Hoag Health System

Hoag Memorial Hospital Presbyterian seeks an experienced Coder to review clinical documentation and apply ICD-10-CM/PCS codes for inpatient care. The role emphasizes accurate abstraction, adherence to AHIMA guidelines, and participation in quality reviews. Candidates should have a high school diploma, a certified coding program or CAHIM HIT credential, and at least five years of inpatient coding at an acute care facility, with CCS certification preferred. #J-18808-Ljbffr

Job Description Primary Duties And Responsibilities The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verify that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Medical Coding - Hoag Hospital In addition to the above, the coder resolves billing related errors and assists with workflow changes and process improvement projects....

Hoag Memorial Hospital Presbyterian in Orange County, CA, seeks a skilled Medical Coder to review clinical documentation and apply ICD-10-CM codes for diagnoses and procedures. The role supports billing, reporting and regulatory compliance, requiring attention to coding guidelines and accuracy. The coder will verify code capture, assist with quality review meetings, and may contribute to workflow improvements. Experience in a hospital setting and CCS/CPC certifications are preferred. #J-18808-Ljbffr

The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verify that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Job Description The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external...

Job DescriptionPrimary Duties And ResponsibilitiesThe Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.Verify that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings.Performs other duties as assigned.Medical Coding - Hoag HospitalIn addition to the above, the coder resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing...

Job Description Primary Duties And Responsibilities The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM and ICD-10-PCS to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verifies that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Medical Coding - Hospital Based Resolves billing related errors and assists with workflow changes and process improvement projects. Meets...

Claims Billing Specialist The Specialist is responsible for resolving inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date. The Specialist will ensure first-call-resolution standards are followed and will refer and follow-up as per Hoag guidelines. Ensure accuracy, reports issues, and works to resolve. Ensure compliance and regulatory guidelines and health plan requirements are met. Documents actions taken following HIPAA guidelines. May assist in providing customer service, member services, and others in working with providers/billing offices when needed. Assist in identifying and reporting issues working with the management team to help minimize re-work and address front-end process issues. Performs other duties as assigned.May also maintains databases, audit information and works with patients to process patient payment. May follow up with insurance companies on outstanding or unpaid claims, create/send...

Hoag Memorial Hospital Presbyterian is seeking a Claims Billing Specialist to handle inquiries related to claims, eligibility, and authorization from healthcare providers, health plans, and members. The role requires accurate data handling and HIPAA-compliant documentation, with collaboration across the claims team. The position involves processing mail, supporting daily mail distribution, and assisting with provider/customer service duties while contributing to claims processing efficiency. #J-18808-Ljbffr

Claims Billing SpecialistThe Specialist is responsible for resolving inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date. The Specialist will ensure first-call-resolution standards are followed and will refer and follow-up as per Hoag guidelines. Ensure accuracy, reports issues, and works to resolve. Ensure compliance and regulatory guidelines and health plan requirements are met. Documents actions taken following HIPAA guidelines. May assist in providing customer service, member services, and others in working with providers/billing offices when needed. Assist in identifying and reporting issues working with the management team to help minimize re-work and address front-end process issues. Performs other duties as assigned.May also maintains databases, audit information and works with patients to process patient payment. May follow up with insurance companies on outstanding or unpaid claims, create/send...