Company Overview Are you a hungry sales professional looking for warm leads to be provided for you? Are you looking for a career where you can grow? Does the thought of selling a product you believe in while working 100% remote excite you? Then we want to meet you! Join our Local Splash family and love where you work! We are growing quickly as we expand to new territories and are looking for hungry and talented sales professionals to help drive that growth! If you are someone who thrives in a fast-paced environment, enjoys working with people and has a strong student mentality - read on! We provide an amazing opportunity with a company that has upward career opportunities, a phenomenal sales compensation structure and a fun and laid back atmosphere. This is a full-time work from home opportunity from Monday to Friday, 7:00am to 4:00pm (PST). Responsibilities and Duties Connect via phone with 150 - 200 cold prospects on a daily basis (autodialer) Receive inbound calls...

About Fountain Valley Regional Medical Center Fountain Valley Regional Hospital is proud of the full range of quality services we provide. Since 1971, we have dedicated our efforts to meet and serve the medical needs of our growing community. We were the first hospital in Orange County to offer residents an accredited Chest Pain Center and a Thrombectomy Receiving Center certified by The Joint Commission. We are one of only two certified Pediatric ICUs in Orange County and the only hospital in Fountain Valley and Huntington Beach with a Level III Neonatal ICU. We're proud of the efforts of our physicians, nurses and staff who strive to provide you with the best care possible. Job Summary Codes and Abstracts charts in a timely manner. Codes in accordance with current principles of ICD-9-CM and CPT guidelines. Demonstrated ability to accurately identify the correct DRG. Abstracts data into hospital abstracting system in accordance with departmental and OSHPD...

About Fountain Valley Regional Medical Center Fountain Valley Regional Hospital is proud of the full range of quality services we provide. Since 1971, we have dedicated our efforts to meet and serve the medical needs of our growing community. We were the first hospital in Orange County to offer residents an accredited Chest Pain Center and a Thrombectomy Receiving Center certified by The Joint Commission. We are one of only two certified Pediatric ICUs in Orange County and the only hospital in Fountain Valley and Huntington Beach with a Level III Neonatal ICU. We're proud of the efforts of our physicians, nurses and staff who strive to provide you with the best care possible.Job Summary Codes and Abstracts charts in a timely manner. Codes in accordance with current principles of ICD-9-CM and CPT guidelines. Demonstrated ability to accurately identify the correct DRG. Abstracts data into hospital abstracting system in accordance with departmental and OSHPD...

Summary: Review, analyze, and code medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders. Project Details: Evaluate medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the visit Compile necessary documentation prior to coding review; when documentation is not available, performs the appropriate steps to obtain the necessary documentation per the...

Purpose Statement / Position Summary Under the direction of the Coding Compliance Manager, the Coding Compliance Auditor/Educator will play a key role in reviewing and analyzing post claim data for accuracy and compliance with federal and state coding guidelines and regulations. The Coding Compliance Auditor/Educator will review both inpatient and outpatient services, including, but not limited to office, hospital, and surgical procedures. The Coding Compliance Auditor/Educator will work closely with MCMF providers providing coding and documentation education as well as supporting/educating the coding team. In addition, the Coding Compliance Auditor/Educator will also work closely with the Coding Compliance Manager on discovered coding irregularities and needed action items. Essential Functions and Responsibilities of the Job Proficient in Microsoft Office suite Proficient in Epic software Strong analytical skills Strong critical thinking skills The ability to anticipate, research,...

Purpose Statement / Position Summary Under the direction of the Manager, Coding Compliance, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for processing. This role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement. The OP Ancillary/Physician Coder will also be committed to ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to each patient. Essential Functions and Responsibilities of the Job Proficient in Microsoft Office suite Proficient in Epic software Analytical skills Critical thinking and problem-solving skills Understanding of the health care revenue cycle Strong communication skills with the ability to communicate information accurately and clearly Provide excellent customer service The ability to manage interpersonal relationships and effectively communicate with...

Summary: Follow up on missing documentation, including the generation of appropriate queries, as needed. Project Details: Assign ICD-9-CM and/or ICD-10 diagnosis and procedure codes and present on admission (POA) indicators Maintain at least a 95% accuracy rate Maintain at least a 95% productivity rate Communication of issues to the MS-DRG, with CDI specialists, as appropriateJob Experience: Thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic Thorough understanding of Medicare Inpatient Prospective Payment System (IPPS), Medicare Severity-Diagnosis Related Groups (MS-DRGs) Understanding of coding resources and tools, including 3MOxford is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by...

Purpose Statement / Position Summary Under the direction of the Coding Compliance Manager, the Senior Surgical Physician Coder will play a key role in reviewing and analyzing surgical billing and coding for processing. This role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement as well as ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. In addition, the Senior Surgical Physician Coder will serve as the central point of contact for contract coders, onboard new coders, maintain the continuity of contract coding operations, and ensure the implementation of MemorialCare policies and procedures. The Senior Surgical Physician Coder will also work in conjunction with the Coding Compliance Manager on discovered coding irregularities and needed action items Essential Functions and Responsibilities of the Job Proficient...

Job Outcomes & Functions Reviews medical records of all outpatient surgery (including other non-ancillary outpatient accounts) payer types to determine the principal diagnosis and procedure. Utilizes query forms to consult with physician when documentation clarification is necessary Following all regulatory guidelines, utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-9/10 PCS diagnoses and ICD-9/10 CPT procedures Using the International Classification of Diseases (ICD9/10) and the Current Procedural Terminology (CPT) coding classification systems, assigns codes to all diagnoses and procedures following applicable coding principals and department guidelines; enters into the computer coding system Abstracts and codes all required clinical and demographic data for reporting to CMS (Centers for Medicare and Medicaid Services), OSHPD (Office of Statewide Health Planning and Development), Quality Management, and Medical Staff; enters...