90 certified irc coder jobs found

Job Posting The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests was performed and meets all state federal local and payer guidance. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcome. Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue Integrity Department to ensure prompt resolution. Works with medical staff to resolve coding issues and associated problems. Reports and communicates any...

Porter is hiring a Risk Adjustment Coder to support in-home health assessments. The ideal candidate will have a CPC or CSS certification and at least 5 years of risk adjustment coding experience, ensuring 98% coding accuracy and compliance with CMS guidelines. Responsibilities include coding documentation, managing provider queries, and providing feedback for improved coding practices. This position is based in Pompano Beach, FL and includes competitive benefits and opportunities for professional growth. #J-18808-Ljbffr

Porter Cares, Inc. is hiring a Risk Adjustment Coder to improve coding accuracy and facilitate effective in-home health assessments. The ideal candidate will possess a CPC or CSS certification and have a minimum of 5 years of risk adjustment coding experience. Responsibilities include coding assignments, managing documentation accuracy, and supporting coding education initiatives. The position offers a competitive wage between $50,000 - $54,000 annually with opportunities for professional growth. #J-18808-Ljbffr

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team!   Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.    Position Overview We are seeking a certified coder with expertise in risk adjustment...

Risk Adjustment CoderPorter is hiring a Risk Adjustment Coder to join our team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.Position OverviewWe are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home...

Porter is looking for a certified Risk Adjustment Coder to join our team in Pompano Beach, FL. This role is crucial for ensuring the accuracy of coding related to in-home health assessments, requiring strong expertise in risk adjustment coding, as well as the ability to handle multiple clients' specific needs. The ideal candidate will maintain a minimum coding accuracy of 98%, ensuring compliance with CMS guidelines while collaborating with clinical teams to provide insights on documentation improvements. Working hours are Monday to Friday with potential for some weekends and overtime. Join Porter to make a meaningful impact on healthcare delivery! #J-18808-Ljbffr

Overview The purpose of the Medical Biller is to help our clients correctly bill their insurance companies for the services they receive at Bayside Urgent Care Center. This role helps patients understand their insurance coverage and billings, and it helps the urgent care by ensuring we are paid for our services. It is an essential urgent care job. Responsibilities Create accurate, formally correct insurance claims and send these claims to insurance companies for reimbursement. Be familiar with and able to perform duties with electronic billing software and practice management systems, including electronic and paper claim processing and clearinghouses. Have familiarity with and be able to perform duties with all claim formats for major payers (e.g., BCBS and other private payers, Medicare, Medicaid, TRICARE, workers’ compensation, and disability organizations); adjust claims as required. Obtain referrals and pre-authorizations as required for procedures. Verify that...

The MRA Coder role at DaMar Staffing focuses on coordinating retrospective and concurrent chart reviews using HCC coding to translate, input, extract and validate medical record data. You will review medical histories and reports to ensure diagnoses are supported by documentation, schedule chart reviews with physician practices, and help obtain records for audits. Fluency in English and Spanish, a CPC/CPMA/CRC/CCS-P/CCS credential, and expert Excel skills are required to support compliant risk #J-18808-Ljbffr

At ClareMedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the ClareMedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At ClareMedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to ClareMedica. Essential Functions We are seeking an accurate, detailed oriented Coder to join our team. You will play a key role in reviewing...

MRA Coder The MRA Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data. Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and Reporting Schedule chart reviews with Physician practices Assist in obtaining medical records from Physicians to support audits requested by Health Plans Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment. Educate Physicians regarding proper billing and documentation policies, procedures, and conflicting/ambiguous or...

Coding AuditorThe Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals.ResponsibilitiesReviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds within 5...

Job PostingThe Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests was performed and meets all state federal local and payer guidance.ResponsibilitiesReviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines.Applies sequencing guidelines to coded data according to official coding rules.Reviews medical records to ensure appropriate documentation.Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcome.Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue Integrity Department to ensure prompt resolution.Works with medical staff to resolve coding issues and associated problems.Reports and communicates any suspected coding...

