23 cpc jobs found in Austin

remote type Remote locations Greenville, SC time type Full time posted on Posted 13 Days Ago job requisition id...

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) is 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...

Outpatient Medical Coder 3 Department: Health System Shared Services | Revenue Management Scope of Position: Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. Position Summary: The position is responsible for coding medical records and other documents at the conclusion of the patient's visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). JOB SUMMARY: The Coding Specialist III will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the needs of hospital data retrieval for billing and reimbursement. Coding Specialist III validate MSDRG and/or APC calculations in order to accurately capture the diagnoses/procedures documented in the clinical record. Coding Specialist III performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and...

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...

Coder Lead The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday General Duties Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers....

Inpatient Coder Opportunity 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...

Job Description Job Description Woundlocal is looking for a detail-oriented Medical Coder to join our dynamic team in Austin! Responsibilities: Review and analyze medical documentation to ensure accurate coding and billing processes. Assign appropriate codes for diagnoses, procedures, and services according to the guidelines and regulations. Stay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems. Collaborate with healthcare providers to clarify documentation and ensure completeness. Identify and resolve discrepancies in medical records and coding for accurate claims processing. Evaluate and re-file appeals of patient claims that were denied. Stay up-to-date on new coding ruleas and code changes. Assist in audits and provide necessary documentation for compliance and quality assurance activities. Collect and distribute coding related information and billing issues to management and provider when changes...

Job Description Job Description Inpatient Medical Facility Coder Greenberg-Larraby, Inc. (GLI) is seeking an experienced Inpatient Medical Facility Coder to join our healthcare team at a well-known medical facility. In this role, you will be responsible for reviewing and coding inpatient medical records for our facility in Temple, TX. This role is located on-site at the Temple, TX. Your expertise in coding will ensure accurate billing and compliance with regulatory guidelines while supporting optimal patient care. You will work closely with healthcare providers to clarify documentation and ensure that all coding assignments are completed accurately and efficiently. This position requires a strong knowledge of ICD-10-CM/PCS and CPT coding systems, as well as attention to detail and excellent analytical skills. If you are a proactive coder with a passion for quality healthcare, we encourage you to apply! Requirements Minimum Requirements: At least one credential required:...

Job Description Job Description Outpatient Professional Medical Coder Greenberg-Larraby, Inc. (GLI) is actively seeking a skilled Outpatient Professional Medical Coder to join our dynamic healthcare team based in Temple, TX This position is onsite in Temple, TX. In this role, you will be responsible for reviewing and coding outpatient medical records, ensuring adherence to coding standards and guidelines. Your expertise will play a vital role in ensuring accurate billing and compliance, contributing to the overall quality of patient care at GLI. You'll collaborate effectively with healthcare providers to clarify clinical documentation and ensure that all coding assignments align with the latest coding practices. If you are a detail-oriented professional ready to excel in a collaborative environment, we invite you to apply! Requirements Minimum Requirements: One active coding credential required: RHIT, RHIA, CCS, CCS-P, or CPC At least three (3) years of...

Coding Auditor & Provider Educator NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: Alabama Arizona Florida Georgia Idaho Indiana Kansas Michigan Missouri North Carolina Ohio Oklahoma Pennsylvania South Carolina Tennessee Texas Virginia The Coding Auditor & Provider Educator is a critical role responsible for ensuring the accuracy, completeness, and compliance of medical coding (CPT, HCPCS, ICD-10-CM) for professional services. This individual will conduct thorough coding audits, identify areas for improvement in documentation and coding practices, and develop and deliver targeted educational programs to physicians, advanced practice providers (APPs), and clinical staff. The primary goal is to optimize revenue integrity, mitigate compliance risks, and foster a culture of accurate and compliant documentation and...

