38 coder lll jobs found

Position Status:Shift:Variable Less than 12 hour shift (United States of America)Hours per week:0Job InformationExemption Status: Non-ExemptA Brief OverviewReviews medical record documentation for assigning accurate ICD-10-CM diagnosis, procedure and CPT codes and chart abstracting for hospital related services, including "dual" medical coding, also known as Single Path Coding, for various specialties.Education QualificationsHigh School Diploma / GED RequiredExperience Qualifications2 years Coding experience. PreferredSkills and AbilitiesKnowledge of medical terminology. (Required proficiency)Knowledge of coding and regulatory guidelines. (Required proficiency)Licenses and CertificationsRegistered Health Information Administrator (RHIA) - AHIMA Required orRegistered Health Information Technician (RHIT) - AHIMA Required orCertified Coding Specialist - CCS Required orCertified Professional Coder - AAPC CPC also accepted. RequiredCertified Coding Associate - AHIMA CCA also accepted....

Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system. Assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. 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. Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and abstracting by: Checking the diagnosis and procedure to ensure accurate coding and sequencing as specified by established coding principles and guidelines, following AHA, AHIMA, and CMS coding guidelines for outpatient and inpatient...

7650 Revenue Cycle Management. Schedule: Day Shift. 40 hours weekly. 7:00 am to 3:30 pm. About The Position: This position has the responsibility for providing accurate, complete, and appropriate coding using ICD-10-CM/PCS and CPT classification systems for the Richmond and Connersville locations. Assigns appropriate APC grouping according to diagnoses specified in the record by the treating provider(s) and in keeping with regulatory requirements. Abstracts relevant clinical and demographic information from the medical record. Overview Of Responsibilities Codes outpatient medical records for the purpose of quality planning and assessment, reimbursement, research and compliance with Federal regulations according to ICD-10-CM and CPT-4 classification systems. Accurately performs data entry/abstraction on all patients into the applicable computer system. Calculates the proper APC assignment. Assists providers with appropriate diagnosis determination as needed. Keeps current with...

Job Title Reviews clinical documentation and diagnostic results to extract data and assigns all appropriate CPT, HCPCS and ICD-10 procedural and diagnostic codes for billing, internal and external reporting, research and regulatory compliance for inpatient and/or outpatient technical and professional charges. Key Responsibilities: Charge entry Charge and code review Coding edit corrections Denial review Candidates who will be considered will be those who have: Completed an accredited coding program, have previous coding experience, or hold a RHIA, RHIT, CCS, CCS-P, CCA, COC, or CPC credential A minimum of 2-3 years of coding experience Oncology and/or Radiation Oncology experience preferred Strong written and verbal communication skills Ability to work independently while maintaining a high level of accuracy and attention to detail Requirements: Requires high school diploma or equivalent. Must have completed an accredited coding program, have...

Job TitleReviews clinical documentation and diagnostic results to extract data and assigns all appropriate CPT, HCPCS and ICD-10 procedural and diagnostic codes for billing, internal and external reporting, research and regulatory compliance for inpatient and/or outpatient technical and professional charges.Key Responsibilities:Charge entryCharge and code reviewCoding edit correctionsDenial reviewCandidates who will be considered will be those who have:Completed an accredited coding program, have previous coding experience, or hold a RHIA, RHIT, CCS, CCS-P, CCA, COC, or CPC credentialA minimum of 2-3 years of coding experienceOncology and/or Radiation Oncology experience preferredStrong written and verbal communication skillsAbility to work independently while maintaining a high level of accuracy and attention to detailRequirements:Requires high school diploma or equivalent. Must have completed an accredited coding program, have previous coding experience, or hold a RHIA, RHIT,...

Description Job Summary: Maple City Health Care Center (MCHCC) is a Federally Qualified Health Center dedicated to improving our community’s health by making quality comprehensive healthcare accessible to all. We strive for a healthy community where everyone is cared for. The Medical Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes for medical, dental, and behavioral health services in compliance with federal, state, payer, and HRSA/FQHC requirements . This role supports timely and compliant billing, reimbursement optimization, and audit readiness. Essential Duties and Responsibilities Review provider documentation to ensure completeness, accuracy, and compliance with coding guidelines. Assign appropriate ICD-10-CM, CPT, and HCPCS codes for: Primary care services Behavioral health services Dental services (as applicable) Ensure coding supports medical necessity, scope of practice, and payer requirements. Apply correct modifiers, place...

