20 profee coder jobs found

Description Must reside in the following states:  AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA, and WV. Summary: Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance. Responsibilities: • Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. • Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. • Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient’s acuity, severity of illness and risk of...

Description Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA, and WV Outpatient Medical Coder II - Nuvance Health Summary: Join Nuvance Health as an Outpatient Medical Coder , responsible for accurately coding and abstracting outpatient medical records for reimbursement, compliance, and statistical reporting . This position ensures accuracy in ICD-10-CM and CPT-4 coding and maintains adherence to federal, state, and hospital coding regulations . Key Responsibilities: Accurately code all outpatient medical records in a timely manner following departmental and industry coding standards. Assign correct ICD-10-CM diagnosis and CPT-4 procedure codes based on documentation. Conduct physician or department queries when documentation is incomplete, conflicting, or unclear. Enter required information into electronic systems for billing,...

Description Position at Nuvance Health Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA, and WV. Summary: Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance. Responsibilities: • Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. • Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. • Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient's acuity,...

Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA, and WV Outpatient Medical Coder II – Nuvance Health Summary: Join Nuvance Health as an Outpatient Medical Coder , responsible for accurately coding and abstracting outpatient medical records for reimbursement, compliance, and statistical reporting . This position ensures accuracy in ICD-10-CM and CPT-4 coding and maintains adherence to federal, state, and hospital coding regulations . Key Responsibilities Accurately code all outpatient medical records in a timely manner following departmental and industry coding standards. Assign correct ICD-10-CM diagnosis and CPT-4 procedure codes based on documentation. Conduct physician or department queries when documentation is incomplete, conflicting, or unclear. Enter required information into electronic systems for billing, reimbursement, and statistical analysis. Independently reconcile charges...

Job Type Full-time Description At Scott County Hospital and Scott County Clinic, we proudly provide exceptional medical and surgical care services for inpatient, outpatient, and emergency room patients. This 25-bed critical access hospital also includes 2 Labor, Delivery, Recovery, and Postpartum (LDRP) suites. The 68,000-square-foot facility in Scott City, Kansas, offers various services to support our growing city and surrounding communities. We are honored to serve our growing community, offering diverse services that adapt to meet the needs of our patients and their families. Mission of Department: To maintain quality healthcare records and meet or exceed customer expectations. Purpose of Position: The Hospital Inpatient/Outpatient Coder reviews clinical documentation and diagnostic results as appropriate to extract data and apply applicable codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the Health...

Now Hiring: Medical Necessity Specialist Join the Health Information Management Team at Cottage Hospital! Are you detail-oriented, organized, and passionate about ensuring accurate medical coding and documentation? Cottage Hospital is seeking a Medical Necessity Specialist to support our Ancillary services, including lab and radiology, by ensuring proper coding, reducing documentation errors, and helping improve diagnostic accuracy across the organization. If you're looking for a role that blends healthcare, compliance, and provider education, apply today and help us strengthen the integrity of patient care and revenue cycle processes! Job Summary: The Medical Necessity Specialist plays a vital role in promoting accurate and compliant medical coding for Ancillary services. This position focuses on ensuring medical diagnoses support ordered procedures, identifying trends in documentation errors, and collaborating with providers to improve coding accuracy and...

Overview 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 Outpatient Coder I 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 the Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient...

Position Overview The Inpatient-Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines. Scope of Role & Responsibilities Identifies trends and inconsistencies in provider documentation and coding practices. Audits and reviews medical records to determine if the medical record is complete, accurate, and in support of individual patient risk adjustment score accuracy. Develops curriculum to improve provider coding practices. Educates providers and their practice staff in coding guidelines. Works in collaboration with other departments, develop plans...

Inpatient-Outpatient Coder Job Ref: TE0031 Category: Claims Department: CLAIMS Location: 50 Water Street, 7th Floor, New York, NY 10004 Job Type: Regular Employment Type: Full-Time Work Arrangement: Hybrid Salary Range: $76,000.00 - $86,661.00 Position Overview The Inpatient-Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines. Scope of Role & Responsibilities Identifies trends and inconsistencies in provider documentation and coding practices. Audits and reviews medical records to determine if...

Mon-Fri 8a-4:30p APPLICATION MUST BE FILLED OUT ENTIRELY TO BE CONSIDERED FOR INTERVIEW PROCES Scope of Responsibility The Outpatient Coder will also abstract data from medical files and keeps required statistics. Assist with quality assurance and utilization review functions and will apply appropriate modifiers. Responsible to Director of Coding/Reimbursement Education High school diploma or equivalent Training and Experience 2 years hospital experience with inpatient acute care as well as outpatient accounts, such as SDC/Interventional radiology and other outpatient accounts as assigned. American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) Certification Required Health and Background Requirements Employment contingent upon successful completion of: Background Check Lab Work Immunization Records Rarely (Less than ½ hour per day) Occasionally (½...

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting,...

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. JOB SUMMARY: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting,...

W ork where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical...

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...

Embark on a rewarding career with Tenet Physician Resources. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch. At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match Generous paid time off Career development and continuing education opportunities Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident...

Coder III The Coder III is responsible for coordinating, performing, and completing Medicare compliance. Coding consists of outpatient services in outpatient and inpatient services including procedures. To ensure coders provide technical aspects of the assignment diagnostic and carried out in accordance with established standards and in compliance with NCQA and other regulatory agencies, and Tenet policy. Responsibilities Performs all assigned billing in a timely manner Communicates with the physician the documentation needed to complete job functions Ensures accurate coding from the medical record regarding ICD-9 and ICD-10, appropriate evaluation and management CPT code Updates patient record with patient's current insurance, address, and telephone numbers Identifies primary care doctor and referral source with contact information and documents it in the medical record Performs claims follow up and reviews with billing agent in a timely manner Protects patient...