22 analyst coder jobs found

Covenant Health is looking for a Coder Analyst Specialist in the United States to analyze medical records for coding accuracy. This full-time position requires at least three years of coding experience and a CPC certification or RHIT registration. The specialist will ensure compliance with ICD-10 and CPT-4 coding standards and assist with billing processes. An eye for detail and strong communication skills are essential for this role, contributing to quality improvement initiatives within the organization. #J-18808-Ljbffr

Coder Analyst Specialist, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts...

Risk Adjustment Coder Analyst – Quality – Hansen Location: Green Bay, Wisconsin, United States Position: 40 hours per week Job Summary At Prevea Health the Risk Adjustment Coding Analyst will perform coding reviews of medical record documentation to ensure proper capture of CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement activities. The Risk Adjustment Coding Analyst will also be responsible for education on HCC's as well as working with different insurance contracts to aid in closure requirements. What you will do Complete thorough medical record reviews, identify and assist the provider to update the Active Problem List for accuracy (highest degree of specificity) by transitioning the less/unspecified diagnoses codes to the most accurate diagnosis and appropriate code specificity. Review records prior to scheduled appointments and accurately identify conditions not yet incorporated in the Problem List to...

A healthcare provider in Green Bay seeks a Risk Adjustment Coder Analyst to perform coding reviews of medical records and ensure compliance with CMS HCC guidelines. The role includes educating providers on coding practices, identifying gaps in preventive services, and conducting quality audits. Candidates should have an associate's degree in a healthcare field and 1-3 years' experience in a healthcare setting. Knowledge of ICD-10 codes and Electronic Health Records (EPIC) is preferred. This position offers opportunities for professional development and essential contributions to patient care. #J-18808-Ljbffr

Back Risk Adjustment Coder Analyst- Quality- Hansen #26-208 Green Bay, Wisconsin, United States Apply X Facebook LinkedIn Email Copy Location Hansen-006 Description This position will work 40 hours per week Risk Adjustment Coding Analyst Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health-they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care. Job Summary At Prevea Health the Risk Adjustment Coding Analyst will perform coding reviews of medical record documentation to ensure proper capture of CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement activities. The Risk Adjustment Coding...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a PROFESSIONAL FEE CODER to join our CODING team! The Professional Fee Coder accurately processes professional service charges, including verification of CPT and ICD codes through our EPIC Workques. May process technical component charges in compliance with Provider Based or RHC Billing requirements. The Professional Fee Coder will perform coding functions for either primary care or specialty focused areas. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of coding principles normally acquired through an Associate's Degree in Health Information Management, Healthcare Business Services, or an equivalent program with emphasis in coding or a minimum of two years coding experience. Experience or...

Job Number: 179440, Job Title: Outpatient Coder III, Salary: $26.87 - $34.26 Harris Health System is the public healthcare safety‑net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low‑income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient‑centered clinics and health centers and its strong partnership with nationally...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday. Preferred Skills and Experience: - At least 2 years of coding experience. - Experience with CPT modifiers and how they impact...

MUST RESIDE IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE. Counter Affidavit as well as Testimony experience is preferred. We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Texas based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is preferred. Responsibilities Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to determine medical necessity and documentation compliance Review and prepare demand packages and audit response materials Analyze records for payer disputes and recoupments Prepare written audit findings and defensible reports Provide expert support for depositions and testimony as needed Review...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a Facility Inpatient Coder to join our team! This Position Can Be Trained and Worked Fully Remote Assigns ICD-10 CM, ICD-10 PCS and CPT codes based on a review of the health care record documentation and application of professional coding standards and billing regulations. Reviews and collects various health information data elements for patient care, statistical, financial and research purposes. Maintains confidentiality of health information. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of medical record and coding practices normally acquired through completion of an Bachelor or Associate Degree in Health Information Technology or Coding, or an equivalent program with emphasis in coding...

