71 coder physician practice behavioral health jobs found

Clinical Data Analyst To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement. Primary Responsibilities Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient records as per coding guidelines demonstrating behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider documentation. Literacy and proficiency in computer technology specifically related to health information and coding applications utilized for daily job performance. Interpret...

Medical Records Reviewer This position is responsible for reviewing a patient's medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. Responsibilities (Essential Functions): Accurately assigns and sequences codes (ICD-10-CM, CPT, HCPCS/modifiers as necessary) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations. Ensures professional/physician billing CPT codes/ICD-10 codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Queries providers or other Clinic team members when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Assigns and enters...

Coding Specialist Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is...

Certified Professional Coder (CPC) At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. 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...

Job Posting Employment Type: Full time Shift: Day Shift Description: Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Position Summary:...

Coding Specialist Location Detail: 9 Farm Springs Rd Farmington (10566) Shift Detail: 100% Remote Position Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric...

Inpatient Coder/Abstractor Norfolk, VA Work Shift: First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as an Inpatient Coder/Abstractor. Position Status: Full-time, Day Shift. This position is remote. Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming. Standard Working Hours: 8:00AM to 5:00PM (ET). Position Summary: Codes inpatient accounts applying appropriate ICD-10-CM/ICD-10-PCS/CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, research & statistical and regulatory compliance. Abstracts, codes and assigns necessary demographic and clinical data elements required for inpatient records....

Coder Lead The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday General Duties Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers....

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital...

Coder Lead The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers. Validates charges by...

Job Description Job Description Education and/or Experience :   Must have these requirements under the umbrella of the HCC industry: Requires knowledge in HCC Coding documentation guidelines. Requires technical expertise in ICD-9-CM or ICD-10-CM. Strong skills in medical record audit and review. Regulatory requirements for coded data. Medical record documentation requirements. Understanding of healthcare data systems. Proficiency in MS Outlook and Word. Strong proficiency with Excel--must have ability to prepare spreadsheets. Excellent written and verbal communication skills. Certification is a plus with HCC. AHA coding clinic is a plus. Certification required in CPC and/or CCS, and CRC is a plus. Hybrid Schedule Requirements Part A Monday - Wednesday onsite / Thursday - Friday Remote Part B Wednesday - Friday Onsite / Monday - Tuesday Remote   We are looking for HCC Risk Adjustment Auditors/Coders to join our team!   Position...

Job Description Job Description The Receptionist/Biller provides front-desk support and billing services for a mental health practice. This role is the first point of contact for patients, ensuring a welcoming experience while managing scheduling, check-in, and administrative needs. In addition, the role is responsible for insurance verification, claims submission, and follow-up to ensure timely reimbursement for services provided. Duties/Responsibilities Reception & Administrative Support Greet patients and visitors warmly, creating a professional and supportive environment. Answer incoming calls, respond to inquiries, and route messages as needed. Schedule and confirm patient appointments, manage provider calendars, and update cancellations/reschedules. Check patients in and out, verify demographic information, and collect co-pays or outstanding balances. Maintain confidentiality of all patient information in compliance with HIPAA. Assist with general...

Job Description Job Description The Mental Health Practice Biller is responsible for ensuring accurate and timely billing of patient services, insurance claims, and patient account management for a mental health practice. This role requires strong attention to detail, knowledge of mental health billing and insurance guidelines, and excellent communication skills to work with patients, providers, and payers. Duties/Responsibilities Prepare, review, and submit insurance claims (electronic and paper) for mental health services. Verify insurance eligibility, benefits, and coverage for mental health and behavioral health services. Ensure accurate coding of procedures, diagnoses, and modifiers (knowledge of CPT and ICD-10 codes specific to mental health required). Review clinical documentation to confirm compliance with payer requirements. Follow up on unpaid or denied claims, appealing as necessary. Post payments from insurance companies and patients to accounts. Reconcile...

Coder-Inpatient Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly...

Coding Specialist Location Detail: 9 Farm Springs Rd Farmington (10566) Shift Detail: 100% Remote Position Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric...

Job Description Job Description:\n\nDescription: Position Summary: CODER: Reviews medical documentation from physicians and other healthcare providers. Assigns diagnostic and procedure codes for inpatient, outpatient, symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Provides accurate and timely ICD-10 CM and CPT procedure coding, and may utilize HCPCS, in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and update medical record documentation to accurately reflect healthcare coding and substantiate appropriate service reimbursement. Working with other departments and organizations to assure availability and quality of information used in statistical reporting for local facility management and helping identify overall healthcare trends, issues and concerns. Follow up of coding denials and regular maintenance of coding work queues. INSURANCE APPLICATION...

