
10,000+ employees
Founded 1946
⚕️ Healthcare Insurance
🏥 Healthcare
📚 Education
Healthcare Insurance • Healthcare • Education
Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.
🕒 Yesterday
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10,000+ employees
Founded 1946
⚕️ Healthcare Insurance
🏥 Healthcare
📚 Education
Healthcare Insurance • Healthcare • Education
Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.
• Accurately code hospital inpatient, hospital outpatient, and/or professional fee encounters • Apply ICD-10, ICD-PCS, CPT, HCPCS, and modifier coding systems • Review clinical encounters using Carle electronic medical record systems • Provide interdepartmental coding assistance • Develop compliant coding processes using CMS publications, Coding Clinic, CPT Assistant, and other reference materials • Optimize revenue while maintaining compliance through auditing, monitoring, training, charge facilitation, claim scrubber activities, and billing research • Serve as an expert coding resource for internal and external parties • Liaise with coding and billing staff to ensure accurate charge capture • Report documentation and coding improvement needs • Perform provider and peer coding audits • Monitor internal controls for coding and billing • Facilitate external audit activities and report them to administrative personnel
• Certification as one of: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist-Physician-Based (CCS-P), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) • Certification from AAPC or AHIMA as applicable • Maintain coding certification, knowledge, and skills • Knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and modifiers • Knowledge of regulatory coding guidelines, including National and Local Coverage Determinations • Ability to use coding software, computer-assisted coding, encoders, and electronic medical record systems • Ability to perform coding audits and monitor internal controls • Ability to facilitate external audit activities and reporting • Full-time availability for day shift
• Comprehensive benefits package • Flexible schedule upon meeting quality and productivity standards
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