06/18/2019

The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for facilitating improvement of the overall quality and completeness of medical record documentation.

• CDI Specialist role ensures completeness of the clinical documentation used for reporting professional services through interaction with providers and clinical staff.
• Monitors accuracy of documentation, including analysis of diagnostic and procedure codes, in accordance with regulatory guidelines.
• Identifies opportunities for documentation improvement and provides ongoing education to providers and coding staff.
• Ensures the accuracy and completeness of clinical documentation used for reporting professional services in the ambulatory setting.
• Improves the overall quality, integrity and completeness of the ambulatory clinical documentation by performing chart audits/reviews to verify appropriate ICD10 and CPT codes are assigned, and documentation requirement are met.
• Conducts meetings with the providers, clinical staff and coding staff to review documentation issues and improvement opportunities.
• Facilitates modification to the ambulatory clinical documentation to ensure appropriate reimbursement is received for the level of service rendered to all patients.
• Educates all members of the patient care team regarding clinical documentation opportunities, changes to clinical documentation guidelines, coding and reimbursement issues, as well as performance improvement methodologies.
• Conducts follow up reviews of ambulatory clinical documentation to ensure points of clarification have been recorded in the medical record.
• Uses interpersonal skills to discuss clinical documentation issues and works effectively with all levels of internal personnel such as coders, physicians, and other health professionals.
• Articulates the program to physicians and other health care professionals to educate and teach ambulatory clinical documentation requirements.
• Demonstrates knowledge of coding guidelines, documentation opportunities and clinical documentation requirements.

Required Associate’s Degree in Health Information Management or related field Certified Clinical Documentation Specialist (CCDS) or CCDS-O (outpatient), Certified Documentation Expert Outpatient (CDEO), Certified Professional Medical Auditor (CPMA) or Registered Health Information Technician (RHIT)

Maintenance of continuing education requirements, If qualified as an RHIT, must have at least 2 years of experience in a clinical documentation improvement role or ambulatory (professional fee) clinical documentation auditing If qualified as a CCDS, CCDS-O, CDEO or CPMA, must have at least 3 years of experience in a clinical documentation improvement role or ambulatory (professional fee) clinical documentation auditing

Preferred: Bachelor’s Degree in Health Information Management or related field. Experience with ambulatory clinical documentation auditing and improvement.

Apply at: https://mclarenhlth.taleo.net/careersection/mclaren_internal_career_section/jobsearch.ftl Nicotine Testing - To provide a safe, healthy environment for our patients, employees and visitors, as of February 1, 2013 McLaren no longer hires individuals who use nicotine and will conduct nicotine testing during the pre-employment process. If the test is positive the offer will be rescinded. Individuals who test positive may re-apply for employment after six months.

05/31/2019

Please submit all applications through our website at www.ihacares.com 

POSITION DESCRIPTION: Under the guidance of the Compliance & Coding Manger, has primary responsibility for serving as IHA's resource for Records Management, Policies, and Compliance Education. This role provides direction and guidance on records request, general compliance education and tracking IHA's Compliance policies and education work. Responsible for identifying, assessing, and recommending corrections for all areas of compliance policies, general compliance education and records management. Assures adherence to all government regulations and accrediting body standards, organizes and implements policies and procedures necessary to support IHA structures and processes; This position will serve as the subject matter expert on IHA Records Management.

ESSENTIAL JOB FUNCTIONS:

1. Develops, coordinates, and administers facility-wide system for records management, policy management and performs routine audits of record systems as included in IHA's Risk Management Audit Plan.

2. Collects, evaluates and distributes relevant data concerning compliance and risk education. Performs proactive analysis of data and follows up to close gaps in education.

3. Reviews policies, processes to formulate potential for organizational changes, and makes recommendations for approval by Compliance & Coding Manager. Informs directors of service and department heads regarding occurrences, issues, findings and records management recommendations; provides feedback to directors to gain compliance with IHA standards.

