77 certified coder jobs found

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Job Description Job Description Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors. Position Summary: Codes and/or bills the patient’s medical record using pertinent information according to departmental and HMFP policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries. Essential Functions (Responsibilities/Accountabilities):...

Coding Specialist Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and more complex accounts including but not limited to, medical, surgical behavioral health, IP Rehabilitation and others. Position Responsibilities Key Areas of Responsibility Coding Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for more complex accounts. Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS), interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses...

Job Description Job Description Description: ABOUT US For over 55 years, we have been considered one of the innovative world leaders in the enhancement and improvement of care for foot and ankle medical conditions, sports medicine and clinical programs. Our mission is to improve the quality of life in a patient focused environment by providing the most advanced and knowledgeable foot and ankle care. WFAI has experienced phenomenal development, with expansion into 5 states and a future dedicated to continuing with that growth strategy. As our family expands, we stand by our core values, which include integrity, excellence, trust, caring, tradition and innovation. Position Summary: Responsible for reviewing clinical documentation to abstract and/or validate CPT and ICD-10 coding for Podiatry based coding experience, including evaluation & management (E/M) and surgical coding experience. The coder will ensure that medical records are coded in an accurate and timely...

Responsibilities Hartgrove Behavioral Health System consists of a 160-bed leading psychiatric hospital dedicated to providing quality behavioral health services for a diverse population of all ages. Hartgrove is a flagship behavioral health facility within Universal Health Services, Inc. and throughout Illinois. Hartgrove is a state-of-the-art facility offering some of the most advanced technologies and programs found in the behavioral health field. We are dedicated to our teamwork approach and provide a highly compassionate and therapeutic environment, as well as offering a continuum of specialty programs throughout our inpatient, partial and outpatient services. Coder/Release of Information (ROI) Job Description: Assembles, analyzes, abstracts, and codes medical records. Reconciles daily readiness report. Enters data into departmental computer system. Files miscellaneous reports. Retrieves records as requested. Answers Department Telephones. Handles release of...

HIM Certified Coder The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications: Education: Highschool Diploma or G.E.D Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health...

HIM Certified Coder The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Coding Specialist...

Join Our Team If you are a skilled coder who is committed to accuracy, integrity, and supporting excellent patient care, we'd love to meet you! Coder - Health Information Management Full-Time | Excellent Full-Time Benefits Memorial Hospital - Chester, IL Memorial Hospital is seeking a detail-oriented and motivated AHIMA/AAPC Certified Coder to join our Health Information Management (HIM) team. This is a full-time position offering a comprehensive benefits package, a supportive work environment, and the opportunity to contribute to high-quality patient care through accurate clinical documentation and coding integrity. About the Role The Coder is responsible for accurately coding and abstracting patient encounters across inpatient, outpatient, and clinic services. This role plays a key part in ensuring proper reimbursement, regulatory compliance, clinical documentation quality, and data integrity. Key Responsibilities Code and abstract...

Job Description Job Description Innovative Ventures (affiliated with Metro Infectious Disease Consultants) is seeking a Full-Time Medical Coder who would be responsible for abstracting clinical information from a variety of medical documents and assigning appropriate ICD 10 C and/or CPT codes for the purpose of billing, using the International Classification of Disease and the Current Procedural Terminology. This role would be located in-person (M-F) at the corporate location in Burr Ridge, IL. Specific Duties (examples): Review paper and electronic documents to abstract diagnosis and identify specific coding. Detects billing compliance issues and addresses appropriately. Clarify information or diagnosis by communicating with health care providers. Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing for needed documentation for accurate coding. Code physician office,...

Senior Medical Coder The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. Medical Coding Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. Review and validate coding performed by other coders to ensure consistency and accuracy. Identify ambiguous or unclear terms and query clinical sites or data management for...

Job Posting Work Schedule: 100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote. At UW Health in northern Illinois, you will have: Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance Annual wellness reimbursement Opportunity for on-site day care through UW Health Kids Tuition reimbursement for career advancement--ask about our fully funded programs! Abundant career growth opportunities to nurture professional development Strong shared governance structure Commitment to employee voice Qualifications: High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. RequiredGraduate of a Health Information Technology program. Preferred Work Experience: Two years of progressive inpatient facility coding experience....

Job Description Job Description Description: Remote position. HIM Inpatient Coder - Strong academic, trauma and/or research university coding experience. Principal Duties and Responsibilities: • Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail • Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail • Completes UHDDS data abstraction as required • Maintains a log of work performed • Completes other assigned duties as directed by management Knowledge, Skills, and Abilities: • Knowledge: RHIA, RHIT, and/or CCS Certification • Minimum 3 years' experience Inpatient medical record coding • Knowledge of medical terminology and anatomy and physiology required • Windows applications, Outlook, WebEx and other apps as needed to perform role Abilities: • Ability to concentrate on task at hand in open distracting environment independent manner;...

