Pharmaceutical work from home jobs

We’re looking for the best and brightest Hospital Coders (Level I) on the West Coast, so we’re offering new hires a $4,000 sign-on bonus. This is an entry-level position on our One Revenue Cycle (ORC) team, responsible for the coding/abstracting acute-care services. Coding and abstracting areas may include inpatient, ambulatory surgery, observation or ED/ ED facility and/or ED professional fee accounts. *If you’re hired with at least one year of current experience and require little to no training, you may qualify for a $4,000 sign-on bonus! Compensation and benefits snap shot: May work from home; must be based in Alaska, California, Montana, Oregon or Washington. Competitive pay based on skill and experience. Sign on bonus of $4,000 for those who qualify.

Work from home with flexible hours! Ongoing education and annual CEU’s paid. Excellent  benefits and competitive compensation package. RHIA management team support, colleague recognition and referral bonus programs. The Coding Specialist / Remote Health Information Coder is responsible for accessing and coding client records via e-Web Coding technology by utilizing ICD-9 and CPT coding classification systems. Responsibilities and duties include and are not limited to: Maintains a working knowledge of ICD-9-CM and CPT coding principles, governmental regulations, official coding guidelines, and third party requirements regarding documentation and billing. Assures that all services documented in the patient’s chart are coded with appropriate ICD-9 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards. Ability to maintain average productivity standards as follows: Inpatients 3-4 charts per hour. Works the review queue on a daily basis to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary. Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request. The coder is responsible for coding or pending every chart placed in their queue within 24 hours. Coders must maintain their current professional credentials while working for us.

The Coding Quality Reviewer shall report directly to the Internal Quality Control Coding Director and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the coding team by utilizing ICD-9 and CPT coding classification systems. Review of patient records will be conducted via e-Web Coding technology, facility EMR, or other established method. This position will perform any and all related job duties as assigned. Essential Job Functions Computer Literacy Advanced Coding Skills, ICD-9-CM and CPT Excellent verbal and written Communication Skills Strong  knowledge of governmental regulations relating to coding High level of productivity Ability to work independently HIPAA compliant work stations Strong working knowledge of  Protected Health Information Duties and Responsibilities Ensure 5% coding quality review (or percentage stipulated in client contract) of each coder’s work is conducted monthly for those facilities the reviewer is assigned. Coding quality review will be conducted to identify abstracting (to include dc disposition and POA indicators), ICD-9-CM, CPT, modifier, and HCPCS coding errors for codes assigned by the coding team. Run productivity reports (when requested) to ensure review percentages are met. Review coding and abstracting on all patient types assigned to include the following: inpatient, ambulatory surgery, observation, ER, clinic and diagnostics in order to assure 95% coder accuracy (or as stipulated by client contract). Become familiar with any facility specific coding guidelines and know where to access on the portal. Required to read all Coding Clinics updates and stay abreast of all new coding guidelines Ensure code recommendations are supported with AHA Coding guidelines and/or other appropriate references. Performs chart reviews and coding recommendation notifications (to ensure appropriate turnaround times) to coding team in a timely manner. Enters review findings in a timely manner for each account reviewed into CodeStar or e-web software. Communicates in a professional, non-threatening manner with the coding team in coding quality recommendation discussions. Notifies IQC Coding Director of coder/review disagreements and allows IQC Coding Director to make final decisions. Notify IQC Coding Director when coding risk areas and error trends are identified for a specific facility and/or coder. Assist Coders in answering coding/abstracting questions resulting from the quality reviews. Reviews monthly and quarterly coder quality reports and performs intensification reviews for Coders who fall below the stipulated accuracy rate as part of the corrective action plan. Maintain a working knowledge of ICD-9-CM and CPT coding principles, governmental regulations, official coding guidelines, and third party requirements regarding documentation and billing. Ability to maintain average review productivity standards as follows:  Inpatients 3 charts per/hr, outpatient surgery 3-4 charts per/hr, emergency room/clinics 15 charts per/hr, emergency room with E/M 11 charts per/hr, ancillary/diagnostic 20 charts per/hr.  This excludes outliers. Complete review activity summary daily (productivity summary) for each facility and submit to IQC Director and VP of Quality on a weekly basis. Review and be familiar with the annual review criteria standards as well as DRG review calendar. Assists as needed in the review of external coding audit company findings and formulates a response to be used in the defense of the codes assigned. Participates in client conference calls and weekly quality team stand-up calls. Responsible to review the minutes of these calls if not able to dial into the conference call (minutes are posted on the portal). Provide company support for the creation, maintenance and ongoing operation of an efficient and accurate Quality Improvement Plan that is compliant with Local, State, and Federal Government Regulations. Work with the Coding Solutions Division to provide on-going coding education resulting from the Quality Reviews.  This will involve direct one-on-one correspondence between the coder and reviewer. Maintain open lines of communication serving as a liaison between client, Coders, and Coding Solutions Division to insure that all parties are kept up to date on specific hospital guidelines/policies. Participate in company Coding Solutions Division Meetings. Reviewer must be able to work independently while maintaining specific productivity standards. Basic computer skills are needed to handle connection issues, downloads and to review specific programs. Reviewer downtime must be reported immediately to the administrative staff to ensure adequate work flow. E-web or facility access system problems should be reported to administrative staff and e-web immediately. Reviewers are responsible for checking the Cymetrix email system at least every two hours during review session. Reviewers must maintain their current professional credentials while working for Cymetrix. Reviewers are responsible for maintaining HIPAA compliant work stations (reference HIPAA work station policy) Reviewers are responsible for maintaining patient privacy at all times (reference company handbook policy compliance section 105) Reviewers are responsible for signing a confidentiality statement. It is the responsibility of each reviewer to review and adhere to the coding division policy and procedure manual content. Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services. Communication in emails should be professional at all times (reference e-mail policy).

Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other applicable documentation. Maintain the integrity of facility Charge Description Master (CDM) and Revenue Integrity Systems Program. Maintain the integrity of all Ancillary Department systems related to billing and revenue. Position will serve as liaison between Administration, the PAS and Ancillary Department Directors regarding revenue and compliance issues.  Position will coordinate all retrospective, concurrent, patient complaint and external billing audits. Provide monthly audit results. Develop and coordinate educational in-services to the Business Office staff and Ancillary staff related to charging and billing issues. Review denial trends for documentation or charging issue opportunities. Review high charge stays/procedures for charging accuracy. Ensures web tool (unbilled) items are addressed properly and timely. Serve as primary contact for all charge-related PAS inquiries and issues.   DUTIES INCLUDE BUT ARE NOT LIMITED TO Analyzing and resolving patient claims being held by billing edits on the Bill 45, Bill 49, DET,CRT, Medical necessity, Correct Coding Initiative, Outpatient Code Editor(OCE), Inpatient Code Editor, Self- Administered and other claims requiring clinical expertise's Interact with ancillary departments to obtain additional information needed to properly bill account based on medical record Identify charging, coding, or clinical documentation issues and work with ancillary departments to resolve issues and notify appropriate leadership Reviews all BHL, Mutual, FCSO, PAS Billing Compliance correspondence and adheres to all guidelines Performs assigned audits by researching documentation, analyzing information, and makes recommendations to improve flow of claim and enters all corrections into the systems Serves as charge master liaison to include regular reviews of CPT codes, Revenue Codes, review of monthly standard CDM error report and communicating with Ancillary Departments to resolve issues, member of facility FECC Committee; reports charging issues, etc. Maintain mandated billing education (i.e. EM Assigner ), attend webcasts and conference calls  Perform other related functions as assigned Additional Duties: Assigns Modifiers and CPT/ HCPCS coding as necessary. Reviews all REGS Helpline, FI/MAC, SSC Billing Compliance correspondence and adheres to all guidelines

This is a great opportunity for physicians who would like to apply their medical knowledge and years of clinical expertise in a flexible setting. We have long-term contract opportunities available, supporting clients. In this position, you will perform utilization reviews for various types of procedures and medications.  This is a remote work opportunity from your office or home setting. Applicants must be located in the U.S. or if abroad, on U.S. Soil.