Professional Coder – FT

Position Summary

The Certified Procedural Coding Specialist will read and interpret health record documentation to identify all diagnoses and procedures that affect the current inpatient/outpatient encounter visit; assess the adequacy of health record documentation; apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures.

Work Schedule

Monday – Friday, 8-5 or as determined by supervisor

Primary Duties

Essential Functions:

Codes and abstracts all diagnoses and procedures from physicians’ dictation and according to ICD-10-CM and CPT-4/HCPCS.
Processes claims for secondary insurance companies and conducts research on any claims denied by insurance companies.
Initiates physician interaction when ambiguous or conflicting information is in the medical record.
Exhibits knowledge and aptitude regarding coding software and resources for accurate code assignment
To assist medical providers in using the appropriate ICD-10 code, check insurance status, bill insurance appropriately, fight denials, and reduce A/R.
Correctly performs routine billing and coding procedures in a timely and professional manner
Meets assigned deadlines and provide advance warning of problems
Works independently under the billing supervisor
Acts as a resource within the clinic to other staff members and patients
- Initiates physician interaction when ambiguous or conflicting information is in the medical record.
- Exhibits knowledge and aptitude regarding coding software and resources for accurate code assignment.
- Provides backup to other members of department as needed.
- Other assigned duties as directed by supervisor based on demonstrated competency

Qualifications/Specifications

· Education: High School diploma or equivalent required.

· Licensure/Certification: Certified Professional Coder (CPC) certification required or Certification required within 12 months of hire date.

· Experience: Minimum of one year experience in clinic or physician practice medical billing/insurance, medical records and/or coding using ICD-10 and CPT coding systems required.

Outpatient Hospital Coder – FT

Position Summary

Seeking a highly skilled and experienced Inpatient Hospital Coder to join our dynamic team. The ideal candidate should possess a Certified Coding Specialist (CCS) certification and a minimum of 1 year of Inpatient coding experience. The Hospital Coder will play a crucial role in ensuring accurate coding, MS-DRG assignment, and compliance within our healthcare organization.

Work Schedule

Full-time 40-hour work week – Monday – Friday

Primary Duties

Essential Functions:

Identifies reviews and assigns complex ICD-10-CM/PCS codes, POA indicators and PSI indicators, surgical complications to report the MS-DRG most accurately and Severity of Illness/Risk of Morality.
Identifies reviews and assigns complex ICD-10-CM/PCS or CPT/HCPCS codes and abstracts clinical information from inpatient/outpatient types.
Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc.
Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology, and special services, identifies medical and surgical complications and untoward events for accurate MS-DRG or APC assignment.
All coding and abstracting is for the purpose of reimbursements, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols.
Clarifies complex discrepancies in documentation and coding; assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care.
Supports special studies in relation to coding and abstracting information according to policies and procedures.
Maintains knowledge and skills; reads current coding resources clinical information, videos, etc.
Meets or exceeds quality and productivity standards and established department benchmarks.
Performs other duties as assigned.

*Note: This job description is subject to change as the needs of the organization evolve.*

Qualifications/Specifications

Education: High School diploma or equivalent required.
Licensure/Certification: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required.
Experience: Minimum of 1 year of experience in medical coding with ICD-10 and CPT coding systems required. Detail-oriented and experienced coding professional with a passion for ensuring accuracy and compliance.

Inpatient Hospital Coder – FT

Position Summary

Work Schedule

Full-time 40-hour work week – Monday – Friday

Primary Duties

Essential Functions:

Identifies reviews and assigns complex ICD-10-CM/PCS codes, POA indicators and PSI indicators, surgical complications to report the MS-DRG most accurately and Severity of Illness/Risk of Morality.
Identifies reviews and assigns complex ICD-10-CM/PCS or CPT/HCPCS codes and abstracts clinical information from inpatient/outpatient types.
Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc.
Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology, and special services, identifies medical and surgical complications and untoward events for accurate MS-DRG or APC assignment.
All coding and abstracting is for the purpose of reimbursements, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols.
Clarifies complex discrepancies in documentation and coding; assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care.
Supports special studies in relation to coding and abstracting information according to policies and procedures.
Maintains knowledge and skills; reads current coding resources clinical information, videos, etc.
Meets or exceeds quality and productivity standards and established department benchmarks.
Performs other duties as assigned.

