56 coder certified jobs found

Reports to the Manager of Professional Coding. Under general supervision and in accordance with the policies and procedures established by BMG Professional Coding, reviews and accurately codes office and hospital procedures for reimbursement requiring exercise of initiative and judgement. Overview Mission, Values and Service Goals MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Responsibilities Extracting relevant information from patient records, examining documents for missing information. Liaison with physicians and other parties to clarify information. Analyzing documentation and accurately applies CPT, ICD, and HCPCS codes to support compliant coding. Working rejected and denied claims based on assigned reports, and assists in complex denial resolution. Communicating updates on coding related changes and billing...

Certified Coder - Surgery - CPC Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered and we couldn't do it without you. The Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment. Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a strong attention to detail. High School Diploma or GED required. Two (2) years of...

Ceris Certified Coder I Ceris is seeking a certified coder. The Ceris certified coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote role. Essential functions and responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations to referring office Communicates claim status with referring office Reads and comprehends all medical reports Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Complies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ("IIPP"), as well as, maintains HIPAA compliance Knowledge and skills: Ability to learn rapidly to develop knowledge and understanding of...

JOB SUMMARY AND SPECIFICATIONS JOB SUMMARY Under the supervision of the manager or designee, codes hospital records for the purpose of reimbursement and compliance with federal regulations according to diagnosis (es), operation(s), and procedure(s) using ICD-10-CM and CPT systems; analyzes and reviews records for completeness; and coordinates the follow-up on deficient/delinquent hospital discharge records. MINIMUM QUALIFICATIONS Professional & Technical Skills Minimum 2 years coding experience is preferred, medical experience preferred. Strong organizational skills, office procedures, communication skills, and attention to detail are required. Extensive use of the hospital information system is required. Medical terminology and ability to type 40 wpm. Education High School Diploma or GED License(s) or Certification(s) Certified Coding Specialists preferred. Other Skills or Requirements Ability to function under stressful...

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. Make a Difference The Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment. Exceptional Skills and Qualifications Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a strong attention to detail....

Overview Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you. Make a Difference The Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment. Responsibilities Code and abstract for physician billing using software and coding books based on current work assignment. Qualifications High School Diploma or GED required. Two (2) years of coding...

Summary Job Description: Baptist Health is looking for a Coder Outpatient Surgery to join their team! This is a remote position that requires residency in KY or IN Function in a fully accountable role with respect to ensuring the overall quality of outpatient surgery andobservation coding with continuous quality improvement when indicated. The coder ensures that accurateand complete coding is performed so it can be used for measuring and reporting physician and hospitaloutcomes. The coder maintains an extensive up to date knowledge of clinical coding and has an extensiveknowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHAOfficial Coding Guidelines as they pertain to diagnosis and procedural coding. Essential Duties: Ensures that accurate and complete coding is performed on outpatient surgery and observationencounters to be used for all reporting agencies and for measuring and reporting of physician andhospital...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT NOT LIMITED TO: Upper Extremity: - Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair - Elbows: Cubital tunnel release, Bursectomy, Arthroplasty - Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) - Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: - Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy - Pelvis: Fracture repairs - Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs - Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs,...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

Inpatient Coder Opportunity Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our...

Inpatient Hospital Medical Coder An inpatient hospital medical coder is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and assigning standardized codes for diagnoses and procedures. These codes are primarily based on ICD-10-CM (International Classification of Diseases) and PCS (Procedure Coding System) standards. Responsibilities: Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform additional duties as requested by management from the hospital side of forms (not...

Ovation Healthcare Facility Inpatient Coder Welcome to Ovation Healthcare! At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated...

Coder IPG - Full Time Job Category: Business Office/Patient Registration Requisition Number: CODER002173 Location: Indiana, PA 15701, USA Description Job Responsibilities: Verify all documentation. Apply appropriate ICD-10 diagnosis codes and appropriate CPT codes. Enter any applicable charges to appropriate provider and place of service. Recognize the importance of appropriate use of ICD-10 and CPT codes for medical necessity. Understand the difference of each place of service and utilize the correct CPT that corresponds with it. Utilize all available resources. Answer any calls you may get in a courteous and pleasant manner, identifying yourself and the organization. Help caller with any questions or concerns they may have. Remain current regarding federal, state, hospital, interdepartmental and third-party carriers including managed care, HCFA rules and regulations. Adheres to current guidelines. Maintain the dignity of the patient and keep confidential all...

Senior Inpatient HIM Coder We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact effectively with the billing department...

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Allegheny Health Network Job Posting Company: Allegheny Health Network Job Description: General Overview: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. Essential Responsibilities: Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Inpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal...

Outpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

Job Opportunity At Ascension St. Vincent Working at the Joshua Max Simon Primary Care Center, you become a part of something very special. Providing care to all individuals, regardless of wealth, vulnerability, immigration or refugee status, is immensely gratifying. In this work, you will be joining others with a similar mission and vision, including the opportunity to volunteer in the community. The position is currently full remote but there is a plan to transition to a hybrid role in the future that will require the associate to come into the office 3-4 times a month. Benefits include paid time off (PTO), various health insurance options & wellness plans, retirement benefits including employer match plans, long-term & short-term disability, employee assistance programs (EAP), parental leave & adoption assistance, and tuition reimbursement. Ways to give back to your community are also available. Benefit options and eligibility vary by position. Compensation varies...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate...

A healthcare organization in Indianapolis is seeking a Certified Coder responsible for coding and abstracting physician billing. Candidates must have a High School Diploma/GED and a CPC certification. The role requires two years of coding experience and familiarity with Epic EMR. Strong communication skills and attention to detail are essential. Following the training period, this position offers remote work flexibility, with on-site presence as needed. #J-18808-Ljbffr

Job Description: The Lead Coder - Outpatient Same Day Surgery is responsible for overseeing and performing high level coding and abstracting of outpatient medical records in accordance with coding guidelines, payer regulations, and hospital policies. Provides guidance and training to the assigned coding unit and support to Supervisor as it relates to daily workflow, data analysis, change implementation and education in a continuous effort to improve processes, ensure compliancy and meet financial initiatives. Position is Remote Required Skills & Qualifications: Minimum high school diploma required; College degree preferred in Health Information Technology. Active accreditation as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Minimum of 2-4 years related coding experience required preferably in Outpatient Same Day Surgery. Ability to lead, mentor and motivate...

Position: Lead Coder - Clinic Location: Munster, IN Position Summary: Under the direction of the Coding Supervisor, serves as leader for the charge and coding portion of the revenue cycle to ensure full and accurate charge capture. Oversees and performs charge and coding entry, review, reconciliation, and error correction tasks. Oversees and performs regular manual & electronic charge and coding audits. Motivates, trains, and educates staff to perform tasks according to baseline goals and objectives. Education/Experience Requirements: High School graduate (or GED equivalent) required. Completion of college course work in health information degree or certificate program preferred. 3-5 year's professional billing/coding experience required. Physician practice setting preferred. Previous use of EPIC preferred. Evaluation and Management experience in a physician practice setting preferred. Possess in-depth knowledge of the current CPT, ICD and...