Certified Medical Coder

Trinity Health PACE; Fort Wayne (IN); Remoto; USD 65.000 - 80.000; Tempo pieno

Vantaggi offerti da questo lavoro

Tuition reimbursement

ASN to BSN tuition

Benefits from day one

Employer retirement match

Generous PTO

No mandatory overtime

Referral program

CEU opportunities

Modern equipment

Descrizione del lavoro

Saint Joseph Health System is seeking a denial prevention coder to analyze patient clinical and billing data, identify root causes, and develop corrective action plans. The role emphasizes improving revenue cycle efficiency, data integrity, and regulatory compliance across sites.

You will perform audits, collaborate with clinical teams, and assist in ensuring accurate charge capture and documentation. Travel between locations within the region may be required.

Competenze

• RHIA/RHIT/CCS/CPC/COC credential required.
• Minimum three years of coding/denial prevention experience in a hospital or physician practice.
• Strong knowledge of medical terminology, data entry and revenue cycle processes.

Mansioni

• Analyze patient clinical and billing data to identify denial root causes.
• Develop and implement denial prevention action plans.
• Audit revenue cycle processes and improve documentation accuracy.
• Collaborate with clinical teams to document services and charging.

Conoscenze

Attention to detail

Analytical thinking

Team collaboration

Formazione

RHIA/RHIT/CCS/CPC/COC credential

High school diploma or equivalent

Strumenti

Coding software

Descrizione del lavoro

Job TitleEmployment Type: Full timeShift: Day ShiftLocation: 100% RemoteStatus: Full Time- 40 hoursFlexible Schedule

Responsible for Urology, Hematology Oncology, and Wellness and Weight Management practices.Saint Joseph Health System is proud to offer Daily Pay. Work Today, Get Paid Today!Why Saint Joseph Health System?At Saint Joseph Health System, our values give us strength. That character guides every decision we make - even when those decisions are complicated, costly or hard. We honor our mission to care for every man, woman and child who needs us by investing in technology, people and capabilities that allow us to set the standard for quality care.

What we offer:

• Tuition reimbursement for all full and part-time colleagues effective first day of employment
• 100% paid tuition for ASN to BSN program (paid directly to learning partner)
• Benefits day one (Including: Medical, Dental, Vision, PTO, Life, STD/LTD, etc.)
• Retirement savings account with employer match
• Generous paid time off program + 7 paid holidays
• NO mandatory overtime
• Employee referral incentive program
• State of the art equipment, unlimited CEU's and supportive team approach

Job Summary

Responsible for performing in-depth analysis of patient clinical and billing data to identify documentation, coding and denial prevention. Develops and implements action plans for denial prevention based on root cause analysis findings. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and regulatory guidelines. Responsible for working complex denial coordination with intra-team members to identify root cause. Performs audits and collaborates with intra and inter-departmental teams on compliance, education, accuracy in charge capture and improvement in the revenue cycle processes as identified through revenue cycle audits and root cause analysis. Works closely with clinical areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging for all services provided. Completes assigned reports timely and accurately. May be required to travel between locations within the Region.

Job Specifications and Core Competencies

Education: High school diploma or equivalent combination of education and experience. Licensure: RHIA, RHIT, CCS, CPC/COC or other coding credential required. Experience: Minimum three (3) years of relevant coding and charge control work experience in a Hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.