51 coder professional jobs found

Position Summary Certified Professional Coder provides quality review and analysis of a wide range of patient medical records, ensures accuracy of coding, and maintains records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to ensure proper billing of the medical record, comparison of the physician-chosen CPT and ICD-10 codes to the physician's documentation to substantiate the level of coding, and complete review of medical records to accurately optimize all professional services documented for billing. Responsibilities Verifies patient demographic data for accuracy and completeness Performs audit of services on a daily basis for accuracy Evaluates designated medical records to identify diagnoses, operations and procedures, and accurately assigns and sequences ICD-10 and/or CPT codes Reviews the accuracy and consistency of medical record documentation and brings any inconsistencies to the attention of the...

Coder Req #: 0000234460 Category: Clerical / Administrative Status: Full-Time Shift: Day Facility: RWJ Hamilton Department: Radiation Oncology Pay Range: $24.00 - $31.00 per hour Location: One Hamilton Health Place, Hamilton, NJ 08619 Job Title: Coder Location: RWJUH Hamilton Hospital Department Name: Radiation Oncology Req #: 0000234460 Status: Hourly Shift: Day Pay Range: $24.00 - $31.00 per hour Pay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The primary purpose of this position is to abstract charges and related diagnoses from radiation oncology records to ensure services billed are consistent with the record and ensure compliance with all...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Summary About the Position: This position is located at the 87th Medical Group, Joint Base McGuire-Dix-Lakehurst, NJ. This is a Direct Hire Solicitation Salary negotiation may be available for those candidates who are new to Federal service Duties Help Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients. Correlate operation codes with diagnosis codes to ensure the most descriptive code is selected when more than one anatomical location is involved. Perform quantitative analysis and check medical record for completeness, accuracy, and compliance with regulatory requirements. Identify and document any incident which may denote a potential compensatory event or questionable breach of quality care delivered. Ensure compliance with regulatory and third-party insurance requirements. Assure accurate coding of diseases, injuries, manifestations,...

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...

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 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...

Datavant is a leading data platform company revolutionizing health data exchange. Our mission is to ensure that every healthcare decision is made with the right data, delivered timely and in the appropriate format. Powered by the most extensive health data network in the U.S., our platform guarantees secure, accessible, and usable data to enhance health decisions. We are proud to be trusted by the foremost life sciences organizations, government bodies, and healthcare providers. By joining our team, you will be part of a high-performing and values-driven culture. Together, we are addressing some of healthcare's most challenging issues with innovative technology solutions. We embrace a diverse array of professional and personal experiences among our team members as we pursue our ambitious goals for healthcare. What We're Seeking We are on the lookout for seasoned and certified inpatient coders to join our team. The perfect candidate will have exceptional attention to...

Become a part of our caring community and help us put health first 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,...

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...

POSITION SUMMARY: To accurately code and process medical records for Inpatient/SDC patients in a timely basis. EDUCATION: High school diploma or equivalent required. CCS Required EXPERIENCE: One to two years Hospital coding experience required with knowledge of data quality measures, DRG's, Prospective Payment Systems and APC's. 3M Encoder experience preferred. SPECIAL SKILLS: Medical terminology required. Knowledge of anatomy, physiology, ICD-9-CM and CPT-4 coding. Ability to work independently with minimal direct supervision and cooperatively within a team environment. Ability to communicate effectively (oral and in writing) and interact with customers to meet their needs. Ability to handle interruptions and adapt to changes in workload and work schedule. Ability to set priorities, make effective decisions. Ability to recognize and deal with problematic situations and to prioritize. Job Location The Valley Health System-Ridgewood Shift Day (United...

Overview About the Role The primary purpose of the Apprentice Inpatient Coder position is to review hospital inpatient medical records and assign ICD-10 diagnosis codes and procedure codes that accurately reflect the reason for admission and patient severity. Follows established hospital inpatient coding guidelines and utilizes Coding Clinic and other resources to ensure compliance with national coding guidelines. Responsibilities What You'll Do Reviews inpatient hospital medical records to assign accurate ICD-10 diagnosis and procedure codes. Ensures coding reflects the patient's reason for admission and overall severity. Applies established inpatient coding guidelines consistently. Uses Coding Clinic and other approved coding resources to maintain compliance with national coding standards. Qualifications What You'll Bring High School Diploma or GED equivalent required. Successful completion of ICD-10 training and skill assessment as designated by...

About Us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs.  Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Serves as the Lead and primary contact for the Coder II and Coder IIIs. Assists the Assistant Director with oversight of daily operations of the Coding Team with scheduling and monitoring of Work Queues. Ensures that...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: This role involves comprehensive medical record reviews to extract vital medical and demographic data, accurately interpret and apply diagnoses and procedures using ICD coding systems, and contribute to reducing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES: Thoroughly review and interpret medical records, physician treatment plans, outcomes, and other relevant information to assign appropriate ICD codes for diagnoses and procedures. (65%) Abstract necessary data elements to fulfill statistical requests from the hospital, health system, and medical staff, ensuring all coded and abstracted information is accurately input into the designated system. (15%) Manage medical information efficiently and support cash flow by monitoring and addressing the unbilled coding report. (10%) Stay updated on ICD guidelines by participating in training, reviewing coding clinics,...

