(CCS) Certified Coding Specialist jobs

Full Time Seasonal/Temporary

Attest Health Care Advisors Remote (USA)

Seasonal assignment of July 17 through December 15, 2023. Completion of the seasonal assignment includes a bonus of $1,500. Medical Record Coder duties include performing audits of health status by performing primary source validation comparison of medical record documentation to the corresponding paid claim to ensure all risk adjusted diagnosis in the medical record and on the claim align and originate from a valid source. Successful Looks Like: Accurate validation of health status elements, service codes, and quality assurance reviews Timely and efficient review of medical records. Maintain required individual interrater reliability rate. Core duties and responsibilities include the following: Performs quality reviews on records to validate coding according to the International Classification of Diseases Manual (ICD-10) for diagnoses and coding guidelines. Review medical records to validate diagnosis on the claim are supported by the...

BS

Full Time

Medical Coder Auditor, Senior - Medi-Cal

Blue Shield of California Hybrid (CA, USA)

Your Role The Medi-Cal Operations team is responsible for Claims processing and ensuring Medi-Cal benefits are applied. The Medical Coder Auditor Senior will report to the Director of Medi-Cal Performance. In this role you will Serve as an expert Medi-Cal resource in the areas of coding, documentation, auditing, including CMS/HHS regulations and compliance issues surrounding requirements for risk adjustment. Review and monitors all Medi-Cal, HIPAA and CMS regulations for updates and changes pertaining to Medi-Cal programs. Determine and implement changes needed for systems and processes. Your Work In this role, you will: Perform audit projects, including and not limited to Government RADVs, and internal compliance audits Support and implement prospective, retrospective and auditing project strategy to support improved clinical documentation and coding Be responsible for facilitating and/or performing an audit of the providers’ medical...

Full Time

PB Coder III (Physician Billing)

Grady Hospital Remote

Description - External SUMMARY The Coder III is responsible for reviewing for physician services and interpreting physician documentation, CPT and diagnosis coding, coding claim edit, and coding denial management utilizing ICD-10-CM and CPT-4/HCPCS coding systems. Codes highly complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within established productivity and coding accuracy guidelines. Highly complex surgeries may require research and reference checking to ensure accuracy of problematic coding. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to Emergency Room, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services. QUALIFICATIONS High School Diploma or GED is required....

Full Time

Medical Records Release Information Specialist

Patient First Glen Allen, VA, USA

Patient First is accepting applications for Medical Records Release Information Specialist in the Glen Allen, VA area. Patient First provides a friendly work environment that promotes a team-oriented philosophy. The responsibilities of this job include, but are not limited to, the following: Retrieving mail as directed, and sorting and distributing incoming departmental mail; Date stamping and logging in all (MR) requests and scanning associated paperwork into the CorTrak database; Following departmental check list, reviewing all MR requests for proper authorization; Responding to all requests for MRs that are not HIPAA compliant, do not provide necessary information to locate the patient, through via written correspondence within the appropriate time frames according to state laws; Printing requested MRs, matching them with their corresponding requests, updating the materials list and preparing and mailing out the billing as appropriate; Updating MR...

CC

Contract

Remote Entry Level Certified Medical Coder- CPC-A, CCA, CPC, CCS, RHIA, RHIT, CRC

CSI Companies Remote

Are looking for your first medical coding position? Are you recently certified through the AAPC or AHIMA and would love the opportunity to train and work under a Fortune 500 healthcare company in a FULL TIME REMOTE position? Then please read on! The CSI Companies is hiring an Entry Level Medical Coder for our Fortune 100 healthcare client. As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Benefits of the Position: Excellent training under one of the top companies in the world Feedback on performance, coding coaches, and supervisors that want you to succeed. Access to learning resources and CEUs HOURLY pay as well as overtime pay New equipment shipped to you prior to...

Full Time

AAPC Recruiting Services: E/M Breast Surgery Physician Coder - CA Residents Only

AAPC Recruiting Services Hybrid (CA, USA)

Organization benefits for position: 100% remote but candidate must reside in California These are full-time opportunities Full Benefits - Health/Dental/Vision/Life/AD&D/FSA Basic Term Life Insurance and accidental death insurance 401(k) contributions Client to p rovide Codify Equipment supplied Position – OP Ancillary Physician Coder: CPC or CCS required CGSC preferred Minimum of 3 years of current experience in a hospital or physicians office as a medical coder Expert knowledge of ICD10-CM, CPT, and HCPCS EPIC software experience required Proficient with Microsoft 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...

Full Time

AAPC Recruiting Services: Pro-Fee Oncology Physician Coder - CA Residents Only

AAPC Recruiting Services Hybrid (CA, USA)

Organization benefits for position: 100% remote but candidate must reside in California These are full-time opportunities Full Benefits - Health/Dental/Vision/Life/AD&D/FSA Basic Term Life Insurance and accidental death insurance 401(k) contributions Client to p rovide Codify Equipment supplied Position – OP Ancillary Physician Coder: CPC or CCS required CHONC preferred Minimum of 3 years of current experience in a hospital or physicians office as a medical coder Expert knowledge of ICD10-CM, CPT, and HCPCS EPIC software experience required Proficient with Microsoft Purpose Statement / Position Summary Under the direction of the Coding Compliance Manager, the Pro-Fee Oncology Physician Coder will play a key role in reviewing and analyzing billing and coding for charge processing, specifically with Hematology/Oncology....

Full Time

Primary Care Coder

United Health Services Binghamton, NY, USA

Primary Care Coder Binghamton, NY Shifts: Days Hours per week: 40 Salary : $18.56-$25.10, depending on experience United Health Services is seeking full-time Primary Care Coders to join our Coding and Reimbursement team. United Health Services’ healthcare system features more than 20 primary care and walk-in locations, each with high patient volumes. Our Primary Care Coders will support these offices from our centralized HIM Department in Binghamton, New York. At United Health Services, you’ll join a healthcare system of 6,300+ employees and providers. We’re proud to continually invest in our workforce with excellent benefits and opportunities for career advancement. This position qualifies for: Up to a $5,000 sign-on bonus for candidates with 1+ years of experience Tuition forgiveness of $11,000 for recent RHIT graduates and $17,000 for recent RHIA graduates Market competitive wage of $18.56-$25.10/hour depending on experience Primary Care Coder...

Full Time

Coding Compliance Educator

United Health Services Johnson City, NY, USA

Coding Compliance Educator Johnson City, NY Shift: Days Hours per week: 40 hours Salary range : $27.47-$41.21 Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness. United Health Services is seeking a Coding Compliance Educator to join our UHS team in Binghamton, NY. This position ensures that the coding of diagnoses, procedures, and data complies with all coding rules, laws, and guidelines. Coding Compliance Educator Overview The educator is responsible for the coordination of activities to monitor physician documentation in the medical record with regard to applicable regulations and billing to support services rendered. Provides education to physicians and coders regarding documentation improvement opportunities for both facility and/or professional billing. They will research, analyze, and respond to inquiries regarding coding and documentation...

Full Time

Coding Auditor

United Health Services Binghamton, NY, USA

Coding Auditor Binghamton, NY Weekly hours: 40 Shift: Days Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness . Position Overview This auditor performs quarterly internal coding and documentation audits for CDI and inpatient coders. They will research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. This position works closely with the Cobius Team to review all denials and submits written appeals, when appropriate. They are responsible for monthly education for the CDI and inpatient coding staff. They also assist with coding, documentation, and billing questions to ensure compliant coding and billing. This auditor will develop final audit reports based on findings/observations during the audit process to present to providers or other...

CC

Contract

Program Integrity Coding & Research Medical Coder CPC, CRC,CCS

CSI Companies Remote

The Program Integrity Coding & Research Medical Coder acts as a Medical Coding subject matter expert for complex coding concerns and serve as primary coding resource for Program Integrity. The Program Integrity Coding & Research Medical Coder Functions as a Subject Matter Expert for Risk Adjustment and Professional Coding at CSI and is allocated to projects that require a coding professional with significant technical acumen in coding conventions for both CAI and CDPS. This teammate is key to assisting a technology vendor validate software tools that are business enablers, and when improperly functioning, can have a detrimental impact to the public persona and profitability of the vendor. The Medical Coder is in a position of high visibility for CSI, and has access to proprietary tools in a position requiring high trust and confidentiality. The What you Want to Know: 100% Remote Contract, Full-Time Hours ( 30 hour minimum commitment) Active,...