4. Participates on committees directed towards promoting records work and serves as IHA liaison for all records request questions.

5. Provides educational classes and job aides to office staff for processing records requests in alignment with IHA Standards for Records Management.

6. Performs audits of IHA standards, record and education tracking systems. Monitors and manages education-tracking files for IHA classes, meeting presentations and Health Stream coursework.

7. Promotes accurate and complete medical record integrity. Directs and coordinates non-risk related release of records and information in response to subpoenas, court orders, attorney requests, state and federal agency investigations and other inquiries on records legal questions and depositions.

8. Works collaboratively with the Risk Manager and Director of Compliance and Risk Management to screen questions for risk case related items. Forwards all risk related items to Risk Manager for response.

9. Receives, records related help desk events and responds in a timely manner to provide direction and guidance.

10. Retains knowledge of current IHA events to recommend appropriate revisions to new or existing policies and procedures to reduce the frequency of future occurrences.

11. Develops and maintains up to date educational materials for Records Management.

12. Performs general Compliance Group Education for staff utilizing effective training methods and job aides.

13. Ensures the quality of IHA medical records by verifying their completeness, accuracy, and proper entry into computer systems.

14. Manages IHA Compliance Policies and Forms, ensures they are up-to-date and saved according to IHA standards for storage, format and archiving.

15. Manages electronic information database for tracking and analyzing data as required in IHA's annual Audit Plan and as directed for Compliance Matters which arise and require analysis. Utilizes data from trend analysis and identifies opportunities to strengthen internal processes and compliance with IHA standards.

16. Maintains knowledge and complies with applicable healthcare laws, regulations and standards concerning patient care. Maintains awareness of legislative activities that may affect risk management programs.

17. Performs other duties as assigned.

ESSENTIAL QUALIFICATIONS:

EDUCATION: Bachelor's Degree or equivalent combination of relevant education and experience.

CREDENTIALS/LICENSURE: AHIMA Certified RHIT- Registered Health Information Technician / or Compliance Certification HCCA.

MINIMUM EXPERIENCE: 5 or more years' experience in the following areas: Compliance, HIPAA, healthcare risk management, regulatory standards, records management and retention.

POSITION REQUIREMENTS (ABILITIES & SKILLS):

1. Knowledge of federal, state, and insurance company regulations and contract requirements affecting compliance in a healthcare setting; understands managed care and insurance practices.

2. Understanding of general coding principals, insurance claims and billing process; HMO, PPO, TPA and commercial insurance types; fee schedules and pricing.

3. Well-developed understanding and/or hands on experience with office processes, procedures and workflows.

4. Knowledge of Compliance plan and auditing standards, organization policies and procedures.

5. Proficient in operating a standard desktop and Windows-based computer system, including but not limited to, Microsoft Word and Excel, Point, intranet and computer navigation. Ability to use other software as required while performing the essential functions of the job including EPM and EHR systems.

6. Proficiency in planning, organizing and prioritizing workloads.

7. Ability to develop and maintain effective professional working relationships with all levels within IHA as well as outside contacts.

8. Effective, professional communication skills, verbal, written and during group presentations.

9. Ability to coordinate activities and work independently to complete projects in a timely manner requiring highly complex analysis.

10. Works collaboratively in a team-oriented environment demonstrating a courteous, professional and friendly demeanor.

11. High level of organizational and time management skills with ability to effectively juggle multiple priorities and time constraints in a fast-paced environment.

12. Exercise sound judgment and problem-solving skills.

13. Ability to maintain any organizational information in a confidential manner.

14. Successful completion of IHA competency-based program within introductory and training period.

15. Ability to work overtime hours as scheduled.

05/29/2019

Job Description: Under direct supervision of Billing Manager, the qualified candidate is responsible for conducting precollection efforts on patient account receivables, processing patient credit cards and posting payment, working with patient statement company inquiries, and other clerical duties.