Job Description Be a part of a world-class academic health-care system at UChicago Medicine as a Clinical Data Analyst – Same Day Surgery/Observation Coder . This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area.   In this role, the Clinical Data Analyst – Same Day Surgery/Observation Coder, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting.    Essential Job Functions   Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts  Abstracts key data elements required for billing  Reviews records for clinical pertinence  Interacts with providers for clarification of documentation/education  Abstracts and codes records, for patient...

Job Description Job Description The Coding Network, LLC (TCN) is the country’s premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors. Flexible Hours: We understand that everyone’s schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you’re looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you. Position & Responsibilities: In order to support the growing need for E&M services and surgical divisions, there are abundant opportunities for...

Job Description Job Description *MUST LIVE IN ILLINOIS OR A STATE SURROUNDING ILLINOIS TO APPLY* The Ambulatory Coding and Reimbursement Specialist is responsible for reviewing, analyzing, and coding ambulatory and/or hospital encounters, diagnostic and procedural information used in the billing of charges for physician's services. Ensures compliance with established coding procedures, regulatory guidelines and reimbursement policies. Reviews medical record documentation for E/M encounters from multiple specialty departments for proper assignment of ICD-10, CPT, HCPCS and modifiers. Performs initial charge review to determine appropriate CPT and ICD-10 codes to be used in reporting physician services to third party payers. Essential Duties and Responsibilities: Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT and current Evaluation and Management Guidelines Interprets outpatient office visit...

Pro Fee Coder, Surgical Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position: Pro Fee Coder, Surgical Location: Hybrid (Skokie, IL and remote) Position Type: Full-time Hours: Monday-Friday, standard 8.5 hour workday, must be flexible to accommodate early am or pm physician meetings as needed. Travel: Flexible WFH arrangement, however this is not a fully remote position. Candidate must be able to occasionally travel between NS locations. What You Will Do: Provide virtual and in-person coding and documentation education to physicians, advance practice providers, practice managers, and revenue cycle coders. Perform billing provider audits to identify missed revenue and/or compliance risk. Analyze progress notes, op reports, pathology reports, explanation of benefits, patient insurance information, and various other health information documents for coding and billing...

Job Posting As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 105 H Compensation Range: $19.96 - $27.94 Responsibilities General Purpose: Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment. Prepares reports for designated leader(s). Essential Functions: Uses knowledge of...

Job Posting Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Medical Records Work Type: Full Time Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 AM) Pay Range: $29.36 - $47.79 per hour Summary: Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures. Other Information: Knowledge, Skills, and Abilities: High School (GED) required RHIA, RHIT, and/or CCS Certification required Minimum 3 years experience in medical record coding required Knowledge of medical terminology and anatomy and physiology required Windows applications, Outlook, WebEx and other apps as needed to perform role Cooperates well with others Competent attention to detail and accuracy Proficient with...

Contract Position: Automation Support This is a 6-9 month set contract need to support automation within the business office. Contract needs may extend longer. 100% remote role; must sit in driving distance to a facility for equipment support - prefer candidates that sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest. Responsibilities: Assigns procedural codes according to coding conventions defined by the American Medical Association's CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting. Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations. Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality. Collaborate with Clinical Auditors to...

Contract Position: Automation Support This is a 6-9 month contract need to support automation within the business office. Contract needs may extend longer. 100% remote role; must sit in driving distance to a facility for equipment support - prefer candidates that sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest. Responsibilities include: Assigning procedural codes according to coding conventions defined by the American Medical Association's CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. Assigning diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting. Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations. Researching and resolving coding related issues accordingly per established EPIC Charge Review Work Queue functionality. Collaborating with Clinical...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose: The Coding Specialist III can maintain up to two concurrent client assignments that are short-term in nature. For each client, the Coding Specialist III reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations,...

Vascular Surgery Coder The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer...

Job Title Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

Physician-Based Coder Certified Join Loyola Strong. Be part of something greater. Loyola Medicine, part of Trinity Health, is a nationally recognized academic health system in Chicago's western suburbs. We are seeking a Certified Physician-Based Coder to join our team and support accurate coding and compliance across multi-specialty services. What you'll do: Review and accurately code procedures and surgeries from physician documentation. Assign CPT, HCPCS, ICD-10 codes, and modifiers to ensure proper billing and reimbursement. Confirm documentation supports codes assigned and query providers when clarification is needed. Apply coding regulations and payer guidelines to reduce audit risk and support compliance. Work with revenue cycle teams to ensure timely, consistent billing. What you'll need: Associate degree or equivalent education/experience Graduate of an accredited medical coding program 12 years of relevant coding experience One of the following...