8 claims edit coder jobs found

New Jersey's largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The position also supports prior...

Overview Senior Ambulatory Surgery Facility Coder - Remote Join to apply for the Senior Ambulatory Surgery Facility Coder - Remote role at LCMC Health Your job is more than a job The Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist. Your Everyday GENERAL DUTIES Coding And Computer Related Knowledge Gains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and HCPCS...

Overview Review provider documentation and assign ICD-10-CM, CPT/HCPCS codes as appropriate based on official coding guidelines. Research and take action on any coding/claim edits. Focus on complex outpatient hospital based (Observation, Emergency Department, Wound, Ambulatory Surgery) and provider based complex procedural services (surgery, procedures, wound). Responsibilities Follow all coding policies, procedures and standard operating procedures. Use encoding software and reference materials to assign appropriate codes. Provide provider-driven coding: review and accept or revise code selection based on documentation and guidelines. Provide non–provider driven coding: review documentation and assign codes based on guidelines. Review coding edits and resolve them accurately so encounters can be sent to claims. Send clear, respectful communications to providers in inbox or queries when additional information is needed. Identify and communicate to Coding Lead/Supervisor/Manager any...

Overview New Jersey’s largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The position also supports prior...

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub.Position Summary• Reviews provider documentation and revises and/or assigns ICD-10-CM codesand CPT/HCPCS codes as appropriate, based on official coding guidelines.Researches and takes appropriate action on any coding/claim edits.• Coding focus is complex outpatient hospital based (Observation, EmergencyDepartment, Wound, Ambulatory Surgery) or provider based complex proceduralservices (surgery, procedures, wound).Principal Accountabilities• Standards of Performance: Respect, Integrity, Compassion, Collaboration,Stewardship, Accountability, QualityEducation• High School Diploma required. Preferred Associate or Bachelor Degree inHealth Information or a healthcare related discipline.Licenses and Certification• Required:o RHIA, RHIT, or CCS (hospital)o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based)Experience and Skills• Hospital & Provider Based:o...

To support the revenue cycle team, the full-time Senior Ambulatory Surgery Coder will assign ICD-10, CPT, and HCPCS codes for outpatient and inpatient encounters while ensuring compliance with regulatory standards in a remote work environment. Key responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes for various medical encounters Review coding claim edits and denials, processing appeals according to guidelines Participate in the Coding Training Program to enhance coding knowledge and skills Required qualifications High School Diploma/GED or equivalent with 3 years of experience, or an Associate's degree with 1 year of experience, or a Diploma/Certification in Coding with 1 year of experience Completion of an AHIMA or AAPC approved coding program is preferred Basic knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS coding principles Familiarity with medical terminology, anatomy, and physiology Ability to use standard desktop and windows-based computer systems

Intern Him Coding The Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist. Your Everyday General Duties Gains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and HCPCS codes to reflect services provided. Also implements knowledge of software programs related to EHR coding and billing. Regulatory and Payer Knowledge Implements knowledge of federal, state and...

OverviewSenior Ambulatory Surgery Facility Coder - RemoteJoin to apply for the Senior Ambulatory Surgery Facility Coder - Remote role at LCMC HealthYour job is more than a jobThe Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist.Your EverydayGENERAL DUTIESCoding And Computer Related KnowledgeGains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and HCPCS codes to...