38 coder lll jobs found

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

We are seeking a detail-oriented and medical coder to join our healthcare team. This role primarily involves physician billing coding, ensuring accurate and compliant documentation of medical procedures and diagnoses. The Coder plays a vital part in the revenue cycle, supporting efficient billing processes and maintaining high standards of coding accuracy. The ideal candidate will have a strong understanding of medical coding principles, excellent attention to detail, and the ability to work effectively within a fast-paced healthcare environment.ResponsibilitiesPerform physician billing coding by reviewing medical records, documentation, and reports to assign appropriate codes for diagnoses and procedures.Ensure all coding complies with current industry standards, regulations, and payer requirements.Collaborate with healthcare providers and billing teams to clarify documentation as needed for accurate coding.Maintain up-to-date knowledge of coding guidelines, insurance policies,...

Outpatient Coder IThe Outpatient Coder I reviews and abstracts ICD-10 codes per the outpatient coding guidelines. Reviews CCI and LCD/NCD edits for all lab accounts.Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.Primary Duties And Responsibilities:Communicates directly with physicians to ensure that clinical documentation is coded timely,...

Professional Surgical Coder IThe Professional Surgical Coder I is responsible for the accurate and timely assignment of ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. This role reviews clinical documentation, assigns appropriate diagnoses and procedures, identifies documentation gaps, and queries providers as needed to ensure coding accuracy, compliance, and optimal reimbursement. The Professional Surgical Coder I collaborates with physicians and leadership to support documentation improvement and maintain high-quality coding standards.Compensation Pay Range: $26.30 - $37.60Essential FunctionsAnalyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed. Assigns proper ICD-10CM and CPT-4 diagnostic and procedural codes to charts and related records by reference to designated coding manuals and other reference material.Identifies any and/or all complications or comorbidities. Applies sequencing guidelines based...

Medical Coder, Per DiemPurpose of Position: To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix classification and expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications as supported by medical record documentation. To enter diagnoses, procedure and level codes and patient demographic information into computer system.Description• Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. • Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information. • Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers. • Ensures that coding...

Medical CoderPurpose of Position: To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix classification and expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications as supported by medical record documentation. To enter diagnoses, procedure and level codes and patient demographic information into computer system.Description: Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information. Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers. Ensures that coding compliance, regulatory...

Medical Office Coder Shift details: Per diem Job Summary: The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bills are satisfied in a timely manner. Essential Duties: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Westborough...

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding. Schedule (38.75 hours): Following training, hours will be 7.75 hours Monday-Friday between the hours of 6am-6pm EST. Candidates residing in EST or CST...

Join Med-MetrixExperience these exceptional benefits:8-Hour ShiftsDay 1 HMO with 2 of your dependents covered for FREEGroup Life InsuranceMedical Cash AllowanceRice AllowanceClothing AllowanceHoliday GiftBereavement AssistancePaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding...

Medical Office Coder Shift details: Per diem Job Summary: The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bill are satisfied in a timely manner. Essential Duties: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10....

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a...

Everyone Is a CaregiverAt UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.Interprets a wide variety of clinical and diagnostic documentation in order to process hospital and / or pro-fee charges for episodes of outpatient care. Assigns appropriate ICD-CM (current edition) and CPT codes as well as modifiers. Based on account type, may assign ICD-PCS codes, as appropriate adhering to official coding guidelines.I. Major Responsibilities:Upon review of the medical record, performs analysis on documentation, which...

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...

Join The BILH TeamWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Coder PositionThe Coder position, working on the physician billing side, will be working with the Orthopedics Department at Beth Israel Deaconess Medical Center in Boston, MA. This 32-hour position has the opportunity to work remotely, with work hours occurring Monday through Friday. Candidates with CPC, RHIT, CCS, or CCS-P certification are encouraged to apply.Job DescriptionThis position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4.Essential ResponsibilitiesReviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and procedure codes from documentation in the medical record, when indicated assigns CPT-4 procedure codes.Abstracts coded data and patient information into the coding abstracting system in use by BIDMC (information includes attending...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Coder position, working on the physician billing side, will be working with the Orthopedics Department at Beth Israel Deaconess Medical Center in Boston, MA. This 32-hour position has the opportunity to work remotely, with work hours occurring Monday through Friday. Candidates with CPC, RHIT, CCS, or CCS-P certification are encouraged to apply. Job Description: This position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4. Essential Responsibilities: Reviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and procedure codes from documentation in the medical record, when indicated assigns CPT-4 procedure codes. Abstracts coded data and patient information into the coding abstracting system in use by BIDMC (information includes attending physician, surgeon,...

Join The Growing BILH TeamWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Experienced Professional OB/GYN Coder NeededThe ObGyn Department at Beth Israel Deaconess Medical Center is seeking an experienced professional OB/GYN coder. This coder will help support providers and operations during the upcoming 2027 obstetric CPT coding updates, ensuring accurate billing, regulatory compliance, and provider training. The ideal candidate should have strong knowledge of OB/GYN coding guidelines and keen attention to detail to help guide teams through this important coding transition. This is a full-time, 40hr opportunity, working Monday through Friday (day shift hours only). This role allows for remote work once trained, however, applicants must live within New England.Job DescriptionThis position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4.Essential...

POSITION SUMMARY The Physician Practice Coder position is responsible for accurate and compliant coding of surgical cases for multiple specialties across all care settings. This position directly impacts revenue integrity by ensuring optimal CPT / ICD-10-CM / HCPCS II coding and appropriate modifiers, along with minimizing payer front end rejections and denials. The Physician Practice Coder is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician coding and billing. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Position: Coder-Surgical Department: BUMG Corporate PBO General Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES Perform coding and related duties of moderate and high complexity surgical cases, and Evaluation and Management services, using established guidelines in an accurate and timely...

Outpatient CoderWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Under the general supervision of the Outpatient Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing.Essential Duties & Responsibilities including but not limited to:Professional Coding Coding Responsibilities:· Provides review and/or...

Outpatient CoderWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Under the general supervision of the Outpatient Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing.Essential Duties & Responsibilities including but not limited to:Hospital Coding:· Review the complete electronic and scanned medical...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The ObGyn Department at Beth Israel Deaconess Medical Center is seeking an experienced professional OB/GYN coder. This coder will help support providers and operations during the upcoming 2027 obstetric CPT coding updates, ensuring accurate billing, regulatory compliance, and provider training. The ideal candidate should have strong knowledge of OB/GYN coding guidelines and keen attention to detail to help guide teams through this important coding transition. This is a full- time, 40hr opportunity, working Monday through Friday (day shift hours only). This role allows for remote work once trained, however, applicants must live within New England. Job Description Essential Responsibilities Reviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and procedure codes from documentation in the medical record, when indicated...

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. 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 for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

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...

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...