The Opportunity:
JNT Consulting LLC is seeking an experienced Coding Supervisor
Position: Coding Supervisor
Location: Northern Illinois
Code: JNIL-090708b
About the Environment of the Opportunity:
Working at this facility is special. Their “hello principle" or “elevator etiquette" provide a positive, caring and patient-focused environment. The operating practices and core standards of behavior (attitude, communication, ownership, commitment to co-workers, and prompt response) create the culture and guide every journey to excellence. Working within such a supportive system allows every staff to use their talents to the fullest.
The hospital is a stand-alone same day surgery and treatment center, and several locations for imaging and patient therapy. Although the system has grown overtime, both hospitals have been part of Lake County for over 100 years.
As surrounding medical centers discontinued inpatient Behavioral Health Services, the center embraced its position as the sole service provider in Lake County. With sustained experience, our team of independent psychiatrists and psychologists, nurses and other care professionals have a unique understanding of how to help people of all ages manage personal crises. The hospital is also the sole provider in Lake County for inpatient rehabilitation. Accreditation by the Commission on Accreditation of Rehabilitation Facilities (CARF) signifies that the facility's treatment programs meet rigorous internationally recognized standards for inpatient rehabilitation. Our role in Lake County as a center specializing in inpatient Behavioral Health, inpatient Rehabilitation and Corporate Health services was established in July of 2005 when all acute services were relocated to the Medical Center.
Package of benefits include a competitive salary, Medical PPO Insurance (deductibles and co-insurance are waived for healthcare services received at a the System facility), Dental, Vision, Company Paid Life and AD&D Insurance, Supplemental Life, Spouse/Dependent Life, Short Term Disability, Long Term Disability, Flexible Spending Accounts, Employee Assistance Program, Education Assistance, 401(k) Retirement Savings Program, Paid Time Off, Paid Sick Leave, Scholarship Program, and various company discounts.
Minimum Competencies:
1. Requires Certification in either RHIA, RHIT and/or CCS
2. 3-5 years experience in inpatient and outpatient coding
3. Coding Supervisory experience preferred
4. Experienced in evaluating, monitoring the coding function and management of the staff
5. Experienced in educating physicians, case managers and coders
6. Experienced in monitoring and reconciling accounts
7. Experienced in performing coding back-ups and auditing of records
8. Must complete and pass a coding test before hire
Responsibilities:
Responsible in managing, evaluating and monitoring the coding function and the staff. This function assists and educates physicians, case managers and coders. Will monitor and reconcile accounts. Performs coding back-ups and audits records.
Compensation: DOE (Depending on Experience)
Salary + Benefits
Please submit your resume in word file and must indicate the position code: JNIL-090708b on your subject line and attach your resume.
To submit your resume to: careers@jntconsulting.com with Code: JNIL-090708b
All qualifying candidates will be interviewed by telephone for screening purposes. Succeeding steps will follow to those who will become strong candidate for the position.
When your qualification will not match to all of the requirements of this position, your Resume will be put in our active database for future consideration of any employment opportunity. Thank you.
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Showing posts with label coding. Show all posts
Showing posts with label coding. Show all posts
Thursday, July 9, 2009
Wednesday, June 3, 2009
Job: RN - Clinical Documentation and Appeal Nurse
The Opportunity:
JNT Consulting LLC is seeking an experienced RN Clinical Documentation and Appeal Nurse
Position: RN Clinical Documentation and Appeal Nurse
Location: South Carolina
Code: JNSC-090602a
Job Summary
Responsible for improving the overall quality, accuracy and completeness of clinical documentation of patient medical records and performs responsibilities of auditor and appeal contact for RMC. Works with Physicians, Departments, and Support Staff to ensure compliance with governmental and third party payer regulations while ensuring appropriate level of care assignment for reimbursement.
This position primarily interacts with adolescents, adults and aging adults, does not provides direct patient care. All staff members must be able to demonstrate the knowledge and skill necessary to meet the physical, psycho/social, educational, safety, and related needs of the persons in the assigned work area.
Minimum Qualifications:
• Registered Nurse with two (2) years of medical audit, utilization review, coding, or case management experience
• Two (2) years direct patient care experience.
• Knowledge of CMS guidelines, The Joint Commission standards, ORYX core measures and Interqual/Milliman criteria;
• Persistent, organized, analytical and detail oriented; Excellent interpersonal and verbal communication skills.
• Physical requirements are primarily related to the essential functions of any job. Able to Sit, Walk, Stand, Use your hands, Reach, Talk, and Hear.
• Must be able to lift or exert energy up to 10 pounds 75 % of the time and up to 25 pounds 25% of the time.
• Close vision distance or clear vision at 20 ft. or more and the ability to observe an area that can be seen to move up and down or left and right.
• Read, analyze and interpret complex scientific, clinical or business journals, financial reports or legal documents. Able to respond to sensitive inquiries or complaints from guests, regulatory agencies, staff and members of the business community.
• Has the ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to deal with concrete and abstract concepts and interpret verbal, nonverbal and written instructions.
Responsibilities:
• Performs concurrent record reviews on selected admissions.
• Facilitates modification to clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physicians, case management staff, nursing staff, other caregivers, and HIM coding staff.
• Serves as a resource for physicians to help link ICD-9-CM coding guidelines and medical terminology to improve the quality of documentation and help ensure accurate HIM code/DRG assignment.