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 possesses...

Job Title: Coder Location: RWJUH Hamilton Hospital Department Name: Radiation Oncology Req #: 0000234460 Status: Hourly Shift: Day Pay Range: $24.00 - $31.00 per hour Pay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The primary purpose of this position is to abstract charges and related diagnoses from radiation oncology records to ensure services billed are consistent with the record and ensure compliance with all clinical billing regulations. The coder works with faculty and staff to ensure accurate documentation of billable services. Qualifications: Required: High School Diploma CPC certified through AAPC or obtain within 6 months of employment. Preferred: ROCC-...

Medix - American Metro Center 300 [Medical Records Clerk] As a Coder at Medix, you'll: Analyze medical records to assign appropriate codes for billing and insurance purposes; Ensure accuracy and compliance with coding guidelines and regulations; Collaborate with healthcare professionals to clarify diagnoses and procedures; Maintain confidentiality of patient information; Update coding knowledge through continuous education and training; Assist in audits and reviews to improve coding processes and accuracy...Hiring Immediately >>

Surgical Coder & Billing Specialist FT Days Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey. We are dedicated to fostering a supportive and inclusive work environment where every team member can bring their skills, creative ideas, positive approaches, and a commitment to excellence. Join our dynamic team and contribute to our mission of transforming the lives of the patients and communities we serve. Job Summary: Billing and Coding Specialist interacts daily with internal and external clients, including surgeons, physicians and advanced practitioners; provides primary diagnosis and procedural coding for surgeries and other procedures to ensure maximum reimbursement; reconciles all surgical cases performed; focuses on physicians' chart abstraction, serving as an on-site liaison to providers for clarification of documentation...

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Coder III is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into...

Job Description Job Description About the job We are Gottlieb & Greenspan — a growing boutique law firm in Bergen County with a collaborative team and a workplace grounded in our core values: we are ethical, respectful of all people, accountable, positive and fun, driven, and committed to excellence . As a Medical Biller Paralegal on our team, you'll be part of a close-knit group of 5–6 paralegal professionals led by a Senior Paralegal. You'll receive comprehensive training in all aspects of the arbitration process and play a key role in supporting our legal efforts to ensure fair reimbursement for healthcare providers. If you are someone with strong organizations skills, excellent attention to detail, and the ability to work with large volumes of data in a fast-paced environment, we'd love to meet you. What You'll Do Assist in preparing and filing arbitration documents Review and analyze medical billing records and reimbursement claims Maintain accurate case...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a highly skilled CPC Coder responsible for reviewing medical bills and documentation to ensure accuracy and compliance with coding standards. This position involves interpreting medical documentation, assigning codes, reviewing billed services, and communicating outcomes professionally. Key Responsibilities Use various resources like CPT guidelines, CPT Assistant, Encoder Pro, and 3M Software to support reviews. Review medical bills related to Motor Vehicle Accident (MVA) injuries for NJ and NY-covered insureds. Ensure the accuracy of billed services by interpreting medical documentation and assigning the proper CPT and HCPCs codes. Review CPT codes for unbundled services and billed modifiers for accuracy. Crosswalk CPT codes per regulatory requirements for proper reimbursement. Apply fee...

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...

Job Description Outpatient Coding Position for Newton Medical Center and Hackettstown Medical Center: Codes patient records capturing all diagnosis and procedures to accurately reflect the patient's encounter. Assignments are either Inpatient; Emergency room or Observation records (which includes charging; outpatient cardiac catheterizations, surgical, or minor procedure records. ER productivity average = 60-65/day Observation productivity average= 21/day Surgical and Cardiac Cath productivity average = 30/day Minor procedure productivity average = 50-60/ day Charges the ER admission cases via the Charge Capture ER WQ. Avg production = 85/day Monitors the Coding Priority DAILY and ER Charge Capture Priority WQs throughout the day as to clear cases each day. Utilizes the Interact Query process for any provider clarifications needed. Meets 95% or greater in all coding and charging accuracy. No case shall remain on...

Position Summary Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff. Primary Position Responsibilities Codes and abstracts inpatient/outpatient records using ICD-10 Queries medical/clinical staff for clarification of documentation Uses 3M360 computer assisted coding program for coding and tracking queries Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded) Maintains current CCS certification and/ or RHIT Qualifications Minimum Education : Required: High School Diploma or Equivalent Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: Associate's Degree Minimum Years of Experience (Amount, Type and Variation) : Required: Minimum 2-3 years coding experience Preferred:...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...