36 coder 3 jobs found

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Inpatient Coding Position Accurately assigns ICD-10 codes to diagnoses and CPT codes to procedures respectively for reimbursement integrity and research purposes. Medical terminology, anatomy and physiology required. Minimum of 3-5 years previous inpatient coding experience in an acute care setting. Certification as RHIA, RHIT, CCS, CCS-P, CPC, CPC-H required. Keyboard/typing, minimum 45 wpm. High School Diploma or equivalent required. Active CCS/CPC required. Associates Degree and/or 3-5 years experience in inpatient coding a must.

Medical CoderPhelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri. No matter where you start with us, we're committed to taking our team to the top. If you're ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.General SummaryThe coder is responsible for ensuring appropriate levels of service being billed according to the American Medical Association (AMA) and Center for Medicare and Medicaid Services (CMS) guidelines, insurance credentialing, and provider/staff education in relation to coding and billing guidelines. Maintain routine chart audits for providers.Essential Duties and ResponsibilitiesAssigns ICD-10-CM, CPT, and HCPCS Level II codes to completed and signed medical documentation creating an appropriate assigned medical claim.Abstracts specified data and information from patient records in order to determine appropriate modifiers...

*Description* The ideal candidate for this role will have experience in Healthcare Accounts Receivable (AR) and collections, as well as proficiency in Epic. This individual will be responsible for performing advanced coding and appeals activities, investigating payer issues, ensuring the timely filing of appeals to insurance companies, and managing charge corrections. The successful candidate will demonstrate strong analytical skills, attention to detail, and the ability to resolve complex reimbursement issues effectively. REQUIRED: Certification as a Certified Procedural Coder (CPC) required or RHIT/RHIA certification. * Responsible for appealing claims denied by third-party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims. * Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation...

Get started on an exciting career in health information management. We’re with you every step of the way. DUTIES : Same day surgery, ER, and low complexity Inpatient Coding CREDENTIALS: CCS or RHIT or RHIA YEARS OF EXPERIENCE : 5 Years, within the past 3 years, coding Emergency Room (assigning ICD-10-CM diagnosis codes and CPT-4 codes and/or Ambulatory Surgery (assigning ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and CPT-4 codes, and/or low-complexity inpatient cases (assigning ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and CPT-4 codes). LOCATION : Remote PACKAGE: Benefits, credential reimbursement, and coding books. Company equipment is provided. #J-18808-Ljbffr

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. Join a forward-thinking team where your expertise drives quality patient care! We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Enjoy flexible remote / hybrid options, continuous career development, and competitive compensation in a supportive environment. General Description Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Applies advanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement, wRVU integrity, and audit...

Home Health Coder II Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. As a Home Health Coder II, you will be responsible for reviewing and coding for home health and hospice utilizing clinical notes (i.e., H&P, recent Discharge summary progress notes, F2F notes, etc.). You will document recommendations for coding and OASIS edits. You will work with team lead and/or denials team to resolve coding related issues. You will serve as a key promoter of the Home Health and Hospice & Family Care and is responsible for setting the tone of Parallon coding as a service organization, continuously seeking to understand, meet and exceed customer expectations and needs. What you will do in this role: Reviews and codes from clinical notes Maintains or...

If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.Please log into to search for positions and apply.Professional Billing Coder II (Remote)101 Truman Medical CenterJob LocationUniversity Health 4 (UH4)Kansas City, MissouriDepartmentCorporate Professional BillingPosition TypeFull timeWork Schedule7 :00AM - 3 :30PMHours Per WeekJob DescriptionThe Coder II position is responsible for accurate coding of professional services from medical record documentation.Reviews, codes and assigns correct ICD-10-CM diagnosis codes, procedure codes, and E / M level codes for professional services across multiple specialties according to AMA / CMS coding guidelines.This is a fully remote position following the initial probation period.The coder may be asked to come on site for special assignments or training as needed after this period.Minimum RequirementsAssociates degree or equivalent in education...

Inpatient Coder II Remote opportunity available in the following states: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed, and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic knowledge, clinical disease processes, and treatments. This position completes analysis and follow-up record reviews. Responsibilities: Codes complex diseases, procedures, and diagnoses using the ICD-10-CM/PCS classification systems in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines, and organizational compliance standards. Assumes responsibility for professional development by participating in workshops,...

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. What We’re Looking For We’re looking for experienced and credentialed inpatient 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...

SUMMARY: SUMMARY: Under the direction of the HIM Department Director and Coding Supervisor, maintains clinical databases through coding and abstracting of medical records. Assigns appropriate CPT, ICD-10 and HCPCS codes in accordance with Official Coding Guidelines, CMS guidelines and internal policies. Demonstrates ability to determine first listed diagnosis, secondary diagnosis, and surgical procedures. The HIM Facility Coder collaborates with Revenue Integrity and Patient Financial Services to resolve edits, verify code accuracy and ensure claim processing. Receives and responds to educational feedback identified by Coding Compliance and Education. Achieves quality and quantity production standards, participates in professional development efforts, and maintains knowledge of medical record and provider documentation to maximize coding specificity with query opportunities. EXPERIENCE: 1-3 years of facility medical coding and/or billing experience preferred. Proficient...

Pay: Base Wage starting at $15.65; increased based on experience Incentive Eligible Position: Yes Summary of Duties A medical coder is a trained medical professional who uses specialized codes and alphanumeric diagnostic (ICD-10 CM, ICD-10 PCS, CPT and HCPCS) to record and interpret information about health conditions of patients. The medical coder follows the ICD-10 CM Official Coding Guidelines when entering the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis and claims processing. Essential Functions 1. Responsible for assignment of diagnosis/procedure codes using ICD 10 CM/PCS, CPT/HCS in various settings and for a wide range of ages from neonate to geriatric utilizing the OPTUM encoder. 2. Validates coding accuracy using clinical information found in the health record 3. health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology, and medical terminology to support...

Medical CoderPay: Base Wage starting at $15.65; increased based on experienceIncentive Eligible Position: YesSummary Of DutiesA medical coder is a trained medical professional who uses specialized codes and alphanumeric diagnostic (ICD-10 CM, ICD-10 PCS, CPT and HCPCS) to record and interpret information about health conditions of patients. The medical coder follows the ICD-10 CM Official Coding Guidelines when entering the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis and claims processing.Essential FunctionsResponsible for assignment of diagnosis/procedure codes using ICD 10 CM/PCS, CPT/HCS in various settings and for a wide range of ages from neonate to geriatric utilizing the OPTUM encoder.Validates coding accuracy using clinical information found in the health recordhealth record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology, and medical terminology to support the...

A leading healthcare system in Kansas City, MO is seeking an experienced Coding Specialist / Auditor and Educator to join their Audit & Compliance team! This role is ideal for a professional coder with auditing and/or provider education experience who wants to support coding accuracy, compliance, documentation integrity, and appropriate reimbursement across the organization. Title: Coding Specialist / Auditor and Educator Job Type: Permanent / Direct Hire Location: Kansas City, MO (Onsite, some flexibility for hybrid) Schedule: Full-time, Monday-Friday, 8:00 AM-4:30 PM Position Overview: The Professional Coding Auditor and Educator ensures accurate, compliant, and optimized professional/physician coding across the organization. This position performs coding audits, identifies compliance risks and revenue opportunities, and provides education to physicians, APPs, and coding staff. The role partners with Compliance, Revenue Integrity, CDI, and Provider Leadership to reduce...