Full Time

TRAUMA REGISTRY CODER (Health Information Management Coder II)

Natividad Salinas, CA, USA

INSPIRING HEALTHY LIVES through community At Natividad, our dedication to the people of Monterey County is at the heart of everything we do—from the health care services we provide to the specialized programs we promote. This commitment to our community spans more than 130 years and, more importantly, has touched countless lives. It has also earned us a Joint Commission ranking in the top percentile of hospitals nationwide. If you believe in inspiring healthy lives by focusing on community-based care, consider joining Natividad today. TRAUMA REGISTRY CODER (Health Information Management Coder II) Natividad is currently seeking a permanent full-time Trauma Registry Coder (Health Information Management Coder II) in the Trauma Services Department. Under general supervision, the incumbent will review, interpret, code and abstract medical records information according to standard classification systems; identify diagnostic categories...

VI

Full Time

HIM Coder CCS RHIT or RHIA preferred (Full Time, Remote)

VIRTUA Evesham, NJ, USA

Summary: Codes and abstracts hospital medical records (Inpatients, Same Day Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as pertains to the coding and abstracting of medical records, as well as DRG assignment. Position Responsibilities: • Accurately reviews each record and knowledgeably utilizes ICD-9 and CPT-4 and encoder to accurately code all significant diagnoses and procedures according to AHA, AHIMA, UHDDS hospital specific guidelines and rules/conventions. • Records coded include Inpatients, Same Day Surgery, Invasive Outpatients, and Emergency Department. • Sequences principal diagnosis and principal procedures according to documentation found in the medical records and UHDDS...

Full Time

PB Coder II (Physician Billing)

Grady Hospital Remote

Description - External SUMMARY Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem-solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services. Responsible for reviewing, analyzing, and interpreting physician documentation, CPT and diagnosis coding, charge entry, coding claim edit, and coding denial management for coding related tasks QUALIFICATIONS High School Diploma or GED is required. At least...

Full Time

DME Medical Biller

Orthopaedic and Spine Technologies West Chester, PA, USA

We are looking to add a medical biller to our team. Key responsibilities include: Data entry of patient demographics Verify insurance Code/bill DME products dispensed Review medical necessity prior to billing Request authorizations from insurance companies Previous experience with Brightree is a plus.

CN

CCS Certified Coder

Care New England Providence, RI, USA

Job Description Primary Function The Certified (CCS) Coder is responsible for accurate coding of all outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. * Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS as well as other specialty systems as required by diagnostic category. * All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCSand CMS coding guidelines. * As needed, Coders may assist and be a resource for data integrity for other employees who need clarification and assistance in coding. Specifications * Must have at least three (3) years hospital or surgical center coding experience within the last five years * Certification: This position requires certification as a Certified Coding Specialist (CCS) and five (5) years of compensatory experience. *...

CN

CCS Certified Coder

Care New England Providence, RI, USA

Job Description Primary Function The Certified (CCS) Coder is responsible for accurate coding of all outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS as well as other specialty systems as required by diagnostic category. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD9, ICD10, AMA CPT and CMS coding guidelines. As needed, Coders may assist and be a resource for data integrity for other employees who need clarification and assistance in coding. Specifications * Must have at least three (3) years hospital or surgical center coding experience within the last five years or be able to demonstrate facility coding competency through a pre-hire exam or be CPC certified. * Completion of classes in medical terminology, anatomy and physiology, ICD-9...

CS

Resources Analyst- Remote CCS,CPC or COC Revenue Cycle Coder OP Coding

Career Strategies Los Angeles, CA, USA

Job Description Resources Analyst- 100% remote position (must reside in CA, NV, AZ, GA, CO, or FL). Must have hospital experience, Account Auditing, heavy OP Coding, pricing, CPT Code, EAP - Epic software, Revenue Cycle background is must. Charge Capture, must have CCS, CPC or COC certifications with revenue cycle experience. Open to other states - California, Nevada, Arizona, Georgia, Colorado and Florida. Equal Opportunity Employer considering qualified candidates in accordance with state and federal laws, including those with criminal histories, in a manner consistent with the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Full Time

