22 facility inpatient coder jobs found in Springfield

Job TitleClinical Documentation SpecialistJob DescriptionThis position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines.Principal ResponsibilitiesResponsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services.Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record.Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications, therapeutic 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 Title Clinical Documentation Specialist Job Description This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines. Principal Responsibilities Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services. Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities,...

Facility CoderThe Facility Coder is a Certified Coder that has knowledge and training on coding facility based services. These services could include inpatient, outpatient or claims coding edits related to facility based coding. The Facility Coder is responsible for timely and accurate coding of the medical record, which includes assignment of ICD 10, CPT, HCPCS, PCS and DRG. They are expected to have expert knowledge on all coding guidelines and abides by the standards of ethical coding and maintain 95% of greater quarterly quality score.Education:Required: High School Diploma or EquivalentRequired: Completion of Coding CourseExperience:Preferred: 1-2 years related experienceSkills:Must have the analytical ability to interpret data contained in medical records and assign appropriate codes for accurate billingExpert knowledge in CPT, HCPCS, ICD 10, PCS and DRG classification systemsExcellent written and verbal communication skills, including the ability to communicate with clinical...

Facility Coder The Facility Coder is a Certified Coder that has knowledge and training on coding facility based services. These services could include inpatient, outpatient or claims coding edits related to facility based coding. The Facility Coder is responsible for timely and accurate coding of the medical record, which includes assignment of ICD 10, CPT, HCPCS, PCS and DRG. They are expected to have expert knowledge on all coding guidelines and abides by the standards of ethical coding and maintain 95% of greater quarterly quality score. Education: Required: High School Diploma or Equivalent Required: Completion of Coding Course Experience: Preferred: 1-2 years related experience Skills: Must have the analytical ability to interpret data contained in medical records and assign appropriate codes for accurate billing Expert knowledge in CPT, HCPCS, ICD 10, PCS and DRG classification systems Excellent written and verbal communication skills, including...

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...

Department 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status Full time Benefits Eligible Yes Hours per Week 40 Schedule Details / Additional Information Will support :A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology.Schedule :Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. Certification Required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote Opportunity Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range $33.05 - $49.60 Major...

Description: Investigates complex healthcare claims flagged by third-party referrals, tips, or external allegations prior to payment. This role combines advanced clinical coding expertise (ICD-10, CPT, HCPCS) with investigative scrutiny. The auditor reviews medical records to verify that documented services match the billed codes, adhere to medical necessity guidelines, and comply with state, federal, and contractual coding regulations. Key responsibilities: Allegation Triaging & Investigation: Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns, suspect providers, or unbundled services. Identify potential fraud, waste, abuse, billing irregularities, and patterns of non-compliance through medical record review and claims analysis. Pre-Payment Clinical Review: Perform comprehensive clinical and technical reviews of high-dollar or highly complex medical records before a claim is finalized for payment....

Position: Inpatient Coder Client: Healthcare Provider Location: 100% Remote (PST Hours) Contract Length: 6-months, with potential for extension Start Date: ASAP Summary Medasource is partnering with a leading regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity, multi-specialty environment and is ideal for coders with strong experience handling complex inpatient cases. Key Responsibilities Perform accurate inpatient coding across a wide range of specialties, including: Cardiology, Neurology, Surgical cases, Transplants, Neonatal Intensive Care Unit (NICU), Additional complex inpatient cases Assign appropriate diagnosis and procedure codes in accordance with organizational, regulatory, and industry standards Maintain timely and accurate coding in a fast-paced, high-acuity environment Consistently meet established productivity and quality expectations Qualifications...

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),...

Role Overview Accurately assign ICD-10 codes to patient records, review and analyze patient records, collaborate with the coding team, and participate in ongoing education and training. What You Will Do Assign ICD-10 codes, review patient records, collaborate with the coding team, and work with the revenue team. Why It Might Be a Fit Required strengths include accuracy, attention to detail, and ability to work with a team. The role requires ongoing education and training to stay current with coding guidelines and regulations. Requirements Accurately assign ICD-10 codes Review and analyze patient records Collaborate with the coding team Participate in ongoing education and training Maintain confidentiality and adhere to HIPAA guidelines Read by ReLoop.me A hands-on, as-needed inpatient coding role applying ICD-10 rules to hospital records and supporting revenue processes within a defined scope. Level (indicative): Demonstrated. Title vs scope: aligned. Requirement...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Our Mission Quality, compassionate care for all. Our Vision Reimagine health care through connection, service and innovation. Our Core Values Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence Join Our Professional Coding Team! Logan Health, a growing health system located in Northwest Montana, is looking for an experienced Certified Professional Coder to be part of their team! Location Remote (see approved states list) Schedule Day Shift – 8 Hours | Full Time – 40 Hours Pay details Pay for this position ranges from $26.25 per hour to $35.50 per hour depending on prior related work experience. Who you are Our ideal candidate will have at least one year of professional coding work experience, and you must hold a nationally recognized coding certificate. What you'll be doing This position accurately assigns appropriate ICD-10-CM and CPT-4 codes to outpatient records. It involves abstracting essential data elements for...

