61 document coder jobs found

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...

Certified Professional Coder / Bill Review Expert Responsibilities:Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE:eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience:3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC certification...

Job Title:Billing/Coding Specialist Department:My Kidney Center Reports To:Administrator/Medical Director FLSA Status:Non-Exempt Employment Status:Full-time or part-time Summary of Duties:The Medical Billing Specialist is responsible for managing patient account payments, including collecting, posting, and submitting claims to insurance companies.This role also involves following up on claims and resolving any billing issues.Essential Functions:1.Prepare and submit clean claims to various insurance companies, either electronically or by paper.2.Conduct insurance verification for prior authorizations and update insurance information.3.Answer questions from patients, clerical staff, and insurance companies.4.Identify and resolve patient billing complaints.5.Prepare, review, and send patient statements.6.Evaluate patients' financial status and establish budget payment plans.Follow up on delinquent accounts and report their status.7.Prepare information for the collection...

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...

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide.As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers--with new clients and provider networks added every month as our organization scales.In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management.Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory.This position...

Job DescriptionJob DescriptionMedical Coding Compliance SpecialistCompensation :Up to $85,000 annually, determined by your experience and qualifications.Job Location :Remote (US)Job Highlights :Work-Life Balance :Monday to Friday schedule for a fulfilling personal and professional life.Competitive Compensation :Be rewarded with a generous salary and benefits package.Career Growth Opportunities :Unlock your potential and advance in your career with our support.Supportive Work Environment :Join a team that values and appreciates your contributions.Comprehensive Training :Enhance your skills and knowledge through our extensive training programs.Compliance and Peace of Mind :Work with confidence knowing that we prioritize compliance with employment laws and regulations.Paid Time Off and Holidays :Enjoy well-deserved time off to relax and recharge.Life Insurance Coverage :Protect your loved ones with our employer-paid life insurance policy.Collaborative Team Environment :Thrive in a...

Day Kimball Health is hiring a Certified Professional Coder for the Central Business Office ! Location: Putnam, CT | Shift: Days Shift, 40 Hours Job Summary Under the general supervision of the Director of Professional Revenue Cycle, the Certified Professional Coder performs all phases of abstracting, diagnosis coding, charge capture and posting through record analysis. Will perform quarterly chart audits to ensure documentation meets ICD-9 as well as ICD-10 guidelines. Additionally, the Certified Professional Coder will provide ICD-10 training for Providers and staff as needed and will be an integral part of the implementation team. Key Responsibilities Review medical records for completeness and compliance with coding guidelines to abstract and code clinical data, including diseases, operations, procedures, and therapies, using standard classification systems. Review and enter all charges for practice billing from medical record documentation to ensure billed services...

DescriptionThe Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures.Works with coding databases and confirms DRG assignments.Familiar with standard concepts practices and procedures within a particular field.Relies on instructions and pre-established guidelines to perform the functions of the job.This position relies on guidelines and some experience and judgment to complete job and works under general supervision.ResponsibilitiesCoding/Abstracting Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues.Handles all requests in a timely fashion.Quality/Performance Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patients medical...

Description At ScionHealth, we empower our caregivers to do what they do best.We value every voice by caring deeply for every patient and each other.We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryCodes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated system Essential FunctionUsing the coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented in the patient medical record based on official coding guidelinesEnsures that all factors necessary for assigning an accurate DRG (Diagnostic Related Group) are present, and that all diagnoses are ranked properlyContacts hospital designee...

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),...

Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines. Education/Training Associates required with Bachelor’s Degree preferred. Approved Coding Course completion Licenses/Certification RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist) required Required Qualifications and Skills Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate Proficiency in technology usage, including 3M encoder. Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology. Knowledge of ICD-10CM and ICD-10-PCS coding systems, guidelines, and...

At Virtua Health we exist for one reason to better serve you.That means being here for you in all the moments that matter striving each day to connect you to the care you need.Whether thats wellness and prevention experienced specialists life-changing care or something in-between we are your partner in health devoted to building a healthier community.If you live or work in South Jersey exceptional care is all around.Our medical and surgical experts are among the best in the country.We assembled more than 14000 colleagues including over 2850 skilled and compassionate doctors physician assistants and nurse practitioners equipped with the latest technologies treatments and techniques to provide exceptional care close to home.A Magnet-recognized health system ranked by U.S.News and World Report weve received multiple awards for quality safety and outstanding work environment.In addition to five hospitals seven emergency departments seven urgent care centers and more than 280 other...

Ip Facility Coder Iii CcsNow hiring a IP Facility Coder III CCSHas the knowledge and ability and will be required to code all of the following :inpatient and / or outpatient hospital records, ED records, Home Health & Hospice records and / or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9 / 10 CM and CPT-4 classification system.Ensures adherence to Hospital and Departmental Policies and Procedures.How you belong matters here.We value our employees' differences and find strength in the diversity of our team and community.At Presbyterian, it's not just what we do that matters.It's how we do it - and it starts with our incredible team.From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.Why Join UsFull Time - Exempt :NoRev Hugh Cooper...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...

Coder - Hospital Inpatient Services - Revenue Cycle Mid Service Days - 40hrs/wk (remote) Requisition #:req11231 Shift:Days FTE status:1 On-call:No Weekends:No General Summary:The Coder for Hospital Services, under the direction of the HIM Director, is responsible to accurately and completely code inpatient and outpatient conditions and procedures by reviewing clinical documentation and diagnostic results, as appropriate, to extract data for billing, internal and external reporting, research and regulatory compliance as documented in the ICD-9-CM and/or ICD-10-CM Official Guidelines for Coding and Reporting.Requirements:RHIT, RHIA, CCS, CCS-P, CPC or other professional HIM coding certificate.Coding software and basic computer software experience.Effective communication and listening skills.Ability to contribute to team efforts.Essential Functions and Responsibilities:Code all diagnoses, treatments, and procedures by translating physician and nursing documentation according to the...

