13 certified risk coder jobs found

Certified Medical Biller/Coder & Revenue Cycle Manager Overview: Focus Clinic is seeking a full-time Certified Medical Biller/Coder and Credentialing Specialist to take ownership of our revenue cycle operations as our clinic continues to grow. This role is ideal for a highly organized, proactive, and mission-driven professional with expertise in medical coding, insurance billing, and accounts receivable. The successful candidate will combine exceptional attention to detail and accountability with the compassion and clear communication our patients and families deserve. Key Responsibilities: Medical Coding and Documentation Review Accurately assign CPT, ICD-10-CM, HCPCS, and applicable modifier codes across Focus Clinic’s multidisciplinary services, including medical visits, diagnostic evaluations and testing, therapy services, and other covered services. Review clinical documentation to confirm that services are supported, appropriately coded, and compliant with payer...

Job Description Interpret clinical documentation/records from patient records to ensure all diagnoses and procedures are documented and coded accurately. Ensure highest level of reimbursement practice efficiencies and compliance related to coding procedures. Provide feedback and support to physicians. Responsibilities Responsible for translating healthcare providers' diagnostic and procedural documentation into coded form, applying regulatory and organizational guidelines. Review patient reports and extract data necessary to apply appropriate ICD and CPT codes for billing, internal and external reporting, research and regulatory compliance. Utilize technical coding principals and reimbursement rule expertise to assign appropriate ICD diagnosis and CPT procedures as appropriate, with understanding of E/M coding elements. Collaborates with direct supervisor and or team lead prior to communication with assigned healthcare providers to ensure documentation and coding accurately...

Join Our Team at Avita Health System – CrestlineAvita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we've tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us.We're currently seeking a dedicated Certified Coder & Auditor to join our Patient Financial Services Department at our Crestline location.Position OverviewTakes a guiding role in the orientation and ongoing education of professional coding team, physicians, and advanced practice providers (APPs) involved in the coding and documentation process. Ensures the accuracy of information in these processes is maintained by conducting audits and analyzing chart documentation and, if accuracy is not at the expected level, reeducates and trains providers and staff. Serves...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. GENERAL SUMMARY Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned. QUALIFICATIONS Education: High School Diploma or successful completion of an equivalent High School...

Southern Ohio Medical Center in Portsmouth, OH seeks an HIM Coder – Professional to code and charge medical office visits for professional claims. The role requires ICD-10 and CPT coding accuracy, E/M level determination, and applying HCC/risk coding concepts to ensure correct patient risk scores. The candidate should have a high school diploma, completion of a coding training program, and HIM coder certification by May 3, 2026 or within 1 year of hire. #J-18808-Ljbffr

Southern Ohio Medical Center is seeking a HIM Coder - Professional to code and charge professional visits in a clinic setting. You'll review charges in Meditech, apply ICD-10 and CPT codes, and ensure accurate E/M levels and HCC/risk coding. The role requires CPC/CCS-P/RHIA/RHIT certification or equivalent by May 3, 2026 or within 1 year of hire, plus two years of coding/charging experience or completed coding coursework. Equal opportunity employer. #J-18808-Ljbffr

Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk) General Summary Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned. Qualifications Education: High School Diploma or successful completion of an equivalent High School Exam Required Successful completion of the...

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...

Join Our Team at Avita Health System - Avita Health System - Crestline Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we've tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us. We're currently seeking a dedicated Certified Coder & Auditor to join our Patient Financial Services Department at our Crestline location. Position Overview Takes a guiding role in the orientation and ongoing education of professional coding team, physicians, and advanced practice providers (APPs) involved in the coding and documentation process. Ensures the accuracy of information in these processes is maintained by conducting audits and analyzing chart documentation and, if accuracy is not at the expected level,...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk) GENERAL SUMMARY Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned....

It's fun to work in a company where people truly BELIEVE in what they're doing! Our intention is to haveemployees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing, eradicating loneliness,contributing to efficiencies, streamliningprocesses, beingdependable,sparking creativity or something else,the demonstration ofHOW you do your job is just as important as WHAT you do in your job. Alongsideour valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcareorthoseembracingthe next chapter of their lives.Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, inclusion, integrity, financial stewardship, leadership and care. The Clinical Reviewer reviews and approves of all patient information that is provided by the licensed professional during a start of care, recertification, resumption of...

Location ST. LOUIS, MO 63108 Scheduled Hours 37.5 Position Summary The purpose of the Washington University Compliance Program is to minimize instances of noncompliance with external laws and regulations, as well as related internal policies and procedures. Although university administration, faculty, and staff are responsible for various aspects of compliance as part of their roles, the Senior Lead Compliance Auditor plays a significant part in the overall compliance program. The Senior Lead Compliance Auditor works in the Office of University Compliance and Internal Audit. This position is responsible for evaluating the University’s state of compliance with federal research and other federal regulations, as well as related University policies. Such compliance is crucial to the success and mission of the University. Results of the compliance audits are critical measures for the University. The Senior Lead Compliance Auditor reports to the Director of Compliance Audit. The...

Job DescriptionJob DescriptionPosition Responsibilities / Standards :GeneralAttend department, clinic or company meetings as requiredDemonstrate sound judgment by taking appropriate actions regarding questionable findings or concernsConsistently work in a positive and cooperative manner with fellow staff members.Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.Attend required annual in-service programs.Demonstrate knowledge and understanding of all company policies and procedures.Core ValuesCommunication :Verbal and written communications are effective in soliciting and conveying information.Information is clear, concise and timely.OrthoAlliance Policies :Consistently adheres to OrthoAlliance Policies and Procedures (i.e.:including but not limited to :appropriate cell phone and computer usage, dress code, etc.).Also follows all OSHA and HIPAA regulations.Teamwork...