Technical/Professional Employment Opportunities

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Certified Coder
Job Summary: Responsible for timely coding for overall accounts receivable functions for the accounts receivable (billing) department. Responsible to maintain current coding knowledge of government and non-government payers and adjust practices accordingly. Responsible to report to Coding and Data Entry Manager or management any and all obstacles, performance statistics, problems and resolutions identified in a timely, clear and concise manner. Responsible for assigning appropriate ICD-9, CPT and HCPCS code to incoming records for charge entry staff to enter into billing system; thereby maximizing reimbursement received from third party payers. Able to provide appropriate course of action to physicians and practice staff when medical documentation is lacking or patient was charged incorrectly. Other duties as assigned. Education: High school graduate with emphasis in business courses required. Certification: CPC or CPC-A required Experience: Prior coding experience preferred.
Location: RIVERSIDE MEDICAL ED & CLINIC (Newport News, Va)

Certified Coder
JOB SUMMARY: Works under the direct supervision of the office manager and/or A/R manager. Certified coder who codes claims for the practice. Files claims electronically to insurance companies and posts payments for third party payers including Medicaid and Medicare (this function may be supported by RPOS). Performs claims follow-up. Maintains claims printing library, edits and payer files. Acts as a backup for editing the notes in EMR. Performs other duties as assigned. EDUCATION: High school graduate with emphasis in business courses preferred. LICENSURE: CPC or CPC-A required EXPERIENCE: Prior coding experience in doctor's office setting preferred.
Location: Riverside Medical Group (Williamsburg, Va)

Certified Coder
Job Summary: Works under the supervision of the Medical Records Manager, and provides coverage in the absence of department coder. Responsible for following all policies and procedures associated with the coding classification schemes to assign timely and accurately diagnostic codes to inpatient records, for the purpose of patient bills to drop from the billing system. Duties include: abstract information for clinical indices, enter final diagnoses into abstracting system for finalization of billing. Follow up with practitioners for missing diagnoses or clarification of diagnoses before final coding. Analyze discharged patient records for completeness according to accreditation and licensure standards, and the Medical Staff Bylaws, Rules and Regulations. Assignment of deficiencies, flag and log deficiencies into incomplete records system for tracking, and remove completed deficiencies from system. Assist department manager with data and other duties as requested. The team member demonstrates RHS team member core values and standards for which all employees, regardless of their position, are accountable. Education: High School graduate or G. E. D. required. Certification: Must maintain current Certified Professional Coding (CPC) certification by American Academy of Professional Coders (AAPC), and/or Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA). Experience: Two or more years prior work experience in a hospital Medical Records Department or related psychiatric healthcare facility is required. Diagnostic coding (current editions of DSM and ICD) and discharge abstracting experience required. Word processing/data entry proficiency required.
Location: Riverside Behavioral Health Center (Hampton, Va)

Certified Professional Coder, CPC
Are you looking for a rewarding opportunity that offers flexible scheduling and the ability to work in a variety of settings? Is work-life balance important to you? Riverside Health System offers these options by becoming part of the Staffing Resources Center. The Center was designed to create a system wide float pool to assist in staffing various positions throughout Riverside Health System. The ultimate objective of the Staffing Resources Center is to align and optimize labor resources across the health system. The Staffing Resources team is seeking experienced Certified Professional Coders to code claims in various physician practices. Files claims electronically to insurance companies and posts payments for the third party payers including Medicaid and Medicare. Performs claims follow-up. When you become a part of Staffing Resources, you may be eligible for premium pay and flexible self-scheduling. In order to meet the staffing needs of the health system, team members have a mandatory commitment of 24 hours per 4 week schedule period. Current qualified Riverside team members are eligible to become part of the Staffing Resources float pool and pick up shifts in other Riverside locations. The mandatory commitment does not apply to current Riverside team members unless their position in Staffing Resources is their primary health system job. Education: High School graduate with emphasis in business courses preferred. Licensure: CPC required. Experience: One year of prior coding experience in a physicians office required.
Location: Staffing Resources (, Va)