*Note: This job description is subject to change as the needs of the organization evolve.*

Qualifications/Specifications

Education: High School diploma or equivalent required.
Licensure/Certification: Certified Coding Specialist (CCS) required.
Experience: Minimum of 1 year of experience in medical coding with ICD-10 and CPT coding systems required. Detail-oriented and experienced coding professional with a passion for ensuring accuracy and compliance.

Revenue Integrity Coding Auditor – FT

Position Summary

Seeking a highly skilled and experienced Revenue Integrity Coding Auditor to join our dynamic team. The ideal candidate should possess a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification and a minimum of 3 years of Inpatient and/or Outpatient coding experience. The Revenue Integrity Coding Auditor will play a crucial role in ensuring accurate coding, MS-DRG assignment, and compliance within our healthcare organization.

Work Schedule

Full-time 40-hour work week – Monday – Friday

Primary Duties

The Revenue Integrity Coding Auditor will be responsible for the following key areas, including but not limited to:
Review Activities:

– Conduct reviews of Clinical Documentation Improvement (CDI) Mismatches.

– Evaluate responses to Late Query submissions.

– Assess Besler Quality Recommendations.

– Examine coding issues related to Medical Necessity and other concerns.

– Investigate MS-DRG Denials.

– Conduct Coding Compliance Research.

– Perform RVU Analysis.

– Review high-risk cases such as Impella, TCAR, Aveir DR.

– Handle Rebill Requests.

– Address Discharge Not Final Billed Reports.

– Provide continued support for Charge review.

Collaboration:

– Work closely with Providers, Clinical, Coding, and CDI team members.

– Respond to coding questions and collaborate with CDI QA team on DRG reconciliation.

– Collaborate with the Director of HIM/Coding/Billing regarding coding quality and education recommendations.

Auditing and Reporting:

– Perform random and focus-selected medical records review for accurate coding and MS-DRG assignment.

– Summarize audit findings and provide feedback to the Director.

– Keep detailed records of audits, results, recommendations, and follow-up actions.

Training and Education:

– Assist in the training of new coding team members.

– Contribute to educational activities for all coding team members.

– Provide education to providers on coding updates, documentation standards, and summary reviews.

External Audits:

– Review and respond to third-party coding audits/reviews.

Benefits:

The successful candidate will contribute to the organization’s overall efficiency, resulting in benefits such as:

– Increased efficiency in coding processes.

– Lowering Days Not Final Billed (DNFB).

– Decreasing Accounts Receivable (AR) days.

– Providing research support for coding and RVU-related questions.

– Improving cash flow.

*Note: This job description is subject to change as the needs of the organization evolve.*

Qualifications/Specifications

Education: High School diploma or equivalent required.
Licensure/Certification: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required
Experience: Minimum of three years of experience in medical coding with ICD-10 and CPT coding systems required. Detail-oriented and experienced coding professional with a passion for ensuring accuracy and compliance.

Pharmacist – AHH (FT & PT available)

Position Summary:

Responsible for assisting with planning, organizing, directing, executing and evaluating all aspects of the pharmacy services for the hospital. Interprets and processes physicians orders, verifies drug information, focuses on continuous quality improvement activities, participates in discharge planning and performs non-distributive services, such as drug-level monitoring, that are established by policy. In the absence of the Director of Pharmacy, supervises pharmacy personnel to ensure an efficient workflow in a positive work environment.

Work Schedule:

Flexible schedule to cover all shifts and weekend activities with on-call participation.

