13 certified hcc coder jobs found

En Provider Network Solutions , valoramos la comunicación, el aprendizaje constante y la innovación. A través de nuestro Provider Innovation Center , formamos líderes que redefinen el ecosistema de la salud. ¡Y queremos que tú seas parte de esta transformación! ¿Qué harás como como Certified Coder Education Specialist? Diseña, desarrolla e implementa iniciativas dirigidas a codificadores, médicos y personal clínico-administrativo, alineadas con los estándares regulatorios, guías de CMS y necesidades operacionales de la organización. Crea materiales educativos actualizados y planes de estudio estructurados sobre codificación médica, documentación clínica, cumplimiento normativo, facturación y modelos de ajuste de riesgo, asegurando relevancia y actualización continua. Educa a proveedores sobre los modelos de HCC, CDPS-Rx, Medicare Advantage, Risk Adjustment (RAU), incluyendo su impacto en los modelos de pago, apoyando la precisión en la codificación y la calidad documental....

POSITION DESCRIPTION :The Compliance Auditor / Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services.Provides professional expertise and education in CPT, ICD and HCC coding.The Compliance Auditor / Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations.This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution.Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance.ESSENTIAL JOB FUNCTIONS :Develops and leads audit projects for medical record integrity, service line or issues-related audits, identifies...

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD‑9‑CM/ICD‑10‑CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance efforts....

Coding SpecialistAt Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care.An unwavering commitment to our service vision is what makes the difference.It is the foundation of The Memorial Experience.Reviews medical record documentation.May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas / record types to ensure proper billing and compliance.For physician billing, collaborates with billing department to ensure all bills are satisfied.For hospital, routes to billing charge entry errors and / or account edits preventing completion of coding and / or billing.Makes appropriate coding corrections, when advised, and follows procedure to notify billing.Enhances and maintains coding knowledge and skills.Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes.Seeks...

LEAD HIM CODER - REMOTE Camden, NJ Job ID 57242 Job Type Full Time Shift Day Specialty HIM/Coding Apply About us AtCooper University Health Care, our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short Description Serves as the Lead and primary contact for the Coder II and Coder IIIs.Assists the Assistant Director with oversight of daily operations...

Coder 4 Inpatient Coding PositionCoder 4 provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems. Utilizes an encoder and computer assisted coding (CAC) software to achieve accuracy and thorough coding. Researches complex coding scenarios and queries physicians on documentation for clarification. This is an inpatient coding position for an experienced, trained inpatient coder. A Coder 4 analyzes clinical documentation; assign appropriate diagnosis, procedure, and abstract the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Assist in the resolution of clinical documentation and provide feedback to providers on the quality of their documentation.ResponsibilitiesCode and abstract clinical and demographic data for...

Medical Coder-Aleca Home HealthAs our company expands, we are actively seeking seasoned Medical Coders. If you're prepared to elevate your career and reap the rewards of an unparalleled compensation package, we extend a warm invitation for you to join us on our journey of growth here at Aleca Home Health!Why Choose Aleca Home Health?Comprehensive Benefits:Access to comprehensive benefit coverage plans to ensure your health and well-being are prioritized.Generous PTO:Enjoy ample paid time off to recharge and pursue personal endeavors, fostering a healthy work-life balance.Tuition Reimbursement:Invest in your professional development with our tuition reimbursement program, empowering you to advance your skills and knowledge.IT Equipment:Equip yourself with the necessary tools for success with state-of-the-art IT equipment provided by Aleca Home Health.Collaborative, Supportive Team:Join a team of passionate professionals dedicated to our core values, including prioritizing people,...

Job Overview Are you an experienced inpatient coder looking to work fully remotely, with a team that values accuracy, continuous learning, and work-life balance? Fairview is hiring-you'll work Monday through Friday, handling 80 hours per pay period.What You'll Do Review and code inpatient clinical records using ICD-10-CM and ICD-10-PCS in alignment with coding guidelines, MS-DRG / APR-DRG reimbursement rules, and Fairview protocols.Validate computer-assisted coding (CAC) output and ensure thorough, accurate coding.Analyze clinical documentation and drill down on severity of illness (SOI), risk of mortality (ROM), HAC, and POA indicators.Collaborate with CDI (Clinical Documentation Integrity) staff to drive provider education and documentation quality.Assist in provider queries to improve documentation specificity.Partner with revenue cycle teams to support prompt claim submissions and optimize financial performance.Required Qualifications (must be met to be considered) :Certificate...

OverviewTalent Sourcing Specialist at Memorial Healthcare SystemSummaryReviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.ResponsibilitiesReviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Create electronic physicians queries within allowed scope for hospital outpatient coder.Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM)...

Join OBHGJoin the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation's largest and only dedicated provider of customized obstetric hospitalist programs.Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health.Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24 / 7 real-time triage and hospital-based obstetric coverage across the United States.If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!LocationSC Upstate area strongly preferred (Remote).Open to exceptional remote candidates in SC, NC, GA (must be located in these states to be eligible).The Good Stuff We OfferHourly Compensation Range :$21.00 - $24.00 per hour eligible for RCM bonusA mission based company with an amazing company...

UCSD Layoff from Career Appointment :Apply by 08 / 12 / 25 for consideration with preference for rehire.All layoff applicants should contact their Employment Advisor.Special Selection Applicants :Apply by 08 / 22 / 25.Eligible Special Selection clients should contact their Disability Counselor for assistance.Candidates hired into this position may have the ability to work remotely.DESCRIPTIONUC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time.We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients.We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.Under general supervision performs in depth...

Summary :Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.Responsibilities :Reviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Create electronic physicians queries within allowed scope for hospital outpatient coder.Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM) coding policies and procedures.Conducts, audits and / or...

Job DescriptionJob DescriptionWe are currently seeking a full time Remote Certified Coder-AHIMA / AAPCDuties / Responsibilities include but are not limited to :Uses ICD-10 standards, codes and abstracts medical recordsReviews individual medical records to verify / substantiate diagnosis and proceduresAssigns CPT and ICD-10 codes to all billable encountersQueries physicians to determine the principal diagnosis and appropriate sequencing of other diagnosis and proceduresEnsures that all records are coded in an accurate and timely manner based on customer established timelines.Preferred Experience :Coding Certification required - AHIMA / AAPC (CPC, CPC-H, CCS, CCS-P)AthenaOne, ECW, EPIC, and Intergy experience preferredOB, FQHC, or CHC coding experienceOBGYN experience preferredCoding Evaluation and Management services.Demonstrated understanding of the medical billing and coding lifecycle.Excellent interpersonal, time management, and organizational skills.Proficiency in Microsoft...