4 professional fee coder jobs found in Greenville

Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. 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. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC....

Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. 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. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in...

Coder, Hospital Inpatient It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Come join us as a Coder, Hospital Inpatient at SSM Health! You will be responsible for accurately coding and abstracting medical records for inpatient hospital stays. Your expertise in coding will ensure that our organization maintains compliance with all coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Department: Coding Patient Population or Ratio: N/A Schedule: Full Time, Day Shift Shift Differentials: Available for night, weekend, and additional shifts Location: Remote $1,000 sign on bonus available (Check with recruiter for eligibility) Starting pay: $26.01 per hour Job Summary: Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job Responsibilities and Requirements: Assigns accurate...

Apply for the Coding Auditor, Physician Group role at ECU Health . Responsible for the creation and maintenance of audit and education programs that ensure success for all staff and employed providers, supporting accurate, compliant coding practices for ECU Health physicians in accordance with coding guidelines. Conduct internal audits of medical coding activities using concurrent, prospective, and retrospective models as appropriate. Review electronic health information to determine accuracy of coding, billing, and documentation, including validation of ICD‑10‑CM, CPT, HCPCS, and modifier assignments related to medical provider professional Part B services according to regulatory and institutional policy. Report findings, written and verbal, to leadership as necessary to include provision of corroborating regulatory or policy guidance. Maintain documentation of all audit activities and communicate findings to leadership. Utilize findings to generate topics for education and...