47 certified professional coder jobs found

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action...

Outpatient Specialty Medical Coder The Outpatient Specialty Medical Coder is responsible for coding outpatient records, Facility, and/or Professional, for the purpose of reimbursement in compliance with federal, state, and regulatory agencies' guidelines using the most current taxonomic and classification systems. Performs coding, charge entry, and charge review including but not limited to, reviewing clinical documentation, appending modifiers and/or correcting edits. The Outpatient Specialty Medical Coder I will be responsible for coding the following services: Non Centra Medical Group (CMG) Vascular, Endoscopy, Orthopedic Surgery, Gynocologic Surgery, Surgical Observation, General Surgery, Plastic Surgery, Neurosurgery, Urology, Bariatric Surgery, and Pain Management. Responsibilities Reviews clinical documentation and assigns appropriate outpatient facility and/or professional codes, reviews/posts charges for the purpose of reimbursement, research, and compliance in...

Hospital Inpatient Coding Specialist The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra's coding policies. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information. Responsibilities Assigns diagnosis and procedure codes. Verifies accuracy of DRG Accurately abstracts required...

Coding Account Resolution Specialist-Outpatient Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. We are seeking a Coding Account Resolution Specialist-Outpatient for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! The Coding Account Resolution Specialist-II (CARS-II) works outpatient coding related alerts/edits for SDC, OBV, and Wound Care, accounts, predominately post initial/final coding. The CARS-II performs the alert/edit resolution activities in the applicable systems. The...

Inpatient Coder Do you have the career opportunities as an Inpatient Coder you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nations leading provider of healthcare services, HCA Healthcare. Our teams are a committed, caring group of colleagues. Do you want to work as an Inpatient Coder where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! As a work from home Inpatient Coding Specialist, 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. You will perform coding and/or code/DRG validation across multiple entities. What you will do in this role: Assigns, sequences, validates, and/or edits codes/DRGs and abstracted data (e.g., physician, discharge...

Medical Coder III Position The Medical Coder III position plays a critical role in ensuring accurate medical coding and documentation. This involves handling complex case scenarios, applying a combination of facility coding and professional coding, and aligning with industry standards.

Description Sierra7 is looking for a Outpatient Medical Coding Auditor to support the Department of Veterans Affairs. The Auditor will have expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). The Medical Coding Auditors will serve as experts of current coding conventions and guidelines related to professional and facility coding and perform audits of encounters to identify areas of non-compliance in coding. This is a Part Time opportunity, and we are looking for auditors who can commit to a minimum of 20 hours per week, scheduled at your discretion from Monday through Sunday weekly. Position Responsibilities: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure...

Outpatient Medical Coder The outpatient medical coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the veteran affairs health care system (vahcs). The medical coder will access the veteran affairs vista/cprs system to read and...

Medical Record Reviewer Position Status Label: Non-Exempt Labor Category: Admin Remote/Onsite: Remote Additional Informations: This job is for new sourcing The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring ...

Your Future Evolves Here Evolent is on a mission to transform healthcare for individuals with complex and costly conditions. By collaborating with health plans and providers, we aim to create a more integrated healthcare system that offers high-quality care and compassion, just as we would want for our loved ones. We value work/life balance, offering flexible schedules that allow you to tailor your work to your life. Our commitment to diversity and inclusion ensures that you can bring your whole self to work. Join Evolent not only for the impactful mission but also for a supportive and inclusive culture. What You'll Be Doing: As a Program Integrity Coder and FWA Auditor, you will play a crucial role in ensuring the integrity of claims by reviewing and verifying complex claim submissions for compliance with coding standards and billing guidelines. You will foster meaningful partnerships with both internal and external stakeholders while thriving in a collaborative...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: As an Outpatient Medical Coder, you will engage in comprehensive reviews of medical records to extract important medical and demographic data. You will apply your knowledge of ICD and CPT coding systems to accurately interpret diagnoses and procedures, positively impacting our accounts receivable efficiency. ESSENTIAL RESPONSIBILITIES Thoroughly review and interpret medical information, including physician treatment plans and outcomes, to determine the correct ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstract and input data elements to fulfill statistical requests from hospitals, health systems, and medical staff. (15%) Manage medical information and ensure effective cash flow concerning unbilled coding reports. (10%) Stay updated on ICD-10 CM/CPT guidelines through training, coding clinics, and other resources, and implement these updates in your daily...

