184 certified professional coder representative jobs found

Certified Professional Coder Think of yourself as someone who will provide world-class service to our customers or clients in an accurate, efficient, and respectful manner on every call as measured by different performance metrics, so not everyone can qualify for this role. We make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top-notch. So come on, now we need your full concentration because it's time to imagine what it's like being a Certified Professional Coder. As a Certified Professional Coder you will... Audit charts to ensure accurate ICD-10 CM and CPT code assignment as well as documentation integrity to prevent claim denials. Use critical and logical thinking skills in chart-auditing based on the guidance set forth by the client. Uphold netiquette and professionalism in any interaction with the TaskUs team, other vendors and the client. Job Summary: The CPC will be responsible for...

Job Description Job Description Job Description A certified professional biller/coder (CPC) Salary 15-25 base on expertise and experience Responsibilities: ·        Overseeing the medical coding for all healthcare activities ·        Ensure that medical coding used is in compliance with all medical coding laws and regulations ·        Ensure that the coding used is for reimbursable expenses when necessary ·        Provide regular coding, Home Health coding, or hospital coding as appropriate ·        Communicating with patients regarding rejected claims or procedures ·         Interact with doctors, nurses, and office staff ·        Able to work during regular business hours and rarely work overtime or weekends as necessary ·        Responsible for entering charges in as accurate a manner as possible, which means coordinating with the doctor’s office to obtain any missing information (i.e., insurance cards, authorizations, op reports, etc.) Knowledge of correct CPT...

Job Description Job Description Description: Job Title: Certified Coder Division: Finance Department: Health Information Management Supervisor: HIM Manager Status: Non-Exempt Our Mission : To improve the health and well-being of the communities we serve demonstrating compassionate, patient-centered care. Summary The HIM Coder is responsible for coding all medical records accurately in accordance with federal and state guidelines and perform daily functions of the Health Information Department, in accordance with the philosophy, goals, and objectives of the Cozad Community Health System. Essential Duties and Responsibilities This description intends to describe the general nature and level of work performed by employees assigned to this job. It is not intended to include all duties, responsibilities and qualifications. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be...

Certified Inpatient Coder The Certified Inpatient Coder is responsible for the accurate diagnostic and procedural coding of medical records. The Coder is also responsible for the accurate abstracting of medical, financial and demographic information, in addition to performing other events. Core duties and responsibilities include: Reviewing and evaluating designated medical records to identify diagnoses and procedures and accurately assigning and sequencing ICD CM, ICD PCS and/or CPT codes Reviewing medical records for proper assignment of diagnosis and procedure codes according to AHA coding guidelines Contacting physicians and other healthcare providers to clarify diagnoses and procedures Sequencing codes appropriately for accurate DRG Abstracting required data from the medical record, including, but not limited to, Attending Physician, Discharge Disposition, ICD-9-CM, ICD-10-CM, CPT diagnosis and/or procedure codes, and Physician Consultation Completing medical record...

Job Title: Medical Coder Open to remote staff POSITION SUMMARY The Medical Coder is responsible for accurately assigning diagnostic and procedural codes across multiple service lines of the hospital complex, including inpatient acute, emergency, ICU, surgery, outpatient, physician clinic, swing-bed/skilled nursing, assisted living, specialty clinics, and therapy/diagnostics. This role ensures compliant, complete, and timely coding to support accurate claim submission, appropriate reimbursement, and regulatory compliance for a Critical Access Hospital. ESSENTIAL FUNCTIONS Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes to inpatient, outpatient, emergency, surgical, and clinic encounters based on clinical documentation. Code across all service lines, including acute inpatient, swing bed, SNF, ER, observation, outpatient surgery, physician clinic (professional services), therapy, and diagnostics. Apply appropriate revenue codes, modifiers, and occurrence/value/condition codes for...

Surg/Op Coder Fully Remote Home Office - Oklahoma City, OK 73134 Overview Position Type Full Time Job Shift Day Education Level Certification Travel Percentage Occasional Category Health Information Management (HIM) Description JOB PURPOSE: This position is for an Outpatient Coder with Emergency Dept and Ambulatory Surgery coding experience. The coder will code Surgery, Emergency department, and Ancillary records. Emergency Dept coding includes injection & infusion coding as well as the assignment of the E&M Professional fee. Coder will demonstrate competency by meeting productivity standards and achieving an accuracy rate of 95% on all chart types coded. Will abstract and code every account compliantly, accurately, and completely, to ensure accurate and timely reimbursement and reporting. Verifies, reviews, analyzes, and abstracts medical information; researches missing clinical information; assigns accurate codes; appropriately queries physicians when required;...