Medical CoderMaple City Health Care Center (MCHCC) is a Federally Qualified Health Center dedicated to improving our community's health by making quality comprehensive healthcare accessible to all. We strive for a healthy community where everyone is cared for.The Medical Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes for medical, dental, and behavioral health services in compliance with federal, state, payer, and HRSA/FQHC requirements. This role supports timely and compliant billing, reimbursement optimization, and audit readiness.Essential Duties and Responsibilities• Review provider documentation to ensure completeness, accuracy, and compliance with coding guidelines.• Assign appropriate ICD-10-CM, CPT, and HCPCS codes for: primary care services, behavioral health services, dental services (as applicable).• Ensure coding supports medical necessity, scope of practice, and payer requirements.• Apply correct modifiers, place of service codes,...

Join our Team as a Coding Specialist II – HB Facility Coder Are you detail-oriented and passionate about accuracy in healthcare documentation and billing? We’re looking for a compassionate, caring, and dedicated Coding Specialist II – HB Facility Coder to join our team and help us continue our tradition of excellence. In this role, you’ll ensure accurate and timely coding of hospital charges and claims by abstracting information from the electronic medical record for compliant submission. You’ll also support provider education, collaborate with internal teams, and help maintain coding accuracy and compliance across the organization while keeping leadership informed of progress and issues. What You'll Do: Accurately code professional and/or hospital charges and claims using electronic medical record documentation. • Ensure timely and compliant claim submission in alignment with payer and regulatory requirements. • Provide educational feedback to providers based on...

Join Our Team as a Coder III Are you passionate about healthcare and committed to making a difference in patient care? We're looking for a knowledgeable, detail-oriented, and dedicated Coder III to join our team and help us continue our tradition of excellence. In this role, you'll play an important part in ensuring accurate and compliant coding of Facility Inpatient medical records. As a trusted member of the Deaconess Health System, you'll help ensure patient conditions and treatments are accurately reflected while supporting hospital reimbursement and the evaluation of patient care. What You'll Do: Abstract and code diagnoses and procedures from Facility Inpatient medical records using assigned classification systems, standards, and established coding conventions. Enter accurate coding information into the computerized abstracting system for hospital reimbursement and evaluation of patient care. Review inpatient health records to accurately reflect patient...

Coding Specialist Ii – Hb Facility CoderJoin our team as a Coding Specialist II – HB Facility CoderAre you detail-oriented and passionate about accuracy in healthcare documentation and billing? We're looking for a compassionate, caring, and dedicated Coding Specialist II – HB Facility Coder to join our team and help us continue our tradition of excellence.In this role, you'll ensure accurate and timely coding of hospital charges and claims by abstracting information from the electronic medical record for compliant submission. You'll also support provider education, collaborate with internal teams, and help maintain coding accuracy and compliance across the organization while keeping leadership informed of progress and issues.What You'll Do:Accurately code professional and/or hospital charges and claims using electronic medical record documentation. Ensure timely and compliant claim submission in alignment with payer and regulatory requirements. Provide educational feedback to...

Perm - Remote - Hospital Inpatient CoderAs a permanent, remote Hospital Inpatient Coder, you will be responsible for accurately coding inpatient medical records, ensuring compliance with coding guidelines, and collaborating with healthcare professionals to maintain data integrity, all while working from home.Essential Job Functions:Assign ICD10CM and PCS codes to hospital inpatient visitsReviews and analyzes the content of medical records and the autosuggested computer assisted codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complication and comorbidities in the proper sequence in accordance with official coding resources resulting in an accurate DRG assignment.Meets 95% accuracy rate in auditsMaintains productivity of 2.75 charts per hour after release from training period.Data Analysis- Hospital Inpatient CodingAccurately reviews and codes patient records in the following clinical...

