138 CPC jobs found

A healthcare provider in Knoxville is seeking a full-time Certified Medical Coder. The position requires thorough clinical documentation reviews and accurate coding of HCC diagnoses using ICD-10-CM guidelines. Candidates must have current CPC or RHIT certification, be team players with strong communication skills, and maintain HIPAA privacy. This remote role involves occasional onsite meetings, making it crucial for candidates to reside in the Knoxville area. #J-18808-Ljbffr

Possess a thorough working knowledge of the revenue cycle management process including; ICD-9, ICD-10, CPT-4, and HCPS Billing.Responsibilities include ensuring that reimbursement is maximized through accurate and appropriate coding.Accountable for staying abreast of government policies and procedures as it relates to coding to ensure that company conforms to applicable guidelines and regulations.Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.- Abstract clinical information from medical records to document, assign, and sequence ICD-9 and / or CPT-4 and HCPS coding where appropriateAudit, review, and correct claims with inaccurate or missing CPT or ICD-9 codesPerform qualitative analysis of medical records for documentation consistency and adequacyParticipate in audit of medical records to ensure appropriate use of ICD-9, CPT-4, and HCPCS coding to clinical documentationAssist with managing the CPT-4 and ICD-9 database within...

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Revenue Integrity Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position Summary: Performs complex level professional internal auditing work. Work involves compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance. This would...

Revenue Integrity Auditor Performs complex level professional internal auditing work and appeals. Work involves leading or conducting process, financial, appeals, and compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation, and billing compliance. Also provides consulting services to the organization's management and staff and may participate in requested investigations. Maintains all organizational and professional ethical standards. Works independently under limited supervision with significant latitude for initiative and independent judgment. Reports to the Revenue Integrity Manager. Responsibilities Identifies and evaluates company risk areas and provides auditing procedures related to documentation and reimbursement to include: documenting client processes and procedures, assessing risks and adequacy of related manual and automated internal controls, developing criteria, and reviewing and analyzing findings. Also...

Job Posting Codes diagnoses and procedures of inpatient records and abstracting information at defined facilities for reimbursement, research, and to generate statistical data. Performs other duties as assigned. Codes diagnoses and procedures of records pertaining to inpatient records. Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies. Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc. Completes assigned goals. Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Skill and proficiency in coding inpatient records utilizing ICD CM and CPT through a minimum of 2 years' experience in an acute care facility, 4 years preferred....

Health Information Management (HIM) Section This position is in the Health Information Management (HIM) section at Memphis VA Medical Center. MRT (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-biased settings, such as group practices, multi-specialty clinics, and specialty centers.

Summary This position is in the Health Information Management (HIM) section at Memphis VA Medical Center. MRT (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-biased settings, such as group practices, multi-specialty clinics, and specialty centers. Responsibilities This job opportunity announcement (JOA) will be used to fill one 1) full-time and permanent Medical Records Technician (Outpatient and Inpatient Coder) vacancy(s) at the Memphis, TN Veteran Affairs Medical Center (VAMC), with Business Office Service Total Rewards of a Allied Health Professional Major duties may include, but are not limited to: Applies knowledge of medical record content, medical terminology, anatomy & physiology, diseases processes, and official coding guidelines to assign codes to the most basic and routine outpatient and/or inpatient professional services. Selects and assigns codes from the current versions of the International...

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:...

Inpatient Health Information Coding Specialist Beacon Hill was founded to set a new standard in search, career placement and flexible staffing. Join a leading healthcare organization as an Inpatient Health Information Coding Specialist, where you'll play a vital role in ensuring the accuracy, integrity, and quality of clinical data. This opportunity is ideal for experienced inpatient coders who enjoy working with challenging medical cases, collaborating with clinical teams, and contributing to both financial and patient care outcomes. You'll have the chance to work within a complex healthcare environment that values professional expertise, continuous learning, and coding excellence. This position offers the opportunity to work with a highly skilled healthcare team supporting a large, sophisticated hospital environment. You'll be involved in coding some of the most medically complex patient encounters, helping ensure accurate reimbursement, regulatory compliance, and quality...

Quorum Health is seeking a Senior Outpatient Coder to lead inpatient and outpatient coding operations remotely, reporting to Coding Operations Manager. You will guide day-to-day workflows, ensure accuracy, and support denials review and process improvements across multiple service lines. The role requires senior HIM coding expertise, adherence to official guidelines, and collaboration with CDI/Audit teams to drive compliant coding and reimbursement results. #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Job Description Job Description Description: The Medical Coding Specialist will analyze, code, and abstract medical records of patients, and will communicate with client/facility staff and physicians as needed to address deficiencies in both billing and documentation. The Medical Coding Specialist must be able to handle multiple, simultaneous tasks effectively and efficiently and is expected to demonstrate ENCORE in all communications. Essential Duties and Responsibilities Proficient in CPT, ICD-10, and HCPCS coding with in-depth experience. Maintain a minimum coding productivity of 30 CPT units per hour. Ensure an average error rate of less than 2%. Stay updated on changes to CPT, HCPCS, and ICD-10 codes, as well as payer policy coding requirements. Apply working knowledge of oncology-specific codes and plan rules for commercial, Medicare, Medicare Advantage, and Medicaid plans. Utilize expertise in ICD-10, CPT, and HCPCS codes, including rules for...

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Humana Inc. is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and craft an education plan for assigned providers. Reports to the Manager, Medicare Risk Adjustment. Responsibilities include arranging educational sessions, analyzing data to identify educational needs, creating reports and presentations on coding quality, and delivering on-site education while collaborating with market provider-facing teams. #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans for assigned providers. The role reports to the Manager, Medicare Risk Adjustment and requires on-site sessions, data analytics, and collaboration with cross-functional teams. Responsibilities include developing reports on coding quality trends, providing education to providers, and ensuring adherence to internal and external standards. #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and to tailor education plans for each assigned provider. The role reports to the Manager, Medicare Risk Adjustment and includes strategy, education, and analytics responsibilities. Responsibilities include arranging sessions, identifying needs, preparing reports with data visualization, and delivering on-site education, with travel up to 5% and a 40-hour week. #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans. The role reports to the Manager, Medicare Risk Adjustment. Responsibilities include arranging sessions, analyzing coding data, and delivering on-site education while collaborating with market provider-facing teams. A strong background in coding accuracy and risk adjustment is required, with travel up to 5%. #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor an education plan for each assigned provider. This role reports to the Manager, Medicare Risk Adjustment and involves delivering on-site education and data-driven quality improvement initiatives. The position supports remote work with up to 5% travel to provider offices, requires proficiency in data analytics tools, and emphasizes collaboration with leadership and #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

ETSU Health is seeking a Coding Specialist for a hybrid role, with the ability to work 2 days from home after a 90-day introductory period. The position focuses on reviewing records, coding diagnoses and procedures, and ensuring compliant reimbursements across multiple offices. Ideal candidates have CPC certification or at least five years of coding/auditing experience from medical record documentation, with a strong attention to detail and knowledge of ICD-10-CM, CPT, and HCPCS coding #J-18808-Ljbffr