4 jobs found

Job Description Job Description Description: At AMPLIFII, we support Federally Qualified Health Centers who provide comprehensive services-including primary care, dental, pharmacy, behavioral health, health education, and outreach. General Purpose: This position is critical to the success of the revenue cycle. Bill and collect payments for services rendered from a variety of payor sources. The Revenue Cycle Specialist is responsible for timely and accurate coding, billing, claim denials, and payment posting. Essential Duties and Responsibilities: Resolve issues with incomplete and/or inaccurate patient registration Verify charges were entered correctly and update as needed. Work aged receivables utilizing A/R reports/functionality in revenue cycle management (RCM) module Review and assess adjudicated claims for timely and proper payment of outstanding balances Research, correct and resubmit or reprocess unpaid claims as necessary Verify validity of account balance by researching, reviewing, and ensuring accuracy or payment and adjustment posting Review and interpret explanation of benefits (EOB) for denials and reimbursement underpayments Research and resolve denials and underpayments with insurance carriers Submit third party payor appeals and reconsideration requests in a timely manner Meet department and/or organization productivity goals/benchmarks Post third party payors(s), government, grant funded and patient payments Respond to patient inquiries regarding billings Assist other staff as needed to keep department workload current Maintain communication with all interested parties regarding patient account issues Perform other duties as assigned Requirements: Education and Experience: Required: High school diploma or GED. CPC Certification preferred Skills and Expertise: Ability to interact positively and build rapport with patients, coworkers and/or external contacts Ability to work independently and organize work in a manner that ensures accuracy and efficiency Knowledge of medical electronic billing procedures and coding Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the patients. Customer service skills, including the ability to diffuse upset patients Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful Skill in using a variety of computer software including but not limited to the internet and MS Office products Ability to handle sensitive information ethically and responsibly Ability to protect the confidentiality of patients, employee and business information Bilingual Spanish is preferred Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize Required Tools of the Job: Epic EHR Revenue Cycle applications specific to Ambulatory clinic medical billing Additional applications include Centricity EHR (legacy), Faxcom, Citrix Xenapps, Citrix Director Microsoft suite and various audio/video platforms Internal and external IT ticketing systems Working Environment and Physical Activities: Office environment within a clinical setting. Enters data into computer programs via computer, mouse, and keyboard. Moves about the office environment and occasionally to other locations. Moves/transports objects up to 25 lbs. occasionally. Communicate information to others. Discerns/analyzes information from others to assist in decision making. To ensure a successful integration into our team, we implement a 90-day probationary period for all new employees. This timeframe is designed to evaluate performance and assess cultural alignment within our organization. It offers both the employee and the employer the opportunity to determine if the role is a mutual fit, promoting long-term success and satisfaction in your career with us. Join our dedicated team and contribute to our mission of providing quality health care to our community! Work Schedule: Monday-Friday, 8:30am - 5:00pm This hybrid role requires candidates to be located in Colorado or in the process of relocating. AMPLIFII offers a competitive hourly range of $22.00-$26.00, depending on experience. The salary range reflects AMPLIFII's good faith estimate of potential compensation at the time of posting. The final offer for the selected candidate will be determined based on several factors, including experience, education, budget, internal equity, specialty and training. Why AMPLIFII Medical, dental and vision coverage Paid time off and paid holidays Health Savings account (HSA) and Flexible Spending accounts, including dependent care options. 401(K) with matching for eligible employees Work-Life balance-No nights, no weekend and no major holidays Employee Assistance Program (EAP) Employee discount programs on top local attractions Competitive wages AMPLIFII conducts background checks, including criminal history, education, license and certification. AMPLIFII is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to any characteristic protected by law. AMPLIFII complies with the Americans with Disabilities Act, providing reasonable accommodations as needed. Health and Safety commitment: To ensure the safety of our patients, staff, and communities, all new hires at AMPLIFII must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing. Application submission closing date: Applicants will be considered until the position is filled.