Primary Duties:

Exercises appropriate clinical judgment in reviewing and evaluating patients drug therapy. Collaborates with medical and nursing staff to provide quality patient care.
Reviews, compounds and accurately dispenses pharmaceuticals and IV admixtures from a direct copy of the physicians original medication order.
Prepares, maintains, updates and monitors each patients medication profile as required. Charges and credits medication to patients.
Checks the work of supportive personnel and other pharmacy personnel for accuracy, proper labeling and adherence to pharmacy policy and procedure.
Dispenses and maintains appropriate records for all controlled substance medications and other medications in conformance with federal and state laws.
Oversees medication supplies, storage and utilization on assigned nursing units.
Assists in teaching, training and supervising pharmacy interns and technicians.
Addresses and resolves problems in a professional and ethical manner.
Assists the medical and nursing staff on all problems pertaining to medication orders or pharmacy policy and procedures. Promotes a positive and cooperative attitude in dealing with nurses, medical and other personnel and with the public.
Maintains professional knowledge by attending continuing education programs, by reading professional and technical journals and by participating in pharmacy-conducted in-service lectures.
Maintains a neat, clean and orderly department.

Qualification/Specifications:

Education: Bachelor of Science in Pharmacy required, Doctor of Pharmacy degree preferred.
Licensure/ Certification: Current pharmacists license issued by the Arkansas State Board of Pharmacy required.
Experience: None required. Hospital pharmacy experience preferred.

Counseling Nurse – RN or LPN – Keep the Beat Clinic (PTD)

Position Summary

This position is responsible for assisting clinical team members by performing a variety of duties for patients within the scope of practice of an RN or LPN using the patient-focused care system and under the direction/supervision of the physician. In addition, responsible for scheduling, financially clearing, and pre-registering patients via telephone. This position is also main point of contact for physician referrals to the clinic. This position includes obtaining and entering demographic and insurance information. This employee will place daily calls to various insurance companies for authorization/notification and benefits verification purposes

Primary Duties

Patient Care:

Actively participates directly with patient care and ensures a safe and comforting environment.
Responds to patient needs in a timely manner.
Transports patients as needed.
Welcomes patients and ensures the admission paperwork is available; actively participates in the admission process.
Performs/Assists with positioning patients and transferring patients from bed to chair or wheelchair or stretcher.
Performs/Assists with range of motion exercises and ambulating.
Reports abnormal conditions to the RN or physician in a timely manner.
Identifies the organization of the human body, including its systems, structure and functions.
Demonstrates general principles of cleanliness (asepsis).
Applies the principle of basic nutrition to patient care.
Provides basic emergency care.
Coordinates the booking and scheduling of patients for procedures/appointments
Serves as liaison with physician/facility, patient and families regarding patient care.
Performs other duties as directed by supervisor, based on demonstrated competency.
Maintains patient confidentiality.
Maintains universal precautions.
Medication administration

Qualifications/Specifications

Education: Graduate of an accredited RN or LPN program required.
Licensure/ Certification: Current state licensure as a Registered or Practical Nurse or licensure from a state within the Nursing Compact required. Current BLS at time of employment.
Experience: None required. Minimum of 6 months’ continuous RN or LPN experience preferred. IV experience strongly preferred.

Patient Account Specialist – Collections (FTD)

This position is responsible for processing billings on behalf of the patient and appropriate third-party payers, as well as researching billing issues and following up on outstanding claims. Serves as a liaison between patients, coordinating agencies and/or other third-party payers. Should be knowledgeable of all State, Local and Federal financial assistance/eligibility programs available, to include Medicaid (all programs), Medicare, SSI (Supplemental Security Income), Non-Documented Alien Medicaid eligibility and the hospitals internal charity care requirements. Should be proficient in billing and collections using an automated system and electronic claims processing. This position may also assist in revenue cycle initiatives. This position requires the ability to work with minimal supervision.

