26 associate coder jobs found

Coder - Professional Functioning within the health system# mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity. Education: An associate#s degree or completion of a certified coding program is required. Licensure/Certification: Current CPC or AHIMA Certified Physician Coder is required. Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder - Professional position, s/he must successfully obtain certification within one year of hire. Experience: A minimum of two years of coding experience in a physician#s office or hospital setting is preferred. Skills: Must be knowledgeable in grouper mechanics,...

A healthcare organization in Kettering, Ohio, is seeking a Certified Risk Adjustment Coder. This full-time role involves reviewing ambulatory records and coding outpatient patient records to ensure accurate risk adjustment. Candidates must hold an Associate or Bachelor’s degree in Health Information Management and have at least one year of coding experience. Certification as a Certified Risk Adjustment Coder (CRC) is required. Strong communication skills and teamwork abilities are essential for successful collaboration with providers and clinical documentation specialists. #J-18808-Ljbffr

Job Details Physician Office | Kettering | Full-Time | First Shift Responsibilities & Requirements Job Overview: The Certified Risk Adjustment Coder is responsible for reviewing the ambulatory records for the appropriate risk adjustment components. The Risk Adjustment Coder will identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes. The Risk Adjustment Coder will leverage the MEAT (Monitor, Evaluate, Assess, Treat) criteria for accurate documentation by providers. When appropriate, the Risk Adjustment Coder will query providers to clarify the HCC codes placed, inquire on additional documentation to support the HCC code placed, or discuss overall opportunities within the record. The Risk Adjustment Coder will supplement the educational offerings of the MSO by providing right-time feedback to providers when documenting or coding the risk adjustment on patient records. The Risk Adjustment Coder...

ICD-10 CODER-DRG/APC SPEC Health Information Management Services Full-time / 6:30A-4P / 72 hours per pay This shift is a 9 hour shift Under the general direction of the Coding Supervisor of Health Information Management Services, this employee is responsible for the coding and abstracting of all Inpatient visits or Specialty Outpatient Surgery/Observation visits or both based on physician documentation in the Medical Record. He/she is responsible for collaborating with the Clinical Documentation Specialists to ensure appropriate documentation to validate accurate diagnostic and procedural information on each inpatient record. Accurate coding/abstracting and correct DRG or APC assignment is expected while adhering to the guidelines of the current coding classification systems and AHIMA's Standards for Ethical Coding. He/She is also responsible for following up on outstanding accounts for billing. All work is carried out in accordance with The Joint Commission on Accreditation...

A leading health care provider is seeking an Outpatient Coder I to work remotely from Ohio. This part-time position involves translating healthcare services into standardized codes and requires an understanding of ICD-10-CM, CPT, and HCPCS coding. Candidates should have an associate or bachelor's degree in Health Information Technology, outpatient coding experience, and relevant certifications. The role offers a competitive salary and comprehensive benefits package, effective from day one of employment. #J-18808-Ljbffr

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

ICD-10 CODER-DRG/APC SPEC Health Information Management Services Full-time / 6:30A-4P / 72 hours per pay This shift is a 9 hour shift Under the general direction of the Coding Supervisor of Health Information Management Services, this employee is responsible for the coding and abstracting of all Inpatient visits or Specialty Outpatient Surgery/Observation visits or both based on physician documentation in the Medical Record. He/she is responsible for collaborating with the Clinical Documentation Specialists to ensure appropriate documentation to validate accurate diagnostic and procedural information on each inpatient record. Accurate coding/abstracting and correct DRG or APC assignment is expected while adhering to the guidelines of the current coding classification systems and AHIMA's Standards for Ethical Coding. He/She is also responsible for following up on outstanding accounts for billing. All work is carried out in accordance with The Joint Commission on...

System Support in Dayton, Ohio seeks a full-time ICD-10 Coder for health information management services. This position entails coding and abstracting inpatient and outpatient visits based on physician documentation, as well as collaboration with Clinical Documentation Specialists. Qualifications include an Associate Degree in Health Information Management, proof of completion of an ICD-10 course, and certification (RHIT, RHIA, or CCS). The role requires strong communication skills, accuracy in coding, and adherence to ethical standards. #J-18808-Ljbffr

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 and implementing these updates in...

