4 coder jobs found in Rockford

*About the Role* Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a *newly formed team* supporting a high-impact initiative driven by the *No Surprises Act*, with a mission to resolve complex claim disputes and ensure fair payment outcomes. *What You'll Do* * Review and validate claim data to determine appropriate payment outcomes. * Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. * Work primarily with emergency services claims, including ambulance and air ambulance cases. * Operate within a proprietary claims management system. * Collaborate with internal teams to clear a significant backlog of cases. *Note:* This is not a coding-heavy...

Work Schedule: 100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote. At UW Health in northern Illinois, you will have : • Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance • Annual wellness reimbursement • Opportunity for on-site day care through UW Health Kids • Tuition reimbursement for career advancement--ask about our fully funded programs! • Abundant career growth opportunities to nurture professional development • Strong shared governance structure • Commitment to employee voice Qualifications High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required Graduate of a Health Information Technology program. Preferred Work Experience 2 years Two years of progressive...

Overview Medical Coding Specialist, Janesville, Days, 80 hrs / wks Hybrid, Remote, and flexible work schedule opportunities available. Mercyhealth does not currently support remote workers with residency in the following states: CA, OH, OR, PA, NJ, NY. Reviews assigned providers' procedure and diagnosis codes, and makes coding changes as necessary. Provides timely feedback to providers regarding documentation guidelines, coding, and audits. Performs other duties as assigned. May be asked to work weekends and reasonable amounts of overtime when necessary. Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection. Performs audits of provider coding and documentation to make recommendations for improvements and enhancements. Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding...

Job Purpose: The Medical Coding Specialist is responsible for daily charge capture for all assigned providers and/or ancillary services ensuring correct coding guidelines are followed. Primary Duties and Responsibilities: • Retrieves relevant information from medical records for appropriate billing using current CPT and ICD 10 code guidelines • Reviews daily charge capture for all assigned Providers/Ancillary Services • Reviews claims requiring follow-up appeal • Analyzes operative reports to assign correct CPT, ICD 10, HCPCS codes and modifier usage when capturing surgery charges • Enters codes/charges in EHR system • Audits provider dictation for compliance and accuracy • Handles incoming patient and internal issues regarding coding • Ensures compliance with medical coding policies and guidelines, including attending webinars, conferences, and maintaining CPC certificate through continuing education Competencies: • Service: We align our actions and...