Job Description Job Description We are seeking an experienced EHR Documentation Support Specialist to join our IT team. In this role, you will support efficient, accurate EHR documentation, assist users in effectively using our Epic EHR system, and provide medical scribing as requested. As an EHR subject matter expert, you will troubleshoot issues, optimize workflows, and provide guidance to ensure the effective use of the EHR system and related applications. Responsibilities: Assist clinical and non-clinical staff with navigating and using EHR software effectively and efficiently, Provide scribing for providers when requested. Collaborate with users to optimize EHR workflows and documentation practices. Respond to end-user inquiries, resolve issues, and troubleshoot software or user-related problems promptly. Conduct training and contribute to the development of training materials to support end-users in effectively utilizing the EHR system. Collaborate with the IT team to escalate and resolve system-related issues. Other duties may be assigned as needed. Qualifications: Prior experience working with EHR systems and other health information systems - Required Epic EHR experience. Medical scribe experience. Bachelor's degree in Health Informatics, Healthcare Administration, Computer Science, or a related field (or other equivalent work experience) Professional demeanor. Strong computer skills, including proficiency with common software applications and the ability to learn new technologies. Ability to adapt to changing priorities in a fast-paced healthcare environment. Excellent communication and interpersonal skills to build rapport and interact effectively with end users. Excellent communication and presentation skills, with the ability to convey technical information clearly and effectively to audiences with various levels of computer knowledge. Ability to work both independently and collaboratively in a team-oriented environment. Demonstrated ability to multitask, prioritize responsibilities, and manage competing demands. Strong organizational skills and attention to detail. Job Type: Full-time, On-site in New Orleans, LA About St. Thomas: At Saint Thomas Community Health Center, our mission is to provide the highest quality, culturally competent healthcare to everyone in our community, regardless of insurance status or ability to pay. As a Federally Qualified Health Center (FQHC), we are committed to reducing health disparities and improving access to care for economically and medically vulnerable populations. We are looking for individuals who share our dedication to service and community impact. We offer competitive pay and an excellent benefits package that includes: Medical, Dental, Vision, Life and Accidental Death Insurance; Paid Time Off, Holidays, and 401(k) with a company match. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Job Description Job Description Reports To: Revenue Cycle Manager Classification: Full-Time, Hourly, Eligible for Overtime Work Arrangement: On-Site Only Remote and Hybrid Work Not Available Position Summary The Certified Medical Coder is responsible for the accurate, timely, and compliant coding of medical services provided at Rocky Boy Health Center (RBHC). This position reviews clinical documentation, assigns appropriate diagnosis and procedure codes, and ensures coding accuracy to support billing, reimbursement, regulatory compliance, and revenue cycle operations. The Certified Medical Coder must possess an active professional coding certification and demonstrated experience working with the Epic Electronic Health Record (EHR) system. The position works collaboratively with healthcare providers, billing personnel, and revenue cycle staff to ensure accurate documentation, appropriate coding, and timely claims processing. Key Responsibilities Review medical records and clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes in accordance with established coding guidelines. Perform coding functions directly within the Epic EHR system, ensuring accuracy, completeness, and timely processing. Review provider documentation to verify that assigned codes accurately reflect services rendered and support medical necessity. Identify incomplete, inconsistent, or insufficient documentation and communicate with providers to obtain clarification. Collaborate with billing and revenue cycle personnel to resolve coding discrepancies, claim denials, and reimbursement issues. Monitor coding-related work queues within Epic and ensure timely resolution of assigned tasks. Conduct coding reviews and audits to identify errors, trends, and opportunities for improvement. Maintain compliance with applicable federal, tribal, and organizational regulations, including HIPAA, CMS requirements, and official coding guidelines. Stay current with changes to coding classifications, payer requirements, reimbursement methodologies, and industry best practices. Assist in educating providers and clinical staff regarding documentation requirements and coding accuracy. Support organizational efforts to improve coding quality, revenue integrity, and operational efficiency. Provide ongoing training and technical assistance to medical providers regarding accurate encounter coding, clinical documentation, and appropriate use of Epic EHR coding functions. Educate providers on proper selection and application of ICD-10-CM, CPT, HCPCS, and Evaluation and Management (E/M) codes to ensure accurate representation of services rendered. Assist providers in identifying and correcting coding and documentation deficiencies that may affect billing accuracy, reimbursement, or regulatory compliance. Provide individualized, hands-on guidance to providers regarding encounter completion, diagnosis selection, procedure coding, and documentation requirements within Epic. Perform other related duties as assigned. Minimum Qualifications High school diploma or equivalent required. Associate degree in Health Information Management, Medical Coding, Healthcare Administration, or a related field preferred. Current professional medical coding certification required, including Certified Professional Coder (CPC) through AAPC, Certified Coding Specialist (CCS) through AHIMA, or an equivalent recognized coding credential. Demonstrated professional experience using the Epic Electronic Health Record (EHR) system required. Minimum of two (2) years of professional medical coding experience required. Proficiency in ICD-10-CM, CPT, and HCPCS coding systems. Working knowledge of medical terminology, anatomy, physiology, and healthcare reimbursement practices. Familiarity with Medicare, Medicaid, and other third-party payer coding and billing requirements. Knowledge of HIPAA regulations and patient confidentiality requirements. Strong attention to detail, analytical skills, and ability to identify and resolve coding discrepancies. Ability to work independently, manage competing priorities, and meet established productivity and accuracy standards. Effective written and verbal communication skills and ability to collaborate with clinical and administrative personnel. Preferred Qualifications Experience coding in an ambulatory or outpatient healthcare setting. Experience with IHS or tribal health program All-Inclusive Rate (AIR) reimbursement and associated encounter coding and billing requirements. Experience providing coding education, training, and technical assistance to physicians, advanced practice providers, and other clinical personnel, particularly within Epic EHR. Experience with Epic coding workflows, charge review, and coding-related work queues. Experience working in a tribal health program, Indian Health Service (IHS), or federally funded healthcare organization. Experience with coding audits, denial management, and clinical documentation improvement. Important: Applicants must possess both an active professional medical coding certification and prior hands-on experience with Epic. Candidates who do not meet both requirements will not be considered. Please note that all communication will be via e-mail. Disclaimer This employment announcement does not contain a comprehensive description of activities, duties, or responsibilities that are required for this position. Duties, responsibilities, and activities will be reviewed periodically as duties and responsibilities change with necessity. Applicants with credentials that do not meet the minimum qualification for this position will not be considered. Rocky Boy Health Center Human Resources disclaims responsibility for ensuring the completion of application packages, considering only those applications received in proper and completed form before the 4:00 PM closing date for the advertised position. This employment announcement is subject to change depending on budget availability and organizational priorities. Employment offers are contingent upon the satisfactory completion of a background check and pre-employment drug test, with successful applicants being subject to a 60 business day probationary period. Notice to Recruiting Agencies and Third-Party Vendors Rocky Boy Health Center does not accept unsolicited resumes, proposals, or candidate submissions from recruiting agencies or third-party vendors. We are not seeking new recruiting or placement services for any positions at this time. Any unsolicited submissions will be considered property of Rocky Boy Health Center, and we will not be responsible for any associated fees. Powered by JazzHR XP37XGW9zC

Job Description Job Description Contract Opportunity Immediate Opening Location: Rocky Boy Health Center Box Elder, Montana Engagement Type: Contractual Work Arrangement: On-Site Required for Initial 60 Days; Hybrid or Remote Arrangement May Be Considered Thereafter Start Date: As Soon As Possible Contract Duration: Initial Short-Term Engagement with Potential for Extension or Long-Term Contract Compensation: Competitive, Negotiable Based on Qualifications and Experience Position Summary: Rocky Boy Health Center (RBHC) is seeking an experienced Certified Medical Coder for an immediate contractual engagement to support medical coding, provider education, and revenue cycle operations. The contractor will be responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, resolving coding discrepancies, and supporting timely and accurate claims processing within the Epic Electronic Health Record (EHR) system. The contractor will also provide direct training and technical assistance to medical providers to improve encounter documentation, coding accuracy, and proficiency with Epic coding workflows. The ideal candidate will possess strong knowledge of outpatient medical coding, demonstrated hands-on Epic experience, and familiarity with Indian Health Service (IHS) and tribal healthcare reimbursement methodologies, including All-Inclusive Rate (AIR) reimbursement. This opportunity requires an initial 60-day on-site engagement at Rocky Boy Health Center. Following the initial period, hybrid or remote arrangements may be considered based on demonstrated performance, operational needs, and mutual agreement. RBHC is initially seeking short-term assistance but is open to extending the engagement or establishing a longer-term contractual relationship with a qualified individual. Scope of Services and Responsibilities: Review clinical documentation and accurately assign ICD-10-CM, CPT, HCPCS, and Evaluation and Management (E/M) codes in accordance with applicable coding guidelines. Perform medical coding functions within Epic EHR, including managing coding work queues, charge review, and resolution of coding-related issues. Review outstanding coding assignments and assist in resolving backlogs that may delay claims submission or reimbursement. Identify incomplete or inconsistent documentation and coordinate with medical providers to obtain clarification. Collaborate with Revenue Cycle and billing personnel to resolve coding discrepancies, claim edits, denials, and reimbursement issues. Support coding quality assurance activities, including identification of recurring errors, documentation deficiencies, and opportunities for process improvement. Maintain compliance with HIPAA, CMS requirements, official coding guidelines, and applicable organizational policies. Provide individualized, hands-on training and technical assistance to physicians, advanced practice providers, and other clinical personnel regarding