Job Board

Welcome to IHIMA’s Job Board! The Job Board helps job seekers find their career path and employers find staff in the health information management field.

Submission Details: To complete the online submission form, please CLICK HERE.

Job Board postings are $150 per post and will remain active on the IHIMA website for 90 days or unless we are notified sooner that the job has been filled. Notice of a new job posting will be sent in the form of a Job Alert. This alert is sent to over 4,500 individuals on the IHIMA email list. The email links the recipients directly to the Job Board listing on the IHIMA website.

If you have any questions, please contact IHIMA Central Office at [email protected]

Available Opportunities:

Job Title: Hospital Outpatient Coding Reimbursement Specialist

Job Type: Full Time

Work Setting: Other

Organization: Our Healing Ministry throughout our 12 ministries and many medical practices, we offer a number of nationally recognized Centers of Health Care Excellence. For 140 years, Franciscan Alliance has stayed true to our founding mission to care for everyone who comes through our doors. We treat our patients with the best possible care by following the guiding ethical values embodied by our founding congregation, the Sisters of St. Francis of Perpetual Adoration. Always mindful of our Christian stewardship to the Roman Catholic Church, we minister with joy, care and compassion according to the ideals of St. Francis of Assisi and our founder, Mother Maria Theresia Bonzel. Our healthcare system carries forth Christ’s healing ministry and strengthens the Catholic health care mission by: Providing a broad, coordinated continuum of health care services with an emphasis on improving the health of persons and communities. Treating the mind, body and spirit with holistic and comprehensive medical options. Developing creative structures for health care delivery. Being advocates for those in need. Identifying and developing our sisters and laity for Franciscan leadership.

Job Description:

  • Serves as coding subject matter expert for one of the following reimbursement methodologies Illinois Outpatient Medicaid (knowledge and understanding of EAPGs reimbursement methodologies and edits); Indiana Outpatient Medicaid (knowledge and understanding of EAPGs reimbursement methodologies and edits) with experience in OP Surgical Coding for Same Day Surgery, Observation and Emergency Room procedural coding.
  • Demonstrates an expert knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and payer specific guidelines. Understands how ICD codes, EAPGs and SOI/ROM scores are used for reimbursement, public reporting of outcomes, reviewing quality of patient care, financial modeling, strategic planning and marketing.
  • Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability.
  • Remains current with coding and industry changes through participation in educational opportunities to maintain coding credentials.
  • Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT surgical procedures, modifiers, hierarchical condition categories, complications, and comorbidities to meet coding guidelines.
  • Identify cases that may require provider documentation clarification regarding documentation inconsistencies or lack of specificity to accurately assign codes. Collaborates with clinical departments and physicians on documentation improvement.

Required Qualifications: Required High School Diploma/GED, 3 years Coding – Required Certified Coding Specialist (CCS) - Required

Education Requirements: Required High School Diploma/GED, Associates or Bachelors Degree - Preferred

Preferred Qualifications: Registered Health Information Technician (RHIT) – Preferred; Registered Health Information Administrator (RHIA) - Preferred

Compensation/Benefits: Regular full-time and part-time employees are eligible for medical, dental, vision and prescription benefits. We offer two different medical plans with a range of coverage options so you can select the plan that best suits the needs of you and your family.​​​​​​​The medical plan utilizes the Anthem Blue Cross Blue Shield BlueCard PPO network, a nationwide network of providers. An added benefit to employees enrolled in our medical plan is savings on Franciscan Health services, including our hospitals, labs, imaging, pharmacies, express care and services of Franciscan physicians. Prescription coverage is included in the medical plan. Dental insurance is offered through Delta Dental and vision insurance through EyeMed Vision Care.

Website URL to Apply: https://jobs.franciscanhealth.org/us/en/job/R-093274/Hospital-Outpatient-Coding-Reimbursement-Specialist

How to Apply: Applications are only accepted online through the link for each posting. You will be asked to upload your resume (if applicable) and will have the option to upload a cover letter as well. Once you complete the online application, you will receive an email notification confirming that we received your application. You will also receive one additional email that will ask you to complete reference process.

Post Date: April 29, 2024

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