138 coder 2 jobs found

Granger Medical Clinic is seeking a Medical Coder for a remote position, with essential duties including auditing and coding daily E & M visits and assigning accurate CPT and ICD-10 codes. The ideal candidate must have two years of medical coding experience and be certified by AAPC or AHIMA. Benefits include comprehensive health insurance, paid time off, tuition reimbursement, and a 401(k) with company match. This role requires excellent communication and organizational skills. #J-18808-Ljbffr

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 Description Required: Coding Auditor with inpatient hospital experience Experience coding and auditing ICD-10-PCS. Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility 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...

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 Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the Direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Location Olean General Hospital, US:NY:Olean. Full-Time, Shift 1. Education and Credentials Associate’s degree from an accredited institution or have obtained education through an accredited agency...

Medical Billing Specialist The Medical Billing Specialist is a higher-level billing role within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered predominantly around denials. The incumbent will be expected to understand and resolve the most complicated of denials and/or will research the denial to learn what is needed by the payer. The incumbent must be able to work independently but also serve as a resource to others in the department. This position will act as a learning partner or mentor to the team. They will exemplify the meaning of teamwork and support their co-workers in a positive environment. This position will also possess the ability to manage assigned projects and present findings with preferred resolutions to leadership. This role will become familiar with running reports out of Epic as assigned. The incumbent will be expected to work independently and meet production standards. Progressive communication with...

Medical Coding Specialist (NY HELPS) - FT - Day Shift HOURLY RANGE: $26.57 - $34.83 NY HELPS: This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means NO EXAMINATION IS REQUIRED, but all candidates must meet the minimum qualifications of the title for which they apply. At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, WITHOUT HAVING TO TAKE A CIVIL SERVICE TEST. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified. DISTINGUISHING FEATURES OF THE CLASS: The work involves performing the...

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 (Full Address) 2619 W Henrietta Rd, Rochester, New York, United States of America, 14623 Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.06 - $32.29 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,...

The University of Rochester is seeking a Medical Coder to perform advanced coding and analysis of medical documentation. The ideal candidate requires a High School diploma and 2 years of coding experience, with a preference for an Associate's degree. Strong knowledge of ICD-10CM, CPT, and HCPSC standards is essential. This full-time position offers a salary ranging from $23.06 to $32.29 per hour, based on experience and qualifications. Join us in creating a welcoming and inclusive community. #J-18808-Ljbffr

Job Description Skilled Wound Care is looking for a Lead Medical Biller to join our rapidly growing company. We are a mobile surgical physician wound care group expanding into new markets across the United States. The Lead Medical Biller is a critical leader responsible for ensuring the financial health of our organization by overseeing the daily operations of the billing team. This role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third‑party). Position is hybrid at our office in Playa Vista, CA. Contact us at (310) 445-5999 or visit www.skilledwoundcare.com. Responsibilities Supervise & Train: Lead the training and mentorship of new billing hires, ensuring rapid integration and consistent adherence to best practices. Quality Assurance: Assist management by conducting routine audits to ensure compliance...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Millennium Physician Group is seeking a RISK ADJUSTMENT CODING SPECIALIST to abstract and assign ICD‑10‑CM diagnosis codes and conduct audits of medical records. The role requires advanced knowledge of medical terminology and coding practices, with a strong emphasis on data analysis and technical skills. A minimum of 2 years of relevant experience is necessary, with the ability to manage workloads effectively. Candidates will be responsible for improving documentation standards and coding accuracy while maintaining communication with leadership. #J-18808-Ljbffr

Job Opportunity At Hospital For Special Surgery How you move is why we're here. Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise....

FlexStaff is seeking a Certified Professional Coder with anesthesia and/or surgical coding experience for a client—a medical administration practice—located in Westchester, NY . Qualifications Current CPC (AAPC) or CCS (AHIMA) certification required 2+ years of professional anesthesia and/or surgical coding experience Strong knowledge of anatomy, physiology, medical terminology, and coding guidelines Experience with EPIC preferred Position Summary You will review clinical documentation and accurately assign CPT and ICD-10 codes for anesthesia services. Schedule Hybrid: 3 days onsite / 2 days remote Hours: Monday–Thursday: 8:30 AM–4:30 PM ; Friday: 8:00 AM–4:00 PM ; 1-hour paid lunch Key Responsibilities Review handwritten and electronic anesthesia records to determine procedures and diagnoses Assign accurate CPT and ICD-10 codes in accordance with current guidelines Post charges and ensure compliance with payer and regulatory requirements...

Position Summary Responsible for reviewing medical records for compliance with coding and documentation requirements. Job Responsibilities Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed. Identifies issues and patterns related to coding. Selects and assigns the appropriate ICD-10, CPT and HCPCS codes, based on chart review documentation. Identifies issues and patterns related to coding. Enters charges into the practice management billing system, ensuring to meet productivity and quality-based departmental benchmarks. Performs charge entry batch quality assurance. Reviews and resolves charge router and charge review edits, as needed. Submits queries to physicians, as appropriate, for documentation clarification. Participates in internal and external audits of billing operations and activities. Participates in annual and on-going mandatory compliance training. Fulfills Continuing...

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Position Summary Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. • Coding focus is hospital acute and subacute inpatient encounters or hospital based interventional procedures. Principal Accountabilities • Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education • High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline. Licenses and Certification • Required: o RHIA, RHIT, or CCS (inpatient hospital) o RHIA, RHIT, CCS, or CIRCC (interventional hospital) Experience and Skills • RHIA or RHIT- None. o CCS or CIRCC - 3 years inpatient or interventional coding...

Conducting audits of medical records, the full-time Certified Medical Auditor will evaluate the accuracy of medical coding and compliance with health plan policies for Fraud, Waste & Abuse clients while working remotely. Key responsibilities Conduct audits of medical records and healthcare claims to assess coding accuracy and compliance with policies and regulations Prepare and submit detailed reports on audit findings, providing recommendations for improvements Research medical policies and relevant guidelines to support review findings Required qualifications Bachelor's Degree in a related discipline or equivalent combination of education and experience Certified Professional Coder (CPC, CCS, CCS-P) credential required 2-5 years of related experience in auditing medical records Proficiency in MS Office suite Understanding of ICD, CPT, HCPCS, and federal and state guidelines

Medical Health Associates (MHA) is seeking an experienced Certified Medical Coder to join our team supporting a network of outpatient pediatric physician offices. This position is responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, ensuring compliance with coding regulations, and helping optimize reimbursement while maintaining the highest standards of accuracy and integrity. Essential Responsibilities Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient pediatric services. Ensure coding complies with payer guidelines, federal regulations, and organizational policies. Identify and resolve coding discrepancies by working collaboratively with providers and clinical staff. Review claims for coding accuracy prior to submission. Assist with denial management and coding-related appeals as needed. Stay current with coding updates, payer requirements, and regulatory...

Job Description Summary Entity University Medical Associates (UMA) Only Employees and Financials Worker Type Employee Worker Sub-Type Regular Cost Center CC002053 UMA CORP RC PPA CRC CC Pay Rate Type Hourly Pay Grade Health-25 Scheduled Weekly Hours 40 Work Shift The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures. Additional Job Description Qualifications Associate’s degree in health information technology or related field or 5 years coding...

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...

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 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, CCS, or CPC/CPC-H Certification in...

City/State: White Plains, New York Department: WPH Health Info Mgmt HIM_5 Work Shift: Day Work Days: MON-FRI Scheduled Hours: 7 AM-3 PM Hours Per Pay Period: 75 Pay Rate/Range: $27.6106-$41.4267 For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors. Job Summary The Outpatient Coder/Abstractor Level II is responsible for coding and abstracting medical records in accordance with established guidelines for outpatient hospital services. This includes, but is not limited to, same-day surgery, observation, emergency department services, clinic services, infusion center services, and diagnostic testing. Essential Functions Understands and adheres to the WPH Performance Standards, Policies and Behaviors. Accurately assign codes to meet established coding guidelines, including ICD-10 CM, CPT-4, HCPCS, and Modifiers. Analyze medical records to...

Datavant is looking for experienced outpatient coders to join our team. This fully remote position allows for a flexible schedule, letting you contribute to healthcare data solutions from your workspace. You'll review medical records, assign accurate codes, and maintain high accuracy rates. Candidates should hold AHIMA or AAPC credentials and have 2+ years of coding experience. Benefits include comprehensive training and a competitive pay range of $20 to $35 per hour. #J-18808-Ljbffr