Job Description Job Description Fast growing Dermatology Office in South Austin, Texas is seeking a full-time Medical Biller - Insurance A/R Specialist to join our team. Responsibilities/ Tasks include, but not limited to: Work rejects/denials, send corrected claims, appeals Electronic claims building and submission Stay up to date on CPT, ICD, and LCD guidelines Chart and coding review Check eligibility and benefits Obtain prior authorizations Call patients when necessary to verify insurance information Provide excellent customer service to patients paying their bill or inquiring about their account Work to reduce backlog of unpaid claims in legacy systems Read and analyze EOBs and ERAs Payment posting Maintains HIPAA patient confidentiality standards for medical and financial information Knowledge, Skills, and Abilities Knowledge of CPT, ICD, and LCD guidelines Ability to communicate clearly and concisely, both orally and in writing Competency with...

Job Title: Urology Coder Location: Hybrid Houston, Texas 77027 Hours: Monday Friday, 8:00 AM 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Anticipated Start Date: ASAP About the Role Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physicians outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 13 years of general...

Baylor Scott & White Health Job Posting 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...

Job Posting Details: Department: Revenue Cycle Management Schedule: Monday - Friday, 8:00 am - 5:00 pm Hospital: Seton Administrative Offices Location: Austin, TX Benefits: Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer. Responsibilities Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Abstract pertinent information from patient records. Assign the International Classification of Diseases, Clinical Modification (ICD), Current...

Senior Compliance Coding Auditor (REMOTE) Join to apply for the Senior Compliance Coding Auditor (REMOTE) role at CommUnityCare Health Centers Senior Compliance Coding Auditor (REMOTE) 5 days ago Be among the first 25 applicants Join to apply for the Senior Compliance Coding Auditor (REMOTE) role at CommUnityCare Health Centers This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD‐10 codes on an annual basis. Essential Duties Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements. Identify...

Assembler Language Coder Location: Remote Clearance: IRS MBI This program requires US Citizenship Description of Assignment Work in an Agile team to support back-end mainframe systems and provide interfaces to front-end systems. This means that they can develop mainframe applications (with databases and mainframe systems): Work with development teams and product managers to ideate software solutions. Analyze existing software as well as incoming business rules and conversion details, producing application requirements and detailed design documents. Working knowledge of mainframe tools including TSO, JCL, Control-M Develop and manage well-functioning databases and applications. Write effective interfaces to system applications and services. Troubleshoot, debug and upgrade software and assist in defect resolution. Create security and data protection settings. Build features and applications with a high availability design. Write technical documentation. Work as part of...

Estimated Pay Range : $23.16 - $34.74 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Job Overview Department Name : Coding Ambulatory Work Shift : Day (8‑hour shift between 5am‑7pm, Monday‑Friday) Job Category : Revenue Cycle Remote Position : Fully remote, available to residents of AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY Banner Health recently earned Great Place To Work® Certification™. We offer a drug‑free work environment and provide the equipment needed to stay connected with our team. Position Summary Evaluates medical records, provides clinical and surgical abstraction and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines. Core Functions Analyzes medical information from records, accurately codes diagnostic and procedural information according...

Employer Industry: Healthcare Compliance and Coding Why consider this job opportunity: - Opportunity for career advancement and growth within the organization - Competitive salary based on experience - Comprehensive training and education provided to enhance coding skills - Supportive and collaborative work environment across various departments - Chance to make a positive impact on coding accuracy and compliance in healthcare services - Engage in special projects that contribute to overall organizational improvement What to Expect (Job Responsibilities): - Conduct prospective and retrospective chart reviews to ensure compliance with coding requirements - Identify coding discrepancies and provide actionable recommendations for improvement - Communicate audit findings to providers and ancillary staff, promoting continuous education - Collaborate with various departments to enhance accuracy in reported services and chart reviews - Assist in maintaining compliance with government...

Medical Coding Coordinator Become a part of our caring community and help us put health first. Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience and depth of knowledge of administrative processes and organizational knowledge. This is a remote position from...

Virtua Health Coding Specialist Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA), Uniform Hospital Discharge Data Set (UHDDS) hospital specific guidelines and...

Job Title: Urology Coder Location: Hybrid –Houston, Texas 77027 Hours: Monday – Friday, 8:00 AM – 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Anticipated Start Date: ASAP About the Role Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician’s outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC...

Overview This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. The Senior Compliance Coding Auditor will have dotted line reporting to the Chief Compliance & Risk Officer. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding....