5448 coder 1 jobs found

Remote Risk Adjustment / Hcc Coder (Coder 1) The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk-adjustment programs across a variety of chart types. This role applies ICD-10-CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client-specific requirements to ensure high-quality coding outcomes. The Coder I utilizes established dispute-resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities. We are currently looking for multiple Remote Risk Adjustment / Hcc Coders (Coder 1) for full-time permanent positions. Responsibilities Reviews medical records for accurate, compliant, and complete diagnosis code abstraction from a variety of chart and encounter types to support Medicare, Commercial and Medicaid prospective, concurrent and retrospective risk adjustment program...

Miami, FL | Full-Time Health Information Management Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Summary HIM Outpatient Coder 1 is responsible for coding and abstracting outpatient medical records, including Emergency Room visits, Clinic visits and Recurrent visits. The Coder 1 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM. Responsibilities Codes outpatient diagnostics/outpatient clinics/recurring visits/emergency room visits using ICD-9 or CPT codes as appropriate. Maintains a yearly average accuracy rate of 94% during internal and/or external Coding audits. Verifies patient information to identify any discrepancies...

Remote Risk Adjustment / Hcc Coder (Coder 1) The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk-adjustment programs across a variety of chart types. This role applies ICD-10-CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client-specific requirements to ensure high-quality coding outcomes. The Coder I utilizes established dispute-resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities. We are currently looking for multiple Remote Risk Adjustment / Hcc Coders (Coder 1) for full-time permanent positions. Responsibilities Reviews medical records for accurate, compliant, and complete diagnosis code abstraction from a variety of chart and encounter types to support Medicare, Commercial and Medicaid prospective, concurrent and retrospective risk adjustment...

Job Posting Codes diagnoses and procedures of patient records. Abstracts information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff, and patients of BMG. Codes diagnoses and procedures of records. Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies. Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc. Completes all requirements for assigned goals. Skill in communicating clearly and effectively using standard English in written, oral, and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Associates Degree Preferred. Associates Degree. Up to one year prior experience in physician/professional outpatient surgery, and/or emergency department...

Hours of Work :8-4:30Days Of Week :M-FWork Shift :Job Description :Your Job:Responsible for assignment of accurate CPT/HCPCS, ICD10, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues, and play a significant role in coding compliance activities.Your Job Requirements:Bachelor Degree preferred -OR- Associate degree in Health Information Management preferred.A minimum of 2 years recent experience in the outpatient (primary care & surgical) setting.Surgical coding in Trauma, General Surgery, Orthopedics, and/or Neurosurgery preferredMust hold Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) with the appropriate level of experienceYour Job Responsibilities:Communicate clearly and...

Job Summary Evaluate patients records, work to resolve inaccurate charges, and assign appropriate diagnoses & procedure codes using the coding systems according to HIPPA regulations. Abstract pertinent data from patients' clinical records. Review records for reimbursement purposes and to ensure quality control. Responsibilities • Read and interpret referred outpatient, series, and ED medical record entries to identify all diagnoses and surgical procedures. • Assign appropriate ICD-10, ICD-9-CM, and CPT-4 codes in compliance with recognized coding principles and department policies. • Determine appropriate diagnostic and procedural sequencing in compliance with UHDDS guidelines. • Effectively utilize the APCpro features of 3M with the 3M encoder and grouper software to identify appropriate assign modifiers, make appropriate changes to charges, notify departments to make changes, identify missing documentation, and prepare the account as a clean claim for billing to...

Hours of Work : 8-4:30 Days Of Week : M-F Work Shift : Job Description : Your Job: Responsible for assignment of accurate CPT/HCPCS, ICD10, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues, and play a significant role in coding compliance activities. Your Job Requirements : Bachelor Degree preferred -OR- Associate degree in Health Information Management preferred. A minimum of 2 years recent experience in the outpatient (primary care & surgical) setting. Surgical coding in Trauma, General Surgery, Orthopedics, and/or Neurosurgery preferred Must hold Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) with the appropriate level of experience Your Job Responsibilities : Communicate...

Job Title Hours of Work: 8-4:30 Days Of Week: M-F Work Shift: Job Description: Your Job: Responsible for assignment of accurate CPT/HCPCS, ICD10, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues, and play a significant role in coding compliance activities. Your Job Requirements: Bachelor Degree preferred -OR- Associate degree in Health Information Management preferred. A minimum of 2 years recent experience in the outpatient (primary care & surgical) setting. Surgical coding in Trauma, General Surgery, Orthopedics, and/or Neurosurgery preferred Must hold Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) with the appropriate level of experience Your Job...

