Weekend Optum Medical Coding Jobs in Erie, PA (NOW HIRING)

GENERAL OVERVIEW:

This job is an integral part of the care delivery system working together to provide a healing environment, by placing our customers first. The incumbent provides specialty and critical care healthcare services primarily in an inpatient setting for acute or chronic health conditions in specific populations in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization within the CRNP scope of practice. This role is utilized in areas which provide 24/7 coverage/shifts, specialty certification, advanced procedures with appropriate privileging, as required, off hours including evenings, weekends, holidays, and on call.

ESSENTIAL RESPONSIBILITIES

• Provides comprehensive, evidence-based patient care for acute patients within an inpatient setting. This includes conducting thorough daily rounds, performing advanced medical history and physical assessments, formulating, and implementing patient-centered treatment plans, interpreting diagnostic test results, and facilitating safe and effective discharge planning. (20%)

• Orders, interprets, and evaluates laboratory, radiological, and diagnostic studies to determine patient treatment plans and establish medical diagnoses within the scope of practice. Collaborates proactively with the attending physician and interdisciplinary team to develop and refine patient care plans. Seeks physician consultation and guidance for clinical decisions that extend beyond the CRNP scope of practice or knowledge base, ensuring optimal patient safety and outcomes. (15%)

• Institutes emergency measures, treatment, and appropriate stabilization for acute patient situations, such as cardiac arrest, hemorrhage, or shock. (15%)

• Ensures appropriate and timely documentation in the Electronic Medical Record (EMR) to support accurate medical coding and billing, and record and report pertinent information to the attending physician. Ensures timely documentation of all patient encounters, interventions, and outcomes in the electronic health record, adhering to all regulatory and institutional standards for inpatient care of acute and chronic conditions. (10%)

• Facilitates seamless communication and coordination of patient care activities with patients, families, community health services, and the entire interdisciplinary healthcare team to ensure continuity of care and optimal patient experience. Assesses the specific learning needs of patients and their families, delivering culturally sensitive and age-appropriate education regarding their condition, treatment plan, and self-care strategies to promote understanding and active participation in their recovery. (10%)

• Communicates effectively with the attending physician regarding the plan of care, involving them in clinical decision-making for issues outside the Nurse Practioner's knowledge or scope of practice. (10%)

• Maintains mandatory professional continuing education and actively participate in patient safety, quality improvement processes, and patient engagement initiatives. (10%)

• Performs hospital rounds, accurately execute physician orders, and maintain professional practice consistent with organizational mission statements and specialty-specific privileges. (10%)

• Performs all other duties as assigned or required.

QUALIFICATIONS:

Required

• MSN from the practicing State Board of Nursing Approved Master's Program

• National Board Certification for Nurse Practitioners through an accredited association

• Practicing-state licensure as a Nurse Practitioner

Preferred

• Experience in Emergency or Critical Care setting

Additional Employment Requirements:

• Prescriptive Authority from the practicing state Within 60 days of hire

• Drug Enforcement Agency Licensure Within 60 days of hire

• CPR - American Heart Association

• Act 33 Child Abuse Clearance Certificate

• Act 34 Criminal Background Clearance Certificate

• Act 73 FBI Fingerprinting Criminal Background Clearance Certificate

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice