23 coder physician jobs found in Springfield

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Coding Auditor - Professional Department: Physician coding Hours: Full-Time (40 hours per week) Location: Remote or onsite. Must reside in one of the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Pay: Starts at \$23.87/hour, based on experience. Estimated compensation range \$23.87 - \$37.00. Responsibilities Assist coders with coding questions. Conduct collection and reporting of provider and coder audit results and education. Work with coders and providers to ensure appropriate documentation for clinic services. Report results to Coding Supervisor – Professional. Demonstrate ability to code all types of encounters. Maintain 95% accuracy in diagnoses and procedures coding. Ensure data quality and optimum reimbursement under federal and state payment systems. Identify and refer trend patterns of coding and...

Location John H. Stroger, Jr. Hospital Department Health Information Management Shift 7:00 AM - 3:00 PM Pay Range $37.658 hourly Job Summary Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The HIM Coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns ICD-10-CM and PCS codes, CPT-4, and HCPCS Level II codes in accordance with coding and reimbursement guidelines for physician and facility encounters. Abstracts into a group and assigns Diagnosis Related Group (DRG) on inpatient accounts and applies Ambulatory Payment Classifications (APC) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally...

Job Description Be a part of a world-class academic health-care system at Saturday and Sunday weekend requirement. In this role, the Inpatient Coder - Clinical Data Analyst, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting. Job Description Be a part of a world-class academic health-care system at UChicago Medicine as an Inpatient Coder - Clinical Data Analyst in the Medical Records department. This is a remote, work from home opportunity, and you may be based outside of the greater Chicagoland area. Saturday and Sunday weekend requirement. In this role, the Inpatient Coder - Clinical Data Analyst, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting. Essential Job Functions Assigns...

Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Accepting remote workers in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Department: Physician Coding Hours: Full time, 40 hours/week Shift: 1st Location: Remote or On-site. Pay: Based on experience, starting at $22.72. Compensation Estimated Compensation Range $22.72 - $35.22 Pay based on experience. Responsibilities Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing EM code level selection auditing tool. Assists physicians with record documentation needs by requesting...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...

Health Information Management Section This position is located in the Health Information Management Section of the Health Administration Services Department at the Captain James A. Lovell Federal Health Care Center in North Chicago, IL. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. #J-18808-Ljbffr

Job Summary We are seeking an experienced and certified Medical Coder - Inpatient & Outpatient to join our Health Information Management/Revenue Cycle team.The Medical Coder is responsible for accurately reviewing and coding inpatient and outpatient hospital medical records in accordance with official coding guidelines, CMS requirements, payer regulations, and hospital policies.This position plays an essential role in ensuring coding accuracy, regulatory compliance, timely reimbursement, and the integrity of clinical and financial data.The successful candidate will demonstrate strong knowledge of hospital coding, medical terminology, anatomy and physiology, reimbursement methodologies, and regulatory requirements.Essential Duties and Responsibilities Review inpatient and outpatient medical records and accurately assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on assigned account type. Assign and validate appropriate MS-DRG/APR-DRG, APC, Present on Admission (POA),...

The Women's Group of Northwestern is an independent practice located on the Magnificent Mile with a satellite office in Northbrook.Our staff of 18 providers (MD's, Physician's Assistants and Nurse Practitioners) deliver the highest level of patient care and patient satisfaction.If you are an experienced Certified Medical Coder & Surgical Scheduler, we would love to meet you! (MUST HOLD A CERTIFIED CODER LICENSE) Our team of staff members work together to give our best to our patients and to each other.Our leaders are committed to ensuring that you are successful in everything you do and want you to understand how much we value you.We offer a highly competitive salary, excellent benefits including 3 weeks of PTO per year, a 401K with profit sharing, and an environment that respects you as a professional.If you have experience providing stellar customer service in a medical setting, excellent prior performance and attendance, and experience with Epic/Epic Op-Time or Athena, we...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Job Description Job Description Occupational health medical facility is seeking a full-time medical billing specialist. Prefer qualified candidate to have prior experience with submission of electronic billing, insurance appeals and denials, CPT/ICD10 codes, and payment posting. Knowledge with worker's comp insurance billing and collections rules also a plus. Candidate must be detailed-oriented, dependable, goal-oriented, willingness to assist others as necessary and with ability to work independently. Good customer service skills are a must. Medical Biller Duties and Responsibilities Ensure patient information is accurate and complete Request any missing patient information Review referrals and authorizations Confirm patient benefits and insurance Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO Transfer insurance claims and billing data to billing software Create both paper and electronic copies of documentation Develop and maintain a...