Job Description Job Description Exciting Career Opportunity – Medical Coder/Biller (Moscow Office) We are looking for a qualified, dependable, and well-organized individual to join our busy billing office in Moscow! If you are experienced in medical coding and billing and enjoy working in a fast-paced environment, we would love to meet you.   Responsibilities include, but are not limited to: Verifying insurance information and benefits Coding and billing medical visits Posting payments Managing insurance accounts receivable Handling denied claims and appeals Preparing daily deposits Answering billing-related phone calls   Qualifications: 1+ year of medical coding/billing experience required Strong judgment and excellent verbal and written communication skills Proficiency in Microsoft Word, Excel, and Outlook Positive, energetic team player with a commitment to outstanding customer service   We offer a competitive compensation package ,...

*** New Hires are eligible for a Sign-On Bonus *** JOB SUMMARY The Health Information Coder I is an entry level coder with a basic knowledge and skill set to utilize ICD-10-CM, CPT and HCPCS classifications systems to code across various healthcare settings, including outpatient, emergency department, and ancillary services. This role ensures coding accuracy, compliance with regulatory guidelines, and adherence to UCSF policies, supporting proper reimbursement and revenue cycle integrity. The Coder I collaborates with healthcare providers, revenue cycle teams, and compliance departments to resolve documentation issues and maintain high standards of coding performance. The employee will work eight (8) hours per day, excluding meal periods, on five (5) consecutive days within a workweek. The workweek schedule is set between the employee and the manager and may be scheduled to start any day of the week based on manager approval. DEPARTMENTAL OVERVIEW UCSF's Health...

Job Summary :Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, other regulatory agencies, third party payers and Kaiser Permanente policy.Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.Essential Responsibilities :Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.Research, code, and / or data enter encounters that are supported by KPHC with the Charge capture tool.Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.Query providers for clarification of incomplete or...

Job Summary :Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, other regulatory agencies, third party payers and Kaiser Permanente policy.Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.Essential Responsibilities :Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.Research, code, and / or data enter encounters that are supported by KPHC with the Charge capture tool.Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.Query providers for clarification of incomplete or...

Profee Radiation Oncology Coder Coders will be responsible for coding procedures, E/M, edits, and validating all CPTs and ICD-10 codes are accurate. Requirements/Expectations: AHIMA/AAPC certification with 2+ years experience Strong Radiation Oncology coding experience (2+ years) Required Experience in a specific Oncology Group Setting Required Athena IDX and a Medical Record experience Highly Preferred Production 140/day High producer and quick learner PST training schedule for first week (between 7am-5pm PST) Ongoing schedule is Mon-Fri between 5am-6pm PST CA coding guidelines experience Ideal but not required Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs Benefit eligibility is dependent on employment status. About Amergis...

UW Medicine seeks an experienced Inpatient Coder for the Enterprise Records and Health Information division. You will analyze charts and assign ICD-CM/ICD-PCS codes using 3M CAC to determine DRG for inpatient reimbursement, ensuring compliance and accuracy. Required credentials include RHIT/RHIA/CCS/CPC/CIC or equivalent, plus a high school diploma and 3 years of coding experience. Remote, full-time, days, with SEIU 925 coverage. #J-18808-Ljbffr

Overview Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the director of Health Information Management, accurately code outpatient conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Responsibilities - Utilizing all required electronic applications interprets and abstracts pertinent patient health information from documentation in the medical record. Identifies the principle, secondary diagnosis and procedures including complications and co morbidities. All coders are required to continuously maintain the required standards of their level. Level...

Sioux Center Health is seeking an IP Coder II to ensure accurate coding for inpatient charts. This role requires proficiency in ICD‑10-CM coding and collaboration within a multidisciplinary team. Responsibilities include reviewing clinical documentation and maintaining coding accuracy. The successful candidate will hold essential coding certifications and embody Avera’s values of compassion and professionalism. Join us to make a positive impact in our community! #J-18808-Ljbffr

## Coder Hospital-1Applyremote type: On-Site or Remotelocations: Remote Office - ILtime type: Full timeposted on: Posted Todayjob requisition id: JR104884**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coder Hospital-1**Job Description**Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Department: Medical Record ManagementHours: Full time, 40 hours/week\*Remote Work\*Required: HS diploma, One of the following upon hire: CCA, CPC, RHIT, RHIA or CCSPay: Based on experience, starting at $22.72**Responsibilities**Assists physicians with record documentation needs by requesting clarification for...