MUST RESIDE IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE. Counter Affidavit as well as Testimony experience is preferred. We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Texas based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is preferred. Responsibilities Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to determine medical necessity and documentation compliance Review and prepare demand packages and audit response materials Analyze records for payer disputes and recoupments Prepare written audit findings and defensible reports Provide expert support for depositions and testimony as needed Review...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a Facility Outpatient Coder to join our team! This Position Can Be Trained and Worked Fully Remote Assigns ICD10 CM and CPT codes based on a review of the health care record documentation and application of professional coding standards and billing regulations. Reviews and collects various health information data elements for patient care, statistical, financial and research purposes. Maintains confidentiality of health information. HOURS: Full Time or 1.0 FTE, 80 hours every pay period. Flexible day hours. Experience/Qualifications Knowledge of medical record standards and coding practices is normally acquired through completion of a Bachelor or Associate Degree in Health Information Technology or Coding, or an equivalent program...

Coder and Database Intern for App and Website Job No: 511206 Division/Organization: Community Partners Department: The Rigby Job Type: Local Work Study Student Jobs Remote Eligibility: All Remote Location: Off Campus Work Study Salary / Wage: $15 Job Categories: Interpersonal Communication, Leadership, Critical Thinking/Problem Solving, Digital Technology, Teamwork/Collaboration, Professionalism/Work Ethic, Communications, Broadcasting, and Media Arts, Business Management, Finance, and Marketing, Customer Service, Hospitality, Information Technology and Computers, Data Analysis, Summer Off-Campus Opportunities, Career Management, Honoring Context and Culture, Federal Work-Study Preferred Department Overview The Technology and Development Department is responsible for designing, building, and maintaining the digital systems that support Internera and its projects. This department focuses on creating practical technology solutions that help businesses operate more...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday. Preferred Skills and Experience: - At least 2 years of coding experience. - Experience with CPT modifiers and how they impact...

Description Western Wisconsin Health is looking for a full-time Medical Coding Specialist (0.8 FTE) to join the Health Information Management department. The Medical Coding Specialist is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the HIM Director, accurately code inpatient, observation, outpatient diagnostic, therapeutic, consultative, emergency department services, ambulatory surgery (same day surgery), and clinic encounters, as assigned. Obtain appropriate reimbursement levels for professional services by reviewing and coding clinical diagnoses and procedures for physician visits and other services, conditions and procedures as documented in the ICD-10-CM and Official Guidelines for Coding and Reporting and CPT Coding Guidelines. Resolve errors associated with...

Fully Remote • Remote N/A • OCHIN Billing Services Description MAKE A DIFFERENCE AT OCHIN OCHIN is a rapidly growing national nonprofit health IT organization with two decades of experience transforming health care delivery to drive health equity. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our mission OCHIN provides leading-edge technology, data analytics, research, and support services to nearly 1,000 community health care sites, reaching nearly 6 million patients nationally. We believe that every individual, no matter their race, ethnicity, background, or zip code, should have fair opportunity to achieve their full health potential. Our work addresses differences in health that are systemic, avoidable, and unjust. We partner, learn, innovate, and advocate, in order to close the gap in health for individuals and communities...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

SUMMARY Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. ESSENTIAL FUNCTIONS Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current official coding guidelines to ensure consistent and accurate coding of diagnostic...

We are seeking a skilled Medical Biller to join our client's healthcare team in the United States. The ideal candidate will be responsible for accurately and efficiently processing medical claims and invoices, ensuring timely reimbursement from insurance companies and patients. The Medical Biller will work closely with healthcare providers, insurance companies, and patients to resolve billing discrepancies and ensure compliance with regulatory requirements. Job Responsibilities Claims Processing: Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement. Billing: Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies. Insurance Verification: Verify patients' insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services being rendered. Coding: Assign appropriate medical codes (ICD-10, CPT, HCPCS)...

Note: Please only apply to the specific job posting for which you have experience in the specialty. Duplicate applications will not be considered. Job Summary We are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Podiatry Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensure accuracy in medical coding, and facilitating timely payments from insurance companies and patients. A strong understanding of podiatry-specific medical terminology, coding systems, and collections is essential for success in this role. Responsibilities Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS specific to podiatric procedures. Review patient records to ensure all necessary information is included for billing purposes. Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. Follow up...

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we...

It's more than a career, it's a calling WI-Turville Bay Worker Type: Regular Job Highlights: This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies...