49 coder jobs found

Certified Professional Coder / Bill Review Expert Responsibilities Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Participate in virtual and in person testimony or trial when needed Assist with various special projects and other duties as assigned Qualifications and Experience 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding...

Job Description Job Description Certified Professional Coder / Bill Review Expert Location: Remote- Anywhere in US Responsibilities: Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes Assign proper CPT, HCPCs codes based on the review outcome Review CPT codes for unbundled services Review billed modifiers for accuracy of use Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customers in a professional easy to understand manner Use various resources, IE: eBooks, 3M software to support reviews Participate in conference calls as needed with customers and/or attorneys Participate in virtual and in-person...

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Medical Coding Specialist Summary: Review, analyze, and code medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders. Project Details: Evaluate medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the visit Compile necessary documentation prior to coding review; when documentation is not available, performs the appropriate steps to obtain the...

CODER II PRN REMOTECamden, NJJob ID 52970 Job Type Per DiemShift DaySpecialty Clerical / AdministrativeApplySaveAbout usAt Cooper University Health Care , our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short DescriptionCode all diagnoses and procedures documented in the medical record for the current encounter.Enter all code information in the...

Emergency Department (ED) Coder CentraState Medical Center currently has an employment opportunity available for an Emergency Department (ED) Coder to support the Health Information Management department. The ED Coder is responsible for accurately assigning ICD-9-CM and CPT-4 diagnosis and procedure codes to emergency department records. This role ensures proper identification of facility and procedure-level codes in compliance with coding guidelines and regulatory requirements. Responsibilities Reviews ED records to ensure complete and accurate documentation to support all diagnoses and procedures. Accurately abstracts required data such as discharge dispositions, consultations and procedure/operative information with 95% accuracy. In a 7.5 hour day completes an average of 22-25 inpatient records, 50 surgical records, or 100 ED records. Assigns codes with a 95% DRG accuracy rate. Monitors unbilled report by identifying ED edits and makes appropriate coding changes....

Remote Senior Inpatient Coder Specialist Remote Senior Inpatient Coder Specialist is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. This person possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting, and Coding Clinics. Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Thoroughly reviews the provider notes within the health record and clinical documentation. Efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features. Review Discharge Planning and nursing documentation to validate and correct when necessary. Collaborate with CDI on discharges regarding the final MS or APR DRG and comorbidity diagnoses. Educates CDI on regulatory guidelines, Coding Clinics, and conventions to report appropriate...

Coder III Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing. 3-5 years required Inpatient coding preferred High School Diploma/GED One or more of the following required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA USD $29.00 USD $50.00

About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Apply for the position and help accurately code Evaluation and Management (E/M) services in New Jersey! Job Experience 2-4 Years Required Experience Medical Coding, E/M Coding Job Category Medical Coding, Healthcare Job Location New Jersey (NJ) BDS, B.Pharma, B.Sc, B.E, BVSC, M.Pharma, M.Sc, M.Tech, MVSC, M.D.S. Certification in medical coding for certain positions is mandatory. Job Description Experience coding E/M services using ICD-10, CPT, and HCPCS codes Strong understanding of Evaluation and Management coding guidelines Familiarity with EHR/EMR systems and medical coding software Ability to accurately review and code medical records Strong attention to detail and problem-solving skills Knowledge of insurance policies, coding denials, and reimbursement processes #J-18808-Ljbffr

VMG Risk Adjustment Coder – CRC within 6 months! (Remote) Role at Virtua Health. Position Summary Evaluates and analyzes medical records for proper documentation and correct diagnosis (ICD‑10‑CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., HCC, CDPS, HHS risk adjustment). CRCs review provider documentation and communicate coding opportunities for HCC coding so that disease processes are coded accurately to follow risk adjustment models. Position Responsibilities Evaluates and analyzes medical records for proper documentation. Identifies and communicates coding deficiencies to clinicians to improve documentation for accurate risk adjustment coding. Provides ongoing training and education to clinicians and physicians during 1:1, physician group, performance improvement, and ad hoc meetings. Manages and trends data collection for HCC and other risk coding. Performs data mining from data captured through risk adjustment coding....

Allegheny Health Network Job Posting Company: Allegheny Health Network Job Description: 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. (60%) 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 and implementing...