Coder Hospital-1 Job Description Coders – Hospital are responsible for technical coding including assignment of ICD‑CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS‑DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. They interact with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Medical Record Management Hours: Full time, 40 hours/week Remote Work: Yes Requirements High School diploma (Required) One of the following upon hire: Certified Coding Associate (CCA), Certified Professional Coder‑A (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) Pay based on experience, starting at $22.72 per hour Responsibilities Assist physicians with record documentation needs by requesting clarification for additional information. Assist in educating physicians and ancillary...

Job Title: Medical Clinic Biller/Coder Location: Northwest Florida Community Hospital - Chipley, FL Position Type: Full-Time Position Summary: Northwest Florida Community Hospital is seeking a detail-oriented and experienced Medical Clinic Biller/Coder to join our team. This position is responsible for accurate coding, billing, and claims processing for clinic services to ensure timely reimbursement and compliance with federal regulations and payer requirements. The ideal candidate will have strong knowledge of medical terminology, coding systems, and insurance billing procedures. Responsible for all activities in the Clinic accounts receivable function. Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and referring accounts to collection agencies. Codes and sequences all diagnoses and procedures using established ICD-10-CM coding rules for each patient encounter; coding will be subject to accuracy and...

REMOTE OUTPATIENT CODERS NEEDED!!! ---NATIONWIDE WORK FROM HOME Call David at 513-206-9881 and/or send resumes to: dlutz@acuitymri.com We have multiple openings for a REMOTE outpatient ancillary coder with one of the top healthcare companies in the country. There is an immediate need for permanent FACILITY Outpatient Ancillary coders with strong prior experience, and they are willing to offer a very competitive rate. Salary range: $24-$27 an hour depending on credentials and experience. Fully REMOTE and Flexible work Schedule! Full benefits package included Direct-hire Perm with a large healthcare system! We are seeking Certified Facility outpatient Coders with a minimum of 1 year experience in a hospital setting. Seeking knowledge in the following areas: Labs, radiology, sleep labs, and additional ancillary services. Requirements CCS or RHIT or RHIA or CPC 1 year of FACILITY outpatient coding experience (not pro/f physician) Call David for more information: 513-206-9881 or...

Medical Records Coder III - ED Coding (Part Time) REMOTE At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. Summary: Performs advanced coding functions by reviewing short-stay focused encounters and assigning accurate diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Collaborates with departments to resolve documentation gaps and monitors bill hold reports. Demonstrates strong knowledge of medical terminology and anatomy. Assists the Manager/Director in mentoring and training Coder 1 and 2 team members and clinical practice students. Contributes to the accuracy and integrity of the...

Coder 1 The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position. A coder 1 is responsible for utilizing coding policies and procedures in evaluating the diagnostic information within the medical record for determination of accurate APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database. A coder also makes medical necessity determinations for Medicare and Medicaid out-patient testing utilizing the appropriate software. A coder 1 functions under the direct authority and supervision of the Coding Supervisor and Director of Health Information Management. Some of the many skills performed: Coding of diagnoses for ancillary outpatient services, i.e. Laboratory, Diagnostic Imaging, PFT, etc....

This position has the option of working remotely. POSITION SUMMARY The Medical Records Coder 2 will apply knowledge of ICD-10 and CPT-4 nomenclatures and American Hospital Association, American Medical Association and applicable Federal and third party payer guidelines to accurately and compliantly determine principal and secondary ICD-10 diagnoses codes, principal and secondary ICD-10 procedure codes for all visits. In addition, may assign corresponding CPT-4 codes for procedure and surgery cases, inpatient evaluation & management, and emergency room evaluation & management and procedural services for facility and professional billing and data collection. Employee will apply knowledge of anatomy and physiology, medical terminology, and pathology of disease processes while analyzing clinical documentation of inpatient and/or outpatient records. Follows CVMC compliance and HIM coding compliance policies and meets productivity standards to maintain financial goals....

Responsibilities The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position. A coder 1 is responsible for utilizing coding policies and procedures in evaluating the diagnostic information within the medical record for determination of accurate APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database. A coder also makes medical necessity determinations for Medicare and Medicaid out-patient testing utilizing the appropriate software. A coder 1 functions under the direct authority and supervision of the Coding Supervisor and Director of Health Information Management. Some of the many skills performed Coding of diagnoses for ancillary outpatient services, i.e. Laboratory, Diagnostic Imaging, PFT, etc....