Medical Biller Reporting to the Revenue Cycle Manager, the Medical Biller will be responsible for the accurate and timely posting of insurance and patient payments, reconciliation of remittances, and aggressive follow-up of outstanding insurance balances. The ideal candidate will possess extensive experience with Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) posting, insurance denial management, and payer-specific reimbursement methodologies. Location is on-site five days a week in the office. This position requires a strong working knowledge of UnitedHealthcare, Aetna, Horizon Blue Cross Blue Shield, Medicare, and other commercial payers, with demonstrated success in filing reconsiderations, appeals, and overturning claim denials. Prior experience in a surgical practice environment is required, with vascular surgery experience strongly preferred. Medical Claims, Posting and AR Specialist Essential Responsibilities Accurately post insurance and...

Coder OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family — our community. Position Details: Hourly Base Rate: $18.28 - $26.37 Shift: Days Hours Per Week: 40 hours Job Summary: Certified Coder required. Working knowledge of basic medical terminology, ICD-10, CPT and HCPCS codes. Preferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to assign codes to diagnoses, procedures, E&M visits, and diagnostic testing. Ability to research and analyze clinical documentation as well as produce reports from a variety of sources. Ability to work...

POSITION: Medical Coder II Specialist; Certified Coder DEPARTMENT: Pathology REPORTS TO: Medical Records Manager WORK SETTING: In-office training with the possibility of working remote/hybrid. NATURE AND SCOPE: This position is responsible for evaluating medical records to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual and the American Pathology Foundation. Work Location: After successful training on site for 6 months; Hybrid remote in Springfield, OR 97477 ESSENTIAL FUNCTIONS: Evaluates pathology reports and applies billing codes for ICD-10 and CPT charges according to CMS and department guidelines to ensure efficient and accurate billing. Auditing of medical records in pathology department including understanding and editing of pathology reports, including bone marrow, molecular, fine needle aspiration, autopsy, and various consultation reports. Ability to enter and format data into pathology medical records including...

Work Arrangement: Office or remote Reports to: Revenue Cycle Manager Role Type: Individual Contributor Compensation: $28.00 - $32.00 per hour FLSA Classification: Non-Exempt Lucas James Talent Partners is partnering with Phothera, a Madison Industries company, to identify a driven and proactive Medical Billing & Follow-Up Specialist to join their growing Revenue Cycle team. Phothera provides innovative in-home phototherapy solutions that help patients safely manage autoimmune skin conditions such as Psoriasis, Atopic Dermatitis, and Vitiligo. As the organization scales rapidly, they are investing in strengthening their revenue cycle infrastructure, including implementing a new RCM platform and building focused work queues to support a high-performing billing team. This is an opportunity to join during a pivotal growth phase and play a meaningful role in improving processes, accelerating cash flow, and driving operational excellence. The Opportunity This position is...

Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Required:3-4 years of coding experience in an acute healthcare settingRHIT, RHIA or CCS credentialed The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation...

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. Accurate...

Overview Certified Medical Coder (CPC or CCS) - Remote | WFH job at Get It - Healthcare. Springfield, NJ. Job Summary: We are looking for a detail-oriented and motivated Certified Medical Coder to join our team. As a key member of the coding department, you will be responsible for ensuring the accuracy and quality of medical coding for surgical and hospital outpatient services. You\'ll play an essential role in reviewing patient medical records, assigning proper codes, and supporting billing processes to ensure smooth and efficient medical payment collection. This is an exciting opportunity to contribute your expertise while working remotely in a supportive and dynamic environment. Responsibilities Analyze medical records to assign accurate codes for services, procedures, diagnoses, and treatments. Resolve coding-related billing issues promptly and efficiently. Code and bill for vascular scans and other medical services. Assign appropriate ICD-10 and CPT codes for outpatient...

Job Overview We are a well-established chiropractic wellness center seeking a detail-oriented and dependable Medical Billing Specialist to join our team part-time.The ideal candidate has experience with chiropractic billing, insurance claims, payment posting, and accounts receivable management.Responsibilities Accurately assign CPT codes and ICD-10 diagnosis codes for chiropractic procedures Prepare and submit clean claims to insurance companies and third-party payers Post insurance and patient payments accurately Manage accounts receivable and collections follow-up Review and correct claim denials and rejections Stay current with updates in medical coding regulations, insurance policies, and industry best practices to ensure compliance.Communicate professionally with insurance companies and patients as needed Qualifications Minimum 2 years of medical billing experience is prefered Chiropractic billing experience strongly prefered Knowledge of CPT, ICD-10, and insurance claim...