3 revenue integrity coder jobs found in Boston

The Elliot Health System is seeking a Hospital Inpatient Coder to accurately assign ICD-10 and DRG codes for hospital inpatient services, ensuring compliance with guidelines, payer rules, and regulatory requirements. This role supports revenue cycle integrity and timely, precise coding to minimize denials. You'll collaborate with providers and coding leadership to resolve discrepancies, participate in audits, and contribute to quality improvement in a dynamic hospital environment. #J-18808-Ljbffr

POSITION SUMMARY The Physician Practice Coder position is responsible for accurate and compliant coding of surgical cases for multiple specialties across all care settings. This position directly impacts revenue integrity by ensuring optimal CPT / ICD-10-CM / HCPCS II coding and appropriate modifiers, along with minimizing payer front end rejections and denials. The Physician Practice Coder is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician coding and billing. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Position: Coder-Surgical Department: BUMG Corporate PBO General Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES Perform coding and related duties of moderate and high complexity surgical cases, and Evaluation and Management services, using established guidelines in an accurate and timely...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...