Job Title Functions of Position: 1. Assign ICD 9 CM Codes for diagnosis 2. Code the following work lists: Radiology Cardiology Respiratory/Sleep Labs Physical Therapy Infusion Center Recurring Labs Outpatient OB/GYN NST's All Un-coded Outpatient records Laboratory All Un-coded Records 3. Code Using CPT codes for Procedures in Orthopedics and Non-Stress Tests in OB/GYN 4. Review charts in the EBEW Lists to Determine the Reason for the Error and Correct the Error 5. Review patient charts regarding Medical Necessity forwarded from Patient Accounts and Document Correct Codes 6. Contact Physicians regarding missing Orders or Diagnoses 7. Contact the Physician's Offices to Request Additional Information regarding a Medical Necessity Error 8. Assist in Training New Personnel in Coding 9. Assist in the Training of the Remote Coders 10. Participate in Educational Programs and In-services 11. Retain Active Status with AAPC 12. Attend Meetings as...

Inpatient Coder IIThe Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient acute rehabilitation swing bed and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines Coding Clinic knowledge of clinical disease processes and treatments. This position completes analysis and follow-up record reviews.Responsibilities:Codes complex diseases procedures and diagnoses using the ICD-10-CM/PCS classification systems in accordance with Official Coding Guidelines CMS guidelines PPS guidelines and organizational compliance standards.Assumes responsibility for professional development by participating in workshops conferences and/or in-services and maintains appropriate records of participation.Completes complex coding assignments for reimbursement research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Certified Medical Coding Auditor (CPC or CCS-P) Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care Certified Medical Coding Auditor (CPC or CCS-P) 2 weeks ago Be among the first 25 applicants Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care About Us Simply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we’ve built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care’s mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County’s Top Urgent Care center 6 years in a row! Dedicated to our employees’ career...

Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to join the Quality - Risk Adjustment team in Orange, CA. The role requires expertise in Medicare Advantage, ACA, and commercial risk adjustment coding, with significant travel to provider sites to support coding education and standards. The ideal candidate will hold CCS/CPC (AAPC/AHIMA) certification, have 3+ years of risk adjustment experience, and be proficient with EHR and coding software. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

A leading healthcare provider is seeking a Certified Medical Coding Auditor (CPC or CCS-P) in Bakersfield. This full-time role involves conducting audits, providing regulatory education, and ensuring compliance with billing standards. The ideal candidate will have an active certification, strong communication skills, and at least 3 years of experience. Benefits include medical, dental, vision insurance, and PTO, supporting professional growth within the organization. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to review medical records for the Special Investigations Unit (SIU) to ensure coding compliance across medical, behavioral, and other healthcare providers. Responsibilities include comprehensive audits, detailed findings, and clear communication with investigators, regulators and providers. Requires CPC, 3+ years of coding/audit experience, and strong Excel/Word skills. #J-18808-Ljbffr

Ambience Healthcare seeks an experienced outpatient coding or CDI professional for a remote contract role. You will review outpatient encounters, analyze documentation, and assign ICD-10-CM codes with clear rationale to improve accuracy at scale. This role emphasizes attention to detail, independent work, and providing expert feedback on coded data. CPC/CCS-P credentials and 3–5+ years of CDI/coding experience are highly valued. #J-18808-Ljbffr

Certified Professional Coder, Outpatient Billing Full Time Corporate 3 days ago Requisition ID: 4107 Salary Range: $27.00 To $35.00 Hourly Position Summary This role is responsible for ensuring accurate, compliant, and complete coding of professional outpatient encounters in a high-volume urgent care environment. This role reviews provider documentation, validates and corrects CPT® and ICD-10-CM code selection, queries providers for missing or unclear documentation, and ensures all claims meet CCI, payer, and outpatient coding requirements prior to billing. This role also plays a key role in supporting provider coding and documentation audits and manual coding activities required during system downtime or special operational needs. Key Responsibilities Documentation Review & Coding Validation Review clinical documentation to confirm all services rendered are documented completely and accurately prior to billing. Validate provider-selected CPT® and ICD-10-CM codes to...