Primary Duties

Billing:

Reviews and processes inpatient and outpatient bills to patients and third-party payers on predetermined schedules.
Serves as liaison with third-party payers/agencies regarding billion (billing)/optimal reimbursement and any other billing/payment issues or questions.
Develops recommendations to maintain efficient and effective billing processes.
Maintains insurance company master list.
Serves as liaison to nursing, emergency room, patients, families and physician’s offices regarding insurance benefits.
Processes all monetary transactions in an appropriate manner and reports daily to supervisor.
Maintains accurate patient accounts including deductibles, co-payments, co-insurance, termination dates, effective dates, pending claims, etc.
Performs data input of accurate insurance information, company and plan information to patient account when necessary.
Is knowledgeable in reimbursement issues for Medicare, Medicaid, managed care and other third-party payers.
Handles billing inquiries over the telephone and in person.
Serves as liaison with third-party payers regarding benefit information and preauthorization procedures.
Monitors rejected claims, coordinates the research for the filing of appeals and/or reviews with third-party payers.
Processes past-due accounts with insurance balances, contacting third-party payers and/or patients as necessary to facilitate the timely payment of past-due charges.
Ensure all placements and activity remains reconciled with all agencies (HRG/Complete Care/MSCB/MDS) for all entities.
Ensure patient statements remain accurate and integrity of data is reconciled and any variances addressed in a timely manner.
Review status updates on a regular basis, as directed (weekly and monthly), to identify variances between organizations.

Other Business Office Duties:

Monitors MedAssets Chargemaster system on a daily basis and coordinates updates from ancillary departments when needed.
Keys daily updates in the HPF system to distribute payments and correspondence to the appropriate patient folders.
Performs follow-up of payments plans as assigned by supervisor.
Provides back up for admission/registration, and pre-certification benefits verification functions when necessary to ensure the functions are completed efficiently and timely.
Maintains patient files.
Maintains insurance logs as defined in policy.
Serves as back-up for self-pay accounts and collection functions.
Performs other duties as directed to provide the most efficient service to the hospital/clinic in a manner which supports the overall effectiveness of the department and the hospital/clinic.

Qualifications/Specifications

Education: High school diploma or equivalent required. Associate of Science preferred.
Licensure/Certification: None required.
Experience: Minimum of three years experience in medical insurance billing and/or claims processing/research required.

Registered Nurse – AHH Clinic Cath Lab (FT)

The Cath Lab Pre/Post Nurse preps and recovers the patient after diagnostic and interventional coronary outpatient procedures. Fast paced, team focused environment. No call, no holidays, no weekends. 4-10 hour shifts.

Primary Duties

Patient Care:

Completes admission assessment and periodic reassessments according to patients progress and/or unit protocols and population-specific parameters.
Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
Collaborates with interdisciplinary team members in the development, evaluation and revision of the plan of care as appropriate to meet the patients needs and goals.
Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
Assists healthcare team members in the understanding of hospital policies and procedures.
Provides education to patients/families/significant others, incorporating population-specific criteria and assessment of readiness to learn.
Maintains patient confidentiality.
Maintains standard precautions.
Administers medications and completes treatments according to hospital policy and within population-specific parameters.
Maintains all necessary documentation.
Facilitates discharge plan in collaboration with interdisciplinary team.
Demonstrates knowledge and ability to use necessary patient care equipment.
Coordinates response of the interdisciplinary team to emergency situations.
Performs Point-of-Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point-of-Care quality control standards.

Preceptor Responsibilities

Assists with recruiting and interviewing of competent staff.
Assists staff in problem solving work issues and in adapting to the patient-focused care environment.
Trains staff on hospital electronic health record and other computer applications.
Assists with orientation, evaluation and retention of clinical staff.

Department-Specific Responsibilities

Cath / EP Lab

Performs patient assessments pre-, peri- and post-procedure.
Maintains a safe, aseptic environment in the Cath Lab.
Administers medications as ordered by the physician.
Maintains competent knowledge of all procedures and adheres to procedure protocol.
Assists all personnel, patients and physicians as needed.
Ensures all supplies are available.
Operates and maintains equipment in good working order.
Participates in the total maintenance of the department.
Ensures that patient has an H & P documented by a physician according to appropriate standards prior to procedure.
Settles patient after procedures and provides accepting RN with concise reports on the patient.

Qualifications/Specifications:

Education: Graduate of an accredited nursing program required.
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. Certifications will be renewed by recommended renewal date on the certification documentation.
- PALS or ENPC certification required for all Emergency Department RNs within one year of employment.
- RCIS required for Cath/EP Lab RNs within six months of eligibility. Limited Specialty License required within two months of acquiring RCIS. (excluding PRN employees)Certification(s) is to be renewed by recommended renewal date on certification card.

