57 billing coder jobs found

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process...

A leading healthcare provider in South Carolina is seeking a Medical Coder to join their team. The Medical Coder will accurately translate medical diagnoses, procedures, and services into codes, ensuring proper billing and compliance. Responsibilities include reviewing medical records and applying coding guidelines. Ideal candidates will have knowledge of medical terminology and possess coding credentials. This position offers opportunities for career development in a supportive environment. #J-18808-Ljbffr

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s).Communicates with providers and team members regarding coding issues.Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values:Inspire health.Serve with compassion.Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation.Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to providers in order to clarify...

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating / reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office / clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding / billing updates and payer specific coding guidelines for multi-specialty medical practice(s).Communicates with providers and team members regarding coding issues.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Validates / reviews codes for assigned provider(s) / Division(s) based on medical record documentation.Adheres to all coding and compliance guidelines.Responsible for resolving all assigned pre-billing editsCommunicates billing related issues and participates in meetings to improve overall billing processProvides feedback to providers in order to...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable....

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Job Description Essential Functions Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits. 15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%...

A health organization is seeking a qualified coding professional responsible for validating and reviewing codes for various medical settings. The ideal candidate will have at least 2 years of professional coding experience and a Certified Professional Coder (CPC) certification. The role includes resolving billing edits, communicating with supervisors, and participating in ongoing education related to coding practices. Join us at a dynamic healthcare organization that values transformation in healthcare service. #J-18808-Ljbffr

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits. Communicates billing related issues and participates in meetings to improve overall billing process. Provides feedback to providers...

Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support...

A regional healthcare provider is seeking a qualified medical coder to validate and assign coding for various healthcare settings. The ideal candidate will adhere to compliance guidelines and communicate effectively with providers regarding coding issues. Prospective applicants should have at least two years of coding experience, certification as a Certified Professional Coder (CPC), and strong knowledge of payer guidelines. This role supports a collaborative environment aimed at improving healthcare services in the community. #J-18808-Ljbffr

Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in...

A leading health organization seeks a skilled candidate for HCC coding roles in Boyce Lawn, South Carolina. You will lead prospective and retrospective reviews to identify and confirm coding opportunities with providers. The role requires five years of professional coding experience along with CPC and CRC certifications. The ideal candidate will excel in communication and proficiency in healthcare coding software. Join us to inspire health and serve with compassion. #J-18808-Ljbffr

A healthcare provider in South Carolina is seeking an experienced healthcare coder to conduct reviews for Hierarchical Condition Categories (HCC) coding. Responsibilities include conducting prospective and retrospective chart reviews, communicating with healthcare providers on documentation, and utilizing software tools for data capture. The ideal candidate will have a high school diploma, relevant coding certifications, and five years of professional coding experience. This position emphasizes knowledge of coding practices and contributes to improving healthcare outcomes. #J-18808-Ljbffr

Professional Medical Coder II - Remote Position, Must Reside in South Carolina $5,000 Sign-on Bonus Coding Full Time AM Shift 8 a.m. to 5 p.m Sign-On Bonus: 5,000 Consistently named best hospital, Lexington Medical Center anchors an expansive health care network that includes nearly 600 physicians and advanced practice providers at nearly 80 locations across the Midlands of South Carolina, making it the region's third largest employer. From general medicine and orthopaedics to oncology, cardiology and neurosurgery, these dedicated professionals combine the highest quality care with advanced medicine and state-of-the-art technology to help patients achieve the best possible outcomes. Its postgraduate medical education programs include family medicine and transitional year residencies. Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from...

SUMMARY Resolves complex coding scenarios. Provides feedback and documentation advice to the physician and practice management. Works with AR to resolve coding related denials. Serves as liaison between the practice and Physician Network Services and/or other departments SPECIFIC DUTIES MAY INCLUDE: Reviews and codes complex operative procedures for all service lines Assist and direct specialty practices or other appropriate staff in surgical documentation, billing, coding, and reimbursement issues Assists in the auditing of all service lines Work in conjunction with billing staff on follow up and resolution of coding related denials and rejections Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9/ICDD-10 materials, the Federal Register, and other pertinent materials QUALIFICATIONS Minimum education: must be high school graduate or GED required...

Crossroads Treatment Centers Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. Day in the Life of a Medical Coder Assign ICD-10-CM and CPT/HCPCS codes with modifiers for services provided in the...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable....

divh2Provider Coding Specialist/h2pJoin Team Tidelands and help people live better lives through better health! Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our regions largest health care provider we are also one of our areas largest employers. More than 2500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day./ppA Brief Overview/ppUnder the supervision of the Coding Supervisor the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes CPT and HCPCS codes to professional surgical patient accounts based on the medical information provided and consistent with regulatory guidance and best practices in the industry and Organization policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries...

Coder The coder will review documentation of providers and assign CPT codes, ICD10 codes, and modifiers for provider professional services. The coder is responsible for providing coding education to providers and completing daily billing functions. Other duties as assigned by Practice Manager. Minimum Requirements Education High School Diploma or equivalent Experience N/A License/Registration/Certifications Certified Coder-CPC or CCS-P Preferred Requirements Preferred Education Associate's Degree Preferred Experience 2 years billing/coding experience Preferred License/Registration/Certifications N/A Core Job Responsibilities Review provider documentation in the electronic medical record to identify incomplete documentation and communicate with provider for completion Assign appropriate ICD-10 and CPT codes Assign modifiers as appropriate Review and correct (if appropriate) provider audits Provide coding/billing education to providers...

Professional Medical Coder II Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications Minimum Education: High School Diploma or Equivalent Minimum Years of Experience: 3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards Required Certifications/Licensure: Active AAPC or AHIMA Coding Credential Required Training: Experience working with CPT, ICD diagnosis coding; Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor billing requirements; Must be computer literate and have experience with...

Professional Medical Coder I (Remote Position, Must Reside in South Carolina) Coding Full Time AM Shift 8a-5p, Mon-Fri Sign-On Bonus: $5,000.00 Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina and the first hospital in the state to achieve Magnet with Distinction status for excellence in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina's first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and...

Compliance Coding Auditor Hours: Variable Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $48.140 - $62.110 - $76.080 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit...