356 coder 1 jobs found

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...

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...

Overview Employment Type: Full time Shift's Available: Days Hours: 8-hour days; 40/hours per week Location: Pampa Regional Medical Center - Rural Health Clinic Responsibilities The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD10, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs...

Where Compassion Meets Innovation And Technology And Our Employees Are Family Thank you for your interest in joining our team! Please review the job information below. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. Always maintains utmost level of confidentiality. Adheres to hospital policies and procedures. Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. Reviews the medical record and assigns the appropriate ICD and CPT...

Lead Coder page is loaded## Lead Coderlocations: Corpus Christi, TXtime type: Part timeposted on: Posted Yesterdayjob requisition id: JR111075# ****Where compassion meets innovation and technology and our employees are family.*****Thank you for your interest in joining our team! Please review the job information below.***General Purpose of Job:**Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to determine the accuracy of code assignment and adequacy of clinical documentation according to regulatory requirements. Performs frequent internal reviews and education maintenance long-term to ensure accuracy in the ever-changing environment of coding, documentation, quality initiatives, and impact to reimbursement. Can code, train, and educate on all types of outpatient medical records to provide timely coverage in all coding areas helping to ensure accuracy, stability, and...

Job Summary The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. Essential Functions Of The Role Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional...

El Paso Behavioral Health System is a private 167-bed psychiatric hospital located in El Paso, Texas, specializing in mental health and chemical dependency care. We provide inpatient, day hospital and outpatient services with evidence-based treatment. Under general supervision in Health Information Management, this role accurately assigns diagnostic codes in a timely manner, backs up tasks as needed, and supports the HIM Director. #J-18808-Ljbffr

Job Title The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. Essential Functions of the Role Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and...

JOB SUMMARY Assign ICD-9-CM CPT4 diagnostic and procedural codes for diagnosis to records of hospice patients. Provides review and analysis as part of the hospice quality improvement programs, including various collection of data and infection prevention. JOB REQUIREMENTS Minimum Education Graduate of Accredited School of Nursing (LVN) Minimum Work Experience 1 year coding 5 years of nursing/experience Required Licenses/Certifications Current state license as an LVN Certified coding specialist must have any of the following certifications: CPC COC CIC COC-P CPC-A CCS Required Skills, Knowledge, and Abilities Compile and analyze reports Establish filing systems Input data into computer programs Maintain logs Research information Use computerized spreadsheets to conduct analysis

Medical Billing and Coder EL PASO, Texas Medical Billing and Coding Specialist $23.87 per hour Temporary 3 to 6 Months Job Summary: We are seeking a detail-oriented and dependable Medical Billing and Coding Specialist to join our team in a fast-paced healthcare environment. The ideal candidate will accurately assign medical codes, process insurance claims, and ensure timely reimbursement while maintaining compliance with all federal, state, and payer regulations. Key Responsibilities: Review patient medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes. Prepare, submit, and follow up on insurance claims for timely reimbursement. Verify patient insurance eligibility and benefits. Resolve billing discrepancies, denied claims, and payment issues. Maintain accurate patient billing records and documentation. Communicate professionally with patients, insurance companies, and healthcare providers regarding billing inquiries. Ensure compliance with...

Job Description Under direct supervision, responsible for conducting review of inpatient and outpatient coding, assuring coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Performs all tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding of diagnoses and procedures using the ICD-10 and CPT classification systems. This position will be a hybrid position working remote and/or on campus. Candidate being considered would need to live within commuting distance of UT Health San Antonio. Upon hire candidate will be required to be onsite for orientation and training. Transition to remote work is contingent on meeting productivity and quality standards as determined by supervisor. Remote Coders may be required to occasionally attend on campus training and meetings. Responsibilities Reviews, interprets, and assigns diagnostic and procedural...