• Monitors, evaluates and reports the effectiveness of concurrent reviews and outcomes. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes.
• Audits records/bills of denials identified through various sources such as MAC, RAC, MIC, CERT, and commercial payers utilizing criteria and regulatory guidelines.
• Act as liaison with clinical departments to ensure all charges and medical documentation are appropriate and complete for Health Information Management and Patient Accounting processes.
• Responds to requests and questions of patients, staff, and third party payers with respect to hospital charges and medical documentation.
• Performs routine audits for CPRM usage of EHR resources and application of appropriate level of care criteria.
• Educates Physician offices and Clinical Departments on issues and trends identified.
• Researches new procedures/supplies and techniques to include reimbursement.
• Reviews Medicare Advisories, Transmittals, memorandums and Medicaid bulletins regarding changes in utilization and case management.
• Organizes denial management system for the Regional Medical Center.
• Appeals denials with all payer sources as appropriate.
• Additional duties/assignments as requested by the Director of CPRM and Clinical Excellence Manager.
Compensation: DOE (Depending on Experience)
Salary + Benefits
Please submit your resume in word file and must indicate the position code: JNSC-090602a on your subject line and attach your resume.
To submit your resume please email to: careers@jntconsulting.com with Code: JNSC- 090602a
All qualifying candidates will be interviewed by telephone for screening purposes. Succeeding steps will follow to those who will become strong candidate for the position.
Inquiries about the status of an application are discouraged. When your qualification will not match to all of the requirements of this position, your Resume will be put in our active database for future consideration of any employment opportunity. Thank you.
# # #
JNT Consulting LLC is seeking an experienced RN Clinical Documentation and Appeal Nurse
Position: RN Clinical Documentation and Appeal Nurse
Location: South Carolina
Code: JNSC-090602a
Job Summary
Responsible for improving the overall quality, accuracy and completeness of clinical documentation of patient medical records and performs responsibilities of auditor and appeal contact for RMC. Works with Physicians, Departments, and Support Staff to ensure compliance with governmental and third party payer regulations while ensuring appropriate level of care assignment for reimbursement.
This position primarily interacts with adolescents, adults and aging adults, does not provides direct patient care. All staff members must be able to demonstrate the knowledge and skill necessary to meet the physical, psycho/social, educational, safety, and related needs of the persons in the assigned work area.
Minimum Qualifications:
• Registered Nurse with two (2) years of medical audit, utilization review, coding, or case management experience
• Two (2) years direct patient care experience.
• Knowledge of CMS guidelines, The Joint Commission standards, ORYX core measures and Interqual/Milliman criteria;
• Persistent, organized, analytical and detail oriented; Excellent interpersonal and verbal communication skills.
• Physical requirements are primarily related to the essential functions of any job. Able to Sit, Walk, Stand, Use your hands, Reach, Talk, and Hear.
• Must be able to lift or exert energy up to 10 pounds 75 % of the time and up to 25 pounds 25% of the time.
• Close vision distance or clear vision at 20 ft. or more and the ability to observe an area that can be seen to move up and down or left and right.
• Read, analyze and interpret complex scientific, clinical or business journals, financial reports or legal documents. Able to respond to sensitive inquiries or complaints from guests, regulatory agencies, staff and members of the business community.
• Has the ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to deal with concrete and abstract concepts and interpret verbal, nonverbal and written instructions.
Responsibilities:
• Performs concurrent record reviews on selected admissions.
• Facilitates modification to clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physicians, case management staff, nursing staff, other caregivers, and HIM coding staff.
• Serves as a resource for physicians to help link ICD-9-CM coding guidelines and medical terminology to improve the quality of documentation and help ensure accurate HIM code/DRG assignment.
• Monitors, evaluates and reports the effectiveness of concurrent reviews and outcomes. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes.
• Audits records/bills of denials identified through various sources such as MAC, RAC, MIC, CERT, and commercial payers utilizing criteria and regulatory guidelines.
• Act as liaison with clinical departments to ensure all charges and medical documentation are appropriate and complete for Health Information Management and Patient Accounting processes.
• Responds to requests and questions of patients, staff, and third party payers with respect to hospital charges and medical documentation.
• Performs routine audits for CPRM usage of EHR resources and application of appropriate level of care criteria.
• Educates Physician offices and Clinical Departments on issues and trends identified.
• Researches new procedures/supplies and techniques to include reimbursement.
• Reviews Medicare Advisories, Transmittals, memorandums and Medicaid bulletins regarding changes in utilization and case management.
• Organizes denial management system for the Regional Medical Center.
• Appeals denials with all payer sources as appropriate.
• Additional duties/assignments as requested by the Director of CPRM and Clinical Excellence Manager.
Compensation: DOE (Depending on Experience)
Salary + Benefits
Please submit your resume in word file and must indicate the position code: JNSC-090602a on your subject line and attach your resume.
To submit your resume please email to: careers@jntconsulting.com with Code: JNSC- 090602a
All qualifying candidates will be interviewed by telephone for screening purposes. Succeeding steps will follow to those who will become strong candidate for the position.
Inquiries about the status of an application are discouraged. When your qualification will not match to all of the requirements of this position, your Resume will be put in our active database for future consideration of any employment opportunity. Thank you.
# # #
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