22 jobs found

Job Description Why Apply Now? Our client values accuracy, collaboration, and work-life balance. As a Medical Coder, you'll play a vital role in ensuring clean claim submissions and supporting timely reimbursements all while enjoying a flexible, consistent schedule and excellent benefits. What's In It for You: Competitive starting pay: $21.00/hr. Monday-Thursday hours: 7:30 AM-4:00 PM, Fridays: 7:30 AM-12:30 PM After hire: Medical, dental, and vision insurance, prorated PTO and several paid holidays Supportive, team-oriented environment Opportunities to grow your coding expertise in a high-demand specialty What You'll Do: Review and accurately assign ICD-10-CM, CPT, HCPCS, and modifiers to oncology, hematology, and radiation services Ensure documentation supports assigned codes Maintain compliance with CMS, HIPAA, and payer-specific guidelines Collaborate with billing teams to resolve coding-related claim issues Support audit...

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 team. The ideal candidate for...

Coder II | Responsibilities and Metrics Are you looking for your next challenge? The Virtual Business Office Associates is the perfect balance of a diverse and growing workforce that still feels like home. If you are a Coding Professional, come join our best in KLAS Extended Business Office today! Hiring remotely from: FL, GA, TX, NC, SC, VA, KY, AL. FLSA Status: Exempt What's in it for you: Add to your portfolio by joining our fast-paced, exciting, diverse and inclusive work environment Endless growth opportunities and continuous professional development You'll support one of the largest professional services firms in the world, with access to cutting edge automation and AI technologies to enhance your workday experience A permanent position with our company that offers stability and growth opportunities A flexible schedule that allows you to enjoy a work life balance, and leave early on Friday's Use the latest EMR systems and utilize full portal access for the insurance...

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. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: Full time (non-exempt) Shift: 7:00am - 3:30pm Days: Monday through Friday This Specialty Coder II opportunity is a full-time remote position. This team member must reside in the state of Florida, George, North Carolina, or South Carolina. Sign on bonuses available! Responsibilities: The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. The Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiersrelated to anesthesia coding and billing as well as...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring...

Job Description Summary Under the direct supervision of the Hospital Coding Supervisor, the Coder II will be responsible for abstracting and coding medical record documentation across various departments, including inpatient, outpatient, clinic, and emergency services. This role involves selecting and sequencing the appropriate ICD-10-CM/PCS, HCPCS, and CPT-4 codes to ensure accuracy and compliance with coding guidelines. The Coder II will contribute to coding compliance by ensuring timely and accurate assignment of codes for diagnoses and procedures, including the final DRG assignment. Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002307 SYS - Hospital Coding Pay Rate Type Hourly Pay Grade Health-25 Scheduled Weekly Hours 40 Work Shift Job...

Inspire health. Serve with compassion. Be the difference. Job Summary Codes medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health...

Job Description Summary Under the direct supervision of the Hospital Coding Supervisor, the Coder I will Abstract inpatient, outpatient, clinic, and/or emergency department medical record documentation to select and sequence appropriate ICD-10-CM/PCS, HCPCS, and/or CPT4 codes. Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002307 SYS - Hospital Coding Pay Rate Type Hourly Pay Grade Health-23 Scheduled Weekly Hours 40 Work Shift Job Description The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding...

Inspire health. Serve with compassion. Be the difference. Job Summary "Interventional radiology experience strongly preferred". Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physicians office/clinic settings.Adheres to coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Accountabilities Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits.15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10% Participates in coding educational opportunities (webinars, in house training, etc.). 5% Provides timely...

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) WORK MODEL/SALARY 100% Remote The pay range for this position is $32.02 (entry-level qualifications) - $49.63 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal...

General Summary of Position Codes and abstracts primarily Inpatient records using ICD-10-CM and other applicable patient classification schemes. M inimum Qualifications Education High School Diploma or GED equivalent required Associate's degree in coding or Bachelor's degree in coding related degree preferred Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and ICD-PCS required Experience Experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) and coding experience Licenses and Certifications CCS (Certified Coding Specialist) required within 1 year from date of hire. within 1 Year Required and RHIT (Registered Health Information Technician) Preferred and RHIA (Registered Health Information Administrator) Preferred Knowledge, Skills, and Abilities Verbal and written communication skills. Basic computer skills required. Primary Duties and Responsibilities Contributes to the achievement of established...

Hiring Department #upjobs The Department of University Physicians Job Description #upjobs (This Medical Coding Specialist position is a dual post linked to Job ID 54697 Medical Coding Specialist Certified(MCS-C) and the department will be hiring for seven positions. Final or offered title will be determined by qualifications of the final candidates) Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record...

Hiring Department Hiring department #upjobs The Department of University Physicians Job Description #upjobs (This Medical Coding Specialist Certified position is a dual post linked to Job ID 54698 -MCS - University Physicians, and the department will be hiring for seven positions.) Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of...