This is a remote-based position. Applicants can be located nationwide. About You Are you an experienced coder with a background in Profee Outpatient Coding? We are seeking a highly motivated individual responsible for the precise assignment of Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes from both paper and electronic medical records. Share your Profee Outpatient Coding experience with us. Are you a collaborative team player who excels as a self-starter? What sets you apart as a professional who enhances a company’s reputation? Bring your problem-solving skills to manage multiple projects effectively. We are looking for someone exceptional—what makes you unique? If you are dedicated, value teamwork, and uphold integrity and professionalism, we are excited to meet you! About The Position Thoroughly review medical documentation to assign principal and secondary diagnoses and procedures utilizing your understanding of...

Join Datavant, a leader in health data exchange, as we revolutionize the way healthcare decisions are made. Our platform is committed to delivering the right data securely and efficiently, enhancing decisions in healthcare. At Datavant, you will be part of a dynamic and values-oriented team tackling challenging issues in healthcare with cutting-edge technology. We value diverse experiences and believe in collective ambition to drive our goals forward. What We're Looking For: We seek certified and experienced inpatient coders with a keen attention to detail and a solid grasp of medical terminology. This is a fully remote position with flexible hours, allowing you to work at your convenience while making an impact in the healthcare sector! Your Key Responsibilities: Accurately assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes. Abstract and sequence medical codes from patient records, ensuring strict compliance with documentation...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Join Datavant, a pioneering data platform company transforming the health data exchange landscape! We are committed to empowering every healthcare decision with the accurate data it deserves. Our comprehensive health data network ensures secure, accessible, and usable information, enabling healthcare professionals to make well-informed decisions. As part of our dynamic and high-performing team, you will address some of the most challenging obstacles in healthcare with cutting-edge technology solutions. We celebrate diverse professional, educational, and personal backgrounds, all contributing to our ambitious goals. We are on the lookout for experienced and credentialed outpatient coders to strengthen our team. Candidates must possess exceptional attention to detail and a strong grasp of medical terminology. This fully remote position offers flexibility, allowing you to contribute to the future of healthcare from your own workspace! Key Responsibilities: Review medical...

Datavant is a leading data platform company specializing in health data exchange, dedicated to empowering healthcare decisions with timely and accurate data. We harness the power of the largest health data network in the U.S. to ensure data is secure and effectively used to enhance health outcomes. Joining Datavant means becoming a vital part of a high-performing, values-driven team that is addressing complex healthcare challenges with innovative solutions. Our team members come from diverse professional, educational, and personal backgrounds to pursue our ambitious vision for healthcare. We are actively seeking skilled and credentialed outpatient coders to enhance our team. The ideal candidate will demonstrate exceptional attention to detail and possess a profound understanding of medical terminology. This remote position offers flexibility, allowing you to contribute significantly to the future of healthcare from your own home! What You Will Do: Review medical records...

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...

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or payer...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Medical Coder to join our growing team. Job Summary: The Medical Coder is responsible for reviewing inpatient medical record documentation to ensure the accuracy, completeness, and clinical...

Inova Health is looking for a dedicated Medical Records Coder 2 to join the HB Coding Operations team. This role is Full-time working daytime hours Monday to Friday | REMOTE. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance:...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Description Leidos, a global technology leader, is seeking a Combat Coder for our Sentinel program, supporting the United States Air Force in geographically distributed intelligence operations. Combat Coders directly support mission objectives by integrating data sources and interfaces quickly while being embedded with the user base. As a Combat Coder you will engage directly with our customers to build and modify all aspects of full-stack applications. Your contributions will move directly to production systems and get immediate feedback. You will be working with a small elite team of developers that focus on getting things done to support the mission. Join Leidos in our mission to enhance global security and efficiency through technology and innovation. Be part of a team that champions Integrity, Inclusion, Innovation, Agility, Collaboration, and Commitment. If you're ready to drive critical software deliveries, apply now to join Leidos as a Combat Coder for the...