accurate encounter coding and documentation. Educate providers on appropriate selection and application of diagnosis, procedure, and E/M codes. Assist providers in navigating Epic coding and encounter completion workflows, including diagnosis selection, documentation requirements, and appropriate charge capture. Identify recurring coding and documentation errors and provide targeted education and recommendations for improvement. Serve as a technical resource for providers regarding coding guidelines, documentation standards, payer requirements, and coding-related questions. Collaborate with clinical leadership to improve provider coding proficiency, documentation quality, and encounter completion practices. Develop or recommend educational resources, workflow guidance, and coding reference materials to support ongoing provider education. Support accurate encounter coding and documentation for services reimbursed under applicable Indian Health Service (IHS) and tribal healthcare All-Inclusive Rate (AIR) methodologies. Provide guidance to medical providers and Revenue Cycle personnel regarding coding and documentation requirements associated with AIR-eligible encounters. Assist in identifying and resolving coding, documentation, and billing issues affecting encounter-based reimbursement. Review coding practices to support appropriate encounter capture and compliance with applicable Medicare, Medicaid, and other payer requirements. Provide technical assistance regarding payer-specific coding requirements, same-day encounter rules, and distinctions between AIR and traditional fee-for-service reimbursement. Identify opportunities to strengthen coding accuracy, revenue integrity, and reimbursement processes within the organization's tribal healthcare setting. Required Qualifications: Current professional medical coding certification required, such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), or an equivalent recognized credential. Demonstrated hands-on experience performing medical coding functions within Epic EHR required. Minimum of two (2) years of professional medical coding experience. Experience providing coding education, training, or technical assistance to medical providers. Proficiency in ICD-10-CM, CPT, HCPCS, and E/M coding. Strong knowledge of medical terminology, clinical documentation requirements, and healthcare reimbursement practices. Familiarity with Medicare, Medicaid, and third-party payer coding and billing requirements. Ability to independently manage coding assignments, identify discrepancies, and maintain high standards of accuracy and productivity. Strong analytical, organizational, problem-solving, and communication skills. Ability to provide services on-site at Rocky Boy Health Center for the initial 60-day period. Preferred Qualifications: Experience with IHS or tribal healthcare All-Inclusive Rate (AIR) reimbursement methodologies and encounter-based billing. Experience with Epic, including coding work queues, charge review, and revenue cycle workflows. Experience in ambulatory or outpatient medical coding. Experience with provider documentation improvement, coding audits, and educational program development. Experience addressing coding backlogs, claim denials, and revenue cycle inefficiencies. Previous experience providing contractual or consulting medical coding services. Experience working with IHS, tribally operated healthcare programs, or federally funded healthcare organizations. Contract Terms and Work Arrangement Rocky Boy Health Center is seeking a qualified contractor who can begin providing services as soon as possible. The initial engagement is intended to address immediate medical coding and provider education needs. However, RBHC is open to extending the contract or establishing a longer-term engagement based on organizational needs, contractor performance, and mutual agreement. Initial 60 Days: Services must be performed on-site at Rocky Boy Health Center in Rocky Boy, Montana to facilitate collaboration with medical providers, Revenue Cycle personnel, and organizational leadership. Following Initial 60 Days: Hybrid or remote arrangements may be considered based on operational needs, performance, demonstrated ability to independently fulfill contractual responsibilities, and mutual agreement. Remote or hybrid arrangements are not guaranteed. Contract duration, compensation, scheduling, and other terms will be negotiated based on qualifications, availability, and organizational needs. How to Express Interest Qualified individuals and professional medical coding contractors are encouraged to submit a cover letter, résumé or statement of qualifications, verification of current coding certification, relevant Epic experience, availability, and proposed compensation requirements. Immediate need. Interested candidates are encouraged to respond as soon as possible. Please note that all communication will be via e-mail. Disclaimer This employment announcement does not contain a comprehensive description of activities, duties, or responsibilities that are required for this position. Duties, responsibilities, and activities will be reviewed periodically as duties and responsibilities change with necessity. Applicants with credentials that do not meet the minimum qualification for this position will not be considered. Rocky Boy Health Center Human Resources disclaims responsibility for ensuring the completion of application packages, considering only those applications received in proper and completed form before the 4:00 PM closing date for the advertised position. This employment announcement is subject to change depending on budget availability and organizational priorities. Employment offers are contingent upon the satisfactory completion of a background check and pre-employment drug test, with successful applicants being subject to a 60 business day probationary period. Notice to Recruiting Agencies and Third-Party Vendors Rocky Boy Health Center does not accept unsolicited resumes, proposals, or candidate submissions from recruiting agencies or third-party vendors. We are not seeking new recruiting or placement services for any positions at this time . click apply for full job details