10 payment integrity coder jobs found

A healthcare organization is seeking a Coder Trainer I, fully remote, to develop and conduct training programs for the Payment Integrity department. This role involves conducting training needs analyses, developing training programs, and evaluating their effectiveness. Candidates should have a Bachelor's degree and at least 2 years of training experience in a healthcare environment. Competitive salary and a range of benefits including flexible work options are provided. #J-18808-Ljbffr

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...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...

Overview You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose Responsible for developing and conducting a variety of training programs and auditing tools for the Payment Integrity department. The Coder Trainer I is fully remote. Candidates will be considered nationally. Responsibilities Conduct training needs analyses to determine specific training needs for Payment Integrity department staff Identify, select, and develop appropriate training programs, including the selection or design of appropriate training aids Evaluate effectiveness of training programs, including cost and benefit analyses Research, analyze and recommend external training programs Maintain records of training activities and employee progress Assist in...

Coder Position Siouxland Community Health Center has an opening for a Coder Position in our Billing Department. This position may be remote or work from home. Education, Training and Skills: High school diploma or GED equivalent. CCS, CCS-P or CPC certification or equivalent work experience; or ability to become certified within 6 months of hire Minimum of two years of coding experience using CPT with the most recent coding requirements. Willingness to participate in continued education courses to obtain or maintain certification Advanced computer and data entry skills Math acuity General Functions of Position: Assign appropriate evaluation/management levels for professional services. Review patient medical records to assign codes for diagnoses, treatments, surgical procedures, and nonsurgical procedures for services. Maintains a working knowledge of CPT and ICD 10 CM coding principles, governmental regulations, protocols, and third-party requirements pertaining to...

Medical Coder Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries...

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

Description Looking for a career where you love what you do and who you do it with? You're in the right place. Healthcare here is different - we're locally owned and led by our physicians, and all decisions are always made right here in Central Iowa. By working at The Iowa Clinic, you'll get to make a difference while seeing a difference in our workplace. Because as one clinic dedicated to exceptional care, we're committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place. Think you've got what it takes to join our TIC team? Keep reading... A day in the life... Using advanced proficiency in ICD-10, CPT, and HCPCS coding knowledge, the Certified Professional Coder Specialist II performs top-of-certification coding work focused on complex procedural reviews, documentation quality, payer-policy interpretation, and revenue-integrity support. This role provides...

Additional Information About the Role BJC is hiring for an Inpatient II. We are looking for 2-5 years of experience. Must be have one of the following certifications: CCS, RHIA, or RHIT Elgible states for remote: Alabama Iowa North Carolina Wisconsin Arkansas Kansas Ohio Florida Kentucky Oklahoma Georgia Louisiana South Carolina Illinois Mississippi Tennessee Indiana Missouri Texas Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness,...

Siouxland Community Health Center 1021 Nebraska St Sioux City, IA 51105, USA Description Siouxland Community Health Center has an opening for a: Full-time position This position may be remote or work from home Education, Training and Skills: High school diploma or GED equivalent. CCS, CCS-P or CPC certification or equivalent work experience; or ability to become certified within 6 months of hire Minimum of two years of coding experience using CPT with the most recent coding requirements. Willingness to participate in continued education courses to obtain or maintain certification Advanced computer and data entry skills Math acuity General Functions of Position: Assign appropriate evaluation/management levels for professional services. Review patient medical records to assign codes for diagnoses, treatments, surgical procedures, and nonsurgical procedures for services. Maintains a working knowledge of CPT and ICD 10 CM coding principles, governmental regulations,...