Physician Coder

Tennessee Maternal Fetal Medicine Nashville, TN, USA

We are currently searching for a Physician Coder/Accounts Receivable Representative with experience being a professional, compassionate, and knowledgeable individual. The Physician Coder/Accounts Receivable Representative will review and append ICD-9, ICD-10, CPT and HCPCS codes. They are responsible for outpatient and inpatient claims for services rendered by the medical provider. They will also assist with account receivable functions including billing, collections, insurance verifications and other assigned duties as necessary. DUTIES: Thorough review of outpatient and inpatient encounters (via the electronic medical records system) for services rendered by the physicians and nurse practitioners, assigning ICD-10 and CPT codes to the highest specificity in accordance with American Medical Association guidelines. Collects inpatient encounter forms from the designated areas Verifies services rendered by each provider ensuring that correct provider...

TV

Full Time

Certified Medical Coder

The Villages Health The Villages, FL, USA

Responsibilities: Accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials. Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider. In accordance with correct coding guidelines, correct codes and notify provider as needed. Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses. Utilize CPT/HPCS to assign and sequence all codes for services rendered Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record documentation. Review all FFS and UHC MA notes from encounters from prior day. Review diagnosis codes to ensure that the codes are specific to clinical documentation properly. Collaborate and provide feedback to providers when questions arise where a code might need to...

Full Time

Inpatient Coder

United Health Services Binghamton, NY, USA

Inpatient Coder Binghamton, NY Shift: Days Hours per week: 40 Salary range : $23.34-31.58/hour, depending on experience Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness. United Health Services is seeking an Inpatient Coder to join our Lewis Rd team in Johnson City, NY. This is a benefits-eligible position. Inpatient Coder Position Overview The coder will apply the appropriate diagnosis and/or procedure codes for an inpatient discharge with accuracy on grouping to the appropriate MS-DRG or APR Grouper. The code assignments must be completed in accordance to coding and reimbursement guidelines with minimal errors. UHS Wilson Medical Center is a 280-bed hospital and Level II Trauma Center. In this position, you’ll serve a medical facility that is a regional leader in cardiac surgery, neurosurgery and neurosciences, cancer care, maternity and...

Full Time

Coding Specialist Inpatient (Virtual)

AdventHealth Remote

Coding Specialist Inpatient (Virtual) All the benefits and perks you need for you and your family: Benefits from Day One Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Pet Insurance* Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense) Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Schedule:...

Full Time

Director, Health Information Management

Moffitt Cancer Center Hybrid (Tampa, FL, USA)

Summary The Director, Health Information Management ("HIM") identifies, plans, monitors, and directs all opportunities and activities to meet the information and fiscal requirements of the Cancer Center’s inpatient and outpatient (hospital) and provider based (professional practice) functional areas consistent with the regulatory and compliance framework. This includes: Oversee all health information coding (HIM) functions, including technical and professional coding, clinical documentation improvement and HIM operations, to ensure timely and compliant coding processes and identify corrective action as appropriate. Develop, monitor, and distribute metrics, score cards, financial reporting and dashboards to establish decision making based on analytics. Identify, develop and review policies and procedures related to coding. Review and implement coding automated and innovated solutions. Lead quality and regulatory efforts related with coding....

NG

Full Time

Facility Outpatient Coding Auditor/Educator- 100% Remote

Northeast Georgia Health System Remote

Job Summary The Coding Auditor/Educator is fully competent to independently code the most complex inpatient and/or outpatient service types. Responsible for auditing coding accuracy and providing detailed feedback. Responsible for training new and existing employees. Provides educational feedback to coding department, clinical staff, and other departments as needed. Investigates and responds to coding related questions and denials. Minimum Job Qualifications Licensure or other certifications: Certified Coding Specialist (CCS). Certified Professional Medical Auditor (CPMA), Certified Evaluation and Management Coder (CEMC) or other Nationally recognized healthcare auditing certification required at hire or required to obtain within six (6) months of hire. Educational Requirements: Associate Degree Minimum Experience: Minimum combined five (5) years of hospital-based coding/auditing/chart review experience to include complex CPT surgical coding...

24 jobs found