78 value based coder ii jobs found

Job Summary And Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement. 1. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced...

A leading healthcare organization in Houston is seeking a Value Based Coder II to join its Quality Management/Risk team. This role is crucial for reviewing patient medical records to identify coding opportunities and deliver provider education on HCC. Candidates should have a Bachelor’s degree or equivalent experience, with at least 5 years in healthcare and certification as a CPC, CCS, or CRC. Strong knowledge of coding guidelines and excellent communication skills are essential. This is an opportunity to contribute significantly to process improvement initiatives. #J-18808-Ljbffr

Job Summary and Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding....

Where You’ll Work Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area. Job Summary and Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on...

Catholic Health Initiatives - St Luke's Health [Medical Records Clerk] As a Coder at Catholic Health Initiatives, you'll: Accurately abstract information from the service documentation, assign and sequence appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems; Be responsible for working encounters in the coding work queue or task lists in a timely manner; Review and resolve coding denials; Meet or exceed organizational coding production and quality standards...Hiring Immediately >>

A leading healthcare provider in Texas is seeking an experienced Value Based Coder II to review medical records for coding opportunities, focusing on Hierarchical Condition Categories (HCC). The role involves developing provider education and ensuring compliance with coding guidelines. Candidates should have a Bachelor's degree in healthcare or equivalent experience, CPC/CCS/CRC certification, and at least 2 years of outpatient coding experience. Competitive hourly pay ranges from $25.30 to $35.74. #J-18808-Ljbffr

A leading healthcare organization in Houston is seeking a Value Based Coder II to independently review patient medical records and identify coding opportunities, particularly focused on Hierarchical Condition Categories (HCC). The ideal candidate will contribute to provider education and process improvement initiatives while ensuring compliance with coding guidelines. This role requires a strong background in outpatient coding and risk adjustment principles, alongside effective communication skills. Competitive pay range available, offering an engaging work environment. #J-18808-Ljbffr

A leading healthcare organization in Houston is seeking an experienced Value Based Coder II focused on reviewing patient medical records and supporting hierarchical condition category (HCC) coding. The role involves developing provider education materials and monitoring compliance with coding guidelines. Candidates should have a bachelor’s degree in healthcare or equivalent, relevant coding certifications, and experience in outpatient and risk adjustment coding. Strong communication and documentation skills are essential. Competitive hourly pay of $25.30 to $35.74 is offered. #J-18808-Ljbffr

Where You’ll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success....

Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is a senior level professional fee coding position with at least three (3) or more years’ experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following...

Core Responsibilities Code & Abstract: Assign ICD-10-CM (diagnoses) and CPT (procedures) codes from physician documentation and medical records. Documentation Review: Evaluate records for completeness, accuracy, and compliance with coding guidelines and payer policies. Billing & Revenue Cycle: Resolve billing edits, manage charge capture, prevent denials, and ensure proper service capture for accurate reimbursement. Physician Collaboration: Educate physicians on documentation standards and work with Clinical Documentation Improvement (CDI) specialists. Data & Reporting: Ensure accurate data for DRGs, quality outcomes, internal/external reporting, and regulatory compliance. Auditing & Training: Conduct internal audits, defend coding decisions, and provide training for Coder I/II roles. Key Requirements Certifications: CPC, CCS, RHIA, RHIT, or similar are required. Experience: Varies by role (e.g., 2+ years for Coder II, 5+ years for Coder III in acute care)....

Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following...

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Professional Fee Coder III, you will be responsible for monitoring, reviewing, and accurately applying coding principles to clinical documentation received from ambulatory areas to support reimbursement, research, and regulatory compliance. In this role, you will assign appropriate diagnosis codes, CPT codes, and modifiers based on the medical record while ensuring adherence to federal coding guidelines. You will also identify and resolve billing discrepancies to ensure timely and accurate claim submission. This position supports Cleveland Clinic's mission and vision by helping submit clean claims for the services...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records. Essential Responsibilities: Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and...

Where You'll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your...

Where You'll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your...

About Integrated Management Strategies (IMS) LLC We are a women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered in the Washington, D.C. metropolitan area, with employees across 39 US states. What We Do We support the mission critical needs of federal agencies by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges. How We Do It We earn our clients' trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems. About the role Are you ready for your next career adventure?! Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder II to join our healthcare consulting...

Current Saint Francis Colleagues - Please click HERE to login and apply. JOB SUMMARY The Coder is responsible for assigning diagnostic and procedural codes to patient charts using ICD-10-CM, ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. The coder will abstract required clinical information. This position requires a thorough knowledge of medical terminology, disease processes, pharmacology, Medicare's Inpatient Prospective Payment System (IPPS), Official Coding Guidelines for ICD-10-CM and ICD-10-PCS codes, and documentation requirements for correct and accurate coding. It is the coder's responsibility to submit physician queries when clarification of documentation is needed. Coders must also be able to collaborate with others in the organization including the CDI team, Medical Staff, and other clinicians to ensure the record accurately documents the services provided. Coder will be asked to attend...

Job Description JOB SUMMARY This position will be functioning under minimal supervision while utilizing independent decision making. This position will assist the manager and supervisor in training new team members, coordinate inquiries from ancillary departments regarding DNFB and edit tasks. The Sr. Edit Coder will investigate and solve edit issues and communicate root cause data to management in order mitigate potential upstream and downstream impacts. Responsible for modifying and completing moderate to high complexity reviewing and resolving coding and charge edits using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Working in billing editor systems as required. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned....

Job Description Job Summary: Coder II assigns diagnosis and procedure codes using the appropriate coding classification system to reflect the care and services rendered to the patients in the emergency department, ancillary, and outpatient surgery settings. Ensure the accurate selection of the principal diagnosis and procedure and all other significant diagnoses and procedures. Abstract hospital-defined data from records for data collection purposes. Ensure compliance with official guidelines, AHA Coding Clinic, AMA CPT Assistant and Guidelines, AHIMA Standards of Ethical Coding and LifePoint Health Support Center (HSC) policies and procedures. Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Lake Cumberland Regional Hospital is a modern, state-of-the-art 295-bed acute care facility, offering an advanced neurosurgery program with Spine Center accreditation amongst other specialty services....

*Inpatient Coder II (Remote)* We're seeking an experienced Inpatient Coder II to join our remote team supporting a highacuity, Level I Trauma academic environment. In this role, you'll accurately assign ICD10CM, ICD10PCS, and MSDRG codes across a wide range of complex inpatient cases, collaborate with CDI specialists, and submit electronic queries when clarification is needed. *Responsibilities:* * Code diverse inpatient specialties, including trauma and critical care * Maintain 95% accuracy and meet productivity standards * Assign POA indicators and support accurate DRG assignment * Assist with mortality, rehab, and special case types * Support denial rebuttals and participate in projects *Requirements:* *-A minimum of three (3) years of experience as an inpatient coder at an academic facility.* * Required Education: -Coding Certificate Program Completion or Associate Degree in HIM or equivalent. Preferred Education: -Bachelor's degree in HIM or equivalent. Required...

Overview Department: 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status: Full Time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details: Desired experience: Hospital-Based / Facility Surgical Specialties Coding Experience, GI preferred. Remote position M - F 8-hour shift. Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range: $28.55 - $42.85 Major Responsibilities This role will have all responsibilities of coding assistant, coder I and II plus the following: assist with special projects as requested, assists with training other coders as requested, Monitors and responds to accounts in the charge router, charge router messages, CRMs, Compliance and Integrity review requests. Adhere to organizational and internal department...

We are recruiting for a motivated Professional Coder II - Must Reside in Colorado to join our team! We are here for life's journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department HB & PB Coding Services Job Summary The Coder II is a key member of the Coding/Compliance team and has shared accountability for the success of the department. The Coder II, under general supervision, reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. Performs various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references, including electronic, to perform coding related...

The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed...