742 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...

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...

Building Name: CVMC - In State Remote Worker Location Address: 130 Fisher Road, Berlin Vermont Regular Department: CVMC - Medical Records Coding Part Time Standard Hours: 20 Biweekly Scheduled Hours: 40 Shift: Day Primary Shift: - Weekend Needs: None Salary Range: Min $22.82 Mid $28.53 Max $34.23 Recruiter: Abby Luck 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....

Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all...

Job Title Conducting coding audits to optimize diagnosis related groupings. Developing and implementing coding instruction classes. Preparing coding guidelines; implementing coding changes. Job Responsibilities 1. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2. Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3. Able to communicate effectively with coders and CDI staff. 4. Demonstrates knowledge of coding policy and procedures. 5. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 8. Implements coding changes; demonstrates ability to relate coding changes accurately and...

Job Title Must be accredited as CPC- Certified Professional Coder/AAPC, CCS - Certified Coding Specialist/AHIMA, CCS-P # Certified Coding Specialist Physician Practice, RHIT # Registered Health Information Technician/AHIMA or RHIA # Registered Health Information Administrator/AHIMA. Must maintain continued education credits and AAPC or AHIMA membership. Salary: $23.36 - $31.64 DOE

Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements REQUIRED: AS in Health Information Management , a related degree or equivalent experience Knowledge of EMR, Coding Software, and...

Physician Anc Svcs Coder Department: GCH Ambulatory Support Location: Golisano Children's Hospital Location of Job: US:NY:Buffalo Work Type: Full-Time Scheduled Work Hours: 6:30a-2:30p, 7a-3p, 7:30a-3:30p, 8a-4p, 8:30a-4:30p, 9a-5p Shift 1 Job Description Position is responsible for validating/assigning CPT-4 codes for clinic based procedures and Evaluation & Management services. Also responsible for validating/assigning ICD-9-CM diagnostic codes for physician and ancillary services. Position is responsible for ensuring appropriateness and completeness of orders for ancillary tests from physician scripts or clinic records. Responsible for validation and posting of CDM based charges in the host system. Also, verifies medical necessity requirements for clinic ordered laboratory and ancillary tests in comparison to acceptable LMRP lists. This position may be required to move from site to site per work requirements and/or cross coverage. Education And Credentials RHIA, RHIT,...

Facility: Mercy Hospital of Buffalo Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: CWA Local 1133 Exempt from Overtime: Exempt: No Work Schedule: Days Hours: 7:00am-3:00pm Summary: Codes hospital Ambulatory, ER / Urgent Care, Interventional Radiology and Local Surgery records for the purpose of accurate reimbursement, research and compliance with federal regulations. Diagnoses and procedures are coded through review of the entire medical record, utilizing International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) and Current Procedure Terminology (CPT) classifications. Queries physician for further clarification when there is uncertainty in the documentation of the medical record. Analyzes and reviews records for completeness. Responsibilities: EDUCATION B.S. in Health Information Management or AAS in Health Information Technology or Certification as an RHIA or RHIT. Certified Coding...

The University of Rochester is seeking a Med Records Coder III to analyze diverse medical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes in accordance with coding guidelines. Remote work options enable day-to-day collaboration with the United Business Office Coding team. You will abstract data, review denials, consult with providers and external vendors for clarification, and support documentation improvement while ensuring compliance and high-quality coding. #J-18808-Ljbffr

Medical Records Technician Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Assistant Coding Manager As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $61,000.00 - $85,400.00 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education,...

