e4health

Consultant

• Provide timely reviews of patient medical records to ensure accurate and complete documentation
• Work with providers and coders to ensure chart reflects patient complexity
• Educate and interact with providers
• Review medical records for complete and accurate documentation of all relevant diagnoses and procedures
• Initiate and complete queries as necessary
• Adhere to guidelines set forth by ACDIS, AAPC, and AHIMA
• Maintain strict confidentiality of all patient information in accordance with HIPAA
• Demonstrate understanding of the business of healthcare
• Work closely with client, co-workers, and management
• Effectively utilize computer software based on client requirements

CDI Consultant, PT

Auditor

• Complete scheduled quality assurance reviews for both internal teams and external client organizations
• Conduct onboarding audits and training for newly hired inpatient coders
• Deliver training sessions and educational feedback to coders, including those at client sites
• Communicate quality issues and audit findings to management and client contacts
• Assist in drafting, implementing, and monitoring quality improvement action plans for coders
• Maintain reports and accuracy rates for coders and clients
• Respond to client QA needs and inquiries as directed by management
• Provide educational sessions on error trends to coders and client teams
• Notify management of compliance concerns or incidents
• Demonstrate knowledge of HIPAA Privacy and Security Regulations through appropriate handling of patient information
• Promote confidentiality and discretion in handling patient information
• Attend educational conference calls and client meetings as required
• Perform other duties as assigned for the project
• Maintain required productivity and quality standards
• Maintain coding credential requirements

Inpatient Auditor – PRN

• The Professional Fee Auditor is responsible for completing quality assurance reviews on internal and/or external professional coding specialists or external providers.
• This may also include onboarding audits and training of newly hired e4health coding specialists.
• This role is responsible for validating the coding specialist is accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives.
• The Professional Fee Auditor also plays a key role in reporting quality results, tracking and trending of educational opportunities of the coding specialist or provider,
• responding to client subject matter needs, and providing educational support and training to coders and/or providers.
• The Professional Fee Auditor is expected to maintain consistent coding auditing accuracy rate of 95% or better while also meeting agreed upon productivity standards.

Professional Fee Auditor, Educator

• Provide timely reviews of patient medical records to ensure accurate and complete documentation
• Work with providers and coders to ensure that documentation reflects the complexity of the patient
• Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures
• Initiate and complete queries as necessary for accurate data
• Adhere to guidelines as set forth by ACDIS, AAPC, and AHIMA
• Maintain strict confidentiality of all patient information in accordance with HIPAA
• Demonstrate understanding of healthcare business: DRG payer issues, audit risks, documentation opportunities, quality metrics, hierarchical condition categories
• Work closely with clients, co-workers, and management to meet specific needs of each assignment
• Effectively utilize computer software based on specific client requirements

CDI Consultant

Medical Billing and Coding

• The Outpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems
• Performs data entry of required abstracted patient information into the client’s information system
• Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards
• Assigns appropriate ICD-10-CM, CPT, HCPCS codes and modifiers to facility-based Ancillary, Emergency Department, Observation, and/or Outpatient Surgery Accounts as per designated workflow
• Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate

Outpatient Coder – SDS, OBS, ED, I&I

Analyst

• Provide application support for Epic Cupid in cardiology
• Collaborate on cardiovascular data and imaging workflows
• Support Philips device integration including ISCV and Xper

Cardiology Application Analyst – Philips

• The Inpatient Auditor is responsible for completing quality assurance reviews on internal and external inpatient coders
• This includes onboarding audits and training of newly hired e4health inpatient coders
• The role validates that coders accurately abstract data into client electronic medical record systems, following Official ICD-10-CM and ICD-10-PCS Guidelines, UHDDS guidelines, and CMS directives
• The auditor also validates Present on Admission (POA) indicators per AHA POA guidelines and identifies missing or inappropriate provider queries
• The Inpatient Auditor plays a key role in reporting quality results, tracking educational opportunities, responding to client needs, and providing educational support and training

