensure/Certification:

Minimum of one of the following credentials is required: CCS (Certified Coding Specialist), RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician)

Knowledge/Skills/Abilities:

Must have extensive knowledge of ICD-10 Coding systems, MS-DRG & APR DRG methodology, Federal Coding Guidelines, National Standards of Ethical Coding, UHDDS Reporting Guidelines, HSCRC State Reporting Guidelines
Extensive computer application experience, comprehensive analytic skills and ability to utilize multiple software programs to complete day to day coding tasks.

Excellent human relation & communication skills, and must be able to tactfully query physicians and diplomatically handle controversial issues as well as address issues of non-compliance with members of other departments and the Medical Staff.

Education Qualifications:

Four-year degree acquired from an AHIMA approved program with RHIA credentials, or Two-year degree acquired from an AHIMA approved program with RHIT credentials, and/or CCS credentials, acquired through successful completion of AHIMA’s CCS exam

Compensation/Benefits:

Health, Dental, Vision, 401K (fully vested upon hire), STD, LTD, PTO

Instructions for Resume Submission:

Please apply through the Meritus Health Website Career Page Link. Qualified applicants may email their resume to kevin.conn@meritushealth.com after completing their application.

Apply Online: https://www.meritushealth.com/careers/

FMAS

Introduction:

Part-time, temporary work on a government contract for someone with experience in analyzing medical records for completeness and tracking medical records.

Job Description:

Part-time, temporary work on a government contract for someone with experience and expertise in reviewing medical records for completeness and entering results into a tracking database.  Position involves flagging major components of medical records, such as Discharge Summary, Emergency Department, Physician Notes, Labs, Orders, etc., and also to call the hospitals or nursing facilities if any of the major medical record components are missing.

Someone with a background in hospital or skilled nursing facility (SNF) medical record analysis for completeness would be ideal.

Required Qualifications:

High School Diploma with substantial experience and expertise in reviewing medical records for completion, and the other activities listed above.

Preferred Qualifications:

An RHIA or RHIT would be helpful.

Education Qualifications:

High School Diploma; RHIA or RHIT would be helpful.

Compensation/Benefits:

To be discussed.

Instructions for Resume Submission:

Please send as an email attachment to jsamuels@fmas.org with a copy to seg@fmas.org.

Intersect Healthcare Inc.

Introduction:

Fast growing company in Towson, Maryland specializing in Denial Management solutions has a full time position available for a Clinical Appeals Specialist.

Competitive Salary and Benefits Package available.

Responsibilities:

• Review denial letters received from Insurance companies and determine denial rationale.
• Select appropriate Issue and Templates to begin the Appeal writing process using propriety denial management software.
• Assist Appeal Coordinators with document uploads and follow up on appeals to ensure the timely delivery of decisions by Insurance companies.
• Understand and utilizes Veracity software.
• Completes all Task assignments within due dates.
• Ensures compliance with HIPAA and company privacy regulations.
• Attends meetings as requested.
• Displays flexibility and a willingness to address additional work when the need arises.
• Other job functions as assigned.

Credentials – Experience:

• RHIT credential required with a minimum 1 to 2 years of experience in hospital related role as outlined below:
• Inpatient Coding and/or Revenue Cycle Experience.
• Appeal Writing.
• Organized disciplined time management skills.
• Able to follow policies and procedure.

Preferred Qualifications:

• Excellent Time Management Skills
• Attention to Detail
• Ability to work in a fast paced environment
• Ability to meet deadlines

Education Qualifications:

RHIT Credential with 1-2 years experience in hospital/medical related role related to:  Inpatient coding and/or Appeal Writing

Compensation/Benefits:

• $50,000 starting salary with opportunity for bonuses
• Paid time Off
• Paid Holidays
• Excellent Benefit package

Instructions for Resume Submission:

Please forward resumes to:

Jane Nier: jnier@intersecthealthcare.com

and

Julie Raynor: jraynor@intersecthealthcare.com