The Center for Technology Licensing at Cornell University seeks an Associate Director for Business Development and Licensing with a focus on biomedical technology. Well-qualified candidates will possess prior experience assessing inventions, developing business, and negotiating contracts in the technology transfer field.The RoleAs Associate Director for Business Development and Licensing, you will contribute your forward-thinking perspective to a leadership team driving a comprehensive technology commercialization and partnership program. You will manage a large biomedical technology portfolio and serve as the primary liaison with faculty and research staff in designated research areas.Key responsibilities will include:Helping faculty and researchers crystallize inventive ideas and disclose inventions, tangible and copyrightable materials to the UniversityContinuously assessing business needs in target industries by establishing, maintaining, and growing business development...

## Coder/Abstractor-Outpatient Level IIApplylocations: 158 Maple Ave (Winslow Hall)time type: Full timeposted on: Posted 6 Days Agojob requisition id: JR231141**City/State:**White Plains, New York**Department:**WPH Health Info Mgmt HIM\_5**Work Shift:**Day**Work Days:**MON-FRI**Scheduled Hours:**7 AM-3 PM**Hours Per Pay Period:**75**Pay Rate/Range:**$27.6106-$41.4267For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.**Job Summary** The Outpatient Coder/Abstractor Level II is responsible for coding and abstracting medical records in accordance with established guidelines for outpatient hospital services. This includes, but is not limited to, same-day surgery, observation, emergency department services, clinic services, infusion center services, and diagnostic testing. **Essential Functions*** 1. Understands and adheres to the WPH...

Job Summary:Supervises team to review and request primary source information and verifications. Proactively identifies, suggests improvements to, and provides resolution for complex gaps in vendor relationships. Serves as an escalation point of contact for external queries regarding practitioner status. Evaluates applications and supporting highly complex documents. Guides team to conduct improvements to credentialing and privileging processes. Guides and supervises team to evaluate complex practitioner sanctions. Participates in surveys and audits of credentialing entities. Facilitates and implements strategic initiatives cost-effective due process. Identifies and provides leadership to resolve adverse actions/issues. Leads and evaluates audits of data between different departments. Conducts and supervises the facilitation and orientation and training to newly appointed physician leaders. Develops highly complex informational documents. Maintains working relationships with key...

Certified Coder-Abstractor 10 HR. 8700 #13792 Temp Job # : 13792 Job Category : Health Information Management Job Type : Full Time Shift Type : Variable Department : Health Information Management Pay Range : $30.59/hr. - $41.11/hr. Open Date : 06.11.26 Open Until Filled. This temporary position is subjected to reduced hours in the near future. Qualifications High School Diploma or Equivalent At least two years experience in the medical records field with knowledge of principles and practice of ICD-9-CM and CPT classification systems, DRG methodology, and the UHDDS guidelines Must have knowledge regarding the guidelines related to these coding systems, DRG methodology and the ability to follow the detailed guidelines related to their use and understands importance of proper sequencing and coding according to official coding guidelines Ability to read handwritten and transcribed documents in the health record, interpret information and enter complete accurate data into a...

Key Responsibilities:Claims and Billing Operations. Prepare, review, and submit insurance claims (electronic and paper when needed) for professional and or facility services. Verify that claims include accurate patient demographics, insurance information, authorizations, diagnosis codes, procedure codes, modifiers, units, and supporting documentation as applicable. Maintain clean claim workflows and resolve claim edits and clearinghouse rejections promptly. A/R Follow-Up and Denials Management. Monitor accounts receivable aging and prioritize follow-up based on payer rules, dollar value, and timely filing limits. Investigate and resolve denials, underpayments, and request for information (medical records, referrals, authorizations). Submit corrected claims and appeals with appropriate documentation and accurate coding support. Payments and Patient Billing. Post and reconcile payments and adjustments from ERAs and EOBs. Identify and escalate payer payment variances and contract...

Medical Billing SpecialistThe Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts.ESSENTIAL JOB DUTIES:Extract and verify billing information from medical recordsEnsuring collection of past due balances; follow up as neededEnsure all patient demographic and insurance is accurate prior to submitting claims to insurance companiesAnswer patient account inquiries; assists establish alternative payment plans when necessaryMaintain patient account records; settle third party payer issues as requiredReceive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS)Prepare and review patient statements prior to release through PMSEnsure timely filing of all Medicare, Medicaid, and third-party insurance claimsBalance daily charges;...

Medical Coder II Department of Defense (DoD) Defense Health Agency (DHA) Specifically supporting the DHA Medical Coding Program Branch (DHA-MCPB) Place of Performance:Remote / Off-site performance Period of Performance:One (1) year base period, with the possibility of one (1) additional option year. Schedule:Coding services may be performed Monday“Friday, excluding federal holidays Requirements:Coding contract personnel in this position are required to possess a minimum of four (4) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of two (2) years of medical coding or auditing experience if that experience was in Military Treatment Facility (MTF). A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying. Professional AND facility coding certification, such as: CCS (AHIMA) CPC COC (AAPC) CCS-P CCS...

Caring. Connecting. Growing Together.Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start your life's best work.This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime.You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility...