13 program manager certified coder jobs found

Emory Healthcare Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Job Description This position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. FRONT END CODER: The primary focus of this position will be Advanced Surgical and Interventional Procedures. This position is accountable for the performance of charge capture, including TES edit maintenance and resolution, denial prevention, and go to contact for special projects in order to optimize the revenue...

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Description JOB DESCRIPTION: This position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. FRONT END CODER: The primary focus of this position will be Advanced Surgical and Interventional Procedures. This position is accountable for the performance of charge capture, including TES edit maintenance and resolution, denial prevention,...

Lead Medical Coder and Auditor [PR0001D] Full‑time ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast‑paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. ProSidian Seeks a Lead...

Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research...

Coding Specialist 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. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes Monitors assigned work queues to ensure all records...

Outpatient Surgery Coder Location: Remote Role Overview This position involves the review, analysis, and assignment of codes based on appropriate coding guidelines for outpatient medical record documentation. The primary responsibilities include coding for Outpatient Surgery, Wound Care, and Observation to ensure correct assignment of ICD-10-CM and CPT-4 HCPCS codes. Key Responsibilities Assign diagnosis and surgical codes using the 3M CAC 360 system to patient records in accordance with UHDDS coding guidelines. Assign procedural categories and modifiers as applicable. Assign an appropriate discharge disposition as necessary. Maintain or exceed established coding accuracy and productivity standards. Ensure demographic information and documentation are congruent with scheduled or performed procedures. Evaluate the assigned coding work queue and collaborate with the revenue cycle team to resolve accounts within the expected timeframe. Required Qualifications...

At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree. EXPERIENCE Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program. LICENSES AND CERTIFICATIONS Required RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) CCA -...

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Description RESPONSIBILITIES: The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation...

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Trauma Surgical Profee Coder Job Summary and Qualifications As a Profie Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role: Reviews and codes clinical notes and operative reports for assigned...

6 month contract to Permanent, direct hire, Surgery and Observation Coder, remote/work from home - 40/hours a week, not part-time Job Purpose: Reviews, analyzes, and assigns codes based on appropriate coding guidelines and criteria for outpatient medical record documentation to include, but not limited to: medical, diagnostic and surgical documentation for assignment of the correct ICD-10-CM and /or CPT-4 HCPCS codes. Primary coding responsibility is Outpatient Surgery, Emergency Department (ED), Wound Care and Observation. Responsibilities: Assign diagnosis and surgical codes utilizing the 3M CAC 360 system to patient records using ICD-10- CM and CPT/HCPCS and any other designated coding classification system in accordance with the UHDDS coding guidelines. Assign procedural categories and modifiers as applicable. Assign appropriate discharge disposition as necessary. Maintain or exceed established coding accuracy and productivity standards. Ensure...

At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information...

Coder III (Neurosurgery Specialty) Professional Billing - FT - Days SUMMARY The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD-10-CM diagnoses and CPT-4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to emergency visits and diagnostic workups. QUALIFICATIONS High School Diploma or GED is required At least 2 years relevant coding and abstracting experience in an acute care hospital. Experience with Epic and 3M CAC systems preferred. Certification as a Certified Professional Coder (CPC) or Certified Outpatient Coding (COC), formerly Certified Professional Coder-Hospital (CPC-H),...

DEPARTMENT: CODING FACILITY: Tift Regional Medical Center WORK TYPE: Full Time SHIFT: Daytime SUMMARY: Under the supervision of the Coding Supervisors and Manager, the Coder II assigns codes to discharge records for inpatients, outpatients and emergency room patients based on diagnoses and operative procedures. RESPONSIBILITIES: * Selection/sequencing of principal and secondary diagnosis done correctly at least 98% of the time. * Uses manual or computer encoder for appropriate coding system (ICD-9-CM or CPT) to assign code to completely describe physician documentation of diagnosis or procedure. * If diagnosis is unclear, contacts documentation specialists for query. * Ensures corrections made by physician and other medical personnel are properly recorded and complete. * Enters coded information in computer system for billing purposes. * Meets minimum standard of 98% productivity requirements. * Assists case managers in coding and reimbursement issues. *...