Typical Duties and Responsibilities:

• Performs all necessary patient account receivable precollection efforts as directed
• Performs all necessary steps process credit cards, post payments to practice management system
• Performs all necessary steps to process accounts to collections once approved by Billing Manager
• Coordinates inquires from the patient statement company using their online client portal

Required Experience:

• One year of experience in customer service, preferable in a health care environment

Skills & Abilities:

• Ability to use multi-line phone system
• Adequate hearing to answer phone and speak with patients
• Ability to speak clearly and loudly enough to be heard by callers and patients
• Understanding patient copays, deductibles, and co-insurance
• Understands the basic concept of how practice management systems to work
• Work in a Team environment

Equipment Operated:

• Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.

Work Environment:

• The position is in a well-lighted office environment

Mental/Physical Requirements:

• Involves sitting approximately 90 percent of the day, walking, or standing the remainder.

Education:

• High School Diploma or equivalent

Job Type:

• Full time
• Monday – Friday

This description is intended to provide only basic guidelines for meeting job requirements.  Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

To apply, email resume to Alicia Ambrozy, CPC at aliciaa@digesthealth.com

05/14/2019

Troy ophthalmology solo practice seeking experienced full-time biller.

Competitive salary and great benefits in a very pleasant working environment! Hours of employment will be Monday - Friday 8:30 a.m. to 5:00 p.m.

Applicant must have at least 3 years of experience with processing claims and correcting rejections. There will be an overlap for quality training.

We look forward to hearing from you. Please email vision@greenbergeye.com your resume and/or call the office at 248-649-2820.

05/14/2019

Help wanted - Certified Administrative Assistant

• Experienced only apply
• Part time

Send resume to meoyrintraining@outloo.com

04/22/2019

We are seeking a PART TIME detail-oriented and self-motivated certified medical coder to join our growing team.

Experience in the medical field is preferred but not required.

You will be responsible to accurately code and bill for a variety of office procedures and durable medical equipment.

Other responsibilities may include but are not limited to: verifying insurances, checking deductibles and calling surgery patients, answering coworker and patient questions, working reports and posting insurance payments.

Please email resume to lindsayw@hollandfoot.com or drop off in person at Holland Foot & Ankle, 904 S Washington Suite 130, Holland MI 49423.

03/12/2019

Coding/Billing Specialist Position Type Full-Time/Regular

JOB SUMMARY Under the direction of the Business Office Manager, is responsible for assuring that out patient medical records are coded and abstracted according to established criteria utilizing available resources both automated and manual based on documentation in the medical record provided by the attending, consulting physicians and clinical information. Using the available automated systems, enters coded documentation in the medical records on a daily basis. Communicates with consultants, federal and state organizations to validate the coding process and assure compliance to prevent fraud and abuse related to coding and abstracting. Validates documentation and works with the physicians to assure proper coding and educates the medical staff regarding coding issues.

DUTIES AND RESPONSIBILITIES: Collector- additional duties include working and maintaining all patients accounts. Meet all collection activity schedules and goals. Audit EOBs to assure accuracy of reimbursement and proper adjustments. Cross training to all positions for coverage 1.Code diagnoses, procedures, complications and co-morbidities for out- patients accurately. 2.Code appropriately for ancillary services. 3.Demonstrates knowledge and remains current in regard to ICD''s current version, CPT codes, modifiers, APCs, and DRGs. 4.Remains current with the coding and processing of records to assure timely coding. 5.Assures that the proper documentation is available in the medical record prior to coding. Enters codes for each provider and assures that the record is complete to assure that it is accurately abstracted. Follows through to assure the coding is finalized and a claim has been generated. 6.Demonstrates expertise in the use of the automated systems and any other that may pertain to coding. 7.Maintains required certification and training in the area of coding and abstracting. 8.Interacts positively, friendly and professionally with physicians, patients/family, office staff, hospital staff, medically supply and drug company representatives, insurance companies, attorneys, worker''s compensation adjusters and others. 9.Identifies opportunities to teach co-workers, medical staff and professionals regarding the documentation of medical care which supports accurate coding. 10.Speaks clearly, concisely and with consideration and respect in a group or one-on-one. Articulates thoughts wells and has a good rapport with listeners. Communication is clear, concise and understandable. Presentation is always polite, considerate and patient. Listens well.

SKILLS AND ABILITIES: 1.Able to work independently and meet established deadlines. 2.Able to make sound reasonable decisions. 3.Highly organized. 4.Ability to concentrate on many detailed requests despite numerous interruptions and respond accordingly with an appropriate sense of urgency. 5.Demonstrates accountability, professionalism, openness, receptive to change, creativity and innovation. 6.Ability to identify and calmly handle inherently stressful situations with tact. 7.Excellent communication skills. 8.Ability to develop excellent working relationships with consumers, vendors and staff. 9.Seeks guidance, direction and assistance when needed. Required Skills

EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS: 1. 3 - 5 years in medical environment with experience coding in a ASC environment (including orthopedics, pain management, surgical (general, and gynecological), Gastroenterology. Certification required. (American Health Information Management Association (AHIMA), the American Academy of Professional Coders (AAPC). 2. 4 year degree in business or clinical area or equivalent work experience. 3. Computer literate. Experience and knowledge of Amkai and Microsoft Office product required. 4. Knowledge of medical terminology.

Please send cover letter and resume to tbrindley@glbsurgery.com

03/12/2019

Seeking experienced, detail-oriented medical biller *immediately* for part-time position.

Work in a small, rapidly-growing, family-owned business providing boutique services for medical providers.

Competitive pay.

Please forward resume to Shatha Uebler: shatha@betterwaybilling.com.

03/08/2019

Summary: Under general supervision, is responsible for accurate and timely billing of all charge sessions for physician professional services to all third party payers and patient self-pay accounts. This includes reviewing the charge sessions/encounters, entry of charges into the accounts receivable system, corrections to third party claims, as needed, to ensure timely reimbursement for physician professional fees. Performs follow-up on aged receivables to determine a cause of delayed payment and performs all necessary actions to resolve outstanding balance. Participates in quality assessment and continuous quality improvement activities. Complies with all appropriate safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior. Works under the supervision of a departmental director or designee who reviews work for accuracy and conformance to standard procedures.

Requirements: • Education equivalent to graduation from high school. • Six (6) months of experience in physician billing to third-party payers or successful completion of a medical insurance specialist certificate program from an accredited college or university including each of the following: CPT coding, ICD coding, medical terminology, and anatomy. • Knowledge of billing procedures for third-party payers. • Knowledge of medical terminology, procedure coding, diagnosis coding, and appropriate modifier usage. • Ability to type accurately on forms. • Ability to use 10 key adding machines, computer, calculator, and other standard office equipment. • Ability to communicate effectively both orally and in writing. • Ability to conform to departmental performance standards. • Ability to establish and maintain effective working relationships with physicians, superiors, co-workers, other Medical Center employees, patients, third-party payers, and the general public.  

Please send your resume into to kanders1@hurleymc.com

03/04/2019

Part-time medical biller wanted. Experience with KAREO EHR and practice management preferred but willing to train.

Send cover letter and resume to the attention of Gwen: Mays Clinic 4299 Lake Street #96 Bridgman, MI 4910 or email to info@maysclinic.org

02/20/2019

Digestive Health Associates is hiring a full-time Billing Manager. We offer employees competitive wages, paid holidays, and paid time off. Employees can expect no night, weekend, or holiday shifts. In addition, full-time employees are also eligible for a generous 401k profit sharing plan. Please send resume to kariv@digesthealth.com 

GENERAL SUMMARY: The Billing Manager functions in a working Manager role to ensure timely and accurate charge entry and follow-up on unpaid claims and denials.  In addition to medical billing duties, patient A/R is included when working with established patient statement and collection companies.  This position is responsible for Managing a Team that consists of an A/R Specialist, Inpatient/Outpatient Billers, Prior Authorization obtainer, payment poster, and other Administrative duties. The Billing Manager reports to the Practice Administrator and Managing Physician Partners.

