12 jobs found in Gary

A company is looking for a Coder ER who is experienced in facility settings for trauma level 1, focusing on emergency department coding. Key Responsibilities Abstract, code, sequence, and interpret clinical information from various medical records Assign correct principal and secondary diagnoses and procedure codes with accurate sequencing Maintain compliance with regulatory and accreditation requirements while ensuring quality coding Required Qualifications Successful completion of an AAPC or AHIMA-approved Coding Certificate Program Minimum of two to four years of current production coding experience in acute care and profee Must possess RHIA, RHIT, and/or CCS certifications Experience with EPIC and 3M coding software Familiarity with coding conventions and regulations from relevant healthcare organizations

A company is looking for an Ambulatory Coder Denials III, FT, Days, - Remote. Key Responsibilities Validate coding and facilitate the appeals process for denied professional service claims Communicate with providers regarding coding denial issues and ensure documentation supports coding for appeals Participate in meetings to improve the overall billing process and assist in identifying training needs Required Qualifications, Training, and Education High School Diploma or equivalent; Associate degree preferred Five (5) years of professional coding and/or billing experience Certified Professional Coder (CPC) certification required CPMA or Specialty Coding Certification for assigned specialty is preferred Knowledge of governmental and commercial payer guidelines

A company is looking for a Risk Adjustment Coder. Key Responsibilities Perform code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes Review medical records to validate documentation meets CMS requirements and identify improvement opportunities Support the Medicare Risk Adjustment team by educating providers on compliance and maintaining coding quality audits with a minimum accuracy of 95% Required Qualifications, Training, and Education Must have at least three recent years of experience in HCC/Risk Adjustment and/or inpatient coding Hold relevant certifications such as CPC, CRC, RHIT, or RHIA from AAPC or AHIMA Strong knowledge of clinical terminology, disease processes, anatomy, physiology, and pharmacology Familiarity with claims processing procedures and state, federal, and Medicare regulations Must reside in New York, New Jersey, or Connecticut

A company is looking for a Hospital Outpatient Specialty Coder. Key Responsibilities Perform charge entry by reviewing data from practice sites and investigating incomplete charges Abstract clinical information and translate medical documentation into accurate diagnoses and procedural codes Maintain knowledge of coding regulations and assist with billing functions, including claim submission and denial resolution Required Qualifications High School Diploma or GED required; Associate Degree preferred Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required Three to five years of experience in emergency room coding, infusion coding, or specialty clinic procedure coding preferred Knowledge of medical terminology required Proficient with Microsoft Office

A company is looking for a UB-04 Claims Biller (Full-Cycle). Key Responsibilities Prepare, review, and submit hospital and RHC claims to commercial insurance carriers Analyze and resolve billing denials, rejections, and underpayments Conduct timely follow-up with commercial payers on unpaid, underpaid, or delayed claims Required Qualifications Knowledge of hospital and RHC billing processes Strong experience with commercial insurance billing and denial resolution Proficiency in CPT, ICD-10-CM, HCPCS, and modifiers Familiarity with payer portals and claim management systems Ability to manage high-volume workloads

A company is looking for a Nurse Inpatient Coding Auditor, (Remote) CIC or CCS certified. Key Responsibilities Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines Performs clinical reviews of medical records to validate claims coding accuracy and medical necessity Researches reimbursement regulations to support audit findings and assists in developing claims audit process documentation Required Qualifications Registered Nurse required 2+ years of experience with inpatient claims, preferably NICU and maternity Inpatient Coding Certification (CCS or CIC) required, or must obtain within 6 months of hire Experience with ICD-9/10CM and understanding of MS-DRG, AP-DRG, and APR-DRG payment systems Adherence to official coding guidelines and regulatory compliance standards

A company is looking for a Certified Coder (Remote) - Orthopedic Surgery. Key Responsibilities Review medical records to identify relevant facts for coding diagnoses and procedures Code evaluation and management using appropriate CPT and ICD-10 codes Assist coders and physicians with documentation requirements and follow-up processes Required Qualifications Must possess one of the following coding credentials: CCA, CCS, CCS-P, CPC, CPC-A, CPC-H, or specialty-specific coding credentials No specific work experience is required A diploma, certification, or degree is not required Knowledge of ICD-10 and CPT coding is preferred Associate degree in Medical Coding & Billing is preferred

A company is looking for a Certified Professional Coder. Key Responsibilities Understanding and translating CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction Reviewing medical records for completeness, accuracy, and compliance with coding guidelines Identifying, compiling, and coding patient data using standard classification systems Required Qualifications 2+ years of Medical Coding experience High School Diploma / GED RHIT, Certified Professional Coder, or Certified Coding Specialist certification Proficiency in CPT-4, HCPC, ICD-9/ICD-10 coding Knowledge of Medical Terminology and Healthcare Delivery System

A company is looking for a Professional Billing (PB) Coder - Surgical Specialty. Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for complex surgical procedures Review operative reports and documentation for complete and compliant coding Ensure compliance with billing guidelines and participate in quality reviews and audits Required Qualifications Minimum 2+ years of professional billing coding experience Experience coding complex surgical services Strong knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and NCCI edits CPC or equivalent coding certification preferred Experience in hospital-based physician billing environments

A company is looking for a temporary HCC Coder (CPC Certified). Key Responsibilities Perform HCC / Risk Adjustment coding reviews accurately and efficiently Apply ICD 10 CM and risk adjustment coding guidelines appropriately Review and code medical records using designated EMR platforms Required Qualifications Active CPC certification (AAPC) - Apprenticeship (CPC A) credentials are not accepted 1-2 years of HCC / Risk Adjustment coding experience Experience working with EMR systems Strong knowledge of ICD 10 CM coding guidelines Ability to work independently in a remote environment

A company is looking for a Profee Clinic Coder - Temp (FT). Key Responsibilities Provide accurate coding for professional services using E/M, ICD-10-CM, CPT, Modifiers, and HCPCS Level II codes Maintain a quality score of 95% or greater in coding accuracy Complete a profee coding assessment as part of the application process Required Qualifications AAPC CPC or AHIMA CCS-P certification required Minimum of three years' experience in Pro-fee Clinic coding Experience in coding for Internal Medicine, Family Practice, Pediatrics, and OB-GYN Availability to work 40 hours per week during regular business hours, Monday - Friday US-based applicants only

A company is looking for a Senior Coder. Key Responsibilities Provide standardization and quality in coding and documentation Ensure customer service focus while servicing various departments Participate in cross-training to maintain workflow during absences Required Qualifications Associate's degree or equivalent experience Minimum of 3 years of related experience in medical coding Certification as RHIA, RHIT, CPC, CPC-A, CCS, or CCA Knowledge of CPT and ICD-10 coding systems Understanding of HIPAA and regulatory compliance