12 jobs found

Hcc Coder Position 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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

Job Description Job Description PRINCIPAL DUTIES AND RESPONSIBILITIES: Reads and interprets health record documentation to identify all diagnoses and procedures that affect the inpatient/outpatient stay/visit. Assign CPT, ICD-10, HCPCS II, and modifiers based on documentation and payer requirements. Independently resolve coding rejections and denials using discretion and analytical ability to apply broad guidelines to specific coding situations. Responsible for maintaining current knowledge of coding, compliance, and reimbursement procedures. Review payer policy updates and coding manuals. Maintain coding certification by keeping track of Continue Education Units (CEUs) Completes work assignments within an acceptable time frame. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: Coding certification required by either AAPC or AHIMA 2-3 years of experience in medical professional coding in a physician's office, hospital, or clinic. Knowledge of...

Coder Central Billing Office Working under the supervision of the Central Billing Department Supervisors, you will be accessible to physicians, staff, and patients regarding billing questions. You will assure that all billing functions are completed in a timely fashion and develop billing goals. Responsible for accurately coding providers outpatient and inpatient visits based on the documentation provided and abstracting accurate and complete patient care data to ensure optimum and timely reimbursement. Applies knowledge of specialized information specific to coding and medical terminology according to all coding guidelines. Required Qualifications and Skills: Minimum of 1-2 years of medical billing experience in either charge payment or follow-up work Minimum of 1-2 year of coding experience for primary care medical and surgical specialties or secured CPC CCS-P coding certifications Excellent written and oral communication skills with attention to detail Excellent...

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...

Senior Inpatient HIM Coder 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 effectively with the billing department...

Inpatient 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. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal...

Baylor Scott & White Health Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our core values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Eligibility on day 1 for all benefits, Dollar-for-dollar 401(k) match, up to 5%, Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more, Immediate access to time off benefits....

Inpatient Medical DRG Coder Hospital (Remote) A DRG coder is a medical coding professional who specializes in assigning Diagnosis-Related Group (DRG) codes for inpatient hospital stays. DRG (Diagnosis-Related Group): It's a classification system used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based on these DRG codes rather than individual services. 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...

Coding Team Member We know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides opportunity for career advancement. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 14 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Job Summary As a member of the 100% US Based HIM Central Services coding team, the Coder IP provides inpatient coding assistance for a set of HIM Central Services-supported CHS...

Allegheny Health Network Job Posting General Overview: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work (5%) Performs other duties as...

Allegheny Health Network Job Posting Company: Allegheny Health Network Job Description: 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. (60%) 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 resources and implementing...

Coder II Position Specialty scope for this coder II position includes but is not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula:...