23 data coder jobs found

Medical 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.Location:Miramar, FloridaSummary: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.Responsibilities:Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category),...

Medical Coder Educator - USFTGP RCOServes as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data internation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource.QualificationsRequired:High School Diploma or...

IP CoderWe are seeking an IP coder, the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG. The Coder Inpatient uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. The Coder Inpatient will be charged with maintaining the confidentiality of patient records and procedures.Essential Job FunctionsResponsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure codes with attention to accurate sequencing.Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.Abstracts and codes pertinent...

Physician Coding AuditorThe Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and Coder charges for Surgical, procedural and E/M based coding.Orlando Health is committed to providing benefits that go beyond the expected, with career-growing free education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions.Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community....

Job DescriptionLocation Requirement :Candidates must reside in one of the following states- Florida, Alabama, or Georgia.If offered the position, will be required to come onsite in Pensacola, FL for orientation.The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity.This position reviews outpatient records and assigns codes according to outpatient rules.The Coder II may be responsible for ER Facility Charging, if applicable.This position follows up on outstanding unbilled accounts on a regular basis.This position does not have excessive re-bills.ResponsibilitiesReviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines.Applies sequencing guidelines to coded data according to official coding rules.Reviews medical records to ensure appropriate documentation is...

2 weeks ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.Job DescriptionMust live in one of the approved states :Florida, Alabama, Georgia, Louisiana, Tennessee, Texas (excluding Austin, TX), North CarolinaThe Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with a 97% accuracy rate while maintaining coding standards for productivity.This position reviews outpatient records and assigns codes according to outpatient rules.The Coder II may be responsible for ER Facility Charging, if applicable.This position follows up on outstanding unbilled accounts on a regular basis and does not have excessive re-bills.ResponsibilitiesReviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines.Applies sequencing guidelines to coded data according to official coding rules.Reviews medical records to...

JOB DESCRIPTIONMust live in one of the approved states :Florida, Alabama, GeorgiaThe Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity.This position reviews outpatient records and assigns codes according to outpatient rules.The Coder II may be responsible for ER Facility Charging, if applicable.This position follows up on outstanding unbilled accounts on a regular basis.This position does not have excessive re-bills.RESPONSIBILITIESReviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines.Applies sequencing guidelines to coded data according to official coding rules.Reviews medical records to ensure appropriate documentation is there to support codes / ER charges assigned.Responsible for being knowledgeable of coding and diagnostic procedures, as well as...

Join to apply for the Coder II- Remote / CCS, CCA, RHIT, RHIA role at Baptist Health Care.Location Requirement :Candidates must reside in one of the following states- Florida, Alabama, or Georgia.If offered the position, will be required to come onsite in Pensacola, FL for orientation.Job Description :The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity.This position reviews outpatient records and assigns codes according to outpatient rules.The Coder II may be responsible for ER Facility Charging, if applicable.This position follows up on outstanding unbilled accounts on a regular basis and does not have excessive re-bills.Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines.Applies sequencing guidelines to coded data according to official coding...

JOB DESCRIPTIONLocation Requirement :Candidates must reside in one of the following states- Florida, Alabama, or Georgia.If offered the position, will be required to come onsite in Pensacola, FL for orientation.The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider.This position validates that the coding methodology correctly reflects how the tests was performed and meets all state federal local and payer guidance.RESPONSIBILITIESReviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines.Applies sequencing guidelines to coded data according to official coding rules.Reviews medical records to ensure appropriate documentation.Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcome.Communicate questions or concerns to the Coding Manager, HIM Services...

DepartmentFPG Central Billing OfficeJob SummaryIdentifies and applies appropriate ICD-10 diagnostic and CPT procedural codes to individual patient health information for claims processing, data retrieval and analysis.Responsible for patient financial related activities, which includes accurate entry of insurance benefits, authorizations and other activities which ensures complete and accurate claims.Please review :Must be FL resident to work for Sarasota Memorial Health Care SystemMust be able to do onboarding, orientation, and training on-site as needed.Required QualificationsRequire a minimum of two (2) years of experience in a physician office.Require a minimum of one (1) year of CPT and ICD physician coding experience.Require Certified Professional Coder (CPC) or Certified Coding Specialist - Physician-based (CCS-P), or Certified General Surgery Coder (CGSC), or become certified within one (1) year of employment.Preferred QualificationsPrefer a college degree.Prefer...

DepartmentFPG Central Billing Office Job SummaryIdentifies and applies appropriate ICD-10 diagnostic and CPT procedural codes to individual patient health information for claims processing, data retrieval and analysis.Responsible for patient financial related activities, which includes accurate entry of insurance benefits, authorizations and other activities which ensures complete and accurate claims. Remote position - must be able to do pre-employment onboarding, orientation and any additional training on-site as needed. Must be FL resident.Required Qualifications- Require a minimum of two (2) years of experience in a physician office.- Require a minimum of one (1) year of CPT and ICD physician coding experience.- Require Certified Professional Coder (CPC) or Certified Coding Specialist - Physician-based (CCS-P), or Certified General Surgery Coder (CGSC), or become certified within one (1) year of employment.Preferred Qualifications- Prefer a college degree.- Prefer demonstrated...