Job DescriptionThe Coder III reviews inpatient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines with a 97% accuracy rate, while maintaining coding standards for productivity. This position must preserve confidentiality of health information. This position must be able to use tact and diplomacy when communicating with employees, physicians, administration, and public, under complex or emotional situations.ResponsibilitiesResponsibilities include:Reviews patient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines.Meets Productivity Standard for Inpatient Coding: 17 charts/day.Understands appropriate assignment of MS-DRG, POA, and discharge disposition.Assists with all levels of coding including inpatient, outpatient, and psych.Works as a team member to achieve goals for the department.Assists with data integrity audits, and corrects errors as needed (invalid codes, discharge codes,...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Medical Coder (2381711) Medical Coder - 2381711 Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their...

Coder I - Lee Wound Care Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments and HCC codes. Facility Specific: Responsible for coding ED, Diagnostic, and Ancillary records. Professional Fee: Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary Records. This position is onsite. Educational Requirements Degree/Diploma Obtained Program of Study Required/ Preferred and/or High School Diploma or Equivalent Required Experience Requirements Minimum Years Required Area of Experience...

Coding SpecialistEnsures procedures E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM CPT-4 and HCPCS in an effort to maintain accurate coding and obtain reimbursement all within the professional coding guidelines Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies. Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.Education: High SchoolExperience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required.Credentials: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC)Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race color national origin gender gender identity or gender...

Job Description Job Description Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone.  Responsibilities  Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures Work with doctor’s offices...

Company Overview :Read on to fully understand what this job requires in terms of skills and experience If you are a good match, make an application.Upward Health is an in-home, multidisciplinary medical group providing 24 / 7 whole-person care.Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help.Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients.We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person.It's no wonder 98% of patients report being fully satisfied with Upward Health!Job Title & Role Description :The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT / HCPCS...

A healthcare organization in Jacksonville is seeking a Medical Biller to join their team. In this role, you will assist clients with insurance claims, process necessary documents, and maintain accurate patient records. The ideal candidate has strong customer service and organizational skills with attention to detail. Experience with electronic medical records is required. This position offers a flexible schedule and opportunities for advancement. #J-18808-Ljbffr

Academic Medical Group Inc seeks a Medical Coder for USFTGP UMSA RCO Back End in Tampa. Focus on post-billing coding validation, payer-specific rules, and denial prevention to optimize reimbursement. The role requires CPC certification, high school diploma or GED, and strong experience with CPT/HCPCS, EHR, and billing systems. You will work in a hybrid remote setup from the USF area with Monday–Friday schedules. #J-18808-Ljbffr

Medical Coder - Usftgp Umsa Rco Back End The Medical Coder Accounts Receivable is responsible for reviewing, correcting, and resolving coding ? related claim denials and underpayments to ensure accurate reimbursement. This role focuses on post ? billing coding validation, payer ? specific requirements, and denial prevention through accurate code assignment and documentation review. The coder works closely with financial navigators, providers, and billing teams to reduce outstanding receivables and improve cash flow for the health system. Required: High Diploma or GED Certification Active CPC Certification Work Experience and Additional Information Strong working knowledge of: ICD ? 10 ? CM CPT HCPCS Modifiers Experience working with payer denials, corrected claims, and resubmissions Proficiency with electronic health records (EHR) and billing systems Strong analytical, organizational, and time ? management skills Ability to work independently in a high ? volume, production ?...

Medical Coder Certified The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings. Works from the appropriate documentation in the medical record. Classification systems include ICD-10, CPT, HCPCS, as well as other specialty systems as required by diagnostic category. This position plays a critical role in ensuring compliance with established coding guidelines and regulations to guarantee proper reimbursement. Required: High School or GED Certification Certified Professional Coder - CPC Certified Coding Specialist Physician - CCS-P Work Experience and Additional Information Minimum of two (2) years in practical coding experience is required. Coders are held to high standard; best practice is to achieve a greater than 95% accuracy rate during coding assessments. Primary Location: Tampa Work Locations: USF Faculty Office Building 13220 USF Laurel Dr Tampa 33612...

Academic Medical Group Inc. is seeking a Medical Coder Certified in Tampa to perform accurate coding, charge verification, and data abstraction essential for billing across healthcare settings. The role relies on ICD-10, CPT, HCPCS and related systems, ensuring compliance with coding guidelines to guarantee proper reimbursement. Hybrid remote work and a full-time daytime schedule support work-life balance in health information management. #J-18808-Ljbffr