ICD-10 CODER-DRG/APC SPEC HEALTH INFORMATION MANAGEMENT SERVICES FULL-TIME / 6:30 AM - 4:00 PM / 72 HOURS PER PAY THIS SHIFT IS A 9 HOUR SHIFT Responsibilities Code and abstract all inpatient visits or specialty outpatient surgery/observation visits or both based on physician documentation in the medical record. Collaborate with Clinical Documentation Specialists to ensure appropriate documentation to validate accurate diagnostic and procedural information on each inpatient record. Ensure accurate coding/abstracting and correct DRG or APC assignment while adhering to guidelines of current coding classification systems and AHIMA’s Standards for Ethical Coding. Follow up on outstanding accounts for billing. Carry out work in accordance with The Joint Commission on Accreditation of the Healthcare Organization and Premier Health Partners HIMS approved policies and procedures. Education Associate Degree in Health Information Management. Proof of completion of an ICD-10 course...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

Location: Remote - Ohio Department: HIM Revenue Cycle Weekly Hours: 20 Status: Part time Shift: Days (United States of America) Job Summary As the Outpatient Coder I, you will translate health care services and procedures into standardized codes on outpatient accounts. You will work with Epic work quests to maintain timeliness of coding, billing, and accounts receivable. You will communicate with providers, coders and clinical documentation specialists as needed for comprehensive patient record documentation. You will formulate, monitor and respond to all compliant documentation clarification requests to query the provider for resolution of incomplete documentation. The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive. Requirements Associate’s or bachelor’s degree in HIT/HIM OR High school diploma AND Certificate of Completion of AHIMA Coding Basics Program and Coding Assessment...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

Become a part of our caring community 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. Where you Come In 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 accuracy of...

Coder - Coding Specialist Hospital Job Description 40 hours/week, Monday - Friday, 8a-4:30p CCS, CPC-H, RHIT or RHIA required or must be obtained within 18 months of hire Relocation assistance Qualifications Associates Degree in HIM required OR at least two years of hospital-based coding experience Sorry, no NEW GRADS Associates and 1 year of hospital-based experience would be acceptable All your information will be kept confidential according to EEO guidelines.

Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the Role: The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy, documentation integrity, ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have extensive knowledge of CPT coding, ICD-10-CM coding, E/M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know where to access...

Medicaid Billing Supervisor Nonprofit $50,000 - $58,000 Monday-Friday 8:00 a.m. 5:00 p.m. EST Columbus, Ohio (onsite/hybrid) Permanent Opportunity What Youll Love This Job: Work for a supportive cause Medical, Dental, Vision Benefits 401K (4% match) What Youll Do: Lead and oversee daily Ohio Medicaid billing operations, including claims submission, payment posting, accounts receivable follow-up, and denial management. Supervise, train, and support billing and AR staff while monitoring productivity, quality, and performance. Serve as the escalation point for complex claims, denials, and billing issues. Ensure accurate claim submission and compliance with Ohio Medicaid regulations, timely filing requirements, and payer guidelines. Monitor clearinghouse and payer rejections, identify root causes, and implement corrective actions. Oversee appeals, payment posting, and resolution of outstanding accounts receivable...

SRMC Has an Exciting Opportunity for Qualified Candidates! Position: Full Time Medical Billing Specialist Department : Patient Accounting Shift: M-F Day Shift PURPOSE Performs a specific operational responsibility within a functional unit within revenue cycle management including customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation. QUALIFICATIONS High School Diploma or GED required. An Associate's degree may offset one year of the experience requirement. A Bachelor's degree may offset the two-year experience requirement. Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Minimum two years of experience in a patient account or financial environment. Knowledge of patient...

PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. JOB DUTIES/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer specific...

Join a Mission-Driven Healthcare Team Meridian HealthCare is hiring a Medical Billing Specialist / Accounts Receivable (AR) Specialist to join our billing and revenue cycle team in Youngstown, Ohio. We're seeking a detail-oriented, reliable, and organized professional experienced in medical billing, claims follow-up, insurance verification, and AR management. This role is vital to ensuring accurate billing, timely payments, and strong payer relationships across our integrated healthcare system. Key Responsibilities Accurately enter and maintain patient demographics and billing data within the EHR system. Verify insurance eligibility and authorizations prior to claim submission. Submit and track medical claims through clearinghouses and payer portals. Review aging and AR reports, identify unpaid claims, and follow up to ensure prompt reimbursement. Post electronic and manual payments from insurance payers and patients. Research and resolve denials, rejections,...

Medical Claims Specialist This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. Job Duties/Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer specific policies and...

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 0.01 Work Shift: Days/Nights (United States of America) Mercy Health About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. House Supervisor - Perrysburg Medical Center Job Summary: The Facility Nursing Supervisor is responsible for maintaining continuity of patient care in the absence of the unit nurse managers/directors in all areas of the hospital. Essential Functions: Supervises and coordinates activities of hospital personnel to...

Inpatient Coder (Remote) Full-time Work From Home Must have CCS, RHIA, or RHIT certification Job Summary As a Coding Integrity Specialist III WORK FROM HOME, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and ICD-10-PCS codes. A CIS III performs coding and/or code/DRG validation across multiple entities by applying all appropriate coding guidelines and criteria for code selections. Job Qualifications Assign, sequence, validate, and/or edit codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS Maintain or exceed established accuracy standards Maintain or exceed established productivity standards Utilize the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGs Undergraduate (Associate's or Bachelor's)...

Job Description Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Responsibilities Coding quality: Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG's. Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation. Maintains a coding accuracy rating of at least 95% on records assigned. Queries physicians when necessary to ensure documentation...