3 outpatient coder 1st shift jobs found in Philadelphia

Job Details Compliance Auditor Job Description JOB SUMMARY Under general supervision, performs risk-based audits of clinical documentation, coding, and billing records to ensure that documentation supports services billed and complies with applicable regulatory and organizational requirements. This position independently validates documentation and coding compliance, identifies areas of compliance risk, and supports internal audit activities and external audit readiness across hospital-and provider-based settings. This role is outcome-driven and requires the ability to independently manage audit workload, documentation, and deadlines. ESSENTIAL FUNCTIONS • Performs risk-based audits of clinical documentation, physician, technical, and specialty billing and payment records by analyzing medical records, coding records, and health system bills to validate that documentation supports services billed and complies with applicable regulations and guidelines. • Evaluates...

Job Details The Revenue Cycle Outpatient Coder is a Health Information Management Professional responsible for ICD-10-CM and CPT-4 code assignment and abstracting of outpatient episodes of care according to ICD-10-CM and CPT-4 Coding Guidelines and Principles. Keeps abreast of clinical conditions, coding guidelines and reimbursement reporting requirements. Brings identified concerns to management for resolution. Job Description Summary The Revenue Cycle Outpatient Coder is a Health Information Management Professional responsible for ICD-10-CM and CPT-4 code assignment and abstracting of outpatient episodes of care according to ICD-10-CM and CPT-4 Coding Guidelines and Principles. Keeps abreast of clinical conditions, coding guidelines and reimbursement reporting requirements. Brings identified concerns to management for resolution. Job Duties Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson Performs ICD-10-CM and CPT-4...

Job Details Sr. Coder Job Description REMOTE Sr. Certified Coding Medical Records : Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements. Required Qualifications Certification: Must hold a certification from recognized organizations such as AAPC (CPC) Experience: Typically requires a minimum of 2-3...