Department FPG Central Billing Office Job Summary Identifies and applies appropriate ICD-10 diagnostic and CPT procedural codes to individual patient health information for claims processing, data retrieval and analysis.Responsible for patient financial related activities, which includes accurate entry of insurance benefits, authorizations and other activities which ensures complete and accurate claims.Required Qualifications - Require a minimum of two (2) years of experience in a physician office.- Require a minimum of one (1) year of CPT and ICD physician coding experience.- Require Certified Professional Coder (CPC) or Certified Coding Specialist - Physician-based (CCS-P), or Certified General Surgery Coder (CGSC), or become certified within one (1) year of employment.Preferred Qualifications - Prefer a college degree.- Prefer demonstrated initiative and the ability to work in a self-directed environment.- Prefer Multi-Specialty coding experience.- Prefer basic knowledge of...

OverviewThe Coder II position assigns diagnoses and procedure codes to Observation and Same Day Surgery medical records.ResponsibilitiesAssigns correct ICD-10-CM code to all diagnoses and correct CPT code to all procedures documented in the medical record.Thoroughly reviews the entire medical record in order to retrieve proper documents (i.e.discharge summary, progress notes, operative report, pathology report, anesthesia report, etc.) to provide coding specificityReads and understands operative reports in order to classify to the most accurate CPT codes.Researches complex operations as necessary.Selects the principal diagnosis and procedure according to the Uniform Health Data Discharge Set definitions and coding rules published in Coding Clinic.Accurately abstracts attending and operating physicians in the Sunrise Record Manager abstracting system.Assigns the correct modifier on CPT codes that are required under the Medicare APC reimbursement.Maintains a thorough knowledge of the...

Must live in one of the approved states :Florida, Alabama, Georgia, Louisiana, Tennessee, Texas (excluding Austin, TX), North CarolinaThe Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity.This position reviews outpatient records and assigns codes according to outpatient rules.The Coder II may be responsible for ER Facility Charging, if applicable.This position follows up on outstanding unbilled accounts on a regular basis.This position does not have excessive re-bills.ResponsibilitiesReviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines.Applies sequencing guidelines to coded data according to official coding rules.Reviews medical records to ensure appropriate documentation is there to support codes / ER charges assigned.Responsible for being...

Job SummaryUnder the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will :Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes.Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG / APR DRG / APC grouper.Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter.Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and / or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record.Be knowledgeable in the requirements of the industry with regard to Medicare and / or Managed care regulations, the International...

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...

Summary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed Responsibilities:Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators. Reviews appropriate inpatient coding work queues daily to address coding edits...

Summary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures.Detailed Responsibilities:Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines.Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment.Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators.Reviews appropriate inpatient coding work queues daily to address coding edits and...

Summary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures.Detailed Responsibilities:Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines.Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment.Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators.Reviews appropriate inpatient coding work queues daily to address coding edits and...

Billing and Coding AuditorBanyan Treatment Centers is seeking a detail-oriented and experienced Billing and Coding Auditor to support the accuracy and compliance of our billing practices across our behavioral health services. This critical role ensures the integrity of our claims processes and supports continuous quality improvement, staff education, and adherence to payer regulations.As a nationally recognized provider of addiction and mental health care accredited by The Joint Commissionwith 18 locations, robust Telehealth services, and backed by TPG's Rise Fund since 2023our 1,600employees are dedicated to delivering compassionate, high-quality care that transforms lives.Positions DetailsLocation:Flexible On-site (Pompano Beach, FL), Hybrid or Remote (USA)Reports to:Auditing Manager & Director of RCMSchedule:Full-timeKey ResponsibilitiesConduct regular audits of behavioral health billing and claims for accuracy and compliance.Review coding of all services (ICD-10, CPT,...

Medical Billing SpecialistJoin a team that makes a difference! Butterfly Effects is looking for a Medical Billing Specialist to support our national billing needs. In this role, you'll ensure clean claims and accurate submissions, allowing our field teams to focus on what matters most-helping children and families.What Would You Be Doing?Accurately input patient demographics, authorizations, CPT codes, and claim details before submission.Process claims using the First-In / First-Out method to prevent backlogs and meet deadlines.Identify and resolve billing errors to reduce claim denials.Correct and resubmit denied claims for billing errors.Review and address immediate rejections from the clearinghouse.Stay up to date with third-party payer requirements and regulatory guidelines.What Do You Bring to the Role?A positive, highly motivated attitude with a strong sense of accountability.High School Diploma or GED required.1-2 years of medical billing experience (Medicaid and commercial...

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)...

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...