Inpatient Coding Auditor

• The Medical Coding Edit Specialist position is responsible for resolving coding account edits of multiple patient types prior to billing
• Responsibilities will include assigning and/or correcting codes and modifiers with ICD-10-CM, CPT and HCPCS Level II Codes as appropriate from the documentation within the electronic medical record
• The Coding Edit Specialist is expected to maintain consistent accuracy rate of 90% or better while also meeting agreed upon productivity standards
• Reconcile held accounts by resolving the edit and dropping the account
• Responsible for all account edits from various payors and vendors
• Identify and report major edit issues
• Assist in identifying problems and resolution thereof
• Identify opportunities to reduce coding edits by providing proactive education
• Communicates quality issues to management as appropriate
• Notifies management when there is a compliance concern or incident
• Demonstrates knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information
• Promotes confidentiality and using discretion when handling patient information
• Attends educational conference calls
• Provides additional support to the business as needed
• Maintains required productivity and quality requirements
• Maintains coding credential requirements

Claims Editor, Denials Coder – Part Time

• The Inpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems
• Performs data entry of required abstracted patient information into the client’s information system
• Assigns Present on Admission (POA) indicators according to AHA POA guidelines
• Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements
• Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards
• Assigns appropriate ICD-10-CM/PCS codes to inpatient accounts as per designated workflow
• Abstracts and enters coded data for hospital statistical and reporting requirements
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution

Inpatient Coder – Critical Access

• The Professional Fee Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems
• following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives.
• Performs data entry of required abstracted patient information into the client’s information system.
• Queries physicians when appropriate and interact with Clinical Documentation staff as per account requirements.
• Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards.
• Assigns appropriate ICD-10-CM, E/M, CPT, HCPCS codes and modifiers to professional fee accounts as per designated workflow.
• Abstracts and enters coded data and/or charges for physician statistical and reporting requirements.
• May assign/validate professional fee level of service based upon either 95 or 97 Evaluation and Management Guidelines.
• Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate.
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution.
• Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts.
• Maintains required productivity and quality requirements.
• Maintains coding credential requirements.

Wound Care – Professional Fee Coder

• The Outpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems
• Assigns appropriate ICD-10-CM, CPT, HCPCS codes and modifiers to facility-based Observation, and/or Outpatient Surgery Accounts as per designated workflow
• Abstracts and enters coded data and/or charges for hospital statistical and reporting requirements
• Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
• Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts
• Maintains required productivity and quality requirements

Observation Coder, Part Time

• Responsible for resolving coding account edits of multiple patient types prior to billing
• Responsibilities will include assigning and/or correcting codes and modifiers with ICD-10-CM, CPT and HCPCS Level II Codes
• Maintain consistent accuracy rate of 90% or better while also meeting agreed upon productivity standards
• Reconcile held accounts by resolving the edit and dropping the account
• Responsible for all account edits from various payors and vendors
• Identify and report major edit issues
• Assist in identifying problems and resolution thereof
• Identify opportunities to reduce coding edits by providing proactive education
• Communicate quality issues to management as appropriate
• Maintain required productivity and quality requirements
• Maintain coding credential requirements

Claims Edit & Denials Coder

• The Outpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, and CMS directives.
• Performs data entry of required abstracted patient information into the client’s information system.
• Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements.
• Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards.
• Assigns appropriate ICD-10-CM, CPT, HCPCS codes and modifiers to facility-based Ancillary, Emergency Department, Observation, and/or Outpatient Surgery Accounts as per designated workflow.
• Abstracts and enters coded data and/or charges for hospital statistical and reporting requirements.
• Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate.
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution.
• Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts.
• Maintains required productivity and quality requirements.

ED Coder – Full-Time/PRN

• responsible for accurately abstracting data into appropriate client electronic medical record systems
• following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding
• Performs data entry of required abstracted patient information into the client’s information system
• Queries physicians when appropriate and interact with Clinical Documentation staff as per account requirements
• Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards
• Assigns appropriate ICD-10-CM, E/M, CPT, HCPCS codes and modifiers to professional fee accounts as per designated workflow
• Abstracts and enters coded data and/or charges for physician statistical and reporting requirements
• May assign/validate professional fee level of service based upon either 95 or 97 Evaluation and Management Guidelines
• Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
• Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts
• Maintains required productivity and quality requirements
• Maintains coding credential requirements

Professional Fee Coder

• Support critical Epic MRT testing activities
• Lead testing, validation, and troubleshooting of laboratory medical device integrations supporting Epic Beaker and Epic MRT initiatives
• Configure, support, and optimize Data Innovations Instrument Manager (DI) interfaces
• Collaborate with laboratory operations, Epic Beaker teams, application analysts, and technical teams
• Execute and support integration, workflow, and end-to-end testing activities
• Analyze, troubleshoot, and resolve connectivity, mapping, and result transmission issues