Surgical Coder & Billing Specialist FT Days Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey. We are dedicated to fostering a supportive and inclusive work environment where every team member can bring their skills, creative ideas, positive approaches, and a commitment to excellence. Join our dynamic team and contribute to our mission of transforming the lives of the patients and communities we serve. Job Summary: Billing and Coding Specialist interacts daily with internal and external clients, including surgeons, physicians and advanced practitioners; provides primary diagnosis and procedural coding for surgeries and other procedures to ensure maximum reimbursement; reconciles all surgical cases performed; focuses on physicians' chart abstraction, serving as an on-site liaison to providers for clarification of documentation...

Virtua Health Billing Specialist At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency...

Coding Specialist Code all diagnoses and procedures documented in the medical record for the current encounter. Enter all code information in the HealthQuest system for facility coding in a timely manner. Adhere to compliance regulations set by government, state, & the Cooper Health System to ensure guidelines are met. Applicant must have demonstrated proficiency in coding multiple outpatient services including, but not limited to: Observation, Multi-specialty Oncology, Same Day Surgery, Endoscopy, Emergency Department, etc. Knowledge of NCCI, OCE and LCDs mandatory HS diploma or equivalent Health Information Management / Coding / Billing One or more of the following: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA Communication Ability to communicate with patients, visitors and coworkers Sound knowledge of anatomy, physiology and medical terminology Demonstrated competency of the use...

Medix - American Metro Center 300 [Medical Records Clerk] As a Coder at Medix, you'll: Analyze medical records to assign appropriate codes for billing and insurance purposes; Ensure accuracy and compliance with coding guidelines and regulations; Collaborate with healthcare professionals to clarify diagnoses and procedures; Maintain confidentiality of patient information; Update coding knowledge through continuous education and training; Assist in audits and reviews to improve coding processes and accuracy...Hiring Immediately >>

An established healthcare system is seeking a Remote Senior Inpatient Coder Specialist to join their team. This role focuses on the expert coding and reimbursement for complex inpatient acute care discharges, ensuring accuracy in ICD-10-CM and ICD-10-PCS coding. The ideal candidate will have a strong foundation in coding conventions and guidelines, with at least three years of inpatient coding experience. This innovative organization emphasizes patient-focused care and offers a supportive work environment where your expertise will significantly impact patient outcomes. If you are passionate about coding and looking for a flexible work-from-home opportunity, this position is perfect for you. #J-18808-Ljbffr

About Us CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey and each year provides care to over 300,000 individuals. CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs. What You'll Be Doing Remote Senior...

Hackensack Meridian Health - JobID: J20fa32feae4f42e497793f589d660346-1 [Medical Office Assistant] As a Coordinator at Hackensack Meridian Health, you'll: Coordinate daily operations and schedules to support team efficiency; Organize resources, meetings, and project activities; Communicate with staff and stakeholders to ensure alignment; Track progress, deadlines, and documentation; Resolve routine issues and escalate concerns as needed; Maintain accurate records and support overall workflow continuity...Hiring Immediately >>

Join to apply for the Coder role at CarePoint Health System Continue with Google Continue with Google 2 months ago Be among the first 25 applicants Join to apply for the Coder role at CarePoint Health System About Us CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey and each year provides care to over 300,000 individuals. About Us CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and...

Job Type: Officer of Administration Regular/Temporary: Regular Hours Per Week: 35 Standard Work Schedule: Monday-Friday Salary Range: $66,300- $75,000 The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. Position Summary The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department. This role ensures compliance...

About Us Welcome to Hudson Regional Health Technology Transforming Care Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. Together, these hospitals form a single, integrated system with a shared vision—to deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what’s possible in community healthcare. Patients across the region now have access to state-of-the‑art procedures and nationally recognized specialists, all within a connected, local network designed to put care first. Our Services We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence. Advanced Emergency Services - 24/7 emergency departments across all four hospitals Robotic-Assisted Surgery - featuring the Da Vinci XI and ExcelsiusGPS systems Neurosurgery & Spine Care...

A leading healthcare provider is seeking a Remote Senior Inpatient Coder Specialist to handle coding and reimbursement for complex inpatient discharges. This role requires at least 3 years of inpatient coding experience and credentials like RHIA, RHIT, or CCS. Candidates should have a solid understanding of ICD-10 coding and experience in reviewing clinical documentation. The position offers competitive compensation and supports professional growth along with comprehensive benefits. #J-18808-Ljbffr