Position Summary: Visual Connections, LLC is seeking a Medical Records Analyst. The medical records analyst is primarily responsible for review of health information. The MRA reviews the medical records for specific criteria and validation of specific code year sets submitted from selected organizations to government and commercial client. The position requires review of protected health information and must maintain strict confidentiality when addressing or referring to such records. The incumbent must have the ability to use a variety of office equipment, computer software, the ability to use sound and professional judgement, and to work independently. The candidate(s) will be hired as an employee up to 40 hours per week (flexible scheduling). This is a remote position. Duties: Analyze protected health information according to project specific rules. Participates in the Intake Process of records Assigns ICD-9/10-CM codes according to the guidelines as defined by...

Job Description Job Description Supervising and evaluating front desk operations; monitoring and tracking results of subordinates; developing and implementing cost savings measures while contributing to the FPI financial targets; setting measurable goals and objectives; and other duties as assigned. EDUCATION/EXPERIENCE High school diploma or equivalent (GED) preferred Minimum of 3-5 years medical office experience; minimum of 3 years supervisory or team leader experience in a healthcare setting Current knowledge of payer requirements for referrals and preauthorization Experience in front and back office operations Exceptional customer service skills Knowledge of GE, EPIC or similar computerized billing system ESSENTIAL JOB FUNCTIONS 1. Actively utilizes improvement strategies and tools to positively impact all aspects of operations. 2. In cooperation with departmental leadership, supervises all on-site activities in such a way that promotes the satisfaction and...

Medical Billing Specialist Location: Columbia, SC, 29223 Job Description: We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team in Columbia, SC. The ideal candidate will have a strong background in medical billing and coding, as well as excellent communication and organizational skills. ESSENTIAL DUTIES: Review and submit claims daily within client practice management system. Apply incoming ERA and manual payments to patient accounts. Analyze and resolve insurance over payments and under payments. Conduct tracking/follow up on all outstanding claims. Denial resolution: including submission of medical records and appeals. Respond to patient & client-direct communications with a high level of customer service. Manage qualifying collection agency accounts, if applicable. Submit monthly patient statements. May assist with client credentialing and contracting. Prepare Monthly and Adhoc reporting for facilities and...

General Summary of Position Codes and abstracts primarily Inpatient records using ICD-10-CM and other applicable patient classification schemes. M inimum Qualifications Education High School Diploma or GED equivalent required Associate's degree in coding or Bachelor's degree in coding related degree preferred Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and ICD-PCS required Experience Experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) and coding experience Licenses and Certifications CCS (Certified Coding Specialist) required within 1 year from date of hire. within 1 Year Required and RHIT (Registered Health Information Technician) Preferred and RHIA (Registered Health Information Administrator) Preferred Knowledge, Skills, and Abilities Verbal and written communication skills. Basic computer skills required. Primary Duties and Responsibilities Contributes to the achievement of established department...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for assisting in the execution of the annual Quality Coding Assurance Plan. Assists in conducting project planning and developing appropriate audit procedures and conducts audit procedures and reports findings. Coordinates efforts between the Office of Corporate Integrity and Physician Practices of the University Medical Group Administration to improve medical record documentation and overall compliance rates. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Independently conducts all project planning procedures for low, moderate and high complexity audits. (Such procedures include determining project scope and objectives, identifying controls, determining "what can go wrong" in a process, and developing appropriate audit procedures to assess controls and...

Attention all certified Inpatient Coders! We have an exciting opportunity for you! We're seeking 10-12 Inpatient Coders with Meditech and/or Clintegrity software system knowledge. This contract is for a minimum of 1 year, with full-time and part-time opportunities available. We're offering a great rate with contract bonuses. Don't miss out on this opportunity to take your career to the next level. Apply now and join our team! Minimum five (5) years of Inpatient coding experience Meditech/Clintegrity experience preferred but not required Keen knowledge of complex, critical, inpatient hospital stays

We are a specialized neurology and pain management clinic participating in AAPC’s Project Xtern to provide real-world experience for aspiring Certified Professional Coders. Our externship program offers practical training in a fast-paced, multidisciplinary medical environment. You will: Gain hands-on experience with ICD-10 , CPT , and HCPCS Level II coding related to neurology, interventional pain procedures, and behavioral health. Learn and assist with documentation review and code validation for services such as E&M visits , injections , nerve blocks , Botox treatments , RFA , and telehealth encounters . Observe workflows in medical billing , prior authorizations , and compliance audits . Practice using electronic health records (EHR/EMR) and clearinghouse systems. Expectations: Must be a current AAPC member and have passed the CPC exam . Basic knowledge of anatomy, medical terminology, and procedural coding...