GENERAL SUMMARY OF DUTIES: Reviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner. SUPERVISION RECEIVED: Billing & Coding Supervisor Education/Experience Certified Professional Coding Certificate. Associate’s degree preferred or 5 years medical coding experience. Must have functional knowledge of medical terminology, anatomy, and physiology. Prior experience coding with ICD-10-CM. Knowledge Knowledge of clinic policies and procedures. Knowledge of pain management coding, and Spine procedure coding Knowledge of computer systems, programs, and spreadsheet applications. Knowledge of medical terminology. Knowledge of collection practices. Knowledge of...

Cardiology Medical Billing Specialist To be considered, you must be located in the state of Texas or in the process of relocating to Texas. This is non-negotiable. Please do not apply if you are not located in Texas. Seeking a full-time, experienced medical billing specialist to join our Texas team. Knowledge of and experience with cardiology coding and billing is preferred. This is a remote position with the possibility of occasional travel. Our company provides revenue management support for medical practices located all over the United States. Medical billing is one of the fastest growing industries with unlimited career opportunities. Our goal is to find someone that is willing to put in the time and investment in a career with us. General Purpose To contribute to the accuracy and timeliness of the revenue cycle process for each clinic on your designated team. To successfully function as part of a team and to be able to communicate professionally with clients and...

Job Posting Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if...

Join Our Caring Community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities Deliver coding and documentation education to providers and clinic staff within IPA clinics. Be a consultative resource and ongoing support for providers in assigned clinics. Conduct documentation audits to identify gaps, trends, and opportunities for improvement. Perform quarterly chart reviews to support coding...

Medical AI Auditor We are building the future of clinical documentation, and we need your expert eye to keep it accurate, safe, and reliable. AI-generated medical notes are transforming healthcare by giving providers their time back, but AI needs human expertise to stay grounded. As a Medical AI Auditor, you won't be handling traditional billing and coding compliance. Instead, you will act as the ultimate clinical guardrailreviewing AI-generated behavioral health records to detect "hallucinations" (clinically inaccurate or unsupported content that looks plausible but is factually incorrect). If you are a detail-obsessed medical coder or clinical documentation specialist who loves the intersection of healthcare and technology, this is your sandbox. What You'll Do Detect & Correct: Audit AI-generated behavioral health notes against source session data, catching subtle clinical inaccuracies, unsupported inferences, or errors in medical terminology. Evaluate Note Structure:...

Surgery Partners, Inc. is seeking a certified professional coder to review medical records, code outpatient charts, and assist various facility staff and physicians. The role requires clear written and verbal communication, and proactive problem solving to identify collection trends and improve processes. The ideal candidate holds a CPC certification, an associate’s degree or equivalent experience, and strong knowledge of ICD-10-CM coding and medical terminology. #J-18808-Ljbffr

HUMBLE VASCULAR SURGICAL CENTER INC in San Antonio, TX is seeking a Certified Professional Coder to join our billing team. The role focuses on accurate chart review, coding with ICD-10-CM and CPT-4, and timely submission of claims. Ideal candidates hold a Certified Professional Coding Certificate, an associate degree or 5 years coding experience, and possess solid knowledge of medical terminology, anatomy, and regulatory guidelines. #J-18808-Ljbffr

Benefit Coder Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system. Review, analyze and handle client benefit information requests received via SalesForce.com or email. Assess completeness and accuracy of data, resolve issues based on acquired learning and tools and escalate issues on a timely basis. Ensure that individual, team-specific and site-wide metrics are achieved. Activities include but...

Description The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. Job Details This is a remote position. Essential Functions & Responsibilities Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned Knowledge & Skills Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed...

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. 1,500 Sign on Bonus 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,...

Job Posting CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians! Assigns and aligns predefined codes, tabulates the data into the computer system, generates new codes, resolves edits and denials, and maintains proper records in accordance with CLS guidance and procedures. Conducts regular reviews to ensure billing is timely, accurate, and in compliance. Job Description Assist with implementing and maintaining system-wide billing and coding quality audits. Understands, interprets and applies coding guidelines for coding audits. Review of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to...

Job Title Coders, Bill Reviewers, And Payment Integrity Reviewers Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures...