Technical/Professional Employment Opportunities

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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 payor 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 HOURS: Monday-Friday 8:00am-5:00pm
Location: Riverside Medical Group (Newport News, Va)

Certified Coder (Added 6 days ago) New!
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 (Gloucester, 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)

Enrollment Coordinator (Added 10 days ago)
PACE (Program for All-Inclusive Care of the Elderly) is a community-based program which provides patients with all necessary health services while they stay in their homes. It covers many different types of services including a day center, personal care in the home, Lifeline emergency response system, transportation to appointments, delivery of medical supplies, therapy, as well as inpatient services. RESPONSIBILITIES: Works under the general supervision of the PACE Marketing Manager. Responsible for coordinating PACE participant enrollment. Answers incoming calls regarding enrollment and provides education/information regarding all facets of the PACE program including eligibility requirements and the process of enrollment. Conducts PACE center tours for potential PACE participants and family members. Works with PACE interdisciplinary team members to accomplish necessary steps of the initial comprehensive assessment. Demonstrates creative problem solving for prompt resolution of issues and follows up with inquires. EDUCATION: High school graduate or equivalent required; Associates Degree in Business or Marketing preferred. Applicable experience can be a substitute. EXPERIENCE: Two years minimum marketing or customer service experience required, in a health care environment preferred. Previous experience in admissions and/or intake preferred. One year of experience working with the frail or elderly is required. HOURS: Primarily Monday through Friday 8:00am to 5:00pm.
Location: PACE - Hampton (Hampton, 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 (Added 13 days ago)
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)

Sr Accountant (Added 6 days ago) New!
Works under the supervision of the Director-Budget/Reimbursement/Tax. The accountant is responsible for the monthly preparation of the hospital net revenue analysis, the preparation and filing of Third Party annual cost reports and settlements, the preparation and maintenance of annual budgets, Federal/State and Local tax returns, reporting to VHI, and monthly/quarterly financial analysis of special divisions and product-lines. The accountant is constantly assessing the theoretical integrity of his/her accounting functions in the accounting department. Additionally, the accountant interacts with other departments and administrators in the completion of his/her assignments. Education: Bachelor's Degree in Accounting (or Bachelor's Degree in Business Administration with a concentration in Accounting) required. Certification: CPA preferred Experience: Prior experience (as an Accountant) preferred.
Location: Riverside Hospital Services (Newport News, Va)



 

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