Coder Outpatient Level I
Job Summary: This position works under the direct supervision of the Coding Manager and the HIMS Director. Responsible for following all national standards of coding and the Riverside policies and procedures associated with the coding classification schemes (SNOMed, ICD9-CM, CPT and ICD10/PCS). Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. This position is eligible to work remotely. Education/Experience: High School Diploma/GED Required and 2+ years experience in acute care coding is required. Training in ICD10/PCS coding with certification of completion accepted and can count for 1 year experience up to September 1, 2015 when it will be a requirement. CCS credentials for ICD10/PCS competency must be demonstrated for both new hires and incumbent employees. Certified Coding Specialist (CCS) in lieu of 1 year of experience. CPC-H, CPC-C, CCS-P, CCA credentials counts for 1 year experience. Detailed knowledge of outpatient coding for which this position is being filled. Knowledgeable in Computer Applications Microsoft Word, Excel, Outlook, and use of an encoder (3M preferred).
Location: Riverside Hospital Services (Newport News, Va)

Coder, Home Care
DESCRIPTION: Riverside Home Care seeks a Coder to help with the coding for the division. This position works under the direct supervision of the Nurse Manager. Responsible for following all national standards of coding and the Riverside policies and procedures associated with the coding classification schemes (ICD9-CM, CPT and ICD10/PCS). Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. EDUCATION: High school diploma or equivalent required. LICENSURE: Training in ICD10/PCS coding with certification of completion accepted and can count for 1 year experience up to September 1,2015 then it will be a requirement. CCS credentials for ICD10/PCS competency must be demonstrated for both new hires and incumbent employees. EXPERIENCE: 2+ years experience in acute care coding required. Detailed knowledge of inpatient coding for which this position is filling required. Certified Coding Specialist (CCS) in lieu of 1 year of experience. CPC-H, CPC-C, CCS-P, CCA credentials counts for 1 year experience.
Location: Riverside Regional HHA (Newport News, Va)

Inpatient Coder
Job Summary: This position works under the direct supervision of the Coding Manager and the HIMS Director. Responsible for following all national standards of coding and the Riverside policies and procedures associated with the coding classification schemes (SNOMed, ICD9-CM, CPT and ICD10/PCS). Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. This position is eligible to work remotely. Essential functions are fundamental job duties, knowledge, skills and abilities that are necessary to perform the position: Ensures coding compliance; applies all coding guidelines and principles as defined in the Coding Clinic, and leading authorities. Complies with standardized coding standards and conventions and regulations, corporate compliance standards, and reimbursement policies. Records and sequences clinical data in correct order using national definitions of the Uniform Hospital Discharge Data Set (UHDDS). Applies transfer rule for correct discharge disposition of records according to established policy. Must be able to demonstrate advanced knowledge of coding and abstracting skills. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. Reviews charts and entire medical records, assigning ICD codes to each data element. Must have extensive knowledge of medical terminology, the human disease process, anatomy and physiology. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation. Contacts and works with physicians as needed for clarification of details of disease process or clarification of documentation to ensure correct coding. Assists patient financial services with questions on coding and billing edits. Under limited supervision, organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Must be able to pass an ICD-10-CM/PCS competency test with a score of 85% or better. Education: High School Diploma/GED required, College Degree in Health Information Management preferred. Certification: Coding Certification required (CCS, CPC-H, CPC-C, CCS-P, CCA) Experience: 2+ years experience in acute care coding is required. Training in ICD10/PCS coding with certification of completion accepted and can count for 1 year experience up to September 1, 2015 when it will be a requirement. CCS credentials for ICD10/PCS competency must be demonstrated for both new hires and incumbent employees. Detailed knowledge of inpatient coding for which this position is filling. Knowledgeable in Computer Applications Microsoft Word, Excel, Outlook, and use of an encoder (3M preferred).
Location: Riverside Hospital Services (Newport News, Va)