Job Description About the Role Our growing Ophthalmology practice is seeking an experienced Medical Biller with strong insurance and revenue cycle knowledge to join our team. This position plays a key role in maintaining the financial health of the practice while also supporting front desk operations to ensure a smooth patient experience. The ideal candidate has hands‑on experience with ophthalmology billing, and is comfortable managing claims from submission through payment resolution. This is a great opportunity to join a patient‑focused specialty practice where your billing expertise directly contributes to efficient operations and quality patient care. Key Responsibilities Submit and manage medical claims for ophthalmology services including office visits, diagnostic testing, and minor procedures Review and correct claim errors to ensure clean claim submission and maximize reimbursement Follow up on unpaid or denied claims and manage appeals when necessary Verify...

Senior Vascular Surgery Professional CoderNew Jersey's largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results.Position Summary:We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support.This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The...

QA Nurse / Coder (RN)As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentation—particularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter notes—while properly sequencing diagnoses according to federal/state standards and agency policy.Core responsibilities include:Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance.Assign and sequence ICD?10 codes in line with current home health coding guidelines.Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans.Conduct additional clinical record audits and OASIS reviews as assigned.Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements.Maintain relevant certifications (HCS?D, HCS?O or COS?C).Participate in quality assurance and performance-improvement efforts.Coordinate with physicians, facilities, and clinical staff...

COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health Description COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more...

Seeking an experienced Coding & Charge Capture Supervisor to lead and coordinate team activities while ensuring accuracy, compliance, and timely claim submission. The ideal candidate will have strong knowledge of governmental regulations and payer guidelines, along with the ability to collaborate effectively across Revenue Cycle departments to optimize workflows and support financial performance. Schedule: 40 hours per week Shift: Day Shift Hours ESSENTIAL DUTIES AND RESPONSIBILITIES Oversees the daily operations by monitoring workload and productivity of partners to achieve weekly and monthly goals while ensuring accuracy of work. Assists in the development of guidelines, policies, and procedures for areas of responsibility, retain compliant with governmental regulations or other reporting obligations as required by contract. Coordinates coding and quality audits to ensure compliance with governmental regulations and/or third party requirements. Report any infractions to...

We are seeking a detail-oriented and experienced Managed Vision Care Biller to join our team in OakBrook Terrace. The ideal candidate will have a strong background in optical billing and be proficient with major vision care insurance providers including VSP, EyeMed, and Spectera. This role is essential in ensuring accurate and timely billing processes to maximize reimbursements and maintain compliance with insurance guidelines. Key Responsibilities Prepare and submit claims to managed vision care insurance providers such as VSP, EyeMed, and Spectera. Verify patient insurance eligibility and benefits prior to services. Review and process optical billing information accurately and efficiently. Follow up on unpaid or denied claims and resolve billing discrepancies. Maintain up-to-date knowledge of insurance policies, billing codes, and industry regulations. Collaborate with optical staff and insurance companies to ensure smooth billing operations. Maintain accurate records of billing...

We're building a world of health around every individual – shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Certified Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record...

Department:10116 Enterprise Corporate - Administration: Medical Staff ServicesStatus:Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:This role covers two hospital sites Condell Medical Center and Good Shepherd Hospital. It is also hybrid. 2-3 days a week in office and the rest from home.Pay Range$30.70 - $46.05Leads, plans, organizes and is responsible for the day to day operations of the Medical Staff Services Department so that all aspects of the Organized Medical Staff are supported, including credentialing activities, professional relations, meeting management, and peer review activities. Additionally, compliance is maintained, with accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, and State and Federal Law and other standards and regulations.Major Responsibilities:Implements, coordinates, monitors, and maintains effective credentialing processes for...