Reports to the Manager. Reviews, codes, and analyzes medical records for cardiovascular and interventional procedures performed in the cardiovascular/OR areas in order to abstract relevant data from patient medical records into the on-line computer system. Assigns CPT/APC billing codes to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. Considered to be a single point of accountability to cardiovascular coding and billing. 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. Maintains the single point of accountability function to cardiovascular coding and billing to ensure that all claims are submitted accurately to the payers by:...

Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role is responsible for reviewing medical records and claims-related documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and writing skills. This is a remote position with occasional travel required within Indiana. While this position is remote, Indiana residents encouraged to apply. Key Responsibilities Review medical records and related documentation to assess coding accuracy and compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations. Conduct coding and documentation reviews independently and provide preliminary findings...

Medical Device In The Quality DepartmentIn Some Jobs You Take Orders. In This One, You Write History.Join the healthcare information technology team that's turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you'll help evolve leading-edge thinking into reality and make a measurable difference in improving human health.We're looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company's continued growth.Are you ready for this exciting challenge?First Databank (FDB) is currently seeking a Medical Device in the Quality department. This position is responsible...

Coder I Specialist- Hospital Outpatient Emergency Room/AncillaryThe Coder I Specialist- Hospital Outpatient Emergency Room/Ancillary reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on hospital emergency room and/or ancillary services. This position abstracts key data elements necessary for billing and data analysis.WHO WE AREWith 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.WHAT YOU CAN EXPECTAccurately review and code patient records in the following clinical areas: Acute - Outpatient, Acute - All Inpatient Service Lines, and Ambulatory Level 3 Specialty Services, as reflected in the Franciscan Coding Tier Matrix.Meet defined coding accuracy and production standards and...

Job Description In Some Jobs You Take Orders. In This One, You Write History. Join the healthcare information technology team that’s turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you’ll help evolve leading‑edge thinking into reality and make a measurable difference in improving human health. We’re looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company’s continued growth. Are you ready for this exciting challenge? First Databank (FDB) is currently seeking a Medical Device in the Quality department. This position is responsible for researching...

Medical Claims & Billing Review Specialist 100% Remote | Monday-Friday, 8:00 AM-4:30 PM CST Job Description We are seeking a Medical Claims & Billing Review Specialist to join a growing healthcare claims review team. This position is ideal for someone with experience in medical billing, claims, denials/appeals, and EOB review who holds an active CPC or CPC-A certification and is looking to expand their healthcare reimbursement knowledge. In this role, you will review healthcare claims and billing information to assist with payment determinations and dispute resolution. While an understanding of CPT codes and insurance guidelines is important, this is not a traditional coding position and you will not be responsible for coding charts. Key Responsibilities Review medical claims, billing information, EOBs, denials, and appeals to support accurate payment determinations. Analyze claim details, CPT codes, reimbursement information, and supporting...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

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. (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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Job ResponsibilitiesReview, code, data entry and interpret with accuracy and complete patient data for medical office, outpatient, inpatient, handwritten chart entries, practitioner orders and other related documentation to ensure accurate information is being submitted for billing.Obtain accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, and laboratory, radiology, operative and pathology reports.Maintains competence in and up-to-date knowledge of healthcare compliance requirements, practices, trends, coding rules and standards in areas of responsibility. Maintains professional affiliations and credentials as appropriate.Consistently supports the compliance and principles of responsibility by maintaining confidentiality, protecting the assets for the organization, acting with integrity, reporting observed fraud and abuse and complies with applicable state, federal and local laws,...

Medical Device CoderIn Some Jobs You Take Orders. In This One, You Write History.Join the healthcare information technology team that's turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you'll help evolve leading-edge thinking into reality and make a measurable difference in improving human health.We're looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company's continued growth.Are you ready for this exciting challenge?First Databank (FDB) is currently seeking a Medical Device Coder in the Quality department. This position is responsible for...

Rad Cube Llc seeks a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance for Indiana Medicaid programs. You will review records and claims documentation, identify discrepancies, and prepare audit reports while staying current with CPT/HCPCS/ICD-10-CM guidelines. The role requires 2-3 years in medical coding or related reimbursement work, strong analytical and writing skills, and proficiency in #J-18808-Ljbffr

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: Conduct a...