Job Description Job Description Description: About Primary Health Solutions Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R – Respect I – Innovation S – Stewardship E – Excellence Billing and Coding Specialist Summary Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty. A Day in the Life · Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable. · Review incomplete encounters and code based on available documentation in EHR systems. · Know and understand several different...

JOB PURPOSE: To abstract and code compliantly, accurately and completely as well as group each account to the appropriate DRG to facilitate data quality and ensure accurate and timely reimbursement. Verifies reviews, analyzes, and abstracts medical information; researches missing medical information; assigns accurate codes; appropriately queries physicians when required; elevates documentation issues to management; ensures valid orders are on the record prior to coding; communicates with HIM Director regarding obstacles with orders, charges, physician documentation. Demonstrates proficiency in the coding and grouping of inpatient accounts. ESSENTIAL FUNCTIONS INCLUDE BUT NOT LIMITED TO: Assures data quality by capturing codes and data while complying with NCCI, while maintaining a 95% or higher accuracy rate as validated by audit. Demonstrates consistent and efficient performance by coding a minimum of 3.5 to 4 inpatient accounts per hour. Queries physicians as...

SUMMARY The HIM Coder is responsible for coding activities of patient records. Compliance with rules and regulations of all applicable federal, state and local laws as well as PMHC policies is a condition of employment. ESSENTIAL FUNCTIONS Incumbent must have the skills, ability and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation: Determines proper ICD-10-CM diagnoses and CPT procedure codes on all hospital patients, using the TruCode Encoder, and coding books when necessary.Retrieves records for appropriate medical personnel.Responds to correspondence as necessary.Prepares information for Birth Certificates and transmits to State of Nebraska.Presents a professional, pleasant and positive image.Greets guest promptly and courteously.Maintains confidentiality at all time.Responsible for personal development in attendance of educational programs, etc. SUPERVISORY RESPONSIBILITIES Directly responsible to the...

MRA Coding Auditor Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This is a remote position. General Duties/Responsibilities Supports regular quality assurance (QA) audits of internal Coding Analyst Team to validate and confirm coding & abstracting quality (95% HCC accuracy). These ongoing audits ensure coding quality & performance improvement standards are maintained,...

Job Description Job Description Certified Medical Biller and Coder:  Nephrology and Hypertension Specialists P.A. is seeking for the right individual with a positive attitude to join our growing practice. Qualifying candidate must be able to resolve billing issues, rejections, denials, and appeals. Works with Medicaid and any other governmental or commercial insurance carriers to resolve claim errors and responds to billing questions from internal and external sources. Reviews billing charges and other data for accuracy and potential reimbursement enhancement. Run, review, and summarize reports for billing and reimbursement. Remain up to date on billing guidelines. Works collaboratively with clinical and health information systems staff as well as with Projects & Business Technology staff regarding billing revisions in the electronic billing system. Works as part of a cross-functional team to ensure all services provided are billed in a timely and accurate manner. Handles...

Job Description Under limited supervision the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG. The Coder Inpatient uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. The Coder Inpatient will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes....

As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Dermatology. Use your expertise that will provision the business objectives across the product life cycle. We deliver strategic and operational support by establishing, developing, maintaining scientific exchange with medical specialists, health care professionals, and payers, aligned with our strategic objectives. We provide clinical and health economic information that enhances the value and appropriate use of Regeneron products. You will work on clinical research sites and investigators, and support of research activities as directed by the Global Medical Functional head. Responsibilities of this role are to ensure accurate exchange and distribution of clinical and scientific information relevant to in-line and pipeline products in a timely, ethical and customer-focused manner Territory: New Jersey, Brooklyn, Queens A typical day may include •Engaging in...

Certified Coder Location: Mount Vernon, WA | Position Type: Per Diem | Wage: $37.72 - $50.59 per hour Description: Department: Health Information Management, Skagit Valley Hospital, Exempt: No, Schedule: DAYS Sign-On Bonus: $1,000.00 Job Summary: Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. Essential Functions: Accurately applies ICD-10, HCPCS, CPT, APC or DRG codes for both routing and complete procedures as well as maintains or exceeds the standard level of quality and...

Certified Coder Location: US:WA:Mount Vernon | Administrative Non-Clinical Support | Full Time 0.6 FTE or More Base Wage: $37.72 to $50.59 per hour Sign-On Bonus: $1,000.00 Job Summary Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. To ensure success you need to make judicious decisions on which codes to assign in each instance, and function to a high level of accuracy. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or...