Instructor
The Associate Instructor (AI) works under the supervision of the Program Director and/or Assistant Director and will be assigned a mentor and/or preceptor to aid in faculty orientation. The AI participates in the development, implemention and evaluation of the philosophy and objectives of their program. The AI participates in the design, implemention, teaching, evaluation, and revision of the program's curriculum and related educational materials as assigned. The AI assists in the development and evaluation of student admission, progression, retention, graduation and related program and school policies. Accountable for student outcomes, the AI acts as a resource for students, providing support, remediation, academic advisement and counseling, and referral as needed. The AI actively engages in scholarly pursuits to maintain currency in the base discipline and to enhance metaprofessional skills. Each member of the faculty shall maintain professional competence in their specific discipline through such activities as practice, continuing education programs, conferences, workshops, seminars, academic courses, research projects, and professional writing. The AI participates in community and institutional service activities which contribute to the mission of RHS and RSHC. Performs other duties as assigned. BSN or equivalent course work required; MSN or actively engaged in completing an MSN degree preferred (given needed faculty mix). Current unencumbered license as a Registered Nurse or a multi-state licensure privilege to practice in Virginia. 3 years full-time, or equivalent, recent (within last 5 years) clinical experience or teaching in the specified field required, or a combination of the two prior to hire date; experience in a clinical educational setting preferred; formal didactic teaching experience preferred.
Location: Riverside Health Professions (Newport News, Va)

Outpatient Coder I
Riverside Health System is currently seeking an Outpatient Coder. This is a full-time temporary role (labor pool) to assist us with the ICD10 transition. Job Summary: This position works under the direct supervision of the Coding Manager and the HIMS Director. This position is responsible for following all national standards of coding and the Riverside policies and procedures associated with the coding classification schemes (SNOMed, ICD9-CM, CPT and ICD10/PCS). The Coder will assign diagnostic and procedure codes to simple record types up to highly complex record types. This role contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. This position is eligible to work remotely. The Coders essential functions are fundamental job duties, knowledge, skills and abilities that are necessary to perform the position. Ensures coding compliance; applies all coding guidelines and principles as defined in the Coding Clinic, and leading authorities. This role complies with standardized coding standards and conventions and regulations, corporate compliance standards, and reimbursement policies. The Coder will record and sequence clinical data in the correct order using the national definitions of the Uniform Hospital Discharge Data Set (UHDDS.) Applies transfer rule for correct discharge disposition of records according to established policy. The Coder must be able to demonstrate advanced knowledge of coding and abstracting skills. This role ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. The Coder reviews charts and entire medical records, assigning ICD codes to each data element. They must have extensive knowledge of medical terminology, the human disease process, anatomy and physiology. The Coder audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation. Contacts and works with physicians as needed for clarification of details of disease process or clarification of documentation to ensure correct coding. This position assists patient financial services with questions on coding and billing edits. Under limited supervision, organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Mentor and assist in training of other coders within the department. Participate in the development of coding policies and procedures as identified. Coordinate/mentor the work of designated coding employees to ensure quality and quantity of work performed through regular audits. Must be able to pass an ICD-10-CM/PCS competency test with a score of 85% or better. Minimum Requirements: High School Diploma/GED required and 2+ years experience in acute care coding is required. Training in ICD10/PCS coding with certification of completion accepted and can count for 1 year experience up to September 1, 2015 when it will be a requirement. CCS credentials for ICD10/PCS competency must be demonstrated for both new hires and incumbent employees. Certified Coding Specialist (CCS) in lieu of 1 year of experience. CPC-H, CPC-C, CCS-P, CCA credentials counts for 1 year experience.
Location: Riverside Hospital Services (Newport News, Va)