Registered Nurse-Conway Clinic Cath Lab (Pre-Post) FT Days

This professional staff person is responsible for performing assessments, developing a plan of care and implementing and evaluating the care. The RN-Critical administers medications and treatments as ordered by physicians and in keeping with the current clinical nursing practice. Also responsible for directing, monitoring and evaluating the care delegated to non-licensed personnel. The RN-Critical leads the interdisciplinary care team for patients with primarily cardiovascular disease. In addition, the RN-Critical performs a range of technical services in a cross-functional mode to comprehensively serve patient needs. Assumes (under the direction of the Laboratory) responsibility for patient specimen testing, quality control, quality improvement and equipment maintenance.

Primary Duties

Patient Care:

Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
Assists healthcare team members in the understanding of hospital policies and procedures.
Provides education to patients/families/significant others, incorporating population-specific criteria and assessment of readiness to learn.
Maintains patient confidentiality.
Maintains standard precautions.
Administers medications and completes treatments according to hospital policy and within population-specific parameters.
Maintains all necessary documentation.
Demonstrates knowledge and ability to use necessary patient care equipment.
Coordinates response of the interdisciplinary team to emergency situations.
Performs Point-of-Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point-of-Care quality control standards.

Department-Specific Responsibilities

Cath / EP Lab

Performs patient assessments pre-, peri- and post-procedure.
Maintains a safe, aseptic environment in the Cath Lab.
Administers medications as ordered by the physician.
Maintains competent knowledge of all procedures and adheres to procedure protocol.
Assists all personnel, patients and physicians as needed.
Ensures all supplies are available.
Operates and maintains equipment in good working order.
Participates in the total maintenance of the department.
Ensures that patient has an H & P documented by a physician according to appropriate standards prior to procedure.
Settles patient after procedures and provides accepting RN with concise reports on the patient.

Qualifications/Specifications

Education: Graduate of an accredited nursing program required.
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. Certifications will be renewed by recommended renewal date on the certification documentation.
- PALS or ENPC certification required for all Emergency Department RNs within one year of employment.
- RCIS required for Cath/EP Lab RNs within two years of eligibility. Limited Specialty License required within six months of acquiring RCIS. (excluding PRN employees)
  Certification(s) is to be renewed by recommended renewal date on certification card. ???????
Experience:

RN I must be:

New graduate nurse or nurse with less than a year of experience
Novice skill set

RN II must be:

Registered Nurse with one or more years of experience
Experience related to home department
Novice to intermediate skill set

RN III must be:

Registered Nurse with two or more years of experience
Experience related to your home department
Proficient in Expert Skill Set
Preceptor or CPI Responder

RN IV must be

Registered Nurse with three or more years of experience
Proficient to Expert skill set
Preceptor
CPI Responder
Able to care for IABP patient or multi organ dysfunction demonstrated by competency

Registered Nurse – AHH Day Patient (FTD)

Position Summary

Primary Duties

Patient Care:

Completes admission assessment and periodic reassessments according to patient’s progress and/or unit protocols and population-specific parameters.
Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
Collaborates with interdisciplinary team members in the development, evaluation and revision of the plan of care as appropriate to meet the patient’s needs and goals.
Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
Assists healthcare team members in the understanding of hospital policies and procedures.
Provides education to patients/families/significant others, incorporating population-specific criteria and assessment of readiness to learn.
Maintains patient confidentiality.
Maintains standard precautions.
Administers medications and completes treatments according to hospital policy and within population-specific parameters.
Maintains all necessary documentation.
Facilitates discharge plan in collaboration with interdisciplinary team.
Demonstrates knowledge and ability to use necessary patient care equipment.
Coordinates response of the interdisciplinary team to emergency situations.
Performs Point-of-Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point-of-Care quality control standards.

Qualifications/Specifications

Education: Graduate of an accredited nursing program required.
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. Certifications will be renewed by recommended renewal date on the certification documentation.