Education: Minimum: High School graduate. Working knowledge of medical terminology as well as procedural and diagnosis coding is required

Preferred: Higher education with a medical office or account focus. Certified Professional Coder (CPC), Certified Professional Biller (CPB) or Certified Revenue Cycle Specialist-Professional (CRCS-P) preferred

Work Experience: Minimum: One year of recent, relevant experience with accounts receivable follow-up and/or denials management experience.

Preferred: Two or more years of recent, relevant experience with accounts receivable follow-up and/or denials management experience; experience with working in eClinical Works.

Professional Skills:

Communication: Effective verbal and written skills, computer literate

Customer Service: Patient confidentiality, helpful, patience Organizational: Detail oriented, problem-solving abilities, efficient Team Leader Skills: Demonstrate the ability and willingness to work as an effective part of a team and to lead a team.

DUTIES AND RESPONSIBILITIES:

1. Account Follow-Up and Denials Management Skills Demonstrate ability to follow internal policies and procedures regarding follow-up timelines and methods, documentation standards and spreadsheet creation and maintenance as assigned Maintain a working knowledge of 835 and 277 rejection and denials reason codes (Remittance Advice Remark Codes (RARC) and Claim Adjustment Reason Codes (CARC)) along with payer specific adjustment and denial codes. Write and follow-up on appeal letters for denied claims referencing any applicable research, medical record documentation, medical policy and/or coding and billing rules Use payer websites, payer inquiry methods, payer representatives and other applicable payer specific methods to obtain prompt payment of claims and identification and resolution of any issues affecting prompt payment Use aging reports, work queues, tasks, ticklers and other follow-up techniques to ensure timely follow-up of unpaid claims and timely follow-up on claims that have been underpaid or denied Effectively manage accounts receivable within area of assignment
2. Administrative Skills Handle incoming and outgoing correspondence. Provide telephone support for patients and insurance carriers. Communicate with others on the team including cash posters and leadership regarding payers not meeting contractual obligations pertaining to timely payment, denials, and any trends or outliers noted Communicate with on-site clinic staff regarding medical documentation needs
3. Quality Management Adhere to corporate compliance and HIPAA standards and policies Use relevant knowledge of carrier issues, medical policies and billing standards to ensure accurate and timely payments (know when to question) Participate in peer review, quality management and outcome studies as assigned Follow standards, policies, and procedures to make appropriate adjustments
4. Facilities/Equipment Demonstrate working knowledge of equipment Coordinate with appropriate person for repairs or maintenance Follow established appropriate use standards
5. Self-improvement/Professional Activities Keep current on issues, practice patterns and trends in medical billing and those specific to pain management Attend continuing education specific to job duties Promote staff development activities and program goals and objectives 

PHYSICAL DEMANDS: Independently mobile to perform job tasks Approximately 99% of time sent sitting Moderate to heavy computer use Able to lift up to 30 pounds

WORKING CONDITIONS: Fast paced, demanding office environment Exposure to a variety of attitudes and personalities from patients and visitors Multiple interruptions

02/20/2019

Brighton Family Physicians is a primary care office with four doctors, we are a PCMH and a CPC+ track 1 practice.  

Position Includes:

• Full time
• Benefits

Requirements:

• 2 years experience
• Self-motivated, self-directed coder, work independently and as a team
• Must be versed in all aspects of billing, including charge entry, posting, and follow up.
• Must have EDI experience and be able to apply industry standards where needed
• Great communication skills, both written and verbal
• Must have working knowledge of Health measures and reporting codes
• Must be willing to work in reception when and where needed

Please send resume to nancybyrd61@yahoo.com