Quality Reporting Specialist
Riverside Health Systems is currently seeing a full time Quality Reporting Specialist to join their team in Newport News, Virginia. The Quality Reporting Analyst works under the supervision of the System Director, Quality Outcomes. Coordinates the collection, and submission of quality measures from a variety of sources for external reporting agencies. Responsible for ensuring that regulatory requirements and deadlines related to quality measures are met. The Quality Reporting Specialist (QRS) is responsible to be the subject matter expert (SME) for Meaningful Use (MU) Electronic Clinical Quality Measures (eCQMs) and work in coordination with internal departments to successfully submit eCQM results to CMS and/or other regulatory agencies and payers. The QRS will continually maintain knowledge of the current and proposed objectives, measures and criteria of the EHR Incentive Program (Meaningful Use) requirements related to eCQMs, and other required quality reporting programs. Also serves as the SME for RHS quality reporting vendor tools, inclusive of providing training and education to the Quality Team and managing access for RHS users. Specific roles and responsibilities are noted below. The Quality Reporting Specialist works collaboratively with corporate and health system team members to ensure that services and supports are delivered within a culture that strives for excellence, continuous improvement and reflects Riverside Health System's Mission, Vision and Core Values. EDUCATION: Bachelors degree preferred (Nursing Infomatics or Healthcare related). EXPERIENCE: Minimum of two years in a quality function where clinical data abstraction has been an integral part of the job requirements. Or two years in nursing informatics in healthcare setting.
Location: Riverside Hospital Services (Newport News, Va)

Revenue Cycle Analyst
Job Summary: Works under the department Managers and Director. Responsible for high level analytics of department systems, reports, processes, and volume flow to identify, monitor and develop process improvement plans as identified. Actively identifies, initiates and leads departmental projects. Provides one-on-one staff training as necessary when incorrect processes are being followed. Participates in the development and delivery of staff education, training and orientation. Sets the example for the department as the expert in accurate, thorough and effective work processes. Monitors staff productivity that indicates timeliness and accuracy of tasks. Acts as a liaison between the department and outside departments providing consistent, detailed and relevant detail on issues and trends. This position requires a strong attention to detail, problem solving skills, aptitude for learning, critical thinking, independent working and ability to make sound business judgments. This person will serve as a leader and role model for the department by displaying a positive, patient centered, and solution oriented approach and attitude. Education: High School Diploma or GED required, Bachelor's or Master's Degree preferred. Certification: Revenue Cycle Specific Certification preferred (Example: CHAA Certified Healthcare Access Associate or CPAT Certified Patient Accounting Technician). Experience: High School Diploma Required and 2+ years experience in Revenue Cycle required. College Degree accepted in lieu of experience. Master's Degree can count for 1 year of additional experience
Location: Riverside Hospital Services (Newport News, Va)

System Integrity Analyst (Added 4 days ago) New!
Job Summary: Works under the direct supervision of the Manager, Systems Integrity. Responsible for developing and implementing projects within Revenue Cycle, incorporating both Acute Care and RMG, to improve consistency throughout RHS; integration of new technologies with existing technology, leads new system installations and upgrades, and other assigned projects. This analyst must have the ability to analyze systems capabilities with the intent to maximize the performance of the various technology applications utilized by Riverside Health System. Must demonstrate ability to simultaneously handle multiple health system projects including the technical design, build, testing, and implementation, ensuring all systems and interfaces are working appropriately. Research?s, develops and maintains all tables, rules, and requirements within various systems. Works closely with the Information Systems team, however, this position is responsible for the overall Design and Build of Revenue Cycle systems. Has an integral part in all system upgrades, testing and validation. Manages the systems change control process including master file changes, policy and procedure/process changes, researching and identifying best practice for requested changes, ensuring all parties throughout RHS are appropriately notified/informed of changes. Manages Revenue Cycle related system upgrades, hot fixes, applies and monthly updates. Identify training needs, ensure consistent information is shared, and providing feedback and coordinating necessary training. Must be able to effectively act as the liaison between Revenue Cycle Depts. and Information Systems to communicate and coordinate changes. Success in job functions is based on the ability to interpret technology and balance against operational department needs. Education: High School Diploma or GED required, Bachelor's or Master's Degree preferred. Certification: Revenue Cycle Specific Certification such as CHAA (Certified Healthcare Access Associate) CHAM (Certified Healthcare Access Manager), CPAT (Certified Patient Accounting Technician), and/or CPAM (Certified Patient Accounting Manager) preferred. Experience: High School Diploma or GED Required and 2+ years experience in Revenue Cycle Operations or Revenue Cycle IT required. College Degree accepted in lieu of experience. Master's Degree can count for 1 year of additional experience. Detailed knowledge of a minimum of one Revenue Cycle Department.
Location: Riverside Hospital Services (Newport News, Va)



 

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