6 clinical coder iii jobs found

Coder II - Inpatient Remote Position Hours: M-F, Flexible hours after training period. Sign-on Bonus Job Description: The Coder II - Inpatient is responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes for inpatient encounters in accordance with official coding guidelines, hospital policies, and regulatory requirements. This role ensures the integrity of the patient medical record, supports appropriate reimbursement, and contributes to compliance, quality reporting, and data integrity for Powers Health hospitals. Reviews and evaluates inpatient medical records via the EMR to determine appropriate diagnosis and procedures to be coded based on industry standards, federal regulations and hospital guidelines. Accurately assigns the appropriate code set to the diagnosis and procedures documented in the EMR via the encoder and in compliance with accuracy and productivity requirements. Completes queries where necessary and works closely with the Clinical...

SUMMARY/OBJECTIVESThe Certified Medical Coder is responsible for the timely, accurate, and compliant review, abstraction, and coding of professional healthcare services provided by Edgewater Health clinicians. This position ensures that medical documentation supports the assignment of appropriate ICD-10-CM, CPT, and HCPCS Level II codes to facilitate accurate reimbursement while maintaining compliance with federal and state regulations, payer requirements, and organizational policies.The Certified Medical Coder works collaboratively with providers, clinical leadership, billing staff, and the Revenue Cycle Department to optimize documentation quality, improve coding accuracy, reduce claim denials, and maximize reimbursement. This position plays an integral role in supporting Edgewater Health's behavioral health, primary care, substance use treatment, and Federally Qualified Health Center (FQHC) billing operations.ESSENTIAL DUTIES AND RESPONSIBILITIESThe essential functions include,...

Full-time , Days , M-F Days; flexible hours after training Hours/Pay Period: 80 FTE: 1 Remote Position Hours: M-F, Flexible hours after training period. Job Description The Coder II - Inpatient is responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes for inpatient encounters in accordance with official coding guidelines, hospital policies, and regulatory requirements. This role ensures the integrity of the patient medical record, supports appropriate reimbursement, and contributes to compliance, quality reporting, and data integrity for Powers Health hospitals. Reviews and evaluates inpatient medical records via the EMR to determine appropriate diagnosis and procedures to be coded based on industry standards, federal regulations and hospital guidelines. Accurately assigns the appropriate code set to the diagnosis and procedures documented in the EMR via the encoder and in compliance with accuracy and productivity requirements. Completes queries...

Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system. Assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. MISSION, VALUES and SERVICE GOALS MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and abstracting by: Checking the diagnosis and procedure to ensure accurate coding and sequencing as specified by established coding principles and guidelines, following AHA, AHIMA, and CMS coding guidelines for outpatient...

Reports to the Manager, Coding & Records.Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system.Assigns DRGs to Medicare, Medicaid, and other required payors.Determines DRG and APC assignment on outpatient and inpatient records.Maintains productivity and accuracy levels for the assigned job code.This is a remote position; however, candidates must reside in one of the following states:Indiana, Michigan, Illinois, Kansas, Ohio, Georgia, Kentucky, Florida, Idaho, Minnesota, Tennessee, Wisconsin, Colorado, South Carolina, North Carolina, or Texas.MISSION, VALUES and SERVICE GOALS MISSION:We deliver outstanding care, inspire health, and connect with heart.VALUES:Trust.Respect.Integrity.Compassion.SERVICE GOALS:Personally connect.Keep everyone informed.Be on their team.Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and...

ResponsibilitiesThe Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement.Assign and sequence ICD-10-CM / CPT codes by applying regulatory coding guidelines.Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books.Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record.Queries physicians for diagnoses or missing / ambiguous information for accurate coding.Apply organizational documentation policies and procedures in conjunction with official coding guidelines.Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement.Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and / or clinic records in a consistent, accurate and timely manner.Ensures the final diagnosis...