Join to apply for the MEDICAL CODER role at Axis Community Health Axis Community Health provided pay range This range is provided by Axis Community Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $30.00/hr - $40.00/hr Company Description Axis Community Health, a nonprofit established in 1972, provides comprehensive healthcare services to over 15,000 individuals across all age groups in the Tri-Valley area. The mission is to provide quality, affordable, accessible, and compassionate health care services that promote the well-being of all members of the community. We deliver primary healthcare, mental health support, and dental services, ensuring access for every member regardless of financial status, living situation, or insurance coverage. Job Summary The Medical Coder reviews, codes, and processes medical, dental, and behavioral health encounters to ensure accurate and compliant documentation,...

Join to apply for the Medical Coder role at Tri-Valley Career Center . Axis Community Health, a nonprofit established in 1972, provides comprehensive healthcare services to over 15,000 individuals across all age groups in the Tri‑Valley area, with a mission to deliver quality, affordable, and compassionate care. Our services include primary healthcare, mental health support, and dental services, ensuring access for every community member regardless of financial status or insurance. Job Summary The Medical Coder is responsible for reviewing, coding, and processing medical, dental, and behavioral health encounters to ensure accurate and compliant documentation. This includes assigning ICD‑10, CPT, and HCPCS Level II codes according to federal, state, and payer‑specific guidelines, including FQHC billing rules. The coder resolves coding‑related denials, supports timely reimbursement, maintains compliance with Medi‑Cal, Medicare, HRSA, and commercial insurance, and may assist with...

Join to apply for the Coder lll -Inpatient Coder role at Insight Health Systems 1 month ago Be among the first 25 applicants Join to apply for the Coder lll -Inpatient Coder role at Insight Health Systems Get AI-powered advice on this job and more exclusive features. Insight Health Systems provided pay range This range is provided by Insight Health Systems. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $31.00/hr - $36.00/hr We Are Insight At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we...

Remote Coding Specialist This is a REMOTE position. Provides high level technical competency and subject matter expertise analyzing charge review errors and claim edits for complex services, including code selection of surgical procedures, and assessment of high-acuity type services. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity Health practices and policies. Analyzes medical documentation verifying diagnoses, assigning diagnostic codes, selecting simple and complex surgical/procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS), performing charge entry, and charge capture reconciliation and discrepancy resolution as required. Serves as a liaison between other Centralized Coding positions in Revenue Site Operations and physicians/clinical sites/departments. Interprets, researches and resolves issues and...

Remote Coding Specialist This is a REMOTE position. Provides high level technical competency and subject matter expertise analyzing charge review errors and claim edits for complex services, including code selection of surgical procedures, and assessment of high-acuity type services. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity Health practices and policies. Analyzes medical documentation verifying diagnoses, assigning diagnostic codes, selecting simple and complex surgical/procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS), performing charge entry, and charge capture reconciliation and discrepancy resolution as required. Serves as a liaison between other Centralized Coding positions in Revenue Site Operations and physicians/clinical sites/departments. Interprets, researches and resolves issues and...

Certified Outpatient Coder At Memorial Medical Center, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing. We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage with...

Remote Coding Specialist This is a REMOTE position. Provides high level technical competency and subject matter expertise analyzing charge review errors and claim edits for complex services, including code selection of surgical procedures, and assessment of high-acuity type services. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity Health practices and policies. Analyzes medical documentation verifying diagnoses, assigning diagnostic codes, selecting simple and complex surgical/procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS), performing charge entry, and charge capture reconciliation and discrepancy resolution as required. Serves as a liaison between other Centralized Coding positions in Revenue Site Operations and physicians/clinical sites/departments. Interprets, researches and resolves issues and...

Remote Coding Specialist This is a REMOTE position. Provides high level technical competency and subject matter expertise analyzing charge review errors and claim edits for complex services, including code selection of surgical procedures, and assessment of high-acuity type services. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity Health practices and policies. Analyzes medical documentation verifying diagnoses, assigning diagnostic codes, selecting simple and complex surgical/procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS), performing charge entry, and charge capture reconciliation and discrepancy resolution as required. Serves as a liaison between other Centralized Coding positions in Revenue Site Operations and physicians/clinical sites/departments. Interprets, researches and resolves issues and...