Job Posting As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: 2619 W Henrietta Rd, Rochester, New York, United States of America, 14623 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.78 - $30.53 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience,...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Overview 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. #J-18808-Ljbffr

Albany Medical Center is seeking a Senior Professional Coder to act as service line coding team lead, applying advanced CPT/ICD-10 coding skills and coordinating with staff to ensure timely, accurate professional coding processes. The role involves auditing codes for compliance with CMS and payor guidelines, providing education to providers and staff, supporting HCC/risk adjustment coding, denials analysis, workflow testing, and liaison with external audits; remote work with onsite education as #J-18808-Ljbffr

Albany Medical Center is seeking a Professional Coder to review, analyze, and validate CPT and ICD-10 codes and charges to ensure compliance with federal and state regulations and insurance carrier guidelines. This remote position reports to Health Information Management and requires strong coding proficiency. The role emphasizes accurate coding of CPT and ICD-10 codes, understanding NCCI edits, maintaining productivity and quality, and collaborating with providers to improve documentation and #J-18808-Ljbffr

$299 - $395 weekly margin We are working through MSP Ringo BUT we have direct manager contact. Process: We submit through Ringo Wait for name clearance 1-2 days Once we have that, we email the manager directly and schedule everything directly with them! Location : Stony Brook Surgical Associates (SURGERY- CENTEREACH VASCULAR) Job Duties: Provides support to physicians and other clinical staff. Performs routine clinical and clerical work. Places patients in the examination rooms and documents medications, vitals, and main reason for the visit using EMR. Performs screening and measuring procedures, including but not limited to height, weight, blood pressure, pulse, and temperature. Assists with setting up and preparing the patient and equipment for exams and special procedures as needed. Collects blood or other laboratory specimens as requested by the physician. Performs routine laboratory tests. Enters proposed orders into the EMR for licensed...

Become a part of our caring community Become a part of our caring community and help us put health first The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating...

A healthcare staffing company is seeking a Remote Inpatient Coder to support accurate coding operations for patient records. This contract role requires RHIA, RHIT, or CCS certification and at least 3 years of coding experience. You will assign diagnostic codes using ICD-10-CM-PCS or CPT-4 standards and ensure compliance with guidelines. Strong attention to detail and proficiency with coding software are essential. Successful candidates will work independently in a remote environment and have excellent communication skills. #J-18808-Ljbffr

CenterWell Senior Primary Care in Florida seeks an IPA Consultative Coding Professional to provide medical coding expertise and consultative support to IPA affiliates nationwide. You will be the primary coding and documentation resource for assigned providers, ensuring accuracy, compliance, and risk adjustment capture. Location: Royal Palm Beach, FL 33411. You will deliver education, support coding workflows, and collaborate with STARS leaders to identify gaps and opportunities. #J-18808-Ljbffr

Become a part of our caring community Become a part of our caring community and help us put health first The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating...

Title: Medical Coding Specialist Lead Location: Midtown Org Unit: Administration Work Days: Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: $78,100.00 - $84,500.00 *As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summary Under supervision, assists in the development and evolution of the overall strategy for the departments coding operations This role is also responsible for reviewing medical records for compliance with coding and documentation requirements Job Responsibilities Composes and maintains billing and/or billing compliance associated correspondence. Determines proper account resolution and/or adjustment as needed. Performs charge entry and/or payment posting within the practice management billing system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals claims as required. Escalates more complex claim issues when necessary. Attends workshops, seminars...

Medical Biller Full Time New York, NY The "TRUE HEALTH" and HEALTHCARE FOR ALL WOMEN OB-GYN. is a for-profit healthcare organization with 7 health centers, providing primary care and preventative medicine in the following locations in Nassau County, Queens, and Brooklyn. As privately qualified health centers, we serve the individuals in our communities, providing enhanced services, expanded hours and reduced prescription pricing, while raising the level of care. We treat patients regardless of income, residency, or immigration status. TRUE HEALTH offers a stable employment opportunity with a growing company, and competitive base compensation along with health and dental insurance, paid time off, 401-K with company match, paid holidays, employee discounts and much more. Our Mission The mission of TRUE HEALTH is to provide access to equitable, comprehensive, optimal healthcare by improving the overall wellness of all individuals in our communities and delivering high...