Consulting Team Member We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job works as a consulting team member on client or internal assignments. Handles escalated coding related projects, new services, regulatory updates and overall coding quality. Provides coding education to various groups such as coders, billers, nurses, physicians, etc. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability...

Job Title Responsible for accurate inpatient and outpatient coding, timeliness of coding, and utilization of systems used to perform coding functions. Reports To: HIM Director Classification: Non Exempt Hours/Days: Mon - Fri, 8a to 5p In-Office Qualifications Minimum 2 years of coding experience, Coding credentials preferred. Responsibilities 1. Assigning accurate CPT, ICD, HCPCS codes and modifiers from medical record documentation. 2. Identifying and abstracting information from medical records for audits, internal and external. 3. Work closely with the supervisor during audit procedures. 4. Retrieves Charts. 5. Abstracts accurately. 6. Reviews the unbilled on a daily basis to identify pending accounts. 7. Follows release of Information policies and procedures for H.I.M. Department and routes incoming calls/messages to the correct personnel. 8. Scan coding summaries daily. 9. File completed medical records after coding summaries are placed on charts. 10....

Where Compassion Meets Innovation And Technology And Our Employees Are Family Thank you for your interest in joining our team! Please review the job information below. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. Always maintains utmost level of confidentiality. Adheres to hospital policies and procedures. Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. Reviews the medical record and assigns the appropriate ICD and CPT...

Coding Specialist Assigns and sequences International Classification of Diseases (ICD-10-CM) diagnosis and procedures codes correctly. Job Responsibilities: Reviews patient records in a timely manner in order to identify an appropriate selection of codes that will accurately reflect the reason for admission, extent of care received, and level of severity of illness. Assigns and sequences International Classification of Diseases (ICD-10-CM) diagnosis and procedures codes correctly. Seeks clarification from medical records and healthcare providers when necessary. Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent literature. Skills and Attributes: Requires critical thinking skills and decisive judgment. Must be able to work in a stressful environment and take appropriate action. Works under general supervision. Requires a strong understanding of the specialized concepts, practices, and procedures in the area of...

Avera Downtown Building-Sioux Falls Coder Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment. What You Will Do Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM diagnosis and PCS procedure codes for assigned patient charts across Avera's facilities. Understand the basics of ICD-10-CM and PCS codes in depth,...

Career Opportunities with Think Aksarben JOB SUMMARY: The Clinical Coder is responsible for performing and ensuring the accurate and timely completion of patient record coding. This role serves as the educator, subject matter expert, and liaison for all coding matters. The Clinical Coder investigates and resolves coding related issues and leads the process improvement efforts to minimize inefficiencies, enhancing the patient experience. ESSENTIAL JOB FUNCTIONS: Perform coding activities to assure accurate completion of coding for all patient records including review of each charge submission for accuracy, addition of appropriate modifiers, scrubbing of claims, preparation for insurance submission, and closing of clean batches. Analyze medical records for complete documentation and directly communicate with providers for clarification on any documentation that is incomplete or inaccurate. Remain current on all coding related regulations, standards, guidelines, industry trends,...

Position: Medical Coder and Biller (Vascular Procedures) Location: Sacramento, CA (or Remote) Schedule: Full-Time and Part-Time positions Salary: Competitive Salary & Bonus Program Benefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. Job Brief We are seeking an experienced medical coding professional with vascular coding experience to provide doctors and scribes with coding and charting guidance. Must be proficient with 2022 CPT, HCPCS, ICD-10, CCI edits, DRG, and correct use of modifiers. Minimum 2+ years of surgical coding. Must have thorough knowledge of human anatomy and medical terminology, and an analytical mind. The role requires consulting, advising, interpreting, and coding patients' medical records, transcriptions, test results, and other documentation, ensuring a smooth billing process. Essential Functions Research proper coding options for medical procedures (scope: lower extremities, both office and surgical) Attend conferences, symposiums,...

Hcc Coding Analyst Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This position is hybrid-remote in Orange, CA. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid...

Riverside Medical Clinic Coding Specialist Responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD 10 and/or HCC activity. Qualifications: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: One year minimum experience in the HCC coding field and/or CPT, HCPCS and ICD 10 experience. Proficient in excel and computer friendly. Certificates, Licenses, and Registrations: Current Medical Coding certificate specific to CRC, CPC or CCS required. Essential Functions: Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job's purpose and...